- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Monday, 20 June 2011
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Current Status:
Answered by Michael Matheson on 14 July 2011
To ask the Scottish Executive what its position is on NHS boards following Scottish Intercollegiate Guidelines Network (SIGN) Guideline 116, Management of Diabetes, in relation to the use of insulin pump therapy to achieve a glycaemic control target of between 6.5% and 7.5%.
Answer
The Diabetes Action Plan, published in August 2010, makes it clear that we expect NHS Boards to adhere to the guidance on insulin pump therapy set out in NICE Technology Appraisal TA15, and SIGN Guideline 116 on the management of diabetes.
This guidance indicates that glycaemic control is only one of a number criteria for determining patient’s suitability for insulin pump therapy.
Appendix 2 of the Diabetes Action Plan, published in August 2010, includes details of each NHS board’s planned investment over the next three to five years on pumps and the structured education associated with it, presenting a clear picture of proposed provision across the whole of Scotland. A summary table can be accessed at: www.scotland.gov.uk/Publications/2010/08/17095311.
NHS boards will find it helpful to assess their investment plans against clinical and resource impact report produced by SIGN to accompany Guideline 116.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Monday, 20 June 2011
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Current Status:
Answered by Michael Matheson on 14 July 2011
To ask the Scottish Executive how many patients with type 1 diabetes in each NHS board area received replacement pumps for insulin pump therapy in (a) 2007, (b) 2008, (c) 2009 and (d) 2010 and have received them in 2011.
Answer
This information is not centrally held.
We expect that people who require a replacement pump to receive it in good time to ensure that their optimal clinical care is maintained.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Monday, 20 June 2011
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Current Status:
Answered by Michael Matheson on 14 July 2011
To ask the Scottish Executive what proportion of type 1 diabetes patients would be eligible for insulin pump therapy if a glycaemic control target of between 6.5% and 7.5% was set.
Answer
This information is not centrally held.
Guidance on insulin pump therapy is set out within:
NICE Technology Appraisal TA151 which was endorsed by NHS Quality Improvement Scotland (now Healthcare Improvement Scotland) in July 2008; and,
SIGN Guideline 116 on the management of diabetes, published in March 2010.
The guidance is clear that glycaemic control is only one of a number criteria for determining patient suitability for insulin pump therapy.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Monday, 20 June 2011
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Current Status:
Answered by Michael Matheson on 14 July 2011
To ask the Scottish Executive how many patients in each NHS board area with type 1 diabetes began insulin pump therapy in (a) 2007, (b) 2008, (c) 2009 and (d) 2010 and have begun in 2011.
Answer
Information on the percentage of people with type 1 diabetes on insulin pump therapy, in each NHS board, between 2007 and 2009 was provided in the answer to question S3W-21510 on 10 March 2009.
All answers to written parliamentary questions are available on the Parliament website, the search facility for which can be found at: http://www.scottish.parliament.uk/Apps2/MAQASearch/QAndMSearch.aspx
Data on insulin pump provision in each NHS board is included in both the 2009 and 2010 Diabetes Surveys. These can be accessed at:
http://www.diabetesinscotland.org.uk/Publications.aspx?catId=3
This information is set out within the following table:
INSULIN PUMP PROVISION IN SCOTLAND 2009 – 2010 BROKEN DOWN BY NHS BOARD
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NHS BOARD
|
TYPE 1 POPULATION 2009
|
NUMBER OF PUMPS 2009
|
PERCENTAGE
2009
|
TYPE 1 POPULATION 2010
|
NUMBER OF PUMPS 2010
|
PERCENTAGE 2010
|
Ayrshire & Arran
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2,234
|
9
|
0.40%
|
2,238
|
18
|
0.80%
|
Borders
|
596
|
23
|
3.90%
|
601
|
29
|
4.80%
|
Dumfries & Galloway
|
871
|
12
|
1.40%
|
888
|
20
|
2.30%
|
Fife
|
1,896
|
83
|
4.40%
|
1,911
|
113
|
5.90%
|
Forth Valley
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1,526
|
24
|
1.60%
|
1,568
|
40
|
2.60%
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Grampian
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2,976
|
59
|
2.00%
|
3,045
|
63
|
2.10%
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Greater Glasgow & Clyde
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5,923
|
56
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0.90%
|
6,115
|
67
|
1.10%
|
Highland
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1,688
|
19
|
1.10%
|
1,706
|
18
|
1.10%
|
Lanarkshire
|
3,454
|
38
|
1.10%
|
3,480
|
45
|
1.30%
|
Lothian
|
4,019
|
142
|
3.50%
|
4,109
|
173
|
4.20%
|
Orkney
|
118
|
3
|
2.50%
|
116
|
3
|
2.60%
|
Shetland
|
114
|
2
|
1.80%
|
119
|
2
|
1.70%
|
Tayside
|
1,771
|
82
|
4.60%
|
1,837
|
104
|
5.70%
|
Western Isles
|
181
|
1
|
0.60%
|
177
|
1
|
0.60%
|
Scotland
|
27,367
|
553
|
2.00%
|
27,910
|
696
|
2.50%
|
Data on insulin pump provision in each NHS board for 2011 is not yet centrally held but will be included in the Diabetes Survey 2011 when it is published next year.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Monday, 20 June 2011
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Current Status:
Answered by Michael Matheson on 14 July 2011
To ask the Scottish Executive what criteria NHS boards apply for patients with type 1 diabetes seeking insulin pump therapy.
Answer
The Diabetes Action Plan, published in August 2010, makes it clear that we expect NHS boards to ensure that provision of insulin pump therapy reflects guidance as set out within NICE Technology Appraisal 151 and SIGN Guideline 116 on the management of diabetes.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Wednesday, 15 June 2011
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Current Status:
Answered by Fergus Ewing on 12 July 2011
To ask the Scottish Executive, further to the answer to question S4W-00254 by Fergus Ewing on 13 June 2011, when it will meet the UK Government to discuss borrowing powers for Scottish Water.
Answer
The Scottish Government is in discussion with the UK Government on a range of improvements to the Scotland Bill.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Wednesday, 15 June 2011
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Current Status:
Answered by Bruce Crawford on 4 July 2011
To ask the Scottish Executive, further to the answer to question S4W-00254 by Fergus Ewing on 13 June 2011, whether it will list each of the improvements that it has identified for its discussions with the UK Government.
Answer
The First Minister identified proposals for changes to the Scotland Bill in his statements to the Parliament on 18 May 2011 and 26 May 2011. Other proposals for change have been made by the Scottish Government and the Scotland Bill Committee in the last session, the Scottish Affairs Committee at Westminster and other groups and individuals in their evidence to the Parliamentary Committees. The UK Government recently proposed changes to the bill at its report and third reading stage in the House of Commons on 21 June 2011. The Scottish Government looks forward to discussions on further changes to the bill with the UK Government and scrutiny by the new Scotland Bill Committee and the Parliament before a further legislative consent motion, in line with the previous motion of the Parliament S3M-8114.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Thursday, 16 June 2011
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Current Status:
Answered by Keith Brown on 30 June 2011
To ask the Scottish Executive whether it will include homes built through the National Housing Trust in its Affordable Housing Investment Programme.
Answer
Homes built through the National Housing Trust initiative (NHT) will be available for rent below the levels of housing benefit limits which makes them accessible to households on lower incomes. The homes will form part of the overall programme of affordable housing supply receiving financial support from the Scottish Government.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Thursday, 16 June 2011
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Current Status:
Answered by Keith Brown on 29 June 2011
To ask the Scottish Executive how many homes for social rent it will build in each of the next five years.
Answer
We have indicated that we plan to build 5,000 new council houses during this Parliament, but have not set an overall target for council/housing association homes for social rent.
- Asked by: Lewis Macdonald, MSP for North East Scotland, Scottish Labour
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Date lodged: Thursday, 16 June 2011
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Current Status:
Answered by Keith Brown on 29 June 2011
To ask the Scottish Executive whether it classifies housing delivered through the National Housing Trust as housing for social rent.
Answer
No. All homes provided under the National Housing Trust initiative will be classed as private sector lets and will be available for rent below the levels of housing benefit limits. This makes them accessible to households on lower incomes, and therefore available as affordable housing.