News and Releases

July 2010

27 July 2010
Mental Health (Psychiatric) Hospital Activity Statistics

• There were around 22,980 inpatient admissions to mental health hospitals during the year ending 31 March 2009. This continues the downward trend seen in recent years and represents a 19% fall in the number of admissions since 2004.
• The number of patients who had a psychiatric readmission (within one year of a previous psychiatric admission) has decreased steadily between the years ending 31 December 2004 and 31 March 2008, from over 4,500 to around 3,700
• Alcohol/drug related problems were responsible for 25% of all discharge diagnoses in men and schizophrenia accounted for a further 20%.  For women, mood (affective) disorders accounted for 32% of the diagnoses recorded, while dementia diagnoses were identified in 14% of discharges.

27 July 2010
Scottish Breast Screening Programme Statistics 2008/2009

• In 2008-09, approximately 1,500 cases of screen detected breast cancer were diagnosed in women of all ages
• Looking at three year performance standard attendance figures, uptake remains similar to last year, at approximately 75%.
• All NHS Boards continued to exceed the minimum performance attendance standard of >70% of women invited during the previous three years.

27 July 2010 (revised 30 July 2010)
Cardiovascular Anticipatory Care Screenings 2009-10

• Since 2006, NHS Boards have been delivering inequalities targeted cardiovascular health screenings through the Keep Well and Well North anticipatory care programs managed by NHS Health Scotland. These programs aim to reduce cardiovascular mortality through early detection of risk factors and other health problems.
• A total of 29,433 checks were carried out in 12 Health Boards in Scotland in the year to 31st March 2010, against a target of 28,000 checks for Scotland as whole.

Also released on 27 July 2010:

Scottish Intensive Care Society Audit Group Audit of Critical Care in Scotland 2010 – Reporting on 2009

General Ophthalmic Services

June 2010

29 June 2010
New Cancer Waiting Times January - March 2010.

• This is the first publication release that provides statistics relating to the new cancer waiting times target, which has replaced reporting against the old cancer waiting times target.
• During January to March 2010, 96.5% of patients started treatment within 62 days of referral.  This includes patients urgently referred with a suspicion of cancer to first treatment in Scotland. The target set by the Scottish Government is 95% by 2011.
• The mainland NHS Boards that had the highest and lowest percentage of patients that started treatment within 62 days were NHS Lothian (99.2%) and NHS Ayrshire & Arran (91.9%) respectively.
• The cancer types with the highest and lowest percentage of patients that started treatment within 62 days were Breast (98.8%) and Lymphoma cancers (91.7%), respectively.

29 June 2010
Teenage Pregnancies, year ending December 2008

• The teenage pregnancy rate has been fairly steady for the past decade.  In 2008, in the under 16 age group there were 7.9 pregnancies per 1,000, down from 8.1 in 2007.  The rates in the older age groups have also reduced, with the under 18s dropping from 42.4 per 1,000 in 2007 to 40.4 per 1,000 in 2008 and the under 20s from 58.6 per 1,000 to 55.7 per 1,000.
• Over the years there has been a change in the balance between teenage conceptions which are aborted and those which continue to delivery.  In the under 18 and under 20 age groups the rate of abortion has fallen slightly but still remains considerably lower than the delivery rate.  The delivery rates in the under 18 and 20 groups are the lowest since 1994.   In the under 16 year age group the abortion rate has been higher than the delivery rate since 2001.
• There is a strong deprivation gradient.  In the under 20s,  the most deprived groups have approximately ten times the rate of delivery as the least deprived (67.3 per 1,000 and 7.2 per 1,000) and nearly twice the rate of abortion (29.4 per 1,000 and 16.6 per 1,000)  These proportions have not varied much over the most recently available nine years, and do not vary much with age.

29 June 2010
NHSScotland Workforce Statistics  

• The overall time lost due to sickness absence in NHSScotland for the year end 31st March 2010 is 4.75% which is a decrease of 0.2% from the previous year.
• Comparing 2008/09 to 2009/10, the cost of employing agency nursing and midwifery staff has decreased by 21.2% and the cost of employing bank nursing and midwifery staff has decreased by 1.3%.
• Comparing 2008/09 to 2009/10, the usage of agency nursing and midwifery staff has decreased by 31.8% and the usage of bank nursing and midwifery has also decreased by 1.1%.
• Staff Turnover rate has decreased from 11% in 2008 to 8.9% in 2009; in the same period ‘Joiners in post’ decreased by 12.8% and ‘All leavers’ decreased by 17.6%.

29 June 2010
Scottish Stroke Care Audit 2010 National Report
Stroke Services in Scottish Hospitals Data relating to 2005 – 2009

• The trend analysis from 2005-2009 demonstrates that the percentage of stroke patients admitted to a Stroke Unit on Day 0 has increased from 28% to 37% and on Day 1 from 49% to 61%. There has also been a significant improvement in the number of patients admitted to a Stroke Unit at any time during their admission, an increase from 71% to 81%.
• The trend analysis from 2005-2009 demonstrates that the percentage of stroke patients receiving a swallow screen on the day of admission has increased from 47% to 61%.
• The trend analysis from 2005-2009 demonstrates that the percentage of stroke patients having a brain scan on the day of admission has increased from 27% to 49%.

29 June 2010
Acute Hospital Activity to 31 March 2009 (annual data) and to 31 March 2010 (quarterly data).

• 4,627,000 outpatients were seen at consultant clinics in the year ending March 2009, showing an increase of 3.5% when compared to year ending March 2008.  In 2008/09, 1,462,000 were new outpatient attendances, an increase of 6.1% from 1,378,000 in 2007/08.
• The total number of hospital discharges (episodes) has increased by 4.0% to 1,401,000 in the year ending March 2009 from 1,347,000 in 2008.
• There were 539,000 emergency inpatient discharges (episodes) and 428,000 day case discharges (episodes) in the year ending March 2009, an increase of 1.7% and 6.1% respectively on the previous year.
• Neoplasms (including cancer) were the most common main diagnosis for patients discharged from hospital in the year ending March 2009, accounting for 14.2% of all primary diagnoses.  The comparable figure for the year ending March 2008 was 14.1%.
• A total of 977,000 inpatient and day case procedures were recorded as being undertaken in NHS Scotland in 2009.

ScotPHO website section updates

Four annual section updates will include presentation of new analyses on high blood pressure and high cholesterol and minor updates to asthma and multiple sclerosis. Also published alcohol, sexual health, population estimates and forecasts, cancer, hepatitis C, mental health, and oral health.

Also published 9 June 2010 are:

Quality & Outcomes Framework (QOF) of the new GMS contract – Scotland level prevalence figures 2009/10

Alcohol Brief Interventions 2009/10

Drug Treatment Waiting Times Information Framework Report January-March 2010

Findings from the 4th Balance of Care / Continuing Care Census 31 March 2010

Prescribing Statistics

• Reimbursement and remuneration paid to dispensing contractors.
• Annual and quarterly update of prescription charges
• Previously published annual update of smoking cessation interventions update to show NHS board detail.

24 June
Childhood immunisation uptake rates, quarter and year ending 31 March 2010

• In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of immunisation against diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%.
• Quarterly uptake of one dose of MMR vaccine by 24 months is 93.5%.  This is a decrease of 0.7 percentage points on the previous quarterly figure.  Quarterly uptake by 5 years of age is 96.2%, a decrease of 0.4 percentage points on the previous quarter.
• Quarterly uptake of the Hib/MenC and PCV booster by 24 months remains relatively stable at around 94%.
• The number of children in Scotland who were eligible for the Hib (Haemophilius influenzae type b) catch up programme (which ran from November 2007 to March 2009) is 132,955. Of these, the number who have been immunised is 116,331 (87.5%).

21 June 2010
Hospital Standardised Mortality Ratios - Quarterly Statistics

• The data suggest that hospital mortality in Scotland is reducing over time.
• Scottish HSMRs are not directly comparable to those produced by Dr Foster for English hospitals.
• A single apparently high value of the HSMR is not sufficient evidence on which to conclude that a poor quality or unsafe service is being provided.
• There is variability (random variation) in the numbers of events observed by location and over time.  The smaller the group of patients at risk of dying, the greater the variability in actual deaths seen when measured over fixed periods of time.
• Inaccurate recording of information in hospital records, or errors in the coding of information, for example the main diagnosis, can lead to the over- or under-estimation of the number of deaths which would be expected for a hospital.  ISD seeks to avoid this by undertaking regular surveys of data quality in all NHS Boards and provides training in clinical coding.

May 2010

25 May 2010
Abortions 2009

• In 2009 there were 13,005 abortions performed compared to 13,817 in 2008.  This drop in numbers is a change to the pattern seen in the previous six years, when numbers increased year on year.  In 2009, the rate for women aged 15-44 was 12.4 for every 1000 women compared to 13.2 in 2008.
• In 2009, the rate of abortions continues to show a clear link with the level of deprivation. In areas of high deprivation the rate is 16.5 per 1000, nearly double the rate of 8.8 per 1000 for the least deprived areas of Scotland.

25 May 2010
Breastfeeding 2009

• Among the 12 participating NHS Boards in Scotland:
   
  At the 6-8 week review, the overall breastfeeding rate was 36.4% in 2009 (35.8% in 2008). This includes 26.5% of babies who were exclusively breastfed (26.4% in 2008).
• The overall breastfeeding rate and exclusive breastfeeding rate have remained relatively stable since 2001.

25 May 2010
NHS Smoking Cessation Service Statistics (Scotland) 2009

• An estimated 6.5% of smokers in Scotland made a quit attempt with an NHS smoking cessation service during 2009 (4.8% in 2008).
• One month after the quit date, 38% had quit, 17% were still smoking and 45% were status unknown.

25 May 2010
Waiting Times (up to 31 March 2010)

• At 31 March 2010, over 99.9% of new outpatients (all sources of referral) had been waiting 12 weeks or less and over 99.9% of inpatients and day cases were waiting less than 15 weeks.
• During quarter ending 31 March 2010, 99.9% of new outpatients seen and 99.8% of inpatients and day cases treated had waited less than 15 weeks.
• 96.6 % of patients attending Accident and Emergency (A&E) departments in Scotland during the month ending 31 March 2010 were seen within 4 hours.

Also published on 25 May 2010:

Delayed Discharges in NHS Scotland - April 2010

Dental Statistics - Registrations (up to 31 December 2009)

20 May 2010
Provisional information on the provision of injecting equipment in Scotland, 2008/09

Provisional information highlighting initial results from a survey of injecting equipment provision for drug users in Scotland during 2008/09 and the first 6 months of 2009/10. A more detailed and comprehensive report will be published later this year.

• In 2008/09, 223 injecting equipment provision outlets, out of an estimated 244 outlets, responded to the survey.
• The services who have responded to the Injecting Equipment Provision survey distributed 4,123,568 needles/syringes in Scotland in 2008/09. In the 6 month period April-September 2009/10, 2,231,642 needles/syringes were distributed in Scotlannd.
• Of the 223 injecting equipment provision services that have currently responded to the 2008/09 survey, injecting filters were provided in 126 services in Scotland. On the basis of current survey responses, 145,872 filters were provided in 2008/09 and during the 6 month period April- September 2009/10 737,708 filters were provided.

18 May 2010
Cancer Waiting Times October-December 2009

• 96.5% of reported urgently referred patients diagnosed with cancer in Scotland during October-December 2009 began treatment within 2 months (62 days). This is a small increase from 96.0% in the previous quarter and up from 93.6% in October-December 2007. The target set by the Scottish Government is 95%.
• The mainland NHS Boards with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were NHS Borders (98.0%) and NHS Lanarkshire (95.5%) respectively.
• The cancer types with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were cancer of the breast (99.8%) and Head and Neck cancers (92.6%), respectively.
• NHSScotland met the national target to treat 95% of urgently referred cancer patients within two months for the first time in the reporting period of October to December 2008, and this has continued through the period October-December 2009.

April 2010

27 April 2010
Place of Death from Cancer

• Around one-half of the approximately 75,000 deaths from cancer in Scotland in the years 2004-2008 occurred in NHS Acute Hospitals; around one quarter of deaths were at Home, approximately 18% of cancer deaths were in Hospices, and the remainder were in Other Institutions.
• This overall pattern has been roughly constant over the past 10 years, with some variation in demographic characteristics for specific cancer types.

Also released on 27 April 2010

Data Quality Assurance Assessment of Maternity Data (SMR02) 2008 - 2009

GP Patient Experience Survey (provisional results)  
Please note that this is a Scottish Government publication and is published on the Scottish Government website.

March 2010

30 March 2010
Drugs Misuse Statistics Scotland, 2009

[This publication is the latest annual compilation of available information on drug misuse. Much of the information presented has been published previously.]

• In 2008/09, 11,955 new individuals were reported to the Scottish Drugs Misuse database (SDMD). This corresponds to a rate of 245 per 100,000 of the Scottish population.
• Of those reporting illicit drug use to the Scottish Drug Misuse Database, 64% reported using heroin (5,955 individuals).
• During 2008/09 there were 5,867 general acute hospital discharges with a diagnosis of drug misuse, a rate of 118 discharges per 100,000 population.

30 March 2010
Drug Treatment Waiting Times

Time from referral to assessment date offered:

• In Oct-Dec 2009, over 85% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral.
• Of those who were still waiting for an appointment for assessment, approximately 9% had waited more than 52 weeks by the end of Dec 2009.

Time waited for first intervention:

• In Oct-Dec 2009, 95% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed.
• Of those who were still waiting for a treatment appointment at the end of the reporting period, approximately 7% had waited more than 52 weeks by the end of Dec 2009.

30 March 2010
Practice Team Information 2008/09

• GP and practice-employed nurses had an estimated 23.5 million face-to-face contacts with patients in 2008/09. This is an estimated increase of 0.8 million compared to 2007/08 and 1.5 million compared to 2003/04. 30% of face-to-face contacts in 2008/09 were with nurses.
• Of the patients registered with a practice, 84% had at least one face-to-face contact with a GP or practice-employed nurse in 2008/09 and 78% saw a GP at least once during the year.
• The most commonly recorded reason to consult either a GP or practice-employed nurse was for ?circulatory and respiratory symptoms and signs?. For GPs separately, ?digestive/abdominal symptoms and signs? topped the list and for the nurses ?hypertension? (high blood pressure) was the most common reason for a consultation.

30 March 2010
Prescribing Statistics

Remuneration and charges

• The volume of prescription items dispensed where the patient holds a pre-payment is increasing, whilst the volume of prescription items dispensed where the patient pays a charge at the point of issue is decreasing overall.

Other Prescribing Statistics

• The volume of medicines indicated in smoking cessation rose between 2007/08 and 2008/09 from 300,767 to 394,420 items; an increase of 31.1%.

30 March 2010
Acute Hospital Activity

• The total number of hospital discharges (episodes) has increased by 3.9% to 1,400,000 in the year ending March 2009 from 1,347,000 in 2008.
• There were 539,000 emergency inpatient discharges (episodes) and 428,000 day case discharges (episodes) in the year ending March 2009, an increase of 1.7% and 6.1% respectively on the previous year.
• 4,626,000 outpatients were seen at consultant clinics in the year ending March 2009, showing an increase of 2.8% from year ending March 2008. In 2008/09, 1,461,000 were new outpatient attendances, an increase of 5.3% 2007/08.
• The numbers of inpatient and day case discharges in the quarter ending December 2009 show small increases when compared to the same quarter of the previous year. Outpatient attendances show a slight decrease when comparing the same time periods.

Also published on 30 March 2010:

Local statistics on alcohol and drugs
[a compendium, brought together from previously published national sources]

ScotPHO website annual section updates
[includes COPD, epilepsy and deaths)

Support Needs System Summary Statistics 2009
[covers children and young people]

NHSScotland Resource Allocation Committee (NRAC) 2010/11 target allocation shares

Scottish National Tariff 2009/10

25 March 2010
Childhood immunisation uptake rates, quarter and year ending 31 December 2009

• In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%.
• Quarterly uptake of one dose of MMR by 24 months is 94.2%. This is an increase of 0.4 percentage points on the previous quarterly figure. Quarterly uptake by 5 years of age is 96.6%, an increase of 0.4 percentage points on the previous quarter.
• Quarterly uptake of the Hib/MenC booster by 24 months is 94.2%, a slight decrease of 0.1 percentage points on the previous quarterly figure. Quarterly uptake of the PCV booster by 24 months is 94.9%, a slight increase of 0.1 percentage points on the previous quarterly figure.

25 March 2010
HPV Immunisation Uptake Statistics.

• Updated uptake for girls in S2 offered HPV immunisation in Year 1 of the programme (in school year 2008/09) is 94.4% for the first dose, 93.6% for the second dose and 91.4% for the third dose.
• A catch-up programme for older girls is being carried out over a three year period from 1 September 2008. By mid-February 2010 uptake of HPV immunisation for all girls in catch-up cohort eligible for immunisation during Year 1 of the programme (girls in S5, S6 in school year 2008/09 and girls aged 16 to under 18 on 1 September 2008 who have left school) is 70.9% for the first dose, 67.7% for the second dose and 59.7% for the third dose. As NHS Boards are at different stages in their catch-up programme for school leavers this will affect the interim uptake rates reported in some areas.
• By mid-February 2010 uptake for girls currently in S2 in school year 2009/10 (Year 2 of the HPV immunisation programme) is already 91.9% for the first dose and 85.8% for the second dose. Uptake rates are likely to increase slightly, for the second dose in particular, as some girls may have missed the early HPV vaccinations sessions in school and have therefore started their course of HPV vaccinations later in the school year.

25 March 2010
Childhood immunisation uptake rates, quarter and year ending 31 December 2009

• In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%.
• Quarterly uptake of one dose of MMR by 24 months is 94.2%. This is an increase of 0.4 percentage points on the previous quarterly figure. Quarterly uptake by 5 years of age is 96.6%, an increase of 0.4 percentage points on the previous quarter.
• Quarterly uptake of the Hib/MenC booster by 24 months is 94.2%, a slight decrease of 0.1 percentage points on the previous quarterly figure. Quarterly uptake of the PCV booster by 24 months is 94.9%, a slight increase of 0.1 percentage points on the previous quarterly figure.

25 March 2010
HPV Immunisation Uptake Statistics.

• Updated uptake for girls in S2 offered HPV immunisation in Year 1 of the programme (in school year 2008/09) is 94.4% for the first dose, 93.6% for the second dose and 91.4% for the third dose.
• A catch-up programme for older girls is being carried out over a three year period from 1 September 2008. By mid-February 2010 uptake of HPV immunisation for all girls in catch-up cohort eligible for immunisation during Year 1 of the programme (girls in S5, S6 in school year 2008/09 and girls aged 16 to under 18 on 1 September 2008 who have left school) is 70.9% for the first dose, 67.7% for the second dose and 59.7% for the third dose. As NHS Boards are at different stages in their catch-up programme for school leavers this will affect the interim uptake rates reported in some areas.
• By mid-February 2010 uptake for girls currently in S2 in school year 2009/10 (Year 2 of the HPV immunisation programme) is already 91.9% for the first dose and 85.8% for the second dose. Uptake rates are likely to increase slightly, for the second dose in particular, as some girls may have missed the early HPV vaccinations sessions in school and have therefore started their course of HPV vaccinations later in the school year.

February 2010

23 February 2010
Alcohol-related Hospital Statistics

• The number of alcohol-related discharges from general acute hospitals in Scotland decreased from 43,045 discharges in 2007/08 to 41,922 discharges in 2008/09. 
• Over the period 2004/05 to 2008/09 the number of alcohol-related discharges from general acute hospitals increased by 9%.
• In 2008/09 the rate of alcohol-related discharges from general acute hospitals was 6.8 times greater in the most deprived than least deprived group. 
• Harmful use was recorded in 13,694 discharges from general acute hospitals in Scotland during 2008/09.
• The number of alcohol-related discharges from psychiatric hospitals in Scotland between 2003/04 and 2007/08 decreased by 15%.

23 February 2010
Chronic liver disease (ScotPHO website)

• From 1993 to 2003, there was a sharp increase in chronic liver disease (CLD) mortality rates in both men and women.
• The highest rise in CLD mortality rates was seen in the 30-39 age groups, with an almost five fold increase since 1984.
• In the last twenty years there has been a four fold increase in CLD hospital discharge rates in men and threefold increase in discharge rates among women.
• Among women the largest increase in CLD hospital discharge rates was in the 25-29 age group; with a 7 fold increase between 1984-88 and 2004-2008.
• Men living in the most deprived areas are 11 times more likely to die from CLD and women six times more likely than those living in the least deprived areas.
• The CLD mortality rate in Scotland has been increasing steadily over the last 30 yrs in contrast to the majority of European countries where CLD death rates have been decreasing.

23 February 2010
Waiting times and waiting lists to 31st December 2009 (monthly and quarterly data)

This publication consists of:
Audiology Waiting Times for quarters ending 30th September and 31st December 2009 (monthly and quarterly data)
A&E waiting times to 31st December 2009 (monthly and quarterly data)
Diagnostic waiting times to 31st December 2009 (monthly and quarterly data)

• At 31 December 2009, over 99.9% of new outpatients (GP/GDP referrals only) and over 99.9% of inpatients and day cases were waiting less than the 15-week national standard. This is the statistic used by NHS Boards from 31 December 2007 to measure performance against Scottish Government waiting times standards.  The 15-week national standard came into place from 31 March 2009 having previously been set at 18-weeks.
• At 31 December 2009, over 99.9% of new outpatients (GP/GDP referrals only) and 99.8% of inpatients and day cases were waiting less than 12 weeks. 12 weeks is the new national standard that comes into place from 31 March 2010 (for all referral sources).
• During quarter ending 31 December 2009, over 99.9% of new outpatients seen and 99.9% of inpatients and day cases treated had waited less than 15 weeks.
• During quarter ending 31 December 2009, approximately 99.0% of new outpatients (GP/GDP referrals only) seen and 99.2% of inpatients and day cases treated had waited less than 12 weeks.
• 97.2 % of patients attending Accident and Emergency (A&E) departments in Scotland during the month ending 31 December 2009 were admitted, discharged or transferred within 4 hours against the national standard of 98% within 4 hours.

Also reported on 23 February 2010:

Delayed Discharges in NHSScotland (formerly Patients Ready for Discharge) figures from the January 2010 Census.     

Improving ethnic data collection for equality and diversity monitoring.

Key Clinical Indicators for Sexual Health: ?Service Access? Mystery Shopper Study 2009 ? GUM

16 February 2010
Cancer Waiting Times July-September 2009

• 96.0% of reported urgently referred patients diagnosed with cancer in Scotland during July-September 2009 began treatment within 2 months (62 days). This is a small increase from 95.7% in the previous quarter and up from 91.6% in July-September 2007. The target set by the Scottish Government is 95%.
• The mainland NHS Boards with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were NHS Borders (100%) and NHS Fife (94.3%) respectively.
• The cancer types with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were cancer of the breast (97.3%) and colorectal cancers (93.4%), respectively.
• NHSScotland met the national target to treat 95% of urgently referred cancer patients within two months for the first time in the reporting period of October to December 2008, and this has continued  through all quarters until September 2009

January 2010

Dental Statistics - Hospital Dental Services and Registrations

• The percentage of the Scottish population registered with an NHS GDS dentist is 83.0% and 65.4% for children and adults respectively as at 30 September 2009.  This is an increase from 81.7% for children and 63.0% for adults registered as at 30 June 2009.
• There has been a 7% and 15.2% increase in the number of registrations for children and adults respectively from 30 September 2008 to 30 September 2009.
• NHS Ayrshire & Arran, Dumfries & Galloway, Forth Valley, Greater Glasgow & Clyde, Highland, Lanarkshire, Lothian, Shetland and Tayside are currently meeting the HEAT target (80% of all 3-5 year old children to be registered with an NHS dentist by 2010/11).
• The single most common reason for a planned (elective) hospital admission to a dental specialty is extraction of multiple teeth. This procedure accounts for approximately 42% of all elective admissions where a procedure took place. 

General Practice - GP workforce and practice population statistics to 2009

• There has been a steady increase in the headcount of GPs contracted to work in Scottish practices over the last 5 years, rising from 4,456 in 2004 to 4,941 in 2009 (an increase of 10.9%).
• An increasing proportion of contracted GPs are female and in 2009, for the first time, females outnumbered males; with a 50.7% share of the total headcount, compared with 45.4% in 2004.
• There has been a large rise in the headcount of salaried GPs, from 188 in 2004 to 480 in 2009 (an increase of 155.3%).
• There has been a marked increase in the headcount of GP registrars (now referred to as specialist trainees) between 2004 and 2009, from 282 in 2004 to 472 in 2009 (an increase of 67%).  This is related to an increase in the number of training places available and changes in the training arrangements from 2008.  From 2008 GP trainees work in practices during two stages of their training whereas historically registrars would work in practice primarily at the end stages of their training.

ScotPHO diabetes website section update

• Diabetes was the main reason for 6,687 hospital admissions in Scotland in 2008 and contributed to a total of 82,517 admissions during that year.
• Diabetes was the underlying cause of 730 deaths in Scotland in 2008 and contributed to a total of 4,052 deaths.
• It is well known that diabetes is under-recorded in hospital discharge records and in death certificates; these figures are therefore likely to considerably under-estimate the true number of admissions and deaths
•  

Scottish Perinatal and Infant Mortality and Morbidity Report 2008

• Births in Scotland continue to rise, as they have every year since 2002.
• The rate of twin births (16 per 1000 births) is the highest ever recorded.
• The perinatal mortality rate (7.4 per 1000 births) is the lowest ever recorded.
• The rate of stillbirths has remained constant at between 5 and 6 per 1000 births for the last two decades.

Also published was:

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

December 2009

15 December 2009
Cancer Incidence (2007)

In recent years, the overall age-standardised incidence rates have fallen slightly for males and remained stable for females. However, the rates do show considerable variation between cancers, with substantial increases in melanoma of the skin and kidney cancers (both sexes), and decreases in stomach (both sexes) and lung cancers (males only). Actual numbers of cases of cancer have risen over the last decade, largely due to an ageing population.

15 December 2009
NHS Workforce Statistics

Staff in post across all NHS staff groups as at 30th September 2009.

• The number of staff employed in NHSScotland is 168,976 (headcount), an increase of 3,425 (2.1%) from 30th September 2008
• Nursing & Midwifery staff accounted for 40.4% of all staff (headcount) employed in NHSScotland. The number of Nursing & Midwifery staff in post (headcount) is 68,681 (headcount) an increase of 716 (1.1%) from 30th September 2008.
• The number of medical staff in post (including GPs) is 16,256 (headcount) compared to 16,195 (headcount) as at 30th September 2008, an increase of 0.4%
• The number of dental staff in post (including dental support) is 5,002 (headcount), an increase of 412 (9.0%) from 30th September 2008.
• The number of Allied Health Profession staff in post (headcount) is 11,777 (headcount), an increase of 435 (3.8%) from 30th September 2008

Also published are vacancy information for Nursing & Midwifery, Allied Health Professions and Consultants as at 30th September 2009, Doctors in training Compliance with the New Deal for rota period February 2009 to July 2009, and student nurse training - intakes and attrition rates

15 December 2009
Body Mass Index (BMI) Statistics for Children in Primary 1 (school year 2008-09)

• In 2008/09, among the eleven participating NHS Boards, 19.8% of Primary 1 children were classified as overweight, including 8.0% obese and 3.9% severely obese.
• Levels of high BMI increased slightly, and very gradually, between 2000/01 and 2005/06. Over the last three years, levels of high BMI have decreased slightly and the percentages for 2008/09 are similar to those for 2000/01 (19.7% overweight, including 8.0% obese and 3.9% severely obese). As the number of NHS Boards submitting data has increased since 2000/01 (from four to eleven Boards) the trend for ?All participating NHS Boards? should be interpreted with a degree of caution. However, a similar trend is observed among the Boards participating throughout the nine year period.

15 December 2009
Acute Hospital Activity to 31 March 2009 ( annual data ) and to 30 June 2009 ( quarterly data )

• The total number of hospital discharges (episodes) has increased by 3.6% to 1,395,000 in the year ending March 2009 from 1,346,000 in 2008.
• Neoplasms (including cancer) were the most common main diagnosis for patients discharged from hospital in the year ending March 2009, accounting for 14.2% of all primary diagnoses. The comparable figure for the year ending March 2008 was 14.1%.
• For patients aged 65 years and over admitted as an emergency, the occupied bed days rate was around 339,000 per 100,000 population in the year ending March 2009. This represents a 0.3% reduction in the rate since the year ending March 2005.
• A total of 974,000 inpatient and day case procedures were carried out in NHS Scotland in 2009, a difference of 20.1% from 1,220,000 in 2008. This difference is due to the fact that from 1st April 2008, it was no longer mandatory to record intervention/procedures (such as imaging, injections, infusions, x-rays etc) unless the patient is specifically admitted for this purpose. For further details please refer to the following document: http://www.isdscotland.org/isd/files/CGMarch08No22.doc
• 4,628,000 outpatients were seen at consultant clinics in the year ending March 2009, showing an increase of 2.8% when compared to year ending March 2008. In 2008/09, 1,461,000 were new outpatient attendances, an increase of 5.1% from 1,387,000 in 2007/08.

15 December 2009
Drug Treatment Waiting Times Information Framework Report July-Sept 2009.

• In Jul-Sep 2009, over 85% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral
• Of those who were still waiting for an appointment for assessment, approximately 7% had waited more than 52 weeks by the end of Sep 2009
• In Jul-Sep 2009, just under 95% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3).
• Of those who were still waiting for a treatment appointment at the end of the reporting period, approximately 8% had waited more than 52 weeks by the end of Sep 2009 (Table 4).

15 December 2009
Childhood Immunisation uptake rates ? quarter ending 30 September 2009

• In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%.
• Quarterly uptake of one dose of MMR by 24 months is 93.8%. This is an increase of 0.5 percentage points on the previous quarterly figure. Quarterly uptake by 5 years of age is 96.2%, the same as the previous quarterly figure.
• Quarterly uptake of the Hib/MenC booster vaccination by 24 months rose to 94.3% this quarter (94.1% in previous quarter). Quarterly uptake of the PCV booster by 24 months is 94.8%, an increase of 1.0 percentage points on the previous quarterly figure. These vaccines were introduced to the childhood immunisation schedule in September 2006 along with the other substantial changes to the programme mentioned above.

15 December 2009
Unintentional injuries

This release updates information on emergency hospital admissions as a result of an unintentional injury up to financial year ending 31 March 2009 and deaths caused by unintentional injury up to year ending 31 December 2008.

• In 2008/09, unintentional injuries accounted for approximately 1 in 7 emergency hospital admissions for children and 1 in 9 for adults.
• In 2008/09, there were approximately 372,000 patients admitted to hospital as an emergency. Approximately 16% of these were admitted as a result of an unintentional injury.
• The number of emergency admissions to hospital, due to unintentional injuries, has decreased from 66,087 in 1999/00 to 62,415 in 2008/09 (a decrease of 5.6%). There has also been a decrease in the number of deaths as a result of an unintentional injury from 1,367 in 2000 to 1,283 in 2008 (a decrease of 6.1%).
• In 2008 approximately 1 in 16 childhood deaths are due to an unintentional injury. In adults, deaths due to an unintentional injury account for approximately 1 in 44 deaths.

15 December 2009
Prescribing Statistics - Medicines used in Mental Health

• The prescribing of hypnotics, anxiolytics and barbiturates increased between 2007/08 and 2008/09 by 0.1%, from 2.123 million items to 2.125 million items.
• The volume of medicines indicated for depression rose between 2007/08 and 2008/09 from 3.83 to 3.96 million items; an increase of 3.6%.
• The volume of medicines indicated for psychoses and related disorders rose between 2007/08 and 2008/09 from 693,436 to 725,647 items; an increase of 4.6%.
• Prescriptions for medicines used in the treatment of Attention Deficit Hyperactivity Disorder (ADHD) increased by 6.2%, from 66,756 to 70,863 prescribed items between 2007/08 and 2008/09.
• Prescriptions dispensed for medicines indicated for dementia increased by 13.2%, from 95,823 to 108,490 prescribed items between 2007/08 and 2008/09

Also published today are:

Smoking cessation statistics from the Scottish Public Health Observatory ,

National Primary Care Workforce Planning Survey 2009 - Results

Child & Adolescent Mental Health Services (CAMHS) in NHS Scotland: Characteristics of the Workforce Supply in 2009.

Workforce Planning for Psychology Services in NHSScotland . Characteristics of the Workforce Supply in 2009

Findings from the 3rd Balance of Care / Continuing Care Census

Prescribing Statistics - Remuneration and Charges

ScotPHO Annual Updates

November 2009

24 November 2009
Coronary Heart Disease Statistics Update

• The age-standardised mortality rate (for under 75s) for CHD continues to fall, from 124.6 per 100,000 population in 1995 to 56.0 per 100,000 population in 2008. If this trend from 1995 continues, the target to reduce the mortality rate by 60% between 1995 and 2010 looks achievable
• The number of emergency admissions for acute myocardial infarction (AMI or heart attack) increased by 11.8% from 7,327 in 2007/08 to 8,195 in 2008/09. This is probably due to recent changes in the definition of AMI, which uses more sensitive tests (i.e. troponin). The trend in mortality from AMI, and for CHD as a whole, remains downward.
• Between 2007/08 and 2008/09 the incidence rate for CHD (total number of people diagnosed with CHD per 100,000 population, standardised by age and sex) decreased by 5.6%. (from 310.9 cases per 100,000 population for 2007/08 to 293.5 cases per 100,000 population in 2008/09.

24 November 2009
Stroke Statistics Update

• The age-standardised mortality rates for CVD ( Cerebrovascular Disease ),for those under 75, rose slightly between 2007 and 2008, from 18.8 per 100,000 population in 2007 to 19.6 per 100,000 in 2008 (a 4% rise), but have fallen by almost 48% over the period 1995-2008, approaching the Scottish Government?s target of a 50% reduction in premature stroke mortality over the period 1995-2010
• Between 1999/00 and 2008/09 the incidence rate for CVD (total number of people diagnosed with CVD per 100,000 population, standardised by age and sex) decreased by 21.2%. (from 214.7 cases per 100,000 population in 1999/00 to 169.1 cases per 100,000 population in 2008/09).

24 November 2009
Scotland's Sexual Health Information (SSHI) Report: 2009

• Overall workload (all diagnoses, screens and conditions seen) in GUM (Genitourinary Medicine) clinics continues to rise; a 16% increase was observed between 2007 and 2008 - this is slightly more than observed between 2006 and 2007 (13%).
• The number of chlamydia diagnoses in Scotland, after increasing rapidly in first five years of this century, has remained steady over the past three years with a total of 19,054 diagnoses recorded in 2008.
• HIV test uptake is increasing; between 2004 and 2008 a 71% increase in the numbers of persons undergoing HIV testing was observed. This trend reflects Scottish Government policy and a move towards normalising HIV testing.
• While syphilis diagnoses among MSM have remained steady between 2007 and 2008, the 19% decrease in gonorrhoea diagnoses during this period is encouraging and follows a decrease of 27% observed between 2006 and 2007.

24 November 2009
Healthy Life Expectancy

• Although both life expectancy (LE) and healthy life expectancy (HLE) at birth have been increasing in Scotland in recent years, they are lower than in the UK as a whole. Indeed, Scotland has one of the lowest levels of LE in Western Europe.
• Both LE and HLE at birth have improved in Scotland over recent years. The most recent single year estimates are for the average boy born in 2008 to live to 75.3 years, 68.1 of these in ?good? health. The average girl born in 2008 would be expected to live to 80.0 years, 70.8 of them in ?good? health.
• The gap between LE and HLE at birth (the period expected to be spent in ?not good? health) has also tended to increase in Scotland over recent years, particularly for males.
• For deprivation quintiles within Scotland, the most recent 2-year period (2007-08) data confirm that for each sex, the more deprived the quintile the shorter the LE at birth, the shorter the HLE at birth and the longer the period expected to be spent in ?not good? health

24 November 2009
Waiting times and waiting lists to 30th September 2009 (monthly and quarterly data)

• Audiology figures are published for the first time, at NHS Board level
• At 30 September 2009, approximately 99.9% of new outpatients (GP/GDP referrals only) and 99.9% of inpatients and day cases were waiting less than 12 weeks. 12 weeks is the new national standard that comes into place from 31 March 2010 (for all referral sources). The 15-week national standard came into place from 31 March 2009 having previously been set at 18-weeks
• 98.0 % of patients attending Accident and Emergency (A&E) departments in Scotland during the month ending 30 September 2009 were admitted, discharged or transferred within 4 hours.

24 November 2009
Scottish Health Service Costs, year ended 31st March 2009

The Costs Book provides a detailed analysis of where resources are spent in NHS Scotland with a focus on hospital and community services.

• Costs Book 2009 analyses £9.3 billion of board operating costs
• NHSScotland is a major employer with a pay bill of over £4.6 billion for staff working in the hospital and community services
• Almost £1.3 billion was spent by NHS boards on prescription drugs used in hospitals and dispensed in community pharmacies. This amounts to 14.2% of total operating costs and is the equivalent of £247 for every person in Scotland.

24 November 2009
Scottish Renal Registry Report 2008

This fifth report from the Scottish Renal Registry (SRR) presents information about the causes, incidence, prevalence, distribution, methods of treatment, quality of treatment and outcome of patients receiving renal replacement therapy (RRT) for established renal failure (ERF) between 1960 and 31 December 2007.

• The incidence of new patients starting RRT each year has fluctuated over the past 10 years between 101 per million of the population in 2001, up to 122 in 2005. 111 patients per million population started RRT for ERF in 2007.
• 4107 prevalent patients were receiving RRT for ERF on 31 December 2007. Of these 47% of patients had a functioning kidney transplant, 43% were being treated with haemodialysis (HD) and 10% with peritoneal dialysis (PD). In contrast to the number of new patients starting RRT, the number of prevalent patients continues to rise annually.
• The number of pre-emptive kidney transplants in 2007 was the highest yet recorded, 19 transplants were performed before the recipient patients had required other means of RRT.

Also published are:

Delayed Discharges in NHSScotland (formerly Patients Ready for Discharge) figures from the October 2009 Census.
and
Key Clinical Indicators for Sexual Health: ?Population Based? KCIs: Chlamydia data for 2008

17 November 2009
Cancer Waiting Times ( April- June 2009 )

Previous quarterly reports have been published by the Scottish Government. The quarter of April-June 2009 is the first quarter published directly by Information Services Division of NHS Scotland.

• 95.7% of reported urgently referred patients diagnosed with cancer in Scotland during April -June 2009 began treatment within 2 months (62 days). This is a small decrease from 96.0% in the previous quarter and up from 87.3 % in April-June 2007. The target set by the Scottish Government is 95%.
• The mainland NHS Boards with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were NHS Lothian (97.2%) and NHS Dumfries and Galloway (91.8%) respectively.
• The cancer types with the highest and lowest proportions of patients starting treatment within 62 days of urgent referral were cancer of the breast (98.4%) and lymphoma cancers (92.7%), respectively.
• NHSScotland met the national target to treat 95% of urgently referred cancer patients within two months for the first time in the reporting period of October to December 2008, and this has continued through the period April-June 2009.

10 November 2009
Surgical Profiles

This report describes the second cycle of the surgical profiles project, including summary of how NHS Boards are using the data in the profile to support improvements in patient care. The aim of this project is to lead to better and more widespread use of existing Scotland-wide data sources in guiding improvements to surgical care and outcomes for patients.

Collectively, the NHS Board responses have improved for the second cycle of the surgical profile and throughout Scotland there have been a wide range of actions to review and respond to the profile and facilitate improvement in patient care.

October 2009

27 October 2009
Cancer Mortality (2008)

In recent years, the overall age-standardised cancer mortality rates have fallen for both males and females. However, there is considerable variation in trends for different types of cancer. For example, the rate of female deaths due to colorectal cancer has decreased 16% over the last 10 years, while female death rates due to lung cancer have increased more than 11% over the same time period.

Although the age-standardised rate of death due to cancer has decreased, the actual number of deaths due to cancer has increased: this largely reflects an increase in older age groups within the population, and the fact that cancer is a relatively common disease among older people.

Significant patterns exist when examining incidence and mortality rates by deprivation in Scotland. The most deprived areas have higher incidence and mortality rates for all cancers combined. However, there are variations in this pattern when looking at specific types of cancer, for example malignant melanoma.

27 October 2009
The Scotland and European Health for All (HfA) Database 2009

The European HfA Database is provided by the World Health Organisation?s Regional Office for Europe. This, the Scotland and European HfA Database 2009 is produced by the Scottish Public Health Observatory.

This update of the database comprises:

• 600 health and health-related indicators, with Scottish data available for 490
• time trends based on annual data, from 1970 to 2007 where available
• data for Scotland and the 53 Member States currently in the WHO European Region, including the UK, plus averages such as the European Union.

The database provides a quick and easy-to-use tool to examine (via graphs and tables) patterns in a wide range of indicators, both over time and comparing Scotland's position within Europe. Accompanying briefing notes provide a summary of the findings and some interpretation.

27 October 2009
Key Clinical Indicators (KCIs) for Sexual Health: ?Population Based? Data for 2008

Female Sterilisation: 12.3 women per 10,000 (aged 15 ? 49) had a sterilisation procedure in 2008, compared to 12.6 in 2007.

Vasectomy: A total of 41.3 per 10,000 men (aged 15 ? 59) in Scotland had a vasectomy in 2008, compared with 40.1 in 2007.

Termination of Pregnancy: The proportion of early terminations has been rising steadily in more recent years, with 56.8% of all terminations performed at less than 9 completed weeks gestation in 2008. This figure has risen by 2.6 percentage points from 2007. The termination of pregnancy data have been published previously at www.isdscotland.org/abortions

Long acting reversible methods of contraception (LARC): The uptake of LARC continues to increase.
The uptake of very long acting methods (Implanon (the implant), IUDs (the coil) and Mirena (IUS)) increased from 40.6 per 1000 women aged 15 - 49 in 2007/2008 to 49.5 in 2007/2008. All of NHS boards have increased their uptake of these very long acting or 'asting' methods.

27 October 2009
Dental Statistics up to quarter ending 30th June 2009.

The percentage of the Scottish population registered with an NHS GDS dentist is 81.7% for children and 63.0% for adults as at 30th June 2009. This is an increase from 80.1% for children and 61.3% for adults as at 31st March 2009

There has been a 7.5% and 15.4% increase in the number of registrations for children and adults respectively from 30th June 2008 to 30th June 2009.

06 October 2009
Estimating the national and local prevalence of problem drug misuse in Scotland

Contains estimates for 2006, including figures for health boards and council areas.

• The estimated prevalence of problem drug users in Scotland in 2006 is 55,328. This corresponds to 1.6% of the population (aged between 15 and 64).
• The highest prevalence rate amongst NHS boards is in Greater Glasgow & Clyde (2.5%).
• The percentage of problem drug users who are male is estimated to be 70%.
• The estimated prevalence of drug injecting in Scotland in 2006 is 23,933. This corresponds to 0.7% of the population (aged between 15 and 64).

September 2009

29 September 2009
Quality & Outcomes Framework (QOF) of the new General Medical Services contract. Achievement, exception reporting and detailed prevalence data 2008/09

• Across all practices with a new General Medical Services (GMS) contract in Scotland the average QOF points achieved, out of a maximum of 1000 available, has fallen slightly from 982.2 (98.2%) in 2007/08 to 972.0 (97.2%) in 2008/09. This difference is mainly attributable to relatively low achievement in 2008/09 against the two new patient experience indicators, PE07 and PE08.
• Total funding associated with the QOF in 2008/09 was approximately £128 million, down from roughly £131 million in 2007/08. QOF payments are part of a total of around £705 million invested annually in Primary Medical Services across Scotland.
• Amongst individual health conditions included in the QOF, the biggest improvement in achievement for 2008/09 compared with 2007/08 was observed for the mental health indicator group. On average, practices with GMS contracts achieved 95.9% of the 39 points available for mental health indicators, compared with 94.7% in 2007/08.

29 September 2009
Births in Scottish hospitals, financial year 2007/2008

• The number of births in Scotland is increasing with 56,821 births for year ending March 2008.
• For singleton births, a mother living in an area of high deprivation is twice as likely to have a low birthweight baby (under 2500g) compared to a mother in an area of low deprivation. 
• Births to mothers aged 30-34 have risen steadily and this is now the most common age to have a baby, accounting for 27% of all maternities in 2008, slightly down from 2007. The equivalent for 1976 in this age group was 13%.
• After falling from 13.5% in 1980 to 6.8% in 2001 the use of forceps in delivery has risen over the last 8 years and is now at 9.4%.
• In singleton births, the emergency caesarean section rate increased from 3.9% in 1976 to a peak of 15.4% in 2006, followed by a slight drop in the last 2 years to 14.7%. The rate of elective* or planned caesarean sections has continued to rise from 4.7% in 1976 to 10.1% in 2008. Together this resulted in an overall increase in caesarean section rates from 8.6% in 1976 to 24.7% in 2008.
  
  *An elective caesarean section refers to a caesarean section, which has been planned in advance and in most cases will have been recommended for clinical reasons such as breech or multiple births or previous caesarean section. It may also be the case that the woman will have chosen this method of delivery for non-clinical reasons.

29 September 2009
Drug Treatment Waiting Times Information Framework Report Apr-Jun 2009

Time from referral to assessment date offered.

• In Apr-Jun 2009, just over 65% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 14 days of referral.
• Of those who were still waiting for an appointment for assessment, approximately 10% had waited more than 52 weeks by the end of June 2009.

Time waited for first intervention

• In Apr-Jun 2009, just under 90% of those offered an appointment for treatment were offered a date within 14 days of the date a care plan was agreed.
• Of those who were still waiting for a treatment appointment at the end of the reporting period, just over 5% had waited more than 52 weeks by the end of June 2009.

29 September 2009
Acute Hospital Activity to 31 March 2008 (annual data) and to 30 June 2009 (quarterly data)

Quarterly and annual summary of activity in the acute sector of NHSScotland. This release will include inpatient, day case and outpatient activity, multiple emergency admissions, beds data and Nurse and AHP activity.

• The total number of hospital discharges (episodes) has increased by 2.1% to 1,345,000 in the year ending March 2008 from 1,317,000 in 2007.
• Neoplasms (including cancer) were the most common main diagnosis for patients discharged from hospital in the year ending March 2008, accounting for 14.1% of all primary diagnoses.
• For patients aged 65 years and over admitted as an emergency, occupied bed days appear to have leveled off at around 2.8 million in recent years, up to the year ending March 2008.  This data may be subject to slight change in future releases.
• 1,219,000 inpatient and day case procedures were carried out in NHS Scotland in 2008, an increase of 2.4% from 1,190,000 in 2007.
• 4,500,000 outpatients were seen at consultant clinics in the year ending March 2008, showing a slight increase of 0.3% when compared to year ending March 2007.  In 2007/08, 1,387,000 were new outpatient attendances, an increase of 1.5% from 1,365,000 in 2006/07

29 September 2009
Scottish Stroke Care Audit 2009 National Report: Stroke Services in Scottish Hospitals. Data relating to 2007 - 2008

There is strong evidence that well organised stroke care improves the outcome of patients having a stroke. In Scotland, the Scottish Intercollegiate Guidelines Network (SIGN) and NHS Quality Improvement Scotland (NHSQIS) have developed guidelines and standards aimed at delivering that care.

• Proportion of stroke patients admitted to a Stroke Unit within 1 day of admission to hospital. Stroke unit care is associated with reduced risk of dying and disability after a stroke. The current NHSQIS standard is that at least 70% of patients should be admitted to a stroke unit within a day of admission. In 2008 57% (2007: 56 %) of patients were admitted to a stroke unit within one day of admission.
• Proportion having a documented Swallow screen on day of admission. About half of all stroke patients will not be able to swallow safely on admission to hospital. If given fluids or food inappropriately patients may develop, and possibly die from, pneumonia and if not treated appropriately they may become dehydrated and malnourished which may lead to slowed recovery and/or worse outcome. The current NHSQIS standard is that all patients should have a swallow screen on the day of admission. In 2008 46% (2007:42%) of patients had a swallow screen recorded on day of admission.
• Proportion having a brain scan within 2 days of admission. A brain scan is essential to confirm the diagnosis of stroke and to distinguish stroke due to ischaemia (a blocked blood vessel) or a haemorrhage (burst blood vessel). Treatments for a blocked blood vessel are very dangerous to those with a burst blood vessel. The current NHSQIS standard is that at least 80% should have a brain scan within 2 days of admission. In 2008 89% (2007: 87%) of patients had a brain scan within two days of admission.
• Proportion of patients with ischaemic stroke who receive aspirin within 2 days of admission. Aspirin started within the first 2 days reduces the proportion of patients having recurrent strokes and residual disability. The NHSQIS standard is that all patients should receive aspirin within 2 days unless contraindicated. In 2008 76% (2007: 69%) of ischaemic stroke patients received aspirin within two days of admission.
• Proportion of patients with a mini stroke (transient ischaemic attack), who do not need immediate admission, assessed in a specialist neurovascular clinic within 14 and 7 days of receipt of referral. The risk of a stroke within the first week is at least 10%. Appropriate treatment can halve this risk but only if started very early. The NHSQIS standard is that 80% should be seen within 14 days and ideally within 7 days. In 2008 81% (2007: 65%) of patients seen in neurovascular clinics were seen within 14 days. In 2008 59% (2007: 44%) of patients seen in neurovascular clinics were seen within 7 days

29 September 2009
Scottish ECT Accreditation Network Annual Report 2009; Reporting on 2008

This report summarises data collected via an electronic care pathway installed in all Scottish ECT (Electroconvulsive Therapy ) treatment clinics for the purpose of measuring performance against clinical standards. Information contained in this report relates to patient characteristics, legal status, diagnoses, details of interventions and clinical outcomes.

• In 2008, there were 436 episodes of ECT with 362 patients being treated. There has generally been a downward trend in the use of ECT, however trends vary amongst hospitals.
• More than 75% of the ECT episodes that occurred in Scotland in 2008 involved patients who were capable of giving informed consent.
• The majority of patients undergoing ECT treatment do so because of a depressive episode, either single, recurrent or in relation to a bipolar affective disorder.
• 74% percent of patients with capacity (patients' ability to give informed consent) and 86% of patients without capacity showed a definite improvement following ECT.

29 September 2009
NHS Complaints

The NHS Complaint publication reports on the number of complaints received by NHS Boards and other NHS organisations, for the time period 1996/97 to 2008/09. The publication summarises complaints made about Hospital & Community Health Services and Family Health Services, and reports on items such as the time taken to deal with complaints, outcome and issues raised.

• The number of complaints for Hospital and Community Services has continued to fall  in recent years, with 6,904 complaints received in 2008/09.
• 68.4% of complaints were dealt with within the national target of 20 working days in 2008/09. 
• In 2008/09, around 37% of all issues raised related to staffing issues, and 29% related to treatment.  Around 14% of issues raised related to environment and domestic issues.  The percentage of issues relating to waiting times was 10%.
• The number of complaints for Family Health Services was estimated at 3,175 in 2008/09, and we expect to confirm a slight increase when compared against 2007/08 (3,073 complaints received). The totals for Family Health Services in NHS Highland are to be finalised, and as such an estimate based on the previous two-years data has been used in the interim and applied to the national total

29 September 2009
Older People Services: Measuring Relative Need: Statistical Report 2009

This report contains information on the care needs and dependency of older people in a range of care settings. Older people in long stay hospital wards generally had markedly higher care and dependency needs than residents in care homes.

• A difference in care needs and dependency characteristics exists between the NHS long stay care of the elderly and care homes. An illustration of this is that 46% of older people in hospital wards had a need for special care as defined by the SHRUGs questionnaire; in terms of SCRUGs the figure for care homes was 17%.
• A substantially higher percentage of hospital patients awaiting placement fell into the lowest dependency group compared to those not awaiting placement. The definition for awaiting placement for SHRUGs over the past few years has been residents who are awaiting placement to supported accommodation, e.g. care homes".
• The proportion of hospital patients classified within the highest dependency group has increased from 29% in the year ending March 2004 to 35% in the period between October 2008 and July 2009.
• The percentage of patients with needs for special care/and or clinically complex treatments has increased from 41% in the year ending March 2004 to 49% in the period between October 2008 and July 2009.

29 September 2009
ScotPHO website section updates

• Diabetes: Ketoacidosis is a life-threatening complication of diabetes. Previously unpublished figures show a sharp increase in the number of cases admitted to Scottish hospitals, in line with the overall increase in cases of diabetes in Scotland.
• Allergy: Figures on consultations in primary care and on hospital admissions have been updated to March 2008. In 2008 the most common allergic condition for which patients consulted their general practice was asthma - an estimated 270,000 people consulted at least once during the year. Around 150,000 people consulted because of eczema or dermatitis.
• Obesity: Updated estimates for obesity related diseases using Scottish prevalence data on obesity from the 2003 Scottish Health Survey.

29 September 2009
Alcohol Brief Interventions 2008-09
Prescribing Statistics and Minor Ailment Service
Reimbursement and remuneration paid to dispensing contractors, and quarterly update of prescription charges

24 September 2009
HPV immunisation uptake rates 2008/09

HPV immunisation uptake rates for girls offered the vaccine in the first year of the HPV Immunisation Programme which started on 1 September 2008.

• Overall uptake of HPV immunisation amongst girls in second, fifth and sixth year of secondary school in Scotland in 2008/09 is 93.5% for the first dose, 92.4% for the second dose and 87.7% for the third dose.
• Interim statistics on uptake of HPV immunisation for girls in the catch-up cohort who have left school (aged 16 and 17) is 43.1% for the first dose and 35.0% for the second dose.   As NHS Boards are at different stages of their catch-up programme this may affect the reported uptake rates in some areas. As some girls will have started their course of immunisations relatively recently, uptake rates are expected to increase for the second dose in particular.

24 September 2009
Childhood immunisation uptake rates, quarter ending 30 June 2009

Update of quarterly childhood immunisation uptake rates for children aged 12 months, 24 months, 5 years and 6 years.  Includes data to 30 June 2009.

• In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%.
• Quarterly uptake of one dose of MMR by 24 months is 93.3%.  This is an increase of 0.4 percentage points on the previous quarterly figure.  Quarterly uptake by 5 years of age is 96.2%, an increase of 0.6 percentage points on the previous quarterly figure.
• Quarterly uptake of the Hib/MenC booster vaccination by 24 months rose to 94.1% this quarter (93.7% in previous quarter).  Quarterly uptake of the PCV booster by 24 months is 93.8%, the same as the previous quarterly figure.  These vaccines were introduced to the childhood immunisation schedule in September 2006 along with the other substantial changes to the programme mentioned above.

2 September 2009
Scottish Audit of Surgical Mortality Annual Report on 2008 data  

Analyses of deaths under the care of surgeons in acute hospitals in Scotland- by the SASM Board.

• Alcohol abuse was a factor in 1 in 15 reported deaths.
• Delivery of palliative care to patients in Scotland dying under the care of surgeons is satisfactory, but there are still areas for improvement.
• Consultant involvement in the management of patients continues to increase.
• Following recommendation in the 2007 report, there has been a welcome increase in the number of cases discussed at local clinical governance meetings.

August 2009

25 August 2009
Scottish Cervical Screening Programme Statistics 2008/2009

Annual & quarterly update of cervical screening statistics to 31 March 2009. Includes uptake, reporting times, number of smears processed and results 

• Over 450,500 cervical smears were processed in the year ending March 2009, resulting in a 20% increase  (over 75,000 smears) from the previous year; the largest number of smears processed in any one year since 2001-02.
• Of all the smears processed, 97% were satisfactory. Approximately 92% of satisfactory smears had a negative result and 3.5% had some degree of pre-cancerous change.
• As at 31 March 2009, 73.4% of eligible women had been screened in the previous 3.5 years, a rise of approximately 4% from 31 March 2008. Uptake rates have improved across all five year age bands within the target age group of 20-60 years. The largest increase in uptake, of more than 6%, was found in the lowest age band of 20-24 years.

25 August 2009
Scottish Bowel Screening Programme Statistics

First publication of bowel screening statistics for NHS Boards participating in the programme. This current release includes data for 9 NHS Boards for the period June 2007 to end April 2009

• Uptake was higher in women (60.4% ) than in men (53.0%).
• Uptake was lower in more deprived areas
• Men were more likely than women to have a positive screening test result
• More cancers were detected in men than in women

25 August 2009
Waiting times and waiting lists to 30th June 2009 (monthly and quarterly data)

Monthly and quarterly summary of waiting times and waiting lists in the acute sector of NHSScotland (includes data to 30th June 2009)

• At 30 June 2009, over 99.9% of new outpatients (GP/GDP referrals only) and over 99.8% of inpatients and day cases were waiting less than the 15-week national standard. This is the statistic used by NHS Boards from 31 December 2007 to measure performance against Scottish Government waiting times standards. 
• At 30 June 2009, over 99.9% of new outpatients (GP/GDP referrals only) and approximately 99.6% of inpatients and day cases were waiting less than 12 weeks. 12 weeks is the new national standard that comes into place from 31 March 2010 (for all referral sources).
• 99.9% of new outpatients seen and 99.7% of inpatients and day cases treated in quarter ending 30 June 2009 had waited less than 15 weeks.
• 99.4% of new outpatients seen and 98.5% of inpatients and day cases treated in quarter ending 30 June 2008 had waited less than 12 weeks.
• 97.7% 0f patients attending A&E departments during quarter ending 30 June 2009 were admitted, discharged or transferred within 4 hours

25 August 2009
Delayed Discharges in NHSScotland (formerly Patients Ready for Discharge) figures from the July 2009 Census.  

This publication presents the latest statistics on NHS hospital inpatients 'ready for discharge' but whose discharge has been delayed. The data is taken from a snapshot of NHS inpatients as at the July 2009 census. 

• There were 55 patients delayed for over 6 weeks in the July 2009 census. This compares with zero at the April 2009 census and 44 at the July 2008 census.
• At the July 2009 census, there were a total of 634 delayed discharges in Scotland, compared with 468 at the April 2009 census, and 601 at the July 2008 census.

25 August 2009
Influenza Update 2008/09

This release gives an update on flu related activity in primary care for the 2008/09 winter flu season. It includes figures on vaccinations and GP consultations for influenza in general (derived from Practice Team Information) but does NOT cover the more recent outbreak of H1N1 influenza

• Patient consultations with GPs for flu-like illness remained at low levels throughout the winter of 2008/09 with the main rise occurring in January 2009
• For the 2008/09 season, the recorded vaccination uptake rate in patients aged 65 and over (one of the main groups included in Scottish Government vaccination targets) was 76.3%. This is well over the target of 70%, and a slight increase compared to the previous year (74.1%)
• Provisional figures suggest that for the 2008/09 season almost 1.1 million flu vaccines were dispensed by community pharmacies to general practices across Scotland. Total cost of these dispensed vaccines (including handling and other fees payable), is expected to cost approximately £6.0 million

25 August 2009
Improving ethnic data collection for equality and diversity monitoring

Routine recording of ethnicity is required by legislation and would allow the NHS to ensure fair and equal treatment for all ethnic groups.

• For Scotland as a whole, the recording of ethnicity remains low: a valid ethnic group code was recorded in only 23.7% of inpatient and daycase records (SMR01) and only 14.7% of new outpatient appointment records (SMR00) in the quarter ending March 2009.

18 August
Cancer Waiting Times January-March 2009

Cancer waiting-time statistics for urgently-referred patients by tumour site and NHS board. This statistical release is published by the Scottish Government.

7 August 2009
Suicide Statistics 2008

• There were 843 deaths by suicide in Scotland in 2008. This equates to an age-standardised rate of 16.1 per 100,000 population
• Based on three-year rolling averages there was a 10% fall in suicide rates between 2000-02 and 2006-08. These rates have shown little change since 2003-05 although rates in men have increased marginally in the latest 3-year period.
• In 2008 the suicide rate for males continues to be around three times that for females.
• Suicide rates increased with deprivation, with rates in the most deprived areas of Scotland significantly higher than the rate for Scotland generally.
• Between 1999-03 and 2004-08, the suicide rate decreased in 13 of the 14 NHS Boards and in 26 of the 32 local authorities.