Programme Overview

This programme is concerned with the use of data to support and improve the services provided for the care and treatment of patients with Long Term Conditions. Current priorities for ISD's Long Term Conditions (LTC) Programme are as follows:

• To support the Scottish Government's agenda for LTC patients as laid out in the Better Health, Better Care action plan, including further devalopment of ISD's Scottish Patients At Risk of Readmission and Admission (SPARRA) risk prediction tool, which assesses an individual's risk of emergency admission to hospital.
  
• To provide national person-based estimates on LTC prevalence including complexity and multiple morbididty.
  
• To support the Long Term Conditions Collaborative.
  
• To develop a small number of demonstrator projects in partnership with CHPs that demonstrate how national and local level information on health and social care can be combined to improve services for those with LTCs locally.

Latest Reports

Long Term Conditions Final Report [PDF 470KB] - This paper conatins detailed prevalence information at Scotland level for the conditions mentioned in the Long Term Conditions Prevalence summary report below.

Scottish Patients at Risk of Readmission & Admission  [PDF 243KB] - This paper reports on recent development work to extend the SPARRA risk-stratification tool so it can be applied to patients of all ages (SPARRA is currently applicable only to patients aged 65 or over).  The report includes:

• A description of the methodology used to develop the tool
• Some summary analysis that examines the tool's predictive power and provides early indication of the implications when using it to identify patients at high risk of emergency admission

Long-Term Conditions Prevalence  [PDF 135KB] - The purpose of this report is to outline the main data sources for measuring long-term conditions, to identify the most common conditions and to give estimates for their prevalence in the population of Scotland.