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?
NHS Performs - Latest update
NHS Performs has been updated to include information on:
- Emergency Department activity for the week ending 16 August 2015
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 17 August 2015
- Number of Delayed Discharges for July 2015
- Hospital waiting times (Outpatient; Inpatient and Day Case; Referral To Treatment; Diagnostics) for April to June 2015
NHS Performs is a new website which brings together a range of information on how hospitals and NHS Boards within NHSScotland are performing. It aims provide this information in an easy to access, clear and understandable way.
[25 August 2015]
Excellence in Official Statistics Awards
Each year the Royal Statistical Society presents an award for excellence in official statistics across the UK. Information Services Division is delighted to announce we have been awarded runner up in the Best Statistical release category for the Scottish Schools Adolescent Lifestyle and Substance Use Survey. The award recognises good practice in official statistics, focusing on meeting the needs of the wider user community, excellent presentation of official statistics and examples of innovative statistical practices that have improved statistical information for users.
- There has been an increase in the CAMHS workforce from 883 headcount (764.6 WTE) in 2009 to 1134 headcount (979.5 WTE) as at 30 June 2015. This is due to the Scottish Government committing central funding to expand the CAMHS workforce of NHSScotland.
- Total clinical staff within CAMHS has increased 28% since 2009.
- The headcount has remained relatively stable over the past year. At 30 June 2015 there were 1134 clinical staff. Nationally, this represents a staffing level of 18.3 WTE clinical workers per 100,000 of the population of Scotland.
- An additional 42.5 WTE posts throughout NHSScotland CAMHS were between being advertised and being filled. A further 10.3 WTE posts were approved for recruitment but not yet advertised.
- The total number of clinical staff employed in Psychology Services continues to rise, with 1273 staff (1073.4 WTE) including 900 (753.6 WTE) Clinical and Other Applied Psychologists in post at 30 June 2015.
- There has been a significant increase in Clinical and Other Applied Psychologists employed in Psychology Services workforce over the last 12 years, increasing from 371.0 WTE (426 headcount) in 2003 to 753.6 WTE (900 headcount) at 30 June 2015.
- This total of 753.6 WTE (900 headcount) equates to 695.1 WTE (832 headcount) Clinical Psychologists plus 58.5 WTE (68 headcount) Other Applied Psychologists. This represents a staffing level of 14.1 WTE Applied Psychologists per 100,000 of the population of Scotland.
- The total of 1273 staff also includes Graduates of the MSc in Psychological Therapies in Primary Care (66.4 WTE), Graduates of the MSc in the Applied Psychology of Children and Young People (43.5 WTE), Cognitive Behavioural Therapists (54.5 WTE), Counsellors (25.3 WTE), other therapists (15.2 WTE), and other clinical staff (27.4 WTE).
- An additional 65.7 WTE posts were in the process of being advertised and filled at 30 June 2015. A further 10.1 WTE posts were approved for recruitment but not yet advertised.
Hospital Bed Days associated with delays in discharge in June 2015
- In June 2015, there were 45,356 days spent in hospital associated with delays in discharge; this is 3.3% reduction on the previous month (46,890), continuing a downward trend. Nationally, 20% of these beddays are for patients with specific complex care needs; this varies significantly by NHS Board.
- Over 70% of delayed discharge bed days were among patients aged 75 and over.
Patients ready for discharge as at July 2015 census
- 1,124 patients were delayed as at the July 2015 census. This is a 10% reduction compared to July 2014 (1,249). Around one quarter of these delays (295) are for patients with specific complex care needs – the lowest since January 2014. The remaining 829 were standard delays.
- At the census point, there were 463 patients who were experiencing a delay of more than two weeks - an 11% reduction on July 2014 (518).
- The majority of these patients have been delayed for the following reasons: 40% were awaiting place availability in a care home; 36% were waiting to go home; 12% were awaiting a community care assessment
As at 30 June 2015:
- 60,360 patients in NHSScotland were waiting for one of the eight key diagnostic tests and investigations. This is 6.7% higher than the number of patients waiting at 30 June 2014 and 0.4% higher than as at 31 March 2015.
- 89.3% of patients waiting for a key diagnostic test had been waiting less than six weeks. This compares to 91.9% at 30 June 2014 and 91.2% at 31 March 2015.
- The lowest percentage figures were reported by NHS Ayrshire & Arran (75.7%), NHS Grampian (78.8%) and NHS Lothian (80.7%).
New Outpatients at 30 June 2015
- 89.7% of patients waiting for an appointment had been waiting 12 weeks or less. This compares to 95.8% at 30 June 2014 and 92.2% at 31 March 2015.
- The lowest percentage figures were reported by NHS Highland (71.1%) and NHS Grampian (76.9%)
- 3.2% of patients waiting were unavailable to attend an appointment. This compares to 5.1% for patients waiting at 30 June 2014 and 3.0% at 31 March 2015.
Inpatients and Day cases for quarter ending 30 June 2015
- 94.9% of patients were seen within the 12 week Treatment Time Guarantee. This compares to 97.1% during quarter ending 30 June 2014 and 94.7% during quarter ending 31 March 2015.
- The lowest percentage figures were reported by NHS Highland (83.7%), NHS Lothian (89.8%) and NHS Tayside (89.8%).
- 20.8% of patients waiting were recorded as being unavailable for treatment. This compares to 21.3% at 30 June 2014 and 18.6% at 31 March 2015.
Update of Waiting Times Statistics to 30 June 2015: Quarterly waiting times statistics for the 18 weeks Referral to Treatment standard
- During the quarter ending June 2015, over 4,400 children and young people started treatment at CAMH services in Scotland, an increase of 175 (4.1%) compared to quarter end March 2015. Of these, 85.2% were seen within 26 weeks and 76.6% were seen within 18 weeks. Half started their treatment within nine weeks.
- During the quarter ending June 2015, 10 Boards met the 26 week HEAT target and four did not (NHS Fife, NHS Forth Valley, NHS Lothian and NHS Tayside). The 18 week HEAT target was met by six Boards and not by eight (NHS Borders, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Lanarkshire, NHS Lothian, NHS Shetland and NHS Tayside).
- Across Scotland, 12.7% of patients referred to CAMH services did not attend their first appointment. These patients may still be on the waiting list. NHS Boards may reset the patients waiting times clock to zero or send back to referring clinician, where it is reasonable and clinically appropriate.
- 12,533 people started treatment for Psychological Therapies in Scotland, an increase of 874 (7.5%) over the previous quarter.
- Four NHS Boards met the target of treating 90% of patients referred within 18 weeks - these were NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire and NHS Tayside.
- Half of the patients started their treatment within 8 weeks, more than 4 out of 5 (82%) being seen within 18 weeks.
- Improving access to services for older people is a key element of the mental health strategy. Almost 700 people aged 65 and over started treatment for Psychological Therapies in this quarter and over 9 out of 10 (90.2%) were seen within 18 weeks.
During the quarter ending June 2015:
- 343 eligible patients were screened at an IVF centre in Scotland. This compares to 397 in the quarter ending March 2015.
- All eligible patients (100%) were screened for IVF treatment within the target time period of 365 days (12 months). This is an increase from 96% in the quarter ending March 2015.
- For Scotland as a whole there has been a steady improvement in the recording of ethnic group over the last two years. However completeness of recording for inpatient and day case records (SMR01) for the last quarter remained at 82% and for new outpatient appointment records (SMR00) dropped by 1 percentage point to 73%.
- Increased recording of code ‘98’ –‘Refused/Not provided’ in SMR01 and SMR00 data has been seen in some Boards from 2012 onwards and is shown in lighter shading in the graphs below. This variation is being investigated locally.
- Of the approximately 50,000 Scottish residents who died in 2013/14, 91% of their last 6 months of life was spent at home or in the community and the remaining 9% of time was spent in an acute hospital. This is similar to the previous year.
- There is some variation between NHS Boards, with the percentage ranging from 89% to 93%, in part reflecting the provision of community hospitals in different parts of the country.
- There is little variation in the percentage between those living in the most deprived areas and those living in the least deprived areas (90% compared to 91%).
- People living in the more rural areas of Scotland spent a greater percentage of their last 6 months of life at home or in the community than those living in large urban areas (94% compared to 90%).
During the week ending 16 August 2015:
- There were 25,425 attendances at EDs across Scotland.
- 94.2% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 100 (0.4%) patients spent more than 8 hours in the department
- 3 (<0.1%) patients spent more than 12 hours in the department.
- There were 696 suicides registered in Scotland in 2014, compared to 795 in 2013. This indicates that the welcome declining trend in suicide rates in recent years appears to be continuing.
- In 2014, the suicide rate for males was more than two-and-a-half times that for females.
- In 2010-14, the suicide rate was more than three times higher in the most deprived population compared to the least deprived (24.5 deaths per 100,000 population compared to 7.5).
- While suicide rates are strongly related to deprivation level, this difference or inequality has decreased between 2001-05 and 2010-14.
- The suicide rate varies between different areas within Scotland and fluctuates over time.
- Although Scotland appears to have had a higher suicide rate than the UK overall since the early 1990s, this comparison is influenced by differences in data recording practices between countries.
- In Scotland, for the two year period 2013 and 2014, the percentage of people diagnosed with breast, colorectal and lung cancer (combined) at the earliest stage (stage 1) was 24.7%.
- In Scotland, there was a relative 6.5% increase in the percentage of people diagnosed at stage 1 for breast, colorectal and lung cancer (combined) between the baseline (2010 and 2011 combined) and year 3 (2013 and 2014 combined). This represents a 1.5 percentage point increase from the baseline.
- In interpreting these trends, it is important to consider the reduction in the proportion of cases for which stage is recorded as ‘not known’. Part of the improvement in the percentage of cases diagnosed at stage 1 is due to this reduction.
During the week ending 09 August 2015:
- There were 25,451 attendances at EDs across Scotland.
- 94.5% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 79 (0.3%) patients spent more than 8 hours in the department
- 7 (<0.1%) patients spent more than 12 hours in the department.
- The HSMR for Scotland has decreased by 15.7% between October-December 2007 and January – March 2015.
- Seven hospitals have shown a reduction in excess of 20%: Balfour Hospital; Crosshouse Hospital; Monklands District General Hospital; Ninewells Hospital; Stracathro Hospital; Victoria/Queen Margaret Hospital; Wishaw General Hospital
- Since October-December 2007, there has been a reduction in HSMR in 29 of the 31 hospitals participating in the SPSP.
- The number of new cases of cancer (excluding non-melanoma skin cancer) is predicted to rise by 33% between 2008-2012 and 2023-2027, mainly as a result of the population growing older.
- The average number of new cases per year will increase from over 30,500 cases in 2008-2012 to over 40,000 cases in 2023-2027.
- Lung cancer is predicted to continue to be the most common cancer in 2023-2027.
- The number of new cases of lung cancer is predicted to increase by 29% for women and 12% for men between 2008-2012 and 2023-2027. It is predicted that more women than men will be diagnosed with lung cancer during 2013-2017. This reflects the historical levels of smoking in the population.
- Over the last ten years, mortality figures for admission to Intensive Care Units in Scotland have been reducing. This report shows that patients are now more likely to survive their admission to Intensive Care.
- Every patient in a Critical Care Unit should be seen each day by an appropriately trained consultant. In 2014, 77% of Intensive Care Units were found to comply with this quality standard, a reduction from the 85% reported in 2013. For High Dependency Units, the figure was 76%, an increase from 66% in 2013.
- Any deaths in a Critical Care unit should be discussed in an open forum so that the team can learn from any complications or errors. In 2014, 92% of Intensive Care Units and 44% of High Dependency Units reported having such discussions.
- Night time discharges (8pm to 8am) from a critical care unit are associated with worse outcomes for the patient. These remained at a similar percentage to that reported in 2013, with 13% of patients being discharged at night time.
- 2.5% of Intensive Care Unit patients developed a Healthcare Associated Infection in 2014. Incidence of Healthcare Associated Infections has remained the same since 2013.
- There were over 45,000 admissions included in the audit in 2014.
During the week ending 02 August 2015
- There were 24,282 attendances at EDs across Scotland.
- 95.6% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 48 (0.2%) patients spent more than 8 hours in the department
- 2 (<0.1%) patients spent more than 12 hours in the department.
During the week ending 26 July 2015:
- There were 23,743 attendances at EDs across Scotland.
- 95.1% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 56 (0.2%) patients spent more than 8 hours in the department.
- 1 (<0.1%) patients spent more than 12 hours in the department.
From 1 April 2014 to 31 March 2015
- There were a total of 894,474 patients seen at GP Out of Hours services in Scotland.
- A patient may have more than one consultation during their contact with the GP Out of Hours Service. There were a total of 997,112 consultations in the year which gives a rate of just over 1.1 consultations for each patient contact. The types of consultation include attendances at Primary Care Emergency Centres/Primary Care Centres (56%), GP Out of Hours Nurse/Doctor advice (21%) and home visits (19%).
- On average, around 75,000 patients are seen each month. Numbers vary depending on the time of year. More patients are seen during winter months and when there are public holidays. The highest number of patients seen in any month was in January 2015 where 88,414 patients were seen.
- Patients aged over 75 years accounted for nearly 20% of the patients treated. Nearly half of the patients seen at GP Out of Hours were aged 18 to 65 years (the 18 to 65 age group accounts for 63% of the Scottish population).
- The percentage of home visits recorded is slightly higher in the more rural NHS Boards, there is however variation between NHS Boards in the type of consultations recorded. It should be noted that how each NHS Board configure their services locally will impact on any comparisons made.
During the month ending 30 June 2015:
- There were 134,757 attendances at A&E services across Scotland.
- 94.3% of attendances at A&E services were seen and subsequently admitted,transferred or discharged within 4 hours.
- 579 (0.5%) patients spent more than 8 hours in the department
- 81 (0.1%) patients spent more than 12 hours in the department.
- 25% of attendances led to an admission to hospital
The total number of attendances in the last 12 months (1 July 2014 to 30 June 2015),and over the same periods in the previous 2 years were:
- Year ending 30 June 2015: 1,618,474
- Year ending 30 June 2014: 1,633,276
- Year ending 30 June 2013: 1,611,876
The percentage seen and subsequently admitted, transferred or discharged within four hours in the last 12 months (1 July 2014 to 30 June 2015) and over the same periods in the previous 2 years were:
- Year ending 30 June 2015: 92.0%
- Year ending 30 June 2014: 93.8%
- Year ending 30 June 2013: 93.3%
Due to service reconfiguration, the number of A&E attendances for June 2015 (33,605)in NHS Greater Glasgow and Clyde are not directly comparable with June 2014(39,806).