ISD Scotland

In this issue

• eHealth Work Strand at ISD
• Navigator
• ISD Customer Survey 2010
• ISD Data Scheme Details Added to New European Registry

Recent publications Other ISD Newsletters

eHealth Work Strand at ISD

ISD's 'Delivering Our Future' eHealth work strand focuses on improving health intelligence through data consistency and the streamlining of data collection. We aim to support Boards to the make the best use of existing systems and technology, in order to improve efficiency and effectiveness and support the patient pathway.

Vision

Data are collected at significant events along the patient journey and safely reused to support high quality planning, organising and management of both the individual patient and NHS Scotland.

The eHealth work strand aims to:

• shift the focus from discrete stand alone data collection to deriving national data from clinical systems;
• break down historic data collection and data flow silos and move towards supporting patient journey and flows
• improve NHS Scotland’s flexibility to adapt to new and evolving data requirements while minimising the data collection burden.
• support a Care/Share/Compare model based on safe re-use of data captured as a by-product of the clinical process. 

Areas where ISD is currently working with Boards and other stakeholders include:

Development of Clinical Document Indexing standards

• Review and update of the National Specialty Reference Files
• Establishing an eForms Community of Interest
• Provision of support for User Acceptance Testing for Boards’ PMS implementations
• Support for the development of a national Read Priority code set for the GP Summary

ISD also provides a Data Recording Advisory Service for NHS Scotland providing advice and support for all aspects of terminology, reference files, data definitions and standards: nss.datarecordingadvisoryservice@nhs.net

We would like to hear from you about ways we can work together to improve efficiency and effectiveness and support the patient pathway.

To arrange to meet with a member of the team or for more information about the eHealth work at ISD please contact:  anne.leigh-brown@nhs.net

Navigator

Navigator is a web-based information resource available via NHS net to authorised staff in NHS Boards, Community Heath Partnerships (CHPs) and hospitals. A key component of the Scottish Health Information Service (SHIS), it provides user-friendly access to a broad range of comparative information to help review, monitor and plan healthcare services and support quality improvement. 

Navigator presents and compares information at NHS Board level. The user can 'drill down' to review the more detailed information that underpins the indicator (at CHP and GP practice or hospital, specialty and consultant level as appropriate). In addition, users are able to compare themselves to their peers (CHP or hospital as appropriate). Currently, there are nine indicators in Navigator with information on:

• Scottish Patients at Risk of Readmission and Admission (SPARRA),
• Potentially Preventable Admissions (PPA),
• Hospital admissions and bed days for all acute specialties and six key conditions,
• Emergency readmissions within 7 and 28 days following a previous hospital admission
• Quality and Outcomes Framework (QOF) prevalence,
• Prescribing in primary care,
• Length of hospital stay,
• Day case activity based on procedures identified by the British Association of Day Surgery (BADS),
• Hospital consultant activity.

Navigator is regularly developed to enhance existing indicators and add new ones. An updated version of Navigator is due to be released in April 2011. This will provide:

• An improved navigation structure and new look front pages for each indicator
• An additional indicator showing new outpatient attendances and Did Not Attends (DNAs) by NHS Board, CHP and GP Practice
• A new hospital consultant summary indicator bringing together all the available information for an individual consultant
• A new GP Practice summary indicator bringing together all the available information for an individual GP Practice
• The addition of new outpatient attendances to the hospital consultant activity indicator. 

Further developments are planned for 2011/12 with the addition of information on A&E attendances due for release in August 2011.

To find out more about Navigator, how to access it, arrange a demonstration or provide user feedback, please contact the Navigator team at: NSS.isdNavigator@nhs.net.

ISD Customer Survey 2010

The report for the ISD Customer Survey 2010 has been published on the ISD website at the following link: ISD Customer Survey 2010 - Report. We would like thank once again all of our customers who took the time to complete the survey. An action plan based on the findings will be published shortly. In the meantime any questions should be directed to Bill Dunn at tel. 0131 275 6234 or email w.dunn@nhs.net

ISD Data Scheme Details Added to New European Registry

The European Society of Cardiology is developing a directory of existing EU databases and registries containing epidemiological and health economic data in order to produce a web portal. To date details of more than 250 registries/databases have been collected, including the ISD Scottish Morbidity Record (SMR) 01 scheme, covering hospital inpatients & day cases.

It is intended that when launched, the portal will provide a significant new resource for clinicians and researchers across Europe. For further information please contact Adam Redpath, Programme Principal, Heart Disease and Stroke at tel. 0131 275 6704 or email adam.redpath@nhs.net

Recent Publications

Healthy Life Expectancy

• Underlying trends in both LE and HLE at birth show a general improvement in Scotland over recent years.
• There is a major discontinuity in the HLE series between 2008 and 2009 due to a change in methodology to align with the European Union. For each sex, the estimate of HLE at birth for Scotland for 2009 is over 8 years lower, and cannot be considered as part of the same series as earlier years. The 2009 estimate will become the first point in a new time trend for future years.
• The most recent single year estimates for Scotland are for the average boy born in 2009 to live to 76.0 years, 60.0 of these in ‘healthy’ health. The average girl born in 2009 would be expected to live to 80.6 years, 62.2 of them in ‘healthy’ health.

Childhood Cancers in Scotland

• In the period 1983-2007, there were 3,235 children under the age of 15 diagnosed with some form of cancer, representing an average of 130 cases per year and less than 1% of all cancers diagnosed in Scotland each year, with a general increase over time.
• In the same period, 815 children died of cancer, with a general (but not statistically significant) decrease in mortality from childhood cancer over the time period.
• Survival from childhood cancers has generally increased over the 25 year period in all follow-up intervals analysed (1, 2, 3, 5 and 10 years after diagnosis).

Teenage and Young Adult Cancers in Scotland

• In the 30 year period 1979-2008 there were 5,267 cancers diagnosed in persons aged between 15 and 24 years, an average of 176 per year and representing less than 1% of malignant neoplasms diagnosed in a given year. Incidence has risen over that period, but has been largely stable over the last two 5 year periods with the exception of some specific types of cancer.
• The observed survival rate has increased over the same time period: for all cancers combined, survival at one year after diagnosis has increased by 11 percentage points, to approximately 94% of diagnoses, while five year survival has increased by 16 percentage points to 83%.

Cancer Waiting Times (October – December 2010)

• 95.7% of patients started treatment within 62 days of urgent referral with suspicion of cancer; a decrease of 1.6 percentage points compared to the period July – September 2010. 
• 97.1% of patients started treatment within 31 days of decision to treat (regardless of the route of referral); a fall of 1.0 percentage point compared to the period July – September 2010.
• The target, for both the 31-day and 62-day, set by the Scottish Government is 95% by October – December 2011.

Acute Hospital Activity and NHS Beds

• There were around 347,000 acute inpatient and day case discharges in the quarter ending December 2010. This is a decrease of 2.4% when compared to the same quarter of the previous year.
• The total number of outpatient attendances in the quarter ending December 2010 was around 1,090,000.  A decrease of over 40,000 when compared to the quarter ending December 2009.

Prescribing Statistics

Prescribing Statistics (Remuneration and Charges)

Drug Treatment Waiting Times

National Resource Allocation Committee 2011/12 target allocation shares

ScotPHO website annual updates

Support Needs System Summary Statistics 2010

Childhood immunisation uptake rates, quarter and year ending 31 December 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 92.7% (the previous quarterly figure was 93.1%).  Quarterly uptake by 5 years of age is 96.2% (same as the previous quarterly figure).
• Quarterly uptake of the Hib/MenC and PCV boosters by 24 months remains relatively stable at around 93%.

HPV Immunisation uptake statistics

• Interim statistics for Year 3 of the HPV immunisation programme (September 2010 to August 2011), show uptake rates for girls currently in S2 in school year 2010/11, have already reached 91.2% for the first dose and 85.5% 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. 
• Updated uptake rates for these girls, including uptake rates for the third dose, will be published in September 2011.

Other ISD Newsletters

The following Newsletters have also recently been issued by ISD

• Practice Team Information
• Women and Children's Health

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