Questions and answers

Question reference: S5W-10642

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by Shona Robison on 1 September 2017

To ask the Scottish Government, further to the answer to question S5W-06240 by Shona Robison on 26 January 2017, whether it will provide an update on the (a) current and (b) future areas of focus of the Effective Prescribing Programme.

The Effective Prescribing Programme was established by NHS National Services Scotland, NHS Boards and the Scottish Government to facilitate and support the quality of prescribing and medicines use. The following are the current areas of focus:

Implementation of Prescribing Strategies
Effective use of biological medicines
Clinical consensus to guide best practice in prescribing in particular clinical areas
Effective use of prescribing support tools
Effective use of liothyronine

Future areas have yet to be considered and agreed.

Question reference: S5W-10656

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by Shona Robison on 1 September 2017

To ask the Scottish Government what its response is to reports of fathers being told that only the mother can register a baby or child with the NHS.

Question reference: S5W-10736

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Monday, 14 August 2017
Current Status: Answered by Shona Robison on 1 September 2017

To ask the Scottish Government what action it is taking to support more people who identify as being disabled to work in the health service, and what guidance it provides to NHS boards on employing more disabled people.

Question reference: S5W-10654

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by Shona Robison on 1 September 2017

To ask the Scottish Government how many people have died after overdosing on opioids in each year since 1999.

The information that is available is given in the following table. This was produced from a National Records of Scotland (NRS) database which covers all the drug poisoning deaths that are counted by the Office for National Statistics (ONS) “wide” definition. Figures for 1999 are not available because 2000 is the first year for which that database holds information.

The following are among the opioids (including opiates), or compounds containing opioids, most often reported as being involved in deaths registered in Scotland from 2000: buprenorphine, co-codamol, co-proxamol, codeine, dextropropoxyphene, diamorphine, dihydrocodeine, heroin, methadone, morphine, oxycodone, propoxyphene and tramadol.

The table distinguishes between deaths for which only opioids were reported (e.g. deaths for which the cause was given as “heroin toxicity” or “heroin, methadone and dihydrocodeine intoxication”), and deaths for which both opioids and one or more other types of drug were reported (e.g. deaths for which the cause was given as “adverse effects of heroin, pregabalin, tramadol, diazepam and etizolam” or “etizolam, gabapentin, amitriptyline and codeine intoxication”).

For each year, the table shows more deaths than the “Any opiate or opioid” column in Table 3 of “Drug-related Deaths in Scotland in 2016” (which was published by NRS on 15 August 2017). This is because some of the ONS “wide” definition deaths for which opioids were reported are not counted as “drug-related” for the purpose of NRS’s statistics: for example, deaths due solely to co-codamol, co-proxamol, dextropropoxyphene, or tramadol before it was controlled under the Misuse of Drugs Act. More on this is available in “Drug-related Deaths in Scotland in 2016” (e.g. paragraphs A3 of Annex A and F5 of Annex F).

Drug poisoning deaths (ONS “wide” definition) registered in Scotland for which one or more opioids (including opiates) were reported*, 2000 to 2016

Year in which death was registered

All deaths for which opioids were reported

of which:

No other type of drug was reported

One or more other types of drug were reported

2000	343	94	249
2001	380	103	277
2002	412	93	319
2003	343	86	257
2004	385	143	242
2005	337	137	200
2006	403	191	212
2007	451	173	278

break in series*

2008	550	230	320
2009	540	229	311
2010	480	219	261
2011	558	245	313
2012	531	215	316
2013	499	189	310
2014	553	226	327
2015	619	224	395
2016	776	171	605

* the basis of these figures and why there is a break in the series are explained in the paragraph which follows.

There is a break in the series between 2007 and 2008. This is due to the revision of the form on which pathologists provide NRS with more complete information about the substances that were present in a body:

up to 2007, the form asked for the “principal drug or solvent found in a fatal dose” and “any other drugs or solvents involved in this death”, and the figures are based on all the substances which the pathologists reported;
from 2008, the form asks for the drugs or solvents (a) “…implicated in, or which potentially contributed to, the cause of death” and (b) “… any other[s] which were present, but which were not considered to have had any direct contribution to this death”, and the figures cover only substances which the pathologists reported under (a), which is the standard basis for NRS’s figures for drugs reported for 2008 onwards.

More information about these matters is available in “Drug-related Deaths in Scotland in 2016” (e.g. paragraphs 2.3 to 2.5).

Question reference: S5W-10636

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by Michael Matheson on 31 August 2017

To ask the Scottish Government how many attacks on NHS staff have been reported to the police in each year since 1999.

The information requested is not held centrally, as police crime statistics do not in general refer to the complainer’s employer.

Depending on the nature of any attack, Police Scotland will record the appropriate crime or offence. For NHS staff this could include common assault of an emergency worker, however this measure will also include assaults against those working in Police and Fire services.

The 2015 NHS Scotland staff survey found a reduction in the number of staff who had experienced a physical attack since 2008. However any violence or aggression against NHSScotland staff is unacceptable and we have policies in place to provide and continuously improve a safe working environment. Details can be found at the following link:- http://www.staffgovernance.scot.nhs.uk/media/1399/gender-based-violence-employee-pin-policy.pdf

Question reference: S5O-01217

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 30 August 2017
Current Status: Taken in the Chamber on 7 September 2017

To ask the Scottish Government what action it is taking to expand GP services in Lothian.

Question reference: S5W-10639

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by John Swinney on 24 August 2017

To ask the Scottish Government how it will take forward its consideration of the guidance on the use of emergency salbutamol inhalers in light of the responses to the consultation on the draft guidance on supporting children and young people with healthcare needs.

Question reference: S5W-10644

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by John Swinney on 24 August 2017

To ask the Scottish Government how many foreign language assistants there have been in the Lothian parliamentary region in each year since 1999, broken down by local authority.

The Scottish Government supports the work of the British Council in Scotland and values the contribution Modern Language Assistants, as native speakers, make to the language learning experience of our pupils.

The figures available, and supplied by British Council Scotland, include independent schools and cover the period 2002-2017. Those prior to 2002 are not available. Numbers for the 2017-18 school year are not yet available.

Authority

Year

	2002-03	2003-04	2004-05	2005-6	2006-07	2007-08	2008-09	2009-10

East Lothian	3	5	5	7	6	7	3	1
Edinburgh	17	41	44	41	41	41	41	39
Midlothian	5	8	8	5	5	3	3	0
West Lothian	0	0	0	0	0	0	0	0
TOTAL	25	54	57	53	52	51	47	40

Authority

Year

	2010-2011	2011-12	2012-13	2013-14	2014-15	2015-16	2016-17	2017-18

East Lothian	0	0	1	0	1	9	3	TBC
Edinburgh	27	26	28	32	28	24	24	TBC
Midlothian	0	0	0	0	1	6	5	TBC
West Lothian	0	0	0	0	0	0	0	TBC
TOTAL	27	26	29	32	30	39	32	TBC

Question reference: S5W-10625

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 09 August 2017
Current Status: Answered by Aileen Campbell on 24 August 2017

To ask the Scottish Government what percentage of babies have been fully immunised in each year since 1999.

Immunisation uptake rates are routinely published by age 12 months and 24 months for the full course of each individual primary and booster vaccine. Calendar year data since 1995 are available on the ISD website at: https://www.isdscotland.org/Health-Topics/Child-Health/Publications/2017-06-27/child_imms_Scot_qtr117.xlsx (Trends in immunisation uptake by quarter, calendar and financial year - Scotland - tables 5 and 6).

The convention for reporting childhood immunisation uptake rates in Scotland and the rest of the UK is by measuring uptake of the full course of each vaccine individually. The information is collated in this way to assess levels of protection against the spread of specific infectious diseases through the routine immunisation programme.

Question reference: S5W-09135

Asked by: Miles Briggs, MSP for Lothian, Scottish Conservative and Unionist Party
Date lodged: Wednesday, 03 May 2017
Current Status: Answered by Shona Robison on 4 August 2017

To ask the Scottish Government which hospitals have (a) temporarily and (b) fully closed in each year since 2007.

The following table lists NHS facilities which have fully closed in each year since 2007, information on NHS facilities which have closed temporarily is not centrally available.

The services provided from these hospitals, will have been re-provided in an alternative hospital, community or primary care facility and are noted in the answer.

Location Name	Alternative Services Provision
2007
Hawick Day Hospital	Hawick Community Hospital which opened in 2005
Garrick Hospital	Galloway Community Hospital which opened in 2006
Dalrymple Hospital	Galloway Community Hospital which opened in 2006

2008
Irvine Memorial Hospital	Pitlochry Community Hospital which opened in 2008
Sauchie Hospital	Clackmannanshire Community Health Care Centre which opened in 2008

2009
St Andrews Community Hospital	New St Andrews Community Hospital opened in 2009
Larkfield Resource Centre	Larkfield Mental Health Resource Centre

2010
Johnstone Hospital	Goldenhill Resource Centre/Community Provision
Merchiston Hospital	Southern General Hospital
Maud Hospital	Peterhead Community Hospital
Loanhead Hospital	Midlothian Community Hospital opened in 2010
Rosslynlee Hospital	Midlothian Community Hospital opened in 2011

2011
Netherlea Hospital	St Andrews Community Hospital opened in 2009
The Firs Day Hospital	Dr Gray's Hospital
Campbell Hospital	Chalmers Hospital opened 2011
Sunnyside Royal Hospital	Stracathro Hospital / Community provision
Bonnybridge Hospital	Forth Valley Royal Infirmary opened 2011
Bonnybridge Day Hospital	Forth Valley Royal Infirmary opened 2011
Montfield Hospital	Community provision

2012
Hartfield House	Acute Mental Health and North Ayrshire Community Hospital
Bannockburn Hospital	Stirling Community Hospital
Cameron House	Midpark Hospital opened in 2012

2013
Ashludie Hospital	Royal Victoria Hospital, Dundee
Royal Dundee Liff Hospital	Ninewells Hospital
Orleans Centre	Royal Victoria Hospital, Dundee
Orchard House Day Hospital	Royal Victoria Hospital, Dundee

2014
Stirling Mental Health Resource Centre	Livilands Mental Health Resource Centre opened 2013

2015
Peebles Psychiatric Day Hospital	Huntlyburn Ward
Dumbarton Cottage Hospital	Dumbarton Joint Hospital

2016
Davidson Cottage Hospital	Girvan Community Hosptial
Townhill Day Hospital	Queen Margaret Hospital
Blawarthill Hospital	Drumchapel Hospital
Queen Mother's Hospital	Queen Elizabeth University Hospital opened 2015
Westbank Day Hospital	Falkirk Community Hospital opened 2010
Dunrowan Acute Day Hospital	Community provision

2017
Huntingdon Community Day Centre	Dumfries Day Centre
Darataigh	Community provision

Over the same period, new investment was undertaken in the following clinical facilities:

2007

Rowanbank Clinic

Local Forensic Psychiatric Unit at Stobhill

Beatson West of Scotland Cancer Centre

Modernising Mental Health Services at Gartnavel Hospital

2008

Skye House

Pitlochry Community Hospital

2009

Clackmannanshire Community Healthcare Centre

University of Aberdeen Dental School

Nairn Primary Care and Hospital Development

Loch Leven Health Centre

ACADS (Stobhill and Victoria Hospital)

2010

Girvan Community Hospital

Midlothian Community Hospital

Forth Valley Royal Hospital

Carluke Health Centre

Beckford Lodge, rehabilitation and recovery unit, and low secure unit

Macmillan Palliative Care Unit, Perth

2011

Victoria Hospital, Fife

Migdale Hospital

Midpark Hospital

Acute Mental Health Development at Midpark Hospital

Chalmers Hospital and Health Centre

Renfrew Health and Social Work Centre

Glasgow Royal Infirmary A & E Expansion

Kylepark Learning Disability Service & Assessment Centre

Short Stay Elective Surgical Centre at St John's Hospital

Barrhead Health and Social Care Centre

2012

Kingsway Care Centre

Adamson Hospital, Cupar

Remodelling of Inverclyde Royal Hospital Short Stay Psychiatric Unit

Mull and Iona Progressive Care Centre

Nuclear Medicine Redevelopment, Ninewells Hospital

Redevelopment of the State Hospital

Airdrie Community Health Centre

Dalkeith Health Centre

Musselburgh Primary Care Centre

Aberdeen Emergency Care Centre

2013

Aberdeen Community Health and Care Village

Gullane Day Centre and Surgery

NHS Lothian’s Wester Hailes Healthy Living Centre

New Alexandria Medical Centre

Murray Royal Hospital

2014

Glenwood Health Centre

Tranent Health Centre

Possilpark Health and Social Care Centre

2015

Dudhope Young Peoples Inpatient Unit

Queen Elizabeth University Hospital

Harris Health Hub

2016

Woodland View

Royal Edinburgh Campus Redevelopment - Phase 1

Partnership bundle - Blackburn Partnership Centre

Partnership bundle - NW Edinburgh Partnership Centre

Partnership bundle - Firhill Partnership Centre

The Adult and Older Peoples Continuing Care mental health accommodation in Inverclyde.

Maryhill Health Centre

Eastwood Health Centre

Kilsyth Health Centre

East Kilbride Health Centre

Wishaw Health Centre

Acute Mental Health & North Ayrshire Community Hospital

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