- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive what the timescales were for the detection and reporting of clostridium difficile at (a) Stobhill Hospital, (b) Aberdeen Royal Infirmary and (c) the Vale of Leven Hospital.
Answer
Mandatory national reporting of clostridium difficile cases by laboratories was established in 2006. These require all NHS boards to submit clostridium difficile data to Health Protection Scotland on a monthly basis.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether there have been any changes to the prescribing of antibiotics at the Vale of Leven Hospital since the outbreak of clostridium difficile.
Answer
I am advised by NHS Greater Glasgow and Clyde that following an urgent review of the use of antibiotics at the Vale of Leven Hospital, a further modified antibiotics policy is now in place. These revised procedures are consistent with the prudent prescribing of antibiotics guidance that was published by the Healthcare Associated Infection Task Force in 2005.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether it considers the employment of one infection control nurse covering all infection monitoring at the Vale of Leven Hospital to be sufficient and whether it considers that NHS Greater Glasgow and Clyde should increase the number of people in the infection control team based at the Vale of Leven Hospital.
Answer
It would not be appropriate for me to comment until the independent review announced by me on 18 June 2008 has examined all the circumstances surrounding the clostridium difficile cases at the Vale of Leven. The review team’s report is due to be published by the end of July 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive how many deaths occurred in Scotland as a result of clostridium difficile (a) in 2006, (b) in 2007 and (c) up to June 2008, broken down by (i) NHS board and (ii) hospital.
Answer
It should be noted that it is unusual for clostridium difficile to be an isolated cause of death, as a range of contributory factors are normally involved. Data for 2007 and 2008 is not yet available. The following table shows data where clostridium difficile was recorded as the underlying cause of death on death certificates in 2006 only, broken down by NHS board and hospital.
| NHS Board | Hospital | Number of Deaths |
| Ayrshire and Arran | | 5 |
| | Ayr Hospital | 1 |
| | Ayrshire Central Hospital | 1 |
| | Crosshouse Hospital | 3 |
| Borders | | 3 |
| | Borders General Hospital | 3 |
| Dumfries and Galloway | | 6 |
| | Annan Hospital | 1 |
| | Dumfries/Galloway Royal Infirmary | 5 |
| Forth Valley | | 8 |
| | Falkirk & District Royal Infirmary | 6 |
| | Stirling Royal Infirmary | 2 |
| Fife | | 10 |
| | Queen Margaret Hospital | 5 |
| | Victoria Hospital | 5 |
| | Non-Hospital | 1 |
| Grampian | | 9 |
| | Aberdeen Royal Infirmary | 4 |
| | Doctor Gray''s Hospital | 2 |
| | Woodend Hospital | 3 |
| Greater Glasgow | | 36 |
| | Gartnavel General Hospital | 3 |
| | Glasgow Royal Infirmary | 3 |
| | Inverclyde Royal Hospital | 4 |
| | Royal Alexandra Hospital | 6 |
| | Southern General Hospital | 2 |
| | Stobhill Hospital | 6 |
| | Vale of Leven Hospital | 1 |
| | Victoria Infirmary | 6 |
| | Victoria Infirmary, Geriatric Unit | 2 |
| | Western Infirmary | 2 |
| | Western Infirmary, Beatson Oncology Centre | 1 |
| | Non-Hospital | 3 |
| Highland | | 2 |
| | Raigmore Hospital | 2 |
| Lanarkshire | | 26 |
| | Coathill Hospital | 2 |
| | Hairmyres Hospital | 12 |
| | Monklands General Hospital | 6 |
| | Wester Moffat Hospital | 1 |
| | Wishaw General Hospital | 5 |
| | Non-Hospital | 2 |
| Lothian | | 40 |
| | Astley Ainslie Hospital | 2 |
| | Corstorphine Hospital | 1 |
| | Ellen''s Glen House | 1 |
| | Findlay House | 1 |
| | Liberton Hospital | 11 |
| | New Royal Infirmary of Edinburgh | 11 |
| | Royal Victoria Hospital | 5 |
| | St John''s Hospital | 1 |
| | Western General Hospital | 7 |
| Tayside | | 11 |
| | Arbroath Infirmary | 1 |
| | Ninewells Hospital | 9 |
| | Royal Victoria Hospital | 1 |
| | Non-hospital | 2 |
| Scotland | | 164 |
| | Hospital | 156 |
| | Non-Hospital | 8 |
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive how many people make up the infection control team for NHS Greater Glasgow and Clyde and what their positions are.
Answer
I am advised by NHS Greater Glasgow and Clyde that there are 36.2 whole-time equivalent infection control nurses (for both acute and primary services), 5.4 whole-time equivalent infection control doctors, one general manager and one assistant general manager across NHS Greater Glasgow and Clyde. The board also employs a consultant nurse in infection control, an infection control manager and a hand hygiene co-ordinator.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive when the Dumbarton and Vale of Leven Reporter first contacted the Cabinet Secretary for Health and Wellbeing, her private office or her press office about the outbreak of clostridium difficile at the Vale of Leven Hospital.
Answer
The Dumbarton and Vale of Leven Reporter first contacted me at my MSP e-mail account at 10:49am on 6 June.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive when the Cabinet Secretary for Health and Wellbeing sent her quote on clostridium difficile at the Vale of Leven Hospital to the Dumbarton and Vale of Leven Reporter.
Answer
My response to the Dumbarton and Vale of Leven Reporter was sent by e-mail at 15:46pm on 6 June.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive whether all members of staff at the Vale of Leven Hospital have received training on the causes of clostridium difficile and how it should be dealt with.
Answer
I am advised by NHS Greater Glasgow and Clyde that education on management of patients with clostridium difficle has been provided to all staff at ward and departmental level by Infection Control Nurses. Clostridium difficile care bundles and care plans have also been introduced at the hospital and education has been provided on the use of these documents which instruct staff on the safe management of patients. More generally, all staff at the Vale of Leven Hospital are given Infection Control Training as part of their corporate induction and new medical staff are given Infection Control education on induction.
In addition, the board’s Hand Hygiene Coordinator has audited every department at the Vale of Leven Hospital. Following this recent audit, hand hygiene training has been provided for all staff. The Cleanliness Champions programme is also in place at the hospital.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive when the Cabinet Secretary for Health and Wellbeing signed off her quote for the Dumbarton and Vale of Leven Reporter on clostridium difficile at the Vale of Leven Hospital.
Answer
I approved my response to the enquiry from the Dumbarton and Vale of Leven Reporter by e-mail at 14:45pm on 6 June.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 18 June 2008
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Current Status:
Answered by Nicola Sturgeon on 14 July 2008
To ask the Scottish Executive why no specialised infection control team was immediately set up at the Vale of Leven Hospital as soon as NHS Greater Glasgow and Clyde learned that there had been deaths at the hospital caused by clostridium difficile.
Answer
It would not be appropriate for me to comment until the independent review announced by me on 18 June 2008 has examined all the circumstances surrounding the clostridium difficile cases at the Vale of Leven. The review team’s report is due to be published by the end of July 2008.
