- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Friday, 15 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive in what circumstances post mortems would be carried out, particularly in relation to those suffering from more than one medical condition, which may include Clostridium difficile.
Answer
If a medical practitioner knows the cause of death he/she can complete a death certificate. If not, the case should be discussed with the Procurator Fiscal who may decide there is enough information available to sanction the completion of a death certificate, or alternatively instruct further enquiry, which may include a postmortem. The NHS undertakes hospital postmortems with proper authorisation from the deceased person''s relatives, if a clinician wishes to learn more about the cause(s) of death. Postmortems very often reveal that a patient has more than one medical condition, some of which may not have been evident in life. Equally, the cause of death is still on occasion unknown, even following a postmortem. There is no legal requirement for a postmortem in cases of Clostridium difficile, and this condition is diagnosed by microbiological tests on stool samples in life.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 27 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive, further to the answer to question S3W-14362 by Nicola Sturgeon on 14 July 2008, whether the Cabinet Secretary for Health and Wellbeing will now comment on whether she considers (a) the employment of one infection control nurse covering all infection monitoring at the Vale of Leven Hospital to be sufficient and (b) that NHS Greater Glasgow and Clyde should increase the number of people in the infection control team based at the Vale of Leven Hospital.
Answer
The number of staff employed for the provision of services is a matter for NHS Greater Glasgow and Clyde.
Guidance was issued to NHS boards under cover of HDL(2005)8 asking them to ensure that an appropriate and adequate level of resource for prevention and control of infection control and communicable disease was in place.
A letter reinforcing the accountability of chief executives, for ensuring that all the appropriate policy and procedures in relation to healthcare associated infection were in place, was issued on 28 June 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 20 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive how much capital funding has been committed to projects by NHS Greater Glasgow and Clyde for (a) 2008-09 and (b) the next three financial years.
Answer
Capital funding has been set for the current spending review period being 2008-09 and the following two years only. The capital resources available to NHS Greater Glasgow and Clyde in that period are detailed in the following table:
| Firm 2008-09 (£ million) | Indicative 2009-10 (£ million) | Indicative 2010-11 (£ million) |
Capital Formula | 97.417 | 98.920 | 100.423 |
Medical Equipment | 7.874 | 7.874 | 7.874 |
Primary Care Modernisation | 8.100 | 10.030 | 11.47 |
Ophthalmic Practices | 1.631 | - | - |
Renfrew/ Barrhead Scottish Government Capital Support | 5.000 | 5.000 | 5.000 |
Scottish Government Support “ Southern General | - | 18.000 | 101.000 |
Total | 120.022 | 139.824 | 225.767 |
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive, further to the answer to question S3W-14337 by Nicola Sturgeon on 15 July 2008, what action was taken by the Cabinet Secretary for Health and Wellbeing following interim reports on the outbreak of Clostridium difficile at the Vale of Leven Hospital on 13 and 17 June 2008.
Answer
Following the interim reports which I received from NHS Greater Glasgow and Clyde on 13 and 17 June 2008, I announced in Parliament on 18 June 2008 an independent review of the Clostridium difficile outbreak in the Vale of Leven Hospital.
I also asked Kevin Woods, Chief Executive of NHS Scotland to ask Health Protection Scotland (HPS) to collate data from NHS boards on whether there were other unidentified outbreaks and excess deaths associated with CDAD (Clostridium difficile Associated Disease).
Both reports were published on 7 August 2008.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 5 September 2008
To ask the Scottish Executive what the ambulance demand and performance was for the Vale of Leven for 2007-08 against national targets for (a) category A, (b) category B and (c) urgent calls.
Answer
I refer the member to the answer to question S3W-15467 on 5 September 2008. 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/webapp/wa.search.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 5 September 2008
To ask the Scottish Executive what the ambulance demand and performance was for (a) Arrochar and (b) Helensburgh for 2007-08 against the national targets for (i) category A, (ii) category B and (iii) urgent calls.
Answer
The national response time target for category A calls (life threatening) across mainland Scotland is that, by March 2009, 75% of all incidents should be reached within eight minutes.
The national response time target for category B calls (serious but not life threatening) across mainland Scotland is that, by March 2009, 95% of all incidents should be reached within 14, 19 or 21 minutes depending on population density. For the locations requested, the target is 21 minutes.
The information requested has been provided by the Scottish Ambulance Service for 2007-08 and is set out in the following tables.
Station | Cat A Demand | Cat A Performance | Cat B Demand | Cat B Performance |
Arrochar | 115 | 10.4% | 144 | 50.7% |
Helensburgh | 773 | 54.6% | 1702 | 92.3% |
Vale of Leven | 1,396 | 61.7% | 2,488 | 94.6% |
Station | Urgent Demand | Urgent Performance |
Arrochar | 61 | 88.3% |
Helensburgh | 986 | 89.5% |
Vale of Leven | 1,275 | 88.9% |
Notes:
1. The figures provided are for activity recorded against Arrochar, Helensburgh and Vale of Leven Stations.
2. Urgent performance is measured by the service as the crew being at the patient within 15 minutes of the agreed time in 95% of cases. The time is agreed with the GP or hospital at the time of the call request and is determined by the needs of each patient.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Nicola Sturgeon on 5 September 2008
To ask the Scottish Executive, further to the statement by the Cabinet Secretary for Health and Wellbeing on 7 August 2008 of her gratitude to the bereaved families for their open and constructive contribution to the work of the review team, whether she will now ensure that the 21 freedom of information requests relating to the outbreak of Clostridium difficile at Vale of Leven Hospital are fully answered.
Answer
The Freedom of Information (Scotland) Act sets out the right of any applicant dissatisfied with a response to a request for information to require an authority to review its response. I suggest therefore that Ms Baillie follows the standard processes as set out in the act.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 4 September 2008
To ask the Scottish Executive why it reduced the national performance targets for the Scottish Ambulance Service for category A calls from 75% for each NHS board area to 75% across Scotland and whether it is concerned that rural areas will experience reduced response times.
Answer
It is important to ensure that performance targets are challenging but deliverable. On that basis, the national performance target for responding to category A calls was revised to be achieved across mainland Scotland by March 2009, rather than within each individual NHS board area.
We recognise that achievement at a Scotland-wide level will mean that there may be some communities where this target is not routinely being met. That is why the Scottish Government is looking for the Scottish Ambulance Service (SAS) to demonstrate that across all parts of Scotland it is working to secure continuous improvement, particularly in remote and rural areas.
The Scottish Government and the SAS are committed to ensuring safe, efficient and effective health services across all parts of Scotland, including remote and rural areas. The SAS will continue to work with local partners to achieve this.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 4 September 2008
To ask the Scottish Executive whether the Scottish Ambulance Service plans to increase the staffing establishment at Arrochar station to better meet national targets for (a) category A, (b) category B and (c) urgent calls.
Answer
The Scottish Ambulance Service (SAS) have advised that they intend to take forward the recruitment of an additional member of staff for the Arrochar station. In addition, this additional crew member will support the elimination of single-rostered crewing in this area.
The Scottish Government is committed to ensuring that the SAS continues to provide sage, efficient and effective services to patients across Scotland, including those in remote and rural area. It is also important that patients have confidence in the SAS''s ability to respond to emergencies.
While this presents particular challenges in remote and rural locations, the service seeks to improve performance for all patients and remains keen to seek local solutions that meet the needs of those communities. In addition, the SAS has appointed a first responder co-ordinator in this area to develop and support first responder schemes.
- Asked by: Jackie Baillie, MSP for Dumbarton, Scottish Labour
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Date lodged: Wednesday, 13 August 2008
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Current Status:
Answered by Shona Robison on 3 September 2008
To ask the Scottish Executive what action it will take to improve the performance of the ambulance service in Arrochar to better meet national targets for (a) category A, (b) category B and (c) urgent calls.
Answer
The Scottish Government is committed to ensuring that the Scottish Ambulance Service (SAS) continues to provide safe, efficient and effective services to patients across Scotland, including those in remote and rural areas. It is also important that patients have confidence in the ambulance service''s ability to respond to emergencies.
While this presents particular challenges in remote and rural locations, the service seeks to improve performance for all patients and remains keen to seek local solutions that meet the needs of those communities. In addition, the Scottish Ambulance Service has appointed a first responder co-ordinator in this area to develop and support first responder schemes.