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25 February 2014
Detect Cancer Early Staging Data
- In Scotland, for the two year period 2011 and 2012, the percentage of people diagnosed with the earliest stage (stage 1) of breast, colorectal and lung cancer (combined) was 24.0%.
- The equivalent National figures for the individual cancers are: breast 39.0%, colorectal 17.9% and lung 14.8%.
- The two cancers with the highest percentage of stage 1 cancers (breast and colorectal) have national screening programmes in place.
- The variation in the percentage of stage 1 cancers diagnosed may reflect, at least in part, variation in the percentage of not known stage both at cancer type and Health Board level. The national percentage of not known stage for the three cancers combined is 7.5%.
- The equivalent National figures of not known stage in the individual cancers are: breast 5.3%, colorectal 12.9% and lung 5.3%.
- In Scotland, there was a 4.3% increase in the percentage of people diagnosed at stage 1 for breast, colorectal and lung cancer (combined) between the baseline (2010 and 2011 combined) and year 1 (2011 and 2012 combined).
Primary 1 Body Mass Index (BMI) statistics for school year 2012/13
- In school year 2012/13 a total of 53,987 valid height and weight measurements were recorded for children in Primary 1 in Scotland. This is approximately 95% of children in Primary 1.
Based on epidemiological thresholds used for population monitoring purposes:
- In 2012/13, 77.5% of children in Primary 1 were classified as healthy weight, a small increase on the 2011/12 figure of 76.9%.
- The BMI distribution of children in Primary 1 has remained broadly similar over the period 2001/02 to 2012/13 with around 21% to 23% of children (one in five) at risk of overweight and obesity combined and around 1.5% at risk of underweight. In 2012/13, 21.3% of children in Primary 1 were at risk of overweight and obesity combined and 1.2% at risk of underweight.
Based on clinical thresholds for assessing children:
- In 2012/13, 85.1% of children in Primary 1 in Scotland were classified as healthy weight, a small increase on the 2011/12 figure of 84.6%.
- The BMI distribution of children in Primary 1 has remained broadly similar over the period 2001/02 to 2012/13 with around 14% to 16% of children overweight, obese and severely obese combined and around 0.5% underweight. In 2012/13, 14.6% of children were classified as overweight, obese and severely obese combined and 0.3% underweight.
Delayed Discharges in NHS Scotland - figures from January 2014 census
- 134,978 bed days were occupied by delayed discharge patients in NHS Scotland during the quarter October to December 2013.
- At the January 2014 census, 254 patients were delayed over 4 weeks. This compares with 156 at the October 2013 census and 174 at the January 2013 census.
- At the January 2014 census there were 151 patients delayed for over 6 weeks. This compares with 100 at the October 2013 census and 57 at the January 2013 census. 448 patients were delayed over 2 weeks.
Drug-related hospital discharges
- The European Age-Sex Standardised Rate (EASR) of general hospital discharges with a diagnosis of drug misuse has remained generally stable over the last five years (110 per 100,000 population in 2008/09; 107 per 100,000 population in 2012/13).
- In the period 2008/09 to 2012/13, the EASR for general hospital discharges with a diagnosis of drug misuse increased among older age groups (by 16% for 35-39 years and by 40% for 40 years and over) and decreased among younger age groups (by 28% for 15-19 year olds; by 31% for 20-24 year olds; by 37% for 25-29 year olds and by 16% for 30-34 year olds).
- In 2012/13, the majority of drug-related general hospital discharges were associated with opioids (67%), followed by multiple/other drugs (14%; includes hallucinogens, volatile solvents, multiple drug use and use of other psychoactive substances), cannabinoids (11%) and cocaine (6%).
Alcohol-related hospital discharges
- In 2012/13, there were 35,926 alcohol-related discharges from a general acute hospital in Scotland (a European age-sex-standardised rate (EASR based on ESP2013) of 693 discharges per 100,000 population). This is a 7.5% decrease in rates and a 7.3% decrease in absolute numbers compared to the previous year (2011/12), when there were 38,776 alcohol-related discharges (a rate of 749 discharges per 100,000 population).
- Over the last five years, there has been a consistent downward trend in alcohol-related discharges. The discharge rate decreased by 16% from 828 discharges per 100,000 population in 2008/09 to 693 discharges per 100,000 population in 2012/13.
- The drop from 2008/09 to 2012/13 was particularly pronounced in the youngest age groups (under 25) with decreases between 30 and 40%. For females aged 35 to 39 the drop was only 1%, compared with 22% for males of the same age.
- In all years from 2008/09 to 2012/13, the rate of alcohol-related general acute hospital discharges was approximately six to seven times greater for patients living in the most deprived areas (category 1) compared to those living in the least deprived areas (category 5). However, over the 5 years the discharge rate decreased most in the most deprived areas (by 22%; compared to 12% for the least deprived areas).
Emergency Department Activity and Waiting Times
- During the quarter ending 31 December 2013, the proportion of new attendances at A&E services across Scotland that were seen and subsequently admitted, transferred or discharged within four hours were: October– 93.9%, November – 94.7%, December – 93.5%
- In December 2013 five NHS Boards achieved the waiting time standard of 98% of patients seen and admitted, transferred or discharged from A&E within four hours; the remaining nine NHS Boards achieved over 90% compliance with the standard.
- The number of new attendances at A&E services spending long periods in the department was much lower in December 2013 than in December 2012; during December 2013, 480 (0.4%) patients spent more than 8 hours in the department, and 42 (0.0%) spent more than 12 hours in the department. These figures compare to 1,555 in the department over 8 hours, and 323 over 12 hours in December 2012.
- In the year ending 31 December 2013, 93.6% patients were seen then admitted, transferred or discharged from A&E within four hours, against the HEAT interim target of 95% by the year ending September 2014.
- In the 12 months to 31 December 2013, the average Emergency Department attendance rate was 2,102 per 100,000 population. The HEAT target is to reduce the rate of new attendances at Emergency Departments to 2,091 per 100,000 population by March 2014.
Child and Adolescent Mental Health Services (CAMHS) Waiting Times
- Waiting times information for CAMH services is still in development. NHS Boards are working with ISD and the Scottish Government to improve the consistency and completeness of the information. The 26 week target was due for delivery from March 2013, reducing to 18 weeks from December 2014.
- To report on CAMHS waiting times, NHS Boards had to develop new systems to report on CAMHS waiting times.
- During the quarter ending December 2013, around 3,300 children and young people started treatment at CAMH services in Scotland.
- During the quarter ending December 2013, around 90% of people were seen within 26 weeks and 82% of people were seen within 18 weeks.
Psychological Therapies Waiting Times
- Waiting times information for Psychological Therapies is still at an early stage of development. NHS Boards are working with ISD and the Scottish Government to improve the consistency and completeness of the information. The target is due for delivery from December 2014.
- To report on Psychological Therapies waiting times, NHS Boards have had to develop, for the first time, systems to report on Psychological Therapies waiting times.
- During the quarter ending December 2013, just over 8,000 people started treatment for psychological therapies in Scotland (this excludes NHS Ayrshire and Arran).
- The initial estimates from data at an early stage of development indicate that around 82% of people were seen within 18 weeks.
Waiting Times - 18 weeks referral to treatment
- In December 2013, across NHS Scotland 90.8% of patients whose 18 Weeks RTT journey could be fully measured were reported as being within 18 weeks, the figures for October and November are 90.6% and 90.0% respectively. This has decreased slightly from 90.9% in September 2013.
- Three NHS Boards did not meet the 18 weeks RTT standard of 90.0%, namely NHS Forth Valley, NHS Grampian and NHS Lothian, in December 2013, NHS Forth Valley, NHS Grampian and NHS Lothian achieved 81.0%, 89.7% and 87.2% respectively. In December 2013, a total of 102,953 of patient journeys eligible under the 18 weeks RTT standard were identified. The waiting time could be fully measured for 95,287 of these patients (92.6%). It was not possible to calculate the waiting time fully for 7,666 patients.
- NHS Boards are in the process of fully implementing upgrades to their systems to improve the data collection.
Waiting Times - Stage of treatment
1. Inpatient and Day cases
- During the quarter ending 31 December 2013, 98.3% of inpatients and day cases were seen within the TTG of 12 weeks (84 days). This compares to 98.2% at quarter ending 30 September 2013.
- At 31 December 2013, there were 52,537 patients on the inpatient and day case waiting list, of which 98.5% had been waiting 12 weeks or less. This compares to 98.6% at 30 September 2013.
- At 31 December 2013, of those patients on the waiting list, 20.6% were recorded as unavailable. This has increased from 18.0% at 30 September 2013.
2. New Outpatients
- At 31 December 2013, 95.3% of new outpatients had been waiting 12 weeks or less for an appointment. This is a slight decrease from 95.7% at 30 September 2013.
- During the quarter ending 31 December 2013, 93.1% of new outpatients seen had waited less than 12 weeks. This compares to 93.0% at 30 September 2013.
- At 31 December 2013, 5.0% of patients were reported as unavailable for a new outpatient appointment. This compares to 4.9% at 30 September 2013.
Waiting Times - Diagnostics
- 47,248 patients in NHS Scotland were waiting for one of the eight key diagnostic tests and investigations. This is approximately 15% higher than 31 December 2012.
- 96.2% of patients waiting for a key diagnostic test had been waiting less than six weeks. This has decreased from 97.4% at 30 September 2013. The drop in performance is mainly been due to the increase in patients waiting over six weeks for a Lower Endoscopy (up 7.0%), Colonoscopy (up 5.1%) and CT Scan (up 2.1%).
- Although performance has dropped when comparing to the previous quarter end, performance against the six week standard has seen an improvement of 2.1% from 31 December 2012.
- 86.8% of patients waiting for a key diagnostic test had been waiting less than four weeks. This has decreased from 92.4% at 30 September 2013. This is the local target that NHS Boards are working to.
Waiting Times - Audiology
- During the quarter ending 31 December 2013, 26,974 patients were seen by an Audiology Specialist following either referral to Audiology assessment (first contact) or a one-stop clinic.
- Approximately half of patients seen by an Audiology specialist during quarter ending 31 December 2013 had their assessment (first contact) appointment within 5 weeks of being referred and 92.9% within 12 weeks. This has increased from 86.2% seen within 12 weeks during the quarter ending 31 December 2012.
- Approximately half of patients were fitted with a hearing aid within 5 weeks of their assessment appointment and 97.5% within 12 weeks. This has increased from 92.6% fitted within 12 weeks of their assessment during the quarter ending 31 December 2012.
- For those sites which report on one-stop clinics, 91.4% of patients attended and were treated within 18 weeks (within 126 days) of their referral to that service, an increase from 81.2% seen within 18 weeks during the quarter ending 31 December 2012.
- Unintentional injuries accounted for approximately 1 in 8 emergency hospital admissions for children and 1 in 10 for adults in Scotland in 2012/2013.
- There were 53,371 emergency admissions to hospital in Scotland for unintentional injuries in 2012/13. This is a decrease of approximately 2% on the previous year.
- There were 1,629 deaths in Scotland in 2012 due to unintentional injury, 14 in children under the age of 15 and 1,615 in adults aged 15 years and over.
- There were 33,129 emergency admissions to hospital due to falls in Scotland in 2012/13. This represents 62% of the total number of emergency admissions to hospital due to unintentional injuries.
- Children and adults in the most deprived areas are more likely than children and adults in the least deprived areas to have an emergency admission to hospital for an unintentional injury.
Hospital Standardised Mortality Ratio - quarterly statistics
- The Scottish Patient Safety Programme (SPSP) was established with the overall aim of reducing hospital mortality by 15% by December 2012. This was then extended to a 20% reduction by December 2015.
- HSMRs are calculated when crude mortality data are adjusted to take account of some of the factors known to affect the underlying risk of death.
- HSMR at Scotland-level has decreased by 12.5% between October-December 2007 and July - September 2013.
- Rolling annual HSMRs show that there was a sustained reduction in hospital mortality between 2009 and 2011; the level thereafter has remained relatively constant.
- Hospital mortality has fallen for all types of admission; non-elective medical patients consistently account for the majority of deaths within 30-days of admission.
- Patients from the least deprived areas of Scotland consistently have lower levels of crude 30-day mortality than patients from more deprived areas. At the opposite end of the spectrum however, patients from the most deprived areas of Scotland rarely have the highest levels of 30-day hospital mortality in any of the time periods presented.
Resource Allocation Formula
- The Resource Allocation Formula covers the following health care programmes: Acute Hospital Care, Mental Health & Learning Difficulties (Hospital), Care of the Elderly (Hospital), Maternity (Hospital), Community Care and GP Prescribing.
- The formula aims to predict health care need for every territorial NHS Board based on statistical characteristics of the population.
- Final shares for 2014/15 may be different from the calculated target shares as the results are used to inform the final allocation, and not to determine them.
- The total number of staff in post was 135,016.3 whole time equivalent (WTE), excluding General Medical Practitioners (GPs) and General Dental Services (GDS). This is an increase of 1.9% (2,474.7) since December 2012 and of 0.6% (844.9) since September 2013. The overall headcount was 158,143. This is an increase of 1.5% (2,362) since December 2012, and 0.5% (760) since September 2013.
- The largest group in the workforce was nursing and midwifery, which accounted for 42.9% of all staff WTE (excluding GPs & GDS). Administrative services accounted for 18.3%, support services 10.2%, and medical and dental 9.0% (all WTE).
- The number of nursing and midwifery staff in post was 57,877.7 WTE. This is an increase of 2.2% (1,269.3) since December 2012 and of 0.9% (508.8) since September 2013. The corresponding headcount was 66,824, an increase of 1.9% (1,214) since December 2012, and 0.7% (457) since September 2013.
- The number of allied health professions in post was 11,152.1 WTE. This is an increase of 17.2% (1,640.2) since December 2012 and of 1.0% (110.0) since September 2013. The corresponding headcount was 13,189, an increase of 14.7% (1,686) since December 2012 and of 0.9% (112) since September 2013. The annual change is due to paramedics being reclassified as AHPs from 1st April 2013; previously they were included in the emergency services job family.
- The number of consultants in post (excluding directors of public health) was 4,605.8 WTE. This is an increase of 2.5% (111.5) since December 2012, and of 0.5% (21.2) since September 2013. The corresponding headcount was 4,900, an increase of 2.4% (115) since December 2012, and of 0.4% (20) since September 2013.
- Total consultant vacancies (excluding directors of public health) were 218.1 WTE, a rate of 4.5% of the total establishment. Total nursing and midwifery vacancies were 1,514.1 WTE, a rate of 2.5% of the total establishment. Total allied health profession vacancies were 411.3 WTE, a rate of 3.6% of the total establishment.
Child and Adolescent Mental Health Services (CAMHS) in NHS Scotland: Characteristics of the workforce supply
- In 2009, the Scottish Government committed central funding to expand the CAMHS workforce of NHSScotland.
- Since 30th September 2009 the CAMHS workforce in NHSScotland has risen from 764.6 wte (883 headcount) to 909.9 wte (1065 headcount) as at 31st December 2013.
- The staff groups with the most significant increases are Psychology (143.8 wte in 2009 to the current 240.0wte; a 66.9% increase), and Nursing (320.4 wte in 2009 to the current 363.0 wte; a 13.3% increase.
- The current headcount of 1065 clinical staff (909.9 wte) as at 31st December 2013 is an increase of 0.2% in staff in post wte since 30th September 2013. From the 31st December 2012 it is an increase of 1.3% wte (0.9% headcount).
- Nationally, this represents a staffing level of 17.1 wte clinical workers per 100,000 of the population of Scotland.
- As at 31st December 2013, an additional 42.5 wte posts throughout NHS Scotland CAMHS were between being advertised and being filled. A further 14.9 wte posts were approved for recruitment but not yet advertised.
Workforce Planning for Psychology Services in NHS Scotland - characteristics of the Workforce within Psychology services 2014
- There has been a significant increase over time in the number of Clinical & Other Applied Psychologists employed in NHSScotland from 426 (371wte) in 2003 to the current level of 838 (706.3 wte) as at 31st December 2013.
- Whilst the wte of Clinical and Applied Psychologists employed in older adult services has increased between 31st December 2012 (49hc and 36.9wte) and 31st December 2013 (47hc and 37.4wte), it should be noted that there is no consistent improvement across the country and some services have seen a reduction in wte over this period. There remains the urgent need for an increase in availability of psychological services to older people across NHSScotland.
- This total of 838 (706.3wte) equates to 777 (653.5wte) Clinical Psychologists plus 61 (52.7wte) Other Applied Psychologists. This represents a national staffing level of 1 wte Applied Psychologist per 7,523 of the general population of Scotland.
- In addition to Clinical and Other Applied Psychologists, Psychology Services increasingly employ a skill-mix of staff.
- This skill mix includes graduates of the MSc in Psychological Therapies in Primary Care (57wte), Graduates of the MSc in the Applied Psychology of Children and Young People (31.1wte), cognitive behavioural therapists (38.4wte), counsellors (27.1wte), other therapists (11.9wte), and other clinical staff (19.6wte).
- As at 31st December 2013, an additional 41.3wte posts throughout NHSScotland Psychology Services were between being advertised and being filled with start dates commencing in January 2014. A further 10.2wte posts were approved for recruitment but not yet advertised.
Improving ethnic data collection for equality and diversity monitoring
- For Scotland as a whole there has been a steady improvement in the recording of ethnic group over the last two years. Completeness of recording for inpatient and day case records (SMR01) has improved by 12 percentage points to 78% and for new outpatient appointment records (SMR00) by 20 percentage points to 67%.
- Recording of ethnicity varies widely across Scotland and remains low in some Boards: in the quarter ending September 2013 completeness of recording ranged from 24% to almost 100% for SMR01 and from 26% to almost 100% for SMR00.
- In the most recent quarter, two Boards achieved completeness recording for inpatients and day case records (SMR01) of over 90%: Golden Jubilee National Hospital (GJNH) and NHS Lothian. However, for new outpatients appointment records (SMR00), only Golden Jubilee National Hospital (GJNH) achieved over 90%.
- Increased recording of code ‘98’ –‘Refused/Not provided’ in SMR01 and SMR00 data has been seen in some Boards over the last four quarters. Golden Jubilee National Hospital (GJNH), Highland, Lothian, Tayside and Western Isles have substantially higher recording levels for this code than the national average. This variation is being investigated locally.
28 January 2014
Heart Disease Statistics Update
- Coronary heart disease (CHD), which includes heart attacks, is a leading cause of illness and death in Scotland.
- The number of new cases of CHD (incidence) has decreased over the past decade. The age and sex standardised incidence rate decreased from 361.7 per 100,000 in 2003/04 to 262.8 in 2012/13, a decrease of 27.3%.
- There has been a steady downward trend in deaths from CHD in Scotland, UK and Europe over the last 10 years with the mortality rate in Scotland falling by 43.6%.
- The reduction in death rates for CHD over the decade 2003-2012 has been seen in both the most and least materially deprived communities. The percentage reduction in deaths in the most deprived category (37.6%) over the last 10 years is larger than that in the least deprived category (29.0%). The difference in the death rate between the most and least deprived areas has also decreased over the last decade.
- For those admitted to hospital as an emergency with their first heart attack, the chances of surviving at least 30 days have improved over the last ten years from 84.4% to 91.8%.
- Although the number of prescriptions for drugs to treat cardiovascular disease (all diseases of the circulation, including CHD) increased by 25.8% in the last 10 years, the overall costs of prescriptions dispensed for cardiovascular drugs fell in 2012/13 to £111.7 million, a reduction of 29.1% on the previous year. This is the lowest cost for these drugs over the last ten years (since 2003/04). Costs may continue to reduce as more medicines become available in less expensive non-branded (generic) form.
ScotPHO National Profiles
- Life expectancy for males in Scotland in 2008-2010 ranged from 71.6 years in Glasgow City LA to 79.4 years in East Dunbartonshire LA. Life expectancy for females in Scotland in 2008-2010 ranged from 78.0 years in Glasgow City LA to 82.7 years in East Dunbartonshire LA.
- The number of people discharged from hospital with coronary heart disease in 2010-2012 ranged from 350 per 100,000 per year in Shetland LA to 563 in West Dunbartonshire LA.
- The proportion of the working age population (16-64 yrs) claiming Jobseekers Allowance (quarter ending Feb 2012) varied from 1.4% in Aberdeenshire LA to 6.7% in West Dunbartonshire LA.
- Pupil achievement in the fourth year of secondary school (as reflected in average tariff scores in S4) in 2011/12 (school year) ranged from 162 in Dundee City LA to 264 in East Renfrewshire LA.
ScotPHO website Alcohol section update
- In 2012/13, there were an estimated 94,630 alcohol-related primary care consultations by 48,420 patients, a substantial fall from 109,170 consultations by 57,470 patients in 2011/12.
- Forty-six percent of the patients seen for alcohol misuse in 2012/13 were aged between 45 and 64, but consultation rates were highest for those aged 65 and over.
- In patients aged between 18 and 44 who consulted their GP for alcohol misuse in 2012/13, men were more than twice as likely to consult for anxiety or for depression compared to all males who consulted a GP, whereas females were around three times more likely to consult for anxiety or for depression compared with all females who consulted a GP.
- There were two-and-a-half times more patients consulting for alcohol misuse in the most deprived quintile compared with the least deprived quintile.
ScotPHO website Drugs sections update
- Social Harm: Drug Misuse Offences - The crude rate of recorded offences for possession with the intent to supply in Scotland has fallen over the past three years from 11.8 per 10,000 population in 2010/11 to 7.3 per 10,000 in 2012/13. In contrast, the rate of recorded offences for possession has risen slightly from 51.6 per 10,000 in 2010/11 to 54.9 per 10,000 in 2012/13.
- Court Activity and Sentencing – 46% (2,998) of the 6,457 convictions for drug offences in Scotland in 2012/13 were in relation to Class A drugs (e.g. cocaine, ecstasy, heroin). The most common sentence for those convicted of possession with intent to supply was imprisonment (53%), whereas the most common sentence for possession was a fine (64%).
- Blood Borne Viruses – Of the total 7,293 HIV infections reported within Scotland since 1985, 1,474 (20%) were in those known to inject drugs. There were 349 new HIV cases in 2012, of which 14 (4%) were in those known to inject drugs.
- Primary Care – There were an estimated 24,810 patients who consulted their GP about drug use in 2012/13. These patients had an average of 8.3 consultations in 2012/13 compared with 3.9 consultations for all patients.
Scottish Antimicrobial Prescribing Group (SAPG) report on Antimicrobial use and resistance in humans in 2012
- Since 2009, there has been a 23.1% increase in the use of carbapenems in Scottish hospitals. Resistance to carbapenems among Gram-negatives remains rare although sporadic reports of confirmed carbapenemase producers are received.
- There has been a continued increase in the use of trimethoprim and nitrofurantoin since 2009 suggestive of increased compliance with prescribing policies for urinary tract infection. However, 11,538 persons received trimethoprim or nitrofurantoin on six or more occasions, suggesting prophylactic use, although there is limited evidence for this practice.
- In 2012, the use of antibacterials in primary care was 3.3% higher than in 2011. This is the second consecutive year an increase has been observed. Overall 33.0% of the Scottish population had at least one antibacterial item dispensed in 2012. However, there was continued progress in 2012 toward reduction in the use of broad spectrum antibacterials associated with Clostridium difficile infection (CDI) in primary care.
- In 2012, the total use of antibacterials in hospitals was 6.2% higher than in 2011 continuing the upward trend since 2009. Work to analyse reasons for this increase will be a key priority in 2014.
- In 2012, E. coli (3925 cases) and K. pneumoniae (718 cases) continued to be the most frequent causes of Gram-negative bacteraemia, and a continuing upward trend in burden of disease was observed for both organisms. The number of cases of P. aeruginosa bacteraemia remained stable (234 cases). The number of cases of A. baumannii (23 cases) continued to decrease in 2012.
- Resistance among E. coli causing bacteraemia has remained stable for the last four years and significant decreases in resistance, comparing the year 2011 to 2012, were reported for ampicillin, co-amoxiclav, cefotaxime, ceftazidime, ciprofloxacin and piperacillin/tazobactam.
- Resistance among K. pneumoniae bacteraemias has decreased since 2009 for most agents; with resistance to the third generation cephalosporins (ceftriaxone, cefotaxime and ceftazidime) within the range of 6.5-8.5% and gentamicin 7.3% in 2012.
- In 2012, the lowest number of cases of S. aureus (1360 cases) was reported since 2009, which was mainly caused by reductions in meticillin resistant S. aureus (a concomitant reduction has not been seen in numbers of meticillin sensitive S. aureus).
- A reduction in vancomycin resistance was observed among the Scottish isolates E. faecium in 2012 (24.4%); this was above the proportion reported for the whole of the UK (13.3%) and is the third highest percentage reported in Europe.
Stroke statistics update
- Cerebrovascular Disease (CVD) develops as a result of problems with the blood vessels supplying the brain. The number of new cases of CVD in Scotland has decreased over the last decade. The incidence rate of CVD in Scotland was 194.1 per 100,000 population in 2003/04 compared to 153.7 per 100,000 in 2012/13, a decrease of 21%. Incidence rates for CVD are consistently higher in males than females.
- Mortality rates for CVD have fallen steadily over the last 10 years. The decrease for men (45.4%) has been greater than for women (39.2%), with a narrowing of the difference between the rates for men and women to almost zero.
- Although there are more hospital discharges with a stroke for women than for men, the standardised hospital discharge rate is higher for men than for women. This is because stroke is more common in older people and the proportion of females is higher in this population and men have a higher risk of stroke.
- In the last decade, the discharge rate with a stroke diagnosis has shown an overall decrease of 3.6% (4.4% for men and 2.6% for women). However the rate has remained fairly stable for the last 5 years.
- The percentage of people surviving 30 days or more following their first emergency admission to hospital with a stroke has improved slightly over the last 10 years from 80.2% in 2003/04 to 84.0% in 2012/13
- Although the number of prescriptions for drugs to treat cardiovascular disease (all diseases of the circulation, including stroke) increased by 25.8% in the last 10 years, the overall costs of prescriptions dispensed for cardiovascular drugs fell in 2012/13 to £111.7 million, a reduction of 29.1% on the previous year. This is the lowest cost for these drugs over the last ten years (since 2003/04). Costs may continue to reduce as medicines become available in less expensive, non-branded (generic) form.
To be published soon
Most ISD official statistics publications are released on the last Tuesday of the month
To be published: 25 March 2014
Acute Hospital Activity and NHS Beds Information more
Cancer Waiting Times to December 2013 more
The National Drug Related Deaths Database (Scotland) Report 2012 more
Prescribing Statistics: Dispenser Remuneration more
ScotPHO Older People Profiles (65+) more
Teenage Booster Immunisation Statistics more
Child and Adolescent Mental Health Services (CAMHS) Benchmarking Balanced Scorecard more
National Drug and Alcohol Treatment Waiting Times more
Scottish Perinatal and Infant Mortality and Morbidity Report more
ScotPHO website quarterly update more
To be published: 28 March 2014
Childhood Immunisations Statistics quarter and year ending December 2013 more
To be published: April 2014
Breast Cancer Quality Performance Indicators more
Cancer Incidence 2012 more
Scottish Suicide Information Database report 2014, 2009-2012 Data more
Scottish Breast Screening Programme Statistics 2012/13 more
See all forthcoming publications
Adult Mental Health Benchmarking Dashboard
Original publication date: 29 October 2013
Rescheduled to: 24 June 2014
Contact: John Connor 0141 282 2231
Scottish Drugs Misuse Database (SDMD) Follow Up Report 2012/13
Original publication date: 28 January 2014
Rescheduled to: 29 April 2014
Contact: Lee Barnsdale 0131 275 6055
Scottish Drugs Misuse Database (SDMD) Initial Assessment Report 2012/13
Original publication date: 28 January 2014
Rescheduled to: 29 April 2014
Contact: Lee Barnsdale 0131 275 6055
Scottish Perinatal and Infant Mortality and Morbidity Report
Original publication date: 28 January 2014
Rescheduled to: 25 March 2014
Contact: Kirsten Monteath 0131 275 6839,
Scottish Suicide Information Database report 2014, 2009-2012 Data
Original publication date: 25 February 2014
Rescheduled to: 29 April 2014
Contact: Alison Burlison 0131 275 6216