- 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 8 September 2008
To ask the Scottish Executive whether it will provide the designations of the people listed as being interviewed by the independent review team in Annex A of Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008.
Answer
We have no plans to do so. The structure and content of the report was determined by the independent review team.
- 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 8 September 2008
To ask the Scottish Executive when it will publish the “further analysis of the death rate” outlined on page 12 of Independent Review of Clostridium difficile Associated Disease at the Vale of Leven Hospital from December 2007 to June 2008.
Answer
This information will be provided in the Outbreak Control Team report which is due to be submitted to me by NHS Greater Glasgow and Clyde around the end of September 2008. The content of that report will, in the first instance, be shared with the area Procurator Fiscal.
- 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 8 September 2008
To ask the Scottish Executive what proportion of the people who died of Clostridium difficile at the Vale of Leven Hospital had the 027 strain.
Answer
I refer the member to the answer to question S3W-15613 on 8 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://scottish.parliament.uk/webapp/wa.search.
- 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 8 September 2008
To ask the Scottish Executive what action it took in relation to Clostridium difficile at the Vale of Leven Hospital following (a) advice received from Health Protection Scotland on 21 May 2008, (b) contact from the Dumbarton and Vale of Leven Reporter on 6 June 2008, and (c) the meeting of the Outbreak Control Team on 10 June 2008.
Answer
I refer the member to the timeline of events in my statement to the Parliament on 18 June 2008 and to the answer to question S3W-14337 on 15 July 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.
In response to the recommendations arising from the publication of the Health Protection Scotland Report on Review of Clostridium difficile Associated Disease Cases and Mortality in all Acute Hospitals in Scotland from December 2007 - May 2008 and the independent review Report on the Clostridium difficile Outbreaks at Vale of Leven Hospital, I announced on 7 August 2008 that a new National HAI Action Plan and Action Plan for NHS Greater Glasgow and Clyde had been produced. Both plans are being led by our multi-agency HAI Task Force. The national action plan is available from the HAI Task Force website at:
http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/19529/2005/actionplans.
- 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 8 September 2008
To ask the Scottish Executive whether the Cabinet Secretary for Health and Wellbeing is aware that the high dependency unit at the Vale of Leven Hospital had closed in the last 12 months.
Answer
The High Dependency Unit (HDU) at the Vale of Leven Hospital closed for four hours on 27 October 2007, and for 24 hours between 13 and 14 November 2007 due to no patients being in the unit. This is normal practice where no patient admissions are anticipated.
The board announced in November 2007 that the hospital''s two HDU beds would be integrated into the Coronary Care Unit to support both service delivery and clinical safety. The joint Critical Care Unit, as it is now known, has not been closed at any time since the merger in December 2007.
- 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 whether it will review and update all the information on Scottish Government websites to ensure accuracy and consistency about the information available on Clostridium difficile.
Answer
The Scottish Government regularly reviews and updates the information that is made available on their website. Information about Clostridium difficile was last reviewed and updated following the publication of the independent review on 7 August 2008.
- 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 whether all deaths from Clostridium difficile should be reported to the Procurator Fiscal as a matter of routine.
Answer
This is a matter for the Crown Office and Procurator Fiscal Service (COPFS). COPFS has issued guidance to doctors on the categories of death that must be reported to the Procurator Fiscal. This guidance is available on the Crown Office website,
www.copfs.gov.uk. Clostridium difficile is not a cause of death which doctors are currently obliged to report in terms of this guidance.
- 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 what new resources will be set aside for NHS boards to deal with Clostridium difficile.
Answer
The Scottish Government has already announced a record level of investment of £54 million over three years to tackle all healthcare associated infection, including Clostridium difficile.
In addition, all NHS boards have been instructed to ensure that they have an antimicrobial management team in place, and £520,000 has now been released to enable NHS boards to establish antimicrobial pharmacist posts which will support high quality prescribing.
- 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 why the Cabinet Secretary for Health and Wellbeing referred the independent review report on Clostridium difficile at the Vale of Leven Hospital to the Lord Advocate, given that she has the power as a minister to order a public inquiry.
Answer
The review report was referred to the Lord Advocate because she is responsible for the investigation of deaths in Scotland. The Procurator Fiscal has a duty, on behalf of the Lord Advocate, to investigate all sudden, suspicious, accidental, unexplained and unexpected deaths, as well as deaths which give rise to serious public concern.
The majority of these deaths were not reported to the Procurator Fiscal at the time but when the full extent of the situation at the Vale of Leven Hospital became known, I ordered a review. In the circumstances, it was appropriate for the Procurator Fiscal to await the outcome of the independent review before considering what further action was necessary. However, the number of deaths at the Vale of Leven hospital has clearly given cause for concern within the community and it is therefore appropriate for the area Procurator Fiscal to conduct an independent inquiry into the circumstances of those deaths in the first instance.
- 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 whether infection control managers report directly to the Chief Executive of NHS Scotland.
Answer
All infection control managers report directly to the relevant NHS board Chief Executive.