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Information Services Division

ISD Scotland is part of NHS National Services Scotland

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

About ISD

Scotland has some of the best health service data in the world. Few other countries have information which combines high quality data, consistency, national coverage and the ability to link data to allow patient based analysis and follow up. The Information Services Division (ISD) is a division of National Services Scotland, part of NHS Scotland. ISD provides health information, health intelligence, statistical services and advice that support the NHS in progressing quality improvement in health and care and facilitates robust planning and decision making.

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What's New in ISD?

The Scottish Centre for Telehealth and Telecare

The Scottish Centre for Telehealth and Telecare (SCTT), on behalf of the Scottish Government's Technology Enabled Care Programme, recently commissioned the Information Services Division (ISD) of NSS Scotland to bring together data to provide key intelligence to assist local planning, support transformation programmes and commissioning for Long Term Conditions in Scotland.

Complimenting previous work in this area, this new suite of reports , national projection tables and board projection tables, provides a much sharper focus by examining specific disease prevalence in the context of demographic change projections for the next 15 years.  The results are both informative and stark. They can be accessed at https://sctt.org.uk/programmes/home-and-mobile-monitoring/long-term-conditions/.

NHS Performs - Latest update

NHS Performs has been updated to include information on:

  • Emergency Department activity for the week ending 18 June 2017
  • Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 19 June 2017
  • Cancer Waiting Times January -  March 2017
  • Hospital Beds January - March 2017

NHS Performs

NHS Performs is a website which brings together a range of information on how hospitals and NHS Boards within NHSScotland are performing. It aims to provide this information in an easy to access, clear and understandable way.
[27 June 2017]

 

See our News Archive for earlier stories

Latest Statistics

Published: 27 June 2017
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The Information Services Division has released a report describing the current availability of equality data in routine national administrative health datasets in Scotland. These datasets are used for a number of secondary uses such as planning, performance monitoring, benchmarking and research. The report provides information about what equality data are collected and how complete they are, discusses possible data quality issues and gives examples of how routine health service data can be used to measure differences between equality groups. It also highlights and explains the gaps in equality data and explores ways in which these could be addressed.

Published: 27 June 2017
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The 62 Day Standard is that 95% of patients urgently referred with a suspicion of cancer will wait a maximum of 62 days from referral to first cancer treatment

  • 88.1% of patients started treatment within the 62 day standard, compared to 87.5% in the previous quarter and 90.2% for quarter ending March 2016.
  • The 62 day standard was met by two NHS Boards (NHS Dumfries & Galloway and NHS Lanarkshire).

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

  • 94.9% of patients started treatment within the 31 day standard, compared to 94.1% in the previous quarter. In quarter ending 2016 the figure was also 94.9%.
  • The 31 day standard was met by 11 of 15 NHS Boards.
Published: 27 June 2017
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  • The quarterly trend over the past three years shows little change in the performance and that people continue to receive early access for their first drug or alcohol treatment.
  • Of the 10,848 people who started their first treatment in the most recent quarter, 94.9% waited three weeks or less. More than half (56.3%) started their first treatment within one week of referral.
    • For the 6,651 people seeking alcohol treatment, 95.5% waited three weeks or less.
    • For the 4,197 people seeking drug treatment, 94.0% waited three weeks or less.
  • All NHS Boards, except NHS Highland, NHS Lothian and NHS Shetland met the National Delivery Plan standard.
Published: 27 June 2017
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ABIs delivered in 2016/17

  • In 2016/17 there were 86,560 ABIs delivered in Scotland. This is 42% more than the 61,081 set out in the Local Delivery Plan standard for 2016/17.
  • 55,950 of the ABIs delivered were in priority settings (Primary Care, Accident & Emergency and Antenatal settings). This is 12 percentage points more than the required minimum standard for priority settings.
  • Ten of the 14 NHS Boards met or exceeded their standard for delivery of all ABIs. Seven NHS Boards met or exceeded their standard for ABIs delivered in priority settings.
  • The number of ABIs delivered in Scotland fell for the third consecutive year to 86,560 from a peak of 104,356 in 2013/14.
  • The number of ABIs in ‘wider’ settings (settings other than priority settings) has increased for the fourth consecutive year from nearly 10,500 in 2012/13 to over 30,500 in 2016/17. ABIs delivered in wider settings account for 35% of all ABIs recorded in 2016/17.
Published: 27 June 2017
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Quarterly Uptake

  • Uptake rates of most vaccines by 12 and 24 months of age decreased slightly but remain high in Scotland.
  • Uptake rates by 12 months of age for complete primary courses of immunisation against diphtheria, tetanus, pertussis (whooping cough), polio and Hib (the five-in-one vaccine) and PCV were above 96%.
  • Uptake of the newly introduced MenB vaccine by 12 months age increased marginally to 95.9%. Uptake of rotavirus vaccine also increased marginally to 93.6%.
  • Uptake rates of the first dose of MMR, Hib/MenC and PCV booster by 24 months have all decreased slightly, to around 94.5%.

Annual Uptake

  • Immunisation uptake rates for children in Scotland decreased slightly from the previous year, although rates remained high in the year ending 31 March 2017.
  • The national target is for 95% uptake of one dose of the MMR vaccine by five years of age, with a supplementary measure at 24 months. In the year ending 31 March 2017, annual uptake of one dose of MMR vaccine by 24 months of age decreased slightly to 94.9%. Uptake of one dose by five years of age was 96.9%. Uptake rates of one dose of MMR by five years have remained above the 95% target since 2009.
Published: 27 June 2017
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Outpatient activity

  • There were 1,064,629 total outpatient attendances in the quarter ending March 2017, a slight decrease on the quarter ending March 2016(1,098,183), with a 9% increase in the last five years.
  • Of the total outpatient attendances, there were 374,182 new attendances and 690,447 follow-up attendances.
  • Less than one in ten patients did not attend their first outpatient appointment, which is a slight reduction compared to the same quarter in 2016.

Beds statistics

  • There were on average 15,635 available staffed beds for all acute specialties in March 2017. This is a decrease of 1.3% since the quarter ending March 2016.

Inpatient and day case activity

  • In total there were 398,746 acute inpatient, day case episodes of care and transfers recorded in the quarter ending March 2017. This is a decrease of 5.7% from 422,948 in quarter ending March 2016.
  • Driven by changes in recording practices and service redesign to the emergency care services in some NHS Boards, the number of transfers have shown a steady rise since March 2012, and have now decreased by 7.4 % to 103,221 episodes compared to the quarter ending March 2016.
Published: 27 June 2017
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Drugs – Addiction Prevalence Testing

  • In 2016/17, 76% of individuals entering prison tested positive for illegal drugs and 30% tested positive for illegal drugs when leaving prison.

Drugs – Drug-Related offences

  • In 2015/16, the rates of recorded offences for possession of drugs and possession of drugs with intent to supply remained similar to previous years at 55.7 and 7.4 offences per 10,000 population respectively.

Drugs – Drug-Related Criminal Proceedings

  • In 2015/16, for those convicted of possession of drugs with intent to supply, the most common sentence was imprisonment (49%). For possession of drugs, the most common sentence was a fine (61%).
Published: 27 June 2017
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  • There were 3,344 people diagnosed with colorectal cancer in Scotland during 2015/16.
  • The target for the mortality rate 30 days following elective surgery is to be below 5%. Overall in Scotland, in each of the three years this was achieved. In 2015/16, for example, the percentage of patients who died within 30 days of surgery was 1.3%.
  • The estimated three year survival rate for patients aged 55-64 diagnosed with colorectal cancer during 2010 and 2012 was 69% for both males and females.
Published: 27 June 2017
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During the week ending 18 June 2017:

  • There were 27,476 attendances at Emergency Departments across Scotland.
  • 94.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 94 (0.3%) patients spent more than 8 hours in an Emergency Department.
  • 28 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 20 June 2017
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  • Over half (55.3%) of the 74,960 patients who had a first clinical appointment with an AHP MSK service were seen within 4 weeks. This compares with 55.0% of patients during quarter ending 31 December 2016.
  • Nine out of ten patients were seen within 18 weeks.
  • 92,881 people were referred to AHP MSK services compared to 82,738 for the quarter ending 31 December 2016.
  • In the quarter ending 31 March 2017, 7.3% adults did not attend their out-patient appointment for AHP MSK services.
Published: 20 June 2017
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The Information Services Division has released data up to 31 March 2017 in the Child and Adolescent Mental Health Service (CAMHS) Benchmarking Toolkit. The CAMHS benchmarking toolkit aims to support the implementation of the Child and Adolescent Mental Health policy using national data benchmarking of CAMH services across Scotland. The toolkit contains information on waiting times for CAMHS, workforce statistics, inpatient admissions and inpatient bed days.

Published: 20 June 2017
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During the week ending 11 June 2017:

  • There were 25,832 attendances at Emergency Departments across Scotland.
  • 95.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 46 (0.2%) patients spent more than 8 hours in an Emergency Department.
  • 6 (<0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 13 June 2017
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  • In 2015/16 there were a total of 287 Injecting Equipment Provision outlets in Scotland, of which 219 (76%) were located in pharmacies, and the remaining 68 were part of other services (e.g. specialist drug treatment providers).
  • In 2015/16, nearly 328,000 attendances were reported by outlets, approximately the same as in 2014/15. Eight of 12 participating NHS Boards reported increases in attendances between 2014/15 and 2015/16, while decreases were reported by four NHS Boards.
  • Where gender of the client was reported, 79% of attendances were made by males.
  • Over 4.7 million needles and syringes were reported to have been distributed by participating outlets in 2015/16.
  • Nationally, it was estimated that an average of 77 needles and syringes were distributed per problem drug user in 2015/16.
  • The number of outlets distributing items of sterile injecting equipment other than needles and syringes has increased over time. In 2015/16, wipes or swabs and citric acid or vitamin C were most commonly distributed (approximately 4.5 million and 3.7 million items respectively).
Published: 13 June 2017
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Pain Clinics

  • Twelve out of fourteen NHS Boards provide pain clinics and submit data for patients attending their first appointment based on the 18 weeks referral to treatment (RTT) Standard.
  • During quarter ending 31 March 2017, there were 4,640 referrals to a pain clinic, a decrease from 4,771 referrals in the previous quarter. Out of these, 4,016 referrals were accepted.
  • Overall, the percentage of patients attending their first appointment at a chronic pain clinic within 18 weeks of referral has decreased over the last year.
  • Five of the twelve NHS Boards saw over nine out of ten patients within 18 weeks. NHS Lothian, NHS Orkney & NHS Shetland saw all their patients within 18 weeks. The remaining seven NHS Boards did not meet the standard.
  • 12.5% of patients did not attend their appointment and did not notify the hospital.

Pain Psychology Clinics

Ten NHS Boards provide this service:

  • Among the six Boards which can submit data for patients attending pain psychology clinics, 85.7% of the 273 patients attending their first appointment this quarter were seen within 18 weeks.
  • Due to the developmental nature of these data the figures for pain psychology clinics should be interpreted with caution.
Published: 13 June 2017
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The data extract is presented as downloadable text (.csv) file and covers practice level prescribing for the month of March 2017. A dashboard will also available to enable preview the data without downloading the large file. The data extract will also feed into existing dashboards which present historical data already published elsewhere on the ISD website (in the May 2017 Summary stats dashboard).

Published: 13 June 2017
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During the week ending 04 June 2017:

  • There were 27,829 attendances at Emergency Departments across Scotland.
  • 94.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 112 patients (0.4%) spent more than 8 hours in an Emergency Department.
  • 25 patients (0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 06 June 2017
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As at 31 March 2017:

  • The 162,598 staff employed by NHSScotland represents an increase of 0.6% over the last year. Adjusting for part time working, the WTE has risen by 0.7% to 139,430.9. The WTE has risen by 6.3% since March 2012, representing 5 years of consecutive growth. While the number of staff continues to increase, the annual rate of growth has slowed down in the last 2 years.
  • There were 5,189.2 WTE medical and dental consultants in post, representing an increase of 17.2% (761.5 WTE) over the last five years. While the number of consultants working in NHSScotland continues to increase, the annual rate of growth has decreased from 4.0% at 31 March 2016 to 1.4% at 31 March 2017.
  • 7.4% (415.7 WTE) of consultant posts were vacant. This compares to 6.5% at 31 March 2016. Of these vacancies, 204.3 WTE were vacant for more than six months, an increase of 38.2 WTE since last year.
  • There were 59,798.6 WTE nursing and midwifery staff in post, representing an increase of 0.7% in the last year (426.2 WTE). Following a reduction in staff during 2012, the WTE has risen by 5.9% (3,331.3 WTE), representing 5 years of consecutive growth. While the number of staff continues to increase, the annual rate of growth has slowed down in the last 2 years.
  • Nursing and midwifery vacancies have increased by 27.5% since March 2016 to 2,818.9 WTE. Of these vacancies, 670.6 WTE were vacant for 3 months or more, an increase of 227.5 WTE since 31 March 2016. The total number of vacancies is the highest ever reported by ISD but this is partly due to improved recording.
  • The sickness absence rate for NHSScotland in 2016/17 was 5.20%, a slight increase from 5.16% in 2015/16. Over the last ten years, the national rate has continued to exceed the current national standard of 4%, fluctuating between a high of 5.55% in 2006/07 to a low of 4.63% in 2011/12.
  • NHSScotland spent a total of £166.5 million on nursing and midwifery bank and agency staff during the latest financial year. This represents an increase of £8.4 million (5.3%) in comparison to 2015/16. The majority of this spend was on bank staff (£142 million, an increase of 5.5% on the previous year) with the remaining spend on agency staff (£24.5 million, up 4.4%).
Published: 06 June 2017
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  • At 31 March 2017, 1,097.3 WTE (1,315 headcount) clinical staff were in post within psychology services in NHSScotland. This is an increase of around 169% since data collection began in 2001. However growth has slowed over the last two years, increasing by 2.8% over this period. (see Figure 1).
  • Clinical psychologists remain the largest staff group within this workforce with 727.0 WTE in post at this census compared to 311.0 WTE at 30 September 2001 – an increase of 133.8% However, growth has slowed over the last two years, with the WTE of this staff group increasing by 2.2% (see Figure 1).
  • At 31 March 2017, 82.2 WTE posts were in the process of being advertised, equating to a 7.0% vacancy rate. This rate declined from September 2011 to September 2014 and has remained steady since then.
  • Since 2001, there have been 719 successful graduates of the Doctorate in Clinical Psychology, of which 69.8% are currently employed within NHSScotland Psychology Services.
Published: 06 June 2017
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  • Since this data collection began in 2006 there has been a 51.2% increase in the CAMHS workforce from 653.7 WTE (741 headcount) to 988.6 WTE (1,152 headcount) as at 31 March 2017. The majority of this expansion occurred prior to 31 March 2015 and there has been minimal change in the CAMHS workforce in the last two years (a small rise of 0.8% WTE).
  • At 31 March 2017 the average staffing level within NHSScotland CAMHS was 90.5 WTE staff per 100,000 population aged 0 - 18. This figure varies considerably across NHS Boards.
  • At 31 March 2017 there were 81 individuals undertaking education aimed at supplying the CAMHS workforce. 33 of these are on a CAMHS aligned Doctorate in Clinical Psychology.
  • At 31 March 2017, 42.3 WTE (4.1%) posts were vacant and in the process of being advertised. This rate has remained steady since 2011.
Published: 06 June 2017
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  • 4,333 children and young people started treatment at Child and Adolescent Mental Health Services (CAMHS) in Scotland which is similar to the previous quarter (4,331) but a decrease from quarter ending March 2016 (4,496).
  • Over eight out of 10 (83.6%) children and young people were seen within 18 weeks and half started their treatment within ten weeks. This compares with 82.5% in the previous quarter and 84.4% for the quarter ending March 2016.
  • The 18 week standard was met by ten NHS Boards (NHS Ayrshire & Arran, NHS Borders, NHS Dumfries & Galloway, NHS Forth Valley, NHS Greater Glasgow & Clyde, NHS Highland, NHS Orkney, NHS Shetland, NHS Tayside and NHS Western Isles).
  • Across Scotland, over one in nine (11.8%) patients referred to CAMHS did not attend their first appointment, this compares with 11.9% in the previous quarter and 12.1% in the quarter ending March 2016.
Published: 06 June 2017
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  • 11,208 people started treatment for Psychological Therapies in Scotland which is a decrease from the previous quarter (11,393).
  • Over seven out of ten (73.7%) patients were seen within 18 weeks which compares with 77.5% in the previous quarter.
  • Three NHS Boards met the standard of treating 90% of patients referred within 18 weeks - these were NHS Highland, NHS Lanarkshire and NHS Western Isles. Please see background notes for information relating to NHS Greater Glasgow & Clyde.
  • 604 people aged 65 and over started treatment for Psychological Therapies in this quarter and 79.8% were seen within 18 weeks which is an increase from the previous quarter (593).
Published: 06 June 2017
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  • In April 2017, 40,925 days were spent in hospital by people whose discharge was delayed.
  • This is equivalent to an average of 1,364 beds occupied per day in April 2017. In March, the daily average was 1,338.
  • At the April 2017 census point, there were 1,377 people delayed.
  • Of these, 1,085 were delayed more than three days. The most common reason for delays over three days was health and social care reasons (713), followed by complex needs (328) then patient and family-related reasons (44).

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