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Inpatient and Day Case Activity

Hospital Care

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Introduction

Inpatients refer to people who are admitted to an available staffed bed in a hospital (either electively or as an emergency) and either remains overnight whatever the original intention or is expected to remain overnight but is discharged earlier.

Day cases refer to episodes where a person makes a planned admission to an available staffed bed in a hospital for clinical care, and requires the use of a bed (or trolley in lieu of a bed). For the purposes of national data a day case episode refers to a patient who is admitted as a day case and is discharged on the same day as planned.

The majority of information within this page is currently classed as National Statistics. Currently the statistics are produced in line with the Code of Practice for Official Statistics, available on the UK Statistics Authority website.

Note that the term 'Acute Hospital Care' in the context of national data sources excludes clinical specialties covering obstetric, psychiatric and long stay care services. National information for these services are covered elsewhere on the ISD website.

Summary Statistics

Information is presented within the summary tables on the number of planned, emergency and transfer admissions by specialty and NHS Board of Treatment/Residence. Data is available for number of episodes, continuous stays in hospital (CIS) and patients. All annual information has now been updated to include the financial year ending March 2014. Quarterly summary inpatient, day case and outpatient data for Scotland and NHS Boards of treatment are also available for quarters ending September 2012 to September 2014.

Please note, in order to view these files, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

Multiple and All Emergency Admissions

A steady rise in the number of emergency inpatient admissions has been a major source of pressure for the NHS over the past twenty years. The information presented here aims to provide a better understanding of the underlying trends in emergency admissions and in particular multiple emergency admissions.

For the purpose of these analyses, an emergency admission is defined as being a new continuous spell of care in hospital where the patient was admitted as an emergency. If a patient has more than one unplanned continuous spell of treatment in hospital in one year, this is defined as a multiple emergency admission for that patient. For more detailed information on how emergency admissions, multiple emergency admissions and bed days are defined and calculated, please see the Multiple and All Emergency Admissions Interpretation documentDownload Word file [960kb].

Detailed Information

Multiple Emergency AdmissionsDownload Excel file[9.1Mb]
Emergency AdmissionsDownload Excel file[4.0Mb]
Sex, Age and DeprivationDownload Excel file[11.2Mb]
65 years and overDownload Excel file[2.5Mb]

In order to view these files, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

HEAT Target - Over 65s

As emergency admissions for the elderly population are of particular interest, the Scottish Government developed a HEAT target which relates to the number of occupied bed days for patients aged 65 and over who were admitted as an emergency. This target has now concluded, however as it continues to be an area of interest we still publish information for this measure. Data for 2004/05 to 2013/14 is available below.

Emergency Admission and Multiple Emergency Admissions Over 65sDownload Excel file [2.5Mb]

HEAT Target - Over 75s

The Scottish Government developed a new HEAT target for emergency admissions to sustain focus on this important aspect of NHS performance. The amendment to this target sharpens the focus on the subgroup of patients aged 75 and over who have longer hospital stays and a higher risk of HAI, delayed discharge and institutional care outcomes.

  • Reduce the rate of emergency inpatient bed days for people aged 75 and over per 1,000 population by at least 12% between 2009/10 and 2014/15.

HEAT Data - Over 75s Download Excel file [1.5Mb]

Please note, in order to view this file, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

Further information on HEAT can be found on the Scotland Performs Website.

Hospital Admissions - Children and Young People aged 18 and under

Children and young people may be admitted to an acute hospital for a number of reasons including: specialist diagnostic procedures; emergency treatment following accidents; and routine, complex and life saving surgery. In some instances the admission will be planned (known as an elective admission) and in some cases unplanned (an emergency admission). These admissions may be day case admissions (they do not remain overnight) or as an inpatient admission (they stay overnight).

The Excel files below contain information relating to children and young people aged 18 and under who have been discharged from an acute hospital during the financial years 2009/10 to 2013/14. Data is available for number of episodes, continuous stays in hospital (CIS) and patients.

Childhood Activity Summary tablesDownload Excel file [30Mb] - by NHS Board of Residence

Please note, in order to view this file, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

Data on the number of main proceduresDownload Excel file [7.7Mb] performed and the number of episodes by main diagnosisDownload Excel file [11.3Mb] for children and young people aged 18 years and under are available within the Hospital Care Diagnoses and Operations/Procedures pages.

Further childhood health information is available under the Child Heath Topic including information on immunisation, infant feeding, and children's weight and growth.


Average Length of Stay

Reducing the amount of time patients spend in hospital has been key priority for NHS boards for a number of years. Shorter lengths of stay results in better outcomes for patients, reduced risk of healthcare acquired infections, such as MRSA, and improved patient flow through hospital systems.

The average length of stay for routine and non-routine (emergency) inpatient episodes for financial years 2009/10 to 2013/14 are presented in the table linked below. Average length of stay information can also be found in the annual and quarterly hospital bed statistics

Average Length of StayDownload Excel file [40.5Kb]


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