Chamber and committees

There are variations in the number of cycles of IVF and ICSI treatment provided by NHS boards in Scotland. We provided NHS boards with an update on eligibility criteria in 2007, and recently wrote to all boards asking them for an update on implementation of the updated access criteria in their area.

Information on the average waiting time of clients for drug and alcohol treatment interventions is not held centrally.

A national waiting times information framework was implemented in April 2004 to enable Alcohol and Drug Action Teams (ADATs) and local services “ NHS, local authority and voluntary sector “ to monitor waiting times for drug treatment and care in their local area. ADATs send aggregated data to Information Services (ISD) on a quarterly basis, and ISD submit reports to the Scottish Government each quarter (these may be viewed on http://www.drugmisuse.isdscotland.org/wtpilot/reports.htm).

Table 1: Clients in West Lothian Offered an Appointment Date for any Intervention^1,3 by ADAT⁴ : July to September 2008

<7 Days	8-14 Days	15-21 Days	22-28 Days	5-8 Weeks	9-12 Weeks	13-26 Weeks	27-52 Weeks	52+ Weeks	Total
42	16	6	6	9	7	5	0	0	91

 

Table 2: Clients in West Lothian Still Waiting for an Appointment Date for any Intervention^2,3 by ADAT⁴ as at 30 September 2008

<7 Days	8-14 Days	15-21 Days	22-28 Days	5-8 Weeks	9-12 Weeks	13-26 Weeks	27-52 Weeks	52+ Weeks	Total
2	5	5	5	29	13	23	18	37	137

Notes:

1. Time between date care plan is agreed/ decision on treatment is made/ date client ready for treatment and the first appointment date offered for any intervention (for those offered an intervention date during the reporting period).

2. Time between date care plan is agreed/ decision on treatment is made/date client ready for treatment and the end of the reporting period (for those still waiting to be offered an intervention date).

3. The interventions include: structured preparatory and motivational intervention, prescribed drug treatment, community support/rehabilitation and residential detoxification/rehabilitation.

4. Caution is recommended when interpreting these statistics as the number of services submitting data varies significantly from area to area.

The member may also wish to note that the Scottish Government recently announced that there would be a measure in the NHS HEAT system for 2009-10 to offer drug misusers faster access to appropriate treatment to support their recovery.

The target date for the delivery of the Framework (Bib. number 38415) is 2015 and NHS boards and their partners are continuing to work towards that date. The milestones set in Delivering for Mental Health (Bib. number 41410) to be achieved by 2008 were delivered on time. We do not intend to review the framework at this time as it still commands widespread support.

We do not gather this information centrally. We recently confirmed that we are now working towards a waiting time target for referral to treatment for specialist child and adolescent mental health services for 2010-11. Our preparatory attention to this is already underway shown in the new HEAT target for NHS boards on faster access to child services. During 2009-10 we will develop definitions and data to enable the reporting of child and adolescent psychiatric waits.

Each NHS board has an agreed local referral criteria. However, as part of our work towards a waiting time target for referral to treatment for specialist child and adolescent mental health services for 2010-11, we are developing national guidance.

Bed occupancy rates are not available centrally broken down by month. The average bed occupancy for the year 2007-08 at the Scottish Liver Transplant Unit was 96%.

Of the 22 people on the waiting list for a liver transplant four have been waiting over a year.

There were 66 liver transplants on Scottish residents from April 2007 to March 2008. This figure includes two transplants from living donors and one combined kidney and liver transplant.

Sixty of these transplants were undertaken at the Scottish Liver Transplant Unit, based at the Royal Infirmary of Edinburgh. Five of them were performed at King''s College Hospital, London and one at Queen Elizabeth Hospital, Birmingham.

The information requested is set out in the following table.

Organs/Eye Tissue* Donated from Deceased Donors at Scottish Hospitals**, April 2004 to March 2008, by Year and Organ:

Organ	2004-05	2005-06	2006-07	2007-08	Total
Kidneys	114	88	99	104	405
Pancreata	16	17	17	29	79
Hearts	15	15	9	15	54
Lungs	20	26	9	18	73
Livers	54	43	35	37	169
Total Organs	219	189	169	203	780
Eye Tissue
Corneas**	160	138	168	195	661
Sclera**	68	127	168	195	558
Total eye tissue	228	265	336	390	1219
Total	447	454	505	593	1999

Source: UK Transplant.

Notes:

*Individual organs counted regardless of the outcome (used/not used, transplanted in combination, split, etc).

**Includes eye tissue retrieved from hospices, funeral directors, homes etc by Scottish teams.

There are currently 22 people in Scotland on the waiting list for a liver transplant.