To ask the Scottish Executive, further to the answer to question S2W-4176 by Malcolm Chisholm on 10 December 2003, how many neonatal care cots there were in each hospital in the Argyll and Clyde NHS board area in each year from 1998-99 to 2001-02.
The following table shows informationon the average available staffed cots in each neonatal unit for the yearsending 31 March 1999 to 2003. Further information has been received byISD Scotland from trusts, leading to a revision of some of the data heldnationally and reported in the answer to question S2W-4176.
NHSiS: Average Available StaffedBeds; Neonatal Unit; by Health Board and Location: Years Ending 31 March1999-2003
| 1999R | 2000R | 2001 | 2002 | 2003P |
Scotland | 409 | 388 | 375 | 351 | 332 |
Argyll and Clyde | 28 | 27 | 27 | 28 | 27 |
Inverclyde Royal Hospital | 7 | 7 | 7 | 7 | 7 |
Royal Alexandra Hospital | 13 | 12 | 12 | 13 | 14 |
Vale of Leven District General Hospital | 8 | 8 | 8 | 8 | 6 |
Ayrshire and Arran | 25 | 25 | 25 | 25 | 25 |
Ayrshire Central Hospital | 25 | 25 | 25 | 25 | 25 |
Borders | 8 | 8 | 8 | 8 | 8 |
Borders General Hospital1 | 8 | 8 | 8 | 8 | 8 |
Dumfries and Galloway | 12 | 12 | 12 | 12 | 5 |
Cresswell Maternity Hospital (closed in 2002) | 12 | 12 | 12 | 11 | - |
Dumfries and Galloway Royal Infirmary2 | - | - | - | 1 | 5 |
Fife | 20 | 20 | 20 | 20 | 20 |
Forth Park Hospital | 20 | 20 | 20 | 20 | 20 |
Forth Valley | 17 | 17 | 17 | 17 | 17 |
Falkirk and District Royal Infirmary | 12 | 12 | 12 | 12 | 12 |
Stirling Royal Infirmary3 | 5 | 5 | 5 | 5 | 5 |
Grampian | 44 | 44 | 42 | 41 | 38 |
Aberdeen Maternity Hospital | 40 | 40 | 38 | 38 | 38 |
Dr Gray's Hospital | 4 | 4 | 4 | 3 | - |
Greater Glasgow4 | 98 | 78 | 77 | 78 | 78 |
Queen Mother's Hospital | 28 | 29 | 27 | 28 | 28 |
Rutherglen Maternity Hospital (closed in 1998) | 17 | - | - | - | - |
Southern General Hospital | 16 | 16 | 16 | 16 | 16 |
The Princess Royal Maternity Unit | 37 | 33 | 34 | 33 | 34 |
Highland | 20 | 20 | 20 | 18 | 12 |
Raigmore Hospital | 20 | 20 | 20 | 18 | 12 |
Lanarkshire | 44 | 44 | 43 | 24 | 20 |
Bellshill Hospital (closed in 2001) | 34 | 34 | 34 | 6 | - |
Law Hospital (closed in 2001) | 10 | 10 | 9 | 1 | - |
Wishaw General Hospital (opened 2001) | - | - | - | 17 | 20 |
Lothian | 58 | 59 | 59 | 59 | 58 |
New Royal Infirmary of Edinburgh (opened 2002) | - | - | - | - | 44 |
Simpson Memorial Maternity Pavilion (closed 2002) | 44 | 45 | 45 | 45 | - |
St John's Hospital At Howden | 14 | 14 | 14 | 14 | 14 |
Tayside | 34 | 34 | 25 | 22 | 25 |
Ninewells Hospital | 24 | 24 | 18 | 18 | 19 |
Perth Royal Infirmary | 10 | 10 | 6 | 4 | 6 |
Source:ISD Scotland (Form ISD(S)1).
Reference:ISD/ACIG/Neonatal.xls.
Date:07/01/04
PProvisional
RRevised
Notes:
1. For 1999 and 2000,data has been revised to show eight neonatal cots not previously recorded on nationaldata.
2. Trust reports sevencots moved outwith neontal unit during re-organisation.
3. Trust reports 10neonatal special care cots outwith neonatal unit.
4 Data for 1999 hasbeen revised to exclude 17 incorrectly classified neonatal cots at Royal Hospital forSick Children.
General Notes:
(a) The table shows information on average available staffed beds. This indicates the average daily number of beds which were staffed and were available for the reception of in-patients and day cases. Borrowed and temporary beds areincluded; beds in day bed units are excluded.
(b) The figures presented in the table are averages; due to rounding, certain totals and sub-totals may not equate to the sum of the component figures shown.
(c) A neonatal unit is a facility which provides neonatal special care and/or neonatal intensive care for sick babies. Neonatal special care usually, but not always, takes place in a neonatal unit. Neonatal cots providing special care and which are located outwith a neonatal unit cannot be explicitly identified from the national dataset and so are excluded from the table.
(d) ISD Scotland has contacted a number of trusts to gain more information about changing cot numbers over the period.
(e) Local practices differ and this has an impact on the comparability of the number of cots between hospitals and between years. Stirling Royal Infirmary, forexample, has 10 neonatal special care cots outwith their neonatal unit. Theseare not explicitly identifiable from the data and do not appear in the table.
(f) Recent hospital closures and re-organisation of services has also had an impact on bed numbers. At Cresswell Maternity hospital in Dumfries and Galloway,some cots in the neonatal unit were used for babies whose mothers were unableto care for them immediately after birth. After closure of the Cresswell andtransfer of services to the Royal Infirmary, these cots have been moved outwiththe neonatal unit so reducing the number of cots recorded in a neonatal unit inDumfries and Galloway from 12 to five between 2002 and 2003.
(g) Similarly, the shift of services in Lanarkshire from Law and Bellshill hospitals and the reduction in cot numbers from 43 in 2001 to 20 in 2003 is accompanied by an increase in occupancy from 38% to 71% during the period (the trust reports current occupancy levels of 90%+ with regular occurances of 100%).
(h) Raigmore Hospital in Highland NHS board area report the reduction from 18 cots to 12 in 2003 is associated with an increase in occupancy.
(i) Royal Hospital for Sick Children in Glasgow report the incorrect classification of cots in a neonatal unit in 1999. These have been excluded from the table. The 17 cots at Rutherglen Maternity Hospital were special care cots for moderately sick babies or those waiting to be transferred. After closure, mothers went to the Southern General and Princess Royal hospitals and the Lanarkshire maternity units.
(j) The general fall in average available staffed beds in neonatal units is accounted for by two reasons.
The closure of maternity hospitals due to the falling birth rate. The falling birth rate has also reduced the need for special care beds in neonatal units.
Developments in technology and care mean that fewer sick babies need to be admitted to neonatal units for special care.