Scotland has some of the best health service data in the world. Few other countries have information which combines high quality data, consistency, national coverage and the ability to link data to allow patient based analysis and follow up. The Information Services Division (ISD) is a division of National Services Scotland, part of NHS Scotland. ISD provides health information, health intelligence, statistical services and advice that support the NHS in progressing quality improvement in health and care and facilitates robust planning and decision making.
What's New in ISD?
Scottish antimicrobial use and resistance in humans in 2015
Health Protection Scotland and Information Services Division are today publishing a report on antibiotic use and resistance in Scotland during 2015.
This latest report shows that while work by the Scottish Antimicrobial Prescribing Group to improve the quality of antibiotic prescribing is proving successful, continued efforts are required to further reduce unnecessary antibiotic use. The report is intended to support NHS Boards, hospitals and primary care in their long-term planning of antimicrobial prescribing. In particular, this report should be of use to antimicrobial management teams, infection prevention and control teams and microbiologists.
Scottish antimicrobial use and resistance in humans in 2015
[30 August 2016]
Suicide in Scotland – Understanding the risks and informing preventative action
Two reports published today make a major contribution to the continuing efforts to prevent suicide in Scotland. These reports from the Information Services Division and the Scottish Public Health Observatory help Scotland’s policymakers, mental health services, local authorities and voluntary organisations to target people and places at higher risk of suicide and identify where future prevention action should be focused.
The report from the Scottish Suicide Information Database presents a profile of 4,464 suicide deaths in Scotland between 2009 and 2014. The Scottish Public Health Observatory report describes the epidemiology of suicide in Scotland in 2015 and trends in the suicide rate in recent years.
NHS Performs - Latest update
NHS Performs has been updated to include information on:
- Emergency Department activity for the week ending 18 September 2016
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 19 September 2016
- Cancer waiting times for April to June 2016
NHS Performs is a website which brings together a range of information on how hospitals and NHS Boards within NHSScotland are performing. It aims to provide this information in an easy to access, clear and understandable way.
[27 September 2016]
- The number and rate of drug-related general acute stays increased steadily over time (41 to 143 stays per 100,000 population between 1996/97 and 2015/16), while psychiatric stays remained roughly the same (28 to 29 stays per 100,000 population between 1997/98 and 2014/15).
- In the most recent available year’s data, around six in ten drug-related general acute stays were due to opioids (drugs similar to heroin) while approximately half of drug-related psychiatric stays were associated with ‘multiple/other’ drugs.
- The number and rate of younger people admitted to hospital for drug misuse has remained relatively stable over time, while admissions among older drug users have increased (for example, among 40-44 year olds, a fifteen-fold rise from 20 to 291 patients per 100,000 population between 1996/97 and 2015/16 (general acute)).
- In the most recent available year’s data, around half of patients with either a general acute or psychiatric stay in relation to drug misuse lived in the 20% most deprived areas in Scotland.
- In 2014/15, 3,297 patients (61 new patients per 100,000 population) were treated in hospital (general acute/psychiatric combined) for drug misuse for the first time.
- The quarterly trend over the past two years shows a high proportion of people receiving early access for their first drug or alcohol treatment. Of the 11,595 people who started their first treatment, 95.0% waited three weeks or less. More than half (56.3%) started their first treatment within one week of referral.
For the 7,068 people seeking alcohol treatment, 95.6% waited three weeks or less, which is similar to the previous quarter (95.2%).
For the 4,527 people seeking drug treatment, 94.0% waited three weeks or less, which is similar to the previous quarter (94.4%).
- At the end of this quarter, 3,047 people were waiting to start their first drug or alcohol treatment, of which 116 (3.8%) had been waiting more than six weeks. This is an increase from the previous quarter when 87 (3.1%) people were waiting more than six weeks.
- In prisons, 1,454 people started their first drug or alcohol treatment between April-June 2016, with 98.7% waited three weeks or less and 83.4% waited one week or less.
- All NHS Boards, except NHS Highland, NHS Lothian and NHS Orkney met the Scottish Government’s Local Delivery Plan standard.
- Approximately 70% of the people starting drug or alcohol treatment this quarter were male.
The 62 Day Standard is that 95% of patients urgently referred with a suspicion of cancer will wait a maximum of 62 days from referral to first cancer treatment.
- 89.7% of patients started treatment within the 62 day standard, a decrease from 90.2% in the previous quarter.
- The 62 day standard was met by two NHS Boards (NHS Borders and NHS Lanarkshire).
The 31 Day Standard is that 95% of all patients will wait no more than 31 days from decision to treat to first cancer treatment.
- 95.7% of patients started treatment within this standard, an increase from 94.9% in the previous quarter.
- The 31 day standard was met by 13** of 15 NHS Boards.
Rates of childhood immunisations continue to be high in the quarter ending 30 June 2016 in Scotland, ranging from 92.8% to 98.3% across the different age bands and vaccines.
During the week ending 18 September 2016:
- There were 27,344 attendances at Emergency Departments across Scotland.
- 94.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 87 patients (0.3%) spent more than 8 hours in an Emergency Department.
- 11 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
The information from this publication is included in NHS Performs
- In 2015/16, the number of treatments given to children was over 513,000, similar to recent years. Around a third (32%) of these were given under Childsmile, which includes advice given on toothbrushing and diet.
- The numbers of teeth extractions (around 86,000) and fillings (around 363,000) given to children in 2015/16 are at their lowest, having steadily decreased since 2000/01 (from 133,000 and 775,000 respectively).
- The number of treatments given to adults has risen sharply from nearly 3 million in 2007/08 to over 4 million in 2015/16. This may be due to increasing numbers of patients participating in the General Dental Service.
- In 2015/16, around £268 million in General Dental Service fees was authorised in Scotland, an increase of £4.7 million (2%) compared to the previous year. When adjusted for inflation, these fees increased from 2004/05 until 2011/12 and have since stabilised.
- The actual cost per head of child population across Scotland was £70 in 2015/16. When adjusted for inflation, fees have been fairly stable at this level since 2012/13.
- The actual cost per head of adult population across Scotland was £49 in 2015/16. When adjusted for inflation, fees have remained fairly stable at this level since 2011/12.
In primary care and sexual health settings combined:
- The prescribing rate of very long acting methods of contraception in Scotland was 52.1 per 1,000 women aged 15-49 in 2015/16.
- The contraceptive implant was the most utilised method of long acting contraception with a prescribing rate of 29.4. The intrauterine system had a rate of 17.4 while the intrauterine device, which was the least utilised method, had a prescribing rate of 5.4 per 1,000 women aged 15-49.
- Contraceptive implant prescriptions were most common in the under 20 age group. The prescribing rate falls as the age group gets older. Intrauterine system prescriptions were most common in the 45 and over age group and the prescribing rate falls as age groups gets younger.
- Just over half (52.5%) of the 67,726 patients who had a first clinical appointment with an AHP MSK service were seen within 4 weeks.
- This compares with 50.3% during the quarter ending March 2016.
- Nine out of ten patients were seen within 17 weeks.
- At least 95,000 people were referred to AHP MSK services compared to 89,000 for the quarter ending March 2016.
The CAMHS benchmarking toolkit aims to support the implementation of the Child and Adolescent Mental Health policy using national data benchmarking of CAMH services across Scotland. The toolkit contains information on waiting times for CAMHS, workforce statistics, inpatient admissions and inpatient bed days.
- Asthma continues to be the most common allergic condition accounting for around 75% (6,484) of all allergy related hospital admissions.
- There has been a steady increase in the number of hospital admissions due to allergic rhinitis, increasing from 264 in 2008/09 to 420 in 2015/16.
Drugs - Treatment for drug misuse - Prescribing for Opioid Dependency
- For the fifth successive year there has been a decrease in the number of Opioid Replacement Therapy drug items (including methadone) dispensed.
- From 2010/11 to 2015/16, the cost of methadone dispensing decreased from £6,382 to £4,972 per 1,000 adult population.
- Recently published data shows that chronic kidney disease affects around 177,000 Scots; nearly 4,800 depend on renal replacement therapies such as dialysis or kidney transplant.
During the week ending 11 September 2016:
- There were 27,313 attendances at Emergency Departments across Scotland.
- 93.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 122 patients (0.4%) spent more than 8 hours in an Emergency Department.
- 21 patients (0.1%) spent more than 12 hours in an Emergency Department.
- The information from this publication is included in NHS Performs.
- There were 5,680 referrals to pain clinic during the quarter ending 30 June 2016, an increase from 5,041 referrals in the previous quarter.
- 75.7% of the 2,734 patients seen were treated within 18 weeks, compared with 85.8% in the previous quarter.
- As at 30 June 2016, 4,879 patients were waiting to be seen at a pain clinic; of which, 83.5% waited less than 18 weeks.
- Around 1 in 6 patients did not attend their appointment and did not notify the hospital.
Pain Psychology Clinics
- In the 9 NHS Boards that provide this service, there were 344 referrals to a pain psychology clinic during the quarter ending 30 June 2016, an increase from 327 referrals in the previous quarter.
- 86.0% of the 279 patients seen were treated within 18 weeks, compared with 90.1% in the previous quarter.
- As at 30 June 2016, 292 patients were waiting to be seen at a pain psychology clinic; of which 95.9% waited less than 18 weeks.
- Around 1 in 10 patients did not attend their appointment and did not notify the hospital.
- In 2015, 530 new patients were added to the MS Register as having received a confirmed diagnosis of MS. This brings the total number of newly diagnosed people reported over the six year period to 2,731.
- As expected, the annual incidence shows that more than twice as many women as men were diagnosed with MS.
- As expected, the average annual incidence of MS in the six most northern NHS Boards (Shetland, Orkney, Highland, Western Isles, Grampian & Tayside) is greater (at 11.4 per 100,000 population) than the average for the eight southern boards (at 8.1 per 100,000), emphasising that worldwide, more people who have MS are further away from the equator.
- Once a referral was received by the MS nurse specialist, contact within 10 days was achieved for 89% of the patients which is an improvement of 4% from 2014.
- 63% of newly diagnosed patients had contact with a MS nurse specialist within 10 days.
- The total number of items dispensed, in Primary Care, in June 2016 was 8.9 million, an increase of 0.9% compared to June 2015. This is a continuation of a long standing upward trend.
- The cost of items dispensed, in Primary Care, in June 2016 was £99.6 million, an increase of 5.5% compared to June 2015. This is a continuation of a long standing upward trend.
- A large proportion of this increase is due to the shift from hospital to provision through community pharmacies. An example of this is the treatment of patients with Hepatitis C.
- The prescribing dashboard (shown below) shows the highest-cost therapeutic areas in terms of prescriptions in the community.
- Drugs used to manage diabetes was the highest-cost area of prescribing across Scotland in June 2016 (total cost of items dispensed was £7.9 million).
- The second highest spend was on analgesics, for all severities of pain-relief (total cost of items dispensed was £6.5 million).
- In July 2016, patients spent 43,919 days in hospital due to delays in discharge.
- There were 1,396 patients delayed at the July 2016 census. This is a 4% increase on the previous month.
- 292 (21%) of these delays were for patients with specific complex care needs.
- Of the remaining 1,104 patients delayed at the census:
- 328 (30%) were awaiting completion of arrangements for social care support (e.g. carer) in order to live in their own home
- 320 (29%) were awaiting place availability in a care home
- 192 (17%) were awaiting completion of a post hospital social care assessment
During the week ending 4 September 2016:
- There were 27,418 attendances at Emergency Departments across Scotland.
- 94.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 51 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 2 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
- The information from this publication is included in NHS Performs.