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 is a new website which brings together information on how hospitals and NHS Boards within NHSScotland are performing. Through NHS Performs, you can access information on:
- Accident and Emergency (A&E) performance
- hospital waiting times
- numbers of cancelled operations
- healthcare associated infections (HAI)
- numbers of patients who remain in hospital longer than they need to be (delayed discharges)
- numbers of hospital beds
- hospital deaths
NHS Performs aims to improve the understanding of, and accessibility to, timely information on the performance of Scottish hospitals and NHS Boards.
[30 June 2015]
Mental Health Benchmarking Tools
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 March 2015) contains information on the Child and Adolescent Mental Health Services (CAMHS) waiting times and workforce statistics. Following an absence from the toolkit, inpatient admissions and inpatient bed days have been reinstated.
The latest Adult Benchmarking Toolkit (for data up to 31 March 2014) contains information primarily adult focussed based on the General Psychiatry and Psychiatry of Old Age specialties, and excludes Child and Adolescent Psychiatry, Learning Disabilities and Forensic Psychiatry.
[30 June 2015]
Occupied Bed Days
- In April 2015, there were 47,476 days where a hospital bed was occupied by a patient who was judged to be clinically ready for discharge but who remained in hospital.
- Of those bed days, almost three quarters were occupied by patients aged 75 and over.
May 2015 census
- A total of 1,126 patients were delayed at the May 2015 census; this is an increase of 3% compared to the April 2015 census. These delays comprise of a total of 793 standard delays and 333 code 9 delays
- At May 2015, there were 408 patients who had experienced a standard delay of more than two weeks. This is an increase of 14% from the April 2015 census.
- Of the 408 patients who had experienced a standard delay of over two weeks, the main reasons for delay were: 166 patients (41%) were awaiting place availability in a care home; 157 patients (38%) were waiting to go home; 38 patients (9%) were awaiting a community care assessment.
- Of the 333 code 9 delays, 70% were delayed due to the ‘Adults with Incapacity Act’.
- At 31 March 2015, nearly 18% of the population of Scotland were registered for the Minor Ailments Service, a total of 913,483 people.
- Over 2.1 million items were dispensed under the Minor Ailments Service, accounting for 2.2% of all items dispensed by community pharmacies in Scotland.
- The cost of items dispensed under the Minor Ailments Service in 2014/15 was £5 million.
- Paracetamol (in all formulations) was the drug most frequently dispensed through the Minor Ailments Service in 2014/15, accounting for 21.4% of items dispensed. This accounts for 5.4% of the total cost of paracetamol items dispensed by community pharmacies in Scotland for that year.
- Every community pharmacy in Scotland had patients registered for the Minor Ailments Service at 31 March 2015. The total number of registrations increased by 2.0% between financial years 2013/14 and 2014/15.
- The total number of items dispensed in 2014/15 was 101.1 million, an increase of 2.4% compared to 2013/14. The number of items dispensed has been increasing year on year with a total increase of 34.9% over the last ten years.
- The total net cost of items dispensed in 2014/15 was £1.19 billion; this is an increase of 4.3% compared to 2013/14. The net cost of items dispensed has increased overall by 27.1% over the last ten years.
- In 2014/15, the drug omeprazole, used for reducing stomach acid, was the most commonly prescribed drug. This has been the most commonly prescribed drug since 2012/13.
- Inhalers that contain the drug salmeterol with fluticasone propionate, prescribed for respiratory conditions such as asthma, had the highest total gross ingredient cost in 2014/15 at £41.0 million. This has been the highest cost drug since 2011/12.
- The gross total payments to Scottish dispensing contractors increased by 4.0% (£46.3 million) in 2014/15 compared to 2013/14.
- The cost for remuneration of services has increased by £1.5 million (0.7%) from £207.0 million in 2013/14 to £208.5 million in 2014/15.
- A total of 101.1 million items were dispensed in 2014/15, an increase of 2.3 million items (2.4%) on 2013/14. The cost per item has also increased this year to £10.04 from £9.89 per item in 2013/14.
- Both the gross ingredient cost (GIC) and net ingredient cost (NIC) of items increased between 2013/14 and 2014/15. GIC increased by 3.9% from 2013/14 and the NIC increased by 4.8%
- 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 31 March 2015, 91.8% of patients started treatment within 62 days of urgent referral with suspicion of cancer. This compares to 94.2% in the period October to December 2014.
- In the quarter ending 31 March 2015, the 62-day standard was met for four NHS Boards: NHS Dumfries & Galloway, NHS Highland, NHS Lanarkshire and NHS Orkney.
- The 31 Day Standard is that 95% of all patients, regardless of route of referral, will wait a maximum of 31 days from decision to treat to first cancer treatment.
- In the quarter ending 31 March 2015, 96.5% of patients started treatment within 31 days of decision to treat, regardless of the route of referral. This compares to 97.5% in the period October to December 2014.
- In the quarter ending 31 March 2015, the 31-day standard was met by all NHS Boards.
- This is the first release of Scottish Drug Misuse Database data for 2013/14. It is also the first time that ISD has published problem drug use information in this new interactive format.
- Data are presented by Alcohol and Drug Partnership of residence and by NHS Board of residence. All of the data are available in an online tool at the Scottish Drug Misuse Database Dashboard.
- The latest release provides comparisons of the numbers of individuals assessed for specialist drug treatment from 2006/07 to 2013/14.
- The information is organised around six domains, each of which encompasses a number of relevant indicators including demographics, drug profile, injecting and sharing.
- This release does not include Scotland-level figures due to issues with data recording in a number of locations. These issues are being addressed and Scotland-level data will be published in November 2015.
- There were 73,338 quit attempts made with the help of NHS smoking cessation services in Scotland in 2014p. This is a 31% reduction on 2013, where there were 105,950 quit attempts. However, this figure is likely to be revised upwards when late data submissions are received.
- An estimated 7% of the adult smoking population made a quit attempt with an NHS smoking cessation service in 2014.
- More (57%) of the quit attempts were made by women and, for both genders, the highest proportion of quit attempts was in the 45-59 years age group.
- In 2014, there were 2,876 quit attempts made by pregnant women. This represents a decrease of 73 on the 2013 figure of 2,949, though this may be partly accounted for by incomplete submissions.
p provisional figure
- One month after quit dates set in 2014, 35% were still not smoking and 17% had started smoking again. Smoking information was not available for the remaining 48%.
- Three months after quit dates set in 2014, 16% were still not smoking and 20% had started smoking again. Smoking information was not available for the remaining 64%.
- Twelve months after quit dates set in the previous year (2013), 5% were still not smoking and 24% had started smoking again. Smoking information was not available for the remaining 71%.
Smoking cessation services and treatments
- In 2014, as in previous years, most supported quit attempts (over 70%) were made through pharmacy services.
- Specialist smoking cessation services see fewer clients compared to pharmacies but they have amongst the highest percentage quit rates. They also have more complete follow up information compared to other services.
- Nicotine replacement therapy use is changing. In 2009, 69% of individuals reported just using a single product but by 2014, this had dropped to 35%. Over this time period, the use of more than one product increased from 9% to 47%.
- There has been a decrease in the rate of Did Not Attends (DNAs) for new outpatient appointments over the last five years (9.8 per 100 appointments in quarter ending March 2015 compared with 10.4 per 100 appointments in quarter ending March 2010).
- The number of inpatient and day case discharges to acute specialties has increased by around 44,000 (12.5%) since quarter ending March 2010 to around 393,000 in quarter ending March 2015.
- The number of occupied beds has remained relatively stable and continues to show a seasonal trend.
- 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 a provisional 11.0% from 5,421 in 2009/10 to 4,826 in 2013/14.
- The total number of scheduled (planned) operations across NHSScotland (excluding NHS Greater Glasgow and Clyde*) during the month ending 31 May 2015 was 22,331;
- Of these, 2,160 (9.7%) of admissions for an operation were cancelled either by the hospital or the by patient;
- 415 (1.9% of all operations performed) were cancelled by the hospital due to capacity or non-clinical reasons.
*Due to unforeseen technical difficulties, NHS Greater Glasgow and Clyde were not able to provide these data within the required timescales. Once available ISD will refresh this publication to ensure they are included.
- In January - March 2015, 95.0% of the 11,114 people who started their first drug or alcohol treatment waited 3 weeks or less (HEAT standard), the same as in the previous quarter.
- For alcohol treatment, 95.5% of 6,978 people waited 3 weeks or less between January - March 2015, a slight decrease from 95.7% in the previous quarter.
- For drug treatment, 94.1% of 4,136 people waited 3 weeks or less, a slight increase from 93.7% in the previous quarter.
- Of the 3,104 people who were still waiting to start drug or alcohol treatment, 192 people, or 6.2%, had waited more than 6 weeks at the end of March 2015, compared to 129 people (5.0%) in the previous quarter.
- In 2014/15 there were 99,252 Alcohol Brief Interventions carried out in Scotland. This is 62% more than the 61,081 set out in the Scottish Government HEAT standard for 2014/15. Over seven years, 569,792 interventions have been delivered (45% more than the target/standard).
- All NHS Boards exceeded their target for delivery in 2014/15. At national level the expectation of delivery of 90% of the target in priority settings (GPs, Accident & Emergency, Antenatal) was also met, but at NHS Board level two NHS Boards (NHS Greater Glasgow and Clyde and NHS Western Isles) delivered less than 90% in priority settings. Totalled across all seven years (2008/09 to 2014/15), all NHS Boards exceeded the target.
- The contribution of ‘wider’ settings (other than the three priority settings) has increased in the last three-year period from around 10,500 in 2012/13 to just under 26,000 in 2014/15, representing 26% of interventions recorded in the latest year. There is large variation between individual NHS Boards in distribution of delivery across settings.
During the week ending 21st June 2015:
- There were 25,338 attendances at EDs across Scotland.
- 93.9% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 80 (0.3%) patients spent more than 8 hours in the department.
- 1 (0.0%) patient spent more than 12 hours in the department.
This publication provides a quarterly and annual update of immunisation uptake rates for children at 12 months, 24 months, five years and six years of age, by NHS Board and Community Health Partnership for the quarter and year ending 31 March 2015.
During the week ending 14th June 2015:
- There were 26,460 attendances at EDs across Scotland.
- 92.2% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 140 (0.5%) patients spent more than 8 hours in the department
- 16 (0.1%) patients spent more than 12 hours in the department.
- A total of 299 Injecting Equipment Provision (IEP) outlets in Scotland responded to the 2013/14 survey. Despite efforts by ISD and data providers to ensure data quality, estimated figures were used by some IEP outlets and not all outlets provided responses to all questions. Therefore, analyses show data reported to ISD by participating outlets and caution should be exercised when interpreting trends.
- Approximately 226,000 attendances were reported across participating IEP outlets in 2013/14, an increase from 213,000 in 2012/13. This increase can largely be attributed to a sharp rise in attendances for NHS Greater Glasgow and Clyde, where a change in IEP practice was implemented in 2013/14.
- Where gender of the client was reported, 78% of attendances were made by males.
- A total of 3.8 million needles/syringes were reported to have been distributed by participating outlets in 2013/14. Coupled with increased attendances, this indicates fewer needles/syringes distributed per attendance compared to previous years.
- In 2013/14, NHS Greater Glasgow and Clyde reported the highest number of needles/syringes distributed (1.1 million).
- Long-standing illness, health problem or disability - In 2013, 22% of household members in Scotland had a long-standing illness, health problem or disability. At Local Authority level, the figures vary from 10% in Stirling to 31% in North Lanarkshire.
- Self-assessed health - In 2013, 7% of adults in Scotland reported their own health as being 'bad' or 'very bad'. At NHS Board level, the figures vary from 4% in Orkney and the Western Isles to 12% in Dumfries and Galloway.
Addiction Prevalence Testing (APT) is conducted across all Scottish prisons annually. During one month of the year, prisoners arriving in custody are tested for the presence of illegal drugs. Similarly, those leaving custody during the month are tested to assess progress towards the ‘reduced or stabilised’ offender outcome.
- Of the 1,170 tests carried out at prisoner reception in 2014/15, 70% were positive for illegal drugs (including illicit use of prescribed drugs) compared with 77% in 2013/14. The drugs most commonly detected when entering prison in 2014/15 were benzodiazepines (46% of tests) and cannabis (42% of tests). Opiates were found in 26% of tests.
- Of the 616 tests carried out at prisoner liberation in 2014/15, 29% were positive for illegal drugs (compared with 25% in 2013/14). The drugs most commonly detected when leaving prison in 2014/15 were illicit buprenorphine (13% of tests) and cannabis (8% of tests). Opiates were found in 6% of tests.
Patients who are receiving NHS Continuing Health Care as a result of a decision made under the terms of the 2008 NHS Continuing Health Care guidance are recorded as Category A patients.
- At March 2015, 1,545 Category A patients were reported as receiving NHS Continuing Health Care The figures have shown a decrease of 5% (89 patients) from the March 2014 census.
- At March 2015, 80% of Category A patients were aged 65 years and over.
Patients who do not specifically meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set are recorded as Category B patients.
- At March 2015, there were 630 patients who did not meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set (Category B); this is an increase of 21% (109 patients) from last year.
- 21% of Category B patients were aged 65 years and over
- 88% (4.7 million) of the Scottish population are registered with an NHS dentist.
- Children are more likely to be registered than adults (93% compared to 87%).
- Registration rates have been increasing since 2007 as a result of extensions to the registration period and the introduction of non-time-limited registration in April 2010.
- As at March 2015, there was no deprivation gap between registration rates for children (90% for children living in both the most and least deprived areas).
- However, adults living in the most deprived areas were more likely to be registered with an NHS dentist. This may be due to the availability of free NHS dental treatment for adults who receive certain benefits.
- 74% (3.5 million) of those registered with an NHS dentist as at March 2015 had seen their dentist within the last two years. This has been in steady decline since 2007.
- Children are more likely than adults to have seen their dentist within the last two years (86% compared to 71%).
- Both adults and children living in the least deprived areas are more likely to have seen their dentist within the last two years than those living in the most deprived areas (77% compared to 67% for adults, 91% compared to 82% for children).
During the week ending 7th June 2015:
- There were 24,821 attendances at EDs across Scotland.
- 92.6% of attendances at EDs were seen and subsequently admitted, transferred or discharged within 4 hours.
- 152 (0.6%) patients spent more than 8 hours in the department
- 20 (0.1%) patients spent more than 12 hours in the department.