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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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26 August 2014

expand menu  NHS Waiting Times - Stage of Treatment

  • 97.2% of Inpatients and Day cases were seen within the 12 week TTG.
  • Of the 2,291 patients who were not treated within 12 weeks, 58.7% were seen in NHS Lothian.
  • 98.0% had been waiting for 12 weeks or less for Inpatient or Day case admission at 30 June 2014.
  • 20.6% of patients waiting at 30 June 2014 were recorded as being unavailable for treatment.

Publication Summary Download  Download pdf file [113kb]
Full Reports Download  Download pdf file [479kb]
Data Tables View Data Tables
 View NHS Waiting Times - Stage of Treatment on the topic publications page

expand menu  NHS Waiting Times - Diagnostics

  • 56,591 patients in NHS Scotland were waiting for one of the eight key diagnostic tests and investigations. This is approximately 20% higher than 30 June 2013.
  • 91.9% of patients waiting for a key diagnostic test had been waiting less than six weeks. When comparing to the position at 31 March 2014 and 30 June 2013, this has decreased from 95.4% and 97.0% respectively. The drop in performance is mainly due to the increase in patients waiting over six weeks for an Upper Endoscopy, Lower Endoscopy and Colonoscopy.
  • The majority of the 4,608 patients waiting over six weeks in NHS Scotland were waiting to be seen in NHS Fife (39.2%) and NHS Grampian (28.9%).

Publication Summary Download  Download pdf file [48kb]
Full Reports Download  Download pdf file [165kb]
Data Tables View Data Tables
 View NHS Waiting Times - Diagnostics on the topic publications page

expand menu  NHS Waiting Times - 18 Weeks Referral to Treatment

  • In June 2014, across NHS Scotland, 91.1% of patients whose 18 Weeks RTT journey could be fully measured, were reported as being within 18 weeks. The figures for April and May 2014 are 89.8% and 90.7% respectively. This is an increase from 89.6% in March 2014.
  • In June 2014, twelve of the fifteen NHS Boards met the 90.0% target; three NHS Boards did not, namely NHS Forth Valley, NHS Grampian and NHS Lothian, who achieved 87.1%, 89.2% and 85.9% respectively.
  • In June 2014, a total of 116,118 of patient journeys eligible under the 18 weeks RTT standard were identified. The waiting time could be fully measured for 107,407 of these patients (92.5%). It was not possible to calculate the waiting time fully for 8,711 patients due to the complexity of linking individual patient journeys.
  • NHS Highland moved to a new patient management system on 3 March 2014 which has led to some technical difficulties submitting 18 weeks RTT data. As an interim measure, NHS Highland have submitted estimated figures since March 2014.

Publication Summary Download  Download pdf file [38kb]
Full Reports Download  Download pdf file [391kb]
Data Tables View Data Tables
 View NHS Waiting Times - 18 Weeks Referral to Treatment on the topic publications page

expand menu  Psychological Therapies Waiting Times

  • Waiting times information for Psychological Therapies are developmental. NHS Boards are working with ISD and the Scottish Government to improve the consistency and completeness of the information. The target that at least 90% of people waiting for Psychological Therapies should start treatment within 18 weeks is due for delivery from December 2014.
  • NHS Boards have had to develop new systems to enable reporting on Psychological Therapies waiting times.
  • During the quarter ending June 2014, just over 9,870 people started treatment for psychological therapies in Scotland (excluding NHS Highland and NHS Lothian (June only)).
  • The initial estimates from data at this stage of development indicate that around 82% of people were seen within 18 weeks.

Publication Summary Download  Download pdf file [37kb]
Full Reports Download  Download pdf file [185kb]
Data Tables View Data Tables
 View Psychological Therapies Waiting Times on the topic publications page

expand menu  Child and Adolescent Mental Health Services (CAHMS) Waiting Times - Revised (Revised 26 August 2014)

  • Waiting times information for CAMH services are still in development. NHS Boards continue to work 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. The target should be delivered for at least 90% of patients.
  • During the quarter ending June 2014, just over 3,400 children and young people started treatment at CAMH services in Scotland (excluding NHS Highland and NHS Lothian (June only)).
  • During the quarter ending June 2014, 89.1% of people were seen within 26 weeks and 82.9% of people were seen within 18 weeks.
  • For this reporting period, NHS Board Ayrshire & Arran, Fife, Forth Valley, Grampian, Lothian and Tayside did not meet the 26 week HEAT target.

- Revised (Revised 26 August 2014)
Publication Summary Download  Download pdf file [334kb]
Full Reports Download  Download pdf file [83kb]
Data Tables View Data Tables
 View Child and Adolescent Mental Health Services (CAHMS) Waiting Times on the topic publications page

expand menu  Emergency Department Activity and Waiting Times

  • During the quarter ending 30 June 2014, the proportion of new attendances at A&E services across Scotland that were seen and subsequently admitted, transferred or discharged within four hours were: April– 93.0%; May – 92.7%; June – 94.0%.
  • In June 2014, two NHS Boards achieved the waiting time standard of 98% of patients seen and admitted, transferred or discharged from A&E within four hours; seven of the remaining twelve NHS Boards achieved over 95% compliance with the standard and the final five had between 89.7% and 95% compliance.
  • Performance against the HEAT interim target in the year ending 30 June 2014 was 93.8%. The interim target is to achieve 95% of patients seen then admitted, transferred or discharged from A&E within four hours over 12 months (rather than a month as per the standard) by year ending September 2014.

Publication Summary Download  Download pdf file [135kb]
Full Reports Download  Download pdf file [48kb]
Data Tables View Data Tables
 View Emergency Department Activity and Waiting Times on the topic publications page

expand menu  Hospital Standardised Mortality Ratios - Quarterly Statistics

  • HSMR at Scotland-level has decreased by 14.4% between October-December 2007 and January-March 2014.
  • Twenty nine hospitals participating in the SPSP have shown a reduction in HSMR since October-December 2007 (end of the baseline period); thirteen of these had a reduction in excess of 15%, with five showing a reduction in excess of 20%; namely: NHS Ayrshire & Arran’s Crosshouse Hospital (33.3%); NHS Greater Glasgow and Clyde’s Southern General Hospital (21.3%); NHS Tayside’s Ninewells Hospital (20.9%); NHS Lanarkshire’s Wishaw General Hospital (21.2%); and NHS Western Isles’ Western Isles Hospital (22.6%).
  • Rolling annual HSMRs show that there was a sustained reduction in hospital mortality between 2009 and 2011; the level remained relatively constant until mid-2013, with subsequent data showing a further reduction in hospital mortality.

Publication Summary Download  Download pdf file [98kb]
Full Reports Download  Download pdf file [618kb]
Data Tables View Data Tables
 View Hospital Standardised Mortality Ratios - Quarterly Statistics on the topic publications page

expand menu  Workforce - Staff in post, Staff turnover, Vacancies

Overall staff

  • The total number of NHSScotland staff in post continues to increase with 135,880.7 whole time equivalent (WTE) and 159,058 headcount on 30th June 2014.
  • Staff groups

  • The annual increase in staff of 1.9% WTE is mainly due to increases in: nursing and midwifery (1,309.6 WTE); administrative services (345.5 WTE); medical (286.2 WTE); allied health professions (226.4 WTE).
  • The largest group in the workforce continues to be nursing and midwifery, which accounted for 43.0% of all staff with 58,462.3 WTE at 30th June 2014.
  • The number of consultants in post (excluding directors of public health) has seen an annual increase of 3.6% from 4,525.9 WTE at 30th June 2013 to 4,690.3 WTE at 30th June 2014.
  • Vacancies

    • On the 30th June 2014, the total number of vacancies for: consultants (excluding directors of public health) was 346.7 WTE, a rate of 6.9%.; nursing and midwifery was 1,865.3 WTE, a rate of 3.1%; allied health profession was 481.2 WTE, a rate of 4.1%.
    • The number of consultant vacancies has increased from 221.9 WTE (4.7%) on 30th June 2013.

    Publication Summary Download  Download pdf file [55kb]
    Full Reports Download  Download pdf file [197kb]
    Data Tables View Data Tables
     View Workforce - Staff in post, Staff turnover, Vacancies on the topic publications page

    expand menu  Workforce Planning for Psychology Services in NHS Scotland - Characteristics of the Workforce within Psychology Services 2014

    • The total number of clinical staff employed in NHSScotland Psychology Services continues to rise, with 1184 staff (1001.2 WTE) including 861 (724.2 WTE) Clinical and Other Applied Psychologists in post as at 30th June 2014.
    • There has been a significant increase over time in the number of Clinical and Other Applied Psychologists employed in NHSScotland from 426 (371.0 WTE) in 2003 to the current level of 861 (724.2 WTE) as at 30th June 2014.
    • This total of 861 (724.2 WTE) equates to 804 (675.2 WTE) Clinical Psychologists plus 57 (49.0 WTE) Other Applied Psychologists. This represents a national staffing level of 13.6 WTE Applied Psychologist per 100,000 of the general population of Scotland.
    • The total of 1184 staff represents a staffing level of Graduates of the MSc in Psychological Therapies in Primary Care (62.4 WTE), Graduates of the MSc in the Applied Psychology of Children and Young People (31.5 WTE), cognitive behavioural therapists (41.7 WTE), counsellors (25.2 WTE), other therapists (18.7 WTE), and other clinical staff (20.7 WTE).
    • As at 30th June 2014, an additional 52.8 WTE posts throughout NHSScotland Psychology Services were between being advertised and being filled with start dates commencing in July 2014. A further 9.1 WTE posts were approved for recruitment but not yet advertised.

    Publication Summary Download  Download pdf file [98kb]
    Full Reports Download  Download pdf file [597kb]
    Data Tables View Data Tables
     View Workforce Planning for Psychology Services in NHS Scotland - Characteristics of the Workforce within Psychology Services 2014 on the topic publications page

    expand menu  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) in September 2009 to 925.4 WTE (1080 headcount) as at 30th June 2014.
    • The most significant staff increases have been in Psychology (66% since 2009), and Nursing (17% since 2009).
    • The headcount has remained relatively stable over the past year. There are currently 1080 clinical staff (925.4 WTE). Nationally, this represents a staffing level of 17.4 WTE clinical workers per 100,000 of the population of Scotland.
    • An additional 60.9 WTE posts throughout NHS Scotland CAMHS were between being advertised and being filled. A further 6.0 WTE posts were approved for recruitment but not yet advertised.

    Publication Summary Download  Download pdf file [50kb]
    Full Reports Download  Download pdf file [293kb]
    Data Tables View Data Tables
     View Child and Adolescent Mental Health Services (CAMHS) in NHS Scotland: Characteristics of the workforce supply on the topic publications page

    expand menu  Births in Scottish Hospitals, year ending 31 March 2013

    • Births: There were 56,346 births (including live and still births) recorded on SMR02 for the year ending March 2013. Data from SMR02 represent approximately 98% of the births registered by National Records of Scotland. Some of this shortfall will be due to data on home births not being available from SMR02 data.
    • Mothers are getting older: There has been a steady increase in births to mothers in the over 30 age groups since 1975/76, with contrasting decreases in births to mothers in younger age groups. In 1975/76 the percentage of mothers aged over 30 was 19.4% compared to 49.0% in 2012/13.
    • Age and deprivation: In the most deprived areas mothers most commonly start a family at around 20 years old, in contrast to those in less deprived areas where the most common age for a first birth is 30.
    • Smoking in pregnancy: The number of women who were smokers at the time of their booking appointment fell from 25.4% in 2000/01 to 18.4% in 2012/13. The level of 'Not Known' has decreased from 13.5% in 2000/01 to 4.6% in 2012/13. It should be noted that the percentage of ‘unknowns’ may include a proportion of smokers and it is also known that there is considerable under-reporting of smoking by pregnant women themselves.
    • Caesarean section: In singleton births, elective caesarean section rates have increased steadily since 1975/76 (from 4.7% to 12.0). Emergency caesarean section rates have also seen a general increase since 1975/76, but have decreased in the last year to 15.3%.
    • Body Mass Index: Using mother’s height and weight allowed for developmental data on body mass index (BMI) to be explored for the first time in this publication. Of the 55,542 women delivering in 2012/13, 7,850 (14.1%) had unknown BMI at antenatal booking. For those with known BMI, overweight and obese women were less likely to have a vaginal delivery and more likely to have a caesarean section delivery than underweight or healthy weight women.

    Publication Summary Download  Download pdf file [113kb]
    Full Reports Download  Download pdf file [408kb]
    Data Tables View Data Tables
     View Births in Scottish Hospitals, year ending 31 March 2013 on the topic publications page

    expand menu  Scottish Bowel Screening Programme Statistics (Nov 2011-Oct 2013)

    • In Scotland the bowel screening uptake was 56.1%, an increase of 1.2 percentage points compared with the two-year period November 2010 to October 2012. Uptake for females was 58.8% and for males was 53.3%. The Healthcare Improvement Scotland standard for bowel screening uptake is 60%.
    • Uptake was lower in areas of higher deprivation. Uptake for females in the two least deprived quintiles exceeded the 60% standard at 68.0% and 64.8%, respectively. Uptake for males living in the least deprived quintile was at 61.5%. For males living in the most deprived quintile the uptake was 41.7%.
    • More than half of screen detected cancers (57.8%) were diagnosed at Dukes’ stage A and B. The earlier a cancer is detected the greater the chances are of successful treatment.
    • 6.7% of men and 6.0% of women who had a positive bowel screening test result (and who went on for further investigations) had either polyp cancer or invasive bowel cancer.

    Publication Summary Download  Download pdf file [117kb]
    Full Reports Download  Download pdf file [455kb]
    Data Tables View Data Tables
     View Scottish Bowel Screening Programme Statistics (Nov 2011-Oct 2013) on the topic publications page

    expand menu  Scottish Cervical Screening Programme Statistics 2012/13

    • Of eligible women, 70.7% took up the invitation to be screened in the previous 3.5 years.
    • 384,296 cervical screening tests were processed within the programme which is a decrease of 5.1%, compared to 2012-13.
    • Of all tests processed, 97.3% were of satisfactory quality. Of satisfactory results, 90.6% had a negative result, 8.0% had a low grade cell change and the remaining 1.4% had high grade cell changes.

    Publication Summary Download  Download pdf file [151kb]
    Full Reports Download  Download pdf file [348kb]
    Data Tables View Data Tables
     View Scottish Cervical Screening Programme Statistics 2012/13 on the topic publications page

    expand menu  ScotPHO Older Peoples Profiles (85+)

    This is the third of a series of three profiles around Older People. Based around specific age groups (65+ years; 75+ years and 85+ years) they contain a range of indicators relating to health and its determinents.

    Publication Summary Download  Download pdf file [86kb]
    Full Report Click to view  Open in a new window
     View ScotPHO Older Peoples Profiles (85+) on the topic publications page

    expand menu  ScotPHO Older Peoples Profiles (75+)

    This is the second of a series of three profiles around Older People. Based around specific age groups (65+ years; 75+ years and 85+ years) they contain a range of indicators relating to health and its determinents.

    Publication Summary Download  Download pdf file [86kb]
    Full Report Click to view  Open in a new window
     View ScotPHO Older Peoples Profiles (75+) on the topic publications page

    expand menu  Delayed Discharges in NHS Scotland - figures from July 2014 census

    • 149,226 bed days were occupied by delayed discharge patients in NHS Scotland during the quarter April to June 2014.
    • At the July 2014 census there were 274 patients delayed over 4 weeks. This compares with 173 at the April 2014 census and 118 at the July 2013 census.
    • At the July 2014 census there were 175 patients delayed for over 6 weeks. This compares with 107 at the April 2014 census and 59 at the July 2013 census.
    • At the July 2014 census there were 518 patients delayed over 2 weeks. This compares with 418 at the April 2014 census and 312 at the July 2013 census.

    Publication Summary Download  Download pdf file [109kb]
    Full Reports Download  Download pdf file [302kb]
    Data Tables View Data Tables
     View Delayed Discharges in NHS Scotland - figures from July 2014 census on the topic publications page

    expand menu  Dental Statistics - Fees and Treatments

    • In 2013/14, the number of claimable courses of treatment given to children was around 520,000 which was similar to last year.
    • Since 2007/08 the number of courses of treatment given to adults has risen sharply, year on year, to 3.9 million in 2013/14, the highest figure reported. This may be due to increasing numbers of patients participating in GDS.
    • In 2013/14, £275 million was paid in GDS fees in Scotland, an increase of £4.9 million (2%) since 2012/13.

    Publication Summary Download  Download pdf file [119kb]
    Full Reports Download  Download pdf file [770kb]
    Data Tables View Data Tables
     View Dental Statistics - Fees and Treatments on the topic publications page

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

    • In total for all people dying in Scotland during 2012-3 the percentage of the last 6 months of life spent at home or in a community was 91.2% continuing the trend of marginal increases year on year since 2008-9 when the rate was 90.4%
    • Across health boards the percentage of the last 6 months of life spent at home or in a community setting varied between 89.0% and 93.9% in part reflecting the different use of community hospitals in different parts of the country.
    • The percentage of the last 6 months of life spent at home or in a community setting does not vary greatly but tends to be slightly lower among those in most deprived areas (89.9%) compared to less deprived areas (91.8%) and lower in large urban areas (90.2%) compared to remote areas (93.9%).
    • There is little difference between males and females in the percentage of the last 6 months of life spent at home or in a community setting, while the oldest patients aged 85+ had the highest percentage at 92.2%.

    Publication Summary Download  Download pdf file [68kb]
    Full Reports Download  Download pdf file [100kb]
    Data Tables View Data Tables
     View Quality Outcome Measure 10: Percentage of last 6 months of life spent at home or in a community setting on the topic publications page

    expand menu  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 has improved by 6 percentage points to 79% for inpatient and day case records (SMR01) and by 13 percentage points to 70% for new outpatient appointment records (SMR00).
    • Increased recording of code ‘98’ –‘Refused/Not provided’ in SMR01 and SMR00 data has been seen at some Boards over the last six quarters. This variation is being investigated locally.

    Publication Summary Download  Download pdf file [238kb]
    Full Reports Download  Download pdf file [786kb]
    Data Tables View Data Tables
     View Improving ethnic data collection for equality and diversity monitoring on the topic publications page

    14 August 2014

    expand menu  Suicide Statistics for Scotland

    • Suicide is a leading cause of death in Scotland among people aged 15-34 years.
    • There were 795 suicides (deaths from intentional self-harm and events of undetermined intent combined) registered in Scotland in 2013. This figure is based on the new coding rules introduced by the National Records of Scotland (NRS) in 2010.
    • The corresponding estimated 2013 figure based on the old coding rules (see Background below) is 746 suicides.
    • In 2013, the suicide rate for males was more than three times that for females.
    • The suicide rate for persons in Scotland reduced by 19% between 2000-02 and 2011-13. This was close to the target of a 20% reduction.
    • Suicide rates are strongly related to deprivation level. In 2009-13, the age-standardised rate was more than three times higher in the most deprived tenth of the population (decile) compared to the least deprived decile (25.7 compared to 7.1 per 100,000 population respectively).
    • Suicide rates vary among NHS board and local authority (LA) areas, but there is considerable year-on-year fluctuation. No NHS board or LA had a significant increase or decrease in the rate for persons between 1983-87 and 2009-2013, and the rates for 2009-13 did not differ significantly from the Scottish average.

    Publication Summary Download  Download pdf file [90kb]
    Full Report Click to view  Open in a new window
     View Suicide Statistics for Scotland on the topic publications page

    12 August 2014

    expand menu  Scottish Arthoplasty Project Biennial Report

    • The number of NHS hip and knee arthroplasty operations in Scottish hospitals has continued to show an increase over the past 7 years. There were 7609 primary hip and 7169 primary knee arthroplasties performed in 2013.
    • The number of NHS knee revision operations in Scottish hospitals has decreased from 567 to 463 during the period 2009 to 2013. The number of NHS hip revision operations has decreased from 986 to 953 over the same period. However the trend for hip revision over a longer time period shows an increase in the number of cases.
    • The percentage of NHS hip revision operations undertaken as non-elective cases has increased from 23.3% to 27.6% between 2009 and 2013.
    • A significant number of arthroplasty operations are being performed outwith patients’ NHS Health Board of residence.
    • A relatively high number of NHS hip and knee revision operations are carried out by consultants who perform low volumes of these operations.

    Publication Summary Download  Download pdf file [90kb]
    Full Report Click to view  Open in a new window
     View Scottish Arthoplasty Project Biennial Report on the topic publications page

    expand menu  Audit of Critical Care in Scotland 2013

    • 43, 680 admissions to 70 Critical Care units (ICUs and HDUs) were included in the audit in 2013.
    • All ICUs now participate in the audit and only four HDUs (excluding Obstetric HDUs) do not participate at this time.
    • More units have a daily review and written management plan by an appropriately trained consultant. This reinforces the setting of daily goals for patients, driven by the Scottish Patient Safety Programme.
    • Night time discharges remain relatively unchanged and range from 0.4-27.8% in ICU and from 0-29.4% in HDU. Night time discharges are forced early discharges to accommodate another patient or are delayed from earlier in the day due to shortage of ward beds.
    • Early discharges also remain relatively unchanged from 2012. Early discharges from Critical Care are unplanned discharges that occur before the patient is deemed medically ready. These occur because of pressure on bed availability or staffing. Early discharges can be used as a marker of insufficient resources. In 2013 early discharges ranged from 0-15% in ICUs and Combined Units, and from 0-8.9% in HDUs.

    Publication Summary Download  Download pdf file [50kb]
    Full Report Click to view  Open in a new window
     View Audit of Critical Care in Scotland 2013 on the topic publications page

    29 July 2014

    expand menu  Detect Cancer Early Staging Data


    • In Scotland, for the two year period 2012 and 2013, the percentage of people diagnosed with breast, colorectal and lung cancer (combined) at the earliest stage (stage 1) was 24.3%.


    • In Scotland, there was a 4.7% 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 2 (2012 and 2013 combined).

    Publication Summary Download  Download pdf file [84kb]
    Full Reports Download  Download pdf file [592kb]
    Data Tables View Data Tables
     View Detect Cancer Early Staging Data on the topic publications page

    expand menu  Scottish Suicide Information Database Report (Revision)

    The April 2014 report on the 3,059 people whose deaths from ‘probable suicide’ (intentional self-harm and undetermined intent) were registered in Scotland between January 2009 and December 2012 included details of who they were, where they lived and what happened. The already-published findings on previous contact with health services are repeated below, along with new results (in red italics) on previous psychiatric inpatient care, to complete the picture.



    • Over half (58%) of the Scottish residents in ScotSID had at least one mental health drug prescription dispensed in the community within the 12 months before death. This suggests that they were receiving care for a mental health problem or illness from a healthcare professional such as their GP or staff at an outpatient clinic.

    • At least 20% had been offered a psychiatric outpatient appointment during the 12 months before death; records show that 16% attended their appointment and 4% did not attend.

    • Around 13% had been a psychiatric inpatient/day case discharged within 12 months prior to death. Most of these (87%) had been admitted on a voluntary basis.

    • Nearly one-third of all cases (32%) had been an inpatient/day case in a general hospital within the 12 months before death, and 14% of all cases had had a diagnosis of injury/ poisoning. Over half of these patients (9% of all ScotSID cases) were recorded as having intentionally self-harmed.

    • A&E records showed that 16% attended A&E in the 30 days before death, and 25% attended within the three months before death. These figures exclude attendances which were likely to have resulted from the suicidal act.

    • ScotSID analyses will be developed further to examine healthcare pathways and contact with more than one health service, and to identify further characteristics of individuals with particular risk of suicide. This information will assist health professionals and others to identify opportunities for intervention to reduce future loss of life through suicide.



    Publication Summary Download  Download pdf file [94kb]
    Full Reports Download  Download pdf file [1006kb]
    Data Tables View Data Tables
     View Scottish Suicide Information Database Report (Revision) on the topic publications page

    expand menu  Mental Health Hospital Inpatient Care: Trends up to 31st March 2013, Interim report for selected NHS boards of treatment


    • All NHS boards presented showed a decline in the number of admissions, discharges, continuous inpatient stays, patients and residents between 1997/98-1999/2000 and 2010/11-2012/13.

    • The pattern for admissions was similar to discharges. For discharges, several boards showed a decline of around 40% over this time period.

    • The decline in the number of patients (individuals discharged during the year) tended to be slightly less than for discharges, suggesting that in addition to fewer people being admitted in a year, each person had fewer admissions

    • The number of residents (individuals in hospital on 31 March each year) in several boards dropped by over 50% (average for 2011, 2012 and 2013 compared with average for 1998, 1999 and 2000).

    • These patterns are to be expected, due to the shift in recent years in the care of people with mental health problems away from inpatient treatment towards various forms of care in the community.

    Publication Summary Download  Download pdf file [82kb]
    Full Reports Download  Download pdf file [330kb]
    Data Tables View Data Tables
     View Mental Health Hospital Inpatient Care: Trends up to 31st March 2013, Interim report for selected NHS boards of treatment on the topic publications page

    expand menu  Child Healthy Weight Interventions Statistics 2013/14


    • The Scottish Government HEAT target was to achieve 14,910 completed child healthy weight interventions in Scotland over the three years ending March 2014. By 31 March 2014, there were 16,820 child healthy weight interventions completed across Scotland with all fourteen health boards meeting their individual targets.

    • During the period 1 April 2012 to 31 March 2014, of the 9,450 completed interventions across Scotland with SIMD data recorded, nearly half (49.0%) were delivered to children/families from the two most deprived local SIMD quintiles (1 or 2)

    Publication Summary Download  Download pdf file [82kb]
    Full Reports Download  Download pdf file [206kb]
    Data Tables View Data Tables
     View Child Healthy Weight Interventions Statistics 2013/14 on the topic publications page

    08 July 2014

    expand menu  Scottish Stroke Care Audit 2014 National Report, Stroke Services in Scottish Hospitals

    Since November 2013 the SSCA has monitored performance against a Stroke Care Bundle. The current bundle consists of the four inpatient standards, i.e. timely Stroke Unit admission, swallow screen, brain imaging and aspirin administration. This Stroke Care Bundle is included in the 2014-15 Health Board Local Delivery Plans and trajectories for improvement have been set locally. The proportion of individuals receiving the appropriate bundle has increased from 48% to 58% between 2012 and 2013. The wide variation between NHS Boards suggests that there is still large potential for improvements in 'bundle performance'.


    Further Scottish Stroke Care Standards relating to attendance at specialist neurovascular clinic, thrombolysis and carotid intervention are also monitored by the SSCA.

    Publication Summary Download  Download pdf file [43kb]
    Full Report Click to view  Open in a new window
     View Scottish Stroke Care Audit 2014 National Report, Stroke Services in Scottish Hospitals on the topic publications page

    27 June 2014

    expand menu  Childhood Immunisations statistics, quarter and financial year ending March 2014

    Childhood Immunisation uptake rates by 12 and 24 months of age, and 5 and 6 years of age, for the quarter and financial year ending March 2014. This release will also include interim figures on uptake of rotavirus vaccine.

    Publication Summary Download  Download pdf file [109kb]
    Full Reports
    Data Tables View Data Tables
     View Childhood Immunisations statistics, quarter and financial year ending March 2014 on the topic publications page

    24 June 2014

    expand menu  Scottish Drugs Misuse Database (SDMD) Initial Assessment Report 2012/13

    Section 1: Scotland and NHS Health Board of Residence



    • In 2012/13, 11,861 individuals participated in an initial assessment for specialist drug treatment. This equates to a European Age-Sex Standardised Rate (EASR) of 222 per 100,000 population. The overall EASR has been stable at approximately 220 per 100,000 population since 2009/10.

    • Since 2006/07, an increasing proportion of individuals from older age groups have been assessed for specialist drug treatment each year. In 2006/07, half (51%) of individuals were aged 30 and over, compared with two-thirds (66%) in 2012/13. Likewise, the percentage of individuals aged 40 and over increased from 15% in 2006/07 to 26% in 2012/13.


    Section 2: NHS Health Board of Residence (excludes NHS Greater Glasgow & Clyde and NHS Tayside)



    • In the majority of NHS Health Boards, the percentage of individuals reporting heroin as the main illicit drug used in the past month decreased from 2011/12 to 2012/13.

    • In most NHS Health Boards, a notable decrease in the percentage of individuals reporting current injecting has occurred since 2006/07.

    • Sharing of needles/syringes and paraphernalia (e.g. spoons/water/filters/solutions) reported by those injecting drugs in the past month varied between NHS Health Boards but was generally low (less than 10%).

    • In almost all NHS Health Boards, methadone was currently prescribed in over half of assessments where a prescription drug was reported. Diazepam was the second most commonly prescribed drug reported at assessments for drug treatment in 2012/13.

    • In all NHS Health Boards, more than three-quarters of individuals who reported injecting at some point in the past had been tested for Hepatitis B, Hepatitis C or HIV.

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    expand menu  Acute Hospital Activity and NHS Beds information


    • There were 379,067 acute inpatient and day case discharges in the quarter ending March 2014. This is an increase of 2.0% from the same quarter of the previous year.

    • The total number of outpatient attendances in the quarter ending March 2014 was 1,151,105. This is an increase of 0.5% on the quarter ending March 2014.

    • The number of available staffed beds in acute specialties was recorded as 16,484 in the quarter ending March 2014. This is a decrease of 0.1% almost unchanged from 16,505 beds in March 2013.

    • The HEAT 75 Target started in 2009/10 and since then the rate of emergency bed days per 1,000 patients aged 75 and over has reduced by 8.7% from 5,418 in 2009/10 to 4,945 in 2012/13.

    • Mean stay per Inpatient episode has reduced 9% over the past nine quarters

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    expand menu  Findings from the Balance of Care/Continuing Care Census, 31 March 2014

    Patients who are receiving NHS Continuing Health Care as a result of a decision made under the terms of the NHS Continuing Health Care guidance are recorded as Category A patients.



    • At March 2014, 1,634 Category A patients were reported as receiving NHS Continuing Health Care The figures have shown a decrease of 5% (77 patients) from the March 2013 census.

    • At March 2014, 78% of Category A patients were aged 65 years and over.


    Patients who do not specifically meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set are recorded as Category B patients.



    • At March 2014, there were 521 patients who did not meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set(Category B); this is a decrease of 7% (41 patients) from last year.

    • 21% of Category B patients were aged 65 years and over

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    expand menu  National Drug and Alcohol Treatment Waiting Times


    • In January - March 2014, 96.1% of the 11,695 people who started their first drug or alcohol treatment waited 3 weeks or less (HEAT standard), compared to 96.2% in the previous quarter.

    • 97% of the 7,663 people who started alcoholtreatment between January - March 2014 waited 3 weeks or less, compared to 97.1% in the previous quarter.

    • 94.4% of the 4,032 people who attended an appointment for drug treatment waited 3 weeks or less, compared to 94.5% in the previous quarter.

    • Of the 2,957 people who were still waiting to start drug or alcohol treatment, 32 people, or 1.1%, had waited more than 6 weeks at the end of March 2014, compared to 82 people, or 3.2% in the previous quarter

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    expand menu  Cancer Waiting Times

    62 Day Standard: 95% of patients urgently referred with a suspicion of cancer wait a maximum of 62 days from referral to first cancer treatment.



    • In the quarter ending 31 March 2014, 91.5% of patients started treatment within 62 days of urgent referral with suspicion of cancer. This compares to 94.6% in the period October - December 2013.

    • In the quarter ending 31 March 2014, the 62-day standard was not met for nine NHS Boards: NHS Grampian, NHS Highland, NHS Shetland, NHS Tayside, NHS Western Isles, NHS Fife, NHS Lothian, NHS Forth Valley and NHS Greater Glasgow and Clyde.


    31 Day Standard: 95% of all patients, regardless of route of referral, wait a maximum of 31 days from decision to treat to first cancer treatment.



    • 96.2% of patients started treatment within 31 days of decision to treat, regardless of the route of referral. This compares to 97.9% in the period October – December 2013.

    • In the quarter ending 31 March 2014, the 31-day standard was not met for three NHS Boards: NHS Grampian, NHS Highland and NHS Greater Glasgow and Clyde.



    Screening Programmes for Breast, Cervical and Colorectal cancers, 62 day standard.



    • 97.0% of the patients that were urgently referred with a suspicion of cancer from the breast screening programme, 100% from the cervical screening programme, and 85.5% from the colorectal screening programme were seen within 62 days of referral

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    expand menu  Prescribing Statistics - Minor Ailments Service


    • Over 2 million items were dispensed under MAS at a cost of £4.75 million.

    • MAS accounted for 2.2% of all items dispensed by community pharmacies in Scotland.

    • Paracetamol was the top item dispensed in 2013/14, accounting for 21.1% of all MAS items.

    • At 31 March 2014, 895,800 people were registered for the service. This equates to 16.9% of the Scotland population.

    • All community pharmacies in Scotland had patients registered for MAS at 31st March 2014.

    • The total number of MAS registrations decreased by 0.4% between April 2013 and March 2014, indicating that the number of new registrations was slightly less than the number of lapsed registrations.

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    expand menu  Teenage Pregnancies, year ending 31 December 2012


    • Teenage pregnancy rates in the older age groups have continued to decline. The rate per 1,000 population for the under 18 age group has dropped from 30.0 in 2011 to 27.9 in 2012 and from 43.8 to 41.5 in the under 20 age group.  The rate for the under 16 age group in 2012 is the same as that recorded in 2011 at 5.6 per 1,000 population.

    • In mainland NHS boards, NHS Highland recorded the lowest rate of teenage pregnancy in the under 16 age group with 3.0 per 1,000 population. NHS Borders recorded the lowest rates in both the under 18 and under 20 age groups with rates of 20.7 and 31.2 per 1,000 respectively.

    • In mainland NHS boards, NHS Tayside recorded the highest rate of teenage pregnancy in the under 16 age group with 7.8 per 1,000 population. NHS Fife recorded the highest rates in both the under 18 and under 20 age groups with rates of 33.7 and 48.4 per 1,000 respectively.

    • There is a strong correlation between deprivation and teenage pregnancy. In the under 20 age group the most deprived areas have nearly 12 times the rate of delivery compared to the least deprived areas (53.8 compared to 4.6 per 1,000 population) and nearly twice the rate of abortion (21.9 compared to 11.8 per 1,000 population).



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    expand menu  Alcohol Brief Interventions 2013-2014


    • All NHS Boards exceeded their standard for ABI delivery in 2013/14, except NHS Western Isles, which fell short by 20 ABIs (6%) albeit an improvement compared to 2012/13. This was also the only NHS Board that delivered less than 90% of the standard in priority settings. Totalled across all six years(2008/09 to 2013/14)all NHS Boards exceeded the target.

    • The total number of ABIs carried out in Scotland has generally increased year-on-year except for a small decrease in 2012/13. In 2013/14 there were 104,356 ABIs carried out in Scotland. This is 71% more than the 61,081 ABIs required by the HEAT standard set for 2013/14. Over all six years 470,540 were delivered (41% more than the target/standard).

    • ABIs can be delivered in different settings. There is large variation between individual NHS Boards in distribution of ABI delivery over settings, but in Scotland overall in 2013/14:


      • 63% of ABIs were delivered in primary care;

      • 15% in A&E;

      • 2% in antenatal; and

      • 21% in wider settings.


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    expand menu  Dental Statistics - Registration and Participation


    Registration



    • Over 4.5 million patients (85% of population) were registered with an NHS dentist in Scotland in March 2014.

    • There has been a 75% increase from the 2.6 million patients registered (51% of population) in 2007.

    • 91% of children and 84% of adults are now registered with an NHS dentist.

    • Registration with an NHS dentist falls steadily with age, with only 70% of adults aged 75 and over being registered.

    • Most NHS boards had over 85% of children registered with a dentist, with only Grampian (84%)and Western Isles (81%) being lower.

    • Registration rates have increased generally across all NHS boards. The largest increase for children registration was in Western Isles, up from 67% to 81% since March 2010.

    • Adult registration varied widely across the NHS Boards, with a high of 88% of adults registered in March 2014 in Ayrshire & Arran compared with a low of 64% in Grampian. Rates for Grampian have, however, increased by 22% since March 2010, among the largest increases in Scotland.

    • There was no association between registration with an NHS dentist and deprivation for children (all quintiles with around 88% registered).

    • In contrast, adults from the most deprived areas were most likely to be registered with an NHS dentist (85%), while registration rates for all other deprivation quintiles (fifths of the population) areas were the same (around 79%). This may be because free NHS dental treatment is available to people who receive certain benefits.


    Participation


  • Over 3.4 million patients registered with an NHS dentist in March 2014 attended in the previous two years ('participation'). This is a 13% increase from the 3 million participating in the two years prior to September 2010.

  • Three-quarters (73%) of adults registered with an NHS dentist in March 2014 attended in the last two years (2.6 million adults).



    • 86% of children see their NHS dentist at least once within two years (815,000 children).

    • Despite an increasing number of patients participating, the participation rate is falling. This is because the number of registrations has increased at a faster pace than the numbers participating, and as a result, the percentage of registered patients participating has shown a steady decline.

    • Participation for children has fallen from 89% in September 2010 to 86% in March 2014.

    • Participation rates for adults have also fallen since September 2010 from 80% to 73%.


  • Borders had the highest participation rate, both for children (92%) and adults (84%). Shetland had the lowest participation rate for children (83%), while Orkney had the lowest participation rate for adults (61%).

  • In contrast to the registration patterns, for both adults and children, registered patients from the most deprived areas were least likely to see their dentist within the two years previously.



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    expand menu  ScotPHO website quarterly update


    • Several topics on the ScotPHO (Scottish Public Health bservatory) website have been updated today (http://www.scotpho.org.uk/).

    • Three topics include new (not previously published) data and are highlighted below: drugs, alcohol and mental health.

    • Drugs: Addiction Prevalence Testing (APT) is conducted across all Scottish prisons annually. During one month of the year, prisoners arriving in custody are tested for the presence of illegal drugs. Similarly, those leaving custody during the month are tested to assess progress towards the "reduced or stabilised" offender outcome.


      • Of the 1,227 tests carried out at prisoner reception in 2013/14, 77% were positive for illegal drugs (including illicit use of prescribed drugs) compared with 72% in 2012/13. The drugs most commonly detected when entering prison in 2013/14 were benzodiazepines and cannabis (each found in 50% of tests). Opiates were found in 33% of tests.

      • Of the 707 tests carried out at prisoner liberation in 2013/14, 25% were positive for illegal drugs (compared with 23% in 2012/13).  The drugs most commonly detected when leaving prison in 2013/14 were illicit buprenorphine (11% of tests), benzodiazepines (7% of tests) and opiates (5% of tests).




    • Alcohol: The Scottish Prisoner Survey 2013 included a ten item questionnaire, the Alcohol Use Disorders Identification Test (AUDIT). While the 2013 Prisoner Survey 2013 - Substance Misuse report gives results for each item individually, ScotPHO publishes results for the combined score, grouped into drinking risk categories.


      • Of those respondents who answered all ten items of AUDIT, a third were classed as possibly alcohol dependent.

      • Prisoners engaging in harmful drinking generally have served more sentences than those with low-risk drinking. For example, 45% of those in the low-risk drinking category had never been in prison before, compared with 21% of those possibly alcohol dependent.

      • Fewer of the low-risk category had been in prison 10 times or more compared with those possibly alcohol dependent (8% compared with 20% respectively).




    • Mental health: Patients were more likely to see their GP for anxiety and depression if they lived in a deprived area.


      • For anxiety, the estimated age-standardised rate of patients who consulted a GP or practice nurse in the year ending 31 March 2013 was approximately twice as high in the most deprived quintile (fifth of the population) compared with the least deprived quintile. For males, there were 39 consultations per 1000 males registered in the most deprived quintile, compared with 20 per 1000 in the least deprived. Similarly for females, the rates were 76 compared with 37 per 1000 females registered in the most and least deprived areas respectively.

      • For depression, a broadly similar pattern was seen when the most and least deprived quintiles were compared: for males, 24 consultations per 1000 compared with 14 per 1000; and for females, 44 compared with 31 per 1000.




    • The following topics on the ScotPHO website have also been updated using data from previously published sources: sexual health; children and young people; population estimates and projections; infections; and oral health.

    • In addition, thealcohol profiles and drugs profiles were updated on 10 June 2014.

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    expand menu  Prescribing Statistics - Dispenser Remuneration


    • Over the last ten years the data show a trend of increasing cost and number of items dispensed in Scotland. As the number of items dispensed has increased at a greater rate than the gross ingredient cost, the average cost per item is decreasing overall.

    • The gross total payments to Scottish dispensing contractors increased by £26.6million (2.4%) between 2012/13 and 2013/14.

    • The number of prescription items dispensed in 2013/14 was 98.8 million, an increase of 1.8 million items (1.8%) compared to 2012/13.

    • The gross ingredient cost (GIC) in 2013/14 was £977.4 million. This is an increase of £21.4 million (2.2%) compared to 2012/13. The GIC is the cost of drugs and appliances reimbursed before the deduction of any dispenser discount.

    • The net ingredient cost (NIC) paid has increased from £910.2 million in 2012/13 to £937.8 million in 2013/14, an increase of £27.6 million (3.0%). The NIC is the cost of drugs and appliances reimbursed after deduction of any dispenser discount.

    • The cost for remuneration of services has decreased by £0.96 million (0.5%) from £207.9 million in 2012/13 to £207.0 million in 2013/14.

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    expand menu  Prescribing Statistics - Prescription Cost Analysis


    • The total volume of items dispensed in Scotland in 2013/14 was 98.8 million, a rise of 1.8% between 2012/13 and 2013/14.

    • The number of items dispensed has been increasing year on year with a total increase of 31.8% between 2004/05 and 2013/14.

    • Over the last 10 years, the number of items dispensed has increased at a greater rate than the total cost of drugs, this is because a number of high volume and high cost drugs have come out of patent, and increasingly drugs are prescribed generically.

    • The rate of generic prescribing was 83.2% in 2013/14. The percentage of generic prescribing has increased steadily since 2004/05.

    • The total (net) cost of items dispensed in Scotland in 2013/14 was £1.15 billion, an increase of 2.5% compared to 2012/13. The net cost has increased overall by 21.9% over the last ten years, although it has fluctuated slightly in recent years.

    • In 2013/14 omeprazole (used for reducing stomach acid) was the most commonly prescribed drug by volume.  This was also the case in 2012/13.

    • Inhalers containing the drug salmeterol with fluticasone propionate, used for respiratory conditions such as asthma, had the highest total gross ingredient cost in 2013/14 at £43.5 million. This has been the highest cost drug to NHSScotland since 2011/12.

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    10 June 2014

    expand menu  ScotPHO Alcohol & Drugs Profiles

    In the Alcohol Profiles 9 of the 25 existing indicators are updated, and in the Drugs Profiles 6 of the 18 existing indicators are updated. Updated indicators are part of the Health (e.g. hospital discharges, deaths), CAPSM (child protection) and Local Environment (e.g. alcohol sales licensing; perceptions of impact on environment) domains.

    Those indicators that were previously just available at ADP level are now also shown by NHS Board. This was possible because of the recent changes to NHS Board boundaries bringing them in line with the Local Authority boundaries.

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    27 May 2014

    expand menu  NHS Smoking Cessation Service Statistics (Scotland) 1st January to 31st December 2013

    Quit attempts



    • There were 103,431p quit attempts made with the help of NHS smoking cessation services in Scotland in 2013. This is a 13% reduction on 2012, where there were 119,428 quit attempts. This is the first decrease seen in recent years, and could be partly explained by the rise in use of electronic cigarettes. p. Provisional figure. Will likely increase as ISD continues to receive late data submissions.

    • An estimated 10% of the adult smoking population made a quit attempt with an NHS smoking cessation service in 2013.

    • Females accounted for 57% of all quit attempts.

    • The highest proportion of quit attempts was in the 45-59 years age group (31%).

    • Over one third of quit attempts were made by people living in the 20% of the -most deprived- areas of Scotland.

    • In 2013, there were 2,918 quit attempts made by pregnant women, a decrease of 155 on the 2012 figure of 3,073.


    Outcomes



    • One month after quit dates set in 2013: 38% had not smoked; 18% had returned to smoking; 45% were -lost to follow-up-/unknown smoking status.

    • Three months after quit dates set during the first nine months of 2013 (Jan-Sep): 13% had not smoked; 22% had returned to smoking by the three month follow-up; 65% were -lost to follow-up-/unknown smoking status by the three month follow-up.

    • Twelve months after quit dates set in 2012: 6% had not smoked; 25% had returned to smoking by the twelve month follow-up; 70% were -lost to follow-up-/unknown smoking status by the twelve month follow-up.

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    expand menu  Provision of Injecting Equipment in Scotland 2012/13


    • A total of 290 Injecting Equipment Provision (IEP) outlets responded to the 2012/13 survey.

    • Approximately 213,000 attendances were reported across IEP outlets in Scotland in 2012/13. This was a decrease from 219,000 in 2011/12, continuing the trend of decreasing attendances since 2009/10. This may reflect changes in the size of the injecting population in Scotland.

    • Where gender of the client was reported, 64% of attendances were made by males.

    • A total of 4.0 million needles/syringes were reported to have been distributed in 2012/13. This was similar to the number distributed in 2011/12, indicating more needles were distributed per attendance.

    • In 2012/13, NHS Fife distributed the highest number of needles/syringes per head of population over 16, distributing 1.7 needles/syringes per person.

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    expand menu  Hospital Standardised Mortality Ratios - Quarterly Statistics


    • HSMR at Scotland-level has decreased by 14.2% between October to December 2007 and October to December 2013.

    • Twenty nine (94%) of the thirty one hospitals participating in the SPSP have shown a reduction in HSMR since October-December 2007 (end of the baseline period); twelve of these had a reduction in excess of 15%, with four showing a reduction in excess of 20%; namely: NHS Ayrshire & Arran’s Crosshouse Hospital (32.9%); NHS Greater Glasgow and Clyde’s Southern General Hospital (22.7%); NHS Tayside’s Ninewells Hospital (21.0%); and NHS Highland’s Raigmore Hospital (20.8%).

    • Rolling annual HSMRs show that there was a sustained reduction in hospital mortality between 2009 and 2011; the level thereafter has remained relatively constant.

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    expand menu  National Naloxone Programme Scotland – naloxone kits issued in 2012/13 (revision)

    May 2014 Revision



    • In 2012, a significant decrease in the percentage of opioid related deaths occurring within four weeks of prison release was observed (5.5%) compared to the 2006-10 Baseline Indicator (9.8%). Performance will continue to be monitored to ensure that the percentage in the post-Naloxone period is estimated with sufficient precision.

    July 2013 Annual Report.



    • There were a total of 3,833 ‘take home’ naloxone kits issued in Scotland in 2012/13, through the National Naloxone Programme. This compares with 3,458 kits issued in 2011/12 (revised 2011/12 figures), an increase of 375 kits (10.8%). Note: these figures include kits issued in the community and kits issued to prisoners (at risk of opioid overdose), on their release from prison.

    • There were 3,087 ‘take home’ naloxone kits issued in the community in Scotland in 2012/13, through the National Naloxone Programme. This compares with 2,743 ‘take home’ kits issued in the community in 2011/12, an increase of 344 kits (12.5%).

    • The majority of kits issued in the community in 2012/13 (86.8%) were issued to individuals at risk of opioid overdose, 10.7% were supplied to service workers and 2.5% to family and friends (with the recorded consent of the person at risk).

    • Of the 3,087 kits issued in the community in 2012/13, 80% were reported as a ‘first’ supply, 18.1% a ‘repeat’ supply and 1.8% ‘unknown’ if first or repeat supply. In 210 cases ‘repeat’ supply was reported as due to use of the previous kit on a person at risk.

    • There were 746 ‘take home’ naloxone kits issued by prisons in Scotland in 2012/13, all to persons at risk of opioid overdose, an increase of 31 kits (4.3%) on 2011/12. Note: kits are not issued ‘in prison’, rather they are supplied to the individual ‘on release’.

    • Of the 746 kits issued by prisons in 2012/13, 86.3% were reported as a ‘first’ supply, 10.6% a ‘repeat’ supply and 3.1% ‘unknown’ if first or repeat supply. In 10 cases ‘repeat’ supply was reported to be due to use of the previous kit on a person at risk.

    • In 2011, there was no significant decrease in the percentage of opioid related deaths within four weeks of prison release (8.4%) compared to the 2006-10 Baseline Indicator (9.8%).

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    expand menu  NHS Waiting Times - Stage of Treatment

    Following system developments by NHS Boards and ISD, in line with regulations and guidance, ISD are now receiving patient level data from the majority of Boards into the ISD waiting times warehouse. Subject to data being of a high enough quality this will be used to produce the statistics for the August 2014 publication, covering the period April – June 2014.


    1. Inpatients and Day cases



    • During quarter ending 31 March 2014, 97.3% of inpatients and day cases were seen within the TTG of 12 weeks (84 days). This has decreased from 98.3% at quarter ending 31 December 2013. When comparing to quarter ending 31 March 2013, performance has dropped from 98.5%.

    • • Since the introduction of TTG, the majority of patients who waited over 12 weeks were seen in NHS Lothian and NHS Grampian.

    • At 31 March 2014, there were 50,865 patients on the inpatient and day case waiting list, of which 98.5% had been waiting 12 weeks or less. This has remained the same as at 31 December 2013.

    • At 31 March 2014, of those patients on the waiting list, 17.6% were recorded as unavailable. This has decreased from 20.6% at 31 December 2013


    2. New Outpatients



    • At 31 March 2014, 97.3% of new outpatients had been waiting 12 weeks or less for an appointment. This has increased from 95.8% at 31 December 2013. When comparing to 31 March 2013, performance has dropped from 97.5%.

    • NHS Lothian and NHS Forth Valley report an improvement in performance for quarter ending 31 March 2014.

    • During quarter ending 31 March 2014, 92.5% of new outpatients seen had waited less than 12 weeks. This compares to 93.1% at 31 December 2013.

    • At 31 March 2014, 4.1% of patients were reported as unavailable for a new outpatient appointment. This has decreased from 5.1% at 31 December 2013.

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


    • Waiting times information for CAMH services are still in development. NHS Boards continue to work 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.

    • During the quarter ending March 2014, 3,600 children and young people started treatment at CAMH services in Scotland.

    • During the quarter ending March 2014, 91.4% of people were seen within 26 weeks and 83.9% of people were seen within 18 weeks.

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    expand menu  Workforce - Staff in post, Staff turnover, Vacancies


    • The total number of NHSScotland staff in post, excluding General Medical Practitioners (GPs) and General Dental Services (GDS) continues to increase with 135,625.7 whole time equivalent (WTE) and 158,764 headcount on 31st March 2014.

    • The annual increase in staff of 1.8% is mainly due to increases in nursing and midwifery (1,136.1 WTE), administrative services (369.1 WTE), medical (265.4 WTE) and other therapeutic services (130.3 WTE). The only group to show a decrease is dental (10.7 WTE).

    • The largest group in the workforce continues to be nursing and midwifery, which accounted for 42.9% of all staff (excluding GPs & GDS) with 58,172.7 WTE at 31st March 2014.

    • Allied health professions (AHP) staff increased by 16.8% WTE (1,610.7) and 14.3% headcount (1,657) since March 2013. This 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) also continues to rise with 4,693.6 WTE at 31st March 2014 compared to 4,531.6 WTE at 31st March 2013.

    • On the 31st March 2014, the total number of vacancies for :

      - consultants (excluding directors of public health) was 324.8 WTE, a rate of 6.5%.

      - nursing and midwifery was 1,637.5 WTE, a rate of 2.7%.

      - allied health profession was 452.5 WTE, a rate of 3.9%.

    • Nursing and midwifery bank staff provided 3,933.0 WTE of cover at a cost of £118.2m. This is an increase of 10.1% WTE and £14.0m on 2012/13. Agency nursing and midwifery staff provided 124.5 WTE of cover at a cost of £9.3m. This is an increase of 35.3% WTE and £2.9m on 2012/13.

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    expand menu  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

    • NHS Boards have had to develop new systems to enable reporting on Psychological Therapies waiting times

    • During the quarter ending March 2014, just over 9,400 people started treatment for psychological therapies in Scotland.

    • During the quarter ending March 2014, just over 9,400 people started treatment for psychological therapies in Scotland.

    • The initial estimates from data at this stage of development indicate that 82% of people were seen within 18 weeks.

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    expand menu  Delayed Discharges in NHS Scotland - figures from April 2014 census

    148,079 bed days were occupied by delayed discharge patients in NHS Scotland during the quarter January to March 2014.


    At the April 2014 census, 173 patients were delayed over 4 weeks. This compares with 254 at the January 2014 census and 44 at the April 2013 census.


    At the April 2014 census there were 107 patients delayed for over 6 weeks. This compares with 151 at the January 2014 census and 24 at the April 2013 census. 418 patients were delayed over 2 weeks.


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    expand menu  Emergency Department Activity & Waiting Times

    During the quarter ending 31 March 2014, the proportion of new attendances at A&E services across Scotland that were seen and subsequently admitted, transferred or discharged within four hours were:



    • January– 92.2%

    • February – 91.8%

    • March – 93.3%.


    In March 2014 five NHS Boards achieved the waiting time standard of 98% of patients seen and admitted, transferred or discharged from A&E within four hours; eight of the remaining nine NHS Boards achieved over 92% compliance with the standard, with NHS Greater Glasgow and Clyde having the lowest at 90% compliance.


    Performance against the HEAT interim target in the year ending 31 March 2014 was 93.9%. The interim target is to achieve 95% of patients seen then admitted, transferred or discharged from A&E within four hours over 12 months (rather than a month as per the standard) by year ending September 2014.


    The HEAT target to reduce the rate of new attendances at Emergency Departments by 2013/14 was not met at Scotland level. In the 12 months to 31 March 2014, the average Emergency Department attendance rate was 2,116 per 100,000 population, against the HEAT target of 2,091 per 100,000 population.


    The number of new and unplanned attendances at A&E services across Scotland was little changed between 2012/13 and 2013/14 at 1.62 million in both years.

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    expand menu  NHS Waiting Times - 18 Weeks Referral to Treatment


    • In March 2014, across NHS Scotland 89.6% of patients whose 18 Weeks RTT journey could be fully measured, were reported as being within 18 weeks. The figures for January and February 2014 are 89.8% and 89.5% respectively. This is a decrease from 90.8% in December 2013.

    • This is the first time NHS Scotland has been below the 90.0% standard for 18 weeks RTT since its introduction in December 2011.

    • In March 2014, four NHS Boards did not meet the 18 weeks RTT standard of 90.0%, namely NHS Forth Valley, NHS Grampian, NHS Lothian and NHS Western Isles, who achieved 80.8%, 89.0%, 85.2% and 82.0% respectively.

    • In March 2014, a total of 112,556 of patient journeys eligible under the 18 weeks RTT standard were identified. The waiting time could be fully measured for 103,774 of these patients (92.2%). It was not possible to calculate the waiting time fully for 8,782 patients due to the complexity of linking individual patient journeys.

    • NHS Highland moved to a new patient management system on 3 March 2014 which has led to some technical difficulties submitting 18 weeks RTT data. As an interim measure, NHS Highland submitted estimated figures for March 2014. These figures will be revised in the next publication.

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    expand menu  NHS Waiting Times - Audiology


    • Please note that this publication is the final national release of Audiology data, as these patients are also included in the 18 Weeks to Referral Publication.

    • During the quarter ending 31 March 2014, 26,833 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 March 2014 had their assessment (first contact) appointment within 5 weeks of being referred and 90.9% within 12 weeks. This has increased from 87.2% seen within 12 weeks during the quarter ending 31 March 2013.

    • Approximately half of patients were fitted with a hearing aid within 5 weeks of their assessment appointment and 95.5% within 12 weeks. This is comparable with the quarter ending 31 March 2013.

    • For those sites which report on one-stop clinics, 86.3% of patients attended and were treated within 18 weeks of their referral to that service, an increase from 83.3% seen within 18 weeks during the quarter ending 31 March 2013.

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    expand menu  NHS Waiting Times - Diagnostics


    • At 31 March 2014, 95.4% of patients waiting for one of the eight key diagnostic tests and investigations had been waiting less than six weeks. When comparing to the position at 31 March 2013, this has decreased from 96.2%. This may be due to an approximate 15% increase in the total number of patients waiting for a key diagnostic test and investigation.

    • The drop in performance has primarily affected patients waiting for a key Endoscopy diagnostic test and investigation. The majority of these patients have been waiting over six weeks to be seen in NHS Grampian, NHS Forth Valley and NHS Fife.

    • NHS Boards are currently working towards local targets that patients will wait no longer than four weeks. At 31 March 2014, 87.2% had been waiting less than four weeks. When comparing to the previous year, performance against the local target has decreased from 89.2%.

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    expand menu  Workforce Planning for Psychology Services in NHS Scotland - Characteristics of the Workforce within Psychology Services 2014

    As at 31st March 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 852 (716.4wte) as at 31st March 2014.

    • Whilst the wte of All Professional Groups employed in older adult services has increased between 31st March 2013 (52 headcount and 39.0wte) and 31st March 2014 (50 headcount and 40.2wte), it should be noted that there has been a reduction in the number of All Applied Psychologists (-6 headcount and -2.4wte). There remains the urgent need for an increase in availability of psychological services to older people across NHSScotland.

    • This total of 852 (716.4) equates to 795 (667.9) Clinical Psychologists plus 57 (48.5) Other Applied Psychologists. This represents a national staffing level of 1 wte Applied Psychologist per 7,417 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 (60.1wte), Graduates of the MSc in the Applied Psychology of Children and Young People (32.1wte), cognitive behavioural therapists (40.5wte), counsellors (25.7wte), other therapists (13.8wte), and other clinical staff (18.4wte).

    • As at 31st March 2014, an additional 57.3wte posts throughout NHSScotland Psychology Services were between being advertised and being filled with start dates commencing in April 2014. A further 6.5wte posts were approved for recruitment but not yet advertised.

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    expand menu  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 917.5 wte (1075 headcount) as at 31st March 2014.

    • The staff groups with the most significant increases are Psychology (143.8 wte in 2009 to the current 237.3wte; a 65.0% increase), and Nursing (320.4 wte in 2009 to the current 369.2.0 wte; a 15.2% increase.

    • The current headcount of 1075 clinical staff (917.5 wte) as at 31st March 2014 is an increase of 0.8% (0.9% headcount) in staff in post wte since 31st December 2013. From the 31st March 2013 it is a decrease of 0.5% wte (-0.6% headcount).

    • Nationally, this represents a staffing level of 17.3 wte clinical workers per 100,000 of the population of Scotland.

    • As at 31st March 2014, an additional 45.8 wte posts throughout NHS Scotland CAMHS were between being advertised and being filled. A further 10.4 wte posts were approved for recruitment but not yet advertised.

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    expand menu  Abortion Statistics 2013 - Revised (Revised 12 June 2014)

    Over the last five years there has been a reduction in the number and rate of abortions with 11,777 in 2013 compared to 13,904 in 2008 (representing rates of 11.2 per 1,000 women aged 15-44 in 2013, and 13.3 in 2008). This fall since 2008 is a change to the overall pattern of increase since the implementation of the 1967 Abortion Act, although small dips for short periods have been observed before. Birth rates also peaked in 2008, but whereas there has been a 15.5% fall in abortion rates between 2008 and 2013, there has only been a 9.0% fall in live birth rates over this period.


    The fall in abortion rates between the peak of 2008 and 2013 has been greatest in younger women, with a reduction of 33.7% in those aged 16 to 19, closely followed by a 32.4% reduction in the under sixteen’s.


    Although there has been a recent marked reduction in abortions in younger women, the rate of terminations in 2013 is still highest in this group, at 16.3 per 1,000 aged 16-19 and 19.1 per 1,000 in those aged 20-24. Lower rates are seen in the older age groups: women aged 25-29 (14.8 per 1,000); aged 30-34 (10.4 per 1,000); aged 35-39 (6.6 per 1,000) and in women aged 40 and over (2.4 per 1,000).


    The proportion of early terminations has been rising steadily in recent years, with 69.2% of all terminations performed at less than 9 weeks in 2013, compared to 62.2% in 2009. There has also been a sustained increase in the use of medical methods compared to surgical terminations.


    In 2013 the vast majority of terminations (11,614; 98.6%) were carried out under Ground C (the pregnancy has not exceeded its 24th week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman). There were 142 terminations carried out under Ground E (there is substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped), of which 47 were for chromosomal abnormalities (such as Down’s syndrome), 37 were for congenital anomalies of the nervous system, and 28 were for other specific congenital anomalies (such as of the cardiovascular or urinary systems).

    - Revised (Revised 12 June 2014)
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    29 April 2014

    expand menu  Cancer Incidence 2012

    • Over the last ten years, age-standardised incidence rates of cancer in Scotland have fallen by 5% in males but increased by 8% in females.
    • For both males and females in Scotland combined, lung cancer is still the most common cancer overall, with 5,070 cases diagnosed in 2012 (17% of all cancers), compared to 4,623 cases (15%) of breast cancer and 3,849 cases of colorectal cancer (13%). The ranks and percentages of the three most common cancers are unchanged from 2011.
    • Cancer incidence rates and trends in incidence rates show considerable variation between different types of cancer. For instance, the incidence rate of cancer of the kidney for all people has increased by 30% over the last ten years. In contrast, the incidence rate of cancer of the oesophagus has decreased by 9% over the same period.
    • Excluding non-melanoma skin cancer, the actual number of cancers diagnosed in Scotland has increased over the last 10 years from 26,743 cases in 2002 to 30,450 in 2012. This is likely to be largely due to an ageing population.

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    expand menu  Scottish Suicide Information Database report 2014, 2009-2012 Data

    • Almost half the probable suicide deaths were of people aged 35-54 years.
    • There was a strong deprivation effect, with the suicide rate more than three times higher in the most deprived fifth of the population than in the least deprived fifth (25 compared with 8 per 100,000 population respectively).
    • Almost three-quarters of suicidal acts occurred in a private dwelling.
    • Over half (58%) of the Scottish residents in ScotSID had at least one mental health drug prescription dispensed in the community within the 12 months before death. This suggests that they were receiving care for a mental health problem or illness from a healthcare professional such as their GP or staff at an outpatient clinic.

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    expand menu  Scottish Breast Screening Programme Statistics 2012/13

    NHSBSP performance standards, at 31 March 2013:

  • For the latest three-year period, the uptake rate for Scotland has fallen slightly from 74.5% in 2009-12 to 73.5% in 2010-13. The results for both periods exceed the minimum standard of >70%.
  • The uptake rate for NHS Greater Glasgow and Clyde was 68.8% in 2010-13. All other NHS Boards achieved the attendance standard of >70% of women invited to a screening appointment.
  • Comparing three-year combined performance figures for those women with a previous screen within 5 years of attendance, the invasive cancer detection rate has increased from 5.4 per 1,000 women screened in the period 2004-07 to 7.1 in 2010-13.
  • In 2012/13, 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.
  • In 2012/13:

    • Over 1,400 cases of screen detected breast cancer were diagnosed in women of all ages.
    • Of these over 80% (nearly 1,200 cases) of cancers detected were invasive, of which over half were less than 15mm in size.
    • The proportion of cancers for which diagnosis was confirmed pre-operatively has increased slightly from 97.0% in 2011/12 to 97.6% in 2012/13. This reduces the number of women requiring two operations.

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    expand menu  Breast Cancer Quality Performance Indicators

    • There were 4754 breast cancer patients treated across NHSScotland in 2012, of which 1163 were treated in NOSCAN, 2364 in WoSCAN and 1227 in SCAN.
    • Overall performance against the 11 breast cancer QPIs is consistently high across all NHS Boards; however no individual unit or NHS Board met all 11 QPI targets. This suggests that the target levels for the QPIs are challenging.
    • It is encouraging that a number of the QPIs relating to surgical management in particular are consistently well met across the country, these include: non-operative histological diagnosis, pre-operative assessment of the axilla, conservation rate for patients with small breast cancers, and surgical margins. It is of note that some targets were met by almost all units with ease suggesting that the target levels may warrant adjustment in the future.

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    28 March 2014

    expand menu  Childhood Immunisations Statistics quarter and year ending December 2013

    • In Scotland immunisation uptake rates for children aged up to six years remain high and stable.
    • At Scotland level, uptake rates by 24 months of age of complete primary courses of immunisation against diphtheria, tetanus, pertussis, polio & Hib (the five-in-one vaccine), MenC and PCV remain high and stable at around 96% to 98%. Uptake rates of complete primary courses of these vaccines by 24 months have exceeded the 95% target since 2002.
    • Annual uptake of the PCV booster and Hib/MenC booster vaccines by 24 months of age exceed 95%.
    • Annual uptake of the first dose of MMR vaccine by 24 months of age reached 95.4% (the previous annual figure was 95.0%). Uptake rates by 24 months of age have continued to be above 90% since calendar year 2006. Annual uptake of the first dose of MMR by five years of age is 97.1% (the previous annual figure was 96.9%). MMR uptake rates by five years have remained above the 95% target since calendar year 2009.

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    25 March 2014

    expand menu  Acute Hospital Activity and NHS Beds Information

    • There were 379,425 acute inpatient and day case discharges in the quarter ending December 2013. This is an increase of 1.4% from the same quarter of the previous year.
    • The total number of outpatient attendances in the quarter ending December 2013 was 1,177,324. This is an increase of 1.4% on the quarter ending December 2012.
    • The number of available staffed beds in acute specialties was recorded as 16,223 in the quarter ending December 2013. This is an increase of 1.1% from 16,041 beds in December 2012.
    • The rate of emergency bed days per 1,000 patients aged 75 and over has reduced by 9.5% over the past three years from 5,418 in 2009/10 to 4,905 in 2012/13.

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    expand menu  Cancer Waiting Times to December 2013

    • Across Scotland, 94.6% of patients started treatment within 62 days of urgent referral with suspicion of cancer. This compares to 94.5% in the period July – September 2013.
    • 97.9% of patients started treatment within 31 days of decision to treat, regardless of the route of referral. This compares to 98.1% in the period July – September 2013.
    • 99.5% of the patients that were urgently referred with a suspicion of cancer from the breast screening programme, 95.8% from the cervical screening programme, and 92.5% from the colorectal screening programme were seen within 62 days of referral.

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    expand menu  The National Drug Related Deaths Database (Scotland) Report 2012

    • In 2012, NDRDD recorded information on 531 drug-related deaths. Of these, 479 cases were identified as eligible for inclusion in the main NDRDD cohort.
    • As in previous years, over three quarters (75%) of those who died were male, over half (57%) lived in the most deprived areas of Scotland and the 25-44 years age group accounted for around two-thirds (67%) of deaths.
    • Almost three quarters of individuals (74%) had been in contact with a drug treatment service at some point in their lives.
    • As in previous years, in almost all cases (97%) there was more than one drug present and in 69% of cases more than one drug was implicated.
    • In addition to the main cohort, there were 52 suicide cases recorded by NDRDD. Half were among males and half among females. The average age of these suicide cases was ten years higher than the main NDRDD cohort.

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    expand menu  Prescribing Statistics: Dispenser Remuneration

    • The gross total payments to Scottish dispensing contractors increased from £1,126.5 million in 2012 to £1,136.6 million in 2013.
    • The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement has increased from £919.0 million in 2012 to £929.1 million in 2013. The cost of remuneration of services is similar at around £207.5 million for both 2012 and 2013.
    • The gross ingredient cost (GIC) paid to dispensing contractors in 2013, in respect of dispensing, was £970.4 million. This is an increase of £4.7 million (0.5%) compared to 2012.
    • The number of prescription items dispensed in 2013 was 98.4 million. This is an increase of 1.8 million items (1.9%) compared to 2012. The number of prescription items in 2012 was 96.6 million. This was an increase of 2.8 million (3.0%) compared to 2011.

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    expand menu  ScotPHO Older People Profiles (65+)

    • Traumatic hip fracture discharge rates for 2010-12 are lowest for NHS Fife with 500.1 per 100,000 population (aged 65+ years). The highest discharge rates of 751.9 per 100,000 population (aged 65+ years) are to be found in NHS Greater Glasgow and Clyde for the same time period.
    • In 2010/11 to 2012/13 (3-year average rate) the discharge rate for patients hospitalised with alcohol conditions was highest in NHS Orkney with 4,569.3 discharges per 100,000 population (but based on relatively small numbers), and NHS Greater Glasgow and Clyde had the second-highest rate with 1,267.5 discharges per 100,000 population. The lowest rate in 2010/11 to 2012/13 (3-year average rate) was recorded in NHS Forth Valley, with 452.1 discharges per 100,000 population. NHS Dumfries and Galloway had the second-lowest rate with 460.6 discharges per 100,000 population.
    • Greater Glasgow and Clyde NHS Board are shown to have 10.6% of the population aged 65+ with a SPARRA (Scottish Patients at Risk of Readmission and Admission) score of >40. Orkney has only 5.78% of the population aged 65+ with a SPARRA score of >40.
    • The 2013 European Standard Population (ESP2013) has been used to calculate the European Age-Sex Standardised Rates (EASRs) within this publication. The European Standard Population (ESP), which was first used in 1976, was revised in 2013. Figures using ESP1976 and ESP2013 are not comparable.
    • The population estimates used in the calculation of rates above are based on the 2011 Census results.

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    expand menu  Teenage Booster Immunisation Statistics

    • Uptake of the teenage Td/IPV booster vaccination among S3 pupils in Scotland (the class year in which the vaccine is routinely offered) was very similar in school years 2011/12 and 2012/13 at 83.7% and 83.4% respectively. Pupils not vaccinated in S3 are offered the vaccine in S4, so uptake rates increase over time. Uptake rates among S4 pupils increased slightly from 85.8% in 2011/12 to 86.9% in 2012/13.

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

    • During the quarter ending 31 December 2013, around 90% of people were seen within 26 weeks.
    • Clinical CAMHS staff working in the community equated to 734.2 whole time equivalents (WTE) representing 70.7 WTE community clinical workers per 100,000 people under 18 in Scotland.
    • Sickness absence of dedicated CAMHS clinicians in Scotland ranged from 0 - 5.5% for NHS boards across Scotland for the quarter ending 31 December 2013
    • In Scotland, child &;amp adolescent unit psychiatric hospital admissions in 2012/13 were 21.2 per 100,000 people under 18, an increase from 19.2 in 2011/12. CAMHS admissions to adult psychiatric wards in Scotland increased from 16.5 per 100,000 people under 18 in 2011/12 to 21.1 in 2012/13

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    expand menu  National Drug and Alcohol Treatment Waiting Times

    • In October-December 2013, 96.3% of the 11,564 people who started their first drug or alcohol treatment had waited 3 weeks or less (HEAT standard), compared to 96.6% in the previous quarter.
    • 97.2% of the 7,412 people who started alcohol treatment between October and December 2013 had waited 3 weeks or less, compared to 97.0% in the previous quarter.
    • 94.6% of the 4,152 people who attended an appointment for drug treatment waited 3 weeks or less, compared to 95.8% in the previous quarter.
    • Of the 2,528 people who were still waiting to start drug or alcohol treatment, 70 people, or 2.8%, had waited more than 6 weeks at the end of December 2013, compared to 65 people, or 2.2% in the previous quarter.

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    expand menu  Scottish Perinatal and Infant Mortality and Morbidity Report

    • Rates of stillbirths and deaths: Stillbirth rate 4.7 per 1000 births; Neonatal death rate 2.6 per 1000 live births; Perinatal mortality rate 6.5 per 1000 births; Post-neonatal deaths 1.2 per 1000 live births; Infant mortality rate 3.7 per 1000 live births.
    • There were 58,301 live and stillbirths registered in Scotland in 2012. This is 588 fewer than were registered in 2011 and continues the slight decline in births since 2008.
      A total of 656 deaths were notified to the Scottish Stillbirth and Infant Death Survey, comprising 164 late fetal deaths, 274 stillbirths, 148 neonatal deaths and 69 post-neonatal deaths.
    • Abnormalities of the placenta accounted for 40% of stillbirths and premature birth was associated with 50% of neonatal deaths. Antepartum haemorrhage and congenital anomalies were other important causes of both stillbirth and neonatal death.

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    expand menu  ScotPHO website quarterly update

    The following topics on the Scottish Public Health Observatory (ScotPHO) website have been updated: asthma, coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), community wellbeing, deaths, deprivation, diabetes, diet and nutrition, disability, drugs, education, epilepsy, ethnic minorities, high blood pressure, high cholesterol, income and economy, lesbian, gay and bisexual (LGB) health, multiple sclerosis, obesity, older people, physical environment, stroke, surveys and tobacco use. The topics are presented in the ScotPHO style of web pages including text and charts and downloadable Excel charts and tables.

    The updates include collations of previously available information, and present summary data and statistics derived from published sources. Previously unpublished data are included for ten of these topics: asthma, chronic obstructive pulmonary disease (COPD), deaths, diabetes, disability, epilepsy, high blood pressure, high cholesterol, multiple sclerosis and tobacco use.

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    25 February 2014

    expand menu  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.

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    expand menu  Waiting Times - Stage of treatment - Revised (Revised 11 March 2014)

    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.
    • - Revised (Revised 11 March 2014)
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    expand menu  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.

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    expand menu  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.

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    expand menu  Detect Cancer Early Staging Data - Revised (Revised 29 July 2014)

    • 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).

    - Revised (Revised 29 July 2014)
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    expand menu  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.

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    expand menu  Workforce

    • 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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  Unintentional Injuries

    • 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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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%).

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    expand menu  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).

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    expand menu  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.

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    expand menu  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.

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    28 January 2014

    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    expand menu  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.

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    To be published soon

    Most ISD official statistics publications are released on the last Tuesday of the month

    To be published: 9 September 2014

    Scottish Multiple Sclerosis Register Annual Report   more

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

    To be published: 26 September 2014

    Childhood Immunisation Statistics, quarter ending June 2014   more

    To be published: 30 September 2014

    HPV Immunisation Uptake Statistics 2013/14   more

    NHS Smoking Cessation Service Statistics (Scotland) 1 April 2011 to 31 March 2014   more

    Heart Disease Indicators   more

    ScotPHO website quarterly updates   more

    Quality & Outcomes Framework (QOF) of the GMS contract - achievement, prevalence and exception reporting data 2013/14   more

    Complaints Statistics   more
    Alert Rescheduled to: 25 November 2014

    Acute Hospital Activity and NHS Beds Activity   more

    Long Acting Reversible Contraception (LARC) Key Clinical Indicator (KCI)   more

    Cancer Waiting Times to June 2014   more

    Prescribing Statistics - Prescribing for Smoking Cessation Interventions   more

    Prescribing Statistics - Medicines used in Mental Health   more

    Prescribing Statistics - Dispenser Remuneration   more

    National Drug and Alcohol Treatment Waiting Times   more

    To be published: October 2014

    Cancer Mortality 2013   more

       See all forthcoming publications


    Rescheduled Publications

    Scottish Drugs Misuse Database (SDMD) Follow Up Report 2012/13
    Original publication date: 28 January 2014
    Rescheduled to: 25 November 2014
    Contact: Lee Barnsdale 0131 275 6055
    more

    Cancer Survival Statistics
    Original publication date: 26 August 2014
    Rescheduled to: 25 November 2014
    Contact: Andy Deas 0131 275 7030
    more

    Ophthalmic Workload Statistics
    Original publication date: 26 August 2014
    Rescheduled to: 30 September 2014
    Contact: Catherine Thomson 0131 275 7198
    more

    Complaints Statistics
    Original publication date: 30 September 2014
    Rescheduled to: 25 November 2014
    Contact: Kirsty Anderson 0141 282 2243
    more

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