Questions and answers

Question reference: S2W-11040

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 21 October 2004

To ask the Scottish Executive how many (a) consultants, (b) GPs, (c) nurses and (d) other staff affected by Agenda for Change will receive protected salaries due to the implementation of the consultants’ contract, GP contract and Agenda for Change.

a) SEHD is aware of five consultantsso far who have received a protected salary as a result of the consultantcontract.

b) The great majority ofgeneral practitioners do not receive a salary but are independent,self-employed contractors. Under the terms of the new General Medical Services(GMS) contract, each GP practice receives a Global Sum payment as acontribution towards its costs, including staff and running costs, indelivering essential and additional services to patients. A protectionmechanism (the Minimum Practice Income Guarantee – MPIG) ensures that apractice’s global sum payments will be no less than its previous income fromfees and allowances for the comparable, equivalent terms. Approximately 94% ofGP practices receive an MPIG.

c) and d) the number of NHSstaff on pay protection following the implementation of Agenda for Change willnot be known until the process of matching and evaluating all NHS staffaffected by the new system is complete.

Question reference: S2W-11037

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 21 October 2004

To ask the Scottish Executive how many registrations of NHS nurses who have been working in Scotland have lapsed in each year since 1999, broken down by NHS board area.

Question reference: S2W-11035

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 29 September 2004
Current Status: Answered by Andy Kerr on 21 October 2004

To ask the Scottish Executive what the professional development entitlement is for (a) doctors, (b) nurses, (c) allied health professionals and (d) scientific and professional staff.

Question reference: S2O-03582

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 28 September 2004
Current Status: Answered by Andy Kerr on 6 October 2004

To ask the Scottish Executive whether it intends to reduce the number of NHS boards.

Now is not the time to make changes given the need for stability our health service. Therefore no reduction in the number of health boards is being proposed by the Executive. However, I would make it absolutely clear that there has to be a significant improvement in cross boundary working to ensure that the boards’ decisions take account of the regional dimension. If they fail to do so then the Executive may need to look at this again.

Question reference: S2W-08840

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 08 June 2004
Current Status: Answered by Tom McCabe on 10 September 2004

To ask the Scottish Executive how many (a) children and (b) adults have received dental care from the Community Dental Service, in each year since 1999, broken down by NHS board area and expressed also as a percentage of the number of children and adults in each area.

The information requested is shown in the following tables:

Children and Adults Treated in the Community Dental Service (CDS); by Health Board; Year Ending 31 March

	2003^R
Children	Adults
No. of patients treated in CDS	% of child population treated in CDS	No. of patients treated in the CDS	% of adult population treated in CDS
Scotland	88,006	8.1%	34,675	0.9%
Argyll and Clyde	5,016	5.5%	2,588	0.8%
Ayrshire and Arran	7,449	9.3%	3,145	1.1%
Borders	2,656	11.7%	1,223	1.4%
Dumfries and Galloway	2,021	6.5%	1,510	1.3%
Fife	9,043	11.8%	3,567	1.3%
Forth Valley	2,775	4.5%	2,315	1.1%
Grampian	8,114	7.3%	3,160	0.8%
Greater Glasgow	15,160	8.2%	4,496	0.7%
Highland	5,871	12.9%	1,491	0.9%
Lanarkshire	12,676	10.1%	1,513	0.4%
Lothian	7,449	4.6%	5,293	0.9%
Orkney	1,285	30.0%	508	3.4%
Shetland	2,315	43.5%	106	0.6%
Tayside	3,385	4.2%	3,423	1.1%
Western Isles	2,791	50.2%	337	1.6%

	2002^R
Children	Adults
No. of patients treated in CDS	% of child population treated in CDS	No. of patients treated in the CDS	% of adult population treated in CDS
Scotland	93,312	8.6%	34,766	0.9%
Argyll and Clyde	5,157	5.7%	1,952	0.6%
Ayrshire and Arran	6,804	8.5%	3,509	1.2%
Borders	3,231	14.2%	1,136	1.3%
Dumfries and Galloway	2,401	7.7%	1,240	1.1%
Fife	8,871	11.5%	3,244	1.2%
Forth Valley	2,838	4.6%	1,950	0.9%
Grampian	9,514	8.5%	4,575	1.1%
Greater Glasgow	15,891	8.6%	4,907	0.7%
Highland	6,604	14.5%	1,379	0.8%
Lanarkshire	12,958	10.3%	1,315	0.3%
Lothian	8,166	5.1%	5,622	0.9%
Orkney	1,755	40.9%	589	3.9%
Shetland	2,543	47.8%	92	0.6%
Tayside	3,306	4.1%	3,027	1.0%
Western Isles	3,273	58.8%	229	1.1%

	2001^R
Children	Adults
No. of patients treated in CDS	% of child population treated in CDS	No. of patients treated in the CDS	% of adult population treated in CDS
Scotland	104,881	9.7%	36,951	0.9%
Argyll and Clyde	5,303	5.8%	1,716	0.5%
Ayrshire and Arran	7,521	9.4%	3,600	1.3%
Borders	3,271	14.4%	1,014	1.2%
Dumfries and Galloway	3,467	11.2%	1,441	1.2%
Fife	9,400	12.2%	2,828	1.0%
Forth Valley	3,602	5.8%	1,992	0.9%
Grampian	11,560	10.4%	7,302	1.8%
Greater Glasgow	15,123	8.2%	4,135	0.6%
Highland	7,874	17.3%	1,229	0.8%
Lanarkshire	15,095	12.0%	2,075	0.5%
Lothian	9,350	5.8%	6,071	1.0%
Orkney	2,105	49.1%	424	2.8%
Shetland	3,676	69.1%	93	0.6%
Tayside	3,514	4.4%	2,891	0.9%
Western Isles	4,020	72.3%	140	0.7%

	2000^R
Children	Adults
No. of patients treated in CDS	% of child population treated in CDS	No. of patients treated in the CDS	% of adult population treated in CDS
Scotland	118,957	11.0%	40,028	1.0%
Argyll and Clyde	5,836	6.4%	1,769	0.5%
Ayrshire and Arran	7,286	9.1%	2,808	1.0%
Borders	3,625	16.0%	1,136	1.3%
Dumfries and Galloway	4,844	15.6%	1,568	1.3%
Fife	10,856	14.1%	2,615	1.0%
Forth Valley	4,851	7.9%	2,274	1.0%
Grampian	13,215	11.9%	8,841	2.1%
Greater Glasgow	16,396	8.9%	4,495	0.7%
Highland	8,576	18.8%	1,186	0.7%
Lanarkshire	18,589	14.8%	1,996	0.5%
Lothian	10,400	6.5%	7,646	1.2%
Orkney	2,094	48.8%	519	3.5%
Shetland	4,031	75.8%	100	0.6%
Tayside	4,213	5.2%	2,931	1.0%
Western Isles	4,145	74.5%	144	0.7%

	1999^R
Children	Adults
No. of patients treated in CDS	% of child population treated in CDS	No. of patients treated in the CDS	% of adult population treated in CDS
Scotland	123,567	11.4%	40,211	1.0%
Argyll and Clyde	5,882	6.5%	1,929	0.6%
Ayrshire and Arran	7,837	9.8%	3,100	1.1%
Borders	4,189	18.5%	900	1.1%
Dumfries and Galloway	3,498	11.3%	1,272	1.1%
Fife	11,741	15.3%	2,300	0.8%
Forth Valley	5,811	9.4%	2,131	1.0%
Grampian	13,730	12.3%	9,553	2.3%
Greater Glasgow	16,913	9.2%	3,829	0.6%
Highland	8,865	19.4%	1,169	0.7%
Lanarkshire	18,886	15.1%	1,924	0.5%
Lothian	11,648	7.3%	8,499	1.4%
Orkney	2,724	63.5%	666	4.5%
Shetland	3,805	71.5%	128	0.8%
Tayside	5,673	7.0%	2,749	0.9%
Western Isles	2,365	42.5%	62	0.3%

Sources: SMR13 (Community Dental Service patient treatment record); GRO(S) (mid-year 2002 population data).

Note: ^RRevised.

These figures do not take account of other activities in the CDS, for example, school dental inspection schemes and health promotion activities with groups of patients and with other care professionals. In addition, a number of NHS boards have been authorised by Scottish ministers to appoint salaried general dental practitioners to meet “safety net” requirements which previously had to be met by the CDS.

Question reference: S2W-09500

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 30 June 2004
Current Status: Answered by Malcolm Chisholm on 29 July 2004

To ask the Scottish Executive how many breast cancer patients in (a) Scotland and (b) each NHS board area have survived (i) 12 months and (ii) five years beyond diagnosis in each of the last three years.

Relative survival rates, which adjust for the underlying death rate in the population, are those commonly used for comparison purposes with other countries.

Table 1 shows relative survival rates five years after diagnosis for 1996, 1997 and 1998. 1998 is the most recent year for which five year follow up of patients is complete.

Table 1: Five Year Relative Survival For Scotland

Year of Diagnosis	5-year Relative Survival (%)
1996	76.2
1997	77.7
1998	80.1

Tables 2(i) and (ii) show survival of breast cancer patients in Scotland by Health Board in the years 1999, 2000 and 2001 for survival at one year after diagnosis and 1996, 1997 and 1998 for survival at five years after diagnosis. The tables show unadjusted survival rates based on death from all diseases, i.e. unadjusted for the underlying death rate.

Table 2: Percentage Survival of Patients with Breast Cancer Resident in Scotland

(i) At One Year Following Diagnosis for Patients Diagnosed in 1999-2001

Year of diagnosis
	2001	2000	1999
NHS Board Area of Residence	Survival (%)	Survival (%)	Survival (%)
Argyll and Clyde	92.3	91.6	90.3
Ayrshire and Arran	91.9	92.2	89.7
Borders	83.1	86.9	98.4
Dumfries and Galloway	97.2	93.0	90.6
Fife	88.8	95.6	83.3
Forth Valley	93.4	88.2	91.9
Grampian	92.7	92.2	94.3
Greater Glasgow	91.7	93.7	91.2
Highland	89.0	92.8	94.7
Lanarkshire	91.9	94.7	89.3
Lothian	91.6	91.7	92.6
Tayside	94.7	91.6	91.4
Scotland	91.7	92.7	91.2

(ii) At Five Years Following Diagnosis for Patients Diagnosed in 1996-1998

Year of diagnosis
	1998	1997	1996
NHS Board Area of Residence	Survival (%)	Survival (%)	Survival (%)
Argyll and Clyde	72.8	65.7	67.2
Ayrshire and Arran	67.5	73.7	65.6
Borders	70.0	62.1	67.7
Dumfries and Galloway	74.7	63.9	65.6
Fife	65.9	75.6	64.3
Forth Valley	69.4	61.3	70.8
Grampian	70.3	67.4	68.0
Greater Glasgow	65.2	68.1	63.1
Highland	71.2	64.7	62.1
Lanarkshire	70.9	62.1	66.7
Lothian	72.4	64.4	64.9
Tayside	64.7	67.0	66.9
Scotland	69.2	66.8	65.6

Data source: Scottish Cancer Registration database (SOCRATES), ISD, Scotland, July 2004.

Notes:

1. Data for the island NHS Boards (Orkney, Shetland and Western Isles) are not shown separately due to the small numbers involved. They are, however, included inthe Scotland totals.

2. Data in Table 2 (i) and (ii) are unadjusted for factors such as age and deprivation category.

Question reference: S2W-09499

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 30 June 2004
Current Status: Answered by Malcolm Chisholm on 29 July 2004

To ask the Scottish Executive how many lung cancer patients in (a) Scotland and (b) each NHS board area have survived (i) 12 months and (ii) five years beyond diagnosis in each of the last three years.

Relative survival rates which adjust for the underlying death rate in the population are those commonly used for comparison purposes with other countries.

Table 1 shows relative survival rates five years after diagnosis for 1996, 1997 and 1998. 1998 is the most recent year for which five year follow up of patients is complete.

Table 1: Five Year Relative Survival for Scotland

Year of Diagnosis

5-year Relative Survival

(%)

1996

6.6

1997

6.5

1998

7.8

Tables 2(i) and (ii) show survival of lung cancer patients in Scotland by Health Board in the years 1999, 2000 and 2001 for survival and one year after diagnosis and 1996, 1997 and 1998 for survival at five years after diagnosis. The tables show survival rates based on death from all diseases, i.e. unadjusted for the underlying death rate.
Table 2: Percentage Survival of Patients with Lung Cancer Resident In Scotland:
(I) At One Year Following Diagnosis for Patients Diagnosed In 1999-2001

Year of diagnosis

2001

2000

1999

NHS Board Area of Residence

Survival

(%)

Survival

(%)

Survival

(%)

Argyll and Clyde

26.5

16.3

26.7

Ayrshire and Arran

19.1

21.5

21.5

Borders

34.2

36.4

26.7

Dumfries and Galloway

9.9

25.7

27.5

Fife

23.5

18.4

20.2

Forth Valley

22.3

28.0

31.6

Grampian

24.8

30.9

27.6

Greater Glasgow

26.0

24.9

25.6

Highland

21.9

22.5

23.0

Lanarkshire

23.2

24.5

20.8

Lothian

28.3

26.5

25.7

Tayside

27.2

28.5

31.7

Scotland

24.8

24.9

25.5

(Ii) At Five Years Following Diagnosis for Patients Diagnosed In 1996-1998

Year of diagnosis

1998

1997

1996

NHS Board Area of Residence

Survival

(%)

Survival

(%)

Survival

(%)

Argyll and Clyde

7.8

6.9

4.9

Ayrshire and Arran

5.8

5.0

3.9

Borders

5.6

3.1

6.3

Dumfries and Galloway

8.7

3.9

6.3

Fife

5.7

3.9

2.8

Forth Valley

6.9

2.9

5.4

Grampian

5.8

6.3

6.0

Greater Glasgow

5.3

5.7

5.8

Highland

8.2

8.7

7.6

Lanarkshire

6.0

6.0

6.2

Lothian

9.0

4.8

7.1

Tayside

6.2

5.9

6.2

Scotland

6.6

5.5

5.7

Data source: Scottish Cancer Registration database, ISD, Scotland, July 2004.
Notes:
1.Data for the island NHS Boards (Orkney, Shetland and Western Isles) are not shown separately due to the small numbers involved. They are, however, included inthe Scotland totals.
2.Data in Table 2 (i) and (ii) are unadjusted for factors such as age and deprivation category.

Year of Diagnosis	5-year Relative Survival (%)
1996	6.6
1997	6.5
1998	7.8

Year of diagnosis
Argyll and Clyde	26.5	16.3	26.7
Ayrshire and Arran	19.1	21.5	21.5
Borders	34.2	36.4	26.7
Dumfries and Galloway	9.9	25.7	27.5
Fife	23.5	18.4	20.2
Forth Valley	22.3	28.0	31.6
Grampian	24.8	30.9	27.6
Greater Glasgow	26.0	24.9	25.6
Highland	21.9	22.5	23.0
Lanarkshire	23.2	24.5	20.8
Lothian	28.3	26.5	25.7
Tayside	27.2	28.5	31.7
Scotland	24.8	24.9	25.5

Year of diagnosis
Argyll and Clyde	7.8	6.9	4.9
Ayrshire and Arran	5.8	5.0	3.9
Borders	5.6	3.1	6.3
Dumfries and Galloway	8.7	3.9	6.3
Fife	5.7	3.9	2.8
Forth Valley	6.9	2.9	5.4
Grampian	5.8	6.3	6.0
Greater Glasgow	5.3	5.7	5.8
Highland	8.2	8.7	7.6
Lanarkshire	6.0	6.0	6.2
Lothian	9.0	4.8	7.1
Tayside	6.2	5.9	6.2
Scotland	6.6	5.5	5.7

Question reference: S2W-09502

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 30 June 2004
Current Status: Answered by Malcolm Chisholm on 28 July 2004

To ask the Scottish Executive how many specialist lung cancer nurses are employed, broken down by NHS board area.

The number of nurses whose main specialism is lung cancer is shown in the following table:

Lung Cancer Nurses by NHS Board

Headcount as at 30 September 2003

Scotland	14
Argyll and Clyde	0
Ayrshire and Arran	2
Borders	0
Dumfries and Galloway	1
Fife	2
Forth Valley	1
Grampian	0
Greater Glasgow	4
Highland	0
Lanarkshire	1
Lothian	3
Orkney	0
Shetland	0
Tayside	0
Western Isles	0

The figures are a headcount of nurses whose main clinical area of work is in lung cancer.

Headcount denotes number ofpersons in post.

Question reference: S2W-09501

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Wednesday, 30 June 2004
Current Status: Answered by Malcolm Chisholm on 28 July 2004

To ask the Scottish Executive how many specialist breast cancer nurses are employed, broken down by NHS board area.

The number of nurses whosemain specialism is breast cancer is shown in the table below.

Breast Cancer Nurses by NHSBoard

Headcount as at 30 September 2003

Scotland	26
Argyll and Clyde	1
Ayrshire and Arran	4
Borders	0
Dumfries and Galloway	1
Fife	0
Forth Valley	2
Grampian	3
Greater Glasgow	7
Highland	0
Lanarkshire	3
Lothian	4
Orkney	0
Shetland	0
Tayside	1
Western Isles	1

The figures are a headcountof nurses whose main clinical area of work is in breast cancer.

Headcount denotes number ofpersons in post.

Question reference: S2W-08846

Asked by: Shona Robison, MSP for Dundee East, Scottish National Party
Date lodged: Tuesday, 08 June 2004
Current Status: Answered by Tom McCabe on 1 July 2004

To ask the Scottish Executive how many dental students have graduated in each year since 1999, broken down by institution.

Seòmar agus comataidhean