Mid North NHS Board Crichton Hall Bankend Road Dumfries DG1 4TG Chief Executive’s Office  01387 272752 Environmental Information  [email protected]

Regulations Ref.: 17-033 Date: 3 March 2017

ENVIRONMENTAL INFORMATION (SCOTLAND) REGULATIONS

As the information you have requested is ‘environmental information’ for the purposes of the Environmental Information (Scotland) Regulations 2004 (EIRs), we are required to deal with your request under those Regulations. We are applying the exemption at section 39(2) of the Freedom of Information (Scotland) Act 2002 (FOISA), so that we do not also have to deal with your request under FOISA.

However under EIR, NHS Dumfries and Galloway’s response is as follows:

1.a) How many new cases of asbestos-related illnesses were recorded in 2016. Please provide a breakdown of the ages of the individuals at time illness was recorded, their gender; the type of asbestos-related illness ( an e.g. pleural plaque with the presence of asbestos; pneumoconiosis due to asbestos and other mineral fibres; mesothelioma) and the hospital/health care setting within which the illness was recorded. I have provided an example of how this answer might be formatted: AGE | GENDER | TYPE OF ILLNESS | LOCATION 67 | Male | Mesothelioma | Western hospital 56 | Female | Pneumoconiosis| Eastern hospital This list is not exhaustive. (e.g. if another type of asbestos-related illness is identified or the recording took place in a non-healthcare setting please include that information in the table). b) Please could you also provide: 2) The same as above for 2015. 3) The same as above for 2014. 4) The same as above for 2013.

For all of the questions above - There are currently less than five people known to be receiving treatment for asbestos-related illness by the Health Board, to provide exact information would potentially breach patient confidentiality, this type of information is exempt under section 38(1)(b) of the Freedom of Information (Scotland) Act 2002.

5.a) How many deaths due to asbestos-related illnesses were recorded in 2016. Please provide a breakdown of the ages of the individuals at the time of death, their gender; the type of asbestos- related illness (e.g. pleural plaque with the presence of asbestos; pneumoconiosis due to asbestos and other mineral fibres; mesothelioma) and the hospital/health care setting within which the illness was treated. I have provided an example of how this answer might be formatted:

AGE | GENDER | TYPE OF ILLNESS | LOCATION 65 | Female | Mesothelioma | Western hospital

Chairman: Philip N Jones Chief Executive: Jeff Ace

Dumfries & Galloway NHS Board is the common name of Dumfries & Galloway Health Board

58 | Male | Pneumoconiosis | Eastern hospital This list is not exhaustive. (eg if another type of asbestos-related illness is identified as cause of death please include that information in the table). b) Please could you also provide: 6) The same as above for 2015. 7) The same as above for 2014. 8) The same as above for 2013.

For the above questions 1-8 Due to the level of detail in information requested in the above which would be exempt under Section 11(2) of the Environmental Information (Scotland) Regulations 2004, as the numbers are low and this could be potentially identify individuals.

However the following information may answer part of this request.

Deaths attributed to asbestos Total Aged 60-69 Aged 70-79 Aged 80-89 Aged 90+ 2013 7 1 4 2 2014 6 2 3 1 2015 3 3 2016 5 1 1 2 1 Total 21

Less than five were female. Fourteen were attributed to mesothelioma, seven were attributed to other conditions. Eight were at Dumfries and Galloway Royal Infirmary, four at other hospital locations, nine within domiciliary location.

9.) Please provide a list of all buildings in the health board area that have been found to contain asbestos in surveys carried out over the last ten years. Please include the address of each building, when the survey was conducted and if a record has been made of the type/degree of asbestos presence, whether the asbestos present poses a risk to the health of staff and/or patients please include this information as well as any other relevant information.

I have provided an example of how this answer might be formatted:

BUILDING NAME | ADDRESS | DEGREE/TYPE OF ASBESTOS PRESENT| POSES HEALTH RISK SURVEY DATE Old hospital | 2345 main street | Major asbestos in walls | minor health risk| December 2015

10.) Please provide a list of all maintenance and repair work, in relation to asbestos carried out by the health board in the last five years. Please include the name and address of each building where work was conducted, the date work was completed (if work on-going please note this), the cost of this work and the reason why the work was conducted as well as any other relevant information.

I have provided an example of how this answer might be formatted:

BUILDING NAME | ADDRESS | DATE WORK COMPELTED| COST | REASON Old hospital | 2345 main street | Dec 2014| £265,4000 | Building found to be health risk

Q9-10 – Please see below response to these questions.

if you are dissatisfied with the way NHS Dumfries and Galloway has dealt with your request, you have a right to request a review of our actions and decisions in relation to your request, and you have a right to appeal to the Scottish Information Commissioner.

A request for review must be made within forty working days from 03 March 2017 and should, in the first instance, be in writing to Jeff Ace, Chief Executive, NHS Dumfries and Galloway, Mid North, Crichton Hall, Bankend Road, Dumfries, DG1 4TG or by e-mail to [email protected] You must provide your name, an address for correspondence, details of your original request and why you want a review.

If our decision is unchanged following review and you remain dissatisfied with this, you have the right to make a formal appeal to the Scottish Information Commissioner. Requests for appeal should be made in writing to the Scottish Information Commissioner, Kinburn Castle, Doubledykes Road, St Andrews, Fife, KY16 9DS. Telephone 01334 464610, Fax 01334 464611 E-mail: [email protected]

Yours sincerely

Freedom of Information Officer

5 YEAR COSTS - ASBESTOS SURVEYS / WORKS CARRIED OUT - CAPITAL AND REVENUE PROJECTS

SURVEY TOTAL COST DATE AREA SURVEY/WORKS WORKS COST COST FOR YEAR £ £ £ 2011/12 May-2011 Crichton Royal Hospital Targeted Refurbishment Asbestos Survey 81.61 Jun-2011 Nithbank Targeted Refurbishment Asbestos Survey 3,432.00 Jun-2011 Nithbank Targeted Refurbishment Asbestos Survey 383.00 Jul-2011 Oakfield Targeted Refurbishment Asbestos Survey 523.80 Aug-2011 Nithbank Targeted Refurbishment Asbestos Survey 3,707.00 Aug-2011 Nithbank Targeted Refurbishment Asbestos Survey 508.00 Sep-2011 Newton Stewart Hospital Demolition Asbestos Survey 672.00 Sep-2011 Demolition Asbestos Survey 589.92 Sep-2011 Kirkcudbright Hospital Demolition Asbestos Survey 640.32 Oct-2011 Demolition Asbestos Survey 589.20 Oct-2011 Thomas Hope Hospital Demolition Asbestos Survey 646.80 Oct-2011 Moffat Hospital Demolition Asbestos Survey 614.40 Oct-2011 Thornhill Hospital Demolition Asbestos Survey 587.04 Nov-2011 Dumfries and Galloway Royal Infirmary Outpatients Targeted Refurbishment Asbestos Survey 640.32 13,615.41 2012/13 Jun-2012 Crichton Royal Hospital Asbestos Removal Work 3,380.00 Aug-2012 Nithbank Hospital Targeted Refurbishment Asbestos Survey 861.22 Nov-2012 Dumfries and Galloway Royal Infirmary Targeted Refurbishment Asbestos Survey 197.40 Jan-2013 Nithbank Hospital Targeted Refurbishment Asbestos Survey 437.40 Jan-2013 Crichton Royal Hospital Targeted Refurbishment Asbestos Survey 534.00 5,410.02 2013/14 May-2013 Various properties Demolition Asbestos Surveys £ 1,200.00 Sep-2013 Thornhill Hospital Targeted Refurbishment Asbestos Survey £ 212.00 Oct-2013 Dumfries and Galloway Royal Infirmary - Occ Therapy Targeted Refurbishment Asbestos Survey £ 169.50 Nov-2013 Thornhill Hospital Targeted Refurbishment Asbestos Survey £ 484.00 Dec-2013 Dumfries and Galloway Royal Infirmary - various wards Targeted Refurbishment Asbestos Survey £ 623.00 Dec-2013 Artesian Well Targeted Refurbishment Asbestos Survey £ 363.85 Feb-2014 Residences Steam Pipe Targeted Refurbishment Asbestos Survey £ 362.90 3,415.25 2014/15 Aug-2014 Nithbank Hospital Sample suspect materials £ 61.90 Sep-2014 Crichton Royal Hospital Boilerhouse/Residences Plant Room Targeted Refurbishment Asbestos Survey £ 433.00 Oct-2014 Crichton Royal Hospital Cree North Targeted Refurbishment Asbestos Survey £ 475.50 Nov-2014 Newton Stewart Hospital Targeted Refurbishment Asbestos Survey £ 267.90 Jan-2015 Crichton Royal Hospital Hall Targeted Refurbishment Asbestos Survey £ 3,575.60 Jan-2015 Various Boilerhouses Targeted Refurbishment Asbestos Survey £ 526.00 Feb-2015 Crichton Royal Hospital Hall Various samples £ 350.00 Feb-2015 Annan and Lochmaben Hospital Targeted Refurbishment Asbestos Survey £ 896.50 6,586.40 2015/16 Aug-2015 Crichton Royal Hospital Hall Crichton Royal Hospital Decontamination Works £ 11,580.00 Sep-2015 Ladyfield East Targeted Refurbishment Asbestos Survey £ 447.40 Jul-2015 Crichton Royal Hospital Hall Targeted Refurbishment Asbestos Survey £ 4,900.00 Oct-2015 Crichton Royal Hospital Basement Asbestos Removal £ 39,385.30 Oct-2015 Various Boiler Replacements Targeted Refurbishment Asbestos Survey £ 555.20 Oct-2015 Annan Hospital Targeted Refurbishment Asbestos Survey £ 375.50 Nov-2015 Various Macerator Sites Targeted Refurbishment Asbestos Survey £ 459.00 57,702.40

GRAND TOTAL £ 86,729.48