In Scotland, MMCimplementation is being led by NHS Education for Scotland. NES have set aside£4.5 million in 2006-07; £5.7 million in 2007-08 and £5.7 million in 2008-09for this work. There is no comparable national educational organisation within England withwhich to make comparisons on amounts spent, and Deanery administrativestructures are very different to those in Scotland. Comprehensive data on amounts spent in England isnot currently available as allocations to strategic health authorities (SHAs)in England for 2006-07 have not yet been announced.

The Scottish Executive iscommitted to maintaining and enhancing the quality of medical training and thiswill not be affected by the Home Office’s work permit regulations that cameinto effect on 3 April 2006. The Executive will monitor the impact of thechanges to Home Office work permit regulations on training posts.

Data on how much waste was producedby NHSScotland over the last 10 years by NHS board is not available. However,the annual NHSScotland Environment Report has, since 1996-97, provided monitored data on volumesof clinical waste at a national level and, since 2001-02, both domestic and clinicalwaste at national level and also broken down by care groups.

The annual Environment Reportsare available online at http://www.show.scot.nhs.uk/pef.

The monitoring of domestic wasteis difficult as not all healthcare bodies are provided with the necessary data bythe waste contractor and therefore the data on domestic waste streams within thereports are based in part on estimated values.

The national figures availablefor the last nine years are:

Reporting Year	Clinical	Domestic
1996-97	>16,277 tonnes	Unknown
1997-98	15,016 tonnes	>1,142,567 tonnes
1998-99	15,480 tonnes	Unknown
1999-2000	15,091 tonnes	Unknown
2000-01	14,321 tonnes	Unknown
2001-02	15,118 tonnes	>19,000 tonnes
2002-03	15,500 tonnes	31,091 tonnes
2003-04	14,784 tonnes	28,481 tonnes
2004-05	14,642 tonnes	28,562 tonnes

 

Parents of children with thiscondition do receive medical advice on diagnosis, as well as further informationabout the condition. We are currently in discussion with NHS Health Scotland witha view to developing an information leaflet for all new parents which will giveadvice about plagiocephaly. The leaflet will also advise parents where to go foradditional advice should their child develop this condition.

This information iscontained in a document entitled Consultants per 100,000 population by NHS Board1997-2005, a copy of which has been placed in the Scottish ParliamentInformation Centre (Bib. number 39584).

The information requested isgiven in a document entitled NHSScotland : number of day case and inpatient operationsby Health Board and hospital. A copy of this document has been placed in the Scottish Parliament Information Centre (Bib. number 39574).

Operationsare carried out within NHSScotland in a wide range of settings dependent on a numberof factors including the complexity of theoperation and the clinical and personal needs of the patient.

Thetable shows trend data on the number of principal procedures carried out on patientsadmitted as in-patients or day cases to Scottish hospitals.

Inaddition, some operations are performed in out-patient clinics. The ISD websiteprovides details of available national figures. Currently, it is difficult to describeand quantify accurately the level of operations carried out in out-patients. ISDhave been working with NHS boards to capture this information. Emerging findingsare published in ISD’s data developments web pages at:

http://www.isdscotland.org/data_development.

The information requested isnot held centrally.

This is a matter for Dundee CityCouncil. The information requested is not held centrally.

The information requested iscontained in the following tables.

Singletons Born in Scotland andDetected with Congenital Anomalies at Birth or During Infancy; Numbers byAnomaly and Year 1995-2003

		1995	1996	1997	1998	1999	2000	2001	2002	2003
Neural Tube Defects*		39	44	30	35	34	22	22	23	24
	Anencephalus	3	2	2	5	4	2	1	6	3
	Spina bifida +/- hydrocephalus	27	35	21	23	26	17	16	15	17
	Encephalocoele	10	7	8	7	5	3	5	2	4
	Hydrocephalus (not counted in Neural Tube Defects total)	46	41	44	34	31	21	25	21	21
Anomalies of the heart and circulatory system*		500	504	504	458	506	529	492	402	478
	Heart	301	292	304	240	233	270	266	232	289
	Circulatory System	280	245	246	202	228	215	208	200	212
Cleft Palate		65	46	58	51	36	36	28	38	37
Cleft lip +/- cleft palate		54	38	60	47	41	43	39	36	43
Trisomy 13		6	5	5	4	7	8	3	6	6
Trisomy 18		20	18	12	15	8	10	19	9	16
Down’s Syndrome		73	63	88	59	63	64	53	35	49

 

Singletons Born in Scotland andDetected with Congenital Anomalies at Birth or During Infancy; Rates per 1,000 Birthsby Anomaly and Year 1995-2003

		1995	1996	1997	1998	1999	2000	2001	2002	2003
Neural Tube Defects*		0.67	0.78	0.52	0.63	0.64	0.43	0.44	0.47	0.49
	Anencephalus	0.05	0.04	0.03	0.09	0.08	0.04	0.02	0.12	0.06
	Spina bifida +/- hydrocephalus	0.46	0.62	0.37	0.42	0.49	0.33	0.32	0.30	0.34
	Encephalocoele	0.17	0.12	0.14	0.13	0.09	0.06	0.10	0.04	0.08
	Hydrocephalus (not counted in Neural Tube Defects total)	0.79	0.73	0.77	0.61	0.59	0.41	0.50	0.43	0.42
Anomalies of the heart and circulatory system*		8.59	8.97	8.80	8.28	9.57	10.31	9.84	8.17	9.67
	Heart	5.17	5.20	5.31	4.34	4.41	5.26	5.32	4.71	5.85
	Circulatory System	4.81	4.36	4.30	3.65	4.31	4.19	4.16	4.06	4.29
Cleft Palate		1.12	0.82	1.01	0.92	0.68	0.70	0.56	0.77	0.75
Cleft lip +/- cleft palate		0.93	0.68	1.05	0.85	0.78	0.84	0.78	0.73	0.87
Trisomy 13		0.10	0.09	0.09	0.07	0.13	0.16	0.06	0.12	0.12
Trisomy 18		0.34	0.32	0.21	0.27	0.15	0.19	0.38	0.18	0.32
Down’s Syndrome		1.25	1.12	1.54	1.07	1.19	1.25	1.06	0.71	0.99

Source: ISD Scottish Linked Congenital Anomaly Database; Tables 28and 29 on Scottish Health Statistics website. Congenital anomalies of the hearthave been identified using diagnosis codes ICD9 745-746 and ICD10 Q20-24.

Note: *Singletons with more thanone congenital anomaly are only counted once in the category total. For example,if an infant was born with Anencephalus and Spina bifida, the anomalies would berecorded separately in each category, but only once in the total figure for NeuralTube Defects.

The “new dental contract”which was introduced on 1 April 2006 is relevant to England and Wales only, and does not apply in Scotland, asNHS dentistry is a devolved matter.