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Latest Publications

Latest Publications from ISD Scotland

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Publications

This page presents the latest releases from ISD in chronological order, for the current calendar year. Please scroll down the list to view older items or quickly filter by Health Topic using the links below. All items listed linked to the publications page for their topic, where you can access the 'Publication Summary', 'Publication Report' and individual tables. For items from previous years please view our archive releases page.

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23 August 2016

expand menu  Hospital Standardised Mortality Ratios

  • The HSMR for Scotland has decreased by 4.5% since January to March 2014 (first quarter after new baseline) and January to March 2016.
  • Two hospitals had significantly higher standardised mortality ratios in January to March 2016 than the national average: Belford Hospital (HSMR of 2.55) and Royal Alexandra/Vale of Leven Hospital (HSMR of 1.15).
  • Two hospitals had significantly lower standardised mortality ratios in January to March 2016 than the national average: Western General Hospital (HSMR of 0.73) and Queen Elizabeth University Hospital (HSMR of 0.86).
  • Seven of the 29 hospitals participating in the Scottish Patient Safety Programme have shown a reduction in excess of 10% since January to March 2014: Balfour Hospital; Dumfries & Galloway Royal Infirmary; Hairmyres Hospital; Monklands District General; University Hospital Ayr; Western Isles Hospital; Wishaw General Hospital.

Publication Summary Download  Download pdf file [275kb]
Full Reports Download  Download pdf file [496kb]
Data Visualisation View Data Visualisation
Data Tables View Data Tables
 View Hospital Standardised Mortality Ratios on the topic publications page

expand menu  Renal Cancer Quality Performance Indicators

  • There were 2,468 people diagnosed with renal cancer in Scotland between January 2012 – December 2014.
  • Less than 1% of patients with renal cancer died within the 30 days following surgery as first treatment.
  • Overall, for patients diagnosed between 2010 and 2012, the estimated 5 year survival rate (all cause deaths) for patients with renal cancer is 68%. As with many other types of cancer, survival rates decrease sharply with increasing age.
  • No NHS Board met all nine performance standards.

Publication Summary Download  Download pdf file [129kb]
Full Reports Download  Download pdf file [1221kb]
Data Tables View Data Tables
 View Renal Cancer Quality Performance Indicators on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 14 August 2016:



  • There were 24,530 attendances at Emergency Departments across Scotland.

  • 94% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.

  • 49 patients (0.2%) spent more than 8 hours in an Emergency Department.

  • 11 patients (< 0.05%) spent more than 12 hours in an Emergency Department.

  • A selection of information from this publication is included in NHS Performs.

Publication Summary Download  Download pdf file [160kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

16 August 2016

expand menu  Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics)

  • The total number of items dispensed, in Primary Care, in May 2016 was 8.7 million, an increase of 3.2% compared to May 2015. This is a continuation of a long standing trend.

  • The cost of items dispensed, in Primary Care, in May 2016 was £96.8 million, an increase of 7.1% compared to May 2015. This is a continuation of a long standing 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 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 May 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 £6.4 million).

Publication Summary Download  Download pdf file [188kb]
Full Reports
Data Visualisation View Data Visualisation
Data Tables n/a
Open Data Downloads View Open Data
 View Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics) on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 07 August 2016:

  • There were 25,343 attendances at Emergency Departments across Scotland.
  • 94.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 56 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 0 patients (0%) spent more than 12 hours in an Emergency Department.
  • A selection of information from this publication is included in NHS Performs.

Publication Summary Download  Download pdf file [160kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

10 August 2016

expand menu  Suicide Statistics for Scotland

  • There were 672 probable suicides registered in Scotland in 2015, down from 696 in 2014.
  • In 2015, the probable suicide rate for males was more than two-and-a-half times that for females.
  • Between 2011 and 2015, the probable suicide rate was more than three times higher in the most deprived areas compared to the least deprived areas.
  • While probable suicide rates are strongly related to deprivation level, this difference or inequality has decreased between 2001-05 and 2011-15.
  • Although Scotland appears to have had a higher suicide rate than the UK overall since the early 1990s, this comparison is influenced by differences in data recording practices between countries.
  • The suicide rate in Scotland is similar to the rate in other European countries.

Publication Summary Download  Download pdf file [215kb]
Full Report Click to view  Open in a new window
 View Suicide Statistics for Scotland on the topic publications page

expand menu  A profile of deaths by suicide in Scotland 2009-2014: a report from the Scottish Suicide Information Database

  • Between 2009 and 2014 nearly 4,500 individuals died from suicide in Scotland, equivalent to 15 suicides for every 100,000 people per year, after allowing for age and sex.
  • Around three-quarters of the deaths were in men (73%), in those unmarried/not partnered (71%), and in those who were employed (71%). Almost half (47%) were aged 35-54 at the time of their suicide.
  • Suicides were around three times more likely in those from the most deprived areas than those in the least deprived areas.
  • Of women who died by suicide in Scotland, one in four had given birth to one or more children in the previous 16 years.
  • 5% of individuals who died by suicide had been discharged from a mental health hospital, and 6% had a mental health outpatient appointment in the 30 days before their death.
  • One in four people who died by suicide attended A&E in the three months before they died, and 9% of people attended A&E multiple times within the same window.
  • The majority (60%) of individuals who died by suicide had been prescribed a mental health drug in the year prior to their death.
  • Hanging and strangulation were the most common methods of suicide among men and young women, while poisoning was the most common method for women of other ages.

Publication Summary Download  Download pdf file [291kb]
Full Reports Download  Download pdf file [947kb]
Data Tables View Data Tables
 View A profile of deaths by suicide in Scotland 2009-2014: a report from the Scottish Suicide Information Database on the topic publications page

09 August 2016

expand menu  The Scottish Arthroplasty Project

  • Over the last decade there has been a 41% increase in the number of hip and knee replacements performed in Scotland, from 11,189 in 2005 to 15,781 in 2015.
  • Overall the number of complications following surgery has reduced, although the number of patients experiencing renal failure within 30 days of surgery has increased in recent years.
  • The average age of patients having hip or knee replacements is 67.
  • 282 patients (2.2%) who had a hip or knee replacement in 2010 had to have revision surgery within 5 years.
  • 34 patients (0.2%) who had a hip or knee replacement in 2015 died within 90 days of their operation, which is similar to the mortality rate within the general population.
  • Patients undergoing hip or knee replacements spend half as long in hospital as they did 15 years ago. In 2015, the average length of a hospital stay was 5 days, compared to 10 days in 2001

Publication Summary Download  Download pdf file [211kb]
Full Report Click to view  Open in a new window
 View The Scottish Arthroplasty Project on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 31 July 2016:

  • There were 24,920 attendances at Emergency Departments across Scotland.
  • 95.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 52 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 0 patients (0%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [158kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

expand menu  Audit of Critical Care in Scotland

  • The audit covers over 46 000 patients admitted to critical care units in NHSScotland during 2015.
  • Intensive Care Units treat patients with a high level of complexity, with 2 out of 3 patients requiring the most advanced levels of support.
  • 20% of patients admitted to Intensive Care Units died before they were discharged from hospital.
  • Aberdeen Royal Infirmary Intensive Care Unit has a higher mortality rate compared to the rest of Scotland. The reasons behind a high mortality rate can be complex; therefore an external review has been commissioned to better understand this.
  • Glasgow Royal Infirmary Intensive Care Unit has a lower mortality rate compared to the rest of Scotland.
  • Some patients continue to experience delays in being discharged from critical care. The main reason identified for the delays were a shortage of beds in other areas of the hospital.
  • In 2015, 2.8% of patients developed a Healthcare Associated Infection (1.3% developed pneumonia, and 1.5% had a bloodstream infection). The level of infection is unchanged from 2014.
  • For most bloodstream infections, there was a central venous catheter in place around the time of infection.

Publication Summary Download  Download pdf file [26kb]
Full Report Click to view  Open in a new window
 View Audit of Critical Care in Scotland on the topic publications page

02 August 2016

expand menu  Scottish Bowel Screening Programme Statistics

  • For the two year reporting period 1 November 2013 to 31 October 2015 uptake was 57.5%, which was broadly similar to the uptake rate reported for the period 1 November 2012 to 31 October 2014. However, analysis by single year reveals that while uptake rates have steadily increased over time (going from 53.9% when the programme started in 2007/08 to a high of 58.5% in 2013/14) there was a decrease in uptake in 2014/15 to 56.5%.
  • Uptake was lower in areas of higher deprivation. Uptake in the most deprived group was 45.1% compared with 66.5% in the least deprived group.
  • Nearly two percent of those returning their screening kit received a positive test result. Of those with a positive test result, 6.7% had a bowel cancer.
  • Three out of five screen detected cancers (61.1%) were diagnosed at the earliest two stages. The earlier a cancer is detected the greater the chances are of successful treatment.

Publication Summary Download  Download pdf file [203kb]
Full Reports Download  Download pdf file [569kb]
Data Tables View Data Tables
 View Scottish Bowel Screening Programme Statistics on the topic publications page

expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during June 2016 was 31,774, an increase of 2.8% from 30,904 during June 2015.
  • 2,997 operations (9.4% of planned operations) were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 4.3% to 13.2%. This is an increase from 2,754 (8.9%) in June 2015.
  • Of all planned operations: 1,192 (3.8%) were cancelled by the patient; 1,036 (3.3%) were cancelled based on clinical reasons by the hospital; 602 (1.9%) were cancelled by the hospital due to capacity or non-clinical reasons; 167 (0.5%) were due to other reasons.

Publication Summary Download  Download pdf file [164kb]
Full Reports
Data Tables View Data Tables
 View Cancelled Planned Operations on the topic publications page

expand menu  Emergency Department Activity & Waiting Times

In the month of June 2016:

  • There were 139,300 attendances at A&E services across Scotland.
  • 95.7% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 368 (0.3%) patients spent more than 8 hours in an A&E department.
  • 51 (<0.1%) patients spent more than 12 hours in an A&E department.
  • 24% of attendances (around one in four) led to an admission to hospital.

Publication Summary Download  Download pdf file [279kb]
Full Reports
Data Tables View Data Tables
 View Emergency Department Activity & Waiting Times on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 24 July 2016:

  • There were 25,862 attendances at Emergency Departments across Scotland.
  • 94.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 94 patients (0.4%) spent more than 8 hours in an Emergency Department.
    o 11 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [159kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

26 July 2016

expand menu  Delayed Discharges in NHSScotland

Hospital bed days associated with delays in discharge in May 2016:

  • In May 2016, patients spent 44,305 days in hospital due to delays in discharge. This is a 6% decrease on the same period last year.

Patients ready for discharge as at June 2016 census:

  • 1,159 patients were delayed at the June 2016 census. This is a 3% increase on May 2016.
  • 338 of these delays (29%) were for patients with specific complex care needs.
  • Of the remaining 821 patients delayed at the census:
    • 262(32%) were awaiting place availability in a care home
    • 204 (25%) were awaiting completion of social care arrangements for social care support to live in their own home – awaiting social support (e.g. carer).
    • 181 (22%) were awaiting completion of a post hospital social care assessment

    Publication Summary Download  Download pdf file [209kb]
    Full Reports
    Data Tables View Data Tables
     View Delayed Discharges in NHSScotland on the topic publications page

expand menu  Scottish Hip Fracture Audit

  • Patients are being transferred more quickly from the Emergency Department to a ward (60% within three hours) which is particularly important for these often frail and elderly patients.
  • Screening for the presence of delirium has improved from 22% in 2013 to 44% in 2015/16, which allows early management of this distressing condition.
  • Comprehensive assessment by a specialist geriatric service is key to ensuring a positive outcome. Previously 80% of patients experienced a delay in seeing these specialists but this has improved to 40% still experiencing a delay.
  • 70% of patients have their fracture repaired within 36 hours of admission.
  • Repeated fasting of patients prior to surgery should be avoided. One in five patients are fasted more than once in preparation for theatre.NHS Boards are examining current practice to address this.
  • Getting patients mobilised earlier is key to faster discharge from hospital. One in five patients continue to have a delay in initial mobilisation following repair of their fracture.
  • Formal assessment of patients’ bone health, which is important in reducing future risk of fractures, has increased to 75% of patients.
  • More patients are returning to their usual place of residence within 30 days of admission to hospital (60% in 2015/15 compared to 50% in 2013).
  • The average length of total hospital stay has decreased from 22 to 17 days.

Publication Summary Download  Download pdf file [128kb]
Full Report Click to view  Open in a new window
 View Scottish Hip Fracture Audit on the topic publications page

expand menu  Detect Cancer Early Staging Data

  • 25.1% of people were diagnosed with breast, colorectal and lung cancer at the earliest stage (stage 1). This is an 8.0% increase from the baseline (2010 and 2011 combined) and below the Local Delivery Plan standard of 25%, showing that the standard has not been met in its final year.
  • Among patients diagnosed with breast, colorectal and lung cancer living in the most deprived areas of Scotland, the highest proportion (29.6%) were diagnosed at stage 4, the most advanced stage of disease. Among those living in the least deprived areas, the highest proportion (28.8%) were diagnosed at stage 1, the earliest stage.
  • There has been an improvement in the recording of the data with fewer patients being recorded with a not known stage of disease – a baseline of 9.0% compared with 5.5% for the latest time period.

Publication Summary Download  Download pdf file [155kb]
Full Reports Download  Download pdf file [681kb]
Data Tables View Data Tables
 View Detect Cancer Early Staging Data on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 17 July 2016:

  • There were 25,001 attendances at Emergency Departments across Scotland.
  • 94.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 58 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 1 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [159kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

19 July 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 10 July 2016:

  • There were 24,146 attendances at Emergency Departments across Scotland.
  • 94.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 60 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 5 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [159kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

expand menu  Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics)

  • The total number of items dispensed in April 2016 was 8.7 million, an increase of 4.1% compared to April 2015.
  • The cost of items dispensed in April 2016 was £97.3 million, an increase of 9.4% compared to April 2015.
  • The total cost of primary care drugs has increased over the last year. A significant proportion of the observed increase is accounted by the transition from hospital supply routes to provision through community pharmacy. An example of this is the treatment of patients with Hepatitis C. Other factors, such as price adjustments and the adoption of novel agents such as Direct Oral Anticoagulants (DOACs) also contribute to the observed increase in costs.
  • The view on the next page, one of four in the new Prescribing dashboard, shows the highest-cost therapeutic areas in terms of prescriptions in the community.
    • Drugs used in Diabetes was the highest-cost BNF Section across Scotland in April 2016 (total cost of items dispensed was £7.9 million).
    • Central Nervous System represented the highest-cost BNF Chapter (total cost of items dispensed across Scotland was £22.1 million). Analgesics (for all severities of pain-relief) was the highest-cost BNF Section in this Chapter at £6.4 million.

Publication Summary Download  Download pdf file [206kb]
Full Reports
Data Visualisation View Data Visualisation
Data Tables n/a
Open Data Downloads View Open Data
 View Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics) on the topic publications page

12 July 2016

expand menu  Prescribing Statistics - Prescription Cost Analysis

  • In 2015/16 the total number of items dispensed was 102.61 million items with a gross ingredient cost of £1.10 billion.
  • In 2015/16, the drug omeprazole, used for reducing stomach acid, was the most commonly prescribed drug with 3.57 million dispensed items. 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 2015/16 at £35.55 million. This has been the highest cost drug since 2011/12.
  • The rate of generic prescribing was 83.6% in 2015/16. The percentage of generic prescribing has slowly but steadily increased since 2006/07.
  • Many of the drugs showing volume increases have an equivalent therapeutic use to one or more drugs that have decreased in volume and vice versa.

Publication Summary Download  Download pdf file [176kb]
Full Reports Download  Download pdf file [490kb]
Data Tables View Data Tables
 View Prescribing Statistics - Prescription Cost Analysis on the topic publications page

expand menu  Scottish Stroke Care Audit

The SSCA monitors performance against a Stroke Care Bundle. The current bundle consists of four inpatient standards: timely Stroke Unit admission, swallow screen, brain imaging and aspirin administration. This Stroke Care Bundle was included in the 2015-16 Health Board Local Delivery Plans and trajectories for improvement were set locally.

The proportion of individuals, admitted to hospital with a confirmed diagnosis of stroke, receiving the appropriate bundle increased from 62% in 2014 to 64% in 2015. The wide variation between Health Boards suggests that there is still large potential for improvements in ‘bundle performance’.

Publication Summary Download  Download pdf file [118kb]
Full Report Click to view  Open in a new window
 View Scottish Stroke Care Audit on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 3 July 2016:

  • There were 24,779 attendances at Emergency Departments across Scotland.
  • 95.6% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 42 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 0 patients (0.0%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [160kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

05 July 2016

expand menu  Emergency Department Activity & Waiting Times

In the month of May 2016:

  • There were 148,522 attendances at A&E services across Scotland.
  • 94.5% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 574 (0.4%) patients spent more than 8 hours in an A&E department
  • 80 (<0.1%) patients spent more than 12 hours in an A&E department.
  • 24 % of attendances led to an admission to hospital.

Publication Summary Download  Download pdf file [430kb]
Full Reports
Data Tables View Data Tables
 View Emergency Department Activity & Waiting Times on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 26 June 2016:

  • There were 26,153 attendances at Emergency Departments across Scotland.
  • 95.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 40 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 0 patients (0.0%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [160kb]
Full Reports
Data Tables View Data Tables
 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during May 2016 was 31,213. Of these, 2,845 (9.1%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 3.9% to 13.1%. This is a similar level to the previous month.
  • Of all planned operations, 1,097 (3.5%) were cancelled by the patient, 967 (3.1%) were cancelled based on clinical reasons by the hospital, 578 (1.9%) were cancelled by the hospital due to capacity or non-clinical reasons and 203 (0.7%) were due to other reasons.
  • The percentage of total planned operations that were cancelled has remained relatively stable over the period May 2015 to May 2016. Starting off from 9.2% in May 2015 it peaked in January 2016 at 11.1% before dropping to 9.1% in May 2016. This fluctuation is primarily due to non-clinical or capacity reasons as can be seen in the chart below.

Publication Summary Download  Download pdf file [187kb]
Full Reports
Data Tables View Data Tables
 View Cancelled Planned Operations on the topic publications page

expand menu  Teenage Pregnancies

  • Teenage pregnancy rates in all age groups have continued to decline in 2014. The teenage pregnancy rate for under 20s has dropped from the most recent peak of 57.7 in 2007 to 34.1 per 1,000 women in 2014, a decrease of 40.9%.
  • In 2014, of the mainland NHS Boards, NHS Borders recorded the lowest rates of teenage pregnancy in both the under 18 and under 20 age groups with 17.5 and 29.3 per 1,000 women respectively.
  • In 2014, of the mainland NHS Boards, NHS Tayside recorded the highest rate of teenage pregnancy across all age groups with 5.8 per 1,000 women in the under 16 age group, 27.1 per 1,000 women in the under 18 age group and 37.8 per 1,000 women in the under 20 age group.
  • Termination rates for the under 16 age group have remained higher than delivery rates since 2002. For the period reported (1994-2014) termination rates for both the under 18 and under 20 age groups have remained lower than the delivery rates, however the difference between the rates has narrowed.
  • There is a strong correlation between deprivation and teenage pregnancy. In the under 20 age group, a teenage female living in the most deprived areas is 5 times as likely to experience a pregnancy as someone living in the least deprived.

Publication Summary Download  Download pdf file [164kb]
Full Reports Download  Download pdf file [614kb]
Data Tables View Data Tables
 View Teenage Pregnancies on the topic publications page

28 June 2016

expand menu  Acute Hospital Activity and NHS Beds information

Outpatients

  • There were 1.13 million outpatient total attendances in the quarter ending March 2016, similar to the previous year of 1.14 million.
  • 1 in 10 patients did not attend their outpatient appointment, which is similar to the same quarter in 2015.

Inpatient and day case discharges

  • There were 420,990 acute inpatient and day case episodes of care recorded in the quarter ending March 2016. This is an increase of 5.5% from quarter ending March 2015.
  • This increase is part of a general increasing trend over the last 5 years in the number of episodes of care recorded.

Bed statistics

  • There were 15,851 available staffed beds for all acute specialties in March 2016. This is an increase of nearly 1.5% since quarter ending December 2015 due to seasonality, and a reduction of over 5% over the last five years.

Publication Summary Download  Download pdf file [152kb]
Full Reports Download  Download pdf file [556kb]
Data Tables View Data Tables
 View Acute Hospital Activity and NHS Beds information on the topic publications page

expand menu  Cancer Waiting Times

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.

  • 90.2% of patients started treatment within the 62 day standard. This is a 0.6% point decrease compared to last quarter.
  • The 62 day standard was met by three NHS Boards (NHS Borders, NHS Dumfries & Galloway and NHS Lanarkshire).

The 31 Day Standard is that 95% of all patients will wait no more than 31 days from decision to treat to first cancer treatment.

  • 94.9% of patients started treatment within this standard. This is a 1.5% point decrease compared to the previous quarter.
  • The 31 day standard was met by 11 of 15 NHS Boards. The NHS Boards who did not meet the standard were NHS Grampian, NHS Glasgow & Clyde, NHS Lothian and NHS Tayside.

Publication Summary Download  Download pdf file [149kb]
Full Reports Download  Download pdf file [929kb]
Data Tables View Data Tables
 View Cancer Waiting Times on the topic publications page

expand menu  National Drug and Alcohol Treatment Waiting Times

  • The proportion of people receiving early access to their first treatment for drug or alcohol misuse continues to be high and has been for the past two years. Of the 11,171 people who started their first treatment, 94.8% have waited three weeks or less. More than half (56.2%) started their first treatment within one week of referral.
    • For the 6,858 people seeking alcohol treatment, 95.2% waited three weeks or less, similar to the previous quarter (96.0%).
    • For the 4,313 people seeking drug treatment, 94.2% waited three weeks or less, similar to the previous quarter (94.0%).
  • At the end of this quarter, 2,802 people were waiting to start their first drug or alcohol treatment, of which 114 (4.1%) had been waiting more than six weeks. This is a decrease from the previous quarter when 134 (5.4%) people were waiting more than six weeks.
  • In prisons, 1,383 people started their first drug or alcohol treatment between January-March 2016, with 97.8% waiting three weeks or less and 79.9% waiting one week or less.
  • All NHS Boards in Scotland met the Scottish Government’s Local Delivery Plan standard except NHS Highland, NHS Lothian and NHS Shetland.

Publication Summary Download  Download pdf file [257kb]
Full Reports Download  Download pdf file [740kb]
Data Tables View Data Tables
 View National Drug and Alcohol Treatment Waiting Times on the topic publications page

expand menu  Dispensing Reimbursement, Remuneration and Volume

Overall Cost

  • The total (net) cost in 2015/16 was £1.3 billion; this is an increase of 6.9% compared to 2014/15. The net cost of items reimbursed has increased overall by 28.0% over the last 10 years.

Products Dispensed

  • A total of 102.2 million items were reimbursed in 2015/16, an increase of 1.1% compared with 2014/15. The number of items reimbursed has been increasing year on year with a total increase of 28.1% over the last 10 years, however this rate of increase has slowed in recent years.
  • The Gross Ingredient Cost of items increased by 8.6% between 2014/15 and 2015/16, to £1.1 billion. This is partly due to price adjustments, new medicines and the move in supply of some high cost treatments from hospital to primary care.
  • This is reflected in the average cost per item which has increased from £10.04 to £10.79 between 2014/15 and 2015/16.

Services Provided

  • The cost for remuneration of services has increased by £4.9 million (2.4%) from £208.5 million in 2014/15 to £213.4 million in 2015/16.

Publication Summary Download  Download pdf file [210kb]
Full Reports Download  Download pdf file [474kb]
Data Tables View Data Tables
 View Dispensing Reimbursement, Remuneration and Volume on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 19 June 2016:

  • There were 25,598 attendances at Emergency Departments across Scotland.
  • 93.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 106 patients (0.4%) spent more than 8 hours in an Emergency Department.
  • 13 patients (0.1%) spent more than 12 hours in an Emergency Department.

Publication Summary Download  Download pdf file [159kb]
Full Reports
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 View NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics on the topic publications page

expand menu  Delayed Discharges in NHS Scotland (Annual release)

Hospital bed days associated with delays in discharge from April 2015 to March 2016:

  • The total number of bed days occupied by delayed discharge patients during 2015/16 was 567,853. This is a 9% reduction on the previous year (623,438).
  • Of the total bed days occupied by delayed discharge patients in 2015/16, 71% (400,525) were occupied by patients aged 75 and over.
  • The remaining bed days were occupied by patients aged 18-74 years.
  • 1 in 12 (8.2%) of all bed days occupied in 2015/16 were by delayed discharges.

Patients delayed at the monthly census points from April 2015 to March 2016:

  • In NHSScotland, the majority of delays at each census point are due to patients with complex care needs. These patients account for an average of 338 delays (29%) at each monthly census point.
  • Throughout 2015/16, there were an average of 278 patients (24%) waiting to go home with relevant care arrangements at each census. Patients awaiting a place in a care home accounted for an average of 263 delays (22%) at each census.

Costs:

  • In 2013/14 the estimated cost of delayed discharges in NHSScotland was £114 million, with an estimated average daily cost of £214.

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21 June 2016

expand menu  Childhood Immunisation Statistics

Quarterly Uptake

  • Rates of childhood immunisations continue to be high in the quarter ending 31 March 2016 in Scotland, ranging from 92.9% to 98.3% across the different age bands and vaccines.

Financial Year Uptake

  • Rates of childhood immunisations also continue to be high in the year ending 31 March 2016, ranging from 92.9% and 98.1% across the different age bands and vaccines.

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expand menu  Allied Health Professionals- Musculoskeletal Waiting Times

In the quarter ending March 2016 for AHP MSK services (Physiotherapy, Occupational Therapy, Chiropody/Podiatry and Orthotics) in the nine NHS Boards:

  • 62,425 patients had a first clinical appointment with an AHP MSK service (all professions) and just over half (50.3%) were seen within 4 weeks. This compares with 49.2% during the quarter ending December 2015.
  • Nine out of ten patients were seen within 17 weeks.

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expand menu  Delayed Discharges in NHSScotland

Hospital bed days associated with delays in discharge in April 2016

  • In April 2016, patients spent 43,980 days in hospital due to delays in discharge. This is a 5% decrease on the previous month and a 7% decrease on the same period last year.

Hospital bed days associated with delays in discharge in April 2016

  • In April 2016, patients spent 43,980 days in hospital due to delays in discharge. This is a 5% decrease on the previous month and a 7% decrease on the same period last year.


Patients ready for discharge as at May 2016 census


  • 1,123 patients were delayed at the May 2016 census. This is a 1% increase on April 2016.

  • 335 of these delays (30%) were for patients with specific complex care needs.
  • Of the remaining 788 patients delayed at the census:

    • 271(34%) were awaiting place availability in a care home

    • 205 (26%) were awaiting completion of social care arrangements for social care support to live in their own home – awaiting social support (e.g. carer).
    • 163 (21%) were awaiting completion of a post hospital social care assessment

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 12 June 2016:

  • There were 27,421 attendances at Emergency Departments across Scotland.
  • 94.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 89 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 8 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  ScotPHO website quarterly updates

Disability

  • In 2014, it was estimated that 31% of adults (aged 16 years and over) in Scotland had a limiting long-term condition or illness (lasting at least 12 months).

Drugs – Addiction Prevalence Testing

  • In 2015/16, 73% tested positive for illegal drugs when entering prison and 27% tested positive for illegal drugs when leaving prison.

Drugs – Drug Related Criminal Proceedings

  • In 2014/15, for those convicted of ‘possession with intent to supply’, the most common sentence was imprisonment (51%). For ‘possession’, the most common sentence was a fine (64%). The use of community sentences has increased over time (33% and 10% respectively in 2014/15, compared to 17% and 2% in 2010/11).

Ethnicity

  • Completeness and quality of ethnicity coding in national routinely-collected hospital records have improved sufficiently (80% complete with the ability to reach 90% through matching) to allow comparison of hospital admission rates by ethnic group for the first time in Scotland.

Tobacco Use

  • Over the period 2003-14, a clear downward trend in the number of deaths attributable to smoking was apparent.

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expand menu  Dental Statistics - Registration and Participation

Registration

  • 4.9 million (91%) of the Scottish population are registered with an NHS dentist.
  • Children are more likely to be registered with an NHS dentist than adults (94% compared to 90%) and true across all deprivation areas.
  • In contrast, adults are more likely to be registered if they live in the more deprived areas (92% in the most deprived area, 84% in the least deprived areas).

Contact with a Dentist (Participation)

  • At March 2016, 3.5 million (72%) of those registered had seen an NHS dentist within the last two years. This has been a steady decline since the change in the registrations rules in 2007, when 2.5 million (99%) had contact with an NHS dentist.
  • Children are more likely than adults to have seen an NHS dentist within the last two years (85% compared to 69%).
  • Those from the most deprived areas were less likely to see their dentist within the last two years than those from the least deprived areas.

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expand menu  Child and Adolescent Mental Health Services (CAMHS) Benchmarking Balanced Scorecard

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.

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14 June 2016

expand menu  Alcohol Brief Interventions 2015/16

  • In 2015/16 there were 97,245 Alcohol Brief Interventions (ABI) carried out in Scotland. This is 59% more than the 61,081 set out in the Local Delivery Plan (LDP) standard for 2015/16.
  • At national level both the target for all ABI delivery and the expectation of delivery of 80% of the target in priority settings were met. All but one NHS Board (NHS Western Isles) exceeded their target for ABI delivery in 2015/16.
  • There is large variation between individual NHS Boards in the distribution of ABI delivery across settings. There has been a three-fold increase in the number of ABIs delivered by ‘wider’ settings (other than priority settings) in the last three-year period.

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expand menu  Chronic Pain Waiting Times

Pain Clinic / Service

  • There were 5,041 referrals to Pain Clinic / Service during the quarter ending 31 March 2016. This compares with 4,791 referrals for the previous quarter.
  • 85.8% of the 2,924 patients seen in the quarter ending 31 March 2016 were treated within 18 weeks. This compares with 82.5% of the 3,317 patients seen in the previous quarter.
  • As at March 2016, 4,376 patients were waiting to be seen at a Pain Clinic / Service; of which, 85.8% had been waiting less than 18 weeks.
  • 14.3% of patients did not attend their appointment and failed to notify the hospital.

Pain Psychology Clinic

  • Of the 8 NHS Boards that provide this service and can provide the information, there were 327 referrals to a Pain Psychology Clinic during the quarter ending 31 March 2016. This compares with 341 referrals for the previous quarter.
  • 90.1% of the 253 patients seen in the quarter ending 31 March 2016 were treated within 18 weeks. This compares with 95.0% of the 282 patients seen in the previous quarter.
  • As at March 2016, 282 patients were waiting to be seen at a Pain Psychology Clinic; of which, 96.5% had been waiting less than 18 weeks.
  • 8.0% of patients did not attend their appointment and failed to notify the hospital.

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expand menu  Primary Care Workforce Survey Scotland 2015

  • A total of 561 general practices (58%) responded to the “In Hours” survey. All 14 NHS Boards responded to the GP Out of Hours section.
  • The Whole Time Equivalent (WTE) of GPs working in practices declined by 2% between 2013 and 2015 (from 3,735 to 3,645).
  • Between 2013 and 2015 the WTE of registered nurses employed by general practice increased, by 2% (from 1,420 to 1,455). The WTE of Health Care Support Workers increased by 23% (from 300 to 365).
  • One in five practices reported having a GP vacancy at 31 August 2015, twice as many as in 2013. Half of the vacancies reported had been vacant for over 6 months. Vacancies among nurses in general practice were much lower with 5% of practice reporting a vacancy.
  • More than a third of GPs working in Scottish general practice are over 50. This proportion is higher in males, with nearly half (47%) aged over 50 while for female GPs only 29% are over 50. The age profile of nurses in general practice is much older, with over half (53%) aged over 50.
  • 2,228 GPs were reported as working within GP Out of Hours services, however there was a large variation in the amount of time input to the services. 6% of GPs working in GP OoH services worked an average of 20+ hours per week which accounted for 34% of the total GP hours worked. The remaining GPs working in Out of Hours Services generally worked only a small number of hours each over the year.
  • All NHS Boards, with the exception of Shetland, reported having to take actions due to being unable to fill all GP OoH service shifts as planned, with 9 NHS Boards reporting having to do so at least weekly. The most common action taken was for staff to work longer shifts or start a shift earlier.

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expand menu  Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics)

  • The total number of items dispensed in March 2016 was 8.9 million, an increase of 1.8% compared to March 2015.
  • The cost of items dispensed in March 2016 was £97.8 million, an increase of 7.0% compared to March 2015.
  • The total cost of primary care drugs has increased over the last year. A significant proportion of the observed increase is accounted by the transition from hospital supply routes to provision through community pharmacy. An example of this is the treatment of patients with Hepatitis C. Other factors, such as price adjustments for items with supply issues and the adoption of novel agents such as Direct Acting Oral Anticoagulants (DOACs) also contribute to the observed increase in costs.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 5 June 2016:

  • There were 28,129 attendances at Emergency Departments across Scotland.
  • 94.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 65 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 1 patient (< 0.1%) spent more than 12 hours in an Emergency Department.

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07 June 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 29 May 2016:

  • There were 27,149 attendances at Emergency Departments across Scotland.
  • 94.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 73 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 6 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Child and Adolescent Mental Health Services (CAMHS) Waiting Times

During the quarter ending March 2016;

  • 4,436 children and young people started treatment at CAMH services in Scotland which is similar to the previous quarter (4,483) and then higher than the same period the previous year (4,269).
  • 84.2% were seen within18weeks and half started their treatment within eight weeks. This compares with 76.1% in the previous quarter and 78.9% in the same period the previous year.
  • The 18 week standard was met by eight Boards (NHS Ayrshire & Arran, NHS Dumfries & Galloway, NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Orkney, NHS Tayside and NHS Western Isles).
  • Across Scotland, 11.6% of patients referred to CAMH services did not attend their first appointment, compared to 13.1% in previous quarter and 10.7% for the same period in 2015.

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expand menu  Psychological Therapies Waiting Times

  • During the quarter ending March 2016 13,451 people started treatment for Psychological Therapies in Scotland, 82.8% of which were seen within 18 weeks. Half of the patients started their treatment within 7 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, NHS Lanarkshire, NHS Shetland and NHS Western Isles.
  • Improving access to services for older people is a key element of the mental health strategy. 747 people aged 65 and over started treatment for Psychological Therapies in this quarter and 88.1% were seen within 18 weeks.

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expand menu  Workforce - Quarterly update of Staff in Post, Vacancies and Turnover

  • At 31 March 2016, the number of staff employed by NHSScotland was 161,656 (headcount). This is equivalent to 138,458.2 whole time staff (referred to as whole time equivalent or WTE), an increase of 0.6% compared to March 2015.
  • The number of consultants in post was 5,115.6 WTE in March 2016, an increase of 4.0% compared to March 2015.
  • There were 355.4 WTE vacant consultant posts. This represents a vacancy rate of 6.5%, a decrease from 7.7% at March 2015. Of these vacancies, 166.1 WTE were vacant for more than six months, an increase of 17.4 WTE compared to March 2015.
  • The number of nursing and midwifery staff in post increased by 0.3% to 59,372.4 WTE compared to March 2015.
  • There were 2,207.3 WTE vacant nursing and midwifery posts. This represents a vacancy rate of 3.6%, a slight increase from 3.3% at March 2015.
  • The use of bank nursing and midwifery staff stabilised in the last year, increasing by 0.7% from 4,256 WTE in March 2015 to 4,287 WTE in March 2016. The use of agency nursing and midwifery staff increased substantially for the third consecutive year, providing cover equivalent to 276.7 WTE in 2015/16 compared to 191 WTE in 2014/15. This represents an increase of 44.9% with costs rising at a similar rate from £16m to just under £23.5m. This is a large increase in agency use but, when viewed in the context of the total nursing and midwifery workforce (WTE of staff in post, agency and bank), the proportion is small (0.4%).

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expand menu  Emergency Department Activity & Waiting Times

In the month of April 2016:

  • There were 131,755 attendances at A&E services across Scotland.
  • 95.1% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 568 (0.5%) patients spent more than 8 hours in an A&E department.
  • 158 (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.

For the year ending March 2016:

  • The total number of attendances was 1,606,576. This is 2.0% lower than the previous year (1,639,991)
  • The percentage spending 4 hours or less in an A&E department was 94.1%, compared with the previous year’s figure of 91.9%.

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expand menu  Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply

  • There has been a 30% increase in the CAMHS workforce from 764.6 WTE (883 headcount) in 2009 to 993.5 WTE (1154 headcount) as at 31 March 2016.
  • The headcount has remained relatively stable over the past year. Nationally, this represents a staffing level of 18.5 WTE clinical workers per 100,000 of the population of Scotland. This rate varies across NHS Health Board areas. For instance, in respect of mainland boards, the rate for NHS Tayside (26.2 WTE per 100,000) is over double the rate for NHS Grampian (9.9 WTE per 100,000).
  • At 31 March 2016, 35.6 WTE posts were vacant and in the process of being advertised with a further 12.2 WTE posts being approved for recruitment but not yet advertised.

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expand menu  Injecting Equipment Provision in Scotland 2014/15

  • In 2014/15, 288 outlets in Scotland provided injecting equipment. Three in four of these outlets were located in pharmacies.
  • Approximately 330,000 attendances were reported by injecting equipment outlets.
  • Approximately 4.4 million needles/syringes were distributed by participating outlets.
  • Nationally, 71 needles/syringes were distributed per problem drug user.
  • The number of outlets distributing injecting paraphernalia has increased over time. In 2014/15, sterile wipes or swabs and citric acid or vitamin C were the types of paraphernalia most commonly distributed (4.2 million and 3.3 million items respectively).

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expand menu  Workforce Planning for Psychology Services in NHSScotland - Characteristics of the Workforce within Psychology Services

  • Since 31 March 2015 the number of Clinical Psychologists has increased from 850 headcount to the current level of 862 headcount at 31 March 2016, however the WTE has decreased in this time period from 711.3 WTE to the current level of 705.0 WTE.
  • The number of Clinical and Other Applied Psychologists, has increased by 25% over the last 7 years, from 614.2 WTE (692 headcount) in 2009 to the current level of 767.6 WTE (935 headcount).
  • This represents a staffing level of 14.3 WTE Applied Psychologists per 100,000 of the population of Scotland. This rate varies across NHS Health Board areas. For instance, in respect of mainland boards, the rate for NHS Greater Glasgow and Clyde (17.7 WTE per 100,000) is over double the rate for NHS Highland (8.7 WTE per 100,000).
  • At 31 March 2016 52.9 WTE posts were vacant and in the process of being advertised with a further 5.6 WTE posts being approved for recruitment but not yet advertised.

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expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during April 2016 was 29,745. Of these, 2,806 (9.4%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 3.4% to 12.2%. This compares with a cancellation rate of 10.0% in the previous month.
  • Of all planned operations, 1,152 (3.9%) were cancelled by the patient, 1,005 (3.4%) were cancelled based on clinical reasons by the hospital and 467 (1.6%) were cancelled by the hospital due to capacity or non-clinical reasons.

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31 May 2016

expand menu  IVF Waiting Times

During the quarter ending March 2016:

  • 395 eligible patients were screened at an IVF centre, which is similar to the previous quarter (397).
  • All but one patient (99.7%) were screened for IVF treatment within 365 days.

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expand menu  Integrated Resource Framework (IRF) NHS Scotland and Local Authority Social Care Expenditure

  • There was £12.6bn of expenditure on health & social care in 2014/15. Of this total, £5.1bn (42%) was for delivering services to individuals aged 65 and over (who account for 18% of the population).
  • Care that is delivered in a community setting accounted for 44% (£5.9bn) of the total health and social care expenditure, with the remaining 56% (£6.7bn) being provided in either a hospital or care home. These proportions have remained unchanged over the past four years.
  • For those services delivered to people aged 65 and over, £3.7bn (72%) was spent in a health setting and £1.4bn (28%) in a social care setting.
  • 40% of expenditure (£1.5bn) within the NHS for people aged over 65 is as a result of an unplanned admission into hospital.

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expand menu  Termination of Pregnancy Statistics

  • The number of terminations in Scotland increased by 306 between 2014 and 2015 from 11,776 to 12,082; a rise of 2.6%.
  • Termination rates continue to decline in women under 20 years old but have increased among older women, particularly those aged 35-39 years.
  • The increase in terminations in 2015 mainly occurred in women living in the most deprived areas of Scotland. Termination rates are higher among women living in more deprived areas.
  • The majority of terminations are performed in early pregnancy using medical (involving the use of drugs) rather than surgical methods.

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expand menu  NHS Waiting Times - Diagnostics

  • 88.0% of patients waiting for a New Outpatient appointment at 31 March 2016 had been waiting 12 weeks or less. This compares to 87.5% at 31 December 2015 and 92.2% at 31 March 2015.
  • 94.6% of patients waiting for a key Diagnostic test at 31 March 2016 had been waiting less than six weeks. This compares to 93.2% at 31 December 2015 and 91.2% at 31 March 2015.
  • 92.7% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 March 2016. This compares to 95.3% during quarter ending 31 December 2015 and 94.7% during quarter ending 31 March 2015.
  • 86.6% of patients were seen within the 18 week Referral to Treatment standard during month ending 31 March 2016. This compares to 87.1% seen during month ending 31 December 2015 and 87.8% during month ending 31 March 2015.

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expand menu  NHS Waiting Times - 18 Weeks Referral to Treatment

  • 88.0% of patients waiting for a New Outpatient appointment at 31 March 2016 had been waiting 12 weeks or less. This compares to 87.5% at 31 December 2015 and 92.2% at 31 March 2015.
  • 94.6% of patients waiting for a key Diagnostic test at 31 March 2016 had been waiting less than six weeks. This compares to 93.2% at 31 December 2015 and 91.2% at 31 March 2015.
  • 92.7% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 March 2016. This compares to 95.3% during quarter ending 31 December 2015 and 94.7% during quarter ending 31 March 2015.
  • 86.6% of patients were seen within the 18 week Referral to Treatment standard during month ending 31 March 2016. This compares to 87.1% seen during month ending 31 December 2015 and 87.8% during month ending 31 March 2015.

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expand menu  NHS Waiting Times - Stage of Treatment

  • 88.0% of patients waiting for a New Outpatient appointment at 31 March 2016 had been waiting 12 weeks or less. This compares to 87.5% at 31 December 2015 and 92.2% at 31 March 2015.
  • 94.6% of patients waiting for a key Diagnostic test at 31 March 2016 had been waiting less than six weeks. This compares to 93.2% at 31 December 2015 and 91.2% at 31 March 2015.
  • 92.7% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 March 2016. This compares to 95.3% during quarter ending 31 December 2015 and 94.7% during quarter ending 31 March 2015.
  • 86.6% of patients were seen within the 18 week Referral to Treatment standard during month ending 31 March 2016. This compares to 87.1% seen during month ending 31 December 2015 and 87.8% during month ending 31 March 2015.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 22 May 2016:

  • There were 26,625 attendances at Emergency Departments across Scotland.
  • 93.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 136 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 16 patients (0.1%) spent more than 12 hours in an Emergency Department.

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24 May 2016

expand menu  Delayed Discharges in NHSScotland

Hospital bed days associated with delays in discharge in March 2016

  • In March 2016, patients spent 46,309 days in hospital due to delays in discharge. This is a 7% decrease on the same period last year.
  • In the year ending March 2016, patients spent 55,585 fewer days delayed in hospital than in the previous year. This represents a 9% decrease.

Patients ready for discharge as at April 2016 census

  • 1,107 patients were delayed at the April 2016 census. This is a 5% decrease on March 2016 and a 1% increase on the same period last year.
  • 33% of these delays (367) were for patients with specific complex care needs.
  • Of the remaining 740 patients delayed at the census:
    • 247 (33%) were awaiting place availability in a care home
    • 189 (25%) were awaiting completion of a post hospital social care assessment
    • 150 (20%) were awaiting completion of social care arrangements for social care support to live in their own home

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 15 May 2016:

  • There were 27,733 attendances at Emergency Departments across Scotland.
  • 93.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 136 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 12 patients (0%) spent more than 12 hours in an Emergency Department.

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expand menu  Hospital Standardised Mortality Ratios

This is the last release of Hospital Standardised Mortality Ratios (HSMRs), reporting on progress towards the current phase of the Scottish Patient Safety Programme. HSMRs are calculated when mortality data are adjusted to take account of some of the factors known to affect the underlying risk of death. The HSMR calculation includes patients who died within 30 days from hospital admission. NHS Boards use HSMR information to help improve the quality of care and treatment.

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expand menu  Emergency Care Activity

This release focuses on 1.3 million attendances that take place at the 30 Emergency Departments in Scotland each year. It looks at the daily and weekly and seasonal patterns of attendance at Emergency Departments.

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17 May 2016

expand menu  Melanoma Cancer Quality Performance Indicators

  • There were 1,275 people diagnosed with melanoma in NHSScotland during 1 July 2014 to 30 June 2015.
  • Overall Scotland met three of the eleven indicators. No NHS Board managed to meet all eleven indicators.
  • Five year survival rates for Scotland were slightly lower for males than females across all age groups.
  • There were minimal differences in five year survival rates between the three regional cancer networks in Scotland.

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expand menu  Cancer Incidence in Scotland (2014)

  • In 2014, 31,711 people in Scotland were diagnosed with cancer: 16,183 women and 15,528 men.
  • Over the last ten years, age-adjusted incidence rates of cancer in Scotland have decreased by 3% for men but increased by 6% for women.
  • Cancer is more common as people get older. In 2014, 75% of cancer diagnoses were in people aged 60 and over.
  • Lung cancer remains the most common cancer in Scotland. In 2014, 5,307 cases were diagnosed. The next most common was breast cancer (4,610 cases), followed by colorectal cancer (3,721 cases).
  • There is considerable variation in incidence rates between different types of cancer. For instance, the incidence rate of cervical cancer has increased by 18% over the last ten years. In contrast, the rate for cancer of the stomach in men has decreased by 32% over the same period.

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expand menu  Scottish Drugs Misuse Database: Annual Report

  • In 2014/15, initial assessments for specialist drug treatment relating to 12,402 individuals were recorded on SDMD.
  • 46% of the 8,692 individuals on whom we have information on recent ‘illicit’ drug use (including Novel Psychoactive Substances/legal highs), sought treatment for heroin, 20% for cannabis and 10% diazepam.
  • The percentage of under 25s reporting recent heroin use decreased from 58% in 2006/07 to 23% in 2014/15.
  • A general downward trend in the percentage of individuals reporting current injecting was observed (from 28% in 2006/07 to 20% in 2014/15).
  • Between 2006/07 and 2014/15 current sharing of needles/syringes decreased from 12% to 6%, whilst sharing of injecting paraphernalia fell from 20% to 8%.
  • The percentage of individuals aged 35 and over increased from 30% in 2006/07 to 48% in 2014/15.

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 View Scottish Drugs Misuse Database: Annual Report on the topic publications page

expand menu  Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics)

  • The total number of items dispensed in February 2016 was 8.26 million, an increase of 4.3% compared to February 2015.
  • The gross ingredient cost of items dispensed in February 2016 was £89.4 million, an increase of 12.0% compared to February 2015.
  • The total Primary care drugs budget has consistently increased over the last year, as seen this February. A large portion of this is explained by a Hospital to Community Pharmacy shift in the dispensing of newer Hepatitis C drugs. Other factors, such as price adjustments for items with supply issues and increased uptake or newer therapeutic agents, also contribute to this increase.

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 View Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics) on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 8 May 2016:

  • There were 27,044 attendances at Emergency Departments across Scotland.
  • 93.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 90 patients (0.3%) spent more than 8 hours in an Emergency Department.
  • 3 patients (0%) spent more than 12 hours in an Emergency Department.

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10 May 2016

expand menu  Hospital inpatient care of people with mental health problems in Scotland, Trends up to 31 March 2015

Patients treated for mental health conditions in all hospital wards

  • Since 1997/98 discharges for mental health conditions from mental health units fell from over 30,000 per year to less than 18,500. Over the same period, discharges from general hospitals for mental health conditions increased from just under 9,500 to nearly 18,000.
  • Patients discharged from mental health units tended to be younger than those discharged from general hospital wards, with an average age of 50 compared to 60.
  • Among people discharged from general hospital wards for a mental health problem, most were treated for an organic disorder, such as dementia or delirium, or for a condition related to substance misuse.
  • Among those discharged from mental health units, most were treated for schizophrenia and similar disorders, or for disorders of mood.

Patients treated in psychiatric specialties up until 2014/15

  • The total number of patients treated in mental health units in 2014/15 was slightly lower than in 2013/14.
  • People living in the most deprived areas were more than four times as likely to experience a period of psychiatric inpatient care than those in the least deprived areas.

Patients treated in the Learning Disability specialty

  • Discharges from the Learning Disability specialty fell sharply from around 4,700 to around 1,200, between 1997/98 and 2005/06, but have started to level out in more recent years. This reflects changes in patterns of care, moving away from long term hospital care towards more community based care.
  • People living in the most deprived areas were more than three times as likely to experience an episode of inpatient care in the Learning Disability specialty than those living in the least deprived areas.

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expand menu  Adult Mental Health Benchmarking Toolkit

The Information Services Division has released data up to 31 March 2015 in the Adult Mental Health Benchmarking Toolkit. The Adult Mental Health Benchmarking Toolkit aims to improve Mental Health Services by using benchmarking to understand and compare services and their outcomes and to promote best practice. The toolkit is primarily adult focused based on General Psychiatry and Psychiatry of Old Age specialties, and excludes Child and Adolescent Psychiatry, Learning Disabilities and Forensic Psychiatry services. However, for certain indicators data are not available at an adult only level and may pertain to the wider Mental Health service. It contains information on financial, prescribing, workforce and psychiatric hospital activity.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 1 May 2016:

  • There were 25,687 attendances at Emergency Departments across Scotland.
  • 95.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 41 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 0 patients (0%) spent more than 12 hours in an Emergency Department.

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expand menu  Dementia Benchmarking Toolkit - 2014/15

The toolkit provides a mechanism for monitoring and tracking change and improvement over time in respect of dementia services in Scotland. The toolkit contains data on prescribing, Quality and Outcomes Framework, hospital activity and care homes up to 31 March 2015.

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03 May 2016

expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during March 2016 was 32,381. Of these, 3,234 (10.0%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 4.3% to 24.1%. This compares with a cancellation rate of 10.2% in the previous month;
  • Of all planned operations, 1,297 (4.0%) were cancelled by the patient, 1,042 (3.2%) were cancelled based on clinical reasons by the hospital and 670 (2.1%) were cancelled by the hospital due to capacity or non-clinical reasons.

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expand menu  Emergency Department Activity & Waiting Times

In the month of March 2016:

  • There were 144,924 attendances at A&E services across Scotland.
  • 93.1 % of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 958 (0.7%) patients spent more than 8 hours in an A&E department
  • 227 (0.2%) patients spent more than 12 hours in an A&E department.
  • 25 % of attendances led to an admission to hospital.

For the year ending March 2016:

  • The total number of attendances was 1,606,576. This is 2.0% lower than the previous year (1,639,991)
  • The percentage spending 4 hours or less in an A&E department was 94.1%, compared with the previous year’s figure of 91.9%.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 24 April 2016:

  • There were 26,755 attendances at Emergency Departments across Scotland.
  • 95.0% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 60 patients (0.2%) spent more than 8 hours in an Emergency Department.
  • 9 patients (<0.1%) spent more than 12 hours in an Emergency Department.

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26 April 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 17 April 2016:

  • There were 24,383 attendances at Emergency Departments across Scotland.
  • 93.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 87 patients (0.4%) spent more than 8 hours in an Emergency Department.
  • 8 patients (<0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Delayed Discharges in NHSScotland

Hospital Bed-Days associated with delays in discharge in February 2016

  • In February 2016, patients spent 43,896 days in hospital due to delays in discharge. This is an 8% decrease on January 2016 and a 6% decrease on the same period last year.
  • Nationally, over 71% of these bed-days were accounted for by patients aged 75 and over.

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19 April 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 10 April 2016:

  • There were 24,962 attendances at Emergency Departments across Scotland.
  • 94.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 128 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 22 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Scottish Breast Screening Programme Statistics

NHS Breast Screening Programme performance standards, for the three year period 1 April 2012 to 31 March 2015:

  • For the latest three-year period, the uptake rate for Scotland has fallen slightly by 0.4 percentage points from 72.9% in 2011-14 to 72.5% in 2012-15. The results for both periods exceed the 70% minimum performance standard.
  • All but three NHS Boards achieved the 70% minimum performance standard for uptake; NHS Greater Glasgow and Clyde (67.7%), NHS Lanarkshire (69.4%) and NHS Lothian (69.8%).
  • The invasive cancer detection rate, for women aged 53-70 years with a previous screen within five years of last attendance, was 6.5 per 1,000 women screened. This is a slight decrease from the previous three-year period 2011-14 figure of 6.8 per 1,000 women screened.

In 2014/15:

  • All but 1 of the 13 NHS Breast Screening Programme minimum performance standards were achieved and all but 2 of the 11 targets were met.
  • 1,362 cases of screen detected breast cancer were diagnosed in women of all ages.
  • Of these over 80% (1,114 cases) of cancers detected were invasive, of which nearly three out of five (59.4%) were less than 15 mm in size and unlikely to be detected by a physical examination.

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 View Scottish Breast Screening Programme Statistics on the topic publications page

12 April 2016

expand menu  Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics)

The Information Services Division is releasing NHSScotland prescribing data in two new formats today:



  • Practice-level prescribing Open Data: Open data files enable in-depth independent analysis of NHSScotland prescribing data. The data are split by practice and by individual drug (ie at practice- and presentation-level).

  • Prescribing dashboards: Interactive analytical dashboards with month-by-month summaries of prescription volumes and costs in Scotland’s NHS Boards. These enable at-a-glance interpretation of high-level trends using the latest techniques and technologies in data visualisation.


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 View Prescribing Statistics-Monthly Prescribing Activity Data (Experimental Statistics) on the topic publications page

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 3 April 2016:



  • There were 26,762 attendances at Emergency Departments across Scotland


  • 92.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or

    discharged within 4 hours.


  • 145 patients (0.5%) spent more than 8 hours in an Emergency Department.


  • 18 patients (0.1%) spent more than 12 hours in an Emergency Department.

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05 April 2016

expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during February 2016 was 31,463. Of these, 3,221 (10.2%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 5.5% to 15.4%. This compares with a cancellation rate of 11.1% in the previous month;
  • Of all planned operations, 1,225 (3.9%) were cancelled by the patient, 1085 (3.4%) were cancelled based on clinical reasons by the hospital and 718 (2.3%) were cancelled by the hospital due to capacity or non-clinical reasons.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 27 March 2016:

  • There were 26,963 attendances at Emergency Departments across Scotland.
  • 92.0% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 163 patients (0.6%) spent more than 8 hours in an Emergency Department.
  • 22 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Emergency Department Activity & Waiting Times

In the month of February 2016 :

  • There were 127,713 attendances at A&E services across Scotland.
  • 92.9 % of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 1,085 (0.9%) patients spent more than 8 hours in an A&E department
  • 269 (0.2%) patients spent more than 12 hours in an A&E department.
  • 26 % of attendances led to an admission to hospital.

For the year ending February 2016:

  • The total number of attendances was 1,599,224. This is 2.7% lower than the previous year (1,644,341)
  • The percentage spending 4 hours or less in an A&E department was 94.1%, compared with the previous year’s figure of 92.0%.

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29 March 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 20 March 2016:

  • There were 27,276 attendances at Emergency Departments across Scotland.
  • 92.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 153 patients (0.6%) spent more than 8 hours in an Emergency Department.
  • 37 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Head & Neck Cancer Quality Performance Indicators

  • There were 1,149 people diagnosed with head and neck cancer in NHSScotland from 1 April 2014 – 31 March 2015.Of these, around half (43%) were smokers at the time of diagnosis.
  • Less than 0.5% of patients with head and neck cancer diagnosed in Scotland died within the 30 days following surgery, chemotherapy or radiotherapy.
  • No NHS Board met all eleven performance standards.

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expand menu  Cancer Waiting Times

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.

  • 90.8% of patients started treatment within the 62 day standard. This is a 0.6% point increase compared to last quarter.
  • The 62 day standard was met by three NHS Boards (NHS Borders, NHS Dumfries & Galloway and NHS Lanarkshire).
  • Two of the ten cancer types successfully met the 95% standard – melanoma (96.4%) and ovarian (97.3%).

The 31 Day Standard is that 95% of all patients will wait no more than 31 days from decision to treat to first cancer treatment.

  • 96.4% of patients started treatment within this standard. This is a 1.1% point increase to the previous quarter. The standard was met by all NHS Boards.
  • Nine of the 10 reported cancer types met the 31 day standard. Although only 90.2% of patients waiting were treated within 31 days for urological cancer, this has increased by 3.1% point to the previous quarter.

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expand menu  National Drug and Alcohol Treatment Waiting Times

  • The proportion of people receiving early access to their first treatment for drug or alcohol misuse continues to be high and has been for the past two years. Of the 10,896 people who started their first treatment, 95.2% have waited three weeks or less. This is similar to the previous quarter (95.5%). Of those more than half (57.2%) started their first treatment within 1 week of referral.
    - For the 6,491 people seeking alcohol treatment, 96.1% waited 3 weeks or less, similar to the previous quarter (96.6%).
    - For the 4,405 people seeking drug treatment, 93.9% waited 3 weeks or less, similar to the previous quarter (93.8%).
  • The proportion of people treated within 3 weeks by local Alcohol and Drug Partnerships ranges from 75.6% to 100%.
  • At the end of this quarter, 2,354 people were waiting to start their first drug or alcohol treatment, of which 146 (6.2%) had been waiting more than 6 weeks. This is a decrease from the previous quarter when 221 (7.5%) people were waiting more than 6 weeks.
  • In prisons, 1,276 people started their first drug or alcohol treatment between October-December 2015, with 98.7% waiting 3 weeks or less and 77.7% waiting one week or less.
  • All NHS Boards in Scotland met the Scottish Government’s Local Delivery Plan standard except NHS Highland and NHS Lothian.

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expand menu  Acute Hospital Activity and NHS Beds Information

Outpatients

  • There were around 1.14 million outpatient total attendances in the quarter ending December 2015, similar to the previous year.
  • Around 1 in 10 patients did not attend their outpatient appointment, which is similar to both the previous quarter and the same period in 2014.

Inpatient and day case discharges

  • There were 415,210 acute inpatient and day case episodes of care recorded in the quarter ending December 2015. This is an increase of around 4% from the same quarter of the previous year.

Emergency Admissions

  • In NHSScotland in 2014/15 there were 156,000 emergency admissions for patients aged 75 and over, an increase of 3.7% from 2013/14.

Bed statistics

  • There were around 15,600 available staffed beds for all acute specialties in December 2015. This is a reduction of nearly 3% since quarter ending December 2013 (when data for Scotland were last available), and a reduction of over 5% over the last five years. A long term trend in these figures is not available due to problems of submission from several NHS Boards’ patient admission systems.
  • For Scotland, excluding Grampian and Highland NHS Boards, the number of available staffed beds in acute specialties was around 13,300 in the quarter ending December 2015. This is a decrease of almost 3% from around 13,700 beds in December 2014.

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22 March 2016

expand menu  Prescribing Statistics - Dispenser Remuneration

Overall Cost

  • The gross total payments to Scottish dispensing contractors in the first nine months of 2015/16 were £956.7 million. This is an increase of £61.9 million (6.9%) between the first nine months of 2014/15 and the first nine months of 2015/16.

Services Provided

  • The cost for remuneration of services has increased by £3.7 million (2.4%) from £155.5 million in the first nine months of 2014/15 to £159.2 million in the same period in 2015/16.

Products Dispensed

  • A total of 77.2 million items were dispensed in the first nine months of 2015/16, an increase of 0.8 million items (1.1%) compared to the same period of 2014/15. The cost per item has also increased from £10.01 to £10.76 in the first nine months of 2014/15.
  • The gross ingredient cost (GIC) of items increased by 8.7% between the first nine months of 2014/15 and the first nine months of 2015/16. This is partly due to the move in dispensing of some high cost treatment regimes from hospital to primary care.

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expand menu  Delayed Discharges in NHSScotland

Hospital Bed-Days associated with delays in discharge in January 2016

  • In January 2016, patients spent 47,827 days in hospital due to delays in discharge. This is a 12% decrease on the same period last year. Nationally, over 70% of these bed-days were accounted for by patients aged 75 and over.

Patients ready for discharge as at February 2016 census

  • 1,192 patients were delayed at the February 2016 census. This is a 4% increase on January 2016 and a 6% decrease on the same period last year.
  • 30% of these delays (363) were for patients with specific complex care needs.
  • Of the remaining 829 patients delayed at the census: 30% (249) were awaiting place availability in a care home; 26% (216) were awaiting completion of social care arrangements for living in their own home – awaiting social support; 26% (216) were awaiting completion of a post-hospital social care assessment.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 13 March 2016:

  • There were 26,762 attendances at Emergency Departments across Scotland.
  • 92.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 178 patients (0.7%) spent more than 8 hours in an Emergency Department.
  • 24 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  ScotPHO website: Drug misuse section update

Social harm – Drug Related Offences by Council Area:

  • In 2014/15, rates of recorded drug offences in Scotland ranged from 152.9 offences per 10,000 population in Glasgow City to 12.8 per 10,000 population in Na h-Eileanan Siar.
  • In 2014/15, there were 6.9 recorded offences for possession of drugs with intent to supply per 10,000 population. This was similar to figures for 2012/13 and 2013/14 (7.3 and 6.7 respectively).
  • In 2014/15, there were 59.2 recorded offences for possession of drugs per 10,000 population. This was a slight increase compared to 2012/13 and 2013/14 (54.9 and 57.2 respectively).

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expand menu  Childhood Immunisation Statistics Scotland

Calendar year figures for 2015:

  • In Scotland, uptake rates by 12 months of age for complete primary courses of immunisation against diphtheria, tetanus, pertussis (whooping cough), polio & Hib (the five-in-one vaccine), MenC and PCV remained high, with rates above 97%.
  • By 12 months of age uptake of the vaccine against rotavirus, a common cause of severe diarrhoea in infants, was 92.9%. This vaccine was introduced to the routine schedule in July 2013.
  • Uptake rates of the Hib/MenC and PCV booster vaccines by 24 months remained high at above 95%.
  • The national target is for 95% uptake of one dose of the MMR vaccine by five years of age, with a supplementary measure at 24 months. In 2015, annual uptake of one dose of MMR vaccine by 24 months of age was 95.4%. Uptake of one dose by five years of age was 97.0%. Uptake rates by five years have remained above the 95% target since 2009.
  • At Scotland level, uptake rates were high across all deprivation categories. Uptake rates for completed courses of the five-in-one, MenC and PCV vaccines at 12 months of age were above 96% in all deprivation categories.

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expand menu  ScotPHO website quarterly updates

Asthma

  • There has been a modest decline in incidence rates for asthma over the last ten years, though there is marked year to year variation in rates, particularly in females. Most recent (2014/15) incidence rates for males and females are 53 and 65 per 100,000 population respectively.
  • Hospital admission rates for children under the age of ten for asthma have fallen. Admissions for boys peaked at 266 per 100,000 in 2006/07 reducing to 174 in 2014/15. Girls have seen a similar fall from 154 to 98 per 100,000 population during the same period.

Chronic Obstructive Pulmonary Disease

  • Mortality from the lung condition, Chronic Obstructive Pulmonary Disease (COPD), continues to fall in males. The 2014 rate of 61 per 100,000 population is the lowest reported since 1996. The mortality rate for females is decreasing after a period of stability and is currently at 48 per 100,000 population.
  • Overall rates of new admissions for COPD for 2014/15 remain higher in men than women, although the pattern is reversed among those under 65, with higher rates in women.

Deaths

  • The all-cause death rate in Scotland is strongly related to deprivation. In 2014, the adjusted rate for the most deprived tenth of the population was more than twice the rate for the least deprived (1,661 compared to 815 deaths per 100,000 population respectively).

Diabetes

  • Over the last ten years, there has been a steep rise in the number of deaths where diabetes was recorded as a contributory factor. The number of hospital admissions where diabetes was recorded as an additional diagnosis has risen steadily.

Drugs – Social Harm - Drug Related Offences by Council Area

  • In 2014/15, there were 6.9 recorded offences for possession of drugs with intent to supply per 10,000 population. This was similar to figures for 2012/13 and 2013/14 (7.3 and 6.7 respectively).
  • In 2014/15, there were 59.2 recorded offences for possession of drugs per 10,000 population. This was a slight increase compared to 2012/13 and 2013/14 (54.9 and 57.2 respectively).

Epilepsy

  • Deaths due to epilepsy have increased slightly over the last ten years, whilst hospital admissions where epilepsy was the main cause have declined over the same period.

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expand menu  National Drug Related Deaths Database (Scotland) Report

The National Drug-Related Deaths Database includes 622 deaths which occurred in 2014, of which 575 were classed as non-intentional. The report and the following points focus on these non-intentional deaths:

  • Around three quarters (76%) of drug-related deaths were among males. The average age of individuals increased from 34 in 2009 to 39 in 2014, reflecting the ageing profile of problem drug users.
  • Female drug-related deaths increased by 54% from 2009 to 2014, in comparison with a 28% increase among males.
  • Around half (53%) of those who died lived in the 20% most deprived neighbourhoods in Scotland, similar to previous years.
  • 37% (196) of those who died were a parent or carer to a child. 310 children lost a parent or carer to a drug-related death.
  • 70% of those who died had recently been in contact with a service (drug treatment, hospital, police or prison) which may have identified them as being at risk of drug-related death.
  • Three out of four individuals had opioids (methadone, heroin, morphine or buprenorphine) implicated in their death.
  • Heroin/morphine was the drug most commonly implicated in death, increasing from 40% in 2011 to 52% in 2014. Deaths where methadone was implicated in death fell from 54% to 36% over the same time period.
  • Unlike previous years, the number of deaths related to Novel Psychoactive Substances increased only slightly in 2014 (112).

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expand menu  Child and Adolescent Mental Health Services (CAMHS) Benchmarking Balanced Scorecard

Quarterly update of the CAMHS Benchmarking tools.

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15 March 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 06 March 2016:

  • There were 26,477 attendances at Emergency Departments across Scotland.
  • 91.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 156 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.

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expand menu  AHP MSK Waiting Times

In the quarter ending December 2015 for AHP MSK services (Physiotherapy, Occupational Therapy, Chiropody/Podiatry and Orthotics) in the eight NHS Boards:

  • 52,058 patients had a first clinical appointment with an AHP MSK service (all professions) and just under half (49.2%) were seen within 4 weeks. This is the same as the quarter ending September 2015.
  • Nine out of ten patients were seen within 17 weeks.

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08 March 2016

expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 28 February 2016:

  • There were 25,909 attendances at Emergency Departments across Scotland.
  • 92.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 190 patients (0.7%) spent more than 8 hours in an Emergency Department.
  • 28 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Unintentional Injuries

  • Unintentional injuries accounted for approximately 1 in 8 emergency hospital admissions for children and 1 in 11 for adults in Scotland in 2014/15.
  • There were 54,710 emergency admissions to hospital in Scotland for unintentional injuries in 2014/15. There has been little fluctuation in the past ten years with 53,048 emergency admissions in 2005/06.
  • There were 1,750 deaths in Scotland in 2014 due to unintentional injury, 23 in children under the age of 15 and 1,727 in adults aged 15 years and over.
  • In 2014/15 there were 23,632 emergency admissions to hospital for an unintentional injury in those aged 65 and over, with 84% of these admissions being the result of a fall.
  • Children and adults in the most deprived areas are more likely than those in the least deprived areas to have an emergency admission to hospital for an unintentional injury. In 2014/15 children in the most deprived areas had a standardised discharge ratio approximately 19% higher than the Scottish average. For adults, this was nearly 40% higher than the Scottish average.
  • Emergency hospital admissions resulting from assault have decreased by 52% since 2008/09.

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expand menu  Chronic Pain Waiting Times

Pain Clinic Service

  • There were 4,791 referrals to Pain Clinic / Service during the quarter ending December 2015.
  • 82.5% of the 3,317 patients seen in the quarter ending December 2015 were treated within 18 weeks.
  • 3,816 patients were waiting to be seen at a Pain Clinic / Service; of which, 92.0% had been waiting less than 18 weeks.
  • 13.2% of patients did not attend their appointment and failed to notify the hospital.

Pain Psychology Clinic

  • Of the 8 NHS Boards that provide this service and can provide the information, there were 341 referrals to a Pain Psychology Clinic during the quarter ending 31 December 2015.
  • 95.0% of the 282 patients seen in the quarter ending December 2015 were treated within 18 weeks.
  • 254 patients were waiting to be seen at a Pain Psychology Clinic; of which, 89.0% had been waiting less than 18 weeks.
  • 13.6% of patients did not attend their appointment and failed to notify the hospital.

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01 March 2016

expand menu  Workforce - Quarterly update of Staff in Post, Vacancies and Turnover

  • At 31 December 2015, NHSScotland employed 161,415 staff (headcount), which is equivalent to 138,310.0 whole time staff (referred to as whole time equivalent or WTE). This represents an increase of 0.6% when compared to the previous year.
  • Of the 798.2 WTE increase in staff, the biggest increase was in nursing and midwifery with an additional 283.6 WTE compared to the previous year.
  • The number of consultants in post increased by 3.7% to 5,082.1 WTE.
  • There were 2,188.7 WTE vacant nursing and midwifery posts, a vacancy rate of 3.6% which is similar to the previous year (3.4%).
  • At 31 December 2015, 5.9% (320.8 WTE) of consultant posts were vacant, a decrease from the rate of 7.5% at December 2014. Of these vacancies, 144.9 WTE were vacant for more than six months, a decrease of 18.8 WTE compared to a year ago.

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expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

During the week ending 21 February 2016:

  • There were 24,719 attendances at Emergency Departments across Scotland.
  • 93.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 116 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 21 patients (0.1%) spent more than 12 hours in an Emergency Department.

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expand menu  Emergency Department Activity & Waiting Times

In the month of January 2016 :

  • There were 129,524 attendances at A&E services across Scotland, an increase of over 4,000 from December 2015.
  • 91.8 % of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 1,635 (1.3%) patients spent more than 8 hours in an A&E department
  • 422 (0.3%) patients spent more than 12 hours in an A&E department.
  • 27 % of attendances led to an admission to hospital.

For the year ending January 2016:

  • The total number of attendances was 1,592,792. This is 3.2% lower than the previous year (1,645,639)
  • The percentage spending 4 hours or less in an A&E department was 93.7%, compared with the previous year’s figure of 92.3%.

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expand menu  Cancelled Planned Operations

  • The total number of planned operations across NHSScotland during January 2016 was 28,749. Of these, 3,197 (11.1%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 5.7% to 15.8%. This compares with a cancellation rate of 9.7% in the previous three months;
  • Of all planned operations, 1,187 (4.1%) were cancelled by the patient, 996 (3.5%) were cancelled based on clinical reasons by the hospital and 806 (2.8%) were cancelled by the hospital due to capacity or non-clinical reasons;
  • There has been an increase for non-clinical/capacity reasons (2.8%) compared to December 2015 (2%); this increase has occurred primarily across 5 Health Boards.

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expand menu  Scottish Abdominal Aortic Aneurysm (AAA) Screening Programme Statistics, March 2016 Release

Men eligible for screening to 31 March 2014:

  • The invite rate was 100% and uptake of screening was high at 85.8%. Uptake rates exceeded 80% in all NHS Boards.
  • Uptake of screening was lower in the most deprived areas. Uptake was 77.4% for men in the most deprived areas compared to 90.4% for men in the least deprived areas.
  • 61,942 men attended for initial screens and an Abdominal Aortic Aneurysm was detected in 936 of these men (1.5%). A large aneurysm was detected in 64 of these men.

Self-referral and surveillance screens to 31 March 2015:

  • 3,292 men attended for initial screening following self-referral into the programme and 89 (2.7%) had an aneurysm detected. A large aneurysm was detected in 13 of these men.
  • 812 men in Scotland attended for surveillance screens. For these men there were over 1,900 surveillance screens. A large aneurysm was detected in 85 of these men.

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23 February 2016

expand menu  NHS Waiting Times - Diagnostics

  • 87.5% of patients waiting for a New Outpatient appointment at 31 December 2015 had been waiting 12 weeks

    or less. This compares to 86.1% at 30 September 2015 and 91.2% at 31 December 2014.


  • 93.2% of patients waiting for a key Diagnostic test at 31 December 2015 had been waiting less than six

    weeks. This compares to 90.3% at both 30 September 2015 and 31 December 2014.


  • 95.2% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 December

    2015. This compares to 94.6% during quarter ending 30 September 2015 and 97.1% during quarter ending 31 December

    2014.


  • 87.1% of patients were seen within the 18 week Referral to Treatment standard during month ending 31

    December 2015. This compares to 87.2% seen during month ending 30 September 2015 and 88.6% during month ending

    31 December 2014.

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expand menu  Child and Adolescent Mental Health Services (CAMHS) Waiting Times

  • 4,469 children and young people started treatment at Child and Adolescent Mental Health (CAMH) services

    in Scotland, 76.0% were seen within 18 weeks. Half started their treatment within eight weeks. The trend in

    patients seen has been relatively stable over the last year.


  • During the quarter ending December 2015, the 18 week standard was met by five Boards (NHS Ayrshire & Arran,

    NHS Dumfries & Galloway, NHS Greater Glasgow & Clyde, NHS Highland and NHS Western Isles).


  • Across Scotland, 13.1% of patients referred to CAMH services did not attend their first appointment.

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expand menu  Psychological Therapies Waiting Times

  • 13,126 people started treatment for Psychological Therapies in Scotland, 83.5% of which were seen within

    18 weeks. Half of the patients started their treatment within 7 weeks

  • Five NHS Boards met the standard of treating 90% of patients referred within 18 weeks - these were NHS

    Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Western Isles and NHS Tayside.

  • Improving access to services for older people is a key element of the mental health strategy. 704 people

    aged 65 and over started treatment for Psychological Therapies in this quarter and 87.8% were seen within 18

    weeks.

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expand menu  Scottish Bowel Screening Programme Statistics

For the two year period 1 May 2013 to 30 April 2015:



  • The number of bowel screening participants exceeded one million.

  • Uptake was 57.7%, this is a slight increase (0.9 percentage points) compared with the two year period 1 May

    2012 to 30 April 2014. The Healthcare Improvement Scotland standard for uptake is 60%.

  • Uptake for females was 60.6% and for males was 54.7%.

  • Uptake was found to be lower in more deprived areas. Uptake was 45.5% in the most deprived areas compared to

    66.6% in the least deprived areas.

  • Almost two percent of those returning their screening kit received a positive test result.
    Of those with a positive test result 6.6% had a bowel cancer.

  • Nearly 3 out of 5 (59.7%) screen detected cancers were diagnosed at the earliest two stages. The earlier a

    cancer is detected the greater the chances are of successful treatment.

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expand menu  Delayed Discharges in NHSScotland

Hospital Bed Days associated with delays in discharge in December 2015


  • In December 2015, patients spent 46,878 days in hospital due to delays in discharge. This is a 2%

    decrease from November and an 18% decrease on the same period last year.


  • Nationally, around 70% of these bed days are occupied by patients aged 75 and over.


Patients ready for discharge as at January 2016 census


  • 1,142 patients were delayed at the January 2016 census. This is a 4% decrease on December 2015 and an

    11% decrease on the same period last year.


  • 31% of these delays (356) are for patients with specific complex care needs.


    • Of the remaining 786 patients delayed at the census:
    • 29% (226) were awaiting place availability in a care home.
    • 28% (217) were awaiting completion of social care arrangements for living in their own home.
    • 25% (196) were awaiting completion of a post-hospital social care assessment.

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    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 14 February 2016:


    • There were 25,155 attendances at Emergency Departments across Scotland.
    • 90.0% of people attending Emergency Departments were seen and subsequently admitted, transferred or

      discharged within 4 hours.

    • 321 patients (1.3%) spent more than 8 hours in an Emergency Department.

    • 64 patients (0.3%) spent more than 12 hours in an Emergency Department.

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    expand menu  NHS Waiting Times - 18 Weeks Referral to Treatment

    • 87.5% of patients waiting for a New Outpatient appointment at 31 December 2015 had been waiting 12 weeks

      or less. This compares to 86.1% at 30 September 2015 and 91.2% at 31 December 2014.


    • 93.2% of patients waiting for a key Diagnostic test at 31 December 2015 had been waiting less than six

      weeks. This compares to 90.3% at both 30 September 2015 and 31 December 2014.


    • 95.2% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 December

      2015. This compares to 94.6% during quarter ending 30 September 2015 and 97.1% during quarter ending 31 December

      2014.


    • 87.1% of patients were seen within the 18 week Referral to Treatment standard during month ending 31

      December 2015. This compares to 87.2% seen during month ending 30 September 2015 and 88.6% during month ending

      31 December 2014.

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    expand menu  Workforce Planning for Psychology Services in NHSScotland - Characteristics of the Workforce within Psychology Services

    • The total number of clinical staff employed in Psychology Services continues to rise annually, with

      1071.9 WTE (1281 headcount) at 31 December 2015.


    • The number of Clinical and Other Applied Psychologists, has more than doubled over the last 12 years, from

      371.0 WTE (426 headcount) in 2003 to the current level of 772.6 WTE (930 headcount).


    • This represents a staffing level of 14.4 WTE Applied Psychologists per 100,000 of the population of

      Scotland.


    • An additional 63.4 WTE posts were in the process of being advertised at 31 December 2015. A further 7.0 WTE

      posts were approved for recruitment but not yet advertised.

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    expand menu  NHS Waiting Times - Stage of Treatment

    • 87.5% of patients waiting for a New Outpatient appointment at 31 December 2015 had been waiting 12 weeks

      or less. This compares to 86.1% at 30 September 2015 and 91.2% at 31 December 2014.


    • 93.2% of patients waiting for a key Diagnostic test at 31 December 2015 had been waiting less than six

      weeks. This compares to 90.3% at both 30 September 2015 and 31 December 2014.


    • 95.2% of patients were seen within the 12 week Treatment Time Guarantee (TTG) for quarter ending 31 December

      2015. This compares to 94.6% during quarter ending 30 September 2015 and 97.1% during quarter ending 31 December

      2014.


    • 87.1% of patients were seen within the 18 week Referral to Treatment standard during month ending 31

      December 2015. This compares to 87.2% seen during month ending 30 September 2015 and 88.6% during month ending

      31 December 2014.

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    expand menu  IVF Waiting Times

    During the quarter ending December 2015:



    • 397 eligible patients were screened at an IVF centre in Scotland. This compares to 332 in the quarter

      ending September 2015.
    • 100% of eligible patients were screened for IVF treatment within 365 days (12

      months).

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    expand menu  Improving Ethnic Data Collection for Equality and Diversity Monitoring

    • There has been a steady improvement overall in the recording of ethnic group over the last two years in

      NHSScotland.

    • Completeness of recording for acute inpatient and day case records for the last quarter was 82% and for new

      outpatient appointment records was 72%.

    • Recording of ethnic group varies widely across NHS Boards and remains low in some. In the quarter ending

      September 2015, completeness of recording ranged from 43% to 93% for acute inpatient and day case records and

      from 32% to 82% for new outpatient appointment records.

    • In the most recent quarter, NHS Dumfries & Galloway and NHS Orkney achieved completeness recording for acute

      inpatient and day case records of 90% or above.

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    expand menu  Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply

    • In 2009, the Scottish Government committed central funding to expand the CAMHS workforce of NHSScotland.

      This has resulted in a 28% increase from 764.6 WTE (883 headcount) in 2009 to 978.7 WTE (1135 headcount) as at

      31 December 2015.

    • Headcount has remained relatively stable over the past year. Nationally, this represents a staffing level of

      18.3 WTE clinical workers per 100,000 of the population of Scotland.

    • An additional 47.1 WTE posts throughout NHSScotland were being advertised. A further 12.5 WTE posts were

      approved for recruitment but not yet advertised.

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    16 February 2016

    expand menu  Hospital Standardised Mortality Ratios

    • The HSMR for Scotland has decreased by 16.5% between October-December 2007 and July – September 2015.
    • Nine hospitals have shown a reduction in excess of 20%: Balfour Hospital; Crosshouse Hospital; Victoria/Queen Margaret/Forth Park Hospital; Forth Valley Royal Hospital; Royal Alexandra/Vale of Leven; Hairmyres Hospital; Monklands District General Hospital; Wishaw General Hospital; Ninewells Hospital
    • Since October-December 2007, there has been a reduction in HSMR in 26 of the 29 hospitals participating in the Scottish Patient Safety Programme (SPSP).

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    expand menu  Primary 1 Body Mass Index (BMI) Statistics Scotland

    • In 2014/15, 77% of children in Primary 1 were classified as ‘healthy weight’.
    • The prevalence of healthy weight amongst children in Primary 1 decreases as deprivation increases. In the least deprived areas 82% of children were classified as healthy weight while in the most deprived areas 74% were classified as ‘healthy weight’.
    • The BMI distribution of children in Primary 1 has remained broadly similar over the period 2005/06 to 2014/15. In 2014/15, 22% of children in Primary 1 were at risk of overweight and obesity combined and 1% were at risk of underweight.
    • The prevalence of healthy weight was slightly higher amongst girls than boys. In school year 2014/15, 78% of girls were classified as ‘healthy weight’ compared to 77% of boys.

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    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 07 February 2016:

    • There were 25,073 attendances at Emergency Departments across Scotland.
    • 91.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 258 patients (1.0%) spent more than 8 hours in an Emergency Department.
    • 44 patients (0.2%) spent more than 12 hours in an Emergency Department.

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    09 February 2016

    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 31 January 2016:

    • There were 24,784 attendances at Emergency Departments across Scotland.
    • 90.4% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 374 patients (1.5%) spent more than 8 hours in an Emergency Department.
    • 96 patients (0.4%) spent more than 12 hours in an Emergency Department.

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    02 February 2016

    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 24 January 2016:

    • There were 23,990 attendances at Emergency Departments across Scotland.
    • 93.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 96 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.

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    expand menu  Cancelled Planned Operations

    • The total number of planned operations across NHSScotland during December 2015 was 30,002. Of these, 2,920 (9.7%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 4.9% to 13.6%. This compares with the same cancellation rate of 9.7% in October and November;
    • Of all planned operations, 1,192 (4.0%) were cancelled by the patient, 956 (3.2%) were cancelled based on clinical reasons by the hospital and 590 (2.0%) were cancelled by the hospital due to capacity or non-clinical reasons.

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    expand menu  Emergency Department Activity & Waiting Times

    In the month of December 2015:

    • There were 125,203 attendances at A&E services across Scotland.
    • 94.9% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 631 (0.5%) patients spent more than 8 hours in an A&E department.
    • 141 (0.1%) patients spent more than 12 hours in an A&E department.
    • 28% of attendances led to an admission to hospital.

    For the year ending December 2015:

    • The total number of attendances was 1,592,537. This is 3.2% lower than the previous year (1,645,176).
    • The percentage spending 4 hours or less in an A&E department was 93.3%, slightly higher than the previous year’s value of 92.7%.

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    26 January 2016

    expand menu  Dental Statistics – Registration and Participation

    Registration

    • 89% (4.8 million) of the Scottish population are registered with an NHS dentist. Registration rates have been increasing since 2007 when new registration rules were introduced. At that time only 52% of the population (2.7 million) were registered with an NHS dentist.
    • Children are more likely to be registered than adults (93% compared to 88%).

    Participation

    • At September 2015, 73% (3.5 million) of those registered had seen an NHS dentist within the last two years. This has been a steady decline since 2007 when 99% (2.6 million) had contact with an NHS dentist.
    • Children are more likely than adults to have seen a dentist within the last two years (85% compared to 70%).
    • Patients from the most deprived areas were less likely to see their dentist within the last two years than those from the least deprived areas; the gap was eight percentage points for children and 10 percentage points for adults.

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    expand menu  Stroke Statistics update

    • Cerebrovascular disease develops as a result of problems with the blood vessels supplying the brain. The incidence rate for cerebrovascular disease decreased over the last decade by 15.6%. Incidence rates were consistently higher in males than females.
    • In the last decade, the mortality rate for stroke decreased by 38.5% (adjusted for age and sex). For the last four years, the stroke mortality rate for women was slightly higher than that for men.
    • The percentage of people surviving 30 days or more following their first emergency admission to hospital with a stroke improved slightly over the last ten years from 81.6% in 2005/06 to 84.9% in 2014/15.
    • The number of prescriptions for drugs to treat diseases of the circulation, including cerebrovascular and coronary heart disease, increased by 10.5% in the last ten years, although the trend has levelled off over the last six years. Despite this increase, the cost of prescriptions dispensed for these drugs has halved over the last ten years to £109.5 million in 2014/15.

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    expand menu  Heart Disease Statistics

    • Coronary heart disease, including heart attacks, is a leading cause of illness and death in Scotland.
    • The incidence rate for coronary heart disease decreased over the past decade by nearly 30% (adjusted for age and sex). Incidence rates for coronary heart disease remain consistently higher in males than females.
    • There has been a steady downward trend in deaths from coronary heart disease in Scotland, UK and Europe over the last ten years. In Scotland, the mortality fell by over 40% between 2005 and 2014.
    • The reduction in death rates for coronary heart disease was seen in both the most and least deprived communities. The percentage reduction in deaths in the most deprived category (36.1%) over the last ten years was smaller than that in the least deprived category (46.5%).
    • For an individual admitted to hospital as an emergency with their first heart attack, their chances of surviving at least 30 days has improved over the last ten years from 85.2% to 92.3%.
    • The number of prescriptions for drugs to treat diseases of the circulation, including cerebrovascular and coronary heart disease, increased by 10.5% in the last ten years, although the trend has levelled off over the last six years. Despite this increase, the cost of prescriptions dispensed for these drugs has halved over the last ten years to £109.5 million in 2014/15.

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    expand menu  Delayed Discharged in NHSScotland

    Hospital Bed Days associated with delays in discharge in November 2015

    • In November 2015, patients spent 47,862 days in hospital due to delays in discharge. This is a 6% decrease from October and a 13% decrease on the same period last year.
    • Nationally, around 70% of these bed days are occupied by patients aged 75 and over.

    Patients ready for discharge as at December 2015 census

    • 1,193 patients were delayed at the December 2015 census. This is an 8% decrease on November 2015 and on the same period last year.
    • 31% of these delays (374) are for patients with specific complex care needs.
    • Of the remaining 819 patients delayed at the census:30% (245) were awaiting place availability in a care home;31% (256) were awaiting completion of social care arrangements for living in their own home – awaiting social support;24% (195) were awaiting completion of a post-hospital social care assessment.The number of patients awaiting funding for a care home placement fell from 79 in November to 14 in December.

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    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 17 January 2016:

    • There were 23,141 attendances at Emergency Departments across Scotland.
    • 91.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 193 patients (0.8%) spent more than 8 hours in an Emergency Department.
    • 25 patients (0.1%) spent more than 12 hours in an Emergency Department.

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    19 January 2016

    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 10 January 2016:

    • There were 24,161 attendances at Emergency Departments across Scotland.
    • 88.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 527 patients (2.2%) spent more than 8 hours in an Emergency Department.
    • 85 patients (0.4%) spent more than 12 hours in an Emergency Department.

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    12 January 2016

    expand menu  Emergency Care Activity - Patient pathways through the Emergency Department

    This publication from the Information Services Division reports on attendances at Emergency Departments in Scotland. These are larger A&E services that typically provide a 24-hour consultant led service. This report looks at the pathways patients take into and out of Emergency Departments and the services they make contact with on their journey.

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    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 3 January 2016:

    • There were 24,558 attendances at Emergency Departments across Scotland.
    • 92.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 113 patients (0.5%) spent more than 8 hours in an Emergency Department.
    • 7 patients (<0.1%) spent more than 12 hours in an Emergency Department.

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    05 January 2016

    expand menu  Emergency Department Activity & Waiting Times

    In the month of November 2015:

    • There were 127,527 attendances at A&E services across Scotland.
    • 94.9% of attendances at A&E services were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 573 (0.5%) patients spent more than 8 hours in an A&E department
    • 173 (0.1%) patients spent more than 12 hours in an A&E department.
    • 27% of attendances led to an admission to hospital.

    For the year ending November 2015:

    • The total number of attendances was 1,596,650. This is 2.8% lower than the previous year (1,642,674)
    • The percentage spending 4 hours or less in an A&E department was 92.9%, slightly lower than the previous year’s value of 93.0%.

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    expand menu  Cancelled Planned Operations

    • The total number of planned operations across NHSScotland during November 2015 was 31,747. Of these, 3,064 (9.7%) operations were cancelled either by the hospital or by the patient, with individual NHS Boards ranging from 2.5% to 13.1%. This compares with a cancellation rate of 9.7% in October;
    • Of all planned operations, 1,253 (3.9%) were cancelled by the patient, 1,058 (3.3%) were cancelled based on clinical reasons by the hospital and 540 (1.7%) were cancelled by the hospital due to capacity or non-clinical reasons.

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    expand menu  NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics

    During the week ending 27 December 2015:

    • There were 21,987 attendances at Emergency Departments across Scotland.
    • 96.1% of attendances at Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
    • 32 patients (0.1%) spent more than 8 hours in an Emergency Department.
    • 1 patient (<0.1%) spent more than 12 hours in an Emergency Department.

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    To be published soon

    Most ISD official statistics publications are released on Tuesdays

    To be published: 30 August 2016

    IVF Waiting Times   more

    Dental Statistics - Primary Care Dentistry in Scotland, Annual Report 2014/2015 Due to data quality issues,this publication has been cancelled. It will be preannounced in due course.   more

    Scottish Antimicrobial Prescribing Group (SAPG) Report on Antimicrobial Use and Resistance in Humans   more

    NHS Waiting Times - Diagnostics   more

    Quality Outcome Measure 10: Percentage of last 6 months of life spent at home or in a community setting   more

    Improving Ethnic Data Collection for equality and diversity monitoring   more

    NHS Waiting Times - Stage of Treatment   more

    NHS Waiting Times - 18 Weeks Referral to Treatment   more

    NHS Performs - Weekly update of Emergency Department Activity and Waiting Time Statistics   more

    To be published: 6 September 2016

    Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply   more

       See all forthcoming publications


    Rescheduled Publications

    Resource Allocation Formula (NRAC)
    Original publication date: 27 September 2016
    Rescheduled to: 01 November 2016
    Contact: Lynne Jarvis 0131 275 6424, Ciaran McCloskey 0131 275 6270 or Sarah Touati 0131 314 1037
    more

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