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?
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.
NHS Performs - Latest update
NHS Performs user survey launched. Help us improve NHS Performs to best meet your performance information needs.
NHS Performs has been updated to include information on:
- Accident & Emergency activity for October 2016
- Emergency Department activity for the week ending 30 November 2016
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 31 November 2016
- Cancelled operations for October 2016
- Staff numbers as at 30 September 2016
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.
[06 December 2016]
As at 30 September 2016:
- The number of staff employed by NHSScotland continues to grow. The headcount of 161,806 staff represents a rise of 0.6% over the last year. Adjusting for part time working, the WTE has risen by 0.7% to 138,651.2. Over the last 10 years the WTE has risen by 9.1%.
- The median age of the national workforce has increased from 43 to 46 over the last 10 years. The number of staff aged 50 and over has increased from 26.7% to 37.7%.
- There were 5,174.5 WTE medical and dental consultants in post, an increase of 2.9% (147.8 WTE) since September 2015 and a reported 42.8% (1,549.9 WTE) since September 2006. Over the last 10 years the greatest percentage increases were reported in emergency medicine (185.7%) and paediatric specialties (83.3%), while medical specialties account for the greatest increase in number (445.3 WTE).
- Nursing and midwifery accounted for 42.7% of the national workforce. The number of staff in post was 59,161.0 WTE, representing an increase of 0.4% from 30 September 2015. Over the last 10 years, the WTE has increased by 4.2%.
- Current vacancy numbers and rates for consultants (386.9 WTE / 7.0%) and nursing and midwifery (2,634.5 WTE / 4.3%) represent increases in vacant posts since 30 September 2015. The number of nursing and midwifery posts vacant for 3 months or more has increased by 64.8% (323.8 WTE) since 30 September 2015.
- Since this data collection began in 2006, there has been a 50.2% increase in the CAMHS workforce from 653.7 WTE (741 headcount) to 981.8 WTE (1,147 headcount) as at 30 September 2016.
- Over the last year, there has been a 0.3% WTE increase in the overall CAMHS workforce and a 1.1% increase in the headcount.
- Nationally, there is an average staffing level of 18.3 WTE clinical workers per 100,000 of the population of Scotland at 30 September 2016. An additional 93.2 WTE clinical workers is required to reach the overall target of 20 WTE clinical workers per 100,000 of the total population, which was set by the Scottish Government in 2006.
- At 30 September 2016, 47.8 WTE (4.6%) posts were vacant and in the process of being advertised. Including these posts, the CAMHS workforce would be 1029.6 WTE, equivalent to a staffing level of 19.2 WTE clinical workers per 100,000 of Scotlandís population.
- At 30 September 2016, 1,058.7 WTE (1,279 headcount) clinical staff were working across psychology services in NHSScotland. This is an increase of around 160% since data collection began in 2001.
- Clinical psychologists still remains the largest staff group. However this majority has decreased in proportion from 76.2% in 2001 of all clinical staff to 66.6% in 2016. This is predominantly due to the introduction of NHS Education for Scotland commissioned training programmes such as Psychological Therapy in Primary Care and the Applied Psychology for Children and Young people course which have increased the number of other types of clinical staff that are supporting these services.
- Since data collection began in September 2011, the WTE of vacancies at each census point has remained relatively stable although within-year variation does occur. At 30 September 2016, 62.4 WTE (74 headcount) posts were in the process of being advertised and this is close to average number over recent years. This equates to a 5.6% vacancy rate of all clinical posts in psychology services.
For the quarter ending September 2016:
- 11,138 people started treatment for Psychological Therapies in Scotland which is a decrease from the previous quarter (12,779) and quarter ending September 2015 (13,077)
- 79.6% were seen within 18 weeks which compares with 81.2% in the previous quarter and 81.1% for the quarter ending September 2015
- Three NHS Boards met the standard of treating 90% of patients referred within 18 weeks - these were NHS Greater Glasgow & Clyde, NHS Tayside, and NHS Western Isles. Due to data quality issues no conclusions can be drawn from NHS Highland data
- 607 people aged 65 and over started treatment for Psychological Therapies in this quarter and 90.1% were seen within 18 weeks which is a decrease from the previous quarter (702) and quarter ending September 2015 (731)
During the quarter ending September 2016:
- 4,025 children and young people started treatment at Child and Adolescent Mental Health Services (CAMHS) in Scotland which is a decrease from the previous quarter (4,642) and quarter ending September 2015 (4,239)
- Nearly eight out of 10 (78.8%) were seen within 18 weeks. This compares with 77.6% in the previous quarter and 73.1% for the quarter ending September 2015
- The 18-week standard was met by six Boards (NHS Borders, NHS Dumfries & Galloway, NHS Greater Glasgow & Clyde, NHS Orkney, NHS Tayside and NHS Western Isles). NHS Highland achieved the 18-week standard however the data submitted to ISD does not represent 100% of patients seen in the month due to data quality issues
- Across Scotland, over one in eight (13.4%) patients referred to CAMHS did not attend their first appointment. This compares with 13.1% in the previous quarter and 14.5% in the quarter ending September 2015
- The total number of planned operations across NHSScotland during October 2016 was 29,298 a decrease of 7.0% from 31,487 during October 2015.
- 2,719 operations (9.3% of planned operations) were cancelled either by the hospital or by the patient, ranging from 5.5% to 13.3% across individual NHS Boards. This compares to 3,050 (9.7%) in October 2015.
- Of all planned operations: 1,011 (3.5%) were cancelled by the patient; 958 (3.3%) were cancelled based on clinical reasons by the hospital; 614 (2.1%) were cancelled by the hospital due to capacity or non-clinical reasons; 136 (0.5%) were cancelled due to other reasons.
In the month of October 2016:
- There were 136,754 attendances at A&E services across Scotland
- 93.9% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours
- 742 (0.6%) patients spent more than 8 hours in an A&E department
- 148 (0.1%) patients spent more than 12 hours in an A&E department
- 25% of attendances led to an admission to hospital
During the week ending 27 November 2016:
- There were 24,529 attendances at Emergency Departments across Scotland.
- 92.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 139 patients (0.6%) spent more than 8 hours in an Emergency Department.
- 24 patients (0.1%) spent more than 12 hours in an Emergency Department.
The information from this publication is included in NHS Performs.
- Caesarean sections are increasing: the percentage of live single births in 2015/16 delivered by caesarean section has more than tripled since 1975/76.
- Mothers are getting older: the number of women giving birth aged 30 or over in 2015/16 has more than doubled since 1975/76.
- Mothers from deprived areas tend to give birth at a younger age: the most common age for mothers living in the most deprived areas to start a family in 2015/16 was 22 years compared to 31 years for mothers living in the least deprived areas.
- More mothers are overweight or obese than are of healthy weight: in 2015/16, 45.5% of mothers were of a healthy weight when they booked for antenatal care compared to 49.6% of mothers who were overweight or obese.
- Fewer women are smoking in pregnancy: the percentage of women known to be current smokers at the time of antenatal booking was 15.5% in 2015/16 compared to 20.8% in 2006/07.