- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 May 2009
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Current Status:
Answered by Nicola Sturgeon on 29 May 2009
To ask the Scottish Executive whether NHS Grampian has an antimicrobial prescribing policy in place; if so, when this was adopted, and how it has been implemented.
Answer
NHS Grampian has advised that its antimicrobial prescribing policy was first adopted in 2004 and was last reviewed in March 2009. Adoption and implementation of the revised policy began in March 2009. Implementation is the responsibility of managers at all levels of the organisation. Implementation of NHS Grampian''s revised policy is the subject of on-going audit which is being undertaken in line with guidelines published by the Scottish Antimicrobial Prescribing Group (SAPG).
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 May 2009
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Current Status:
Answered by Nicola Sturgeon on 29 May 2009
To ask the Scottish Executive what the local threshold is that would trigger an investigation into the incidence of Clostridium difficile at NHS Grampian and whether it was applied in the case of the outbreak at Dr Gray’s hospital in April and May 2009.
Answer
National guidance requires the setting of local trigger thresholds for each clinical area. I am advised by NHS Grampian that an investigation is triggered when two or more cases occur in the same ward area and that this trigger was applied in the recent outbreak at Dr Gray''s Hospital.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 14 May 2009
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Current Status:
Answered by Shona Robison on 29 May 2009
To ask the Scottish Executive whether it plans to ask local authorities to report on progress in implementing sections 25 to 31 of the Mental Health (Care and Treatment) (Scotland) Act 2003 in current or future rounds of single outcome agreements.
Answer
Guidance for the production of single outcome agreements and annual reporting by Community Planning Partners has been produced jointly by the Scottish Government, COSLA, the Society of Local Authority Chief Executives, the Improvement Service and Audit Scotland. There is no obligation upon Community Planning Partners to set out how they, or individual partners (such as councils), are implementing statutory obligations such as those under the 2003 act, in single outcome agreements or related annual reports.
The Scottish Government has published additional guidance called With Inclusion in Mind. This sets out practical action that local authorities can take in respect of the new duties outlined in Sections 25 to 31 of the Mental Health (Care and Treatment) (Scotland) Act 2003. The Scottish Government continues to work with local authorities to support implementation. The new duties are also reflected in the Scottish Recovery Indicator which has been developed to assess the degree to which services address rights, social inclusion and recovery and which the Scottish Recovery Network is working with service providers, including local authorities, to implement.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 May 2009
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Current Status:
Answered by Nicola Sturgeon on 28 May 2009
To ask the Scottish Executive whether there will be a review of the clinical governance arrangements in place across NHS Grampian by NHS Quality Improvement Scotland and, if so, whether the outcome of the review will be published.
Answer
NHS Quality Improvement Scotland (NHS QIS) is reviewing the performance of every NHS board in Scotland against their standards for clinical governance and risk management. NHS Grampian will be reviewed by NHS QIS on 9 July 2009. All NHS QIS reports are published and made available on their website.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 May 2009
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Current Status:
Answered by Nicola Sturgeon on 28 May 2009
To ask the Scottish Executive how many ribotype samples were sent to the national reference laboratory by NHS Grampian in relation to the outbreak of Clostridium difficile at Dr Gray’s Hospital in April and May 2009.
Answer
A total of thirteen isolates were sent to the National Reference Laboratory for typing.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 May 2009
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Current Status:
Answered by Nicola Sturgeon on 28 May 2009
To ask the Scottish Executive how many patients (a) were affected and (b) subsequently died of Clostridium difficile during the outbreak at Dr Gray’s Hospital in April and May 2009 and for what reasons NHS Grampian provided two different positions in relation to the outbreak when asked by journalists on 13 May 2009.
Answer
Eighteen patients have been affected by the Clostridium difficile outbreak in Dr Gray''s Hospital. In answer to (b), NHS Grampian released a statement on 13 May 2009 confirming that one patient had Clostridium difficile recorded on the death certificate as the primary cause of death. NHS Grampian then further confirmed to journalists that one other patient had died during the outbreak where Clostridium difficile was recorded as one of a number of other contributory factors in the cause of death.
NHS Grampian did not mention the death of this second patient in its initial statement because it took the view that, as the second patient did not die directly of Clostridium difficile, it was not appropriate to report this death in its statement.
I expect all NHS boards to supply full and accurate data to media enquiries.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 14 May 2009
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Current Status:
Answered by Shona Robison on 28 May 2009
To ask the Scottish Executive whether it considers that the use of eligibility criteria for community care services by local authorities to determine access to services designed to promote the wellbeing of individuals who have or have had a mental illness is compatible with sections 25 to 31 of the Mental Health (Care and Treatment) (Scotland) Act 2003.
Answer
Local authorities have a duty to meet the statutory requirements of the Mental Health (Care and Treatment) (Scotland) Act 2003 but may do so in a variety of ways.
Eligibility criteria may refer to the allocation of some resources but would never exclude access to resources such as assessment, advice and guidance. Responses to Section 26 will often include these as well as support to access other main stream services.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 14 May 2009
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Current Status:
Answered by Shona Robison on 28 May 2009
To ask the Scottish Executive what plans it has to ensure that its guidance document, With Inclusion in Mind, published in November 2007 is used by local authorities in implementing sections 25 to 31 of the Mental Health (Care and Treatment) (Scotland) Act 2003.
Answer
Since publication of With Inclusion in Mind, the Scottish Government has provided additional funding to local authorities in 2007-08 and in 2008-09 to support them in developing responses to the guidance. A conference was held in the autumn of 2008 to share best practice and further encourage and support this work. The funding support and conference will be repeated in 2009-10.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Monday, 18 May 2009
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Current Status:
Answered by Nicola Sturgeon on 27 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22908 by Nicola Sturgeon on 11 May 2009, when it will publish the responses to the consultation on the establishment of the Care Environment Inspectorate on the NHS Quality Improvement Scotland website.
Answer
The summary of responses to the consultation on the establishment of the Healthcare Environment Inspectorate will be published on the NHS Quality Improvement Scotland website by Friday 12 June 2009.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 14 May 2009
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Current Status:
Answered by Nicola Sturgeon on 27 May 2009
To ask the Scottish Executive to where NHS Greater Glasgow and Clyde patients are referred for inpatient mental health care if there is insufficient capacity within NHS Greater Glasgow and Clyde.
Answer
NHS Greater Glasgow and Clyde have confirmed that the use of acute beds beyond its own boundaries is very low. Greater Glasgow and Clyde provides 1,510 beds for acute assessment, continuing care and specialist services (1,121 of these beds are provided by Greater Glasgow hospitals).
In the 12 month period to 31 April 2009, there were five admissions to a bed outwith the Glasgow area using a total of 16 bed days. This includes both unplanned requests to other boards and presentation at accident and emergency services whilst Greater Glasgow residents are temporarily away from the Glasgow area. The number of patients from other NHS boards using hospitals in Greater Glasgow and Clyde is significantly higher.
