- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 11 October 2001
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Current Status:
Answered by Susan Deacon on 23 November 2001
To ask the Scottish Executive why the Health Technology Board for Scotland has not carried out a Health Technology Assessment on the results of the recently completed NHS pilot studies on liquid-based cytology for cervical screening programmes.
Answer
I refer the member to the answer given to question S1W-19038.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 23 October 2001
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Current Status:
Answered by Susan Deacon on 23 November 2001
To ask the Scottish Executive (a) when the report of the Health Economics Research Unit on its economic evaluation of the recently completed NHS in Scotland pilot studies on liquid-based cytology for cervical screening programmes will be published and (b) whether the report will be considered by the Health Technology Board for Scotland.
Answer
Liquid-based cytology (LBC) is an alternative method of taking cervical smears. Pilot studies in Scotland and elsewhere in the UK are examining the practicalities and cost-effectiveness of this method.The National Advisory Group on Cervical Screening will be considering a report from its steering group on the outcome of the Scottish cervical screening LBC pilot at its meeting in December. The report will include the findings of the Health Economics Research Unit's (HERU) economic evaluation of the pilot. Depending on the outcome of the group's considerations, the Health Technology Board for Scotland may wish to undertake an assessment on LBC for the cervical screening programme in collaboration with the National Institute of Clinical Excellence.All relevant evidence on the introduction of LBC, including the HERU evaluation findings, will be published when a decision on the new smear-taking method is made.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Thursday, 08 November 2001
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Current Status:
Answered by Susan Deacon on 22 November 2001
To ask the Scottish Executive whether it has any plans to encourage and support the establishment of a nurse education programme in trauma rehabilitation.
Answer
Education Institutions do not provide specific trauma rehabilitation programmes in Scotland. However, they provide programmes that relate to rehabilitation. Post-registration education and training is the responsibility of NHS trusts as employers. They work directly with educational providers to develop new programmes to match their education and training needs.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 02 October 2001
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Current Status:
Answered by Susan Deacon on 19 November 2001
To ask the Scottish Executive whether it is a signatory to the Munich Declaration on nurses and midwives.
Answer
I confirm that all Ministers of Health of member states in the European Region of the World Health Organization (WHO), including the United Kingdom, are signatories to the Munich Declaration: Nurses and Midwives - a Force for Health, which was issued by the WHO Regional Office for Europe on 17 June 2000 following the Second WHO Ministerial Conference on Nursing and Midwifery in Europe.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Friday, 02 November 2001
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Current Status:
Answered by Susan Deacon on 16 November 2001
To ask the Scottish Executive why there has been a rise from 273.4 in 1998 to 802.9 whole-time equivalents in 1999 in the number of NHS nurses whose specialty is classified as "other" as opposed to a more specific specialty according to SKIPPER (3) published by the Information and Statistics Division of the Common Services Agency and whether it will give a more detailed breakdown of the specialities or areas within which those nurses classified as "other" work.
Answer
The number of nursing staff whose specialty was classified as "other" at 30 September 1999 and 30 September 2000 was incorrectly recorded in the latest release of SKIPPER. The following table shows the correct data for nursing staff by specialty and qualification. The figures underlined are those which have been corrected. The data in SKIPPER will be corrected upon the next release of the package in January 2002.The specialties of those classified as "other' is not known centrally.
| Nursing and Midwifery staff employed in NHSScotland by location, qualification and specialty 1 |
Whole Time Equivalent: at 30 September |
| 1990 8 | 1995 | 1997 | 1998 | 1999 | 20002 |
All Nursing & Midwifery staff 3,4 | 52 284.1 | 52 416.2 | 51 472.4 | 51 073.8 | 51 353.0 | 51 228.2 |
Senior Nurse Managers 5 | 595.1 | 190.8 | 133.9 | 117.9 | 102.6 | 63.9 |
Hospital Specialties | 45 837.9 | 45 850.2 | 44 886.9 | 44 366.1 | 44 446.7 | 44 147.1 |
Qualified | 29 477.9 | 29 525.1 | 29 431.5 | 29 318.0 | 29 520.1 | 29 525.0 |
Acute | 14 007.8 | 14 424.3 | 14 863.0 | 15 030.7 | 15 360.3 | 15 548.8 |
Midwives8 | - | 2 296.9 | 2 404.7 | 2 354.5 | 2 367.5 | 2 377.1 |
Other Maternity8 | 2 668.2 | 311.6 | 315.9 | 310.4 | 309.4 | 312.7 |
Mental Illness | 5 977.4 | 5 762.0 | 5 609.5 | 5 601.6 | 5 502.9 | 5 437.2 |
Learning Disabilities | 1 722.7 | 1 397.3 | 1 276.3 | 1 196.2 | 1 173.9 | 1 139.3 |
Care of the Elderly | 4 282.8 | 4 224.0 | 3 761.7 | 3 573.4 | 3 505.7 | 3 385.5 |
Paediatrics | 819.1 | 1 108.9 | 1 194.4 | 1 239.3 | 1 299.4 | 1 323.5 |
Other | - | - | 6.0 | 12.0 | 1.0 | 1.0 |
Unqualified | 16 359.9 | 16 325.1 | 15 455.5 | 15 048.0 | 14 926.7 | 14 622.1 |
Acute | 5 400.5 | 5 220.6 | 5 230.4 | 5 295.9 | 5 426.3 | 5 458.6 |
Other Maternity | 822.8 | 782.8 | 701.9 | 682.6 | 686.7 | 648.8 |
Mental Illness | 3 895.5 | 4 124.8 | 3 764.2 | 3 699.0 | 3 642.0 | 3 587.5 |
Learning Disabilities | 1 870.8 | 1 710.5 | 1 580.6 | 1 436.2 | 1 338.9 | 1 245.5 |
Care of the Elderly | 4 064.4 | 4 107.9 | 3 798.6 | 3 553.3 | 3 462.9 | 3 312.8 |
Paediatrics | 306.0 | 378.6 | 379.8 | 381.1 | 369.9 | 368.8 |
Other | - | - | - | - | - | - |
Community Specialties | | 6 022.3 | 6 048.6 | 6 140.9 | 6 305.7 | 6 377.4 |
Qualified | 5 261.6 | 5 497.5 | 5 458.1 | 5 553.1 | 5 698.1 | 5 746.0 |
Health visitor6 | 1 508.6 | 1 429.7 | 1 442.6 | 1 459.0 | 1 464.4 | 1 460.1 |
Grades G & above | 1 508.6 | 1 316.8 | 1 307.5 | 1 317.3 | 1 310.6 | 1 310.6 |
Below Grade G | - | 112.8 | 135.1 | 141.7 | 153.9 | 149.5 |
District nurse6 | 1 744.3 | 1 733.1 | 1 799.7 | 1 852.5 | 1 940.7 | 1 935.8 |
Grades G & above | 1 181.0 | 1 027.7 | 1 001.7 | 1 011.8 | 1 027.3 | 1 018.4 |
Below Grade G | 563.3 | 705.4 | 798.0 | 840.7 | 913.4 | 917.4 |
Community midwife | 208.4 | 283.4 | 291.9 | 302.6 | 289.5 | 287.0 |
Combined duty nurse | 560.3 | 462.6 | 398.1 | 357.8 | 323.1 | 279.9 |
Community psychiatric nurse7 | 97.7 | 426.8 | 484.7 | 498.4 | 587.0 | 629.7 |
Community learning disability nurse | 28.7 | 155.4 | 146.3 | 140.5 | 133.3 | 128.5 |
Clinic/school nurse | 235.6 | 482.6 | 497.1 | 498.1 | 488.2 | 476.5 |
Other | 878.1 | 523.9 | 397.7 | 444.2 | 471.8 | 548.5 |
Unqualified | 412.4 | 524.8 | 590.5 | 587.9 | 607.6 | 631.4 |
Auxillary/assistant | 412.4 | 503.9 | 568.9 | 576.9 | 593.8 | 604.1 |
Nursery nurse | - | 20.8 | 21.6 | 10.9 | 13.8 | 27.3 |
Other Specialties | 177.1 | 352.8 | 403.0 | 448.8 | 497.9 | 639.9 |
Qualified | 38.1 | 166.3 | 221.4 | 244.8 | 275.8 | 359.6 |
Occupational Health | - | - | - | - | - | 87.5 |
Blood Transfusion Service | 38.1 | 45.6 | 51.7 | 52.2 | 64.5 | 58.6 |
Other | - | 120.6 | 169.8 | 192.6 | 211.3 | 213.5 |
Unqualified | 139.0 | 186.6 | 181.6 | 204.0 | 222.1 | 280.3 |
Blood Transfusion Service | 139.0 | 133.6 | 121.2 | 123.2 | 121.8 | 164.0 |
Other | - | 52.9 | 60.4 | 80.8 | 100.3 | 116.3 |
Notes:1. From September 1991 data were derived using a new occupation classification for nursing staff. This has caused some discontinuities in the time series as previous misclassifications have been corrected. From 1993 data for the State Hospital, Carstairs are included.2. provisional.3. Excludes agency nurses, bank nurses and nurses employed by GP practices4. Excludes nurse teachers and nurses in training.5. Nursing management - all nurses on clinical grades are excluded from this category from September 1993. Some senior nurse managers are employed on A&C senior management grades and are not included in the nursing total.6. Includes health visiting and district nursing teaching staff, and staff working in the field without a HV/DN qualification. The category 'Grades G & above' gives a broad indication of those staff with a HV/DN qualification.7. This category is likely to be under-recorded.8. In 1990 it was not possible to identify midwives separately from nurses working in maternity services.Ref: ISD Workforce/0745Source: National Manpower Statistics from payroll ISD Scotland.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Friday, 02 November 2001
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Current Status:
Answered by Susan Deacon on 16 November 2001
To ask the Scottish Executive what plans it has to reclassify the categories of nurse used in NHS statistical returns so as to make the published statistics more informative.
Answer
There are no plans to fundamentally change the classification of nurses into categories in the ISD Scotland statistical returns. However, minor adjustments to the classification are made by ISD to respond to demands from the service.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Wednesday, 03 October 2001
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Current Status:
Answered by Susan Deacon on 6 November 2001
To ask the Scottish Executive whether it will include a specific nursing voice on the new unified NHS boards in line with the provision of the Munich Declaration on nurses and midwives which urges that relevant authorities ensure that there is a nursing and midwifery contribution to the decision-making process at all levels of policy development and implementation.
Answer
Our policy is to ensure that all staff have the opportunity to contribute appropriately to the decision-making process in NHSScotland, without favouring one profession over another. Specifically, all 15 new NHS Boards include - as a full member - the Staff Side Chair of the Area Partnership Forum, to further reinforce the importance of partnership working. Additionally, each NHS Board is creating an Area Clinical Forum, which will bring together the chairs of all the local professional advisory committees, including the Nursing & Midwifery Committee. The Chair of the forum has a full seat on the NHS Board. Responsibility and accountability for direct patient care is still led at NHS Trust level. The trust board has been replaced by a trust management team, which must - by law - include a registered nurse or midwife as an Executive Director. On a national level, we plan to strengthen the role of nurses and midwives in policy development by establishing a new Nursing and Midwifery Forum, details of which will be discussed with the main professional, academic and staff representative bodies.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 02 October 2001
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Current Status:
Answered by Susan Deacon on 23 October 2001
To ask the Scottish Executive whether single drug sedation only may be used in general dental practice and, if so, whether such use is in accordance with the proposals outlined in the Scottish Intercollegiate Guidelines Network (SIGN) draft guideline on the safe sedation of children.
Answer
Yes. Since 13 August 2001 only single drug use is allowed for sedation in general dental practice in Scotland. This is in line with the SIGN document, but as this document is only in a draft format, any direct comparisons are currently inappropriate.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Wednesday, 03 October 2001
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Current Status:
Answered by Susan Deacon on 23 October 2001
To ask the Scottish Executive what action it is taking in partnership with South Glasgow University Hospitals NHS Trust to reduce waiting times for hip replacement operations in the Trust's area.
Answer
The Scottish Executive set out in Our National Health: A plan for action, a plan for change our commitment to work with NHSScotland to reduce waiting through increased investment and improved working practices. Reductions in waiting times are a priority for the new NHS boards. I understand that NHS Greater Glasgow is currently working to develop and improve orthopaedic services across its area.
- Asked by: Nicola Sturgeon, MSP for Glasgow, Scottish National Party
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Date lodged: Tuesday, 25 September 2001
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Current Status:
Answered by Susan Deacon on 9 October 2001
To ask the Scottish Executive how many nurses currently employed by the NHS also undertake work for nursing agencies.
Answer
The information is not held centrally. Individual NHS Trusts may, however, have this data as part of the information they need to comply with the Working Time Regulations.
