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ISD Scotland better information, better decisions, better health

Information Services Division

ISD Scotland is part of NHS National Services Scotland

NHS National Services Scotland ISD Scotland & NHS National Services Scotland
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About ISD

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.

More about ISD

What's New in ISD?

Publishing primary care out of hours information consultation - We are currently reviewing how we publish primary care out of hours information and are keen to have your views on this. To take part, please complete the Consultation [625Kb] and email to NSS.isdunscheduledcare@nhs.net by Thursday 30 June 2016.
[2 June 2016]

NHS Performs - Latest update

NHS Performs has been updated to include information on:

  • Emergency Department activity for the week ending 12 June 2016
  • Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 13 June 2016
  • Number of Delayed Discharges for May 2016

NHS Performs

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.
[21 June 2016]

See our News Archive for earlier stories

Latest Statistics

Published: 21 June 2016
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Quarterly Uptake

  • Rates of childhood immunisations continue to be high in the quarter ending 31 March 2016 in Scotland, ranging from 92.9% to 98.3% across the different age bands and vaccines.

Financial Year Uptake

  • Rates of childhood immunisations also continue to be high in the year ending 31 March 2016, ranging from 92.9% and 98.1% across the different age bands and vaccines.
Published: 21 June 2016
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Registration

  • 4.9 million (91%) of the Scottish population are registered with an NHS dentist.
  • Children are more likely to be registered with an NHS dentist than adults (94% compared to 90%) and true across all deprivation areas.
  • In contrast, adults are more likely to be registered if they live in the more deprived areas (92% in the most deprived area, 84% in the least deprived areas).

Contact with a Dentist (Participation)

  • At March 2016, 3.5 million (72%) of those registered had seen an NHS dentist within the last two years. This has been a steady decline since the change in the registrations rules in 2007, when 2.5 million (99%) had contact with an NHS dentist.
  • Children are more likely than adults to have seen an NHS dentist within the last two years (85% compared to 69%).
  • Those from the most deprived areas were less likely to see their dentist within the last two years than those from the least deprived areas.
Published: 21 June 2016
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In the quarter ending March 2016 for AHP MSK services (Physiotherapy, Occupational Therapy, Chiropody/Podiatry and Orthotics) in the nine NHS Boards:

  • 62,425 patients had a first clinical appointment with an AHP MSK service (all professions) and just over half (50.3%) were seen within 4 weeks. This compares with 49.2% during the quarter ending December 2015.
  • Nine out of ten patients were seen within 17 weeks.
Published: 21 June 2016
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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.

Published: 21 June 2016
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Disability

  • In 2014, it was estimated that 31% of adults (aged 16 years and over) in Scotland had a limiting long-term condition or illness (lasting at least 12 months).

Drugs – Addiction Prevalence Testing

  • In 2015/16, 73% tested positive for illegal drugs when entering prison and 27% tested positive for illegal drugs when leaving prison.

Drugs – Drug Related Criminal Proceedings

  • In 2014/15, for those convicted of ‘possession with intent to supply’, the most common sentence was imprisonment (51%). For ‘possession’, the most common sentence was a fine (64%). The use of community sentences has increased over time (33% and 10% respectively in 2014/15, compared to 17% and 2% in 2010/11).

Ethnicity

  • Completeness and quality of ethnicity coding in national routinely-collected hospital records have improved sufficiently (80% complete with the ability to reach 90% through matching) to allow comparison of hospital admission rates by ethnic group for the first time in Scotland.

Tobacco Use

  • Over the period 2003-14, a clear downward trend in the number of deaths attributable to smoking was apparent.
Published: 21 June 2016
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Hospital bed days associated with delays in discharge in April 2016

  • In April 2016, patients spent 43,980 days in hospital due to delays in discharge. This is a 5% decrease on the previous month and a 7% decrease on the same period last year.

Hospital bed days associated with delays in discharge in April 2016

  • In April 2016, patients spent 43,980 days in hospital due to delays in discharge. This is a 5% decrease on the previous month and a 7% decrease on the same period last year.

Patients ready for discharge as at May 2016 census

  • 1,123 patients were delayed at the May 2016 census. This is a 1% increase on April 2016.
  • 335 of these delays (30%) were for patients with specific complex care needs.
  • Of the remaining 788 patients delayed at the census:
    • 271(34%) were awaiting place availability in a care home
    • 205 (26%) were awaiting completion of social care arrangements for social care support to live in their own home – awaiting social support (e.g. carer).
    • 163 (21%) were awaiting completion of a post hospital social care assessment
Published: 21 June 2016
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During the week ending 12 June 2016:

  • There were 27,421 attendances at Emergency Departments across Scotland.
  • 94.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 89 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 8 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
Published: 14 June 2016
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  • In 2015/16 there were 97,245 Alcohol Brief Interventions (ABI) carried out in Scotland. This is 59% more than the 61,081 set out in the Local Delivery Plan (LDP) standard for 2015/16.
  • At national level both the target for all ABI delivery and the expectation of delivery of 80% of the target in priority settings were met. All but one NHS Board (NHS Western Isles) exceeded their target for ABI delivery in 2015/16.
  • There is large variation between individual NHS Boards in the distribution of ABI delivery across settings. There has been a three-fold increase in the number of ABIs delivered by ‘wider’ settings (other than priority settings) in the last three-year period.
Published: 14 June 2016
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  • A total of 561 general practices (58%) responded to the “In Hours” survey. All 14 NHS Boards responded to the GP Out of Hours section.
  • The Whole Time Equivalent (WTE) of GPs working in practices declined by 2% between 2013 and 2015 (from 3,735 to 3,645).
  • Between 2013 and 2015 the WTE of registered nurses employed by general practice increased, by 2% (from 1,420 to 1,455). The WTE of Health Care Support Workers increased by 23% (from 300 to 365).
  • One in five practices reported having a GP vacancy at 31 August 2015, twice as many as in 2013. Half of the vacancies reported had been vacant for over 6 months. Vacancies among nurses in general practice were much lower with 5% of practice reporting a vacancy.
  • More than a third of GPs working in Scottish general practice are over 50. This proportion is higher in males, with nearly half (47%) aged over 50 while for female GPs only 29% are over 50. The age profile of nurses in general practice is much older, with over half (53%) aged over 50.
  • 2,228 GPs were reported as working within GP Out of Hours services, however there was a large variation in the amount of time input to the services. 6% of GPs working in GP OoH services worked an average of 20+ hours per week which accounted for 34% of the total GP hours worked. The remaining GPs working in Out of Hours Services generally worked only a small number of hours each over the year.
  • All NHS Boards, with the exception of Shetland, reported having to take actions due to being unable to fill all GP OoH service shifts as planned, with 9 NHS Boards reporting having to do so at least weekly. The most common action taken was for staff to work longer shifts or start a shift earlier.
Published: 14 June 2016
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Pain Clinic / Service

  • There were 5,041 referrals to Pain Clinic / Service during the quarter ending 31 March 2016. This compares with 4,791 referrals for the previous quarter.
  • 85.8% of the 2,924 patients seen in the quarter ending 31 March 2016 were treated within 18 weeks. This compares with 82.5% of the 3,317 patients seen in the previous quarter.
  • As at March 2016, 4,376 patients were waiting to be seen at a Pain Clinic / Service; of which, 85.8% had been waiting less than 18 weeks.
  • 14.3% of patients did not attend their appointment and failed to notify the hospital.

Pain Psychology Clinic

  • Of the 8 NHS Boards that provide this service and can provide the information, there were 327 referrals to a Pain Psychology Clinic during the quarter ending 31 March 2016. This compares with 341 referrals for the previous quarter.
  • 90.1% of the 253 patients seen in the quarter ending 31 March 2016 were treated within 18 weeks. This compares with 95.0% of the 282 patients seen in the previous quarter.
  • As at March 2016, 282 patients were waiting to be seen at a Pain Psychology Clinic; of which, 96.5% had been waiting less than 18 weeks.
  • 8.0% of patients did not attend their appointment and failed to notify the hospital.
Published: 14 June 2016
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  • The total number of items dispensed in March 2016 was 8.9 million, an increase of 1.8% compared to March 2015.
  • The cost of items dispensed in March 2016 was £97.8 million, an increase of 7.0% compared to March 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 for items with supply issues and the adoption of novel agents such as Direct Acting Oral Anticoagulants (DOACs) also contribute to the observed increase in costs.
Published: 14 June 2016
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During the week ending 5 June 2016:

  • There were 28,129 attendances at Emergency Departments across Scotland.
  • 94.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 65 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 1 patient (< 0.1%) spent more than 12 hours in an Emergency Department.
Published: 07 June 2016
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  • At 31 March 2016, the number of staff employed by NHSScotland was 161,656 (headcount). This is equivalent to 138,458.2 whole time staff (referred to as whole time equivalent or WTE), an increase of 0.6% compared to March 2015.
  • The number of consultants in post was 5,115.6 WTE in March 2016, an increase of 4.0% compared to March 2015.
  • There were 355.4 WTE vacant consultant posts. This represents a vacancy rate of 6.5%, a decrease from 7.7% at March 2015. Of these vacancies, 166.1 WTE were vacant for more than six months, an increase of 17.4 WTE compared to March 2015.
  • The number of nursing and midwifery staff in post increased by 0.3% to 59,372.4 WTE compared to March 2015.
  • There were 2,207.3 WTE vacant nursing and midwifery posts. This represents a vacancy rate of 3.6%, a slight increase from 3.3% at March 2015.
  • The use of bank nursing and midwifery staff stabilised in the last year, increasing by 0.7% from 4,256 WTE in March 2015 to 4,287 WTE in March 2016. The use of agency nursing and midwifery staff increased substantially for the third consecutive year, providing cover equivalent to 276.7 WTE in 2015/16 compared to 191 WTE in 2014/15. This represents an increase of 44.9% with costs rising at a similar rate from £16m to just under £23.5m. This is a large increase in agency use but, when viewed in the context of the total nursing and midwifery workforce (WTE of staff in post, agency and bank), the proportion is small (0.4%).
Published: 07 June 2016
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  • Since 31 March 2015 the number of Clinical Psychologists has increased from 850 headcount to the current level of 862 headcount at 31 March 2016, however the WTE has decreased in this time period from 711.3 WTE to the current level of 705.0 WTE.
  • The number of Clinical and Other Applied Psychologists, has increased by 25% over the last 7 years, from 614.2 WTE (692 headcount) in 2009 to the current level of 767.6 WTE (935 headcount).
  • This represents a staffing level of 14.3 WTE Applied Psychologists per 100,000 of the population of Scotland. This rate varies across NHS Health Board areas. For instance, in respect of mainland boards, the rate for NHS Greater Glasgow and Clyde (17.7 WTE per 100,000) is over double the rate for NHS Highland (8.7 WTE per 100,000).
  • At 31 March 2016 52.9 WTE posts were vacant and in the process of being advertised with a further 5.6 WTE posts being approved for recruitment but not yet advertised.
Published: 07 June 2016
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  • There has been a 30% increase in the CAMHS workforce from 764.6 WTE (883 headcount) in 2009 to 993.5 WTE (1154 headcount) as at 31 March 2016.
  • The headcount has remained relatively stable over the past year. Nationally, this represents a staffing level of 18.5 WTE clinical workers per 100,000 of the population of Scotland. This rate varies across NHS Health Board areas. For instance, in respect of mainland boards, the rate for NHS Tayside (26.2 WTE per 100,000) is over double the rate for NHS Grampian (9.9 WTE per 100,000).
  • At 31 March 2016, 35.6 WTE posts were vacant and in the process of being advertised with a further 12.2 WTE posts being approved for recruitment but not yet advertised.
Published: 07 June 2016
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  • During the quarter ending March 2016 13,451 people started treatment for Psychological Therapies in Scotland, 82.8% of which were seen within 18 weeks. Half of the patients started their treatment within 7 weeks. The trend of patients seen within 18 weeks has remained relatively stable over the last five quarters.
  • Five NHS Boards met the standard of treating 90% of patients referred within 18 weeks - these were NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Shetland and NHS Western Isles.
  • Improving access to services for older people is a key element of the mental health strategy. 747 people aged 65 and over started treatment for Psychological Therapies in this quarter and 88.1% were seen within 18 weeks.
Published: 07 June 2016
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During the quarter ending March 2016;

  • 4,436 children and young people started treatment at CAMH services in Scotland which is similar to the previous quarter (4,483) and then higher than the same period the previous year (4,269).
  • 84.2% were seen within18weeks and half started their treatment within eight weeks. This compares with 76.1% in the previous quarter and 78.9% in the same period the previous year.
  • The 18 week standard was met by eight Boards (NHS Ayrshire & Arran, NHS Dumfries & Galloway, NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Orkney, NHS Tayside and NHS Western Isles).
  • Across Scotland, 11.6% of patients referred to CAMH services did not attend their first appointment, compared to 13.1% in previous quarter and 10.7% for the same period in 2015.
Published: 07 June 2016
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  • In 2014/15, 288 outlets in Scotland provided injecting equipment. Three in four of these outlets were located in pharmacies.
  • Approximately 330,000 attendances were reported by injecting equipment outlets.
  • Approximately 4.4 million needles/syringes were distributed by participating outlets.
  • Nationally, 71 needles/syringes were distributed per problem drug user.
  • The number of outlets distributing injecting paraphernalia has increased over time. In 2014/15, sterile wipes or swabs and citric acid or vitamin C were the types of paraphernalia most commonly distributed (4.2 million and 3.3 million items respectively).
Published: 07 June 2016
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  • The total number of planned operations across NHSScotland during April 2016 was 29,745. Of these, 2,806 (9.4%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 3.4% to 12.2%. This compares with a cancellation rate of 10.0% in the previous month.
  • Of all planned operations, 1,152 (3.9%) were cancelled by the patient, 1,005 (3.4%) were cancelled based on clinical reasons by the hospital and 467 (1.6%) were cancelled by the hospital due to capacity or non-clinical reasons.
Published: 07 June 2016
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In the month of April 2016:

  • There were 131,755 attendances at A&E services across Scotland.
  • 95.1% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 568 (0.5%) patients spent more than 8 hours in an A&E department.
  • 158 (0.1%) patients spent more than 12 hours in an A&E department.
  • 25 % (one in four) of attendances led to an admission to hospital.

For the year ending March 2016:

  • The total number of attendances was 1,606,576. This is 2.0% lower than the previous year (1,639,991)
  • The percentage spending 4 hours or less in an A&E department was 94.1%, compared with the previous year’s figure of 91.9%.
Published: 07 June 2016
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During the week ending 29 May 2016:

  • There were 27,149 attendances at Emergency Departments across Scotland.
  • 94.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 73 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 6 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

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Media Monitoring

If you would like to know more about what is going on in the health service, you may be interested in Information Services Library's media monitoring service. This provides twice daily updates on health related stories being reported in the Scottish media.

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National Data Catalogue

The National Data Catalogue (NDC) is a single definitive resource of information on Scottish Health and Social Care datasets that incorporates the Data Dictionary, information on the National Datasets and New Developments.

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ScotPHO

ScotPHO, The Scottish Public Health ObservatoryThe Scottish Public Health Observatory (ScotPHO) is a major web resource that has been developed by ISD Scotland in collaboration with NHS Health Scotland and other key national organisations.

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