- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive what proportion of the people affected by Clostridium difficile at the Vale of Leven Hospital had the 027 strain.
Answer
Of the 55 patients at the Vale of Leven Hospital, 18 patients died either as a direct result of Clostridium difficile Associated Disease (CDAD) or had C. difficile recorded on the death certificate as contributory factor to their death. Further analysis of the death rate is required and is on-going as part of a separate exercise being undertaken by the board and Health Protection Scotland. Full details of the outbreak will be produced by the Outbreak Control Team in due course.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive what action has been taken by NHS Greater Glasgow and Clyde since the board area was increased in April 2006 to integrate (a) management structures and (b) infection control systems.
Answer
Since the formation of NHS Greater Glasgow and Clyde in April 2006, the board has looked closely at how to best integrate services across the whole board area, including management and infection control systems, to bring about benefits such as unified procedures and structures, improved communications, and the sharing of best practice.
This work has culminated in the board merging its Clyde acute operational and administrative functions into the board''s Acute Services Division on 1 July 2008, and the establishment of new infection control arrangements across the whole board area, also on 1 July 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive what action it took in relation to Clostridium difficile at the Vale of Leven Hospital following (a) advice received from Health Protection Scotland on 21 May 2008, (b) contact from the Dumbarton and Vale of Leven Reporter on 6 June 2008, and (c) the meeting of the Outbreak Control Team on 10 June 2008.
Answer
I refer the member to the timeline of events in my statement to the Parliament on 18 June 2008 and to the answer to question S3W-14337 on 15 July 2008. 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/webapp/wa.search.
In response to the recommendations arising from the publication of the Health Protection Scotland Report on Review of Clostridium difficile Associated Disease Cases and Mortality in all Acute Hospitals in Scotland from December 2007 - May 2008 and the independent review Report on the Clostridium difficile Outbreaks at Vale of Leven Hospital, I announced on 7 August 2008 that a new National HAI Action Plan and Action Plan for NHS Greater Glasgow and Clyde had been produced. Both plans are being led by our multi-agency HAI Task Force. The national action plan is available from the HAI Task Force website at:
http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/19529/2005/actionplans.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive whether it will provide the designations of the people listed as being interviewed by the independent review team in Annex A of Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008.
Answer
We have no plans to do so. The structure and content of the report was determined by the independent review team.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive when it will publish the “further analysis of the death rate” outlined on page 12 of Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008.
Answer
This information will be provided in the Outbreak Control Team report which is due to be submitted to me by NHS Greater Glasgow and Clyde around the end of September 2008. The content of that report will, in the first instance, be shared with the area Procurator Fiscal.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive whether the Cabinet Secretary for Health and Wellbeing is aware that the high dependency unit at the Vale of Leven Hospital had closed in the last 12 months.
Answer
The High Dependency Unit (HDU) at the Vale of Leven Hospital closed for four hours on 27 October 2007, and for 24 hours between 13 and 14 November 2007 due to no patients being in the unit. This is normal practice where no patient admissions are anticipated.
The board announced in November 2007 that the hospital''s two HDU beds would be integrated into the Coronary Care Unit to support both service delivery and clinical safety. The joint Critical Care Unit, as it is now known, has not been closed at any time since the merger in December 2007.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive when the recommendations arising from Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008 will be implemented.
Answer
NHS Greater Glasgow and Clyde are in the process of implementing the recommendations arising from the
Independent Review of Clostridium Difficile Associated Disease at the Vale of Leven Hospital. I understand that the board has already undertaken a review of the infection control structure, management and leadership arrangements.
To be confident that all of the actions are taken forward and have the desired outcomes, I have already asked, as recommended by the independent review team, that they review the actions taken by NHS Greater Glasgow and Clyde in six months time. The report will be made public.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive when the draft report of the independent review team on Clostridium difficile at the Vale of Leven Hospital was first discussed by any official or special adviser.
Answer
My officials were briefed by the Independent Review Team (IRT) and Health Protection Scotland (HPS) on 31 July 2008. They received Draft Reports from the IRT and HPS on 1 August 2008. The formal report was received on 4 August 2008 and published on 7 August 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive whether it will explain the timescale for submission of the report by the independent review team on Clostridium difficile at the Vale of Leven Hospital.
Answer
On 18 June 2008, I announced in the Parliament an independent review of procedures in place at the Vale of Leven Hospital over the period December 2007 to 1 June 2008, in response to information that 55 patients had developed Clostridium difficile Associated Disease (CDAD), 18 of whom had died.
The Independent Review Team (IRT) met and was briefed on 26 June 2008 with a remit to report by 31 July 2008. The IRT requested and reviewed all relevant documentation regarding cases of CDAD at the Vale of Leven Hospital over the six month time-frame and the circumstances contributing to these cases. The IRT visited the Vale of Leven Hospital on five occasions and interviewed a wide range of staff from the hospital and NHS Greater Glasgow and Clyde. An open invitation was made through the local press for patients and their families to submit written and oral evidence to the review and meetings were held with representatives from 10 families.
Full details of the process followed by the IRT are set out in the report, Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008, which was published on 7 August 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 27 August 2008
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Current Status:
Answered by Nicola Sturgeon on 8 September 2008
To ask the Scottish Executive whether it will develop a national policy on faecal management in light of the findings in the independent review team report on Clostridium difficile at the Vale of Leven Hospital.
Answer
National policy on faecal management is included in Health Protection Scotland model policies on Standard Infection Control Precautions and Transmission Based Precautions. Guidance is also included in the NHSScotland Code of Practice for the Local Management of Hygiene and Healthcare Associated Infection.
