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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

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?

Scottish antimicrobial use and resistance in humans in 2015

Health Protection Scotland and Information Services Division are today publishing a report on antibiotic use and resistance in Scotland during 2015.

This latest report shows that while work by the Scottish Antimicrobial Prescribing Group to improve the quality of antibiotic prescribing is proving successful, continued efforts are required to further reduce unnecessary antibiotic use. The report is intended to support NHS Boards, hospitals and primary care in their long-term planning of antimicrobial prescribing. In particular, this report should be of use to antimicrobial management teams, infection prevention and control teams and microbiologists.

Scottish antimicrobial use and resistance in humans in 2015
[30 August 2016]

Suicide in Scotland – Understanding the risks and informing preventative action

Two reports published today make a major contribution to the continuing efforts to prevent suicide in Scotland. These reports from the Information Services Division and the Scottish Public Health Observatory help Scotland’s policymakers, mental health services, local authorities and voluntary organisations to target people and places at higher risk of suicide and identify where future prevention action should be focused.

The report from the Scottish Suicide Information Database presents a profile of 4,464 suicide deaths in Scotland between 2009 and 2014. The Scottish Public Health Observatory report describes the epidemiology of suicide in Scotland in 2015 and trends in the suicide rate in recent years.

A profile of deaths by suicide in Scotland 2009-2014: a report from the Scottish Suicide Information Database Suicide Statistics for Scotland – Update of trends to 2015 [291Kb]
[10 August 2016]

NHS Performs - Latest update

NHS Performs has been updated to include information on:

  • Emergency Department activity for the week ending 11 September 2016
  • Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 12 September 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.
[20 September 2016]

See our News Archive for earlier stories

Latest Statistics

Published: 20 September 2016
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Treatment

  • In 2015/16, the number of treatments given to children was over 513,000, similar to recent years. Around a third (32%) of these were given under Childsmile, which includes advice given on toothbrushing and diet.
  • The numbers of teeth extractions (around 86,000) and fillings (around 363,000) given to children in 2015/16 are at their lowest, having steadily decreased since 2000/01 (from 133,000 and 775,000 respectively).
  • The number of treatments given to adults has risen sharply from nearly 3 million in 2007/08 to over 4 million in 2015/16. This may be due to increasing numbers of patients participating in the General Dental Service.

Fees

  • In 2015/16, around £268 million in General Dental Service fees was authorised in Scotland, an increase of £4.7 million (2%) compared to the previous year. When adjusted for inflation, these fees increased from 2004/05 until 2011/12 and have since stabilised.
  • The actual cost per head of child population across Scotland was £70 in 2015/16. When adjusted for inflation, fees have been fairly stable at this level since 2012/13.
  • The actual cost per head of adult population across Scotland was £49 in 2015/16. When adjusted for inflation, fees have remained fairly stable at this level since 2011/12.
Published: 20 September 2016
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In primary care and sexual health settings combined:

  • The prescribing rate of very long acting methods of contraception in Scotland was 52.1 per 1,000 women aged 15-49 in 2015/16.
  • The contraceptive implant was the most utilised method of long acting contraception with a prescribing rate of 29.4. The intrauterine system had a rate of 17.4 while the intrauterine device, which was the least utilised method, had a prescribing rate of 5.4 per 1,000 women aged 15-49.
  • Contraceptive implant prescriptions were most common in the under 20 age group. The prescribing rate falls as the age group gets older. Intrauterine system prescriptions were most common in the 45 and over age group and the prescribing rate falls as age groups gets younger.
Published: 20 September 2016
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  • Just over half (52.5%) of the 67,726 patients who had a first clinical appointment with an AHP MSK service were seen within 4 weeks.
  • This compares with 50.3% during the quarter ending March 2016.
  • Nine out of ten patients were seen within 17 weeks.
  • At least 95,000 people were referred to AHP MSK services compared to 89,000 for the quarter ending March 2016.
Published: 20 September 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: 20 September 2016
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Allergic conditions

  • Asthma continues to be the most common allergic condition accounting for around 75% (6,484) of all allergy related hospital admissions.
  • There has been a steady increase in the number of hospital admissions due to allergic rhinitis, increasing from 264 in 2008/09 to 420 in 2015/16.

Drugs - Treatment for drug misuse - Prescribing for Opioid Dependency

  • For the fifth successive year there has been a decrease in the number of Opioid Replacement Therapy drug items (including methadone) dispensed.
  • From 2010/11 to 2015/16, the cost of methadone dispensing decreased from £6,382 to £4,972 per 1,000 adult population.

Kidney disease

  • Recently published data shows that chronic kidney disease affects around 177,000 Scots; nearly 4,800 depend on renal replacement therapies such as dialysis or kidney transplant.
Published: 20 September 2016
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During the week ending 11 September 2016:

  • There were 27,313 attendances at Emergency Departments across Scotland.
  • 93.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 122 patients (0.4%) spent more than 8 hours in an Emergency Department.
  • 21 patients (0.1%) spent more than 12 hours in an Emergency Department.
  • The information from this publication is included in NHS Performs.
Published: 13 September 2016
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Pain Clinics

  • There were 5,680 referrals to pain clinic during the quarter ending 30 June 2016, an increase from 5,041 referrals in the previous quarter.
  • 75.7% of the 2,734 patients seen were treated within 18 weeks, compared with 85.8% in the previous quarter.
  • As at 30 June 2016, 4,879 patients were waiting to be seen at a pain clinic; of which, 83.5% waited less than 18 weeks.
  • Around 1 in 6 patients did not attend their appointment and did not notify the hospital.

Pain Psychology Clinics

  • In the 9 NHS Boards that provide this service, there were 344 referrals to a pain psychology clinic during the quarter ending 30 June 2016, an increase from 327 referrals in the previous quarter.
  • 86.0% of the 279 patients seen were treated within 18 weeks, compared with 90.1% in the previous quarter.
  • As at 30 June 2016, 292 patients were waiting to be seen at a pain psychology clinic; of which 95.9% waited less than 18 weeks.
  • Around 1 in 10 patients did not attend their appointment and did not notify the hospital.
Published: 13 September 2016
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  • In 2015, 530 new patients were added to the MS Register as having received a confirmed diagnosis of MS. This brings the total number of newly diagnosed people reported over the six year period to 2,731.
  • As expected, the annual incidence shows that more than twice as many women as men were diagnosed with MS.
  • As expected, the average annual incidence of MS in the six most northern NHS Boards (Shetland, Orkney, Highland, Western Isles, Grampian & Tayside) is greater (at 11.4 per 100,000 population) than the average for the eight southern boards (at 8.1 per 100,000), emphasising that worldwide, more people who have MS are further away from the equator.
  • Once a referral was received by the MS nurse specialist, contact within 10 days was achieved for 89% of the patients which is an improvement of 4% from 2014.
  • 63% of newly diagnosed patients had contact with a MS nurse specialist within 10 days.
Published: 13 September 2016
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  • The total number of items dispensed, in Primary Care, in June 2016 was 8.9 million, an increase of 0.9% compared to June 2015. This is a continuation of a long standing upward trend.
  • The cost of items dispensed, in Primary Care, in June 2016 was £99.6 million, an increase of 5.5% compared to June 2015. This is a continuation of a long standing upward trend.
  • A large proportion of this increase is due to the shift from hospital to provision through community pharmacies. An example of this is the treatment of patients with Hepatitis C.
  • The prescribing dashboard (shown below) shows the highest-cost therapeutic areas in terms of prescriptions in the community.
    • Drugs used to manage diabetes was the highest-cost area of prescribing across Scotland in June 2016 (total cost of items dispensed was £7.9 million).
    • The second highest spend was on analgesics, for all severities of pain-relief (total cost of items dispensed was £6.5 million).
Published: 13 September 2016
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  • In July 2016, patients spent 43,919 days in hospital due to delays in discharge.
  • There were 1,396 patients delayed at the July 2016 census. This is a 4% increase on the previous month.
  • 292 (21%) of these delays were for patients with specific complex care needs.
  • Of the remaining 1,104 patients delayed at the census:
    • 328 (30%) were awaiting completion of arrangements for social care support (e.g. carer) in order to live in their own home
    • 320 (29%) were awaiting place availability in a care home
    • 192 (17%) were awaiting completion of a post hospital social care assessment
Published: 13 September 2016
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During the week ending 4 September 2016:

  • There were 27,418 attendances at Emergency Departments across Scotland.
  • 94.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 51 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 2 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
  • The information from this publication is included in NHS Performs.
Published: 06 September 2016
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  • At 30 June 2016 the number of staff employed by NHSScotland was 161,329 (headcount) which is equivalent to 138,125.4 WTE, increases of 0.4% and 0.5% respectively compared to June 2015. This continues the steady upward trend in workforce numbers which began in June 2012.
  • The number of Medical (Hospital, Community and Public Health Services (HCHS)) staff in post was 12,041.1 WTE at June 2016, an increase of 2.1% (243.2 WTE) compared to June 2015 and 56.3% (4,339.7 WTE) higher than in September 2000.
  • The number of consultants in post was 5,077 WTE in June 2016, an increase of 2.7% (134.0 WTE) compared to June 2015 and 70.3% (2,095.0 WTE) higher than in September 2000.
  • There were 414.2 WTE vacant consultant posts. This represents a vacancy rate of 7.5%, a slight decrease from the rate of 8.3% observed at June 2015. There were 3.4% of posts (188.7 WTE) vacant for six months or more which is a similar level to the rate observed at June 2015 (3.5%; 188.0 WTE).
  • The number of nursing and midwifery staff in post was 59,188.7 WTE, an increase of 0.2% (115.1 WTE) compared to June 2015 and 15.4% (7,897.1 WTE) higher than in September 2000.
  • There were 2,566.3 WTE vacant nursing and midwifery posts. This represents a vacancy rate of 4.2%, an increase from the rate of 3.7% observed at June 2015.
Published: 06 September 2016
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  • Since this data collection began in 2006 there has been a 49% increase in the CAMHS workforce from 653.7 WTE (741 headcount) to 976.1 WTE (1136 headcount) as at 30 June 2016.
  • Since the last census at June 2015 there has been a 0.3% WTE decrease in the overall CAMHS workforce and a 0.2% increase in the headcount. This is due to more staff working part time hours than previously.
  • Nationally, there is an average staffing level of 18.2 WTE clinical workers per 100,000 of the population of Scotland at 30 June 2016. By the end of 2016, the Scottish Government’s NHSScotland workforce target is to reach 20 WTE per 100,000 of the whole population.
  • As at 30 June 2016, 50.7 WTE (4.9%) posts were vacant and in the process of being advertised. Including these posts, the CAMHS workforce would be 1026.8 WTE, equivalent to a staffing level of 19.1 WTE clinical workers per 100,000 of Scotland’s population.
Published: 06 September 2016
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  • The total number of clinical staff employed in NHSScotland Psychology Services has increased from 408.0 WTE (468 Headcount) at September 2001 to the current level of 1,092.1 WTE (1,317 headcount) at 30 June 2016 an increase of 167%.
  • The number of Clinical and Other Applied Psychologists has increased steadily since 2001. At 30 June 2016 there were 770.6 WTE (935 headcount) compared to 325.1 WTE (373 headcount) in 2001 – a 137% increase.
  • Since 30 June 2015 the number of Clinical Psychologists has increased from 695.1 WTE (832 headcount) to the current level of 706.5 WTE (861 headcount) at 30 June 2016.
  • At 30 June 2016, 71.0 WTE (6%) of clinical staff posts were vacant and in the process of being advertised. Since September 2012 observed rates on vacancies have fluctuated between 4 and 8 percent.
Published: 06 September 2016
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During the quarter ending June 2016:

  • 4,642 children and young people started treatment at Child and Adolescent Mental Health Services (CAMHS) in Scotland which is an increase to the previous quarter (4,496) and higher than the same period quarter ending June 2015 (4,463).
  • 77.6% were seen within 18 weeks and half started their treatment within ten weeks. Whilst this is a decrease compared with the previous quarter (84.4%) there is a slight increase compared to the same period quarter ending June 2015 (76.7%).
  • The 18 week standard was met by seven Boards (NHS Ayrshire & Arran, NHS Dumfries & Galloway, NHS Greater Glasgow & Clyde, NHS Highland, NHS Orkney, NHS Tayside and NHS Western Isles).
  • Across Scotland, 13.1% of patients referred to CAMHS did not attend their first appointment, compared to 12.1% in previous quarter and 12.6% in quarter ending June 2015.
Published: 06 September 2016
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For the quarter ending June 2016:

  • 12,779 people started treatment for Psychological Therapies in Scotland, 81.2% of which were seen within 18 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 (based on 30% of patients seen due to system issues), NHS Lanarkshire, NHS Tayside, and NHS Western Isles.
  • 702 people aged 65 and over started treatment for Psychological Therapies in this quarter and 87.0% were seen within 18 weeks.
Published: 06 September 2016
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  • In 2015/16 more than two million eye examinations were performed by optometrists working in Scottish local communities, since recording began in 2006.
  • Most eye examinations (95%) are dealt with in a primary care setting and not referred for further investigation.
  • Four in five claims were for initial eye examinations (primary examinations). The others were for emergency, additional or follow-up care (supplementary examinations).
  • The most common reason for a supplementary examination was ‘Sudden vision loss / flashes and floaters or reduced visual acuity or neurological symptoms’.
  • Clinical conditions are recorded during the eye examination. Patients are most likely to have cataracts (16%) of all clinical conditions.
  • Cataracts are the most common (16%) of all the recorded conditions.
Published: 06 September 2016
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  • Of those eligible, 69.2% of women in Scotland took up the invitation for cervical screening in the previous 3.5 years at 31 March 2016.
  • In 2015-16, 399,150 cervical screening tests were processed, a slight increase of 0.4% compared to 2014-15. Of all tests processed, 97.5% were of satisfactory quality eg there were enough cells in the sample.
  • Of the satisfactory quality tests, 90.8% had a negative (normal) result, 7.9% had a low grade cell change and the remaining 1.2% had high grade cell changes.
Published: 06 September 2016
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  • The total number of planned operations across NHSScotland during July 2016 was 26,018, a decrease of 6.2% from 27,725 during July 2015.
  • 2,318 operations (8.9% of planned operations) were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 5.3% to 11.7%. This is a decrease from 2,642 (9.5%) in July 2015.
  • Of all planned operations: 983 (3.8%) were cancelled by the patient; 775 (3.0%) were cancelled based on clinical reasons by the hospital; 453 (1.7%) were cancelled by the hospital due to capacity or non-clinical reasons; 107 (0.4%) were due to other reasons.
Published: 06 September 2016
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In the month of July 2016:

  • There were 135,531 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.
  • 287 (0.2%) patients spent more than 8 hours in an A&E department
  • 19 (<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.
Published: 06 September 2016
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During the week ending 28 August 2016:

  • There were 27,005 attendances at Emergency Departments across Scotland.
  • 93.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 87 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 9 patients (< 0.1%) spent more than 12 hours in an Emergency Department.
  • The information from this publication is included in NHS Performs.

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Confidentiality

ISD works with information collected about patients and the NHSScotland workforce. We work very hard to ensure the safe and secure storage, use and management of that information.

More about Confidentiality

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.

Media Monitoring

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.

Visit the NDC website

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.

Visit the ScotPHO website

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