- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 23 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive when the review of the Guidance on Prevention and Control of Clostridium difficile Associated Disease (CDAD) in Healthcare Settings in Scotland, published in October 2008 by Health Protection Scotland and due for review in March 2009, will be published.
Answer
Health Protection Scotland (HPS) have confirmed the review will be published in September 2009 and in the meantime that the current guidance remains extant.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, whether NHS Orkney has an antimicrobial prescribing policy in place; when this was adopted, and how it has been implemented
Answer
NHS Orkney introduced a draft antimicrobial policy in February 2009 and this was formally adopted in April 2009. An antimicrobial team has been established to audit compliance with the policy, and an antimicrobial pharmacist is in post and has the responsibility for ensuring day to day delivery of the policy.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, whether it will publish the outcome of the review by NHS Quality Improvement Scotland of the clinical governance arrangements in place across NHS Orkney.
Answer
NHS Quality Improvement Scotland (QIS) has confirmed the report will be published on its website by end June 2009.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, for what reasons there was a delay of one month before it was notified of the outbreak of Clostridium difficile in NHS Orkney.
Answer
There was an unacceptable delay before NHS Orkney notified the Scottish Government of the Clostridium difficile outbreak. NHS Orkney has accepted this and their lines of communication have been completely revised to ensure any future incidents are reported quickly.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, what ribotype of Clostridium difficile was identified in the outbreak in NHS Orkney.
Answer
There were six cases ribotyped, broken down as follows:
| Ribotype | Cases |
| 015 | 1 |
| 027 | 4 |
| 078 | 1 |
Ribotyping is not available for the other cases because the sample was either culture negative or no culture was grown.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 24 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-22508 by Nicola Sturgeon on 23 April 2009, what would trigger an investigation into the incidence of Clostridium difficile at NHS Orkney and whether this was applied in the recent outbreak.
Answer
National guidance requires the setting of local trigger thresholds for each clinical area. Following the recent outbreak these are now in place across NHS Orkney and have been set at two cases for each ward within any 30 day period.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 22 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive whether there has been a recent incident of Clostridium difficile at the Edinburgh Western General Hospital and, if so, how many patients have been affected and what additional measures have been taken to contain the infection.
Answer
NHS Lothian has confirmed that there has been no recent incident of Clostridium difficile at the Western General Hospital. NHS Lothian has an upper control limit of two cases in one ward per week. Any breaches of the upper control limit triggers investigation by the Infection Control Team. Between October 2008 and March 2009 there were no breaches of the upper control limit. As an additional precaution, however, the Infection Control Team investigated eight incidences between October 2008 and March 2009 where wards reported above two cases in one calendar month. No incidences of cross infection were identified in any of these investigations.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-20313 by Nicola Sturgeon on 9 February 2009, when it expects the report on the deaths from Clostridium difficile at the Vale of Leven hospital to be available, given that the Cabinet Secretary for Health and Wellbeing stated, at a meeting with the C. diff Justice Group in December 2008, that it was expected to be concluded in March 2009.
Answer
I refer the member to the answer to question S3W-23027 on 5 May 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.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, further to the answer to question S3W-20313 by Nicola Sturgeon on 9 February 2009, whether the Cabinet Secretary for Health and Wellbeing received reports from Strathclyde Police, the area procurator fiscal or the Crown Counsel in March 2009 on the deaths from Clostridium difficile at the Vale of Leven Hospital.
Answer
I refer the member to the statement I made to Parliament on 22 April 2009 when I confirmed that there will be a Public Inquiry into the Clostridium difficile outbreak at the Vale of Leven following the conclusion of on-going police and Health and Safety Executive (HSE) investigations.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Thursday, 16 April 2009
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Current Status:
Answered by Nicola Sturgeon on 5 May 2009
To ask the Scottish Executive, in light of the commitment made by the Cabinet Secretary for Health and Wellbeing at a meeting with the C. diff Justice Group in December 2008 to consider a public inquiry into the deaths from Clostridium difficile at the Vale of Leven hospital if there was a delay in receiving a final report from the Crown Counsel, whether it will now grant a public inquiry.
Answer
I refer the member to the answer to question S3W-23027 on 5 May 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.
