Shona Robison MSP

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Shona Robison MSP

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  • Member for: Dundee City East
  • Region: North East Scotland
  • Party: Scottish National Party

Shona is a member of the following Committees:

Shona is a member of the following Cross-Party Groups:

Parliamentary Activities

Search for other Speeches made by Shona Robison

Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

If it has not taken place, it will. We will check that.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

We will have to check that. We will do so and get the answer to you and Jackie Baillie.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

I will certainly get that information to Jackie Baillie. I do not know whether Paul Gray wants to comment.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

On service change, you will know that, in the Vale of Leven case, there was a lack of certainty over the hospital at the time. I described it in my statement as a hospital that was

“out of sight and out of mind.”—[Official Report, 25 November 2014; c 29.]

It was not being given the attention that it should have been given, and the lack of certainty about its future played into the issues with staff morale and all of that. Absolutely, lessons had to be learned—and they have been, as far as any service change proposal is concerned.

The new south Glasgow hospital marks a huge change as part of a long-standing acute services review in Glasgow. The new hospital’s facilities are second to none and state of the art, and all the processes and procedures will be tested before staff and patients migrate to the site from April onwards. As Jackie Baillie will imagine, that will be no small feat. Migrating all the services on to the new site is a big job, and infection control is critical in that. One reason why the hospital has been built in the way that it has been, with single rooms, is partly to do with a desire to follow best practice in infection control procedures. That is part of the building’s design. As a result, the member can be assured that all of those issues will absolutely be taken forward.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

The system has faced challenges over the winter. There is work to be done on what has happened with the acuity of patients, particularly in NHS Greater Glasgow and Clyde, and we are also looking at issues to do with late flu surges. All of that has led, as you have rightly pointed out, to pressure on beds.

However, a lot of preparation happens for winter. Surge beds are planned for and are open when required, but we expect the guidelines on space, staffing and infection control to be the same for surge beds as for the beds that are in the system the rest of the year.

We are also developing and expanding the use of intermediate care beds. It is really important that the infection control systems for those beds are good, because they are quite often used for elderly people who are on their way home. Although they are clinically ready for discharge, they are not ready to go home and are potentially vulnerable to infection. As a result, we need to ensure that the protocols and guidelines for those beds are good and that they follow best practice in infection control.

We absolutely need to ensure that, when there is a high volume of beds and high turnaround, the cleanliness standards are met. We are keeping a close eye on that to ensure that enough time is spent on cleaning the patient area when someone is discharged from a bed and someone else comes in.

We need to keep a close eye on all those issues, not just during the winter, when beds are particularly in demand, but all year round. That is best practice and we know that it controls infection.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

To give you an example, I saw for myself when I visited Glasgow royal infirmary that someone with an infection is very visibly isolated. The information makes it very clear what barrier is required, and staff and patients are alerted about the person’s space. All of that is very different from some of the unfortunate issues that we had at the Vale of Leven.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

When there is an alert that someone is infected, a test will come back and the person will, as I described earlier, be moved immediately. In fact, if there are any suspicions, the person will not be in a bed alongside other people; the processes kick in straight away to minimise infection. That often happens while the test is being commissioned and the results awaited.

The way in which infection is handled is very different, and staff now know how to minimise infection potential. Unfortunately, there are still cases of hospital acquired infection, but the drop in the numbers tells its own story. The procedures, which include isolation not just when the test comes back but when there are suspicions, and all the other actions that staff now know about to ensure good infection control have resulted in huge reductions in HAIs.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

I can tell you that directly. I get alerted straight away about C diff cases or any other infection in hospitals in Glasgow, in Clyde or elsewhere, because the monitoring systems work. That information is relayed very quickly to us and in all cases any required action is taken very quickly. They are not necessarily outbreaks; they can simply be individual cases of C diff. That dashboard is working—and I know that it is working because I get alerts about cases. That would not have been the case in the Vale of Leven hospital and certainly not in Glasgow. I have seen for myself that the speed of the information is very different.

11:15  

I am reassured not just that we have the processes and the people in place but that the system works and the flow of information—and, more important, the response to that information—is very quick. For example, patients are isolated and all the procedures that we would expect to kick in to prevent infection spread happen. When I go into hospitals now, I see live screens that very visibly tell the story about who is where and, if there are any cases, where they are. That information is there for everyone, not least the staff, to know, and anybody who comes on shift will know what the picture is at that moment in time.

I hope that I can reassure members on this matter. I have seen what is happening for myself, and I am absolutely reassured that the systems are now working and that, as a result, the situation that arose in the Vale of Leven hospital cannot happen again. The point is that many people are watching and monitoring that information for very good reasons and that we are not relying on a single person in the system to report. There are many people whose job is to ensure that matters are monitored and acted on.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

When I stand up in the spring, I will want to have been assured that the implementation of the recommendations is real and making a difference. However, the longer piece of work for the implementation group is to keep up the momentum behind the recommendations, because this is not about a moment in time. It is not a case of saying, “Job done—everybody’s happy.” It is about ensuring that the culture changes made by the recommendations are in place for ever. It is important that families are involved and are reassured in that respect.

The three boards that have to make further progress are Dumfries and Galloway, Lothian and Orkney. They have fully or mostly implemented less than 80 per cent of the 65 recommendations—but only just. Compliance for all three is in the 70 per cent range. We will make sure that those three boards get to the position that the other boards are in and that all boards implement all the recommendations. There are no ifs and buts—that is exactly what will happen.



Health and Sport Committee 24 February 2015 : Tuesday, February 24, 2015
Shona Robison

You make an important point. The involvement of the families in the implementation group and the reference group is extremely important. You are right that self-assessment takes us only so far. It was a starting point. We needed boards to tell us where they were at in relation to the recommendations. The implementation group has a clear understanding that its job is to verify, monitor and check that that is indeed the case, not just on the 65 recommendations for the NHS but on all 75 recommendations, which include recommendations for others to implement. That will be an on-going process. By the spring, we will have got to a good position as far as our response to the report is concerned.

However, we want the work of the implementation group to go beyond that. There will be on-going work to make sure that the group is satisfied—and, in particular, that the families are satisfied—that, no matter which health board it is, the boards have changed practice where that needed to change, bearing in mind that a lot of the recommendations on some of the fundamental issues were implemented well before Lord MacLean reported.

The reference group provides an additional level of scrutiny to all of that. It will scrutinise the implementation group to give families more satisfaction and reassurance that the implementation group itself is doing a good job of monitoring everything.

I feel that we have put in enough safeguards and I think that you are right that the families—to date, anyway—feel that they have been involved. However, we are not complacent and we want to make sure that that continues to be the case.

Vote DetailMSP VoteResult

S4M-12423.1 Alex Rowley: Commission on Local Tax Reform—As an amendment to motion S4M-12423 in the n
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YesCarried

S4M-12423 Marco Biagi: Commission on Local Tax Reform—That the Parliament supports the establishment
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YesCarried

S4M-12385 Liz Smith: STEM Education in Scottish Schools—That the Parliament agrees that a solid grou
>> Show more
YesCarried

S4M-12395.1 Fergus Ewing: An Energy Strategy for Scotland—As an amendment to motion S4M-12395 in the
>> Show more
YesCarried

S4M-12395.2 Patrick Harvie: An Energy Strategy for Scotland—As an amendment to motion S4M-12395 in t
>> Show more
NoDefeated

S4M-12395 Murdo Fraser: An Energy Strategy for Scotland—That the Parliament notes with concern the l
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YesCarried

S4M-12385.3 Alasdair Allan: STEM Education in Scottish Schools—As an amendment to motion S4M-12385 i
>> Show more
YesCarried

S4M-12382.3 Mary Fee: Building Scotland’s Infrastructure for the Future—As an amendment to motion S4
>> Show more
NoDefeated

S4M-12382.1 Gavin Brown: Building Scotland’s Infrastructure for the Future—As an amendment to motion
>> Show more
NoDefeated

S4M-12382.2 Willie Rennie: Building Scotland’s Infrastructure for the Future—As an amendment to moti
>> Show more
NoDefeated

Search for other Motions lodged by Shona Robison
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Motion S4M-12325.3: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 17/02/2015 Show Full Motion >>
Motion S4M-12187: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 28/01/2015 Show Full Motion >>
Motion S4M-12120: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 20/01/2015 Show Full Motion >>
Motion S4M-12045.3: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 13/01/2015 Show Full Motion >>
Motion S4M-11766.3: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 02/12/2014 Show Full Motion >>
Motion S4M-11030: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 29/09/2014 Show Full Motion >>
Motion S4M-10736: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 05/08/2014 Show Full Motion >>
Motion S4M-10257: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 09/06/2014 Show Full Motion >>
Motion S4M-09293.1: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 11/03/2014 Show Full Motion >>
Motion S4M-08879: Shona Robison, Dundee City East, Scottish National Party, Date Lodged: 28/01/2014 Show Full Motion >>
This Member currently holds a ministerial post. First Minister and Ministers cannot ask the Government questions which is why no recent questions are displaying here. Please use the full search to find details of previous questions by this Member.
EventIdTypeSub TypeMSP NameParty NameConstituencyRegionTitleItemTextFormattedAnswer DateAnswerStatusIdExpectedAnswerDateAnsweredByMspApprovedDateSubmissionDateMeetingDateProductionStatusIdRecordStatusIdStatus DateOnBehalfOfConsideredForMembersBusinessCrossPartySupportRegisteredInterestSupportCountSupportDateIsEventLinkCurrentMinister
Question S3W-26491: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 14/08/2009 Show Full Question >>
Question S2O-12337: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 07/03/2007 Show Full Question >>
Question S2W-32069: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-32068: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-32067: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-32076: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-32073: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-32077: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 27/02/2007 Show Full Question >>
Question S2W-31964: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 23/02/2007 Show Full Question >>
Question S2W-31967: Shona Robison, Dundee East, Scottish National Party, Date Lodged: 23/02/2007 Show Full Question >>

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