Seòmar agus comataidhean

I indicated in my answer to question S1W-11219 that incentives to secure compliance with the New Deal have been incorporated into the New Contract for Doctors in Training introduced on 1 December 2000. These take the form of incremental pay band multipliers which reward the most hard pressed junior doctors and financially penalise trusts that fail to take the necessary steps to reduce hours of work.I also refer the member to the answer given to question S1W-17446 regarding the steps that are to be taken in respect of Pre-Registration House Officers (PRHO) posts deemed non-compliant in August 2001.

The New Contract for Doctors in Training implemented on 1 December 2000 requires that NHS Trusts demonstrate clearly that all Pre-Registration House Officer (PRHO) posts are fully compliant with the hours limits of the New Deal from 1 August 2001. Information contained within returns due from NHS Trusts at the end of August 2001 will show the level of progress that has been made.The Chief Medical Officer (CMO) has confirmed to all NHSScotland Trusts that the UK agreement for Doctors in Training does not allow for any discretion in the achievement of PRHO compliance and that postgraduate Deans will be expected to enforce this requirement.The New Deal Implementation Support Group (ISG) formed as a partnership between the Scottish Executive Health Department and the Scottish Junior Doctors Committee of the British Medical Association continues to provide support to Trusts at local level in resolving issues of non-compliance.

The Scottish Executive Health Department (SEHD) expects all employers locally to work within current employment and health and safety legislation. Compliance with contracted hours is a matter for individual Trust employers and is not information that is held centrally by SEHD.

No. The New Contract for Doctors in Training was introduced in December 2000. This requires that from 1 August 2001 all Pre-Registration House Officer (PRHO) posts and from 1 August 2003 all Senior House Officer (SHO) and Specialist Registrar (SpR) posts must fully comply with the hours limits of the New Deal. Trusts which fail to meet this requirement will be in breach of contract.The New Deal Implementation Support Group (ISG), formed as a partnership between the Scottish Executive Health Department and the Scottish Junior Doctors Committee of the British Medical Association, continues to provide support to trusts at local level in resolving issues of non-compliance.

The Health Technology Board for Scotland has not yet completed a health technology assessment. It announced its first three assessment topics in January 2001 after wide consultation. Each assessment will take about one year to complete due to the large amount of evidence considered and the board's open and inclusive consultation process.

Since May 2001, The National Institute for Clinical Excellence (NICE) has released Technology Appraisal Guidance on four topics. The Health Technology Board for Scotland (HTBS) has published a comment on one of these topics and will deliver the other three, currently in preparation, on schedule.HTBS has also provided a one-off retrospective comment on the NICE Guidance on treatments for Alzheimer's disease.

The Health Technology Board for Scotland (HTBS) is currently conducting three Health Technology Assessments.These are in the areas of organisation of services for diabetic retinopathy screening, PET imaging for cancer management and prevention of relapse in alcohol dependence.

I refer the member to the answer to question S1W-17576.

The ICD-9 codes included within the Scottish Executive Health Department's target to reduce deaths from cancer by 20% between 1995 and 2010 are codes 140 - 208. The ICD-10 codes included within this target are codes C00 - C97.

The ICD-9 codes included within the Scottish Executive Health Department's target to reduce deaths from coronary heart disease by 50% between 1995 and 2010 are codes 410 - 414. The ICD-10 codes included within this target are codes I20 - I25.

The mortality rates from circulatory disease per 100,000 population, by health board, of all persons under the age of 75 years, as defined by ICD-9 codes 390 - 459 for each of the years 1998 and 1999, and ICD-10 codes I00 - I99 for the year 2000, are:

Health Board	1998	1999	2000*
	ICD-9	ICD-9	ICD-10
Argyll and Clyde	225	219	202
Ayrshire and Arran	206	204	196
Borders	164	165	141
Dumfries and Galloway	210	188	198
Fife	190	176	161
Forth Valley	168	170	164
Grampian	147	145	134
Greater Glasgow	224	204	192
Highland	192	167	190
Lanarkshire	213	203	182
Lothian	166	152	145
Orkney	188	171	144
Shetland	158	112	138
Tayside	187	191	169
Western Isles	192	203	190
SCOTLAND	193	183	172
* Figures for 2000 are not directly comparable with figures for previous years due to the change from ICD-9 to ICD-10