Questions and answers

Question reference: S3W-24421

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Thursday, 28 May 2009
Current Status: Answered by Kenny MacAskill on 8 June 2009

To ask the Scottish Executive how many licensed premises went out of business in each year since 1999, also broken down by local authority.

Question reference: S3W-24143

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 4 June 2009

To ask the Scottish Executive how many patients in the NHS (a) Greater Glasgow and Clyde and (b) Ayrshire and Arran area were (i) diagnosed with and (ii) found to have died from malnutrition while in the care of the NHS in each year since 1997, broken down by hospital.

Centrally held information can provide details of patients where malnutrition is identified on their hospital or death records as a principle or contributory cause of death. These figures may represent an undercount of the true number of cases because malnutrition as an underlying reason for discharge from hospital or cause of death may not always be recorded or coded by coding staff.

Improvements in the completeness of coding (the number of diagnoses that are recorded) may also artificially increase the number of recorded cases of malnutrition on hospital discharge records as may improved detection of malnutrition due to increased screening. Note that the figures in these tables may not correspond exactly with figures released previously. This is because the same patient may now be counted in two separate hospitals whereas previously they would only have been counted once at NHS board level. Databases are also continually updated and corrected.

The definition of malnutrition employed in this analysis includes diagnoses of anorexia nervosa, nutritional deficiencies (e.g. vitamin A, thiamine and calcium deficiencies), nutritional anaemias and malnutrition related diabetes mellitus.

It should be noted that these patients may have been malnourished or at risk of malnourishment when they were admitted to hospital.

The tables 1 and 2 that follow present the number of patients of NHS Greater Glasgow and Clyde and NHS Ayrshire and Arran discharged as a result of the patient''s death with a principle or contributory diagnosis of malnutrition. It is not possible to present a table with deaths directly attributable to malnutrition due to the potential risk of disclosure due to the small numbers involved.

Table 1: Number of NHS Greater Glasgow and Clyde Residents Who Died in Hospital and Had a Diagnosis of Malnutrition as Principle or Contributory Diagnosis by Hospital of Treatment; Year Ending 31 March 1998-2008

	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Bridge of Weir Hospital	-	*	-	-	-	-	-	-	-	-	-
Canniesburn Hospital	-	-	-	*	-	-	-	-	-	-	-
Glasgow Royal Infirmary	7	3	3	4	5	*	*	*	7	7	4
Hairmyres Hospital	-	-	*	-	-	-	*	-	-	-	-
Inverclyde Royal Hospital	-	-	*	4	*	3	4	3	4	3	4
Lightburn Hospital	-	*	*	-	-	*	*	-	*	-	-
Mansionhouse Unit	*	-	-	*	*	*	3	*	-	*	*
Royal Alexandra Hospital	4	-	3	3	*	*	*	*	5	*	*
Royal Infirmary of Edinburgh	-	-	-	-	-	*	-	-	-	-	-
Southern General Hospital	-	*	*	-	*	*	*	5	*	*	4
Stobhill Hospital	-	*	3	*	3	*	*	4	*	-	*
Vale of Leven General Hospital	-	-	-	*	*	*	-	-	-	-	*
Victoria Infirmary	*	4	3	4	-	10	5	7	7	*	*
Western Infirmary/Gartnavel General	*	-	5	*	4	*	4	4	5	3	5
Total	16	12	22	23	19	27	24	28	32	18	24

Source: ISD Scotland (SMR01).

Note: *Indicates values under three not shown due to the potential risk of disclosure.

Table 2: Number of NHS Ayrshire and Arran Residents Who Died in Hospital and Had a Diagnosis of Malnutrition as Principle or Contributory Diagnosis by Hospital of Treatment; Year Ending 31 March 1998-2008

	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Ayr Hospital	-	4	*	4	*	*	*	5	4	*	*
Ayrshire Central Hospital	-	-	*	-	-	-	-	-	-	*	-
Community Hospital	-	-	-	-	-	-	-	-	-	-	*
Crosshouse Hospital	-	6	4	3	6	*	*	*	6	5	*
Inverclyde Royal Hospital	-	-	-	-	-	*	*	*	-	-	*
Western Infirmary/Gartnavel General	-	-	-	-	*	-	-	-	-	-	-
Total	0	10	9	7	11	6	8	10	10	11	7

Source: ISD Scotland (SMR01).

Note: *Indicates values under three not shown due to the potential risk of disclosure.

The information requested on how many residents were diagnosed with malnutrition is given in tables 3 to 4 that follow.

Table 3: Number of NHS Greater Glasgow and Clyde Residents Discharged From Hospital With a Diagnosis of Malnutrition by Hospital; Year Ending 31 March 1998-2008

	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Aberdeen Royal Infirmary	*	-	-	-	-	-	-	-	-	-	-
Ayr Hospital	*	-	-	-	-	-	-	-	-	*	-
Bridge of Weir Hospital	*	7	*	-	-	-	-	-	-	-	-
Canniesburn Hospital	-	-	-	*	*	-	-	*	*	*	-
Cowglen Hospital	-	-	*	*	-	-	-	-	-	-	-
Dumfries & Galloway Royal Infirmary	*	-	-	-	-	-	-	*	-	-	-
Glasgow Royal Infirmary	236	161	98	107	85	89	101	94	113	146	96
Golden Jubilee National Hospital	-	-	-	-	-	-	*	8	5	18	13
Hairmyres Hospital	-	*	*	*	*	-	*	*	-	*	*
Inverclyde Royal Hospital	7	16	12	22	34	42	50	65	43	42	38
Larkfield Unit	-	-	-	-	-	-	-	-	*	-	-
Law Hospital	-	-	*	-	-	-	-	-	-	-	-
Lightburn Hospital	12	36	19	12	13	21	18	15	11	12	7
Mansionhouse Unit	15	12	8	10	*	5	15	5	8	12	6
Merchiston Hospital	-	-	-	-	-	-	-	-	-	*	-
Monklands District General Hospital	*	*	*	*	*	-	-	*	*	*	*
Ninewells Hospital	-	-	*	-	-	-	*	-	-	-	*
Perth Royal Infirmary	-	-	*	-	-	-	-	-	-	-	-
Ravenscraig Hospital	*	*	*	-	-	-	-	-	-	-	-
Royal Alexandra Hospital	21	24	30	23	13	16	15	15	20	17	24
Royal Hospital for Sick Children (Glasgow)	6	13	12	*	6	*	7	*	6	6	6
Royal Infirmary of Edinburgh	*	-	*	-	*	*	-	-	-	-	-
Royal Infirmary of Edinburgh (Little France)	-	-	-	-	-	-	-	*	*	*	*
Ruchill Hospital	*	-	-	-	-	-	-	-	-	-	-
Southern General Hospital	36	32	50	40	34	54	34	91	108	114	80
Stirling Royal Infirmary	-	-	-	-	-	*	-	-	*	-	-
St John''s Hospital	-	-	-	-	-	-	-	-	-	*	-
St Mary''s Hospital	*	-	-	-	-	-	-	-	-	-	-
Stobhill Hospital	94	160	98	63	36	52	60	49	38	21	48
Vale of Leven General Hospital	43	62	56	73	72	54	25	9	12	7	8
Victoria Infirmary	29	44	57	65	64	87	93	102	107	112	57
Western General Hospital	-	-	-	-	-	-	-	-	-	*	-
Western Infirmary/Gartnavel General	93	74	71	52	38	44	48	74	61	47	47
Total	605	646	528	480	409	468	473	538	539	564	439

Source: ISD Scotland (SMR01).

Note: *Indicates values under five not shown due to the potential risk of disclosure.

Table 4: Number of NHS Ayrshire and Arran Residents Discharged from Hospital with a Diagnosis of Malnutrition by Hospital; Year Ending 31 March 1998-2008

	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Aberdeen Royal Infirmary	-	-	-	-	-	-	-	*	-	-	-
Arran War Memorial Hospital	*	*	-	*	*	-	-	*	-	*	-
Ayr Hospital	23	44	59	45	42	72	39	35	45	39	39
Ayrshire Central Hospital	-	*	7	*	6	*	*	*	-	5	*
Ballochmyle Hospital	-	*	-	-	-	-	-	-	-	-	-
Biggart Hospital	*	-	*	-	-	*	*	*	*	*	-
Community Hospital	-	-	-	-	*	*	-	*	-	-	*
Crosshouse Hospital	76	54	73	79	74	85	80	61	67	59	75
Davidson Cottage Hospital	*	-	-	-	-	-	-	-	*	-	*
Glasgow Royal Infirmary	*	*	*	-	*	*	*	*	*	3	-
Golden Jubilee National Hospital	-	-	-	-	-	-	*	-	-	*	-
Hairmyres Hospital	*	*	*	-	-	-	-	*	*	-	-
Inverclyde Royal Hospital	-	-	*	5	*	*	*	5	*	*	*
Kirklandside Hospital	-	-	-	-	-	*	-	-	-	-	-
Lady Margaret Hospital	-	*	*	*	-	-	-	-	-	-	-
Ninewells Hospital	-	-	-	-	-	-	-	-	-	-	*
Royal Alexandra Hospital	-	-	-	-	-	-	-	*	*	-	*
Royal Hospital for Sick Children (Glasgow)	*	*	*	*	-	-	*	-	-	-	-
Royal Infirmary of Edinburgh	*	*	-	-	*	-	-	-	-	-	-
Royal Infirmary of Edinburgh (Little France)	-	-	-	-	-	-	*	*	-	-	-
Southern General Hospital	*	-	*	*	*	*	-	*	*	5	*
St John''s Hospital	-	-	-	-	-	-	-	-	*	-	-
Victoria Infirmary	-	-	*	*	-	-	-	-	-	-	-
Western General Hospital	-	-	-	-	-	-	-	-	-	-	*
Western Infirmary/Gartnavel General	-	-	*	-	*	-	-	-	-	*	-
Total	109	110	154	136	132	170	128	119	123	117	127

Source: ISD Scotland (SMR01).

Note: *Indicates values under five not shown due to the potential risk of disclosure.

Question reference: S3W-24147

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 4 June 2009

To ask the Scottish Executive what surveys have been undertaken to establish patient satisfaction rates with NHS meals; what the outcomes of these surveys have been, and what steps are being taken to improve the standard of meals.

Health Facilities Scotland, part of NHS National Services Scotland, requires all NHS boards to carry out National Catering Patient Questionnaires quarterly and to make the results publicly available in their areas.

The Scottish Government recognises the importance of nutrition to patients and we have taken steps to improve the whole experience of nutrition in hospitals including improving the standard of meals. In 2008, we introduced a national catering specification Food in Hospitals, which provides guidance to NHS boards on how to provide tasty, nutritious and healthy meals to the diverse population of patients who enter hospitals. The specification aims to ensure that hospital catering recognises the fundamental importance of appropriate food provision for every patient as part of his or her treatment. This in turn will influence health and recovery.

Question reference: S3W-24140

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive, further to the answer to question S3W-23008 by Nicola Sturgeon on 11 May 2009, to what it attributes the increase, in the last year, in the number of patients discharged from NHS hospitals as a result of death who had a diagnosis of malnutrition and what steps are being taken to reduce such cases.

NHS Scotland is now required to screen all patients on admission to hospital for the risk of undernutrition. As a result, it is likely that there has been an increase in the recording of malnutrition as a contributory cause of death on death certificates. In addition, improvements in the completeness of coding (the numbers of diagnoses that are recorded) may also artificially increase the number of recorded cases of malnutrition on hospital discharge records.

The figures published in answer to S3W-23008 show all deaths where malnutrition is the principle, or contributory, cause of death. The following table details the number of deaths directly attributable to malnutrition. The numbers of deaths in hospital directly attributable to malnutrition have remained relatively stable.

Number of Patients Who Died in Hospital and Had a Principle Diagnosis of Malnutrition Year Ending 31 March 1998-2008

	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
All Scotland	4	8	9	8	11	8	12	12	8	4	7

The Scottish Government is taking forward a comprehensive programme to improve and enhance the nutritional care of patients in hospital backed by £1.5 million of new investment:

Screening all patients on admission to hospital for the risk of undernutrition and putting in place a care plan to meet the needs of those with, or at risk of, malnutrition.

Introducing Food in Hospitals, the National Catering and Nutrition Specification for Food and Fluid provision in Scotland, 2008, which assists NHS boards to deliver a healthy balanced diet to all patients.

Providing £1.08 million to support nutrition champions in NHS boards for a period of two years to support the NHS board in the delivery of the Food, Fluid and Nutrition agenda.

Senior charge nurses playing an important role in ensuring these patients are given care and support to improve and maintain their nutrition where appropriate.

Protected meal times also ensure that patients are not interrupted unnecessarily and also allows nursing staff more time to spend with patients who need assistance to eat and drink.

This work links directly with the development of Clinical Quality Indicators, one of which is for food, fluid and nutrition, currently being implemented across NHS Scotland.

Question reference: S3W-24144

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive what the average cost is of feeding a hospital patient per (a) meal and (b) day, broken down by NHS board and also by hospital.

No information is held centrally on the cost of feeding a hospital patient per meal or per day by health board or hospital. Scottish Health Service Costs 2008 presents information on catering costs per patient consumer week by Health Board and hospital in tables R070 and R070X. These tables are available at:

http://www.isdscotland.org/isd/costs-book-detailed-tables.jsp?pContentID=3612&p_applic=CCC&p_service=Content.show&.

Question reference: S3W-24146

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive how many untouched meals were disposed of by the NHS expressed in (a) cash terms and (b) as a proportion of total meals distributed in the last 12 months, broken down by NHS board and also by hospital.

Question reference: S3W-24141

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive, further to the answer to question S3W-23008 by Nicola Sturgeon on 11 May 2009, to what it attributes the number of patients discharged from NHS hospitals with a diagnosis of malnutrition and what steps are being taken to reduce such cases.

Question reference: S3W-24142

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive how many patients who arrived at hospital without malnutrition were subsequently (a) diagnosed with and (b) found to have died from malnutrition while in the care of the NHS in each year since 1997, broken down by NHS board and also by hospital.

Information is not collected in such a way as to identify the number of patients, if any, who arrived at hospital without malnutrition, but subsequently were diagnosed with, and found to have died of, malnutrition.

The number of deaths in hospital directly attributable to malnutrition between 1998 and 2008 have remained relatively stable, as set out in the answer to question S3W-24140 on 1 June 2009. All answers to written parliamentary questions are available on the Parliament''s website, the search facility for which can be found at http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx.

Question reference: S3W-24148

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive which NHS hospitals prepare patient meals onsite and which distribute meals prepared elsewhere.

Question reference: S3W-24145

Asked by: Jackson Carlaw, MSP for West of Scotland, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 20 May 2009
Current Status: Answered by Nicola Sturgeon on 1 June 2009

To ask the Scottish Executive how much hospital food was wasted in the NHS expressed (a) in cash terms and (b) as a proportion of total expenditure on meals in the last 12 months, broken down by NHS board and also by hospital.

Chamber and committees