Chamber and committees

Hand hygiene compliance monitoring of NHS staff began in Scotland in 2007 and so the information requested is not available. Scotland is the first and only country in the world currently undertaking national compliance monitoring of this kind. Health Protection Scotland (HPS) is responsible for collecting the information and publishing data in its bi-monthly Compliance with Hand Hygiene - Audit Report.

The results for each staff group since monitoring began can be found in the HPS reports at the following web link:

http://www.hps.scot.nhs.uk/haiic/ic/nationalhandhygienecampaign.aspx.

NHS boards themselves conduct independent local hand hygiene compliance monitoring on a monthly basis. The results are available from each NHS board website. The portal link to these website pages can be found at the following Scottish Government website http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/19529/statistics/Local.

The information requested is set out in the following table.

NHS Board Area	2004-05		2005-06		2006-07		2007-08		2008-09
	Cat A	All	Cat A	All	Cat A	All	Cat A	All	Cat A	All
Argyll and Clyde	9.0	9.9	8.6	9.7	8.4	9.7	8.0	8.9	6.7	7.6
Ayrshire and Arran	8.6	9.4	8.3	9.2	8.4	9.2	8.1	9.2	7.2	8.3
Borders	9.2	9.6	9.4	9.8	10.0	9.8	10.1	10.5	9.0	9.7
Dumfries and Galloway	10.1	10.5	10.2	10.4	9.5	10.4	9.5	10.0	8.2	9.0
Fife	7.9	8.2	7.6	8.2	8.5	8.2	8.1	8.8	7.0	7.9
Forth Valley	8.6	9.1	8.5	9.5	9.2	9.5	9.1	10.4	7.7	8.8
Grampian	7.6	7.9	7.4	7.8	7.5	7.8	7.1	8.1	6.8	7.6
Greater Glasgow and Clyde	8.9	10.5	8.8	10.6	9.5	10.6	7.7	9.5	7.0	8.7
Highland	9.5	9.6	9.7	9.8	9.2	9.8	8.9	9.7	8.5	9.1
Lanarkshire	9.6	10.7	9.2	10.6	9.6	10.6	8.1	9.2	7.1	8.0
Lothian	7.9	8.6	7.8	9.1	8.8	9.1	8.3	10.0	6.9	8.5
Orkney	N/A	10.3	N/A	10.7	N/A	10.7	N/A	11.4	N/A	11.3
Shetland	N/A	13.6	N/A	12.5	N/A	12.5	N/A	13.2	N/A	14.2
Tayside	8.2	8.7	8.0	8.7	8.7	8.7	8.4	9.2	7.4	8.3
Western Isles	N/A	10.6	N/A	11.4	N/A	11.4	N/A	9.9	N/A	9.7
Scotland	8.6	9.5	8.4	9.5	8.9	9.5	8.2	9.4	7.2	8.3

Notes:

1. Information provided by the Scottish Ambulance Service (SAS).

2. SAS systems record data under the previous structure of 15 geographic health boards.

3. All emergency is defined as Category A, B and C calls.

4. The Scottish Ambulance Service completed the roll-out of the priority-based dispatch system across mainland Scotland in March 2004, so 2004-05 is the first year in which average category A and all emergency responses can be measured across Scotland. Figures for earlier years are not available as the information held is not comparable. Orkney, Shetland and Western Isles are subject to different performance management measures so figures are provided at an all emergency level.

The end of year budget surplus or deficit for each NHS board in each year since 1999 are shown in the following tables.

Health Board	2000-01 £000	2001-02 £000	2002-03 £000	2003-04 £000	2004-05 £000
Argyll and Clyde5	(5,521)	(3,538)	582	(35,370)	(59,492)
Ayrshire and Arran	(4,017)	806	5,636	7,913	22,901
Borders	(1,925)	(96)	326	299	3,380
Dumfries and Galloway	(1,079)	60	2,311	5,491	9,455
Fife	(653)	17	2,978	2,366	5,400
Forth Valley	394	(88)	1	392	410
Grampian	1,562	(2,006)	370	(4,804)	(10,774)
Greater Glasgow	467	503	12,135	5,010	12,103
Highland	74	546	442	1,956	1,838
Lanarkshire	1,031	(4,890)	(7,342)	(13,866)	(20,042)
Lothian	1,786	(10,033)	8,384	13,207	19,566
Orkney	(626)	(227)	0	34	60
Shetland	(98)	(425)	274	339	24
Tayside	1,907	(4,510)	4,330	(32)	4,460
Western Isles	(549)	(565)	201	(271)	(738)
Health Scotland	(290)	(19)	35	35	447
Common Services Agency	(4,113)	2,442	1,350	4,410	3,871
Scottish Ambulance Service	(1,011)	851	5	22	50
State Hospital	(1,011)	0	131	1,948	1,994
Mental Welfare Commission	3	42	46	(2)	1,263
NHS 241	n/a	8	(956)	1,183	4,988
National Waiting Times Centre2	n/a	n/a	40	1,985	1,601
NHS Quality Improvement Scotland3	n/a	n/a	522	567	513
NHS Education4	n/a	n/a	(948)	2,585	7,732
Clinical Standards Board3	58	26	n/a	n/a	n/a
Health Technology Board3	197	(182)	n/a	n/a	n/a
Scottish Council for Postgraduate Medical and Dental Education4	496	194	n/a	n/a	n/a

 

Health Board	2005-06 £000	2006-07 £000	2007-08 £000	2008-09 £000
Argyll and Clyde5	569	n/a	n/a	n/a
Ayrshire and Arran	17,405	13,000	9,961	10,012
Borders	3,314	2,988	650	82
Dumfries and Galloway	14,223	14,130	7,007	4,484
Fife	4,582	5,020	5,664	2,928
Forth Valley	407	590	2,000	3,525
Grampian	456	6,337	6,391	6,486
Greater Glasgow5	12,284	27,348	646	441
Highland5	1,369	6,829	5,362	70
Lanarkshire	(8,393)	7,961	11,785	14,895
Lothian	179	4,634	364	188
Orkney	50	139	4	152
Shetland	341	370	976	390
Tayside	1,141	3,080	1,801	310
Western Isles	(2,484)	(3,364)	(3,097)	9
Health Scotland	127	511	184	51
Common Services Agency	5,077	1,700	2,521	161
Scottish Ambulance Service	1	132	38	25
State Hospital	2,860	899	64	1
Mental Welfare Commission	60	274	106	8
NHS 241	809	2,238	255	79
National Waiting Times Centre2	3,991	5,123	7,279	4,262
NHS Quality Improvement Scotland3	268	147	398	116
NHS Education4	10,960	13,123	15,179	9,321

Notes:

1. NHS24 was created in 2002-03.

2. The National Waiting Times Centre was created in 2003-04.

3. NHS Quality Improvement Scotland was created in 2003-04 and took over the activities of the Clinical Standards Board and Health Technology Board for Scotland.

4. NHS Education was created in 2003-04 and took over the activities of the Scottish Council for Postgraduate Medical and Dental Education.

5. Argyll and Clyde health board was dissolved after 2005-06 and its activities transferred to Greater Glasgow and Highland health boards.

The information requested is set out in the following table:

Year	Vale of Leven Hospital	Inverclyde Royal Hospital
1992	1,234	1
1993	1,093	-
1994	1,109	475
1995	1,039	1,211
1996	1,001	1,115
1997	1,050	1,075
1998	926	1,053
1999	868	1,051
2000	914	964
2001	842	942
2002	696	880
2003	28	798
2004	58	81
2005	57	108
2006	74	73
2007	82	102
2008	97	96

As in other statistics published by the General Register Office for Scotland (GROS), each birth is counted on the basis of the year in which it was registered, which may not be the same as the year in which it occurred.

Provisional figures for 2009 will not be available until March 2010.

When the New South Glasgow Hospitals and Laboratory project was formally announced on 22 May 2008 by Shona Robison MSP the value of the project was £841.7 million. The completion date anticipated at that time was July 2014 subject to the outcome of the procurement process.

The cost of the scheme is still within £841.7 million. The date forecast for the completion of the main hospitals within the preferred bidders tender is January 2015. An additional Stage (3A) has been developed since the completion of the Outline Business Case. This stage involves the demolition of the old Surgical Block and associated buildings and completion of soft landscaping areas to complete the central park area and will finish in the summer of 2016.

The following tables outline the proportion of (a) children and (b) adults reported as (i) overweight, (ii) obese and (iii) morbidly obese in 1998, 2003 and 2008. Data are not available for intervening years as the Scottish Health Survey was carried out on an infrequent basis. From 2008 onwards, results will be available annually.

(a) Overweight and Obesity in Children in Scotland, 1998-2008

Aged 2-15	1998	2003	2008
	%	%	%
Boys
Overweight (inc Obese)1	27.8	32.4	36.1
Obese (inc Morbidly Obese)2	13.0	15.6	16.8
Morbidly Obese3	6.8	8.2	9.0
Girls
Overweight (inc Obese)1	28.3	28.9	26.9
Obese (inc Morbidly Obese)2	13.1	12.3	13.2
Morbidly Obese3	5.8	6.7	6.6
Sample Size (weighted)
Boys	967	1,205	653
Girls	915	1,159	611
Sample Size (unweighted)
Boys	1,742	1,172	637
Girls	1,675	1,191	630

Source: Scottish Health Survey.

Notes:

1. Defined as BMI at or above 85th percentile of the UK reference curves.

2. Defined as BMI at or above 95th percentile of the UK reference curves.

3. Defined as BMI at or above 98th percentile of the UK reference curves.

(b) Overweight and Obesity in Adults in Scotland, 1998-2008

Aged 16-641	1998	2003	2008
	%	%	%
Men
Overweight (inc Obese) (BMI 25+)	61.0	64.0	66.3
Obese (inc Morbidly Obese) (BMI 30+)	18.8	22.0	24.9
Morbidly Obese (BMI 40+)	0.9	1.8	1.4
Women
Overweight (inc Obese) (BMI 25+)	52.2	57.3	59.6
Obese (inc Morbidly Obese) (BMI 30+)	20.9	23.8	26.5
Morbidly Obese (BMI 40+)	2.0	3.6	3.5
Sample Size (weighted)
Men	3,673	2,702	2,238
Women	3,572	2,776	2,257
Sample Size (unweighted)
Men	3,110	2,368	1,822
Women	3,783	2,908	2,293

Source: Scottish Health Survey.

Note: 1. The 16 to 64 age group has been used as a consistent measure across the three surveys as people aged over 65 were not surveyed in 1998. From 2003 onwards, all adults aged 16+ and headline figures on obesity prevalence generally relate to this age group.

Results are not available broken down by NHS board for 2008, as sample sizes are not large enough to produce board level results after a single year. NHS board level results will be published in 2012, based on combined data from 2008-11.

Some key results from the 2003 survey were provided by NHS board area, although the results of some boards have been amalgamated due to small sample sizes. This analysis is available on the Scottish Health Survey website via the following link:

http://www.scotland.gov.uk/Publications/2005/11/25145024/50256.

Accident and emergency (A&E) departments are generally sited in large hospitals. In addition to the service offered at these A&E departments, most boards also provide A&E services in smaller hospitals and through minor injury units. The following tables show the number of A&E departments per 100,000 population in each year since 1999, broken down by NHS board.

Table 1 shows the number of A&E departments per 100,000 population, for the years 1999 to 2006. The numbers of smaller hospitals offering A&E services and minor injury units are not available for this period.

Table 1: Number of A&E Departments^a per 100,000 population - 1999 to 2006

	1999	2000	2001	2002	2003	2004	2005	2006
Scotland	0.65	0.65	0.65	0.65	0.65	0.65	0.65	0.66
Argyll and Clydec	0.94	0.95	0.95	0.96	0.96	0.96	0.97	-
Ayrshire and Arran	0.54	0.54	0.54	0.54	0.54	0.54	0.54	0.55
Borders	0.95	0.94	0.94	0.93	0.92	0.92	0.91	0.91
Dumfries and Galloway	0.67	0.68	0.68	0.68	0.68	0.68	0.67	0.68
Fife	0.58	0.57	0.57	0.57	0.57	0.56	0.56	0.56
Forth Valley	0.72	0.72	0.72	0.72	0.72	0.71	0.70	0.70
Grampian	0.57	0.57	0.57	0.57	0.57	0.57	0.57	0.57
Greater Glasgowc	0.69	0.69	0.69	0.69	0.69	0.69	0.69	0.76
Highlandc	0.48	0.48	0.48	0.48	0.48	0.47	0.47	0.65
Lanarkshire	0.54	0.54	0.54	0.54	0.54	0.54	0.54	0.54
Lothian	0.39	0.39	0.39	0.39	0.38	0.38	0.38	0.50
Orkney	5.15	5.18	5.20	5.21	5.18	5.13	5.10	5.06
Shetland	4.44	4.51	4.55	4.56	4.57	4.56	4.55	4.57
Tayside	0.51	0.51	0.51	0.52	0.52	0.52	0.51	0.51
Western Isles	3.68	3.73	3.78	3.82	3.83	3.81	3.79	3.80

Notes:

A. All A&E departments. Smaller hospitals offering A&E services and minor injury units are not included.

B. Calculated using the latest 2008 mid-year population estimates (source: GROS).

C. On 1 April 2006, Argyll and Clyde was dissolved and restructured into Greater Glasgow and Highland. Greater Glasgow was renamed as Greater Glasgow and Clyde.

Table 2 shows both the number of A&E departments (core sites) and the number of smaller hospitals offering A&E services and minor injury units (non core sites) per 100,000 population, for the years 2007 to 2009.

Table 2: Number of A&E Departments and Other A&E Services Per 100,000 Population “ 2007-09

	2007		2008		2009a
	A&E Departments	Other	A&E Departments	Other	A&E Departments	Other
Scotland	0.66	1.05	0.66	1.08	0.66	1.14
Ayrshire and Arran	0.54	0.54	0.54	0.82	0.54	0.82
Borders	0.90	3.59	0.89	3.56	0.89	3.56
Dumfries and Galloway	0.67	2.70	0.67	2.69	0.67	2.69
Fife	0.55	0.55	0.55	0.55	0.55	0.55
Forth Valley	0.69	0.00	0.69	0.00	0.69	0.00
Grampian	0.56	2.62	0.56	2.59	0.56	2.59
Greater Glasgow and Clyde	0.75	0.00	0.75	0.00	0.75	0.00
Highland	0.65	5.83	0.65	5.49	0.65	5.49
Lanarkshire	0.54	0.36	0.53	0.36	0.53	0.36
Lothian	0.49	0.00	0.49	0.24	0.49	0.24
Orkney	5.04	0.00	5.03	0.00	5.03	0.00
Shetland	4.56	0.00	4.55	0.00	4.55	0.00
Tayside	0.51	1.52	0.50	1.51	0.50	2.27
Western Isles	3.80	7.60	3.82	7.63	3.82	7.63

Notes:

A. Calculated using the latest 2008 mid-year population estimates (source: GROS).

B. Other includes all smaller hospitals offering A&E services and minor injury units.

This information is not held centrally. However, since April 2008, all health boards have reported on the number of alcohol brief interventions delivered as part of the NHS HEAT H4 target.

The cumulative total of brief interventions undertaken between April 2008 and March 2009 were 26,499. The breakdown for each NHS board is as follows:

Ayrshire and Arran	1,515
Borders	211
Dumfries and Galloway	419
Fife	3,171
Forth Valley	2,067
Greater Glasgow and Clyde	7,603
Grampian	710
Highland	2,267
Lanarkshire	767
Lothian	3,826
Orkney	0
Shetland	35
Tayside	3,586
Western Isles	322

Note: Owing to changes in partnership working arrangements, which resulted in a longer lead in period, NHS Orkney reported zero alcohol brief interventions in 2008-09. Delivery is now fully underway and NHS Orkney has reported 155 alcohol brief interventions have been undertaken across primary care and accident and emergency between April 2009 and end September 2009.

The national target is that 98% of patients will wait no longer than four hours between arrival at an accident and emergency department and admission, discharge or transfer. NHSScotland have consistently delivered this target since it was introduced at the end of December 2007.

The median waiting time from arrival to leaving an accident and emergency (A&E) department in each year since 1999, by health board, is provided in the following tables.

Prior to 2007, A&E waiting times data was collected through an annual census covering a three or seven day period in April. The census between 1999 to 2005 only covers the core A&E hospitals across Scotland. In 2006, the survey was expanded to cover all A&E departments, including minor injury units. Only information from the core A&E sites has been provided.

NHSScotland: Median Waiting Times^a Spent in A&E - 1999 to 2006

	Median Wait (Minutes)
	1999	2000	2001	2002	2003	2004	2005	2006b
Length of Survey (Days)	7	7	7	7	3	3	3	7
NHS Board
Argyll and Clyde	64	68	77	80	84	101	84	x
Ayrshire and Arran	88	82	86	100	78	108	106	x
Borders	60	78	101	122	120	81	130	x
Dumfries and Galloway	41	59	62	67	53	87	102	x
Fife	65	81	60	89	95	123	103	x
Forth Valley	65	75	90	119	75	90	97	x
Grampian	72	57	91	93	96	94	93	x
Greater Glasgow	72	80	90	96	95	106	99	x
Highland	47	47	83	90	63	127	84	x
Lanarkshire	66	82	99	98	84	111	142	x
Lothian	89	96	111	93	110	111	108	x
Orkney	30	30	25	31	30	35	25	x
Shetland	50	35	50	50	53	35	60	x
Tayside	69	60	68	75	75	100	100	x
Western Isles	45	40	55	40	60	50	60	x
NHSScotland	70	76	87	92	89	105	104	105

Source: ISD Scotland.

Notes:

A. The final time in surveys prior to 2005 was defined as time left A&E department and from 2005 onwards as time of discharge, admission or transfer. This change means that data between surveys is not directly comparable. Caution should be exercised in interpreting this trend because of inconsistencies in definition in the information captured by these surveys.

B. The data from the 2006 survey is not readily available at NHS board level.

Since 2007, detailed daily data has been collected at all large hospitals containing an A&E department (core sites). Smaller hospitals and minor injury units do not generally collect data at this level and are therefore not included in the following table.

NHSScotland: Median Waiting Times^a Spent in A&E - Financial Years 2007-08, 2008-09 and 2009-10 to Date

NHS Board	Median Wait (Minutes)
	2007-08b	2008-09	2009-10c
Ayrshire and Arran	84	95	97
Borders	83	91	93
Dumfries and Galloway	78	76	86
Fife	87	93	98
Forth Valley	85	88	92
Grampian	94	105	108
Greater Glasgow and Clyde	99	99	104
Highland	86	88	82
Lanarkshire	101	102	106
Lothian	116	119	129
Orkneyd	x	x	x
Shetland	75	78	69
Tayside	86	88	89
Western Isles	78	75	74
NHSScotland	96	99	104

Source: ISD Scotland.

Notes:

A. The waiting time is defined as the time of arrival until the time of discharge, admission or transfer.

B. Detailed waiting time data only provided from 1 July 2007.

C. Latest data available - 1 April to 30 June 2009.

D. No core site in Orkney.

Due to the different methods of data collection, caution should be taken when comparing the two tables.

This information is not held centrally.

In March 2008, the Scottish Government published and disseminated guidance for commissioners of services for people on the autism spectrum in local authorities and health boards, which sets out recommendations for planning appropriate services. This guidance can be found at the following link http://www.scotland.gov.uk/Publications/2008/03/27085247/0.

Annex A of the above guidance sets out a national diagnostic standard for autism spectrum disorder diagnostic standards.