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?
Government Statistical Service - User Engagement Case Study
Our 'Taking Care of Scottish Health Statistics' event has just been featured in a user engagement case study on the Government Statistical Service website
[27 August 2014]
Taking Care of Scottish Health Statistics
'Can we make official health statistics better?' was the question posed to attendees at a user engagement event on 17 June. Run jointly by UK Statistics Authority and ISD, this event was run as part of our Transforming Information Programme. The aim of the day was to better understand user needs to help inform improvements in quality, value, accessibility and impact of information. The event was open to anybody with an interest in health statistics. A report of the day is available from our Transforming Information blog. The Transforming Information Programme is a project focused on finding more effective ways of sharing information about health and care in Scotland.
[20 August 2014]
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- 97.2% of Inpatients and Day cases were seen within the 12 week TTG.
- Of the 2,291 patients who were not treated within 12 weeks, 58.7% were seen in NHS Lothian.
- 98.0% had been waiting for 12 weeks or less for Inpatient or Day case admission at 30 June 2014.
- 20.6% of patients waiting at 30 June 2014 were recorded as being unavailable for treatment.
- 56,591 patients in NHS Scotland were waiting for one of the eight key diagnostic tests and investigations. This is approximately 20% higher than 30 June 2013.
- 91.9% of patients waiting for a key diagnostic test had been waiting less than six weeks. When comparing to the position at 31 March 2014 and 30 June 2013, this has decreased from 95.4% and 97.0% respectively. The drop in performance is mainly due to the increase in patients waiting over six weeks for an Upper Endoscopy, Lower Endoscopy and Colonoscopy.
- The majority of the 4,608 patients waiting over six weeks in NHS Scotland were waiting to be seen in NHS Fife (39.2%) and NHS Grampian (28.9%).
- In June 2014, across NHS Scotland, 91.1% of patients whose 18 Weeks RTT journey could be fully measured, were reported as being within 18 weeks. The figures for April and May 2014 are 89.8% and 90.7% respectively. This is an increase from 89.6% in March 2014.
- In June 2014, twelve of the fifteen NHS Boards met the 90.0% target; three NHS Boards did not, namely NHS Forth Valley, NHS Grampian and NHS Lothian, who achieved 87.1%, 89.2% and 85.9% respectively.
- In June 2014, a total of 116,118 of patient journeys eligible under the 18 weeks RTT standard were identified. The waiting time could be fully measured for 107,407 of these patients (92.5%). It was not possible to calculate the waiting time fully for 8,711 patients due to the complexity of linking individual patient journeys.
- NHS Highland moved to a new patient management system on 3 March 2014 which has led to some technical difficulties submitting 18 weeks RTT data. As an interim measure, NHS Highland have submitted estimated figures since March 2014.
- Waiting times information for Psychological Therapies are developmental. NHS Boards are working with ISD and the Scottish Government to improve the consistency and completeness of the information. The target that at least 90% of people waiting for Psychological Therapies should start treatment within 18 weeks is due for delivery from December 2014.
- NHS Boards have had to develop new systems to enable reporting on Psychological Therapies waiting times.
- During the quarter ending June 2014, just over 9,870 people started treatment for psychological therapies in Scotland (excluding NHS Highland and NHS Lothian (June only)).
- The initial estimates from data at this stage of development indicate that around 82% of people were seen within 18 weeks.
- Waiting times information for CAMH services are still in development. NHS Boards continue to work with ISD and the Scottish Government to improve the consistency and completeness of the information. The 26 week target was due for delivery from March 2013, reducing to 18 weeks from December 2014. The target should be delivered for at least 90% of patients.
- During the quarter ending June 2014, just over 3,400 children and young people started treatment at CAMH services in Scotland (excluding NHS Highland and NHS Lothian (June only)).
- During the quarter ending June 2014, 89.1% of people were seen within 26 weeks and 82.9% of people were seen within 18 weeks.
- For this reporting period, NHS Board Ayrshire & Arran, Fife, Forth Valley, Grampian, Lothian and Tayside did not meet the 26 week HEAT target.
- During the quarter ending 30 June 2014, the proportion of new attendances at A&E services across Scotland that were seen and subsequently admitted, transferred or discharged within four hours were: April– 93.0%; May – 92.7%; June – 94.0%.
- In June 2014, two NHS Boards achieved the waiting time standard of 98% of patients seen and admitted, transferred or discharged from A&E within four hours; seven of the remaining twelve NHS Boards achieved over 95% compliance with the standard and the final five had between 89.7% and 95% compliance.
- Performance against the HEAT interim target in the year ending 30 June 2014 was 93.8%. The interim target is to achieve 95% of patients seen then admitted, transferred or discharged from A&E within four hours over 12 months (rather than a month as per the standard) by year ending September 2014.
- HSMR at Scotland-level has decreased by 14.4% between October-December 2007 and January-March 2014.
- Twenty nine hospitals participating in the SPSP have shown a reduction in HSMR since October-December 2007 (end of the baseline period); thirteen of these had a reduction in excess of 15%, with five showing a reduction in excess of 20%; namely: NHS Ayrshire & Arran’s Crosshouse Hospital (33.3%); NHS Greater Glasgow and Clyde’s Southern General Hospital (21.3%); NHS Tayside’s Ninewells Hospital (20.9%); NHS Lanarkshire’s Wishaw General Hospital (21.2%); and NHS Western Isles’ Western Isles Hospital (22.6%).
- Rolling annual HSMRs show that there was a sustained reduction in hospital mortality between 2009 and 2011; the level remained relatively constant until mid-2013, with subsequent data showing a further reduction in hospital mortality.
- On the 30th June 2014, the total number of vacancies for: consultants (excluding directors of public health) was 346.7 WTE, a rate of 6.9%.; nursing and midwifery was 1,865.3 WTE, a rate of 3.1%; allied health profession was 481.2 WTE, a rate of 4.1%.
- The number of consultant vacancies has increased from 221.9 WTE (4.7%) on 30th June 2013.
- The total number of clinical staff employed in NHSScotland Psychology Services continues to rise, with 1184 staff (1001.2 WTE) including 861 (724.2 WTE) Clinical and Other Applied Psychologists in post as at 30th June 2014.
- There has been a significant increase over time in the number of Clinical and Other Applied Psychologists employed in NHSScotland from 426 (371.0 WTE) in 2003 to the current level of 861 (724.2 WTE) as at 30th June 2014.
- This total of 861 (724.2 WTE) equates to 804 (675.2 WTE) Clinical Psychologists plus 57 (49.0 WTE) Other Applied Psychologists. This represents a national staffing level of 13.6 WTE Applied Psychologist per 100,000 of the general population of Scotland.
- The total of 1184 staff represents a staffing level of Graduates of the MSc in Psychological Therapies in Primary Care (62.4 WTE), Graduates of the MSc in the Applied Psychology of Children and Young People (31.5 WTE), cognitive behavioural therapists (41.7 WTE), counsellors (25.2 WTE), other therapists (18.7 WTE), and other clinical staff (20.7 WTE).
- As at 30th June 2014, an additional 52.8 WTE posts throughout NHSScotland Psychology Services were between being advertised and being filled with start dates commencing in July 2014. A further 9.1 WTE posts were approved for recruitment but not yet advertised.
- In 2009, the Scottish Government committed central funding to expand the CAMHS workforce of NHSScotland.
- Since 30th September 2009 the CAMHS workforce in NHSScotland has risen from 764.6 WTE (883 headcount) in September 2009 to 925.4 WTE (1080 headcount) as at 30th June 2014.
- The most significant staff increases have been in Psychology (66% since 2009), and Nursing (17% since 2009).
- The headcount has remained relatively stable over the past year. There are currently 1080 clinical staff (925.4 WTE). Nationally, this represents a staffing level of 17.4 WTE clinical workers per 100,000 of the population of Scotland.
- An additional 60.9 WTE posts throughout NHS Scotland CAMHS were between being advertised and being filled. A further 6.0 WTE posts were approved for recruitment but not yet advertised.
- Births: There were 56,346 births (including live and still births) recorded on SMR02 for the year ending March 2013. Data from SMR02 represent approximately 98% of the births registered by National Records of Scotland. Some of this shortfall will be due to data on home births not being available from SMR02 data.
- Mothers are getting older: There has been a steady increase in births to mothers in the over 30 age groups since 1975/76, with contrasting decreases in births to mothers in younger age groups. In 1975/76 the percentage of mothers aged over 30 was 19.4% compared to 49.0% in 2012/13.
- Age and deprivation: In the most deprived areas mothers most commonly start a family at around 20 years old, in contrast to those in less deprived areas where the most common age for a first birth is 30.
- Smoking in pregnancy: The number of women who were smokers at the time of their booking appointment fell from 25.4% in 2000/01 to 18.4% in 2012/13. The level of 'Not Known' has decreased from 13.5% in 2000/01 to 4.6% in 2012/13. It should be noted that the percentage of ‘unknowns’ may include a proportion of smokers and it is also known that there is considerable under-reporting of smoking by pregnant women themselves.
- Caesarean section: In singleton births, elective caesarean section rates have increased steadily since 1975/76 (from 4.7% to 12.0). Emergency caesarean section rates have also seen a general increase since 1975/76, but have decreased in the last year to 15.3%.
- Body Mass Index: Using mother’s height and weight allowed for developmental data on body mass index (BMI) to be explored for the first time in this publication. Of the 55,542 women delivering in 2012/13, 7,850 (14.1%) had unknown BMI at antenatal booking. For those with known BMI, overweight and obese women were less likely to have a vaginal delivery and more likely to have a caesarean section delivery than underweight or healthy weight women.
- In Scotland the bowel screening uptake was 56.1%, an increase of 1.2 percentage points compared with the two-year period November 2010 to October 2012. Uptake for females was 58.8% and for males was 53.3%. The Healthcare Improvement Scotland standard for bowel screening uptake is 60%.
- Uptake was lower in areas of higher deprivation. Uptake for females in the two least deprived quintiles exceeded the 60% standard at 68.0% and 64.8%, respectively. Uptake for males living in the least deprived quintile was at 61.5%. For males living in the most deprived quintile the uptake was 41.7%.
- More than half of screen detected cancers (57.8%) were diagnosed at Dukes’ stage A and B. The earlier a cancer is detected the greater the chances are of successful treatment.
- 6.7% of men and 6.0% of women who had a positive bowel screening test result (and who went on for further investigations) had either polyp cancer or invasive bowel cancer.
- Of eligible women, 70.7% took up the invitation to be screened in the previous 3.5 years.
- 384,296 cervical screening tests were processed within the programme which is a decrease of 5.1%, compared to 2012-13.
- Of all tests processed, 97.3% were of satisfactory quality. Of satisfactory results, 90.6% had a negative result, 8.0% had a low grade cell change and the remaining 1.4% had high grade cell changes.
This is the third of a series of three profiles around Older People. Based around specific age groups (65+ years; 75+ years and 85+ years) they contain a range of indicators relating to health and its determinents.
This is the second of a series of three profiles around Older People. Based around specific age groups (65+ years; 75+ years and 85+ years) they contain a range of indicators relating to health and its determinents.
- 149,226 bed days were occupied by delayed discharge patients in NHS Scotland during the quarter April to June 2014.
- At the July 2014 census there were 274 patients delayed over 4 weeks. This compares with 173 at the April 2014 census and 118 at the July 2013 census.
- At the July 2014 census there were 175 patients delayed for over 6 weeks. This compares with 107 at the April 2014 census and 59 at the July 2013 census.
- At the July 2014 census there were 518 patients delayed over 2 weeks. This compares with 418 at the April 2014 census and 312 at the July 2013 census.
- In 2013/14, the number of claimable courses of treatment given to children was around 520,000 which was similar to last year.
- Since 2007/08 the number of courses of treatment given to adults has risen sharply, year on year, to 3.9 million in 2013/14, the highest figure reported. This may be due to increasing numbers of patients participating in GDS.
- In 2013/14, £275 million was paid in GDS fees in Scotland, an increase of £4.9 million (2%) since 2012/13.
- In total for all people dying in Scotland during 2012-3 the percentage of the last 6 months of life spent at home or in a community was 91.2% continuing the trend of marginal increases year on year since 2008-9 when the rate was 90.4%
- Across health boards the percentage of the last 6 months of life spent at home or in a community setting varied between 89.0% and 93.9% in part reflecting the different use of community hospitals in different parts of the country.
- The percentage of the last 6 months of life spent at home or in a community setting does not vary greatly but tends to be slightly lower among those in most deprived areas (89.9%) compared to less deprived areas (91.8%) and lower in large urban areas (90.2%) compared to remote areas (93.9%).
- There is little difference between males and females in the percentage of the last 6 months of life spent at home or in a community setting, while the oldest patients aged 85+ had the highest percentage at 92.2%.
- For Scotland as a whole there has been a steady improvement in the recording of ethnic group over the last two years. Completeness of recording has improved by 6 percentage points to 79% for inpatient and day case records (SMR01) and by 13 percentage points to 70% for new outpatient appointment records (SMR00).
- Increased recording of code ‘98’ –‘Refused/Not provided’ in SMR01 and SMR00 data has been seen at some Boards over the last six quarters. This variation is being investigated locally.