- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government what funding it will provide to NHS Lothian to maintain the Princess Alexandra Eye Pavilion while a new eye hospital is being built in Edinburgh.
Answer
As announced in our Programme for Government, we are investing £10 billion in health infrastructure over the next decade, to renew and replace health facilities across Scotland. The Scottish Government provide NHS Boards with over £140 million of capital funding each to invest in maintaining their existing estate and replacing and upgrading equipment. Over the next five years, as detailed in the Infrastructure Investment Plan published in February 2021, we will double our annual funding for maintenance, so that in total £1 billion will be invested in enhancing or refurbishing existing facilities, and updating and modernising key equipment.
The Scottish Government have asked NHS Lothian to submit a Full Business Case for the new Eye Pavilion following our approval of their Outline Business Case. It is for NHS Lothian to manage their local budget and determine where their maintenance budget is directed, but we would expect them to maintain a safe and compliant facility, until the new eye hospital opens.
- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government how many patients returned with suspected deep vein thrombosis (DVT) within 90 days of discharge following (a) orthopaedic and (b) any type of surgery in (i) 2010, (ii) 2015 and (iii) 2020.
Answer
The following table presents the information requested.
Table 1 : Number of readmissions with a diagnosis of deep-vein thrombosis readmitted within 90 days of discharge following an orthopaedic or any type of surgery.
Year | Number of readmissions after orthopaedic surgery | Number of readmissions after any surgery, including orthopaedic |
2010 | 93 | 265 |
2015 | 87 | 243 |
2020 | 53 | 164 |
1. Year based on the date of admission when the surgery was carried out.
2. Surgeries have been defined as clinical procedures occurring in a surgical specialty excluding diagnosis imaging, testing and rehabilitation procedures. This may misclassify a few procedures, and there might be a slight overestimation of the number of procedures, as this leads to the inclusion of some procedures that may not be perceived to be ‘surgery’ – such as those not requiring anaesthetic or any incision.
3. A readmission has been counted when a patient has undergone a surgical procedure and within 90 days of discharge they have been re-admitted to hospital with a diagnosis of deep-vein thrombosis (DVT). A patient may have multiple ‘readmissions’ for any reason during the 90 day period following surgery but only the first readmission of the year for a patient has been counted. It is not possible to determine if the DVT was caused by the surgical procedure.
Source: Public Health Scotland
- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government how many people died from a pulmonary embolism due to deep vein thrombosis (DVT) within 90 days of discharge following (a) orthopaedic and (b) any type of surgery in (i) 2010, (ii) 2015 and (iii) 2020.
Answer
The following table presents the information requested.
Table 1 : Number of people that died within 90 days of discharge following an orthopaedic or any type of surgery, with pulmonary embolism and deep-vein thrombosis among the causes of death.
Year | Number of deaths after orthopaedic surgery | Number of deaths after any surgery, including orthopaedic |
2010 | 16 | 35 |
2015 | 9 | 25 |
2020 | 7 | 16 |
1. Year based on the date of the hospital admission when the surgery was carried out.
2. Surgeries have been defined as clinical procedures occurring in a surgical specialty excluding diagnosis imaging, testing and rehabilitation procedures. This may misclassify a few procedures, and there might be a slight overestimation of the number of procedures, as this leads to the inclusion of some procedures that may not be perceived to be ‘surgery’ – such as those not requiring anaesthetic or any incision.
3. A death has been counted if both pulmonary embolism (PE) and deep-vein thrombosis (DVT) were recorded on the death certificate, either as the underlying cause of death or in the contributory causes of death, and the patient had a hospital admission with a surgical procedure recorded in the prior 90 days to their date of death. The patient may have had an unrelated underlying cause of death but have DVT and PE recorded in the contributory causes of death. We are not able to determine if the deep-vein thrombosis was the cause of the pulmonary embolism.
Source: Public Health Scotland
- Asked by: Alexander Burnett, MSP for Aberdeenshire West, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government what its response is to the suggestion that the TURAS vaccination management database should allow vaccination registrations to be added by GPs so that vaccines that have been administered abroad are recognised and recorded on the database.
Answer
NHS Scotland are working with colleagues in some international countries to create a system that will enable them to collect the appropriate information. A range of mechanisms is currently under consideration for how this can be done most effectively and efficiently.
- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government what post-operative guidance and information on venous thromboembolism (VTE) prevention was provided to patients, or their carers, as part of the discharge process following orthopaedic surgery in (a) 2010, (b) 2015 and (c) 2020.
Answer
This information is not held centrally .
- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Thursday, 02 September 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government how many cases of deep vein thrombosis (DVT) there have been since the start of the pandemic where the patient had previously tested positive for COVID-19, broken down by NHS board.
Answer
This information requested is not currently available.
- Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
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Date lodged: Monday, 30 August 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government what information it has on links between long COVID and deep vein thrombosis (DVT), and what research it is undertaking or planning to undertake into any such links.
Answer
With the British Heart Foundation Data Science centre, the University of Edinburgh is looking at the long-term risk of deep vein thrombosis and pulmonary embolism after infection with COVID-19. Analyses are currently ongoing, but results are anticipated soon.
This work is funded by the British Heart Foundation and the Stroke Association, with support from Health Data Research UK.
The Scottish Government is not funding research specifically investigating links between long-COVID and deep vein thrombosis (DVT). However, both direct research funding and research support funding has been provided to projects that are investigating the longer term effects of COVID-19.
On December 22 2020, the Chief Scientist Office announced the outcome of its funding call for Scottish-led research on the long-term effects of COVID-19 infection. Following a competitive independently peer reviewed process 9 long-COVID research projects were funded with a total funding commitment of around £2.5 million. Details of the funded projects are available from the Chief Scientist Office website.
Long Covid Call – Chief Scientist Office (scot.nhs.uk)
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 27 August 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government what information it has on whether the death of the nursing assistant, Neil Alexander, was reported to the Health and Safety Executive by NHS Ayrshire and Arran.
Answer
Scottish Government were advised of Mr Alexander’s death by NHS Ayrshire & Arran on 16 February 2021. At that time, the Board also confirmed that a review was ongoing to determine Reporting of Injuries, Diseases and Dangerous Occurrence Regulations (RIDDOR) reportable status. They further advised that the Health and Safety Executive had been advised by telephone of the death of a member of staff and that NHS Ayrshire & Arran would submit a RIDDOR notification if the internal review indicated this requirement.
Scottish Government has since been advised that in accordance with Health and Safety Executive COVID-19 RIDDOR guidance, Mr Alexander’s death was not, and has not, been formally reported to the Health and Safety Executive as it did not meet the requirements for reporting under RIDDOR.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 25 August 2021
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Current Status:
Answered by Humza Yousaf on 21 September 2021
To ask the Scottish Government how many paramedics have been in post in each year since 2017.
Answer
Scottish Ambulance Service staffing is up 63.5% under this Government, by 2,346.1 WTE between Sept 2006 and June 2021, and now stands at 6,040.4 WTE.
In terms of specific numbers of paramedics in post since 2017, this is detailed in the following table:
| Mar-17 | Mar-18 | Mar-19 | Mar-20 | Mar-21 |
Paramedic (Headcount) | 1,444 | 1,545 | 1,660 | 1,657 | 1,659 |
- Asked by: Liam McArthur, MSP for Orkney Islands, Scottish Liberal Democrats
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Date lodged: Wednesday, 25 August 2021
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Current Status:
Answered by Maree Todd on 21 September 2021
To ask the Scottish Government whether it will publish the scientific evidence it received to justify the change in arrangements for regular smear tests for women over 50 from every three years to every five.
Answer
The cervical screening programme routinely invites anyone with a cervix who is between the ages of 25 and 64 for a test every 5 years. This is in line with the recommendation given by the UK National Screening Committee (UK NSC), to change the primary screening test from cytology (looking at cervical cells through a microscope to find those which could develop into cancer) to testing for high-risk human papillomavirus (HPV). The new test is more effective at identifying those at risk of developing cervical cancer, meaning those who don’t have HPV will be invited for a cervical screening test every five years instead of every three. The Scottish Government, along with the rest of the UK, is advised on all aspects of cervical screening including the move to HPV testing by the UK NSC.
Further information on the UK NSC’s recommendation can found on the following website: https://view-health-screening-recommendations.service.gov.uk/cervical-cancer/.