- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 21 May 2002
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Current Status:
Answered by Malcolm Chisholm on 1 July 2002
To ask the Scottish Executive how many people over the age of 75 had to be re-admitted to hospital within 28 days of being discharged (a) nationally and (b) in each NHS Trust, in each of the last five years.
Answer
Information on and methods of calculating emergency readmission rates has been under consideration by a sub-group of the NHSScotland Clinical Resource and Audit Group (CRAG). A report containing data on emergency re-admissions at all ages will be provided as part of the next Clinical Outcome Indicators Report, scheduled for publication on 16 July 2002. I will write to you thereafter with an age-related analysis of the data.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 11 June 2002
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Current Status:
Answered by Malcolm Chisholm on 25 June 2002
To ask the Scottish Executive whether the expert group on financial and other support arrangements for people who have been harmed by health service treatment is examining the approach to medical compensation adopted in the Republic of Ireland as stipulated in the group's remit; from whom the expert group has taken evidence, and whether the group expects to publish its interim report by the end of July 2002.
Answer
The Expert Group on Financial and Other Support has considered evidence from wide ranging sources including information on the approach to medical compensation in the Republic of Ireland for patients who contracted hepatitis C from contaminated blood supplies. The group will submit their preliminary report to me by the end of July 2002 and it will be made public following discussion with the Health and Community Care Committee. A list of the evidence considered by the group will be included in the preliminary report.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Monday, 10 June 2002
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Current Status:
Answered by Malcolm Chisholm on 24 June 2002
To ask the Scottish Executive how many nursing students will complete their studies in the year to October 2002 in each NHS board area.
Answer
An estimated 2,095 nursing students in Scotland are expected to complete their studies in the year to October 2002.The information is not available in the form requested. Nursing education is delivered by 11 higher education institutions in Scotland. On completion of their studies, students may take up a post in any NHS board area.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 06 June 2002
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Current Status:
Answered by Malcolm Chisholm on 20 June 2002
To ask the Scottish Executive which revisions to the target allocation percentages within the Arbuthnott formula (updated in November 2001) were due to (a) changing level of population, (b) changes to the age and sex of the population, (c) changes to the level of deprivation (from the deprivation index, updated in October 2001) and (d) greater consideration of rural and remote access within each NHS board area.
Answer
Tables 1 and 2 show the percentage changes to the target allocations within the Arbuthnott formula (updated in November 2001) for Hospital and Community Health Services (HCHS) (table 1) and GP Prescribing (table 2). Columns 1, 2 and 3 indicate the three component elements of the overall changes:1. The change in the population share by health board.2. The change in the age/sex structure of the health board's population.3. The change in morbidity and life circumstance (MLC) i.e. deprivation.There has been no update of the remoteness adjustment in 2001.GP Prescribing (table 2) has been separated from HCHS (table 1) because GP Prescribing uses a different population base. The population base for HCHS is the mid-year estimate (MYE) by Health Board of Residence. For GP Prescribing, the relevant population base is the Community Health Index (CHI) "deflated" for GP list size inflation. GP Prescribing is also based on the Health Board of Management, not the Health Board of Residence (background note - point 3).Table 1. Hospital and Community Health Services (HCHS)
| | 1 | 2 | 3 | =1+2+3 |
| Health Board | Change in MYE Pop. Share | Change in age/sex adjustment | Change in deprivation adjustment | Change in overall Arbuthnott HCHS share |
| Argyll and Clyde | -0.7% | 0.3% | 1.1% | 0.7% |
| Ayrshire and Arran | -0.4% | 0.5% | 0.9% | 1.0% |
| Borders | 0.7% | 0.7% | 1.3% | 2.8% |
| Dumfries and Galloway | -0.9% | 1.4% | 0.4% | 0.9% |
| Fife | 0.5% | 0.4% | -0.1% | 0.8% |
| Forth Valley | 0.9% | 0.0% | 0.5% | 1.5% |
| Grampian | -0.2% | 0.8% | 0.9% | 1.4% |
| Greater Glasgow | -0.6% | -1.5% | -0.7% | -2.9% |
| Highland | 0.2% | 0.7% | -0.4% | 0.6% |
| Lanarkshire | 0.3% | 0.6% | -0.3% | 0.6% |
| Lothian | 1.4% | -0.6% | -0.5% | 0.2% |
| Orkney | -0.3% | 0.0% | 0.4% | -0.1% |
| Shetland | -1.9% | 0.7% | -0.1% | -1.4% |
| Tayside | -1.0% | 0.8% | 0.1% | -0.2% |
| Western Isles | -2.6% | 0.7% | 0.1% | -1.8% |
Table 2. GP Prescribing
| | 1 | 2 | 3 | =1+2+3 |
| Health Board | Change in HBMgt Pop. Share | Change in age/sex adjustment | Change in deprivation adjustment | Change in overall Arbuthnott Prescribing share |
| Argyll and Clyde | -1.7% | 1.1% | 0.9% | 0.3% |
| Ayrshire and Arran | -0.4% | 1.2% | 0.6% | 1.4% |
| Borders | 0.8% | 1.5% | 1.1% | 3.4% |
| Dumfries and Galloway | -0.6% | 2.7% | 0.4% | 2.4% |
| Fife | 0.5% | 0.4% | -0.1% | 0.7% |
| Forth Valley | 1.3% | -0.2% | 0.3% | 1.4% |
| Grampian | -1.3% | 0.8% | 0.7% | 0.2% |
| Greater Glasgow | 0.2% | -1.8% | -0.6% | -2.3% |
| Highland | 0.2% | 1.5% | -0.3% | 1.3% |
| Lanarkshire | 0.7% | 0.1% | -0.3% | 0.5% |
| Lothian | 1.7% | -1.9% | -0.2% | -0.5% |
| Orkney | -1.4% | 2.4% | 0.4% | 1.3% |
| Shetland | -2.5% | 0.9% | 0.0% | -1.6% |
| Tayside | -1.6% | 1.5% | 0.0% | -0.1% |
| Western Isles | -3.4% | 3.1% | 0.0% | -0.4% |
Note:HBMgt = health board management.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 23 May 2002
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Current Status:
Answered by Malcolm Chisholm on 18 June 2002
To ask the Scottish Executive how value for money for the NHS from the introduction of nurse consultant posts is determined.
Answer
All consultant nurse/midwife submissions are vetted by a central evaluation panel co-ordinated by the Scottish Executive Health Department. Prior to doing so each proposal must be supported by the local Unified Health Board. In their submission each trust/NHS board must demonstrate the local need for the post, explaining how this fits with the rest of the organisation and the key policy documents influencing the development of this proposal. Each submission must also include the arrangements for audit and the outcome measures that will be used to evaluate the impact of the post.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 18 April 2002
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Current Status:
Answered by Mary Mulligan on 14 June 2002
To ask the Scottish Executive whether any NHS trust provides on-site childcare facilities for employees.
Answer
Information on the provision of on-site childcare facilities by NHS trusts is not held centrally, but should be available from NHS trusts locally. The Scottish Executive is committed to family friendly policies and encourages all NHSScotland employers to adopt and support appropriate childcare policies.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 23 May 2002
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Current Status:
Answered by Malcolm Chisholm on 6 June 2002
To ask the Scottish Executive when it intends to establish the short-term task group, as proposed in section 5 of Planning Together - Final Report of the Scottish Integrated Workforce Planning Group, to support the implementation of the principles for integrated workforce planning and the principles contained in A Framework for Maternity Services in Scotland.
Answer
Planning Together, was published alongside our proposals for establishing a comprehensive workforce development infrastructure for NHSScotland at local, regional and national level. This whole systems approach to integrated workforce planning will provide coherent and structured arrangements for addressing the workforce aspects of all services, including the maternity services framework.An action plan will be issued to reflect the feedback gained from the Workforce Development Action Day held on 15 April and to set out a critical path for creating a robust workforce development function, which integrates workforce planning with service planning across all services in NHSScotland.In the meantime, a short-life expert group on maternity services has been convened to determine a model specification for the provision of acute maternity services. As part of its work, this group is examining the workforce needs which arise from the modernisation of maternity services, in line with the principles enshrined in A Framework for Maternity Services in Scotland.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 23 May 2002
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Current Status:
Answered by Malcolm Chisholm on 6 June 2002
To ask the Scottish Executive what the difference is between the educational and clinical preparation required for each post of nurse consultant.
Answer
Consultant nurse/midwives undertake a combination of educational and clinical preparation.The nature of a consultant nurse/midwife post will demand a portfolio of career-long learning, experience and formal education; the postholder will have been working towards a master's degree; research experience, and a record of scholarship and publication.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 23 May 2002
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Current Status:
Answered by Malcolm Chisholm on 6 June 2002
To ask the Scottish Executive how many vacant nursing posts there currently are, broken down by NHS board.
Answer
The information requested is given in the following table, broken down by qualified and unqualified nursing vacancies by NHS board.Nursing vacancies
1,2 by NHS Board Whole-Time Equivalent: at 31 March 2001
| Total Vacancies | Became vacant in: | Vacancies as a percentage of establishment |
| Less than 3 Months | 3 Months or more | Unknown | Total | 3 months or more |
| Qualified |
| Scotland | 1,253.1 | 717.6 | 192.8 | 342.8 | 3.7% | 0.6% |
| Argyll and Clyde2 | 146.8 | 60.6 | 75.1 | 11.1 | 6.2% | 3.2% |
| Ayrshire and Arran | 52.3 | 48.1 | 4.2 | 0.0 | 2.2% | 0.2% |
| Borders | 19.0 | 15.0 | 4.0 | 0.0 | 4.2% | 0.9% |
| Dumfries and Galloway | 2.6 | 2.6 | 0.0 | 0.0 | 0.2% | 0.0% |
| Fife | 57.0 | 48.8 | 2.2 | 6.0 | 2.8% | 0.1% |
| Forth Valley | 40.1 | 34.6 | 5.5 | 0.0 | 2.5% | 0.3% |
| Grampian | 156.3 | 122.0 | 34.3 | 0.0 | 4.6% | 1.0% |
| Greater Glasgow2 | 452.4 | 190.5 | 39.6 | 222.2 | 5.6% | 0.5% |
| Highland | 36.1 | 25.7 | 10.4 | 0.0 | 2.4% | 0.7% |
| Lanarkshire2 | 4.9 | 4.9 | 0.0 | 0.0 | 0.3% | 0.0% |
| Lothian | 184.1 | 136.5 | 6.2 | 41.5 | 3.5% | 0.1% |
| Orkney | 4.0 | 1.0 | 3.0 | 0.0 | 2.9% | 2.1% |
| Shetland | 7.0 | 7.0 | 0.0 | 0.0 | 7.1% | 0.0% |
| Tayside | 72.0 | 6.3 | 7.5 | 58.2 | 2.3% | 0.2% |
| Western Isles | 4.8 | 4.0 | 0.8 | 0.0 | 2.0% | 0.3% |
| Special Health Boards | 13.8 | 10.0 | 0.0 | 3.8 | 4.4% | 0.0% |
| Unqualified |
| Scotland | 391.5 | 196.6 | 61.4 | 133.5 | 2.5% | 0.4% |
| Argyll and Clyde2 | 52.6 | 20.7 | 31.9 | 0.0 | 4.0% | 2.4% |
| Ayrshire and Arran | 18.1 | 18.1 | 0.0% | 0.0 | 1.6% | 0.0% |
| Borders | 0.0% | 0.0% | 0.0% | 0.0 | 0.0% | 0.0% |
| Dumfries and Galloway | 8.6 | 8.6 | 0.0% | 0.0 | 1.6% | 0.0% |
| Fife | 3.8 | 3.3 | 0.5 | 0.0 | 0.5% | 0.1% |
| Forth Valley | 17.4 | 17.4 | 0.0 | 0.0 | 1.9% | 0.0% |
| Grampian | 22.1 | 15.5 | 6.6 | 0.0 | 1.5% | 0.4% |
| Greater Glasgow2 | 138.1 | 49.6 | 11.4 | 77.1 | 3.8% | 0.3% |
| Highland | 5.2 | 4.2 | 1.0 | 0.0 | 0.9% | 0.2% |
| Lanarkshire2 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0% | 0.0% |
| Lothian | 88.7 | 56.7 | 10.0 | 22.0 | 3.7% | 0.4% |
| Orkney | 0.0 | 0.0 | 0.0 | 0.0 | 0.0% | 0.0% |
| Shetland | 2.0 | 2.0 | 0.0 | 0.0 | 4.1% | 0.0% |
| Tayside | 10.6 | 0.6 | 0.0 | 10.0 | 0.8% | 0.0% |
| Western Isles | 0.0 | 0.0 | 0.0 | 0.0 | 0.0% | 0.0% |
| SNBTS | 24.4 | 0.0 | 0.0 | 24.4 | 12.4% | 0.0% |
| State Hospital Carstairs | 0.0 | 0.0 | 0.0 | 0.0 | 0.0% | 0.0% |
Source: ISD(M)36, ISD Scotland.Notes:1. Excludes nurses in training.2. Lanarkshire Primary Care NHS Trust have not submitted a return and data for Lomond and Argyll Primary Care NHS Trust and North Glasgow University Hospitals NHS Trust were incomplete.3. The vacancy figures relate to posts vacant at 31 March 2001, irrespective of when the vacancy arose.4. Establishment is the sum of Staff in Post, Posts Under Review and Total Vacancies.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 23 May 2002
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Current Status:
Answered by Malcolm Chisholm on 6 June 2002
To ask the Scottish Executive how many vacant medical consultant posts there currently are, broken down by speciality and NHS board.
Answer
A detailed breakdown of the latest available information on the number of vacant medical consultant posts is shown in the following table. The table should be read in conjunction with the following notes.The number of higher specialist training posts available in Scotland is regularly adjusted to meet the projected number of new consultants needed to meet known and anticipated turnover and local service developments. The total Specialist Registrar (SpR) establishment was increased by 100 in 2001, a rise of 9%, with many of the increases being in the specialties with the highest levels of vacancies. Additional funding for a further targeted increase of 375 junior doctors was announced on 2 April 2001, for the period to 2004. Targeting will take account of vacancy levels and also of the review of medical workforce planning which is due to report shortly.Medical Consultant Vacancies by Specialty and NHS Board Number at 30 September 2000
| Argyll & Clyde | Ayrshire & Arran | Borders | Dumfries & Galloway | Fife | Forth Valley | Grampian | Greater Glasgow | Highland | Lanarkshire | Lothian | Shetland | Tayside | Western Isles | Common Services Agency |
| Total Consultant Vacancies | 12 | 11 | 3 | 6 | 11 | 12 | 9 | 26 | 7 | 24 | 12 | 2 | 11 | 2 | 4 |
| | | | | | | | | | | | | | | |
| Accident & Emergency Medicine | - | - | - | - | - | 1 | - | - | - | 2 | - | - | - | - | - |
| Anaesthetics | 2 | 1 | - | - | - | - | 1 | 1 | - | - | - | - | 5 | - | - |
| Clinical Laboratory Specialties | | | | | | | | | | | | | | | |
| Blood Transfusion | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 2 |
| Chemical Pathology | - | - | - | - | - | - | - | 1 | - | - | - | - | - | - | - |
| Haematology | - | 1 | 2 | 1 | - | - | - | - | 1 | - | - | - | 1 | - | - |
| Histopathology | - | 2 | - | - | - | - | - | 4 | - | 2 | - | - | 1 | - | - |
| Medical Microbiology & Virology | - | - | - | - | - | - | - | - | - | - | - | - | 1 | - | - |
| Medical Specialties | | | | | | | | | | | | | | | |
| Dermatology | 1 | - | - | - | 1 | - | - | 1 | - | - | - | - | - | - | - |
| General Medicine (Group) | - | - | 1 | - | - | 1 | - | 2 | 2 | 3 | 2 | - | 1 | - | - |
| Geriatrics | - | 1 | - | - | - | - | - | - | - | 1 | - | - | - | - | - |
| Neurology | - | - | - | - | - | 1 | - | - | - | - | - | - | - | - | - |
| Paediatrics | 2 | - | - | - | - | - | 1 | - | - | - | 1 | - | - | - | - |
| Obstetrics & Gynaecology | 1 | - | - | - | - | - | 1 | 1 | - | - | 1 | - | - | - | - |
| Occupational Medicine | - | - | - | - | - | - | - | - | - | - | 1 | - | - | - | - |
| Psychiatric Specialties | | | | | | | | | | | | | | | |
| Child & Adolescent Psychiatry | 1 | 1 | - | 2 | 1 | - | - | 1 | - | 1 | - | - | - | - | - |
| Forensic Psychiatry | - | - | - | - | - | 1 | - | - | - | - | 1 | - | - | - | - |
| General Psychiatry | 3 | - | - | - | - | - | - | 1 | 2 | 3 | 4 | - | - | - | - |
| Psychiatry of Learning Disability | - | - | - | - | - | 1 | - | - | - | - | - | - | - | - | - |
| Old Age Psychiatry | - | - | - | 1 | - | - | 1 | 1 | - | 2 | - | - | 1 | - | - |
| Psychotherapy | - | - | - | - | - | - | - | 2 | - | - | - | - | - | - | - |
| Radiology | | | | | | | | | | | | | | | |
| Clinical Radiology | - | - | - | - | 8 | 4 | 2 | - | - | 2 | 1 | - | - | 1 | - |
| Nuclear Medicine | - | - | - | - | - | - | - | - | - | - | - | - | 1 | - | - |
| Surgical Specialties | | | | | | | | | | | | | | | |
| Cardiothoracic Surgery | - | - | - | - | - | - | - | 3 | - | - | - | - | - | - | - |
| ENT Surgery | - | 1 | - | - | 1 | - | - | - | - | - | - | - | - | - | - |
| General Surgery | - | 1 | - | 1 | - | 2 | - | - | - | 4 | - | 2 | - | - | - |
| Ophthalmology | - | 1 | - | - | - | 1 | - | - | - | 1 | - | - | - | - | - |
| Trauma & Orthopaedic Surgery | - | - | - | 1 | - | - | - | 4 | - | 3 | - | - | - | 1 | - |
| Paediatric Surgery | - | - | - | - | - | - | 1 | - | - | - | - | - | - | - | - |
| Plastic Surgery | - | - | - | - | - | - | - | 3 | - | - | - | - | - | - | - |
| Urology | - | - | - | - | - | - | - | 1 | - | - | - | - | - | - | - |
| Public health medicine | 1 | 2 | - | - | - | - | 2 | - | 1 | - | - | - | - | - | 2 |
| Community Specialties | | | | | | | | | | | | | | | |
| Breast Screening Service | - | - | - | - | - | - | - | - | - | - | 1 | - | - | - | - |
| Community Child Health | 1 | - | - | - | - | - | - | - | 1 | - | - | - | - | - | - |
Notes:1. Data is sourced from the ISD(M)4 collection form and is the latest available.2. Information is provided on posts vacant at 30 September 2000 irrespective of when the vacancy arose.3. Includes honorary appointments.4. Only specialties and NHS boards with consultant vacancies are included.
