Chamber and committees

The Scottish Ambulance Service’s fleet establishment for accident and emergency and non-emergency vehicles in each year since 1995 is listed in the following table:

Year	Accident and Emergency	Non-Emergency
1995-96	448	449
1996-97	443	449
1997-98	443	456
1998-99	443	456
1999-2000	441	460
2000-01	444	465
2001-02	448	488
2002-03	447	499
2003-04	450	520
2004-05	450	520
2005-06 (to October 2005)	450	520

 

New accident and emergency units and non-emergency vehicles are introduced into the fleet each year as part of the ambulance service’s vehicle replacement programme.

Since 2002-03, the Scottish Ambulance Service has been enhancing its service to patients by rolling out its priority based dispatch system across Scotland, whereby those patients with the greatest need receive the quickest response. In addition to these accident and emergency ambulances, the ambulance service has 46 vehicles which are used as rapid response vehicles. These vehicles are manned by a paramedic who responds to Category A life threatening calls, mostly in urban areas, and treats the patient until an ambulance arrives.

As well as the rapid response units, first responder schemes have been set up across some of the more remote and rural areas of Scotland. These schemes are staffed by volunteers trained by the ambulance service to provide patient care in serious cases until an ambulance arrives. Currently there are around 30 first responder schemes in Scotland.

This information is not available centrally. Prescription of the anti-TNF drugs should be undertaken by consultant rheumatologists specialising in their use. Data on drugs dispensed in hospitals are not available centrally. Centrally collected data relate to prescribed items dispensed in the community by community pharmacists and dispensing doctors. These data are not patient specific.

Where NHS Quality Improvement Scotland or the Scottish Medicines Consortium has issued advice on the use of the anti-TNF drugs, NHSScotland should take account of the advice and ensure that these drugs are made available to meet clinical need.

Cochlear implantation is designated and funded as a national specialist service provided at two sites in Scotland: Crosshouse Hospital in Ayrshire (adults and children) and Edinburgh Royal Infirmary (adults). The number of patients waiting at each site is set out in the table. The numbers have not been broken down by NHS board of residence because patient confidentiality could be compromised, given the small numbers involved.

Location	Number of Patients Waiting
	Initial Consultation	Implant Surgery
Crosshouse Hospital	8	6
Edinburgh Royal Infirmary	3	5

 

The number of cochlear implants carried out each year is expected to continue at around 50, split approximately equally between children and adults.

The information asked for is not collected centrally in the form requested. There is data available on violence and aggression related incidents available on the Scottish Health Statistics website under workforce statistics, www.isdscotland.org/workforce .

Section A gives details of the overall summary of workforce statistics in NHS Scotland. Table A8 has a breakdown of the number of occupational injuries by type of organisation and staff group which includes the number of incidents related to violence and aggression. Latest figures are at 31 March 2004.

Information is not available at the level of detail requested.

The Crown Office and Procurator Fiscal Service’s Case Management Database records details of the charges against each accused in terms of the specific common law or statutory offence that is alleged to have been committed. In the case of illegal use or petrol or diesel in a motor vehicle, the relevant offence is usually the offence of evasion of duty under section 170(2)(a) of the Customs and Excise Management Act 1979. That offence also covers other offences relating to the evasion of duty (eg evasion of duty on cigarettes or alcohol) and it is not possible to determine from the information held on the database the nature of the goods involved in each case. The following table provides details of all charges since April 2002 which led to prosecutions for offences under section 170(2)(a) of the 1979 Act.

Charges Prosecuted under Section 170(2)(a) of the Customs and Excise Management Act 1979¹

Police Force Area	Disposal	2002-032	2003-04	2004-05
Lothian and Borders	No Further Proceedings	0	0	3
Strathclyde	Charge still “active”	0	0	1
	Guilty - Imprisonment	0	0	1
	Not Guilty	1	0	0
	No Further Proceedings	1	0	0

Notes:

1. The information in this table has been extracted from the Crown Office and Procurator Fiscal Service’s Case Management Database. The database is a live, operational database used to manage the processing of reports submitted to procurators fiscal by the police and other reporting agencies.

2. The Crown Office and Procurator Fiscal Service completed an upgrade of its electronic case management system in April 2002. Only case records created after that date contain complete data which is capable of electronic analysis. If a Procurator Fiscal amends a charge submitted by a reporting agency the database will record details only of the amended charge.

Administrative and management staff make an invaluable contribution to the operation of the health service, organising services in a way which provides equitable access to the highest possible levels of sustainable quality care and ensuring that the patient’s journey through the system is made as smooth as possible, for example through effective management of patient records and efficient scheduling of appointments.

Administration

(a) The amount spent by each NHS board in each of the last five years on administration, expressed both as (i) a percentage of total budget, and (ii) per head of population was:

	2000-01			2001-02			2002-03
	(£000)	%	Cost Per Head (£)	(£000)	%	Cost Per Head (£)	(£000)	%	Cost Per Head (£)
Argyll and Clyde	4,317	1.02%	10.19	4,228	1.03%	9.98	4,388	1.01%	10.43
Ayrshire and Arran	3,185	0.88%	8.53	3,267	0.92%	8.75	2,257	0.59%	6.13
Borders	1,599	1.50%	14.96	1,636	1.61%	15.30	1,539	1.40%	14.39
Dumfries and Galloway	1,808	1.18%	12.40	1,844	1.24%	12.65	1,277	0.80%	8.64
Fife	2,862	0.92%	8.17	3,327	1.09%	9.49	2,583	0.80%	7.39
Forth Valley	2,514	0.96%	9.04	2,605	1.04%	9.37	1,888	0.70%	6.76
Grampian	4,217	0.88%	8.06	4,355	0.95%	8.32	3,456	0.69%	6.57
Glasgow	7,461	0.77%	8.25	8,043	0.85%	8.89	9,449	0.91%	10.88
Highland	2,827	1.34%	13.55	2,875	1.40%	13.78	2,824	1.27%	13.52
Lanarkshire	3,681	0.73%	6.55	3,919	0.76%	6.97	2,852	0.53%	5.16
Lothian	6,405	0.89%	8.17	6,747	0.94%	8.61	4,486	0.60%	5.76
Orkney	709	3.09%	36.40	765	3.50%	39.27	589	2.47%	30.65
Shetland	645	2.34%	28.74	619	2.29%	27.58	611	2.02%	27.82
Tayside	3,632	0.86%	9.42	4,683	1.11%	12.15	2,721	0.61%	7.00
Western Isles	1,313	3.29%	48.31	1,562	3.82%	57.47	1,446	3.23%	54.67
	47,175			50,475			42,366

 

	2003-04			2004-05
	(£000)	%	Cost Per Head (£)	(£000)	%	Cost Per Head (£)
Argyll and Clyde	4,913	1.04%	11.78	5,588	1.06%	n/a
Ayrshire and Arran	2,747	0.66%	7.48	2,938	0.58%	n/a
Borders	1,427	1.15%	13.18	1,592	1.08%	n/a
Dumfries and Galloway	1,777	0.99%	12.07	1,898	0.89%	n/a
Fife	3,738	1.03%	10.62	4,306	1.01%	n/a
Forth Valley	2,165	0.75%	7.74	2,619	0.77%	n/a
Grampian	4,140	0.78%	7.91	3,578	0.59%	n/a
Glasgow	12,410	1.13%	14.32	11,721	0.92%	n/a
Highland	3,065	1.25%	14.66	4,858	1.60%	n/a
Lanarkshire	4,028	0.71%	7.28	4,380	0.66%	n/a
Lothian	5,010	0.54%	6.42	4,168	0.44%	n/a
Orkney	626	2.44%	32.42	640	2.06%	n/a
Shetland	641	2.02%	29.31	736	2.04%	n/a
Tayside	3,909	0.83%	10.11	5,162	0.94%	n/a
Western Isles	1,522	3.24%	58.31	2,112	3.91%	n/a
	52,118			56,296

 

Administration

The boards’ spending on administration costs are taken from note 6 of the published annual accounts for each respective financial year.

The guidance issued on administration costs is based on the Code of Practice for Best Value Accounting for Local Authorities, which focuses on costs of the boards’ strategic functions that are not included in the cost of service provision. Expenditure will include the costs associated with the board’s responsibilities for the planning and commissioning of health care for its resident population (such as statutory reporting, strategic planning, commissioning of health care and financial projections), but not those costs associated with the provision of health care and other non-clinical services provided by the board.

Budgets

The total budget of each board is their Revenue Resource Limit (RRL) which is reported in their annual accounts.

In 2000-01, before resource budgeting was introduced to the Scottish Executive, boards did not have a RRL therefore for 2000-01 their budget has been assumed to be their Total Revenue Allocation which was also reported in their Annual Accounts.

Population

The figures for the population of each board area is taken from Report 086 of the Cost Book, no figures are yet available for 2004-05.

Management

(b) The amount spent by each NHS board in each of the last five years on management, expressed both as (i) a percentage of total budget, and (ii) per head of population was:

	2000-01			2001-02
	(£000)	%	Cost Per Head (£)	(£000)	%	Cost Per Head (£)
Argyll and Clyde	22,884	5.41%	54.04	23,896	5.80%	56.43
Ayrshire and Arran	18,632	5.17%	49.90	20,259	5.73%	54.26
Borders	6,753	6.34%	63.17	7,241	7.11%	67.74
Dumfries and Galloway	8,662	5.67%	59.41	8,939	5.99%	61.31
Fife	16,066	5.14%	45.85	19,397	6.37%	55.36
Forth Valley	11,828	4.52%	42.55	12,637	5.04%	45.46
Grampian	29,609	6.19%	56.57	31,862	6.93%	60.88
Glasgow	72,357	7.45%	80.01	74,003	7.78%	81.83
Highland	10,263	4.86%	49.20	12,041	5.88%	57.72
Lanarkshire	33,315	6.61%	59.28	35,659	6.96%	63.45
Lothian	48,099	6.65%	61.38	47,758	6.65%	60.95
Orkney	885	3.85%	45.43	1,076	4.92%	55.24
Shetland	872	3.16%	38.86	1,152	4.25%	51.34
Tayside	35,005	8.29%	90.80	30,434	7.19%	78.95
Western Isles	1,947	4.88%	71.63	1,992	4.87%	73.29
	317,177			328,346

 

	2002-03			2003-04
	(£000)	%	Cost per head (£)	(£000)	%	Cost per head (£)
Argyll and Clyde	25,680	5.90%	61.04	25,548	5.42%	61.27
Ayrshire and Arran	22,454	5.89%	60.97	24,387	5.86%	66.42
Borders	7,882	7.18%	73.70	7,790	6.26%	71.94
Dumfries and Galloway	9,212	5.77%	62.34	7,438	4.13%	50.53
Fife	19,142	5.93%	54.74	22,823	6.31%	64.85
Forth Valley	15,764	5.85%	56.45	17,285	5.97%	61.80
Grampian	34,923	6.98%	66.41	35,849	6.78%	68.49
Glasgow	81,850	7.91%	94.28	92,369	8.38%	106.62
Highland	12,663	5.70%	60.61	13,775	5.63%	65.88
Lanarkshire	36,903	6.82%	66.70	40,907	7.22%	73.91
Lothian	57,599	7.70%	73.94	58,732	6.36%	75.30
Orkney	1,260	5.29%	65.56	1,245	4.85%	64.48
Shetland	1,280	4.24%	58.29	1,556	4.90%	71.13
Tayside	33,260	7.50%	85.56	34,813	7.36%	90.06
Western Isles	2,037	4.56%	77.01	2,355	5.01%	90.21
	361,909			386,871

 

Management

The figures for Management costs are taken from Scottish Financial Return (SFR) 5.2, which is completed by each hospital and submitted to the NHS National Service Scotland Information and Statistics Division for publication in the Cost Book.

The above costs report the administrative and management costs of running all hospitals in NHSScotland. The range of support services in a hospital which are considered management and administrative include:

Hospital Medical/Paramedical Administrative Support;

Senior Nursing and Hospital Administrative Support;

Medical Records;

Hospital administration, including senior management, and

Administrative agency staff and agency services.

The figures for 2004-05 have not been published.

Information is not held centrally in the form requested.

In June this year, I announced a maximum nine-weeks waiting time for eight key diagnostic tests, including MRI and CT scans. This commitment will come into effect from the end of 2007.

Meantime, NHS boards are working to reduce diagnostic waiting times for patients through service redesign, investment in capacity and more efficient working to ensure that the target is met. Many NHS boards are making use of the MRI and CT scanning services provided by the Golden Jubilee National Hospital.

This information is not available. The Crown Office and Procurator Fiscal Service’s Case Management Database records details of the charges against each accused in terms of the specific common law or statutory offence that is alleged to have been committed. Conduct of the type referred to in the question could be charged as rape or assault where the victim did not consent to sexual intercourse or culpable and reckless conduct where the victim consented. However, these charges are also used to cover a wide range of other conduct and cases involving reckless or deliberate transmission of sexually transmitted diseases cannot be separately identified in the database.

Information as requested is presented by area of residence in the following table.

Table 1. Patients aged under 30 diagnosed with an alcohol-related condition in Scotland, New Occurrences by Area of Residence and Year of Admission

Area of Residence	Year
	1997	1998	1999	2000	2001
Scotland	4,213	4,154	4,154	4,113	4,230
Argyll and Clyde	302	333	388	400	347
Ayrshire and Arran	398	451	419	358	476
Borders	84	79	77	82	75
Dumfries and Galloway	173	129	127	122	122
Fife	260	294	240	272	273
Forth Valley	191	153	136	141	146
Grampian	526	495	484	472	439
Glasgow	726	774	799	728	751
Highland	250	215	216	248	255
Lanarkshire	458	328	362	333	418
Lothian	499	516	525	519	523
Orkney	21	29	23	35	26
Shetland	19	27	18	23	12
Tayside	277	289	308	352	328
Western Isles	29	42	32	28	39

Source: ISD Scotland SMR01/SMR04 linked data set.

Notes:

1. The latest available information on discharges from psychiatric hospitals is 2001. More up to date information is not available due to data submission problems in several NHS board areas. It is hoped that this will be resolved by the end of this year.

2. This information was extracted from the SMR01 and SMR04 linked data set maintained by ISD Scotland. SMR01 records (Scottish Morbidity Records 1) record all in-patient and day case discharges from non-obstetric and non-psychiatric specialties in NHS Hospitals in Scotland. SMR04 records (Scottish Morbidity Records 4) record all in-patient and day case discharges from mental illness hospitals and psychiatric units. Probability matching methods have been used to link together individual hospital records for each patient, thereby creating “linked” patient histories.

3. Alcohol-related conditions are defined by using the World Health Organisation's International Classification of Diseases 9th and 10th Revisions (ICD9 & ICD10). ICD9 V11, 291, 303, 3050, 3575, 4255, 5353, 3050, 5710, 5711, 5712, 5713, 6555, 7607, 7903, ,9773, 9800, E8600, E8609 and E9473. ICD10 E52, F10, K70, X45, X65, Y15, Y90, Y91, G312, G621, G721, I426, K292, K860, O354, P043, Q860, R780, T506, T510, T519, Y573, Z133, Z502, Z637, Z714, Z721, Z811 and Z864. Up to six diagnoses (one principal, five secondary) are recorded on the SMR01 and SMR04 returns. All six diagnostic positions were used for the analysis.

4. Incidence of alcohol-related conditions is calculated by counting the number of first admissions to hospital each year for alcohol-related conditions. Records for a patient are checked back to 1981 to confirm if they had a previous admission to hospital for alcohol-related conditions.

The preferred source for public sector employment estimates is the recently published public sector employment statistics series, which is based on the agreed National Accounts definition of the public sector. These estimates are constructed from administrative and survey data from public sector organisations. However, estimates from this source are only available for Scotland.

Data for 2003 and 2004 by local authority area are available from the Annual Scottish Labour Force Survey (LFS). In the LFS workers classify themselves into the appropriate category thus public sector estimates sourced from the LFS include agency workers and self-employed workers. Agency workers, in particular, are typically employed by private sector firms, though they provide a service within the public sector. Thus the LFS over estimates the size of the public sector. The Office for National Statistics estimate that the LFS over estimates public sector employment by about 5%.

This LFS data for 2003 and 2004 are given in the tables of Employment by Sector, Industry and Work Local Authority Area, 2003-2004, a copy of which has been placed in the Scottish Parliament Information Centre (Bib. number 37850).

The Annual Scottish Labour Force Survey was enhanced for the first time in 2003.  This enabled a more detailed breakdown of key labour market statistics, both in terms of their characteristics and the coverage provided at local authority level. Thus data are not available before 2003.