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 20 September 2015
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 21 September 2015
- Cancer waiting times for April to June 2015
- Hospital beds information 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.
[29 September 2015]
Child & Adolescent Mental Benchmarking Release
Our Mental Health Benchmarking tools have been designed to support staff drive continuous improvement in the provision of mental health services in Scotland.
The latest CAMHS Benchmarking Toolkit (for data up to June 2015) contains information on the Child and Adolescent Mental Health Services (CAMHS) waiting times, workforce statistics, inpatient admissions and inpatient bed days.
Prescribing Data Consultation
ISD is carrying out a consultation on prescribing data: download in either word [326 Kb] or pdf [127 Kb] format: we would like to hear the views of stakeholders to inform our proposed changes. We are keen to identify data that is of interest and find ways to continue to improve our publications. If you would like to feedback to the consultation please e-mail your responses to NSS.email@example.com by 31 October 2015.
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.
- In the quarter ending 30 June 2015, 92.1% of patients started treatment within the 62 day standard. This is similar to the 91.9% in the previous quarter.
- The 62-day standard was met by eight NHS Boards in the quarter ending 30 June 2015. This compares to four NHS Boards meeting the standard in the previous quarter.
- During the quarter ending the 30 June 2015, three of the ten cancer types successfully met the 95% target – they were breast (97.5%), lymphoma (96.2%) and ovarian (97.1%).
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.
- In the quarter ending 30 June 2015, 96.3% of patients started treatment within this standard. This is similar to the figure for the previous quarter (96.5%). The standard was met by 13 NHS Boards. The NHS Boards who did not meet the target were - NHS Grampian (92.7%) and NHS Highland (94.5%).
- Nine of the main cancer types met the 31 day standard. 89.9% of patients waiting to be treated for urological cancers were treated within 31 days - this is consistent with the previous quarter.
- The total number of NHSScotland complaints was 22,417, a 9% increase on last year. Of overall NHSScotland activity (hospital activity, outpatient appointments, A&E attendances, GP/nurse activity, dental and ophthalmic treatments) only 0.05% resulted in a complaint.
- The total number of complaints received by NHSScotland Hospital and Community Health Services was 13,723, a 14% increase. This increase is mainly due to the inclusion of complaints made within the prison service.
- The total number of complaints for Family Health Services and Special Boards/National and Support Organisations was 7,422 (1% rise) and 1,272 (11% rise) respectively when compared to 2013/14.
- There was an increase in the number of complaints being fully upheld whilst fewer were partially upheld and not upheld in Hospital and Community Health Services and Special Boards / National and Support Organisations. This information is not available for Family Health Services; however, it is not mandatory to provide this.
- Response times improved this year. The majority of complaints were dealt with within 20 days: Hospital and Community Health Services: 70%; Family Health Services: 90%; Special Boards/National & Support Organisations: 82%
In April - June 2015, 95.3% of the 11,311 people who started their first drug or alcohol treatment waited three weeks or less, similar to the previous quarter.
Of the 3,017 people who were still waiting to start drug or alcohol treatment, 169 people, or 5.6%, had waited more than six weeks at the end of June 2015, compared to 137 people (4.3%) in the previous quarter.
In April–June 2015, of the 1,157 people in prison, who started their first drug or alcohol treatment, 95.9% waited three weeks or less and 77.2% waited one week or less.
- There were over 360,000 new outpatient attendances in April - June 2015. Around 1 in 10 patients (9.9%) did not attend for their outpatient appointment which is similar to both the previous quarter and the same period in 2014.
- There were around 393,500 patients treated in hospital as either an inpatient or as a day case patient and this is broadly similar to the numbers treated in the same period the previous year.
- The number of beds has remained stable.
- Since the Heat 75+ target was introduced in 2009/10, the rate of emergency bed days per 1,000 patients aged 75 and over in Scotland has reduced by 11.4% from 5,422 in 2009/10 to 4,805 in 2014/15.
- The gross total payments to Scottish dispensing contractors increased by £18.8 million (6.5%) between quarter one of 2014/15 and quarter one of 2015/16.
- The cost for remuneration of services has increased by £1.6 million (3.1%) from £51.0 million in quarter one of 2014/15 to £52.7 million in the same period in 2015/16.
- A total of 25.5 million items were dispensed in quarter one of 2015/16, an increase of 0.3 million items (1.1%) compared to the same quarter in 2014/15. The cost per item has also increased this quarter to £10.46 from £9.83 per item in quarter one of 2014/15.
- Both the gross ingredient cost (GIC) and net ingredient cost (NIC) of items increased between quarter one of 2014/15 and quarter one of 2015/16. The GIC increased by 7.5% and the NIC increased by 7.2%.
Annually there are 1.6 million attendances to all A&E services in Scotland. Emergency Departments are responsible for more than 8 out of every 10 attendances, and 19 out of 20 admissions to hospital from A&E.
This report looks at the demographic of individuals attending Emergency Departments and how this affects rates of attendance in NHS Scotland.
- The Resource Allocation Formula is used in the allocation of around 70% of the total NHS budget between 14 territorial NHS Boards by the Scottish Government.
- The formula aims to predict healthcare needs based on the characteristics of the population.
- It covers a range of healthcare programmes: Acute hospital care; hospital care for Mental Health and Learning Difficulties, Care of the Elderly and Maternity; Community care and GP Prescribing.
- The final shares for 2016/17 may be different from the calculated target shares as the results are used to inform the final allocation, not to determine them.
Health harm - Blood Borne Viruses:
- There were 8,004 HIV infections reported in Scotland between 1985 and 2014. Of these, 1,518 (19%) were amongst people who inject drugs.
- Of the 371 HIV cases reported by NHS Boards in Scotland in 2014, 23 (6%) were amongst people who inject drugs.
Treatment for drug misuse - Opioid Replacement Therapy:
- For the fourth successive year there has been a decrease in the dispensing of Opioid Replacement Therapy drugs (including methadone).
- Due to significant public interest in the provision of Opioid Replacement Therapy drugs, ISD are publishing estimates of the number of individuals in Scotland prescribed methadone. Because of data quality issues, these estimates show the minimum number of individuals prescribed methadone in each time period. It is estimated that methadone was prescribed to at least 25,170 individuals in Scotland in 2014/15. The estimated number of individuals prescribed methadone reduced from at least 26,202 individuals in 2011/12.
During the week ending 20 September 2015:
- There were 26,163 attendances at EDs across Scotland.
- 94.4% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 88 (0.3%) patients spent more than 8 hours in the department<
- 2 patients (0%) spent more than 12 hours in the department.
Vaccination programmes for children in Scotland aim to both protect the individual child from many serious infectious diseases but also to prevent the spread of disease within the wider population.
The Information Services Division provides a quarterly update of immunisation uptake rates for children at 12 months, 24 months, five years and six years of age, by NHS Board and Local Authority.
- During the period covered by the publication, there were 9,823 emergency or urgent inpatient admissions to hospital for a heart attack. The average length of stay for these patients was nine days, which is similar to the previous year.
- There were 1,561 emergency readmissions to hospital within 30 days of discharge following an emergency or urgent admission for a heart attack (17.7%).
- There were 932 deaths within 30 days of discharge following an emergency or urgent admission for a heart attack (10.1%).
Hospital Bed Days associated with delays in discharge in July 2015
- In July 2015, there were 47,797 days spent in hospital associated with delays in discharge; this is a 5% increase on the previous month (45,356). This increase in part reflects a change in data recording practice by NHS Lanarkshire. Excluding NHS Lanarkshire, the number of bed days occupied by delayed discharges increased by 1% on the previous month.
- Nationally, 1 in 5 of these bed days are for patients with specific complex care needs; this varies significantly by NHS Board.
Patients ready for discharge as at August 2015 census
- 1,188 patients were delayed at the August 2015 census. This is a 6% increase on the previous month (1,124). Around one quarter of these delays (309) are for patients with specific complex care needs. The remaining 879 were standard delays.
- At the census point, there were 481 patients who were delayed over two weeks. Although this is a 10% reduction on the corresponding period a year ago, this number has been rising since April 2015.
- The main reasons for these delays were: 44% (212) awaiting place availability in a care home; 37% (176) waiting to go home; 11% (52) awaiting a community care assessment
- Previously unpublished data has been included on allergic conditions. These contribute to a large number of different diseases and have both acute and chronic effects.
- There were around 8,500 hospital admissions due to allergic conditions in Scotland in 2014/15, of which around 6,400 were due to asthma.
- Over the last ten years, the overall numbers of hospital admissions due to allergy and due to asthma have fallen.
During the week ending 13 September 2015:
- There were 26,233 attendances at EDs across Scotland.
- 95.6% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 45 (0.2%) patients spent more than 8 hours in the department
- 0 patients (0%) spent more than 12 hours in the department.
During the week ending 06 September 2015:
- There were 25,890 attendances at EDs across Scotland.
- 94.8% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 67 (0.3%) patients spent more than 8 hours in the department
- 0 patients (0%) spent more than 12 hours in the department.
During the week ending 30 August 2015:
- There were 26,728 attendances at EDs across Scotland.
- 93.9% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 92 (0.3%) patients spent more than 8 hours in the department
- 4 patients (<0.1%) spent more than 12 hours in the department.
- In 2014, 431 new patients were reported to the MS Register as having received a confirmed diagnosis of MS. This brings the total number of people reported over the five year period to 2164.
- The annual number of MS registrations has ranged from 392 to 474 over the five year period.
- According to the Register data, NHS Orkney had the highest incidence of MS across the 5 year time period (2010 - 2014) with an average annual incidence of 19 people per 100,000.
- The average annual incidence over the five year time period shows that more than twice as many women (300) as men (132) were diagnosed with MS. The higher level of reported incidence amongst women is across all age groups (chart 7).
- The level of new patients being reported to the MS Register is greatest amongst the 25-49 year age group.
- Over the five year time period 26 people (1%) declined contact with a MS Nurse Specialist.
- 63% of people newly diagnosed with MS in 2014 had contact with a MS Nurse Specialist within two weeks of diagnosis. This is a 7% improvement on 2013 (56%) though performance does vary across Health Boards.
- Delays in MS Nurse Specialists receiving referrals from Neurologists continue to be problematic lengthening the time taken for the patient to see a MS Nurse Specialist from the date of their confirmed diagnosis.
- In 2014, once the referral was received by the MS Nurse Specialist, contact within two weeks was achieved for 85% of the patients which is an improvement of 2% on 2013 (83%).
During the week ending 23 August 2015:
- There were 25,795 attendances at EDs across Scotland.
- 95.3% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 35 (0.1%) patients spent more than 8 hours in the department
- No patient spent more than 12 hours in the department.
- Of those eligible, 70.4% of women in Scotland took up the invitation to be screened in the previous 3.5 years at 31 March 2015.
- In 2014-15, 397,673 cervical screening tests were processed, an increase of 3.5% compared to 2013-14. Of all tests processed, 97.3% were of satisfactory quality e.g. there were enough cells in the sample.
- Of those, 91.0% of tests had a negative (normal) result, 7.7% had a low grade cell change and the remaining 1.3% had high grade cell changes.
- There has been an increase of 4.2% (5,506.8 WTE) in the total NHSScotland workforce since June 2011.
- At 30 June 2015, NHSScotland had a headcount of 160,635 staff, equivalent to 137,420.7 whole time staff (WTE), increases of 1.0% and 1.1% respectively since 30 June 2014.
- Of the overall increase in staff of 1,540.0 WTE between June 2014 and June 2015, the biggest increase was seen in nursing and midwifery (611.4 WTE).
- The number of consultants in post increased by 5.4% (252.7 WTE) to 4,943.0 WTE between June 2014 and June 2015.
- Combined nursing and midwifery vacancies increased by 390.6 WTE from June 2014 to 2,255.9 WTE in June 2015, a rate of 3.7%.
- At 30 June 2015, 8.3% (447.5 WTE) of consultant posts were vacant, an increase from the rate of 6.9% at June 2014. Of these, 188.0 WTE were vacant for more than six months, an increase of 95.1 WTE on June 2014.
In the month of July 2015:
- There were 131,948 attendances at A&E services across Scotland.
- 95.8% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
- 402 (0.3%) patients spent more than 8 hours in the A&E department
- 74 (0.1%) patients spent more than 12 hours in the A&E department.
- 25% of attendances led to an admission to hospital.
- The number of A&E attendances for July 2015 was the lowest recorded level of A&E activity for July in the past 5 years. This is partly due to service reconfiguration in NHS Greater Glasgow and Clyde.
For the year ending July 2015:
- The total number of attendances was 1,606,112. This is 1.6% lower than the previous year (1,632,245).
- The percentage discharged within four hours was 92.1%, lower than the previous year’s value of 93.7%.
- The total number of planned operations across NHSScotland during July 2015 was 28,569;
- Of these, 2,605 (9.1%) operations were cancelled either by the hospital or by the patient, with individual NHS boards ranging from 5.0% to 13.1%. This compares with a cancellation rate of 8.9% in June;
- Of all planned operations, 414 (1.4%) were cancelled by the hospital due to capacity or other non-clinical reasons and 1,078 (3.8%) were cancelled by the patient. These are similar to June’s figures.