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?
Dental Registration and Participation Information Consultation
We are currently reviewing the frequency of our dental registration and participation information and are keen to have your views on this. To take part please complete the Consultation [34Kb] and email to NSS.email@example.com by Monday 15 August 2016.
Scottish Morbidity and Mortality Programme
The Scottish Morbidity and Mortality Programme has been established to provide structure, support and offer standardised approaches to morbidity and mortality review meetings and related processes. This programme will be able to help NHS Boards improve such process, identify opportunities for improving patient care and share learning. With a strong focus on improvement, the programme will support education and training, develop systems that support processes and share learning across NHS Boards. Find out more about our work.
[30 June 2016]
NHS Performs - Latest update
NHS Performs has been updated to include information on:
- Emergency Department activity for the week ending 17 July 2016
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 18 July 2016
- Number of Delayed Discharges for 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.
[26 July 2016]
- 25.1% of people were diagnosed with breast, colorectal and lung cancer at the earliest stage (stage 1). This is an 8.0% increase from the baseline (2010 and 2011 combined) and below the Local Delivery Plan standard of 25%, showing that the standard has not been met in its final year.
- Among patients diagnosed with breast, colorectal and lung cancer living in the most deprived areas of Scotland, the highest proportion (29.6%) were diagnosed at stage 4, the most advanced stage of disease. Among those living in the least deprived areas, the highest proportion (28.8%) were diagnosed at stage 1, the earliest stage.
- There has been an improvement in the recording of the data with fewer patients being recorded with a not known stage of disease – a baseline of 9.0% compared with 5.5% for the latest time period.
Hospital bed days associated with delays in discharge in May 2016:
- In May 2016, patients spent 44,305 days in hospital due to delays in discharge. This is a 6% decrease on the same period last year.
Patients ready for discharge as at June 2016 census:
- 1,159 patients were delayed at the June 2016 census. This is a 3% increase on May 2016.
- 338 of these delays (29%) were for patients with specific complex care needs.
- Of the remaining 821 patients delayed at the census:
- 262(32%) were awaiting place availability in a care home
- 204 (25%) were awaiting completion of social care arrangements for social care support to live in their own home – awaiting social support (e.g. carer).
- 181 (22%) were awaiting completion of a post hospital social care assessment
- Patients are being transferred more quickly from the Emergency Department to a ward (60% within three hours) which is particularly important for these often frail and elderly patients.
- Screening for the presence of delirium has improved from 22% in 2013 to 44% in 2015/16, which allows early management of this distressing condition.
- Comprehensive assessment by a specialist geriatric service is key to ensuring a positive outcome. Previously 80% of patients experienced a delay in seeing these specialists but this has improved to 40% still experiencing a delay.
- 70% of patients have their fracture repaired within 36 hours of admission.
- Repeated fasting of patients prior to surgery should be avoided. One in five patients are fasted more than once in preparation for theatre.NHS Boards are examining current practice to address this.
- Getting patients mobilised earlier is key to faster discharge from hospital. One in five patients continue to have a delay in initial mobilisation following repair of their fracture.
- Formal assessment of patients’ bone health, which is important in reducing future risk of fractures, has increased to 75% of patients.
- More patients are returning to their usual place of residence within 30 days of admission to hospital (60% in 2015/15 compared to 50% in 2013).
- The average length of total hospital stay has decreased from 22 to 17 days.
During the week ending 17 July 2016:
- There were 25,001 attendances at Emergency Departments across Scotland.
- 94.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 58 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 1 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
- The total number of items dispensed in April 2016 was 8.7 million, an increase of 4.1% compared to April 2015.
- The cost of items dispensed in April 2016 was £97.3 million, an increase of 9.4% compared to April 2015.
- The total cost of primary care drugs has increased over the last year. A significant proportion of the observed increase is accounted by the transition from hospital supply routes to provision through community pharmacy. An example of this is the treatment of patients with Hepatitis C. Other factors, such as price adjustments and the adoption of novel agents such as Direct Oral Anticoagulants (DOACs) also contribute to the observed increase in costs.
- The view on the next page, one of four in the new Prescribing dashboard, shows the highest-cost therapeutic areas in terms of prescriptions in the community.
- Drugs used in Diabetes was the highest-cost BNF Section across Scotland in April 2016 (total cost of items dispensed was £7.9 million).
- Central Nervous System represented the highest-cost BNF Chapter (total cost of items dispensed across Scotland was £22.1 million). Analgesics (for all severities of pain-relief) was the highest-cost BNF Section in this Chapter at £6.4 million.
During the week ending 10 July 2016:
- There were 24,146 attendances at Emergency Departments across Scotland.
- 94.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 60 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 5 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
- In 2015/16 the total number of items dispensed was 102.61 million items with a gross ingredient cost of £1.10 billion.
- In 2015/16, the drug omeprazole, used for reducing stomach acid, was the most commonly prescribed drug with 3.57 million dispensed items. This has been the most commonly prescribed drug since 2012/13.
- Inhalers that contain the drug salmeterol with fluticasone propionate, prescribed for respiratory conditions such as asthma, had the highest total gross ingredient cost in 2015/16 at £35.55 million. This has been the highest cost drug since 2011/12.
- The rate of generic prescribing was 83.6% in 2015/16. The percentage of generic prescribing has slowly but steadily increased since 2006/07.
- Many of the drugs showing volume increases have an equivalent therapeutic use to one or more drugs that have decreased in volume and vice versa.
The SSCA monitors performance against a Stroke Care Bundle. The current bundle consists of four inpatient standards: timely Stroke Unit admission, swallow screen, brain imaging and aspirin administration. This Stroke Care Bundle was included in the 2015-16 Health Board Local Delivery Plans and trajectories for improvement were set locally.
The proportion of individuals, admitted to hospital with a confirmed diagnosis of stroke, receiving the appropriate bundle increased from 62% in 2014 to 64% in 2015. The wide variation between Health Boards suggests that there is still large potential for improvements in ‘bundle performance’.
During the week ending 3 July 2016:
- There were 24,779 attendances at Emergency Departments across Scotland.
- 95.6% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 42 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 0 patients (0.0%) spent more than 12 hours in an Emergency Department.
- Teenage pregnancy rates in all age groups have continued to decline in 2014. The teenage pregnancy rate for under 20s has dropped from the most recent peak of 57.7 in 2007 to 34.1 per 1,000 women in 2014, a decrease of 40.9%.
- In 2014, of the mainland NHS Boards, NHS Borders recorded the lowest rates of teenage pregnancy in both the under 18 and under 20 age groups with 17.5 and 29.3 per 1,000 women respectively.
- In 2014, of the mainland NHS Boards, NHS Tayside recorded the highest rate of teenage pregnancy across all age groups with 5.8 per 1,000 women in the under 16 age group, 27.1 per 1,000 women in the under 18 age group and 37.8 per 1,000 women in the under 20 age group.
- Termination rates for the under 16 age group have remained higher than delivery rates since 2002. For the period reported (1994-2014) termination rates for both the under 18 and under 20 age groups have remained lower than the delivery rates, however the difference between the rates has narrowed.
- There is a strong correlation between deprivation and teenage pregnancy. In the under 20 age group, a teenage female living in the most deprived areas is 5 times as likely to experience a pregnancy as someone living in the least deprived.
- The total number of planned operations across NHSScotland during May 2016 was 31,213. Of these, 2,845 (9.1%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 3.9% to 13.1%. This is a similar level to the previous month.
- Of all planned operations, 1,097 (3.5%) were cancelled by the patient, 967 (3.1%) were cancelled based on clinical reasons by the hospital, 578 (1.9%) were cancelled by the hospital due to capacity or non-clinical reasons and 203 (0.7%) were due to other reasons.
- The percentage of total planned operations that were cancelled has remained relatively stable over the period May 2015 to May 2016. Starting off from 9.2% in May 2015 it peaked in January 2016 at 11.1% before dropping to 9.1% in May 2016. This fluctuation is primarily due to non-clinical or capacity reasons as can be seen in the chart below.
In the month of May 2016:
- There were 148,522 attendances at A&E services across Scotland.
- 94.5% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
- 574 (0.4%) patients spent more than 8 hours in an A&E department
- 80 (<0.1%) patients spent more than 12 hours in an A&E department.
- 24 % of attendances led to an admission to hospital.
During the week ending 26 June 2016:
- There were 26,153 attendances at Emergency Departments across Scotland.
- 95.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 40 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 0 patients (0.0%) spent more than 12 hours in an Emergency Department.