Questions and answers

Question reference: S2W-11206

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive in which specialities availability status code 3 has been given in the last year.

The specific information required is not available centrally.

Information on the numbers of patients with availability status code 3, and the specialties in which they are waiting treatment, is however available from quarterly waiting list census data. On 30 June 2004, patients on the inpatient and day case waiting list with an availability status code 3 were awaiting treatment in the specialties of cardiology, ear, nose and throat, gastroenterology, general medicine, general surgery, gynaecology, ophthalmology, oral surgery, orthopaedics, plastic surgery, surgical paediatrics and urology.

Question reference: S2W-11199

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 05 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive what the average length of time is that a patient with an availability status code has to wait for in-patient/daycase treatment, broken down by NHS board area.

The information requested is not available centrally because retrospective waiting times information does not separately identify patients with availability status codes.

Patients with availability status codes do not have a maximum waiting times guarantee. Patients on the inpatient/day case waiting list may have an availability status codes are applied if they cannot attend for personal or social reasons, did not attend their appointment, have a medical condition which prevents treatment, or are awaiting treatment deemed to be highly specialised or of low medical priority. Availability status codes can also be applied on occasions of exceptional strain on the NHS.

Question reference: S2W-11480

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Friday, 15 October 2004
Current Status: Answered by Jim Wallace on 10 November 2004

To ask the Scottish Executive what its response was to the European Commission’s consultation which ended on 31 March 2004 on the working time regulations in relation to the opt-out for doctors' on-call time, and whether it will publish the response.

Question reference: S2W-11477

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Friday, 15 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive what the average population size is that is served by a district general hospital.

The population size served by individual hospitals across Scotland cannot be precisely defined in order to allow an average to be calculated.

General acute hospitals provide a range of services to patients from various geographic areas which are not necessarily close to the hospital. Factors affecting the patients seen in a hospital setting include the specialist services provided and the availability of transport links.

Question reference: S2W-11473

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Friday, 15 October 2004
Current Status: Answered by Andy Kerr on 10 November 2004

To ask the Scottish Executive how many obstetricians were trained in each of the last five years.

The route to being able to apply for consultant posts within obstetrics and gynaecology is through attainment of the Certificate of Completion of Specialist Training (CCST) by Specialist Registrars (SpRs).

NHS Education for Scotland are responsible for overseeing the management of the training programmes. The following table provides a breakdown, by postgraduate deanery, of the number of SpRs who have completed their training.

Number of Trainees Completing Training in Scotland (I.E. Certificate Of Completion Of Specialist Training) - 1 October 1999 - 30 September 2004

Specialty	Date CCST awarded
Obstetrics and Gynaecology	01.10.99 - 30.09.2000	01.10.2000 - 30.09.2001	01.10.2001 - 30.09.2002	01.10.2002 - 30.09.2003	01.10.2003 – 30.09.04
East	3	0	1	0	1
North	3	2	1	4	1
S East	3	3	0	2	6
West	9	3	4	6	5	Overal Total
Total	18	8	6	12	13	57

Source: NHS Education for Scotland.

Question reference: S2W-11044

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive, further to the answer to question S2W-6991 by Malcolm Chisholm on 30 March 2004, how much has been spent on NHS locum staff in each year since 1999, broken down by (a) NHS board area and (b) speciality.

The total cost of locum hospital and community medical and dental staff employed by NHSScotland in each NHS board is presented in the attached tables overleaf for the full years ending 31 March 1999 to 2004. Information by specialty is not available.

The term “NHS Locum” is used in relation to medical and dental staff only.

Paybill for Locum medical and dental staff by NHS Board and Grade

Total Cost at end ofFinancial Year

Health Board	2003-04	2002-03	2001-02	2000-01	1999-2000
Scotland	19,112,946.1	17,431,709.5	17,990,706.8	15,677,271.7	13,164,089.6
Consultant	11,166,989.2	9,980,518.4	10,215,684.7	8,870,888.2	7,065,637.0
Other	7,945,956.9	7,451,191.1	7,775,022.1	6,806,383.5	6,098,452.6
NHS Argyll and Clyde	1,222,928.5	1,039,937.7	1,236,557.5	732,582.6	853,331.6
Consultant	932,438.4	696,750.9	856,430.4	479,220.7	566,694.1
Other	290,490.1	343,186.8	380,127.1	253,361.9	286,637.5
NHS Ayrshire and Arran	1,083,595.4	975,894.9	852,377.2	726,120.4	900,374.9
Consultant	552,052.8	443,787.9	300,626.1	275,049.1	436,249.0
Other	531,542.6	532,107.0	551,751.1	451,071.2	464,125.9
NHS Borders	123,301.1	178,419.4	239,213.6	263,812.5	183,091.6
Consultant	38,295.3	96,179.5	64,741.3	168,981.1	109,120.2
Other	85,005.8	82,239.9	174,472.3	94,831.4	73,971.4
NHS Dumfries and Galloway	396,568.2	427,553.2	453,995.9	360,976.0	542,178.4
Consultant	178,701.9	264,908.9	250,647.0	218,181.3	411,511.4
Other	217,866.3	162,644.3	203,348.9	142,794.7	130,667.0
NHS Fife	1,374,344.4	1,394,264.8	994,731.7	1,001,988.9	695,087.4
Consultant	1,048,054.1	1,047,571.1	694,887.8	518,671.5	229,199.7
Other	326,290.2	346,693.7	299,843.8	483,317.4	465,887.6
NHS Forth Valley	856,991.1	737,495.4	870,110.6	840,457.5	662,439.8
Consultant	546,639.4	526,339.5	719,689.2	689,081.8	488,701.3
Other	310,351.7	211,155.9	150,421.4	151,375.6	173,738.5
NHS Grampian	2,288,733.2	2,157,316.8	1,359,152.5	1,574,418.4	990,934.4
Consultant	801,735.8	827,394.8	569,763.9	864,418.0	367,324.7
Other	1,486,997.4	1,329,922.0	789,388.6	710,000.3	623,609.7
NHS Greater Glasgow	3,170,829.0	2,617,390.7	3,374,232.8	2,540,806.0	1,790,420.2
Consultant	1,818,638.1	1,484,985.1	2,067,998.9	1,555,037.4	1,033,927.9
Other	1,352,191.0	1,132,405.6	1,306,233.9	985,768.5	756,492.3
NHS Highland	910,614.6	749,757.2	1,205,362.0	1,036,725.2	546,649.9
Consultant	544,684.9	450,673.2	729,104.9	578,913.4	373,976.4
Other	365,929.8	299,083.9	476,257.0	457,811.8	172,673.5
NHS Lanarkshire	2,755,869.1	2,337,189.6	2,226,408.5	1,897,763.2	2,232,720.3
Consultant	1,938,969.9	1,532,814.8	1,444,237.8	1,341,366.3	1,354,288.2
Other	816,899.1	804,374.8	782,170.7	556,396.9	878,432.1
NHS Lothian	3,759,871.7	3,622,559.6	3,481,248.7	3,237,848.1	2,344,508.6
Consultant	1,998,883.8	1,812,643.1	1,578,976.7	1,389,889.9	921,770.0
Other	1,760,987.9	1,809,916.4	1,902,271.9	1,847,958.2	1,422,738.7
NHS Orkney	31,831.9	47,447.2	32,461.3	12,112.0	28,543.0
Consultant	29,303.6	47,447.2	32,137.4	12,112.0	28,543.0
Other	2,528.2	-	323.9	-	-
NHS Shetland	48,967.1		92,731.0	74,485.6	57,029.4
Consultant	48,967.1		92,731.0	74,485.6	54,955.8
Other					2,073.6
State Hospital	92,991.9	65,150.7	24,882.6
Consultant	92,991.9	51,523.1	24,882.6	-
Other		13,627.5		-
NHS Tayside	846,369.7	765,722.9	1,121,054.0	975,929.5	972,510.2
Consultant	477,149.7	439,971.8	460,988.6	488,256.1	520,487.5
Other	369,220.0	325,751.1	660,065.4	487,673.4	452,022.7
NHS Western Isles	149,139.3	315,609.6	395,312.3	282,060.3	237,532.5
Consultant	119,482.4	257,527.6	327,841.1	212,021.3	159,123.6
Other	29,656.9	58,082.0	67,471.2	70,039.0	78,408.9
Special Health Boards			30,874.8	119185.79	126737.60
Consultant	-	-	-	5202.55	9764.44
Other	-	-	30874.78	113983.24	116973.16

Note: 1. Other consists of all other directly employed hospital and community medical and dental locum staff

Question reference: S2W-11039

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) clinical nurse specialists and (b) nurse consultants there were in each year since 1999, broken down by (i) NHS board area and (ii) speciality.

Information on clinical nurse specialists employed in NHSScotland was collected for the first time at 30 September 2003. This pilot collection provides a baseline for the number of staff in post. At 30 September 2003 there were 1,148.7 whole-time equivalent Clinical Nurse Specialists in post. Information on staff in post by NHS board and clinical area of work is published in the Report from Pilot Data Collection report. This report is published on the ScottishHealth Statistics website under Workforce Statistics, at www.isdscotland.org/workforce.

Information on Clinical Nurse Specialists will now be collected annually at 30 September.

The number of Nurse Consultants in post are shown in the following table.

Title/ Posts	NHS Board/ Division	In Post
Midwife Consultant – 1 WTE	NHS Greater Glasgow	2001
NC - Services for Older People – 1 WTE	NHS Forth Valley	vacant
NC-Public Health – 1 WTE	NHS Greater Glasgow	2001
NC Epidemiology – 1 WTE	SCIEH	2001
NC Paediatric Pain Management – 1 WTE	Yorkhill	2002
NC Perinatal Mental Illness – 1 WTE	NHS Greater Glasgow	2002
NC Acute Receiving – 1 WTE	NHS Tayside	2002
NC Cancer Care – 1 WTE	NHS Greater Glasgow	2002
NC Public Health – 1 WTE	NHS Tayside	2002
NC Family Planning & Sexual Health – 1 WTE	NHS Lothian	2002
NC People with Mental Health Difficulties – 1 WTE	NHS Lothian	vacant
NC Services for Older People - 1 WTE	NHS Highland	2002
NC Forensic Rehabilitation Resettlement – 1 WTE	State Hospital	2002
MC managed/midwife led care – 1 WTE	NHS Tayside	2003
NC Health Protection – 1 WTE	NHS Lothian	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Learning Disabilities – 1 WTE	NHS Lothian	2003
NC Macmillan Cancer Nurse Consultant – 1 WTE	NHS Tayside	2003
NC Child Health – 1 WTE	NHS Borders	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Cancer/Palliative Care – 1 WTE	NHS Argyll & Clyde	2004
NC Learning Disabilities – 1 WTE	NHS Greater Glasgow	2004
NC Public Health – 1 WTE	Western Isles	2004
NC Epidemiology – 1 WTE	SCIEH	2004
NC Child protection – 1 WTE	NHS Tayside	2004
NC Learning Disabilities – 1 WTE	NHS Highland	2004
Total (24 WTE)		24

Notes:

(SCIEH – Scottish Centre for Infection and Environmental Health).

(NC – Nurse Consultant).

Question reference: S2W-11038

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) clinical nurse specialist posts and (b) nurse consultant posts there were in each year since 1999, broken down by (i) NHS board area and (ii) speciality.

Information on clinical nurse specialists employed in NHSScotland was collected for the first time at 30 September 2003. This pilot collection provided a baseline establishment figure of 1177 WTE Clinical Nurse Specialists as at 30 September 2003. Information on staff in post by NHS Board and clinical area of work is published in the Report from Pilot Data Collection report. Due to the small number of vacancies this information is not presented by NHS board andspecialty. This report is published on the Scottish Health Statistics website under Workforce Statistics, at www.isdscotland.org/workforce.

Information on Clinical Nurse Specialists will now be collected annually at 30 September.

The Number of Nurse Consultants Posts are Shown in the Following Table.

Title/ Posts	NHS Board/ Division	When Established
Midwife Consultant - 1 WTE	NHS Greater Glasgow	2001
NC - Services for Older People - 1 WTE	NHS Forth Valley	2001
NC-Public Health - 1 WTE	NHS Greater Glasgow	2001
NC Epidemology – 1 WTE	SCIEH	2001
NC Paediatric Pain Management – 1 WTE	Yorkhill	2002
NC Perinatal Mental Illness – 1 WTE	NHS Greater Glasgow	2002
NC Acute Receiving - 1 WTE	NHS Tayside	2002
NC Cancer Care – 1 WTE	NHS Greater Glasgow	2002
NC Public Health – 1 WTE	NHS Tayside	2002
NC Family Planning & Sexual Health – 1 WTE	NHS Lothian	2002
NC People with Mental Health Difficulties – 1 WTE	NHS Lothian	2002
NC Services for Older People -= 1 WTE	NHS Highland	2002
NC Forensic Rehabilitation Resettlement – 1 WTE	State Hospital	2002
MC managed/midwife led care – 1 WTE	NHS Tayside	2003
NC Health Protection – 1 WTE	NHS Lothian	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Learning Disabilities - 1 WTE	NHS Lothian	2003
NC Macmillan Cancer Nurse Consultant - 1 WTE	NHS Tayside	2003
NC Child Health – 1 WTE	NHS Borders	2003
NC Infection Control – 1 WTE	SCIEH	2003
NC Cancer/Palliative Care – 1 WTE	NHS Argyll & Clyde	2004
NC Learning Disabilities – 1 WTE	NHS Greater Glasgow	2004
NC Public Health – 1 WTE	Western Isles	2004
NC Epidemiology – 1 WTE	SCIEH	2004
NC Child protection – 1 WTE	NHS Tayside	2004
NC Learning Disabilities – 1 WTE	NHS Highland	2004
Total (26 WTE)		26 Posts

Notes:

(SCIEH – Scottish Centre for Infection and Environmental Health.).

(NC – Nurse Consultant).

Question reference: S2W-11032

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive how many (a) doctors, (b) consultant doctors, (c) nurses, (d) allied health professionals, (e) scientific and professional staff, (f) technical staff, (g) administrative and clerical staff and (h) ancillary staff entered employment in the NHS in each year since 1999, broken down by NHS board area.

Question reference: S2W-11028

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 8 November 2004

To ask the Scottish Executive what the (a) incidence, (b) mortality and (c) survival rate of patients with cancer is, broken down by deprivation category.

The information requested is shown in the following tables.

(a): World Age-Standardised Rate¹ (WASR) for Cancer Incidence² for All Ages, by Deprivation Quintile: 2001

Deprivation Quintile	Number of cases	WASR
1 (least deprived)	4,593	254.5
2	4,736	258.1
3	5,219	272.2
4	5,201	281.8
5 (most deprived)	5,476	303.8
Scotland⁵	25,225	274.0

(b): World Age Standardised Rate (WASR) for Cancer Mortality³ for All Ages, by Deprivation Quintile: 2003

Deprivation Quintile	Number of deaths	WASR
1 (least deprived)	2,586	120.1
2	2,784	130.8
3	3,082	143.7
4	3,054	144.2
5 (most deprived)	3,508	174.6
Scotland⁵	15,014	142.7

(c) One and Five Year Relative Survival⁴ by Deprivation Quintile, ages 15 to 99, Patients Diagnosed in 1997 - 2001

Deprivation Quintile	Number of cases in analysis	Survival (%) at 1 year	Survival (%) at 5 years
1 (least deprived)	21,900	68.0	49.1
2	22,048	63.0	43.8
3	22,693	61.4	42.1
4	23,229	58.8	37.4
5 (most deprived)	25,275	55.1	35.5
Scotland	115,145	61.1	41.8

Notes:

1. The World age standardise rate (WASR) is the sum of age-specific rates per 100,000 weighted by the World Standard Population.

2. Incidence rates are provided for 2001, the most recent year for which cancer registration is considered complete.

3. Mortality rates are provided for 2003, the most recent year for which death information from General Register Office (Scotland) is available.

4. Survival estimates are provided for cancer patients diagnosed between 1997 and 2001, at one and five years after diagnosis. While 1998 is the most recent year of diagnosis for which five-year follow-up is complete, patients diagnosed between 1999 and 2001 were followed up to 2003 and their survival experience is included in the analysis.

5. The differences in the totals in tables (a) and (b) from those presented in parliamentary question. S2W-11029 are due to missing values. Deprivation category is derived from post-code of residence–for a very small proportion of cancer registration the post-code is not available and therefore the dep. cat. is not known. For a smaller number of registrations the health board of residence is also not known.

Chamber and committees