- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 04 April 2006
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Current Status:
Answered by Andy Kerr on 28 April 2006
To ask the Scottish Executive, further to the answer to question S2W-23334 by Mr Andy Kerr on 6 March 2006 and given that the annual report of the Catheter Associated Urinary Tract Infections surveillance programme stated that uptake of the programme among acute care divisions had been “challenging”, whether Health Protection Scotland’s national survey of healthcare associated infections will be compulsory for acute care divisions.
Answer
It is compulsory for all acutecare divisions to participate in the national Healthcare Associated Infections prevalencesurvey in Scotland.
A letter from the Chief NursingOfficer in Scotland went to all Chief Executives in NHS boards in April 2005outlining the requirements for the survey.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 04 April 2006
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Current Status:
Answered by Andy Kerr on 28 April 2006
To ask the Scottish Executive, further to the answer to question S2W-23334 by Mr Andy Kerr on 6 March 2006, whether it will list the types of hospital acquired infections which will be included in Health Protection Scotland's national survey.
Answer
The national prevalence surveyof Healthcare Associated Infections (HAIs) includes all types of HAIs. The listincludes infections in bone and joint, bloodstream, central nervous system, cardiovascular,ear, nose and throat, gastrointestinal, respiratory, reproductive, surgical site,skin and urinary tract.
The survey is also collectingorganism data, information on invasive devices and antibiotic prescribing data.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 04 April 2006
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Current Status:
Answered by Andy Kerr on 27 April 2006
To ask the Scottish Executive how many speech and language therapists there have been in each of the last five years, broken down by NHS board area.
Answer
Information on speech and languagetherapists in NHS Scotland is published on the Scottish Health Statistics websiteunder Workforce Statistics, at
www.isdscotland.org/workforce.Section F gives details of alliedhealth professional staff employed in NHS Scotland. In particular, table F1 andF2 shows the whole-time equivalent (WTE) and headcount number of speech and languagetherapists by NHS board from 1995 onwards. Latest available figures are at 30 September 2005.
In the period 2000-05, therehas been an 12.1% growth in the number of whole time equivalent qualifiedSpeech and Language Therapists in NHSScotland.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 04 April 2006
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Current Status:
Answered by Andy Kerr on 24 April 2006
To ask the Scottish Executive, further to the answer to question S2W-19912 by Mr Andy Kerr on 16 November 2005, how many incidences of tuberculosis there were in (a) 2004 and (b) 2005, broken down by NHS board area.
Answer
The information requested isshown in the following table:
| 2004* | Incidence Rate per 100,000 Population in 2004 | 2005* | Incidence Rate |
Argyll and Clyde | 17 | 4.1 | 31 | N/A |
Ayrshire and Arran | 6 | 1.6 | 0 | N/A |
Fife | 16 | 4.5 | 12 | N/A |
Forth Valley | 5 | 1.8 | 4 | N/A |
Grampian | 23 | 4.4 | 25 | N/A |
Greater Glasgow | 173 | 20.0 | 155 | N/A |
Highland | 9 | 4.3 | 11 | N/A |
Lanarkshire | 35 | 6.3 | 23 | N/A |
Lothian | 82 | 10.4 | 81 | N/A |
Tayside | 16 | 4.1 | 4 | N/A |
All other NHS Boards† | 7 | 2.2 | 3 | N/A |
Total | 389 | 7.7 | 349 | N/A |
Notes:
*Data for 2004 and 2005 are provisional.
†To avoid deductive disclosureof cases from small numbers, data for NHS boards with few or no cases were aggregated.
Mid-2004 population estimates (General Registrar Scotland) wereused to calculate incidence rate for 2004 cases. Mid-2005 population estimates arenot yet available, therefore incidence rates could not be reliably determined for2005 cases.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 04 April 2006
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Current Status:
Answered by Andy Kerr on 24 April 2006
To ask the Scottish Executive how many cases of tuberculosis there have been identified in educational establishments each of the last five years, broken down by local authority area.
Answer
The information requested isnot held centrally by local authority but is available by NHS board as shown inthe following table:
| 2000 | 2001 | 2002 | 2003 | 2004* | Total |
Argyll and Clyde | 7 | 3 | 3 | 1 | 0 | 14 |
Ayrshire and Arran | 0 | 2 | 0 | 1 | 1 | 4 |
Fife | 0 | 0 | 1 | 1 | 4 | 6 |
Grampian | 2 | 5 | 9 | 3 | 6 | 25 |
Greater Glasgow | 17 | 16 | 23 | 18 | 29 | 103 |
Lanarkshire | 0 | 3 | 8 | 0 | 4 | 15 |
Lothian | 4 | 2 | 4 | 7 | 12 | 29 |
Tayside | 2 | 3 | 0 | 1 | 2 | 8 |
All other NHS Boards† | 0 | 1 | 0 | 2 | 0 | 3 |
Total | 32 | 35 | 48 | 34 | 58 | 207 |
Notes:
*Data for 2004 isprovisional
†To avoid deductivedisclosure of cases from small numbers, data for NHS boards with few or nocases were aggregated.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Thursday, 02 March 2006
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Current Status:
Answered by Peter Peacock on 16 March 2006
To ask the Scottish Executive, further to the answer to question S2W-10320 by Peter Peacock on 17 September 2004, whether any agencies hold the information on literacy in Scotland and, if so, which agencies.
Answer
The information requested isnot held by any government agencies.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Friday, 03 March 2006
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Current Status:
Answered by Lewis Macdonald on 14 March 2006
To ask the Scottish Executive, further to the answer to question S2W-4176 by Malcolm Chisholm on 10 December 2003, what the average number of cots available in neonatal units has been in each year since 2001-02, broken down by NHS board area.
Answer
Table 1: Average available staffed cots in neonatal units;
By Health Board Area: Years Ending 31 March 2002-04
NHS Board | 2002 | 2003 | 2004 |
Argyll and Clyde | 28 | 27 | 28 |
Ayrshire and Arran | 25 | 25 | 25 |
Borders | 8 | 8 | 8 |
Dumfries and Galloway | 12 | 5 | 10 |
Fife | 20 | 20 | 17 |
Forth Valley | 17 | 17 | 20 |
Greater Glasgow | 78 | 78 | 80 |
Grampian | 41 | 38 | 38 |
Highland | 18 | 12 | 12 |
Lanarkshire | 24 | 20 | 21 |
Lothian | 59 | 58 | 58 |
Tayside | 22 | 25 | 29 |
Scotland | 351 | 332 | 347 |
Source: ISD Scotland [ISD(S)1].
The figures for year ending 31 March 2005 have not yet been verified and published.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Thursday, 16 February 2006
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Current Status:
Answered by Andy Kerr on 8 March 2006
To ask the Scottish Executive whether it has implemented the decision of the Parliament in relation to motion S1M-3375, as agreed on 12 September 2002.
Answer
I can confirm that, in 2004, NHS Greater Glasgow undertook a review of the assumptions underpinning the board’s decision to move to two accident and emergency. The board considered a report of that review in February 2005 and agreed that the assumptions remained valid. I can also confirm that both a North and a South Monitoring group were established following the debate on NHS Greater Glasgow’s acute services on 12 September 2002. Both Monitoring Groups meet regularly and their remit includes monitoring of the retention of named services at Stobhill and Victoria Hospitals; raising concerns with NHS Greater Glasgow, and allowing stakeholder involvement in service design and other key aspects of the Acute Services Plan. I recently met with both chairs of the groups and am keen for the groups to continue to carry out their monitoring roles until the new hospitals are operating. I can also confirm that Audit Scotland agreed that PriceWaterhouse Coopers (PWC) would undertake an independent audit of the delivery of NHS Greater Glasgow’s Acute Hospital Modernisation Strategy. I understand that, as part of the annual audit process, PWC have been continuously involved in monitoring, auditing and reporting upon key aspects of the delivery of the strategy. I can confirm that the Scottish Ambulance Service has more paramedics than technicians and now has the staffing mix to be able to deploy a paramedic-led response to all calls that require such a response. In Glasgow specifically, the number of paramedics has risen from 65 in 2002 to 139 at the end of March 2005.
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Thursday, 23 February 2006
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Current Status:
Answered by Andy Kerr on 3 March 2006
To ask the Scottish Executive for which infectious diseases diagnostic tests are not carried out in Scotland; how many samples were sent out of the country in each of the last five years in respect of each such disease, and what the cost of sampling each type of disease was in each of the last five years.
Answer
The table gives an outline of tests supplied to Scotland by the Health Protection Agency in England in the last three years. That is as far back as the information is available. For ease of comparison some organism tests have been grouped together e.g. Parvovirus because the type of testing has changed over the course of the three years reflecting changes in laboratory techniques. The vast majority of these tests are not primary diagnostic methods but confirmatory tests, additional typing tests following primary isolation (usually as part of an enhanced surveillance programme) or further identification requested where the local referring laboratory has had problems with identification. These services are for the most part provided for the whole of the UK because there is insufficient demand to warrant separate services in all four countries.
The primary diagnostic tests not provided in Scotland , included in the list below are, C.Botulinum toxin, Bartonella toxin, S aureus toxin detection (related to food poisoning).
Laboratory | | 2002-03 No. of Tests | 2003-04 No. of Tests | 2004-05 No. of Tests |
Food safety Microbiology laboratory | Bacillus sp | 11 | 4 | 41 |
C Botulinum toxin | 7 | 12 | 6 |
C Botulinum culture | 0 | 0 | 4 |
Clostridium sp | 16 | 7 | 28 |
Listeria species | 0 | 0 | 2 |
L monocytogenes | 17 | 8 | 63 |
Staph aureus | 62 | 0 | 0 |
Sub total cost | £5,096 | £5,783 | £ 9,366 |
Respiratory and Systemic Infection Laboratory | Diphtheria antitoxin | 5 | 7 | 4 |
Bartonella serology | 130 | 59 | 126 |
Tetanus serology | 7 | 12 | 28 |
Legionella pneumophila serology | 1 | 0 | 0 |
Mycoplasma serology/culture | 2 | 0 | 1 |
Haemophilus influenzae typing | 46 | 50 | 21 |
Streptococcal typing / speciation | 0 | 3 | 50 |
Sub total cost | £7,937.75 | £6,961 | £9,937.74 |
Enteric, Respiratory and Neurological Virus laboratory | Influenza strain typing | 45 | 46 | 3 |
Poliovirus serology | 4 | 7 | 6 |
SRSV PCR/NLV PCR | 168 | 2 | 0 |
Parvovirus B19 | 55 | 70 | 43 |
Polyoma virus | 42 | 125 | 124 |
Measles mumps rubella serology/PCR | 18 | 154 | 189 |
Herpes B virus | 94 | 5 | 0 |
Other virus PCR | 0 | 0 | 19 |
Sub total cost | £13,772 | £11,964 | £12,348 |
Laboratory of healthcare associated infection | Species identification | 77 | 65 | 53 |
Coagulase negative identification | 9 | 0 | 3 |
Enterococcal identification | 117 | 104 | 30 |
Staphylococcus phage type | 90 | 119 | 2 |
Group A serodiagnosis | 280 | 395 | 466 |
S aureus serodiagnosis | 42 | 37 | 36 |
Gram negative typing | 49 | 47 | 0 |
Exfoliative toxin testing | | 2 | 14 |
Molecular typing | 11 | 31 | 141 |
Sub total cost | £20,071 | £21,997 | £19,747 |
Antibiotic and resistance Monitoring Reference Laboratory | Antibiotic resistance tests | 217 | 242 | 143 |
Sub total cost | £7,595 | £8,470 | £5,005 |
Laboratory of enteric pathogens | E Coli serotyping | 14 | 0 | 0 |
Yersinia serodiagnosis | 157 | 99 | 71 |
Sub total cost | £3,420 | £2,018 | £1,562 |
Sexually transmitted and Blood Borne Virus Laboratory | Hepatitis | 0 | 0 | 0 |
HSV serology | 5 | 0 | 5 |
Anti HIV testing | 0 | 0 | 33 |
HIV proviral DNA | 0 | 0 | 1 |
HPV DNA/Typing | 0 | 0 | 4 |
Sub total cost | £75 | 0 | £732 |
Leptospira reference Unit (Hereford PHL) | Leptospira serology | 117 | 76 | 104 |
Sub total cost | £1,249 | £743 | £1,297 |
Total cost per annum | £59,215 | £57,936 | £59,996 |
Annual payment from NSD | £41,200 | £57,042 | £55,001 |
- Asked by: Stewart Maxwell, MSP for West of Scotland, Scottish National Party
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Date lodged: Tuesday, 21 February 2006
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Current Status:
Answered by Andy Kerr on 2 March 2006
To ask the Scottish Executive, further to the answer to question S2W-16922 by Mr Andy Kerr on 7 June 2005, what progress is being made with the catheter-associated urinary tract infection surveillance programme and when the first report from this programme will be published.
Answer
Health Protection Scotland (HPS)published a report from the Catheter Associated Urinary Tract Infections (CAUTI)surveillance programme in June 2005. This is available on the HPS website:
http://www.show.scot.nhs.uk/scieh/infectious/hai/SSHAIP/pdf/CAUTI%20Annual%20Report%20June%2005.pdf.participation in the CAUTI surveillanceprogramme is voluntary and not all NHS boards have participated. Therefore, thereport does not provide full data on CAUTIs in Scotland.
The Scottish Executive HealthDepartment has commissioned HPS to conduct a national survey on the prevalence andburden of healthcare associated infections (HAIs). As part of this, data on healthcare-associated UTIs will be collected across Scotland. The prevalence surveyis due to report in 2007.
A best practice statement onurinary catheterisation and catheter care, developed by the HAI Task Force, waspublished by Quality Improvement Scotland in June 2004.