Chamber and committees

I responded to the member’sletter on 28 February 2007.

The following table shows themedian and mean waiting times for in-patient/day case admissions from the waitinglist and new out-patient appointments during the years ending 31 March 1999 to 2006.

Thedistribution of waiting times for new out-patient appointments and in-patient/daycase admissions is highly positively skewed. The arithmetic mean is an inappropriatestatistical measure for such distributions because a very small number of long waitingtimes can have a disproportionate effect on the mean waiting time.

ISD Scotland routinely publishesthe median wait as a measure of the time a typical patient might have to wait. Bydefinition, 50% of patients will wait less than the median and 50% will wait longerthan the median. The median is unaffected by a small number of patients that mighthave long waits.

The recording of AvailabilityStatus Codes (ASCs) on in-patient/day case discharge data is not mandatory and consistencyof recording will vary across NHSScotland. Therefore, it is not possible to establish exactly howmany patients had an ASC applied during their wait and it is not possible to distinguishprecisely between those patients eligible for waiting times standards and thosethat are ineligible. For this reason the information presented in the followingtable and routinely published waiting times figures are based on all in-patients/daycases regardless of whether they have an ASC code. The majority of patients withASCs have circumstances which have affected their availability for admission andare therefore exempt from national waiting time standards. Reasons patients aregiven ASCs include where the patient has requested a delay for personal reasons,refused a reasonable offer of admission, was under medical constraints that affectedtheir availability or previously did not attend an appointment.

The recording of ASCson out-patient data is mandatory and therefore waiting times can be shown includingand excluding patients with ASCs.

Year Ending 31 March:	In-Patient/Day Case Waiting List Admissions		New Out-Patient Appointments
	Median Wait (days) Including ASC codes	Mean Wait (Days) Including ASC Codes	Median Wait (Days)		Mean Wait (Days)
			Including ASC Codes	Excluding ASC Codes	Including ASC Codes	Excluding ASC Codes
1999	35	68	48	47	65	64
2000	34	63	50	49	70	68
2001	36	71	53	51	73	71
2002	35	72	57	56	82	79
2003	36	77	59	57	91	89
2004	41	82	56	54	91	87
2005	43	82	58	56	98	94
2006	43	77	57	53	85	79

Sources: SMR01, SMR00.

The information requested isgiven in the following tables.

Deaths whereClostridium Difficile was the Underlying Cause of Death

NHS Board of Residence	2001	2002	2003	2004	2005
Scotland	57	70	73	98	100
Ayrshire and Arran	7	9	5	12	3
Borders	-	1	2	-	-
Dumfries and Galloway	5	1	2	2	7
Fife	4	3	4	14	13
Forth Valley	2	3	1	4	8
Grampian	1	3	6	7	6
Greater Glasgow and Clyde1	15	21	18	26	22
Highland 1	1	1	2	1	0
Lanarkshire	4	9	7	6	13
Lothian	11	13	20	22	21
Orkney	-	-	-	-	-
Shetland	-	-	-	-	-
Tayside	7	6	6	4	7
Western Isles	-	-	-	-	-
Argyll and Clyde2	6	6	4	6	3
Greater Glasgow and Clyde pt.	5	6	3	6	3
Highland pt.	1	-	1	-	-
Greater Glasgow2	10	15	15	20	19
Highland2	-	1	1	1	-

Notes:

1. New NHS board areas including parts of former Argyll and Clyde

2. Former NHSboard areas (before dissolution of Argyll and Clyde on1 April 2006).

Deaths whereClostridium Difficile was Mentioned on the Death Certificate (Includes Caseswhere Clostridium Difficile was the Underlying Cause of Death)

NHS Board of Residence	2001	2002	2003	2004	2005
Scotland	170	164	188	239	313
Ayrshire and Arran	21	14	17	21	13
Borders	-	2	2	1	4
Dumfries and Galloway	12	1	3	6	25
Fife	9	11	17	24	23
Forth Valley	11	8	11	11	17
Grampian	4	9	10	12	14
Greater Glasgow and Clyde1	45	51	44	70	86
Highland 1	2	2	6	5	3
Lanarkshire	12	22	17	21	28
Lothian	36	32	48	50	78
Orkney	1	-	-	-	-
Shetland	-	-	-	-	1
Tayside	17	12	13	18	21
Western Isles	-	-	-	-	-
Argyll and Clyde2	11	13	12	16	18
Greater Glasgow and Clyde pt.	9	13	9	13	17
Highland pt.	2	-	3	3	1
Greater Glasgow2	36	38	35	57	69
Highland2	-	2	3	2	2

Notes:

1. New NHS board areas including parts of former Argyll and Clyde.

2. Former NHSboard areas (before dissolution of Argyll and Clyde on1 April 2006).

These data should be treatedwith caution. Recording of healthcare associate infection (HAIs) as a cause of deathis based on the clinical judgement of individual doctors. Recording of specificcauses may be influenced by an increased public and professional awareness of thatinfection, and increases in reporting may not reliably indicate true changes inincidence. Note that the data relate to NHS board of residence and not place ofdeath.

The Ministerial HAI Task Forcehas developed a raft of measures, based on evidence and best practice, includingsurveillance, professional guidance, education and training programmes, and enhancedreporting and accountability structures. Guidance on theprudent use of antibiotics, which is one of the main factors in controlling Clostridiumdifficile, issued in September 2005.

As part of the work of the MinisterialHAI Task Force, we have enhanced monitoring and surveillance measures, and reporting of all cases of Clostridium difficile was made mandatory for NHS laboratories in September2006.

Information on offence locationis not recorded in the available statistics on convictions.

The deployment of firearms isan operational matter for Chief Constables. The following table gives informationprovided by forces for the number of operations against persons known or believedto be armed.

Police Force	1996-97	1997-98	1998-99	1999-2000	2000-01	2001-02	2002-03	2003-04	2004-05	2005-06
Central	9	6	15	10	8	1	6	3	1	3
Dumfries and Galloway	9	4	3	6	3	15	11	6	4	4
Fife	16	5	8	5	5	6	8	13	5	9
Grampian	11	11	13	17	11	11	6	6	6	1
Lothian and Borders	87	153	130	66	94	96	165	197	181	150
Northern	5	3	2	7	10	5	0	1	4	3
Strathclyde	38	95	77	17	14	24	103	131	117	203
Tayside	15	15	8	13	5	5	1	1	3	1

Source: Her Majesty’s Inspectorateof Constabulary.

The level of detail requestedis not available from the statistics collected centrally. The total numbers of allthese types of accident offence where a charge was proved in court are given intable 19 of statistical bulletin Criminal Proceedings in Scottish Courts 2004-05published by the Scottish Executive in April 2006, a copy of which is availablein the Scottish Parliament Information Centre (Bib. number 39481). Statistics oncriminal proceedings concluded in 2005-06 are due for publication on 21 March 2007.

The following table shows thenumber of deaths for which obesity was recorded as the underlying cause of death,by NHS board for each of the last 10 years.

Obesity itself is rarely recordedas an underlying cause of death, although it may have been involved in the developmentand/or exacerbation of frequently recorded conditions such as heart disease anddiabetes.

Deaths from Obesity ^1,2, byNHS Board Area ³, 1996-2005

	1996	1997	1998	1999	2000	2001	2002	2003	2004	2005
Scotland	24	19	22	17	21	27	35	33	22	26
Argyll and Clyde (former)	2	-	-	2	1	4	2	-	2	6
Ayrshire and Arran	1	1	1	-	3	-	3	7	2	2
Borders	1	1	-	-	-	1	1	-	1	-
Dumfries and Galloway	1	-	-	-	1	2	4	2	2	-
Fife	4	-	-	2	1	-	1	2	1	-
Forth Valley	-	2	3	3	-	4	4	-	1	2
Grampian	2	1	1	2	2	1	-	1	1	2
Greater Glasgow (former)	3	3	3	3	5	3	4	3	2	1
Greater Glasgow and Clyde	4	3	3	5	6	7	6	3	4	6
Highland (former)	-	2	2	-	-	2	-	-	1	2
Highland	1	2	2	-	-	2	-	-	1	3
Lanarkshire	4	4	2	4	1	3	3	9	1	3
Lothian	5	5	5	1	3	4	8	5	5	5
Orkney	1	-	1	-	-	-	1	-	-	-
Shetland	-	-	-	-	-	1	-	-	-	1
Tayside	-	-	4	-	3	2	3	4	3	2
Western Isles	-	-	-	-	1	-	1	-	-	-

Source: GROS.

Notes:

1. Recorded as theunderlying cause of death.

2. 1996 - 99: ICD9 code 278.0; 2000 - 05: ICD10 codeE66.

3. Argyll and Clyde NHS Board was disbanded in March2006. The area covered by the former Argyll and Clyde NHS Board was splitbetween the new Greater Glasgow and Clyde and Highland NHS Boards.

The information requested isset out in the following table.

SE PPP Commitments as a Percentageof Departmental Budgets¹

Year	Justice²	Education	Enterprise, Transport and Lifelong Learning	Finance and Central Services	Scottish Executive Total
2007-08 (estimate)	-	7.2	0.9	0.8	0.6

Notes:

1. The Departmental ExpenditureLimits (DEL) budget has been used which includes both operating and capital budgets.

2. A figure for 2007-08is not available.

The PPP commitments of the ScottishExecutive fall into two categories: the unitary charge for the Executive’s own PPPprojects and the support funding provided to local authority PPP projects. In thecase of the latter, the full unitary charge has not been shown as only the fundingprovided by the Executive is a commitment for the Executive.

The table only includes 2007-08as the Executive’s spending plans have only been formally approved at present upuntil that year.

Whilst the requested informationis not held centrally, identifying and reducing the threats posed by the criminalpossession and use of firearms in Scotland is a major focus for Scottish forces and their law enforcementpartners.

The information requested isnot held centrally. Statistics were, however, kept during the national knife amnestylast year, as detailed in the following table.

Police Force	Number of Knives (Domestic and Non-Domestic) Recovered During the National Amnesty, June 2006	Number of Other Weapons Recovered During the National Amnesty, June 2006
Central	495	74
Dumfries and Galloway	403	43
Fife	599	59
Grampian	794	52
Lothian and Borders	1,626	214
Northern	419	91
Tayside	866	102
Strathclyde	5,083	1,621
British Transport Police	92	4
Ministry of Defence	8	0