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?
Prescribing Data Consultation
Users and stakeholders of national prescribing data held by the Information Services Division were invited to submit their views on proposed changes to the way in which this information is made available. The consultation ran from mid September 2015 until the end of October 2015. The results and conclusions of this consultation can be found here [79kb].
[18 December 2015]
NHS Performs - Latest update
NHS Performs has been updated to include information on:
- Emergency Department activity for the week ending 15 May 2016
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 16 May 2016
- Number of Delayed Discharges for April 2016
- Hospital Standardised Mortality Ratios for quarter ending December 2015
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.
[24 May 2016]
This is the last release of Hospital Standardised Mortality Ratios (HSMRs), reporting on progress towards the current phase of the Scottish Patient Safety Programme. HSMRs are calculated when mortality data are adjusted to take account of some of the factors known to affect the underlying risk of death. The HSMR calculation includes patients who died within 30 days from hospital admission. NHS Boards use HSMR information to help improve the quality of care and treatment.
Hospital bed days associated with delays in discharge in March 2016
- In March 2016, patients spent 46,309 days in hospital due to delays in discharge. This is a 7% decrease on the same period last year.
- In the year ending March 2016, patients spent 55,585 fewer days delayed in hospital than in the previous year. This represents a 9% decrease.
Patients ready for discharge as at April 2016 census
- 1,107 patients were delayed at the April 2016 census. This is a 5% decrease on March 2016 and a 1% increase on the same period last year.
- 33% of these delays (367) were for patients with specific complex care needs.
- Of the remaining 740 patients delayed at the census:
- 247 (33%) were awaiting place availability in a care home
- 189 (25%) were awaiting completion of a post hospital social care assessment
- 150 (20%) were awaiting completion of social care arrangements for social care support to live in their own home
This release focuses on 1.3 million attendances that take place at the 30 Emergency Departments in Scotland each year. It looks at the daily and weekly and seasonal patterns of attendance at Emergency Departments.
During the week ending 15 May 2016:
- There were 27,733 attendances at Emergency Departments across Scotland.
- 93.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 136 patients (0.5%) spent more than 8 hours in an Emergency Department.
- 12 patients (0%) spent more than 12 hours in an Emergency Department.
- In 2014/15, initial assessments for specialist drug treatment relating to 12,402 individuals were recorded on SDMD.
- 46% of the 8,692 individuals on whom we have information on recent ‘illicit’ drug use (including Novel Psychoactive Substances/legal highs), sought treatment for heroin, 20% for cannabis and 10% diazepam.
- The percentage of under 25s reporting recent heroin use decreased from 58% in 2006/07 to 23% in 2014/15.
- A general downward trend in the percentage of individuals reporting current injecting was observed (from 28% in 2006/07 to 20% in 2014/15).
- Between 2006/07 and 2014/15 current sharing of needles/syringes decreased from 12% to 6%, whilst sharing of injecting paraphernalia fell from 20% to 8%.
- The percentage of individuals aged 35 and over increased from 30% in 2006/07 to 48% in 2014/15.
- In 2014, 31,711 people in Scotland were diagnosed with cancer: 16,183 women and 15,528 men.
- Over the last ten years, age-adjusted incidence rates of cancer in Scotland have decreased by 3% for men but increased by 6% for women.
- Cancer is more common as people get older. In 2014, 75% of cancer diagnoses were in people aged 60 and over.
- Lung cancer remains the most common cancer in Scotland. In 2014, 5,307 cases were diagnosed. The next most common was breast cancer (4,610 cases), followed by colorectal cancer (3,721 cases).
- There is considerable variation in incidence rates between different types of cancer. For instance, the incidence rate of cervical cancer has increased by 18% over the last ten years. In contrast, the rate for cancer of the stomach in men has decreased by 32% over the same period.
- There were 1,275 people diagnosed with melanoma in NHSScotland during 1 July 2014 to 30 June 2015.
- Overall Scotland met three of the eleven indicators. No NHS Board managed to meet all eleven indicators.
- Five year survival rates for Scotland were slightly lower for males than females across all age groups.
- There were minimal differences in five year survival rates between the three regional cancer networks in Scotland.
- The total number of items dispensed in February 2016 was 8.26 million, an increase of 4.3% compared to February 2015.
- The gross ingredient cost of items dispensed in February 2016 was £89.4 million, an increase of 12.0% compared to February 2015.
- The total Primary care drugs budget has consistently increased over the last year, as seen this February. A large portion of this is explained by a Hospital to Community Pharmacy shift in the dispensing of newer Hepatitis C drugs. Other factors, such as price adjustments for items with supply issues and increased uptake or newer therapeutic agents, also contribute to this increase.
During the week ending 8 May 2016:
- There were 27,044 attendances at Emergency Departments across Scotland.
- 93.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 90 patients (0.3%) spent more than 8 hours in an Emergency Department.
- 3 patients (0%) spent more than 12 hours in an Emergency Department.
The toolkit provides a mechanism for monitoring and tracking change and improvement over time in respect of dementia services in Scotland. The toolkit contains data on prescribing, Quality and Outcomes Framework, hospital activity and care homes up to 31 March 2015.
The Information Services Division has released data up to 31 March 2015 in the Adult Mental Health Benchmarking Toolkit. The Adult Mental Health Benchmarking Toolkit aims to improve Mental Health Services by using benchmarking to understand and compare services and their outcomes and to promote best practice. The toolkit is primarily adult focused based on General Psychiatry and Psychiatry of Old Age specialties, and excludes Child and Adolescent Psychiatry, Learning Disabilities and Forensic Psychiatry services. However, for certain indicators data are not available at an adult only level and may pertain to the wider Mental Health service. It contains information on financial, prescribing, workforce and psychiatric hospital activity.
During the week ending 1 May 2016:
- There were 25,687 attendances at Emergency Departments across Scotland.
- 95.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 41 patients (0.2%) spent more than 8 hours in an Emergency Department.
- 0 patients (0%) spent more than 12 hours in an Emergency Department.
Patients treated for mental health conditions in all hospital wards
- Since 1997/98 discharges for mental health conditions from mental health units fell from over 30,000 per year to less than 18,500. Over the same period, discharges from general hospitals for mental health conditions increased from just under 9,500 to nearly 18,000.
- Patients discharged from mental health units tended to be younger than those discharged from general hospital wards, with an average age of 50 compared to 60.
- Among people discharged from general hospital wards for a mental health problem, most were treated for an organic disorder, such as dementia or delirium, or for a condition related to substance misuse.
- Among those discharged from mental health units, most were treated for schizophrenia and similar disorders, or for disorders of mood.
Patients treated in psychiatric specialties up until 2014/15
- The total number of patients treated in mental health units in 2014/15 was slightly lower than in 2013/14.
- People living in the most deprived areas were more than four times as likely to experience a period of psychiatric inpatient care than those in the least deprived areas.
Patients treated in the Learning Disability specialty
- Discharges from the Learning Disability specialty fell sharply from around 4,700 to around 1,200, between 1997/98 and 2005/06, but have started to level out in more recent years. This reflects changes in patterns of care, moving away from long term hospital care towards more community based care.
- People living in the most deprived areas were more than three times as likely to experience an episode of inpatient care in the Learning Disability specialty than those living in the least deprived areas.
In the month of March 2016:
- There were 144,924 attendances at A&E services across Scotland.
- 93.1 % of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
- 958 (0.7%) patients spent more than 8 hours in an A&E department
- 227 (0.2%) patients spent more than 12 hours in an A&E department.
- 25 % 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%.
During the week ending 24 April 2016:
- There were 26,755 attendances at Emergency Departments across Scotland.
- 95.0% 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.
- 9 patients (<0.1%) spent more than 12 hours in an Emergency Department.
- The total number of planned operations across NHSScotland during March 2016 was 32,381. Of these, 3,234 (10.0%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 4.3% to 24.1%. This compares with a cancellation rate of 10.2% in the previous month;
- Of all planned operations, 1,297 (4.0%) were cancelled by the patient, 1,042 (3.2%) were cancelled based on clinical reasons by the hospital and 670 (2.1%) were cancelled by the hospital due to capacity or non-clinical reasons.