no problem post away use it I have just been pokeing around on the scottish parliament site and did a search diabetic pumps there is alot about pumps some a bit long winded and to long to post here.
Here is one of them hope it is not to long I' am not goning to post the rest just to long.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what percentage of patients with type 1 diabetes is receiving insulin pump therapy, broken down by NHS board.
(S3W-25079)
Nicola Sturgeon: The information requested is given in the following table:
NHS Board Percentage of Patients With Type 1 Diabetes Receiving Insulin Pump Therapy, July 2009
Ayrshire and Arran 0.1%3
Borders 2%
Dumfries and Galloway 1.3%
Fife 2.4%
Forth Valley 1.4%
Grampian 1.5%
Greater Glasgow and Clyde 1%
Highland 0.9%
Lanarkshire 1.1%
Lothian 3.2%
Orkney1 -
Shetland2 -
Tayside 4.2%
Western Isles1 -
Source: Diabetes Managed Clinical Networks, July 2009.
Notes:
1. One patient on an insulin pump.
2. NHS Shetland’s insulin pump provision is shared with NHS Grampian.
3. It is envisaged that CSII implementation will be progressive and cumulative, taking three years to achieve 1% coverage of the overall type 1 population.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what its estimate is of the proportion of patients with type 1 diabetes who meet the criteria for eligibility for insulin pump therapy under current clinical guidance.
(S3W-25080)
Nicola Sturgeon: Scottish diabetes services are expected to provide insulin pumps services in line with the advice outlined in the NICE Technology Assessment 151(TA151).
These criteria are thought to apply to between 4 and 14% of people with type 1 diabetes.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what the average waiting time is for eligible patients with type 1 diabetes to secure access to insulin pump therapy, broken down by NHS board.
(S3W-25081)
Nicola Sturgeon: The information requested is, where available, shown in the following table:
NHS Board Average Waiting Time for Eligible Patients with Type 1 Diabetes to Secure Access to Insulin Pump Therapy
Ayrshire and Arran No waiting list
Borders Four to six weeks (adults only)
Dumfries and Galloway Two months
Western Isles1
Fife Four weeks
Forth Valley No waiting list
Grampian Six months
Greater Glasgow and Clyde Two months
Highland No waiting list
Lanarkshire Three to four months
Lothian2 Not collected on the same basis
Orkney Six months
Shetland1
Tayside None
Source: Diabetes Managed Clinical Networks, July 2009.
Notes:
1. Patients managed by either NHS Grampian or NHS Highland.
2. NHS Lothian has interpreted the total waiting time to be from the time the pump criteria are agreed through to completion of insulin pump training and education. The average waiting time including waiting for training and education in Lothian is estimated to be around 12 months.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what financial provision has been made in each NHS board budget for insulin pump therapy in (a) 2009-10 and (b) 2010-11.
(S3W-25082)
Nicola Sturgeon: The information requested is provided in the following table:
NHS Board Financial Provision for Insulin Pump Therapy
(a) 2009-10 (b) 2010-11
Ayrshire and Arran Funding allocated for three new pumps for paediatric care per year. Adult provision made on a case-by-case basis.
Borders Funding allocated for six pumps per year
Dumfries and Galloway No separate budget
Western Isles1 -
Fife Funding allocated for 10 pumps per year
Forth Valley ~?40,000 ~?40,000
Grampian2 -
Greater Glasgow and Clyde2 -
Highland No separate budget
Lanarkshire3 ?85,495
Lothian ?382,000 ?382,000
Orkney2 -
Shetland1 -
Tayside3 ?155,000 -
Source: Diabetes Managed Clinical Networks, July 2009.
Notes:
1. Patients managed by either NHS Grampian or NHS Highland.
2. Business case currently being prepared.
3. Business case currently being prepared for 2010-11.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive how long on average it takes to train a patient with type 1 diabetes in the use of an insulin pump and whether there has been a significant change in this time in recent years.
(S3W-25083)
Nicola Sturgeon: On average, it can take between 15 to 20 hours to train a patient with type 1 diabetes in the use of an insulin pump. This does not include the dietetic education component that is completed prior to starting the insulin pump training. There has been no significant change in this timescale in recent years.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what training is provided to diabetes specialist nurses on the use of insulin pump therapy.
(S3W-25084)
Nicola Sturgeon: Training of diabetes specialist nurses in the use of insulin pump therapy is provided by a range of institutions, including Warwick, Leeds and Liverpool John Moores Universities. A pump module is currently under development at Napier University, Edinburgh, that is expected to assist local training at MSc, BSc and non-accredited levels. These courses are complemented by technical support and training resources provided by insulin pump suppliers as part of local pump supply arrangements.
In addition, the Scottish Diabetes Group in April this year, supported an insulin pump study day that brought together over 60 clinicians, including diabetes specialist nurses, from across Scotland to learn more about insulin pumps.
David Stewart (Highlands and Islands) (Lab): To ask the Scottish Executive what instructions have been given in the last 12 months to the leaders of diabetes-managed clinical networks on improving access to insulin pump therapy for eligible patients.
(S3W-25086)
Nicola Sturgeon: The Scottish Diabetes Group has made insulin pump therapy a standing item on the agenda of the regular meetings of the diabetes Managed Clinical Network lead clinicians. It has also been made clear to them that each NHS board’s insulin strategy must take account of the criteria set out in NICE Technology Appraisal 151.
