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.
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Geography, Population and Deprivation Analysis
The Geography, Population and Deprivation Analytical Support Team in ISD provide specialised analytical advice and assistance on these topics. Formerly known as the GAS team, this service is now part of the Statistics Support function within ISD. They have recently launched a new area on the ISD website that contains the geography, population and deprivation lookup files used in ISD as well as information relating to the use of these files. Find out more at: www.isdscotland.org/Products-and-Services/GPD-Support/ [Added 24 January 2014]
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- In Scotland immunisation uptake rates for children aged up to six years remain high and stable.
- At Scotland level, uptake rates by 24 months of age of complete primary courses of immunisation against diphtheria, tetanus, pertussis, polio & Hib (the five-in-one vaccine), MenC and PCV remain high and stable at around 96% to 98%. Uptake rates of complete primary courses of these vaccines by 24 months have exceeded the 95% target since 2002.
- Annual uptake of the PCV booster and Hib/MenC booster vaccines by 24 months of age exceed 95%.
- Annual uptake of the first dose of MMR vaccine by 24 months of age reached 95.4% (the previous annual figure was 95.0%). Uptake rates by 24 months of age have continued to be above 90% since calendar year 2006. Annual uptake of the first dose of MMR by five years of age is 97.1% (the previous annual figure was 96.9%). MMR uptake rates by five years have remained above the 95% target since calendar year 2009.
- Uptake of the teenage Td/IPV booster vaccination among S3 pupils in Scotland (the class year in which the vaccine is routinely offered) was very similar in school years 2011/12 and 2012/13 at 83.7% and 83.4% respectively. Pupils not vaccinated in S3 are offered the vaccine in S4, so uptake rates increase over time. Uptake rates among S4 pupils increased slightly from 85.8% in 2011/12 to 86.9% in 2012/13.
- The gross total payments to Scottish dispensing contractors increased from £1,126.5 million in 2012 to £1,136.6 million in 2013.
- The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement has increased from £919.0 million in 2012 to £929.1 million in 2013. The cost of remuneration of services is similar at around £207.5 million for both 2012 and 2013.
- The gross ingredient cost (GIC) paid to dispensing contractors in 2013, in respect of dispensing, was £970.4 million. This is an increase of £4.7 million (0.5%) compared to 2012.
- The number of prescription items dispensed in 2013 was 98.4 million. This is an increase of 1.8 million items (1.9%) compared to 2012. The number of prescription items in 2012 was 96.6 million. This was an increase of 2.8 million (3.0%) compared to 2011.
- In 2012, NDRDD recorded information on 531 drug-related deaths. Of these, 479 cases were identified as eligible for inclusion in the main NDRDD cohort.
- As in previous years, over three quarters (75%) of those who died were male, over half (57%) lived in the most deprived areas of Scotland and the 25-44 years age group accounted for around two-thirds (67%) of deaths.
- Almost three quarters of individuals (74%) had been in contact with a drug treatment service at some point in their lives.
- As in previous years, in almost all cases (97%) there was more than one drug present and in 69% of cases more than one drug was implicated.
- In addition to the main cohort, there were 52 suicide cases recorded by NDRDD. Half were among males and half among females. The average age of these suicide cases was ten years higher than the main NDRDD cohort.
- There were 379,425 acute inpatient and day case discharges in the quarter ending December 2013. This is an increase of 1.4% from the same quarter of the previous year.
- The total number of outpatient attendances in the quarter ending December 2013 was 1,177,324. This is an increase of 1.4% on the quarter ending December 2012.
- The number of available staffed beds in acute specialties was recorded as 16,223 in the quarter ending December 2013. This is an increase of 1.1% from 16,041 beds in December 2012.
- The rate of emergency bed days per 1,000 patients aged 75 and over has reduced by 9.5% over the past three years from 5,418 in 2009/10 to 4,905 in 2012/13.
- Across Scotland, 94.6% of patients started treatment within 62 days of urgent referral with suspicion of cancer. This compares to 94.5% in the period July – September 2013.
- 97.9% of patients started treatment within 31 days of decision to treat, regardless of the route of referral. This compares to 98.1% in the period July – September 2013.
- 99.5% of the patients that were urgently referred with a suspicion of cancer from the breast screening programme, 95.8% from the cervical screening programme, and 92.5% from the colorectal screening programme were seen within 62 days of referral.
- In October-December 2013, 96.3% of the 11,564 people who started their first drug or alcohol treatment had waited 3 weeks or less (HEAT standard), compared to 96.6% in the previous quarter.
- 97.2% of the 7,412 people who started alcohol treatment between October and December 2013 had waited 3 weeks or less, compared to 97.0% in the previous quarter.
- 94.6% of the 4,152 people who attended an appointment for drug treatment waited 3 weeks or less, compared to 95.8% in the previous quarter.
- Of the 2,528 people who were still waiting to start drug or alcohol treatment, 70 people, or 2.8%, had waited more than 6 weeks at the end of December 2013, compared to 65 people, or 2.2% in the previous quarter.
- During the quarter ending 31 December 2013, around 90% of people were seen within 26 weeks.
- Clinical CAMHS staff working in the community equated to 734.2 whole time equivalents (WTE) representing 70.7 WTE community clinical workers per 100,000 people under 18 in Scotland.
- Sickness absence of dedicated CAMHS clinicians in Scotland ranged from 0 - 5.5% for NHS boards across Scotland for the quarter ending 31 December 2013
- In Scotland, child &;amp adolescent unit psychiatric hospital admissions in 2012/13 were 21.2 per 100,000 people under 18, an increase from 19.2 in 2011/12. CAMHS admissions to adult psychiatric wards in Scotland increased from 16.5 per 100,000 people under 18 in 2011/12 to 21.1 in 2012/13
The following topics on the Scottish Public Health Observatory (ScotPHO) website have been updated: asthma, coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), community wellbeing, deaths, deprivation, diabetes, diet and nutrition, disability, drugs, education, epilepsy, ethnic minorities, high blood pressure, high cholesterol, income and economy, lesbian, gay and bisexual (LGB) health, multiple sclerosis, obesity, older people, physical environment, stroke, surveys and tobacco use. The topics are presented in the ScotPHO style of web pages including text and charts and downloadable Excel charts and tables.
The updates include collations of previously available information, and present summary data and statistics derived from published sources. Previously unpublished data are included for ten of these topics: asthma, chronic obstructive pulmonary disease (COPD), deaths, diabetes, disability, epilepsy, high blood pressure, high cholesterol, multiple sclerosis and tobacco use.
- Traumatic hip fracture discharge rates for 2010-12 are lowest for NHS Fife with 500.1 per 100,000 population (aged 65+ years). The highest discharge rates of 751.9 per 100,000 population (aged 65+ years) are to be found in NHS Greater Glasgow and Clyde for the same time period.
- In 2010/11 to 2012/13 (3-year average rate) the discharge rate for patients hospitalised with alcohol conditions was highest in NHS Orkney with 4,569.3 discharges per 100,000 population (but based on relatively small numbers), and NHS Greater Glasgow and Clyde had the second-highest rate with 1,267.5 discharges per 100,000 population. The lowest rate in 2010/11 to 2012/13 (3-year average rate) was recorded in NHS Forth Valley, with 452.1 discharges per 100,000 population. NHS Dumfries and Galloway had the second-lowest rate with 460.6 discharges per 100,000 population.
- Greater Glasgow and Clyde NHS Board are shown to have 10.6% of the population aged 65+ with a SPARRA (Scottish Patients at Risk of Readmission and Admission) score of >40. Orkney has only 5.78% of the population aged 65+ with a SPARRA score of >40.
- The 2013 European Standard Population (ESP2013) has been used to calculate the European Age-Sex Standardised Rates (EASRs) within this publication. The European Standard Population (ESP), which was first used in 1976, was revised in 2013. Figures using ESP1976 and ESP2013 are not comparable.
- The population estimates used in the calculation of rates above are based on the 2011 Census results.
- Rates of stillbirths and deaths: Stillbirth rate 4.7 per 1000 births; Neonatal death rate 2.6 per 1000 live births; Perinatal mortality rate 6.5 per 1000 births; Post-neonatal deaths 1.2 per 1000 live births; Infant mortality rate 3.7 per 1000 live births.
- There were 58,301 live and stillbirths registered in Scotland in 2012. This is 588 fewer than were registered in 2011 and continues the slight decline in births since 2008. A total of 656 deaths were notified to the Scottish Stillbirth and Infant Death Survey, comprising 164 late fetal deaths, 274 stillbirths, 148 neonatal deaths and 69 post-neonatal deaths.
- Abnormalities of the placenta accounted for 40% of stillbirths and premature birth was associated with 50% of neonatal deaths. Antepartum haemorrhage and congenital anomalies were other important causes of both stillbirth and neonatal death.