- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 2 December 2009
To ask the Scottish Executive how many patient discharges in each of the last three years were delayed for a period of more than six weeks due to complications with community care arrangements, broken down by NHS board.
Answer
Information on patients awaiting discharge due to community care reasons (including assessment and arrangements) and who have been delayed for over six weeks in each census from October 2006 to October 2009 is shown in the following table.
Number of NHS delayed discharges delayed for over six weeks for community care related reasons by NHS board from the October 2006 census to the October 2009 census.
| 2006 | 2007 | 2008 | 2009 |
Oct | Jan | Apr | Jul | Oct | Jan | Apr | Jul | Oct | Jan | Apr | Jul | Oct |
Scotland | 537 | 495 | 185 | 338 | 335 | 282 | - | 38 | 74 | 63 | - | 41 | 80 |
Ayrshire and Arran | 49 | 43 | 14 | 28 | 33 | 14 | - | - | 12 | 11 | - | 10 | - |
Borders | 5 | 8 | 8 | 7 | 4 | 9 | - | - | 4 | 1 | - | 1 | 1 |
Dumfries and Galloway | 3 | 2 | - | 1 | 1 | 1 | - | - | - | - | - | - | - |
Fife | 25 | 21 | 12 | 30 | 51 | 45 | - | - | - | - | - | - | - |
Forth Valley | 50 | 43 | 26 | 19 | 11 | 15 | - | 5 | 9 | - | - | - | 1 |
Grampian | 80 | 89 | 32 | 41 | 46 | 60 | - | 1 | - | - | - | 1 | 3 |
Greater Glasgow and Clyde | 90 | 79 | 51 | 70 | 53 | 54 | - | 9 | 15 | 14 | - | 19 | 39 |
Highland | 42 | 36 | 9 | 20 | 9 | 18 | - | 1 | 4 | 7 | - | 3 | 18 |
Lanarkshire | 31 | 12 | 4 | 31 | 24 | 19 | - | - | - | - | - | - | 7 |
Lothian | 98 | 104 | 12 | 35 | 52 | 27 | - | 12 | 22 | 23 | - | 6 | 8 |
Orkney | 2 | 3 | 3 | 5 | - | - | - | - | - | - | - | - | - |
Shetland | - | 2 | 2 | 6 | 1 | - | - | - | - | - | - | - | - |
Tayside | 59 | 45 | 9 | 41 | 45 | 16 | - | 10 | 8 | 6 | - | - | 2 |
Western Isles | 3 | 8 | 3 | 4 | 5 | 4 | - | - | - | 1 | - | 1 | 1 |
Source: ISD Scotland, Delayed Discharges Census.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 1 December 2009
To ask the Scottish Executive what the reason is for the increase in the number of delayed discharges.
Answer
Historically, delayed discharges rise in July and October. The fact is that the level of delayed discharges heading into winter has never been as low as the last two years. This year there are 94 patients delayed over six weeks, last year there were 91. In 2006, under the previous administration there were 679.
We are working with COSLA to jointly address any issues that arise that can impact on delayed discharge. The Joint Improvement Team is also available to help partnerships understand the causes of delayed discharge and to help redesign services as required.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 1 December 2009
To ask the Scottish Executive what the average duration of delay is for delayed patient discharges, broken down by NHS board.
Answer
Information on the average (mean and median) delay for patients awaiting discharge at the October 2009 is shown in the following table.
Median and Mean Duration for all Delays as at the October 2009 Census by NHS Board
NHS Board Area of Treatment | Median Duration (Days) | Mean Duration (Days) |
Scotland | 22 | 27 |
Ayrshire and Arran | 21 | 22 |
Borders | 17 | 20 |
Fife | 22 | 21 |
Forth Valley | 21 | 23 |
Grampian | 17 | 21 |
Greater Glasgow and Clyde | 21 | 30 |
Highland | 29 | 42 |
Lanarkshire | 27 | 27 |
Lothian | 22 | 29 |
Tayside | 17 | 22 |
Source: ISD Scotland, Delayed Discharges Census.
The mean and median duration for Dumfries and Galloway, Orkney, Shetland and Western Isles are not show because the total number of patients delayed is very small.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 1 December 2009
To ask the Scottish Executive how it intends to reduce the number of delayed patient discharges.
Answer
The Scottish Government, COSLA, NHS boards and individual local authorities are all committed to making sure that people are not delayed unnecessarily in hospital once treatment is complete. There were no patients delayed for longer than the agreed six weeks discharge period at both April 2008 and April 2009, the only times this has ever been achieved in Scotland since recording began in September 2000. There have always been seasonal fluctuations and the latest census, which showed 94 patients had been delayed for more than six weeks, compares with the census in October 2006, under the previous administration, when there were 679 patients delayed over six weeks.
My officials continue to work closely with partnerships to reduce the level of delayed discharges. In addition, the Joint Improvement Team is working with individual partnerships that have requested assistance. Various support tools have also been made available for partnerships to adopt.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 1 December 2009
To ask the Scottish Executive what steps it is taking to reduce patient discharge delays due to unavailability of funding for community care support.
Answer
I refer the member to the answer to question S3W-29294 on 1 December 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.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Monday, 23 November 2009
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Current Status:
Answered by Shona Robison on 1 December 2009
To ask the Scottish Executive what steps it is taking to reduce patient discharge delays due to unavailability of funding for care home places.
Answer
We expect local authorities and the NHS to work together and within their combined resources to ensure patients are not unnecessarily delayed in hospitals when treatment is complete.
The Scottish Government''s aim is to enable people to stay in their own homes, or in a homely setting, with maximum independence, for as long as possible.
We are undertaking a major review of care of older people, including care home provision and the financial implications. We are engaging with Parliament, the professions, providers and society to agree a way forward that is sufficiently radical to meet the changing needs of Scotland''s population.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Friday, 13 November 2009
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Current Status:
Answered by Fiona Hyslop on 27 November 2009
To ask the Scottish Executive whether it considers that parents can have confidence in the new system replacing assessment levels A to F in the 5 to 14 curriculum.
Answer
I refer the member to the answer to question S3W-28939 on 26 November 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.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Friday, 13 November 2009
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Current Status:
Answered by Fiona Hyslop on 27 November 2009
To ask the Scottish Executive what its position is on the role of formative assessment in primary schools and in informing and reassuring parents regarding their children’s development and progress.
Answer
I refer the member to the strategic vision for assessment published on 24 September:
http://www.ltscotland.org.uk/curriculumforexcellence/assessmentandachievement/index.asp.
More detailed guidance for practitioners will be provided in the assessment framework, to be published early in the New Year.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Friday, 13 November 2009
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Current Status:
Answered by Fiona Hyslop on 26 November 2009
To ask the Scottish Executive whether it considers that the replacement of the existing levels A to F in the 5 to 14 curriculum by two wider levels of measuring attainment will raise standards in primary schools.
Answer
Yes. Within Curriculum for Excellence progression up to the end of S3 will be through curriculum levels early, first, second, third and fourth, paving the way for work towards qualifications in the senior phase at the SCQF level appropriate to the needs and achievements of each young person. Learning will be assessed against the standards and expectations set out in the curriculum guidance and in line with the strategic vision for assessment published on 23 September. The levels are spaced in a way which will allow teachers to plan for greater depth, enrichment and consolidation of learning, ensuring well planned progression based on secure, well established learning. The expectations of learning at each level described within the curriculum guidance were signed off by the Curriculum for Excellence management board, which includes representatives from the Educational Institute of Scotland, School Leaders Scotland, Scottish Secondary Teachers'' Association, Association of Scotland''s Colleges and the Association of Heads and Deputes in Scotland.
- Asked by: Rhoda Grant, MSP for Highlands and Islands, Scottish Labour
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Date lodged: Friday, 13 November 2009
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Current Status:
Answered by Fiona Hyslop on 26 November 2009
To ask the Scottish Executive what it considers to be the right balance between formative and summative assessment.
Answer
I refer the member to the answer to question S3W-28939 on 26 November 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.