Chamber and committees

The information requested is provided in the following table:

NHS Board	Financial Provision for Insulin Pump Therapy
	(a) 2009-10	(b) 2010-11
Ayrshire and Arran	Funding allocated for three new pumps for paediatric care per year. Adult provision made on a case-by-case basis.
Borders	Funding allocated for six pumps per year
Dumfries and Galloway	No separate budget
Western Isles1	-
Fife	Funding allocated for 10 pumps per year
Forth Valley	~£40,000	~£40,000
Grampian2	-
Greater Glasgow and Clyde2	-
Highland	No separate budget
Lanarkshire3	£85,495
Lothian	£382,000	£382,000
Orkney2	-
Shetland1	-
Tayside3	£155,000	-

Source: Diabetes Managed Clinical Networks, July 2009.

Notes:

1. Patients managed by either NHS Grampian or NHS Highland.

2. Business case currently being prepared.

3. Business case currently being prepared for 2010-11.

Training of diabetes specialist nurses in the use of insulin pump therapy is provided by a range of institutions, including Warwick, Leeds and Liverpool John Moores Universities. A pump module is currently under development at Napier University, Edinburgh, that is expected to assist local training at MSc, BSc and non-accredited levels. These courses are complemented by technical support and training resources provided by insulin pump suppliers as part of local pump supply arrangements.

In addition, the Scottish Diabetes Group in April this year, supported an insulin pump study day that brought together over 60 clinicians, including diabetes specialist nurses, from across Scotland to learn more about insulin pumps.

The information requested is, where available, shown in the following table:

NHS Board	Average Waiting Time for Eligible Patients with Type 1 Diabetes to Secure Access to Insulin Pump Therapy
Ayrshire and Arran	No waiting list
Borders	Four to six weeks (adults only)
Dumfries and Galloway	Two months
Western Isles1
Fife	Four weeks
Forth Valley	No waiting list
Grampian	Six months
Greater Glasgow and Clyde	Two months
Highland	No waiting list
Lanarkshire	Three to four months
Lothian2	Not collected on the same basis
Orkney	Six months
Shetland1
Tayside	None

Source: Diabetes Managed Clinical Networks, July 2009.

Notes:

1. Patients managed by either NHS Grampian or NHS Highland.

2. NHS Lothian has interpreted the total waiting time to be from the time the pump criteria are agreed through to completion of insulin pump training and education. The average waiting time including waiting for training and education in Lothian is estimated to be around 12 months.

The information requested is not centrally available. However, taken from nationally published data, the following table provides the number of clinical nurse specialists in diabetes employed in each NHS board, expressed in head count and whole-time equivalents, as at 30 September 2008.

Clinical Nurse Specialists in Diabetes by NHS Board	Whole-Time Equivalent as at 30 September 2008	Head Count as at 30 September 2008
NHS Ayrshire and Arran	7.4	8
NHS Greater Glasgow and Clyde	25.1	27
NHS Lanarkshire	8.9	11
NHS Forth Valley	5.2	7
NHS Dumfries and Galloway	4.4	5
NHS Borders	2.2	3
NHS Fife	5.6	6
NHS Lothian	10.7	13
NHS Highland	1.5	2
NHS Grampian	5.0	7
NHS Orkney	-	-
NHS Tayside	8.5	10
NHS Western Isles	2.0	3
NHS Shetland	-	-
Total	*86.4	102

Source: Information Services Division (ISD) Scotland. Website link - www.isdscotland.org/workforce.

Note: *Please note the overall total is not equal to the NHS boards value due to rounding.

I refer the member to the answer to question S3W-24698 on 19 June 2009. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

I refer the member to the answer to question S3W-24698 on 19 June 2009. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

I refer the member to the answer to question S3W-24698 on 19 June 2009. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

A delivery partnership has been established between Highland Council and Transport Scotland. This partnership will oversee the design and phased delivery of the Nairn bypass and the A96 upgrade from Nairn to Inverness.

The timetable for undertaking the work on the Nairn bypass and A96 upgrades will be set in the context of overall affordability and the delivery of the A96 masterplan.

Transport Scotland is working constructively with the Highland Council on their Highland-wide local development plan. One of the main purposes of this co-operative approach is to work constructively towards the design and delivery of the Nairn bypass and A96 upgrades.

I refer the member to the answer to question S3W-24698 on 19 June 2009. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

Transport Scotland does not have any record of the design capacity for the Kessock Bridge when it opened in 1982 but would expect the dual two-lane cross-section to be capable of carrying up to 1800 vehicles per lane per hour. The four lanes across the Kessock Bridge are therefore capable of carrying 7200 vehicles per hour albeit higher flows are associated with decreasing levels of service and safety.