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<title>ISD Scotland Latest Publications</title>
<link>http://www.isdscotland.org/</link>
<description>Health statistics</description>
<pubDate>Tue, 24 Apr 2012 01:00:00 GMT</pubDate>
<lastBuildDate>Tue, 24 Apr 2012 01:00:00 GMT</lastBuildDate>
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<item>
<title>Scottish Breast Screening Programme Statistics 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#974</link>
<description>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 &gt;70% of women invited during the previous three years.In 2010-11, all NHS Breast Screening Programme Minimum Performance Standards and all but 2 of the targets were met.</description>
<pubDate>Tue, 24 Apr 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#974</guid>
</item>
<item>
<title>Primary 1 Body Mass Index (BMI) statistics for school year 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#940</link>
<description>In 2010/11 a total of 41,019 valid height and weight measurements were recorded for children in Primary 1 in Scotland. This is approximately 74% of children in Primary 1.Based on centile cut-offs on the 1990 UK growth reference charts used for population monitoring purposes, in 2010/11, 21.4% of Primary 1 children were classified as overweight, including 9.6% obese and 5.5% severely obese. These are very similar to the levels of high BMI in 2009/10 (21.5% overweight, including 9.5% obese and 5.4% severely obese). Over the last decade, the prevalence of overweight and obesity has remained at a similar level of around one in five children in Primary 1.The percentage of Primary 1 school children classified as underweight (&lt;=5th centile) was 3.7% in 2010/11, including 1.8% very underweight (&lt;=2nd centile). These are similar to levels of low BMI in 2009/10 (3.4% underweight, including 1.6% very underweight). Levels of underweight have remained relatively stable over the period 2000/01 to 20010/11 at around 3% to 4%.</description>
<pubDate>Tue, 24 Apr 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#940</guid>
</item>
<item>
<title>Cancer Incidence 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#839</link>
<description>In recent years, the overall age-standardised incidence rates have fallen for males and increased for females.Incidence rates show considerable variation between cancers, with, for example, substantial increases in melanoma of the skin and kidney cancers (both sexes), and decreases in ovarian (females) and lung cancers (males only).
Actual numbers of cases of cancer have risen over the last decade,  largely due to an ageing population.
</description>
<pubDate>Tue, 24 Apr 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#839</guid>
</item>
<item>
<title>NHSScotland 2012/13 Revenue Budget target shares for NHS Boards calculated using the Resource Allocation formula (NRAC)</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#968</link>
<description>Results of the Resource Allocation formula developed by NRAC (National Resource Allocation Committee) -  used to calculate 2012/13 target shares. To inform the allocation of NHS Revenue Budget between the 14 territorial NHS Boards in Scotland. </description>
<pubDate>Tue, 10 Apr 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#968</guid>
</item>
<item>
<title>National Drug and Alcohol Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#689</link>
<description>In October - December 2011, of the 11,006 drug  and/or alcohol clients who started their first treatment 84.9% had waited 3  weeks or less.  86.3% of the 7,188 clients who started alcohol  treatment between October and December 2011 had waited 3 weeks or less. 82.3% of the 3,818 clients who attended an  appointment for drug treatment waited 3 weeks or less.Of those who were still waiting to start drug or  alcohol treatment (4,014 clients), 16.6% had waited more than 6 weeks at the  end of December 2011.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#689</guid>
</item>
<item>
<title>ScotPHO website annual section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#694</link>
<description>Death section In Scotland  in 2010 the all-cause age/sex  standardised mortality rate was 668.0  per 100,000 population.  The rate for  persons living in the least deprived (10% of) areas was less than half the rate  of those in the most deprived (10% of ) areas. In Scotland during  2008-2010 the most common cause of death was acute myocardial infarction (accounting  for, on average, 4,752 deaths  per year – 8.7% of the total), followed by malignant neoplasm of the  bronchus and lung (7.5% of the  total) and chronic ischaemic heart disease (6.3% of the total). Other chronic  obstructive pulmonary disease, stroke, pneumonia, unspecified dementia,  vascular dementia, sequelae of cerebrovascular disease and malignant neoplasm  of breast also feature in the list of the 10 most common causes of death. For  deaths before the age of 65 years, the most common cause was lung cancer (8%),  followed by acute myocardial infarction (6%) and alcoholic liver disease  (6%).  Chronic ischaemic heart disease,  breast cancer, intentional self-harm by hanging, strangulation and suffocation,  other chronic obstructive  pulmonary disease, mental and behavioural diseases due to alcohol, oesophageal  cancer and mental and behavioural disorders due  to use of opioids also feature in the list of the 10 most common causes of  death in the under 65’s in Scotland during 2008-2010.Chronic Liver Disease (CLD) section CLD mortality rates (1982-2010) by NHS Board of residence  broadly follow the pattern of CLD mortality rates already published for Scotland as a  whole, with age-standardised  rates increasing up to 2004 and decreasing since.  The CLD mortality rates are highest for males  resident in Greater Glasgow and Clyde NHS Board, and are highest for females  resident in Greater Glasgow and Clyde and North Lanarkshire NHS Boards.The  rates of people discharged each year (1995-2010) from acute hospitals with a  diagnosis of CLD by NHS board of residence also broadly follow the pattern of  the Scotland level trends already published, with age-standardised rates  increasing up to 2008 and decreasing slightly in 2009 and 2010.  The age-standardised rates of people  discharged per year are highest for males and females resident in Greater  Glasgow and Clyde NHS Board.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#694</guid>
</item>
<item>
<title>Prescribing Statistics - Dispenser Remuneration</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#691</link>
<description>The gross total payments to Scottish dispensing  contractors increased from £1,158 million in 2010 to £1,178 million in 2011.The net ingredient cost (NIC) paid to dispensing  contractors for drug reimbursement continues to increase, from £951 million in  2010 to £972 million in 2011.  However,  the cost for remuneration of services shows a decrease of about £1.7 million (0.8%)  from £207.4 million in 2010 to £205.7 million in 2011.The gross ingredient cost (GIC) paid to  dispensing contractors for 2011 in respect of dispensing was £1,013  million.  This is an increase of just  under £8 million (0.8%) when compared to 2010. The number of prescription items for 2011 was  93.8 million. This is an increase of 2.8 million (3.1%) compared to 2010. The number of prescription items for 2010 was  91 million.  This is an increase of 2.6  million (3.0 %) compared to 2009.The cost of a single prescription was reduced  from £3.00 to £0.00 in April 2011.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#691</guid>
</item>
<item>
<title>Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply.</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#686</link>
<description>Data show that a headcount of 984 clinical staff  (842.4 wte) were working in CAMHS in Scotland as at 31st December 2011; this is  an increase of 0.3% in staff in post since 30th September 2011 (both headcount  and wte).Nationally, this represents a staffing level of  16.1 wte clinical workers per 100,000 of the population of Scotland.NHSScotland CAMHS vary in the age of population  served. In some areas services are provided up to age 16 only; while others  offer services up to 18 years. This has significant implications for workforce  requirements. Please see Table 2 in the full publication report for details. As at 31st December 2011, an additional 38.0 wte  posts were between being advertised and being filled. A further 14.3 wte posts  were approved for recruitment but not yet advertised.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#686</guid>
</item>
<item>
<title>Childhood Immunisation Statistics, quarter and year ending December 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#685</link>
<description>In Scotland immunisation uptake rates for  children aged up to six years remain high and stable.At Scotland level, annual uptake rates  by 24 months of age for primary courses of immunisation against diphtheria,  tetanus, pertussis, polio &amp; Hib (DTP/Pol/Hib), MenC and PCV remain high and  stable at around 96% to 98%. Uptake rates have exceeded the 95% target for the  last decade. Annual uptake of the first dose of MMR vaccine  by 24 months is 94.0% (the previous annual figure was 93.2%). Uptake rates by  24 months have continued to be above 90% since calendar year 2006. Annual uptake  of the first dose of MMR by five years of age is 96.4% (the previous annual  figure was 96.0%). MMR uptake rates by five years have remained above the 95%  target since calendar year 2009.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#685</guid>
</item>
<item>
<title>Workforce Planning for Psychology Services in NHSScotland - Characteristics of the Workforce within Psychology Services 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#684</link>
<description>In total there were 766 (643.1 wte) Clinical &amp;  Other Applied Psychologists employed in NHSScotland as at 31st  December 2011.  This is an increase of 3%  headcount (+22hc), and an increase of 2.1%wte (+13.3 wte) from 30th  September 2011.This total of 766 (643.1 wte) equates to 710 (594.3  wte) Clinical Psychologists plus 56 (48.8 wte) Other Applied Psychologists.  This represents a national staffing level of 1 wte Applied Psychologist per 8,120  of the general population of Scotland. Psychology services increasingly employ a skill-mix  of staff. Graduates of the MSc in  Psychological Therapies in Primary Care (49.0 wte), Graduates of the MSc in the  Applied Psychology of Children and Young People (21.5 wte), assistant  psychologists (55.3 wte), cognitive behavioural therapists (33.9 wte),  counsellors (30.2 wte), other therapists (10.8 wte), and other clinical staff (14.1 wte), were  employed in NHSScotland psychology services as at 31st December 2011. </description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#684</guid>
</item>
<item>
<title>Support Needs System (SNS) Summary Statistics as at August 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#683</link>
<description>The Support Needs System (SNS) has now been  implemented in twelve of Scotland’s  NHS Boards, although the level of implementation and utilisation of the system  varies across Boards.  This means figures  from SNS must be read with caution.   Overall, in the ten participating Boards with data included in these  statistics, 15,541 children and young people had assessment data recorded on  SNS.78.0% of all children and young people on SNS  had at least one impairment (of any severity) recorded and 26.8% of all  children and young people on SNS had at least one severe impairment recorded.Of all children and young people on SNS, 98.6%  were recorded as requiring at least one service (newly identified or ongoing).  The most commonly required service type recorded was the involvement of a  professional, such as a speech therapist (98.6% of all children on SNS).</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#683</guid>
</item>
<item>
<title>New Cancer Waiting Times to December 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#911</link>
<description>The target, that 95% of all eligible patients  should wait no longer than 31 or 62 days, has been achieved in the timescale agreed  by the Scottish Government (December 2011).96.9% of patients started treatment within 62  days of urgent referral with suspicion of cancer; an increase of 0.2 percentage  points compared to the period July - September 2011.  Within the same period, 98.2% of patients  started treatment within 31 days of decision to treat (regardless of the route  of referral); an increase of 0.2 percentage points compared to the period July  - September 2011.For all cancer types combined, NHS Dumfries  &amp; Galloway reported that 100% of patients started treatment within 62 days,  the highest of the mainland NHS Boards in Scotland. The lowest proportion of  patients that started treatment within 62 days was found in NHS Grampian, with 92.2%.  Aside from Island Boards and the Golden Jubilee, the highest proportion of  patients that started treatment within 31 days was found in NHS Borders and NHS  Dumfries &amp; Galloway, with 100%; the lowest proportion was found in NHS Grampian,  with 93.9%. </description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#911</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information; Year ending 31 March 2011 - Quarter ending December 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#910</link>
<description>The total number  of acute hospital discharge episodes in the year ending March 2011 was 1,424,000,  an increase of 1.4% on the previous year. The number of routine and non-routine  acute inpatient discharge episodes increased by 2.8% and 0.5% respectively between  2009/10 and 2010/11. The number of day case episodes was 445,000 in 2010/11, an  increase of 1.0% from 440,000 in 2009/10.4,558,000  outpatients were seen at consultant clinics in the year ending March 2011, a  slight decrease of 0.4% when compared to year ending March 2010.  In 2010/11, 1,474,000 were new outpatient  attendances, a small increase of 0.4% from 1,469,000 in 2009/10.  There has been an increase of 10.3% in new  outpatient attendances over the last 10 years.Neoplasms  (including cancer) were the most common main diagnosis for patients discharged  from hospital in the year ending March 2011, accounting for 13.8% of all  primary diagnoses.  This figure has  remained at approximately 14% for the last three financial years.A total  of 971,000 main procedures were recorded on inpatient, day case and outpatient  records in NHS Scotland in the year ending March 2011, an increase of 4.9% from  925,000 in 2009/10.80.4% of all elective British Association of Day  Surgery (BADS) procedures were carried out as day cases or outpatients in the  month of March 2011.  The associated  target was to achieve 80%. Information on further Health Improvement,  Efficiency, Access and Treatment (HEAT) targets is contained with the http://www.isdscotland.scot.nhs.uk/Health-Topics/Hospital-Care/Publications/2012-03-27/2012-03-27-AcuteActivity-Report.pdfFull  Publication Report.The average number of available staffed beds in  acute specialties was recorded as 16,701 in the year ending March 2011 and was  17,092 in the year ending March 2010.The number of acute inpatient discharge episodes for the  quarter ending December 2011 shows a decrease of 1.5% on the quarter ending December 2010 while the number of acute day case  episodes shows an increase of 4.6% over the same periods.The total number of outpatient attendances in  the quarter ending December 2011 (1,160,000) increased by around 5.9% on the  quarter ending December 2010.</description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#910</guid>
</item>
<item>
<title>Adult Mental Health Benchmarking Toolkit 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#966</link>
<description>Change to the methodology used to derive the "spend per head" indicators to reflect changes to the Cost Book data collection process. Health Board of Residence costs are no longer collected so Health Board of Treatment costs are used in this publication as an approximation. The new methodology has been retrospectively applied to previous year's data to enable comparison over time. Therefore, data in previous publications may differ from that presented in this publication.The average length of stay figures may be impacted by small numbers of cases with extremely long lengths of stay, discharged in the relevant year. For example, there are several cases discharged in 2010/11 with admission dates prior to 1960. Therefore year on year comparison should be interpreted with caution, although the length of stay 80% split is more robust to such outliers. In addition to this, the methodology employed for the average length of stay (80%) measure has been revised from previous years and consequently the length of stay figures may differ significantly from those reported in previous publications. </description>
<pubDate>Tue, 27 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#966</guid>
</item>
<item>
<title>Cardiac Rehabilitation in Scotland - April to September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#967</link>
<description>Across Scotland, an estimated 70% of patients having an initiating event of either myocardial infarction (MI), coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) were referred for cardiac rehabilitation. This includes 89% of patients undergoing CABG, 79% of heart attack patients and 23% of patients undergoing PCI procedures.Patients have been allocated to a single initiating event within a hierarchical order: MI, CABG, PCI, valve surgery, heart failure, unstable angina then other events. For example, a patient undergoing PCI after admission to hospital with a heart attack would be allocated to MI as the initiating event. This may contribute to the apparent low percentage of patients undergoing PCI reported to have been referred for cardiac rehabilitation. Audit data shows that at least 39% of patients with a non-ST elevated MI (NSTEMI) initiating event also had a linked PCI intervention.Referral to cardiac rehabilitation after any MI/CABG/PCI initiating event reached 100% in NHS Ayrshire &amp; Arran and NHS Dumfries &amp; Galloway health board areas, but under 50% in NHS Grampian (41%) and NHS Highland (45%).Previously reported figures for Scotland from the 2008 National Audit of Cardiac Rehabilitation showed percentage uptake for Scotland in 2006/07 were MI 52%, CABG 74%, PCI 11% and combined MI/CABG/PCI 45%. Although not directly comparable because of methodological differences in calculations, the latest figures are reasonably robust to indicate an increase in referral in 2010 compared to 2006.65% of patients in Scotland who were referred and assessed for cardiac rehabilitation after MI or revascularisation (CABG or PCI) completed the audited phase(s) of the programme. This was highest in Tayside (80%) and lowest in Shetland (36%).</description>
<pubDate>Tue, 13 Mar 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#967</guid>
</item>
<item>
<title>The National Drug Related Deaths Database Report (Scotland) 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#965</link>
<description>In 2010, a total of 365 cases were identified as eligible for inclusion in the NDRDD.Over three quarters (79.2%) were male; over half (54.8%) lived in the most deprived areas with the age groups 25-34 and 35-44 years having the highest frequency of deaths (35.9% and 32.3% respectively).Co-morbidities in the six months prior to death were common with over half (55.4%) having a psychiatric condition (55.4%) and almost half (47.6%) having had problematic alcohol use.The majority had had died in a home, either their own (53.3%) or someone else’s (26.9%) with, where known, someone present at the scene in over half (62.4%). Resuscitation had been attempted in by a friend, witness, relative, spouse or partner in 116 cases.Where known, nearly two thirds (62.4%) had been in contact with a drug treatment services at some point prior to their death.Diazepam was the most commonly reported drug found in over three quarters of cases (77.5%) followed by Heroin/Morphine (63.7%) and Methadone (44.9%). It should be noted that these are reports of drugs found in the body, there is not attribution as to whether it caused the death or not.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#965</guid>
</item>
<item>
<title>Workforce :Staff in post; Staff Turnover; Vacancies (Consultant, Nursing and Midwifery and AHP)</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#837</link>
<description>The total number of staff in post (excluding GPs &amp; GDs; WTE) as at 31st December 2011 is 131,274.3, compared with 131,339.6 (WTE) as at 30th September 2011. This is a decrease of 0.05% (65.3 WTE).The total number of staff in post (excluding GPs &amp; GDs; headcount) as at 31st December 2011 is 154,424, compared with 154,541 (headcount) as at 30th September 2011. This is a decrease of 0.1% (117 headcount).</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#837</guid>
</item>
<item>
<title>Diagnostic tests waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#672</link>
<description>Approximately 41 000 patients were waiting for one of eight key diagnostic tests in NHS Scotland.97.2 % of patients waiting for a key diagnostic test were waiting no longer than six weeks.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#672</guid>
</item>
<item>
<title>18 weeks Referral To Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#678</link>
<description>In December 2011, 92.0% of patient journeys for which an 18 Weeks Referral To Treatment (18 Weeks RTT) waiting time could be measured were reported as being within 18 weeks. The figures for October and November 2011 were 89.4% and 89.6%, respectively.In December 2011, a total of 111,191 patient journeys eligible under the 18 Weeks RTT target were identified. The waiting time could be measured for 97,248 of these patients (87.5%). It was not possible to calculate the waiting time fully for 13,943 patients. NHS Boards are in the process of fully implementing upgrades to their systems to improve the data collection.This is the fourth publication of 18 Weeks RTT statistics. This target is due to be delivered from 31 December 2011. Figures showing progress towards this target, for the period January to March 2012, will be published in May 2012.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#678</guid>
</item>
<item>
<title>Improving ethnic data collection for equality and diversity monitoring</title>
<link>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#674</link>
<description>For Scotland as a whole there have been substantial improvements in the recording of ethnic group. Completeness of recording has reached almost two thirds over the last two years for acute hospital discharges and to over two-fifths for new outpatients.Despite this improvement, the recording of ethnicity remains relatively low: a valid ethnic group code was recorded in only 64% of acute inpatient and day case records (SMR01) in the quarter ending September 2011 and only 44% of new outpatient appointment records (SMR00).In the last two quarters the figures for some Boards (for example NHS Borders and NHS Ayrshire &amp; Arran) may have been affected by the implementation of the new NHS Patient Management System (PMS).</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#674</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#673</link>
<description>These data show that hospital mortality across Scotland is reducing over time.A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#673</guid>
</item>
<item>
<title>Care Home Census 2011 - Detailed Analysis</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#943</link>
<description>Care Homes for All AdultsAs at 31st March 2011 there were 1,329 care homes for adults providing 42,810 places to 37,511 residents in Scotland.33,365 (90 per cent) of residents were in care homes whose main client group was for older people.36,002 (96 per cent) of residents were ‘long stay’ residents.Between 2003 and 2011 the number of ‘long stay’ residents in care homes for older people decreased from 33,566 to 32,545, a decrease of 3 per cent.In the same period the number of ‘long stay’ residents in care homes for adults with learning disabilities fell from 2,489 to 1,849 a decrease of 26 per cent.Between April 2010 and March 2011 the majority of admissions to care homes for learning disabilities were for respite care (98 per cent).In the most recent census period 41 per cent (13,578) of admissions to care homes for older people were classed as long stay.Care Homes for Older PeopleAs at the 31st of March 2011 there were 920 care homes for older people providing 38,341 places to 33,645 residents, of whom 32,545 were long stay (97 per cent). The number of short stay plus respite residents has increased from 736 in March 2003 to 1,100 in March 2011, an increase of 49 per cent.One in two long stay residents in care homes for older people had a formal diagnosis of dementia. This is an increase of 21 per cent since the census was held in March 2003.Over the same time period the percentage of residents who have been identified as having dementia but not formally diagnosed has decreased from 14 per cent to 9 per cent. Around a third of residents had been in the care home for more than three years at the census. The median length of stay was around 2 years and has remained unchanged for the last eight years. The average weekly charge for self-funding long stay residents without nursing care was £607 per week, an increase of 4.3 per cent since the last census period. The average weekly charge for self funding long stay residents with nursing care was £679, an increase of 3.3 per cent from the previous year.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#943</guid>
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<title>Emergency Department Activity &amp; Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#680</link>
<description>During the quarter ending 31 December 2011, the number of new and unplanned return attendances at A&amp;E services across Scotland was approximately; 135,600 in October, 128,600 in November and 129,100 in December.During the quarter ending 31 December 2011, the proportion of new and unplanned return attendances at A&amp;E services across Scotland that were seen within 4 hours was; 95.9 % in October, 96.3 % in November and 94.7 % in December.During the quarter ending 31 December 2011, the rate of new and unplanned return attendances (per 100,000 population) at A&amp;E services across Scotland was; 2,597 in October, 2,462 in November and 2,473 in December.Of 0-24 year olds, 0-4 year olds are most likely to attend an A&amp;E service or be admitted following an attendance, followed by 20-24 year old males and 15-19 year old females.Males aged 75 and over, and females aged 80 and</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#680</guid>
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<title>Drug Misuse Statistics Scotland 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#898</link>
<description>In 2010/11 10,813 ‘new’ individuals received a specialist assessment of their drug use and care needs, which equates to a rate of 219 per 100,000 of the Scottish population. This compares with a rate of 240 (11,819) reported in 2009/10.The age profile of ‘new’ individuals being assessed for their drug use care needs has changed over the last five years. In 2006/07, 51% of clients were aged 30 and over. In 2010/11 this figure was 60%. Amongst the 40 and over age group, the number of new clients receiving a specialist assessment for their drug use care needs increased from 15% in 2006/07 to 19% in 2010/11.Forty-four per cent of those under the age of 25 years old, reporting illicit drug use, reported using heroin. This is a drop from the 51% reported in 2009/10. There has been an overall downward trend in this figure since 2006/07.An increasing proportion of clients who have injected in the past have been tested for blood borne viruses: in 2010/11 76% were tested for Hepatitis B, 77% for Hepatitis C and 73% for HIV compared to 64%, 66% and 61% respectively in 2006/07.In 2010/11, 7% of clients reported that they currently shared needles/ syringes. This is a decrease from 12% reported in 2006/07.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#898</guid>
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<item>
<title>Inpatient, Day Case and New Outpatient Stage of Treatment waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#679</link>
<description>At 31 December 2011, 97.1% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards, from 31 March 2010, to measure performance against the Scottish Government waiting times standard for new outpatients. This compares to a figure of 98.8% at 30 September 2011.At 31 December 2011, 93.3% of inpatients and day cases were waiting 9 weeks or less. This is the statistic used by NHS Boards, from 31 March 2011, to measure performance against the Scottish Government waiting times standard for inpatients and day cases. This compares to a figure of 97.9% at 30 September 2011.During quarter ending 31 December 2011, approximately 96.1% of new outpatients seen (all sources of referral) and 94.8% for inpatients and day cases admitted had waited less than the respective 12 and 9 week waiting times standard.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#679</guid>
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<title>Delayed Discharges in NHSScotland - figures from January 2012 census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#676</link>
<description>At the January 2012 census there were 54 patients delayed for over 6 weeks. This compares with 69 at the October 2011 census and 168 at the January 2011 census.At the January 2012 census, 197 patients were delayed over 4 weeks and 387 patients were delayed over 2 weeks</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#676</guid>
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<item>
<title>Audiology Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#677</link>
<description>During the quarter ending December 2011, approximately 24 000 patients were seen for a first assessment with an Audiology specialist.Nationally, waiting times for Audiology have improved in the last year. However, there are variations in waiting times between different NHS Boards.Half of patients seen by an Audiology specialist between October and December 2011 had their first appointment within five weeks of being referred and 87.3 % within 12 weeks.Half of patients were fitted with a hearing aid within five weeks of their assessment appointment and 97.4% within 12 weeks.For those sites which report on ‘one-stop clinics’, half of patients attended and were treated within 12 weeks of their referral to that service and 98.0% within 18 weeks; meeting the Scottish Government standard.</description>
<pubDate>Tue, 28 Feb 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#677</guid>
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<title>Scottish Perinatal and Infant Mortality and Morbidity Report  2010</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#897</link>
<description>Rates of stillbirths and deaths: Lowest ever recorded stillbirth rate in Scotland 
The rates of stillbirths, neonatal deaths and infant deaths (all deaths in the first year) were the lowest ever recorded in Scotland as was the perinatal mortality rate (stillbirths plus deaths in the first week of life). The rate of post-neonatal deaths equalled the lowest ever recorded. Stillbirth rate 4.9 per 1000 births Neonatal death rate 2.6 per 1000 live births Perinatal mortality rate 6.9 per 1000 births Post-neonatal deaths 1.2 per 1000 live births Infant mortality rate 3.7 per 1000 live birthsTotal births and deaths in 2010: There were 59,082 births, 281 fewer than in 2009, reversing the steady rise since 2002. A total of 661 deaths were notified to the SSBIDS, comprising 152 late fetal deaths, 291 stillbirths, 150 neonatal deaths and 68 post-neonatal deaths.Causes of stillbirths and neonatal deaths: The most frequent identifiable causes of stillbirth were antepartum haemorrhage (bleeding in pregnancy) and congenital abnormality of the baby but 62% had no obvious explanation. Examination of the placenta, however, showed an abnormality in 62% of these “unexplained” stillbirths and 29% of these babies had evidence of poor growth in the womb. Prematurity was the most common problem associated with neonatal deaths, accounting for 33% while congenital abnormality caused 23% of neonatal deaths.Other findings: The postmortem rate for stillbirths rose to 63% from 59% in 2009. The placenta was examined histologically in 80% of stillbirths.  There is an association between obesity and stillbirth and between infant death and smoking and deprivation. Antenatal screening reduces the rates of neural tube defects and Down's syndrome at birth.NHS Board variations: Variations in the rates of stillbirths and neonatal deaths between NHS Boards are likely to be related to random variation and to differing registration practices. Possible additional reasons for an increased stillbirth rate in one board area are being investigated.Commentary: Commentary is provided on some of the factors which may have contributed to a fall in all death rates. Further improvements to neonatal death registration, data collection, death classification and reporting are also discussed and form the basis of some of the recommendations. </description>
<pubDate>Tue, 31 Jan 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#897</guid>
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<title>Scottish Antimicrobial Prescribing Group (SAPG) Report on Antimicrobial Use and Resistance in Humans in 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#671</link>
<description>In 2010 the overall use of systemic antibacterials in primary care was 1.9% lower than in 2009 when expressed as number of items per 1000 population per day, equivalent to 53,000 fewer prescriptions. Reductions in the use of broad spectrum antibacterials known to increase the risk of Clostridium difficile infection (CDI) (expressed as items/1000/day) were observed from 2008 to 2010. Reductions within specific groups are as follows: cephalosporins 46.7%; combination penicillins (mainly co-amoxiclav) 36.7%; fluoroquinolones 26.3%. These changes are equivalent to 311,000 fewer prescriptions for high risk antibacterials since 2008.Information from the Hospital Medicines Utilisation Database (HMUD) from hospitals in 10 NHS boards (covering 58% of the Scottish population) shows the use (expressed as DDD/1000/day) of antibacterials associated with high risk of CDI in 2010 was 30.7% lower than in 2008. Reductions were observed in all four groups of high risk antibacterials: cephalosporins 54%; co-amoxiclav 27%; fluoroquinolones 26%; clindamycin 13%.Antimicrobial resistance among Gram-negative bacteraemias showed, with one exception, stable or decreasing trends in the period 2008-2010. This compares favourably to the situation in Europe. In particular the stable or decreasing trend in cephalosporin resistance in E. coli and K. pneumoniae is remarkable. In more than half of European countries increases in cephalosporin resistance were reported in the same period. An exception to the positive development is the increasing gentamicin resistance in E. coli (from 7.3% to 9.2% from 2008 to 2010). Gentamicin is increasingly used in hospitals as cephalosporin use has been restricted in order to contain CDI.Emergence of carbapenem resistance is also a matter of concern. One percent of the Scottish K. pneumoniae bacteraemia isolates were resistant to carbapenems in 2010.  Increasing numbers of carbapenemase producers have been reported since 2008. These findings suggest that SAPG in collaboration with AMTs is having a continued positive impact on the quantity and quality of prescribing in primary and secondary care and helping to contain the emergence of resistance. CDI rates have decreased 65% in the period 2008-2010 which coincides with reduction in use of high risk antimicrobials in both primary and secondary care. There is still room for improvement though; more detailed examination of antimicrobial use in primary care showed that older people who are most at risk for CDI are more likely to be prescribed a high risk antimicrobial and the threat of emerging resistance remains as shown by the rise in gentamicin resistance.</description>
<pubDate>Tue, 31 Jan 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#671</guid>
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<item>
<title>ScotPHO website annual section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#942</link>
<description>Allergic conditions There were around 10,000 hospital episodes due to allergic conditions in Scotland in 2010/11, of which around 8,000 were due to asthma.There were small numbers of admissions for some individual allergic conditions, which means that trends should be interpreted with caution. However in the seven years up to 2010/11 there were rises in the number of admissions and the number of people being admitted for allergic conditions in general, including anaphylaxis.The number of admissions for asthma shows wide variations from year to year, but between 2004/05 and 2010/11 there was a moderate fall in the number of people admitted at least once during a year, from 11 to 9 per 100,000 per year. The fall in asthma admissions was more marked for asthma diagnosed as ‘predominantly allergic’..There have been falls in the numbers of people admitted with a main diagnosis of food allergy, urticaria and dermatitis. However these falls are likely to reflect changes in the way these conditions are managed, such as more delivery of care through outpatient treatment.Disability The Scottish Household Survey found that 22% of men and 26% of women aged 16 years and over had a long-standing illness, health problem and/or disability in 2009-10. For both men and women this proportion increases steadily with age.In 2009-10 there was a strong gradient in the proportion of adults with a long-standing illness, health problem and/or disability by Scottish Index of Multiple Deprivation (SIMD) quintiles, from 17% in the least deprived quintile to 32% in most deprived quintile.High cholesterol It is estimated that approximately 37,000 people (0.7% of the population) consulted a member of the general practice team (GP and practice-employed nurses combined) at least once during 2010/11 because of a high cholesterol level.  This has reduced from an estimated 60,000 (1.1%) in 2003/04.Over the period 2003/04 to 20010/11, consistently, fewer males than females consulted a member of the general practice team because of a high cholesterol level: an estimated 16,500 males compared to 20,600 females in 2010/11 (0.6% compared to 0.7% of the population)A greater proportion of people living in the least deprived than the most deprived areas consulted a member of the general practice team because of a high cholesterol level in 2010/11. </description>
<pubDate>Tue, 31 Jan 2012 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#942</guid>
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<title>Mental Health (Psychiatric) Hospital Activity Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#941</link>
<description>There were around 20,919 inpatient admissions to mental health hospitals during the year ending 31 March 2011. This continues the downward trend seen in recent years and represents a 17% fall in the number of admissions since year 2006/07.In 2010/11 around 55% of all inpatient mental health admissions were re-admissions. This percentage is similar to those of the previous five years.The number of patients who had a psychiatric readmission within one year of a previous psychiatric admission has decreased steadily from 4,576 for the year ending 31December 2004 to 3,426 for the year ending 31 December 2009. The year on year reduction from the baseline figure at December 2004 was 8.4% at December 2005, 13.8% at December 2006, 17.8% at December 2007 and 25.1% at December 2009.  It should be noted that due to completeness issues data for the year ending 31 December 2008 are unavailable.Alcohol/drug related problems accounted for 25% of all discharge diagnoses in men and schizophrenia accounted for a further 19%.  For women, mood (affective) disorders accounted for 32% of the diagnoses recorded, while dementia diagnoses were identified in 14% of discharges.In 2010/11, around 65% of all mental health discharges had a hospital length of stay of 4 weeks or less. This is similar to previous years.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#941</guid>
</item>
<item>
<title>New Cancer Waiting Times July - September 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#662</link>
<description>96.7% of patients started treatment within 62 days of urgent referral with suspicion of cancer; an increase of 1.1 percentage points compared to the period April - June 2011.  Within the same period, 97.9% of patients started treatment within 31 days of decision to treat (regardless of the route of referral); an increase of 0.4 percentage points compared to the period April - June 2011. The target, for both the 31-day and 62-day, set by the Scottish Government is 95% by October – December 2011.For all cancer types combined, NHS Borders reported that 98.6% of patients started treatment within 62 days, the highest of the mainland NHS Boards in Scotland. The lowest proportion of patients that started treatment within 62 days was found in NHS Grampian, with 91.3%. Aside from Island Boards and the Golden Jubilee, the highest proportion of patients that started treatment within 31 days was found in NHS Borders and NHS Ayrshire &amp; Arran, with 100%; the lowest proportion was found in NHS Forth Valley, with 95%. The highest proportion of patients that started treatment within 62 days of urgent referral with suspicion of cancer were screened positive breast cancer patients, with 99.6%; the lowest proportion of were non-screened cervical patients, with 84.6%. The highest proportion of patients that started treatment within 31 days of date decision to treat were screened positive cervical and lymphoma patients with 100%; the lowest proportion were urology patients, with 94.3%. The highest maximum wait from urgent referral with suspicion of cancer to treatment was 145 days; this occurred in NHS Grampian. The highest maximum wait in days relating to the 31 day target occurred in NHS Lothian, with a wait of 112 days. 3.7% of the 62-day target cohort and 2.3% of the 31-day target cohort were excluded from the performance calculations due to clinical reasons, or the patient died before treatment or refused all treatment.  Waiting times adjustments have been applied to both sets of statistics to take into account periods of patient unavailability and medical suspensions.  Within Scotland, there were 460 occurrences of patient unavailability and 506 occurrences of medical suspension within the 62-day target cohort.  Corresponding figures for the 31-day target cohort were 267 occurrences of patient unavailability and 247 occurrences of medical suspensions. </description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#662</guid>
</item>
<item>
<title>Prescribing Statistics - Dispenser Remuneration</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#658</link>
<description>The gross total payments to Scottish dispensing contractors continue to increase year on year.The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement continues to increase, from £478 million in the first 6 months of 2010/11 to £490 million in the first 6 months of 2011/12.  However, the cost for remuneration of services shows a decrease by about £2.2 million (2.2%) from £102.5 million in the first 6 months of 2010/11 to £100.3 million in the first 6 months of 2011/12.The gross ingredient cost (GIC) paid to dispensing contractors for the first 6 months of 2011/12, in respect of dispensing was £509 million.  This is an increase of just under £2 million (0.4%) when compared to the first 6 months of 2010/11.The number of prescription items for the first 6 months of 2011/12 was 47.1 million. This is an increase of just under 1.5 million (3.2%) compared to the first 6 months of 2010/11.The cost of a single prescription was reduced from £3.00 to £0.00 in April 2011.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#658</guid>
</item>
<item>
<title>National Drug and Alcohol Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#663</link>
<description>In July - September 2011, of the 10,718 drug and/or alcohol clients who started their first treatment 84% had waited 3 weeks or less.  This represents an increase of approximately 1% on the previous quarter.Approximately 87% of the 7,088 clients who started alcohol treatment between July and September 2011 had waited 3 weeks or less. This represents an increase of approximately 2% on the previous quarter.Approximately 80% of the 3,630 clients who attended an appointment for drug treatment waited 3 weeks or less.  This is inline with the percentage for the previous quarter.Of those who were still waiting to start drug or alcohol treatment (3,963 clients), approximately 10% had waited more than 6 weeks at the end of September 2011.  This is inline with the percentage for the previous quarter.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#663</guid>
</item>
<item>
<title>Scottish Schools Adolescent Lifestyle and Substance Use Survey 2010 - national and local reports</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#937</link>
<description>SmokingAmong 13 year olds, 3% of both boys and girls were regular smokers . Among 15 year olds, 13% were regular smokers: 11% of boys and 14% of girls. Since peaks in 1996 and 1998, the prevalence of regular smoking has substantially reduced over recent years. Among both 13 year olds and 15 year olds, levels are now the lowest they have been since the survey began in 1982. DrinkingForty-four per cent of 13 year olds and 77% of 15 year olds have ever had an alcoholic drink. Fourteen per cent of 13 year olds and 34% of 15 year olds reported consuming alcohol in the last week.There was a decrease in the proportion of 13 year olds who had ever had an alcoholic drink: from 52% in 2008 to 44% in 2010. This was also the case, although to a lesser degree, for 15 year olds (82% in 2008 compared with 77% in 2010). There was a increase in the proportion of pupils who had drunk in the last week: from 11% in 2008 to 14% in 2010 among 13 year olds and from 31% in 2008 to 34% in 2010 among 15 year olds. Drug UseTwenty-one per cent of 15 year olds and 5% of 13 year olds reported that they had ever used drugs. 19% per cent of 15 year olds and 4% of 13 year olds reported they had used drugs in the last year and 11% of 15 year olds and 3% of 13 year olds reported that they had used drugs in the last month.While between 2004 and 2006 there was a substantial decrease in the prevalence of drug use in the last month, between 2006 and 2008 prevalence decreased only among 13 year old boys. Since 2008, prevalence has decreased further only among girls: among 15 year old girls, the decline has been from 11% in 2008 to 9% in 2010 and among 13 year old girls the decrease has been from 3% in 2008 to 2% in 2010.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#937</guid>
</item>
<item>
<title>Unintentional Injuries</title>
<link>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#661</link>
<description>It is important to note that hospital admissions data for NHS Scotland for 2010/11 are estimated to be only 95% complete.  NHS Grampian and NHS Lanarkshire hospital admissions data are estimated to be 64% and 84% complete respectively.  This is mainly due to the implementation of a new IT Patient Management System which has resulted in data submission backlogs from November 2010 for both Boards.  For these reasons, hospital admissions data for Scotland, NHS Grampian and NHS Lanarkshire for 2010/11 should NOT be directly compared with data for other years.All hospital admissions data presented for 2010/11 are based on the data submissions which have been received by ISD Scotland to date and do not include any element of estimation or imputation.It is possible to directly compare 2010 deaths as a result of an unintentional injury with previous years.In 2010/11, unintentional injuries accounted for approximately 1 in 7 emergency hospital admissions for children and 1 in 9 for adults.In 2010/11, there were over 354,000 patients admitted to hospital as an emergency. Around 15% of these were admitted as a result of an unintentional injury during the year.The number of emergency admissions to hospital, due to unintentional injuries, was 58,307 in 2010/11.  Although the data are incomplete for 2010/11, it is anticipated that the recent downward trend in the number of emergency admissions is continuing.In 2010/11, there were over 32,000 emergency admissions to hospital due to falls.  This represents 55% of the total number of emergency admissions to hospital due to unintentional injuries.In 2010, there were 1,364 deaths as a result of an unintentional injury, compared with a similar figure of 1,367 in 2006.In 2010 approximately 1 in 19 childhood deaths are due to an unintentional injury. In adults, deaths due to an unintentional injury account for approximately 1 in 40 deaths.Between 2006 and 2010, adults and children in the most deprived areas were approximately twice as likely to die as a result of an unintentional injury compared to those people from the least deprived areas.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#661</guid>
</item>
<item>
<title>General Practice  - GP workforce and practice population statistics to 2011</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#665</link>
<description>There has been a steady increase in the headcount of GPs contracted to work in Scottish practices since the introduction of the General Medical Services contract in 2004, rising from 4,456 in 2004 to 4,937 in 2011 (an increase of 10.8%).In the same time period there has been a large rise in the number of salaried GP posts, from 188 in 2004 to 533 in 2011 (an increase of 184%).</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#665</guid>
</item>
<item>
<title>Healthy Life Expectancy</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#664</link>
<description>Whereas life expectancy (LE) is an estimate of how many years a person might be expected to live, healthy life expectancy (HLE) is an estimate of how many years they might live in a ‘healthy’ state. HLE is a key summary measure of a population's health.The most recent annual estimates for Scotland are for boys born in 2010 to live 76.3 years on average, 59.5 of these in a ‘healthy’ state. Girls born in 2010 would be expected to live 80.7 years on average, 61.9 of these years being ‘healthy’.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. This results in estimates of HLE at birth from 2009 onwards being over 8 years lower for each sex. These new estimates form the start of a new time trend for future years.The gap between LE and HLE (the years expected to be spent in a ‘not healthy’ state during the average lifetime) has been fairly constant for females between 1980 and 2008, but tended to increase for males.There are considerable variations in LE and HLE at birth in Scotland between males and females and among different geographical and socio-economic groupings.For example, in 2009-10, male LE at birth ranged from 81.0 years in the least deprived quintile to 70.1 years in the most deprived quintile (a difference of 10.9 years). For male HLE at birth, the figures were 68.5 and 50.0 years respectively (a difference of 18.5 years).  For females, LE at birth ranged from 84.2 years in the least deprived quintile to 76.8 years in the most deprived quintile (a difference of 7.4 years) while for HLE at birth, the figures were 70.5 and 52.5 years respectively (a difference of 18.0 years).LE and HLE both tend to be worse (lower) in Scotland than in the UK as a whole. Scotland has one of the lowest Les in Western Europe. International comparisons of HLE are hampered by the lack of consistent health measures. However, on the basis of a related indicator, disability-free life expectancy, Scotland would appear to compare poorly with many Western European countries, particularly for males.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#664</guid>
</item>
<item>
<title>Suicide Database Report</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#900</link>
<description>There was a total of 760 deaths due to suicide and events of undetermined intent in 2009. Of these, 744 were Scottish residents.Almost three-quarters of those who died were male and almost half aged between 35 and 54 years.Among those of employment age, 68% were in employment and a wide range of occupations were represented.Seventy one percent of suicidal acts occurred in a private dwelling.Sixteen percent of those completing suicide died in hospital.Of the Scottish residents, 441 (59%) had been an inpatient in a general hospital less than five years before death. Of these 441 inpatients, 26% had a diagnosis of ‘Injury from Intentional Self Harm’ and 20% had a diagnosis of ‘Unintentional Injury (including assault by another person)’, at discharge. Twenty one percent had been a psychiatric inpatient less than five years before death.Mood disorders, substance misuse and schizophrenia were the most frequent diagnoses at discharge from a psychiatric unit.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#900</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information; quarter ending September 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#895</link>
<description>There were around 354,000 acute inpatient and day case discharges in the quarter ending September 2011. This is a slight decrease of 0.5% when compared to the same quarter of the previous year but is comparable with the average number of acute inpatient and day case discharges over the last 10 quarters.The total number of outpatient attendances in the quarter ending September 2011 was around 1,159,000.  This is an increase of around 0.9% on the quarter ending September 2010.The average number of available staffed beds in acute specialties was recorded as 16,353 in quarter ending September 2011 and was 16,624 in the quarter ending September 2010.There has been a decrease of 2.7% in the emergency bed day rate per 1,000 population for patients aged 75+ from 5,530 to 5,383 between 2008/09 and 2009/10.  Scotland level data for 2010/11 is not yet available.It should be noted that outpatient, inpatient and day case figures may include an element of estimation for any incomplete or missing data submissions.  Therefore, data for the latest time periods should be treated as provisional.</description>
<pubDate>Tue, 20 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#895</guid>
</item>
<item>
<title>Childhood Immunisation Statistics, quarter ending September 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#667</link>
<description>In Scotland immunisation uptake rates for children aged up to 6 years remain high and stable.Quarterly uptake rates by 24 months of age for primary courses of immunisation against diphtheria, tetanus, pertussis, polio &amp; Hib (DTP/Pol/Hib), MenC and PCV remain high and stable at around 96% to 98%. Uptake rates have exceeded the 95% target for the last decade.Quarterly uptake of one dose of MMR vaccine (MMR1) by 24 months is 94.0% (the previous quarterly figure was 93.5%). Uptake rates by 24 months have continued to be above 90% since autumn 2005. Quarterly uptake of MMR1 by 5 years of age is 96.9% (the previous quarterly figure was 96.4%). Uptake rates by 5 years have remained above the 95% target since September 2008.</description>
<pubDate>Thu, 15 Dec 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#667</guid>
</item>
<item>
<title>18 weeks Referral To Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#650</link>
<description>In September 2011, 89.8% of patient journeys for which an 18 Weeks Referral To Treatment (18 Weeks RTT) waiting time could be measured were reported as being within 18 weeks. The figures for July and August 2011 were 89.4% and 89.7%, respectively.In September 2011, a total of 117,414 patient journeys eligible under the 18 Weeks RTT target were identified. The waiting time could be measured for 95,282 of these patients (81.2%). It was not possible to calculate the waiting time fully for 22,132 patients. NHS Boards are in the process of fully implementing upgrades to their systems to improve the data collection.This is the third publication of 18 Weeks RTT statistics. These data are still at an early stage of development. NHS Boards are working with ISD and Scottish Government to improve the consistency and completeness of these data. This target is due to be delivered from 31 December 2011.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#650</guid>
</item>
<item>
<title>Emergency Department Activity</title>
<link>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#649</link>
<description>During the quarter ending 30 September 2011, the number of new and unplanned return patients attending Emergency Departments across Scotland was approximately; 140,700 in July, 139,900 in August and 137,600 in September.During the quarter ending 30 September 2011, the proportion of new and unplanned return patients attending Emergency Departments across Scotland that were seen within 4 hours was; 97.2 % in July, 97.0% in August and 96.0 % in September.During the quarter ending 30 September 2011, the rate of new and unplanned return attendances (per 100,000 population) at Emergency Departments across Scotland was; 2,695 in July, 2,679 in August and 2,634 in September.The 0-4 age band shows the highest attendance and admission rates for younger ages, while for the remaining younger ages the attendance rate peaks at 20-24 for males and 15-19 for females.From the age of 75 onwards both males and females have at least a 1 in 2 chance of being admitted to a hospital bed following an Emergency Department attendance.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#649</guid>
</item>
<item>
<title>Delayed Discharges in NHSScotland - figures from October 2011 census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#648</link>
<description>At the October 2011 census there were 69 patients delayed for over 6 weeks. This compares with 95 at the July 2011 census and 128 at the October 2010 census.At the October 2011 census, there were a total of 675 delayed discharges in Scotland, compared with 722 at the July 2011 census and 776 at the October 2010 census.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#648</guid>
</item>
<item>
<title>Diagnostic tests waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#647</link>
<description>At 30 September 2011, 39 157 patients were waiting for one of eight key diagnostic tests and investigations. Of these patients:98.9% were recorded as having been waiting no longer than six weeks. This compares to 98.4% of patients waiting no longer than six weeks at 30 June 2011.96.2% were recorded as having been waiting no longer than four weeks. This compares to 95.9% of patients waiting no longer than four 
weeks at 30 June 2011.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#647</guid>
</item>
<item>
<title>Practice Team Information (PTI) 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#675</link>
<description>GP and practice-employed nurses combined had an estimated 23.1 million face-to-face contacts with patients in 2010/11 (with a 95% confidence interval of 22.2 to 24.1 million) with the nurses having a 30% share in this. This represents a decrease of roughly 0.6 million compared to 2009/10 but a rise of over 0.4 million compared to 2008/09. This is largely due to the year 2009/10 having a relatively high consultation rate due to the pandemic flu outbreak whereas 2010/11 had a relatively low consultation rate in early winter due to the heavy snow.The estimated (average) number of GP or practice nurse contacts per patient in 2010/11 was 4.2. Of the patients registered with a practice, three times more males compared to females did not consult at all – the gender difference was particularly apparent in female reproductive age classes. Nearly 12% of the patients had 10 or more contacts (more females than males).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. This reflects the general character of GP workload as opposed to nurse workload, which focuses more on managing specific long-term conditions.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#675</guid>
</item>
<item>
<title>Dental Statistics - Registrations</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#651</link>
<description>At 30th September 2011:The level of the Scottish population (all ages) registered with an NHS GDS dentist was 75.6%, up from 74.6% as at 30th June 2011. The 6-12 age group had the highest level of population registered (97.9%) with an NHS GDS dentist. Among mainland NHS boards, both NHS Ayrshire &amp; Arran and NHS Greater Glasgow &amp;amp; Clyde had the highest level of children registered (86.8%) and NHS Lanarkshire the highest level of adults registered (79.5%). At Scotland level, the rate of participation in NHS General Dental Services among registered patients over the last 2 years was 78.6% for adults and 87.9% for children. Participation rates for children were highest in NHS Borders (92.7%) and lowest in NHS Western Isles (76.3%), while rates for adults were highest in NHS Borders (86.6%) and lowest in NHS Orkney (63.4%).</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#651</guid>
</item>
<item>
<title>National Dental Inspection Programme (NDIP) 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#642</link>
<description>There is a continuing trend of improvement in the oral health of P7 children in Scotland over time, with 69.4% having no obvious decay experience in 2010/11.For the first time, all NHS Boards across Scotland have achieved the target of 60% of P7 children with no obvious decay experience.The average number of teeth affected by obvious decay experience has decreased from 1.29 to 0.70 over the past six years.Although the average number of teeth affected by obvious decay experience is now only 0.70, for those children who do have caries experience the average number of teeth affected by decay is 2.32.Socioeconomic inequalities in the oral health of P7 children persist, with those from all but the most deprived backgrounds having reached the 2010 National Target of 60% with no obvious decay experience.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#642</guid>
</item>
<item>
<title>Audiology Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#645</link>
<description>These data are developmental. ISD is actively working with the NHS Boards to improve the quality and completeness of these data.For those patients recorded as seen during quarter ending 30 September 2011:84.6% (of 18 068 patients) waited less than 12 weeks for a first contact appointment,93.4% (of 9 826 patients) waited less than 12 weeks from assessment to fitting of hearing aid(s) and 96.5% (of 2 147 patients) waited less than 12 weeks from assessment to treatment (excluding fitting of hearing aids).This compares to 73.9%, 89.6% and 97.0% who waited less than 12 weeks in quarter ending 30 June 2011, respectively for the three stagesAs NHS Boards progress towards managing their patients along an 18 Weeks Referral To Treatment pathway, several NHS Boards have introduced a ‘one-stop’ service, where patients can be assessed and treated at a single visit. NHS Borders, Fife, Highland and Tayside are recording Audiology patients who experience a one-stop service separately from the stages of treatment. For those patients recorded as seen during quarter ending 30 September 2011:94.8% (of 1 723 patients) waited less than 18 weeks from referral to treatment at a one-stop clinic.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#645</guid>
</item>
<item>
<title>Scottish Health Service Costs year ended 31st March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#641</link>
<description>Costs Book contains large amounts of data ranging from national and board summaries to detailed information for individual hospitals.  The following examples show the type of information available: Costs Book 2011 analyses £9.8 billion of board operating costs.NHSS is a major employer with a pay bill of over £4.9 billion for staff working in the hospital and community services.Almost £1.4 billion was spent by NHS boards on prescription drugs used in hospitals and dispensed in community pharmacies. This amounts to 14.6% of total operating costs and is the equivalent of £264 for every person in Scotland.The average cost of an attendance at an A&amp;E outpatient consultant-led clinic is £103, while the average cost of treating a patient admitted to hospital for surgery is £3,039. </description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#641</guid>
</item>
<item>
<title>Stroke Statistics update</title>
<link>http://www.isdscotland.org/Health-Topics/Stroke/Publications/index.asp#640</link>
<description>Age-standardised mortality rates for CVD (for those under 75) fell from 17.2 per 100,000 population in 2009 to 15.3 per 100,000 population in 2010, a decrease of almost 11%. They have fallen by 59% over the period 1995-2010, meeting the Scottish Government target of a 50% reduction in premature stroke mortality over the period 1995-2010. The overall costs of prescriptions dispensed for cardiovascular related drugs fell sharply in 2010/11 to £167 million, a reduction of 11.4% on the previous year. This is the lowest gross ingredient cost for cardiovascular drugs observed for any year over the last decade 2001/02 to 2010/11. The annual costs reached a peak of £232 million in 2003/04. Costs often reduce as medicines become available in generic form once drug patents expire.Over the decade 2001/02 - 2010/11 the numbers of prescriptions dispensed for cardiovascular related drugs continued to rise although there has been a slight reduction (0.2%) over the last year to 24,633,819 items prescribed and dispensed in the community in 2010/11.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Stroke/Publications/index.asp#640</guid>
</item>
<item>
<title>Inpatient, Day Case and New Outpatient Stage of Treatment waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#639</link>
<description>At 30 September 2011, 98.9% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatients.At 30 September 2011, 97.3% of inpatients and day cases were waiting less than the 9-week national standard. 9 weeks is the new national standard that came into place on 31 March 2011 replacing the previous 12-week standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases.During quarter ending 30 September 2011, approximately 96.5% of new outpatients seen (all sources of referral) and 95.8% for inpatients and day cases admitted had waited less than the respective 12 and 9 week standards.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#639</guid>
</item>
<item>
<title>Estimating the prevalence of problem drug use in Scotland 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#909</link>
<description>This report provides estimates of the national and local prevalence of problem drug use in Scotland in 2009/10 (1 April 2009-31 March 2010).  These estimates provide an update on the previous estimates produced by the University of Glasgow for calendar years 2000, 2003 and 2006.  </description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#909</guid>
</item>
<item>
<title>Heart Disease Statistics update</title>
<link>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#644</link>
<description>The age-standardised mortality rate (for under 75s) for Coronary Heart Disease (CHD) continues to fall, from 124.6 per 100,000 population in 1995 to 49.0 per 100,000 population in 2010, a reduction of 60.7%. The target to reduce the mortality rate by 60% between 1995 and 2010 has therefore been achieved. There has been a reduction in inequality in mortality rates over the decade 2001-2010. Mortality rates among all deprivation quintiles reduced but the reduction (34.1%) in the age-sex standardised CHD mortality rate among the most deprived category has been almost double the reduction observed in the least deprived category (18.1%).In the 15% most deprived areas in Scotland, the under 75 mortality rate from CHD (standardised by age) decreased slightly from 96.7 in 2009 to 95.5 per 100,000 in 2010. However the rate for males increased by 3.4% from 144.9 in 2009 to 149.8 per 100,000 in 2010. Further information and data are available from the Scottish Government's web site "Scotland Performs" section.Over the decade 2001/02 - 2010/11 the numbers of prescriptions dispensed for cardiovascular related drugs continued to rise although there has been a slight reduction (0.2%) over the last year to 24,633,819 items prescribed and dispensed in the community in 2010/11.The overall costs of prescriptions dispensed for cardiovascular related drugs fell sharply in 2010/11 to £167 million, a reduction of 11.4% on the previous year. This is the lowest gross ingredient cost for cardiovascular drugs observed for any year over the last decade 2001/02 to 2010/11. Costs often reduce as medicines become available in generic form once drug patents expire.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#644</guid>
</item>
<item>
<title>Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply.</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#668</link>
<description>Data show that a headcount of 981 clinical staff (839.7 wte) were working in CAMHS in Scotland as at 30th September 2011; this is an decrease in wte of 1.6% in staff in post since 30th June 2011, or 0.6% decrease in headcount.Nationally, this represents a staffing level of 16.1 wte clinical workers per 100,000 of the population of Scotland.NHSScotland CAMHS vary in the age of population served. In some areas services are provided up to age 16 only; while others offer services up to 18 years. This has significant implications for workforce requirements. Please see Table 2 in the full publication report for details. As at 30th September 2011, an additional 47.8 wte posts were between being advertised and being filled. A further 11.2 wte posts were approved for recruitment but not yet advertised.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#668</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#643</link>
<description>These data show that hospital mortality across Scotland is reducing over time.A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations.</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#643</guid>
</item>
<item>
<title>Workforce: Staff in post; Vacancies (Nursing and Midwifery and Pharmacy); Nursing and Midwifery student intakes and students in training and Nursing and Midwifery student attrition rates</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#659</link>
<description>Annual Comparison: September 2011 to September 2010The total number of staff in post (including GPs &amp; GDs; headcount) as at 30th September 2011 is 161,369, compared with 165,531 (headcount) as at 30th September 2010.  This is a decrease of 2.5% (4,162 headcount).The total number of staff in post (excluding GPs &amp; GDs; WTE) as at 30th September 2011 is 131,339.6, compared with 134,964 (WTE) as at 30th September 2010.  This is a decrease of 2.7% (3,624.4 WTE).The total number of staff in post (excluding GPs &amp; GDs; headcount) as at 30th September 2011 is 154,541, compared with 158,754 (headcount) as at 30th September 2010.  This is a decrease of 2.7% (4,213 eadcount).As of the 3rd August 2011, National Education for Scotland (NES) has taken responsibility for employing GP Specialty Trainees while they are in the GP component of their training.  Previously, these trainees were employed by individual GP practices.  As a result the Hospital, Community and Public Health Services (HCHS) medical staffing has increased by; 477 (headcount) and 449.9 (WTE).  It is therefore important to take account of these additional medical staff when comparing trends across previous years.The number of Hospital, Community and Public Health Services (HCHS) medical and dental staff in post as at 30th September 2011 is 11,960.7 (WTE), compared to 11,440.3 (WTE) as at 30th September 2010, an increase of 4.5% (520.5 WTE).The number of Hospital, Community and Public Health Services (HCHS) medical and dental staff in post as at 30th September 2011 is 13,336 (headcount), compared to 12,757 (headcount) as at 30th September 2010, an increase of 4.5% (579 headcount).</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#659</guid>
</item>
<item>
<title>Workforce Planning for Psychology Services in NHSScotland - Characteristics of the Workforce within Psychology Services 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#654</link>
<description>In total there were 744 (629.8wte) Clinical &amp; Other Applied Psychologists employed in NHSScotland as at 30th September 2011. This is an increase of 1.7% Clinical &amp; Other Applied Psychologists from 30th September 2010.This total of 744 (629.8wte) equates to 688 (580.1 wte) Clinical Psychologists plus 56 (49.7wte) Other Applied Psychologists. This represents a national staffing level of 1 wte Clinical Psychologist per 9,002 of the general population of Scotland.Psychology services increasingly employ a skill-mix of staff. Graduates of the MSc in Psychological Therapies in Primary Care (50.0 wte), Graduates of the MSc in the Applied Psychology of Children and Young People (21.7 wte), assistant psychologists (52.8 wte), cognitive behavioural therapists (32.3 wte), counsellors (19.4 wte), other therapists (12.6 wte), and other clinical staff (14.1)</description>
<pubDate>Tue, 29 Nov 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#654</guid>
</item>
<item>
<title>Scottish ECT Accreditation Network Annual Report 2011; Reporting on 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#633</link>
<description>In 2010 there were 418 patients who received ECT, relating to 522 episodes of care.The most prevalent primary diagnosis for patients starting an episode of ECT was a depressive episode without psychosis (43%).The most common indication for treatment was medication resistance to antidepressants (63%). A total of 9% of patients received ECT as a life-saving procedure.The majority (65%) of episodes involved patients who were capable of giving informed consent.Overall, 75% of patients showed an improvement after an episode of ECT.The proportion of patients who showed an improvement after an episode of ECT was slightly higher for patients without capacity (i.e. unable to give informed consent) (80%), than with capacity (73%), possibly reflecting more serious illness in the former group.The use of continuation or maintenance ECT remains low, with only 18 episodes being recorded in 2010.The most frequently recorded side effect was headache (22%).Critical incidents occurred in 12 (0.3%) treatments.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#633</guid>
</item>
<item>
<title>Cancer Mortality 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#630</link>
<description>In recent years, the overall age-standardised cancer mortality rates have fallen for both males and females.There is considerable variation in trends for different types of cancer. For example, the rate of female deaths due to colorectal cancer has decreased 12% over the last 10 years, while female death rates due to lung cancer have increased almost 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 the elderly.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 (excluding non-melanoma skin cancers). However, there are variations in this pattern when looking at specific types of cancer, for example malignant melanoma of skin.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#630</guid>
</item>
<item>
<title>Scottish National Tariff 2011/2012</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#634</link>
<description>This release shows the 2011/2012 national average estimated Healthcare Resource Group (HRG) cost information to support NHS Boards in agreeing cross-boundary financial flows for acute inpatients and day cases</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#634</guid>
</item>
<item>
<title>Scottish Renal Registry Annual Report</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#636</link>
<description>Incidence: The incidence of new patients starting RRT each year has fluctuated over the past ten years. There appears to be a decreasing trend in the number of incident patients over the past five years, this is due to a decrease in the number of incident patients aged = 65 years.Prevalence: On 31 December 2010 there were 4368 patients receiving RRT. Of these 50% of patients had a functioning kidney transplant, 43% were being treated with haemodialysis (HD) and 7% with peritoneal dialysis (PD). In contrast to numbers of new patients starting RRT, the numbers of prevalent patients is still rising.Life expectancy: The life expectancy of patients receiving RRT is shorter than that of the general population. The survival of patients is influenced by their age at the time of starting RRT and also by their primary renal diagnosis (PRD). The median survival for a patient starting RRT over the past 25 years aged 45 to 64 years with glomerulonephritis was 8.1 years. In contrast the average life expectancy of males from the general population aged 45-64 years is 25.1 years.Kidney transplantation: 181 patients received a kidney transplant in Scotland in 2010. 27% of kidney transplants performed between 2006-2010 were from live kidney donors. The median age at transplantation in the same time period was 46 years. Kidney transplants performed in 2009 had a 96% one year graft survival and a 93% one year patient survival.Vascular access for HD: In May 2011, 75.6% of HD patients had an arteriovenous fistula which is regarded as the best form of vascular access for HD. The remaining 24.4% were using central venous catheters which are prone to infection. The use of arteriovenous (AV) access for HD patients has not improved over the last five years, however there are significant differences in the utilisation between renal units.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#636</guid>
</item>
<item>
<title>Breastfeeding Statistics, 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#637</link>
<description>The Scottish Government target was to increase the proportion of newborn children exclusively breastfed at 6-8 weeks in Scotland from 26.2% in 2006/07 to 32.7% in 2010/11 (an increase of 25%). The exclusive breastfeeding rate at 6-8 weeks has remained static since 2006/07. In 2010/11, 26.5% of babies were exclusively breastfed at the 6-8 week review.Across Scotland, the overall breastfeeding rate at the First Visit review has remained at a broadly similar level over the last decade, with slight increases in the most recent years. Over the same period there has been a slight decrease in the exclusive breastfeeding rate. The prevalence of overall and exclusive breastfeeding at the 6-8 week review has remained static across Scotland over the last decade. The number of Boards included in these statistics has increased from 10 Boards in 2001/02 to all 14 Boards in 2010/11, however these patterns are observed amongst the 10 Boards for which data is available across the entire period presented.Overall breastfeeding rates in the most deprived areas of Scotland have increased over the last decade. The overall breastfeeding rate at the First Visit in the most deprived areas (SIMD quintile 1) in 2010/11 was 30.9%; this has increased from 24.3% in 2001/02. At the 6-8 week review, 22.3% of babies in the most deprived areas were breastfed in 2010/11 compared with 18.1% in 2001/02. In the most affluent areas overall breastfeeding rates have remained fairly constant since 2001/02 but exclusive breastfeeding rates have fallen.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#637</guid>
</item>
<item>
<title>Antibacterial Primary Care Prescribing Indicators Annual Report 2010-11</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#908</link>
<description>There were 163,000 (24%) fewer prescriptions for antibacterials associated with a higher risk of CDI dispensed in 2010-11 than in 2009-10.Seasonal variation in fluoroquinolone use is one of the three prescribing indicators agreed by SAPG and the Scottish Government Health Directorate (SGHD) in support of the HEAT target for CDI reduction. Based on data for year ending March 2011, twelve NHS Boards were below the target and the remaining 2 NHS Boards only slightly above it.There was an increase of 184,000 (6%) prescriptions for recommended antibacterials dispensed in 2010-11 than in 2009-10.In 2010-11, there was a small increase of 28,000 (0.5%) prescriptions for systemic antibacterials dispensed in Scotland compared to 2009-10. This increase was not statistically significant.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#908</guid>
</item>
<item>
<title>Complaints Statistics, year ending March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#892</link>
<description>Main points for complaints to NHS Boards and their Divisions, 2010/11:After a gradual rise in the number of complaints from 1999/00, this figure has been relatively stable in recent years (7,123 in 2009/10 and 7,055 in 2010/11).Of the 7,055 complaints made about Hospital &amp; Community Health Services in 2010/11, 5,217 (74%) related to the Hospital acute service group.The percentage of complaints acknowledged within the national target timescale of three working days from receipt was 95.8%, while the percentage of complaints dealt with within the national target of 20 working days was 67.6%.The most prevalent issue raised in 2010/11 was ‘Treatment’ (36%), followed by ‘Staff’ (34%) and ‘Environment/domestic’ (11%).In 2010/11, 28% of complaints were fully upheld, 33% were partially upheld and 37% were not upheld.Main points for Family Health Services, 2010/11:The number of complaints about Family Health Services in 2010/11 was 3,233. Dental complaints decreased by 21% in 2010/11, while Medical complaints continued to rise.In 2010/11 84% of Family Health Service complaints related to ‘Medical’ services.Main points for Special Boards, 2010/11The total number of complaints relating to the Special Health Boards; National &amp; Support organisations and the Scottish Health Council was 812 in 2010/11. As part of this, Scottish Ambulance Service complaints decreased by 22% (374), Scottish National Blood Transfusion Service complaints remained at a similar level to the previous year (256) and NHS24 complaints reduced by 37% (71).</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#892</guid>
</item>
<item>
<title>Surgical Profiles</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#894</link>
<description>There are 93 clinical indicators within the Surgical Profile, arranged according to 8 surgical specialty groupings, showing hospital and health-board variations in mortality, volume of procedures performed, length of stay and readmissions.The analysis is coupled with a formal process of dialogue with each NHS Board about how they interpret and use the data locally.Each of the 15 NHS Boards have provided an initial response to their Surgical Profile.The Surgical Profile aims to stimulate reflection that may contribute towards improvements in patient care; NHS Boards are asked to respond to ‘outliers’ regardless of whether their rate is high or low.Larger NHS Boards may have a greater number of outliers to review simply due to the higher number of hospitals within their board areas; also some indicators are not applicable to smaller boards.In addition to board and hospital comparisons the surgical profile provides access to national trends in mortality and volume of procedures performed.The project team is working with a number of groups with national remits in order to try and better understand these data.Between 2005 and 2010 crude 30-day mortality has fallen from 0.41% to 0.23% following elective surgical admissions and from 4.11% to 2.11% following non-elective admissions.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#894</guid>
</item>
<item>
<title>Care Home Census 2011 </title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#726</link>
<description>All Adult Care Homes in ScotlandSince March 2000 the number of care homes in Scotland has steadily decreased each year from 1,669 in 2000 to 1,329 in 2011. The average size of care homes, on the other hand, has increased steadily over this period from 27 places in 2000 to 32 places in 2011. In this publication homes are classified according to the main client group they cater for. Of the 42,810 registered places available in Scotland 90 per cent (38,341 places) were for older people, 6 per cent for adults with learning disabilities (2,431 places), 3 per cent for adults with mental health problems (1,123 places), 1 per cent for adults with physical disabilities (630 places) and 1 per cent for other groups (285 places).Care Homes for Older PeopleThe majority of care homes for older people, 635 (69.per cent), were run by the private sector with the remaining 121 (13. per cent) run by the voluntary sector and 164 (18 per cent) run by Local Authorities or Health Boards.</description>
<pubDate>Tue, 25 Oct 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#726</guid>
</item>
<item>
<title>Prescribing Statistics - Medicines used in Mental Health</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#657</link>
<description>The prescribing of Hypnotics, Anxiolytics and Barbiturates increased between 2009/10 and 2010/11, from 2.13 million items 2.14 million items, a rise of 0.37%.A total of 785,741 items for drugs used in psychoses and related disorders were dispensed during 2010/11, an increase of 29,786 (3.93%) items over the previous financial year.A total of 4.66 million antidepressant items were dispensed during 2010/11, an increase of 350,372 from the previous financial year.  It is estimated 11.3% of the Scottish population aged between 15 and over make daily use of antidepressant drugs.Prescribing of drugs indicated for ADHD grew by 3.8 % between 2009/10 and 2010/11, up from 75,768 to 78,679 dispensed items.Prescribing of dementia drugs in Scotland has continued to increase year upon year, from 121,833 dispensed items in 2009/10 to 135,822 dispensed items in 2010/11.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#657</guid>
</item>
<item>
<title>Quality &amp; Outcomes Framework (QOF) of the new GMS contract - achievement, prevalence and exception reporting data 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#618</link>
<description>The average number of points achieved by GMS practices increased from 972.2 in 2009/10 to 976.3 in 2010/11 out of a maximum of 1,000 points in each year.The largest increase in points achieved for a group of indicators was in the Depression indicator group which showed an increase in average achievement of 1.4 points, from 45.4 to 46.8, out of a potential achievement of 50.The average QOF payment to a GMS practice for 2010/11 was £132,592. This was up slightly from £130,778 in 2009/10.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#618</guid>
</item>
<item>
<title>Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply.</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#619</link>
<description>Data show that a headcount of 987 clinical staff (853.5wte) were working in CAMHS in Scotland as at 30th June 2011; this is an decrease in wte of 0.5% in staff in post since 31st March 2011, or 0.2% decrease in headcount.Nationally, this represents a staffing level of 16.3 wte clinical workers per 100,000 of the population of Scotland.NHSScotland CAMHS vary in the age of population served. In some areas services are provided up to age 16 only; while others offer services up to 18 years. This has significant implications for workforce requirements. Please see Table 2 in the full publication report for details.As at 30th June 2011, an additional 31.3 wte posts were between being advertised and being filled. A further 12 wte posts were approved for recruitment but not yet advertised.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#619</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#621</link>
<description>The total number of acute hospital discharges (episodes) was around 1,419,000 for the financial year ending 31 March 2011, this is an increase of 1.1% on the previous year.There were around 350,000 acute inpatient and day case discharges in the quarter ending June 2011. This is a decrease of 2.1% when compared to the same quarter of the previous year.The total number of outpatient attendances at consultant clinics was around 4,538,000 in the year ending March 2011, showing a slight decrease of 0.5% when compared to year ending March 2010The total number of outpatient attendances in the quarter ending June 2011 was around 1,142,000.  This is a very slight decrease on the quarter ending June 2010.The average number of available staffed beds in acute specialties was recorded as 16,685 in the year ending March 2011 and was 17,099 in the year ending March 2010. Over the same time period the average length of stay has reduced from 5.5 to 5.3 days.The average number of available staffed beds in acute specialties was recorded as 16,603 in quarter ending June 2011 and was 16,909 in the quarter ending June 2010.There has been a decrease of 3.0% in the emergency bed days rate per 1,000 population for patients aged 75+ from 5,529 to 5,365 between 2008/09 and 2009/10.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#621</guid>
</item>
<item>
<title>New Cancer Waiting Times April - June 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#622</link>
<description>During the period April - June 2011:95.6% of patients started treatment within 62 days of urgent referral with suspicion of cancer; a decrease of 0.4 percentage points compared to the period January - March 2011.  Within the same period, 97.5% of patients started treatment within 31 days of decision to treat (regardless of the route of referral); a decrease of 0.2 percentage points compared to the period January - March 2011. The target, for both the 31-day and 62-day, set by the Scottish Government is 95% by October – December 2011.For all cancer types combined, NHS Borders reported that 100% of patients started treatment within 62 days, the highest of the mainland NHS Boards in Scotland. The lowest proportion of patients that started treatment within 62 days was found in NHS Grampian, with 88.1%. Aside from Island Boards and the Golden Jubilee, the highest proportion of patients that started treatment within 31 days was found in NHS Borders, with 100%; the lowest proportion was found in NHS Grampian, with 93.8%. </description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#622</guid>
</item>
<item>
<title>National Drug and Alcohol Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#629</link>
<description>In April - June 2011, of the 8,909 drug and/or alcohol clients who started their first treatment 84% had waited 3 weeks or less and half (50%) had waited one week or less.86% of the 5,839 clients who started alcohol treatment between April and June 2011 had waited 3 weeks or less.Approximately 81% of the 3,070 clients who attended an appointment for drug treatment waited 3 weeks or less.Of those who were still waiting to start drug or alcohol treatment (4,937 clients), approximately 15% had waited more than 6 weeks at the end of June 2011.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#629</guid>
</item>
<item>
<title>ScotPHO website annual section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#616</link>
<description>From 1993 to 2003, there was a sharp increase in chronic liver disease (CLD) mortality rates (age-standardised rates) in both men and women. Since then there has been a general decline in the mortality rates for both sexes, however, in 2010 there was a slight increase again for males.Between 2000-05 and 2006-10, age-specific CLD mortality rates declined in most age groups. The exceptions were men aged 35-39 years, men aged 85 years and over, all age groups for women aged &lt;40, and women aged 50-54 years.In contrast to other age-groups, age-specific CLD mortality rates in women aged &lt;40 years rose each time period between 1981-85 to 2005-10.In 2010, 4,520 people (2,835 men and 1,685 women) in Scotland had a diagnosis of CLD on discharge from hospital.Between 1989 and 2010, there has been an approximate three-fold increase in the rate of individuals with a diagnosis of CLD</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#616</guid>
</item>
<item>
<title>NHS Smoking Cessation Service Statistics (Scotland) 1st  April 2008 to 31st March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#617</link>
<description>There were 228,353 quit attempts made with the help of NHS smoking cessation services in Scotland between 1st April 2008 and 31st March 2011.The total number of ‘self-reported’ quits at one month after ‘quit date’ in Scotland in the period 1st April 2008 to 31st March 2011 was 89,075.The smoking cessation HEAT target for 2008/09 to 2010/11 was to achieve 83,975 successful quit attempts at one month, across NHS smoking cessation services in Scotland.  The 89,075 quits achieved exceeds the target number by 5,100 or 6.1%.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#617</guid>
</item>
<item>
<title>Sterilisation Key Clinical Indicator (KCI)</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#628</link>
<description>9.6 women per 10,000 (aged 15-49) had a sterilisation procedure in 2010, compared with 10.9 in 2009.A total of 5,367 vasectomies were carried out in 2010 across multiple settings in Scotland. This compares with 5,974 vasectomies performed in 2009.Of the total number of vasectomies performed in 2010, 2,222 were performed as inpatient/day case procedures.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#628</guid>
</item>
<item>
<title>HIV Therapy Key Clinical Indicator (KCI)</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#626</link>
<description>A high proportion of those eligible for HIV treatment and care in Scotland are receiving it.Therapy continues to be successful: 95% of patients undergoing treatment for at least six months during 2010 had evidence of viral suppression.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#626</guid>
</item>
<item>
<title>Prescribing Statistics -  Drugs indicated in the treatment of obesity</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#692</link>
<description>A total of 95,108 items were prescribed in Scotland during 2010/11, a decrease of 29.3% on the previous year.Expenditure on obesity drugs decreased from £4.64 million to £3.39 million between 2009/10 and 2010/11.Prescribing of Orlistat fell by 11.1%, down from 106,927 items in 2009/10 to 95,084 in 2010/11.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#692</guid>
</item>
<item>
<title>Workforce Planning for Psychology Services in NHSScotland - Characteristics of the Workforce within Psychology Services 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#609</link>
<description>In total there were 742 (627.5wte) Clinical &amp; Other Applied Psychologists employed in NHSScotland as at 30th June 2011.  This is an increase of 0.1% headcount and a decrease of 0.6% wte form 31st March 2011.This total of 742 (627.5wte) equates to 688 (579.3 wte) Clinical Psychologists plus 54 (48.2wte) Other Applied Psychologists. This represents a national staffing level of 1 wte Clinical Psychologist per 9 015 of the general population of Scotland.Psychology services increasingly employ a skill-mix of staff.   Graduates of the MSc in Psychological Therapies in Primary Care (53.5 wte Clinical Associates), Graduates of the MSc in the Applied Psychology of Children and Young People (22.7 wte), assistant psychologists (62.7 wte), cognitive behavioural therapists (28.4 wte), counsellors (18.4 wte), other therapists (12.5 wte), and other clinical staff (14.9 wte), were employed in NHSScotland psychology services as at 30th June 2011.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#609</guid>
</item>
<item>
<title>Chlamydia Key Clinical Indicator (KCI)</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#891</link>
<description>In Scotland during 2010, the majority of chlamydia testing (73%) was performed on women; this has been a consistent observation over the past five years.As in previous years, while the majority of samples testing positive (73%) were from men and women aged less than 25, less than half of all testing (48%) was performed on individuals in this age group.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#891</guid>
</item>
<item>
<title>Prescribing Statistics - Prescribing of smoking cessation interventions</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#688</link>
<description>Prescribing of smoking cessation products show seasonal variation.The sharp peaks which start rising from January into February, culminating in March may be due to New Year Resolutions, while the steady decline after March may be due to successfully quitting or else relapsing.Prescribing of smoking cessation products increased sharply just before the ban on smoking in public places was introduced in Scotland in March 2006.Of the prescribable treatments for smoking cessation, Nicotine Replacement Therapy is the most prevalent. </description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#688</guid>
</item>
<item>
<title>Prescribing Statistics - Dispenser Remuneration</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#613</link>
<description>The gross total payments to Scottish dispensing contractors continue to increase year on year.The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement continues to increase, however the cost for remuneration of services shows a decrease in quarter 1 of 2011/12 (around £50.5 million) from quarter 1 of 2010/11 (around £51.5 million).  This is due to changes in the remuneration arrangements negotiated between Community Pharmacy Scotland and the Scottish Government.The gross ingredient amount of payments to dispensing contractors for the first quarter of 2011-12, in respect of various fees and allowances for dispensing prescriptions and providing pharmaceutical services was £254 million.  This is an increase of just under £3 million (1.1%) when compared to the first quarter of 2010-11.The cost of a single prescription was reduced from £3.00 to £0.00 in April 2011.</description>
<pubDate>Tue, 27 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#613</guid>
</item>
<item>
<title>HPV Immunisation Uptake Statistics, 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#627</link>
<description>By mid-August 2011 uptake rates for girls in S2 in school year 2010/11 were 91.8% for the first dose, 90.2% for the second dose and 81.0% for the third dose.  Data from the first three years of the HPV immunisation programme show that a number of girls in S2 complete their immunisation course after the end of the school year in which they were first offered the vaccine.  Therefore uptake rates are expected to increase slightly, for the third dose in particular as some girls will have started their course of HPV vaccinations later in the school year and therefore will not be due their third dose until school year 2011/12.  Updated uptake rates for these girls will be published in September 2012.</description>
<pubDate>Thu, 22 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#627</guid>
</item>
<item>
<title>Childhood Immunisation Statistics, quarter ending June 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#623</link>
<description>In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of immunisation against diphtheria, tetanus, pertussis, polio &amp; Hib (DTP/Pol/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% (the previous quarterly figure was 93.3%).  Quarterly uptake by 5 years of age is 96.4% (the previous quarterly figure was 96.2%).Quarterly uptake of the Hib/MenC booster by 24 months is 95.0% (the previous quarterly figure was 94.2%), and uptake of the PCV booster by 24 months is 93.9% (the previous quarterly figure was 93.6%).</description>
<pubDate>Thu, 22 Sep 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#623</guid>
</item>
<item>
<title>Waiting Times (comprising: 18 Weeks RTT, Inpatient, Day case and Outpatient stage of treatment waiting times, Emergency Department, Diagnostic and Audiology)</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#593</link>
<description>In June 2011, 89.7% of patients on an 18 Weeks Referral To Treatment (18 Weeks RTT) pathway were reported as being seen within 18 weeks. The figures for April and May 2011 were 85.4% and 88.1%, respectively.To be able to report the 18 Weeks RTT waiting time it is necessary for NHS Boards to link the patient's ‘clock start’ to the ‘clock stop’. Hospital information systems are being upgraded to provide high levels of linkage. Performance against the 18 Weeks RTT target should be interpreted in consideration of the level of pathway linkage. In June, 2011 pathway linkage was 74.7%.Audiology data are classed as developmental, Official Statistics, and the publication tables have been significantly revised for this publication to provide a clearer presentation of Audiology waiting times information.For Audiology patients recorded as seen during quarter ending 30 June 2011, 73.9% waited less than 12 weeks for a first contact appointment, 89.6% waited less than 12 weeks from assessment to fitting of hearing aid(s) and 97.0% waited less than 12 weeks from assessment to treatment (excluding fitting of hearing aids).At 30 June 2011, 39,446 patients were waiting for one of eight key diagnostic tests and investigations. Of these patients, 98.4% were recorded as having been waiting no longer than 6 weeks and 95.9% were recorded as having been waiting no longer than 4 weeks.During the quarter ending 30 June 2011, the proportion of patients attending Emergency Departments across Scotland that were seen within 4 hours was; 95.9 % in April, 96.0 % in May and 96.0 % in June.At 30 June 2011, 99.4% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards, from 31 March 2010, to measure performance against Scottish Government waiting times standards for new outpatients.At 30 June 2011, 99.1% of inpatients and day cases were waiting less than the 9-week national standard. This is the statistic used by NHS Boards, from 31 March 2011, to measure performance against Scottish Government waiting times standards for inpatients and day cases.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#593</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#607</link>
<description>These data show that hospital mortality across Scotland is reducing over time.A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#607</guid>
</item>
<item>
<title>Emergency Department</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#887</link>
<description>During the quarter ending 30 June 2011, the proportion of patients attending Emergency Departments across Scotland that were seen within 4 hours was; 95.9 % in April, 96.0 % in May and 96.0 % in June*.During the quarter ending 30 June 2011, the number of patients attending Emergency Departments across Scotland was approximately; 139,200 in April, 143,300 in May and 126,600 in June*.During the quarter ending 30 June 2011, the rate of attendance (per 100,000 population) at Emergency Departments across Scotland was approximately; 2,670 in April, 2,740 in May and 2,620 in June*.* Scotland figures for June 2011 exclude NHS Ayrshire &amp; Arran. See note 1 for further details.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#887</guid>
</item>
<item>
<title>Inpatient, Day case and Outpatient stage of treatment waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#886</link>
<description>At 30 June 2011, 99.4% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatients [Table 1].At 30 June 2011, 99.1% of inpatients and day cases were waiting less than the 9-week national standard. 9 weeks is the new national standard that came into place on 31 March 2011 replacing the previous 12-week standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases [Table 3].During quarter ending 30 June 2011, approximately 98.1% of new outpatients seen (all sources of referral) and 96.9% for inpatients and day cases admitted had waited less than 12 weeks [Table 2 &amp; Table 4].</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#886</guid>
</item>
<item>
<title>Workforce (comprising Staff in post, Staff turnover and Vacancies (Consultant, Nursing and Midwifery and AHP))</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#836</link>
<description>The total number of staff in post (headcount) as at 30th June 2011 is 155,312 (excluding GPs &amp; GDs) compared with 156,901 (headcount) as at 31st March 2011.  This is a decrease of 1.0% (1,589 headcount).The total number of staff in post (WTE) as at 30th June 2011 is 131,914.9 (excluding GPs &amp; GDs) compared with 133,325.6 (WTE) as at 31st March 2011.  This is a decrease of 1.1% (1,410.7 WTE).The number of Hospital, Community and Public Health Services (HCHS) medical and dental staff in post as at 30th June 2011 is 12,736 (headcount), compared to 12,786 (headcount) as at 31st March 2011, a decrease of 0.4% (50 headcount).The number of consultants in post as at 30th June 2011 is 4,685 (headcount), compared to 4,714 (headcount) as at 31st March 2011, a decrease of 0.6% (29 headcount).The number of nursing and midwifery staff in post as at 30th June 2011 is 56,681.2 (WTE), compared to 57,166.9 (WTE) as at 31st March 2011, a decrease of 0.8% (485.7 WTE). The corresponding headcount also showed a decrease of 0.9% (569 headcount) from 66,425 as at 31st March 2011 to 65,856 as at 30th June 2011. </description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#836</guid>
</item>
<item>
<title>Quality Outcome Measure 10: Percentage of last 6 months of life spent at home or in a community setting</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#879</link>
<description>At Scotland level, 2009/10 data shows that, on average, the proportion of the last 6 months of life spent at home or in a community setting is 90.7%This represents a marginal increase from 90.4% in 2005/06.Across health boards, the proportion of the last six months of life spent at home or in a community setting in 2009/10 varies between 88.4% and 93.6%.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#879</guid>
</item>
<item>
<title>Delayed Discharges in NHSScotland - figures from July 2011 census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#606</link>
<description>There were 95 patients delayed for over 6 weeks in the July 2011 census. This compares with 12 at the April 2011 census and 62 at the July 2010 census.At the July 2011 census, there were a total of 722 delayed discharges in Scotland, compared with 665 at the April 2011 census, and 708 at the July 2010 census.The median duration to the census point for all delayed discharges was 21 days (21 days at the April 2011 and July 2010 census).</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#606</guid>
</item>
<item>
<title>Diagnostic</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#888</link>
<description>At 30 June 2011, 39,446 patients were waiting for one of eight key diagnostic tests and investigations. Of these patients:98.4% were recorded as having been waiting no longer than 6 weeks. This compares to 97.6% of patients waiting no longer than 6 weeks at 31 March 2011.95.9% were recorded as having been waiting no longer than 4 weeks. This compares to 95.8% of patients waiting no longer than 4 weeks at 31 March 2011.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#888</guid>
</item>
<item>
<title>18 Weeks Referral To Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#885</link>
<description>In June 2011 89.7% of patients on an 18 Weeks Referral To Treatment (18 Weeks RTT) pathway were reported as being seen within 18 weeks. The figures for April and May 2011 were 85.4% and 88.1%, respectively.To be able to report the 18 Weeks RTT waiting time it is necessary for NHS Boards to link the patient's ‘clock start’ to the ‘clock stop’. Hospital information systems are being upgraded to provide high levels of linkage. Performance against the 18 Weeks RTT target should be interpreted in consideration of the level of pathway linkage. In June 2011 pathway linkage was 74.7%.This is the second publication of 18 Weeks RTT statistics. These data are still at an early stage of development. NHS Boards are working with ISD and Scottish Government to improve the consistency and completeness of these data. This target is due to be delivered from 31 December 2011.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#885</guid>
</item>
<item>
<title>Dental Statistics - Fees &amp; Treatments</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#590</link>
<description>NHS GDS FeesThe average expenditure per head of adult population within NHS GDS increased by £1, from £43 in 2010 to £44 in 2011. The average expenditure per head of child population was unchanged at £62.The total spend on NHS GDS child and adult item of service fees and registrations for year ending 31st March 2011 was approximately £249 million, an increase of approx 3% from year ending 31st March 2010.NHS GDS Courses of TreatmentThe number of examinations (clinical, extensive clinical, full case assessment and treatment summary) carried out by NHS GDS dentists in year ending 31st March 2011 was approximately 2.53 million, an increase of 114,872 (4.7%) from year ending 31st March 2010.The number of tooth extractions carried out by NHS GDS dentists increased by 2.4% from 518,685 in year ending 31st March 2010 to 531,055 in year ending 31st March 2011.There were increases in the number of root fillings (6%), crowns (4%) and fillings (3%) provided in year ending 31st March 2011 compared to the previous financial year.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#590</guid>
</item>
<item>
<title>Dental Statistics - Registrations</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#591</link>
<description>At 30th June 2011:The level of the Scottish population (all ages) registered with an NHS GDS dentist was 74.6%, up from 73.2% as at 31st March 2011.The 6-12 age group had the highest level of population registered (96.2%) with an NHS GDS dentist.Among mainland NHS boards, both NHS Ayrshire &amp; Arran and NHS Greater Glasgow &amp; Clyde had the highest level of children registered (85.6%) and NHS Lanarkshire the highest level of adults registered (78.4%).At Scotland level, the rate of participation in NHS General Dental Services among registered patients over the last 2 years was 79.5% for adults and 88.2% for children.Participation rates for children were highest in NHS Borders (92.6%) and lowest in NHS Western Isles (74.3%), while rates for adults were highest in NHS Borders (87.2%) and lowest in NHS Orkney (63%).</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#591</guid>
</item>
<item>
<title>Improving ethnic data collection for equality and diversity monitoring</title>
<link>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#598</link>
<description>For Scotland as a whole there have been substantial improvements in the recording of ethnic group. Completeness of recording has more than doubled over the last two years for both acute hospital discharges and new outpatients.Despite this improvement, the recording of ethnicity remains relatively low: a valid ethnic group code was recorded in only 51% of acute inpatient and day case records (SMR01) in the quarter ending March 2011 and only 33% of new outpatient appointment records (SMR00).In the last two quarters the figures for some Boards may have been affected by the implementation of the new NHS Patient Management System (PMS).</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#598</guid>
</item>
<item>
<title>Cancer Incidence 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#605</link>
<description>In recent years, the overall age-standardised incidence rates have fallen slightly for males and increased significantly for females.Incidence rates 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, likely to be largely due to an ageing population.Based on current trends, more than one in three people in Scotland will develop cancer in their lifetime.As at 31 December 2009, there were approximately 153,000 people in Scotland who were living with a cancer that had been diagnosed within the previous 20 years.Details of these statistics can be found by cancer site on the Cancer website and summarised in the Cancer in Scotland Summary report.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#605</guid>
</item>
<item>
<title>Audit of Critical Care in Scotland 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#599</link>
<description>Delayed discharges:Delays continue to increase (although this may be partly due to improvements in the data collection method). The main reason for both ICU and HDU delays is delay in obtaining downstream beds. Unit level data is available for the first time in figures 15 and 16. One hospital has 3 units who are above 3 standard deviations and we would advise that this is reviewed locally.Out of hours discharges:Out of hours discharges remain around 15%, reasons may be due to overall shortage of unit beds and difficulties in finding a downstream bed.Source of Admission: The number of patients admitted to ICU/Combined Units directly from the Emergency Department now exceeds that admitted from wards. This may be that critically ill patients are being recognised and treated quicker.Level 0 Patients in Critical Care: 1% of ICU/Combined unit episodes and 6% of HDU episodes are Level 0. Level 0 is defined as a patient where adequate monitoring could be provided in a general ward. SICSAG advise that units with a high proportion of level 0 patients review this locally.ICU mortality continues to improve: The Scottish ICU Standardised mortality ratio is 0.86 – a continuation of the downward trend seen over the last ten years.Quality improvement measures/processes: Appendix 2 and 3 show that quality improvement measures continue in all units.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#599</guid>
</item>
<item>
<title>Scottish Bowel Screening Programme Statistics (Nov 2008-October 2010)</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#597</link>
<description>Overall in Scotland uptake was 53.7%, a rise of 0.7% compared with the two year period November 2007 to October 2009. The NHS Quality Improvement Scotland (now known as Healthcare Improvement Scotland) standard for Bowel Screening uptake is 60%. Uptake for females in Scotland was 57.2% and uptake for males was 50.0%.Uptake was lower in areas of higher deprivation. Uptake for females in the two least deprived quintiles exceeded the standard at 66.6% and 62.8% respectively. Only 38.7% of males living in the most deprived quintile take up the offer of screening.8.0% of men and 6.4% of women who had a positive screening test result (and who went on for further investigations) had either polyp cancer or invasive colorectal cancer.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#597</guid>
</item>
<item>
<title>Scottish Cervical Screening Programme Statistics 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#596</link>
<description>Of all eligible women, approximately 74% have taken up the invitation to screening within the last 3.5 years.Just over 390,000 cervical screening tests were processed within the programme which is an increase of approximately 4% in the last 3 years since 2007-08.Of all tests processed, just over 97% were of satisfactory quality. Of satisfactory results, 90.8% had a negative result, 7.9% had a low grade cell change and the remaining 1.3% had high grade cell changes.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#596</guid>
</item>
<item>
<title>Audiology</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#889</link>
<description>These data are developmental. ISD is actively working with the NHS Boards to improve the consistency and completeness of these data.For those patients recorded as seen during quarter ending 30 June 2011: 73.9% (of 19,869 patients) waited less than 12 weeks for a first contact appointment, 89.6% (of 10,039 patients) waited less than 12 weeks from assessment to fitting of hearing aid(s) and 97.0% (of 1,552 patients) waited less than 12 weeks from assessment to treatment (excluding fitting of hearing aids). This compares to 71.3%, 77.7% and 96.5% who waited less than 12 weeks in quarter ending 31 March 2011, respectively for the three stages.The Audiology publication tables have been significantly revised to provide a clearer presentation of Audiology waiting times information.A correction to the methodology for counting audiology waits has been applied to the August 2011 publication onwards. All aggregated data will now be reported as “x weeks and over”. For example, patients with waits between 84 and 90 days inclusive will now be included in the category waiting '12 weeks and over’, where previously they were excluded from the cohort of 'over 12 weeks’.As NHS Boards progress towards managing their patients along an 18 Weeks Referral To Treatment pathway, several NHS Boards have introduced ‘one-stop’ clinics, where patients can be assessed and treated at a single visit. From January 2011, NHS Boards have the option to record Audiology ‘one-stop’ patients separately from the stages of treatment.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#889</guid>
</item>
<item>
<title>Births in Scottish Hospitals, year ending 31 March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#600</link>
<description>Babies born in Scotland: There were 58,356 births recorded on SMR02 for year ending March 2010. This compares to 58,884 (provisional) births registered in Scotland by the National Records Service in the same time period.Mothers are getting older: There was a steady increase in the proportion of births to mothers aged 30-34, from 13% in 1976 to a peak of 31% in 2002, but this has now declined slightly to 27% in 2010. The proportion of births to mothers in the 35-39 group climbed steadily to 17% in 2008 from 4% twenty years ago and has now decreased to 16%. Nearly 4% of births are to mothers aged forty and over compared to less than 1% during the 1980s.Smoking in pregnancy: The overall percentage of women who reported smoking at the time of their first antenatal booking has decreased consistently from 29.0% in 1995 to 18.8% in 2010. However, it should be noted that the percentage of 'unknowns' has risen from 5% in 1995 to 10.7% in 2010 and that this may include a proportion of smokers. This is an improvement on 2009, when ‘unknowns’ accounted for 14.2%. There is known to be considerable under-reporting of smoking by pregnant women themselves.Caesarean section: 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 4 years to 14.8%. The rate of elective* or planned caesarean sections has continued to rise from 4.7% in 1976, to 10.5% in 2010. Together this has resulted in an overall increase in caesarean section rates from 8.6% in 1976 to 25.4% in 2010.</description>
<pubDate>Tue, 30 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#600</guid>
</item>
<item>
<title>Suicide Statistics 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#594</link>
<description>There were 781 suicides (deaths from intentional self harm and events of undetermined intent combined) in Scotland in 2010. This is an increase on the 2009 figure, and equates to an age-sex-standardised rate of 14.7 per 100,000 population.Based on three-year rolling averages, between 2000-02 and 2008-10 there was a 14% fall in suicide rates overall (15% for males and 9% for females). The national target is to reduce the suicide rate in Scotland by 20% between 2000-02 and 2011-2013.In 2010, the suicide rate for males was just under three times that for females.Suicide is a leading cause of mortality in those under the age of 35 years.Suicide rates generally increase with increasing deprivation, with rates in the most deprived areas of Scotland significantly higher than the Scottish average. The rate is four times higher in the most deprived decile (tenth of the population) compared to the least deprived decile.Scottish rates vary among NHS boards and local authority areas. Between 2001-05 and 2006-10, the age-sex-standardised suicide rate per 100,000 population decreased in 8 of the 14 NHS Boards and in 19 of the 32 local authorities. For both sexes combined, the rate was significantly higher than the rate for Scotland in one NHS board (Greater Glasgow and Clyde) and one local authority area (Glasgow City).In 2008 (the latest year for which comparable UK data are available) the Scottish female rate (7.7 per 100,000 population) was higher than rates in other parts of the UK, for example, 3.8 for England and Wales*.In 2008 the Scottish male rate was 24.1 per 100,000 population, compared to 12.6 in England and Wales*.A change in the procedure used by the Crown Office and Procurator Fiscal Service to inform National Records of Scotland (NRS) (formally GROS) about suicides was implemented mid-2009. This procedural change appears to have had little effect on the figures. Full details can be viewed in the http://www.gro-scotland.gov.uk/statistics/theme/vital-events/deaths/suicides/effect-of-09-procedural-change.htmlNRS website.*Numbers of suicides (and therefore suicide rates) in the smaller nations of the UK are subject to a greater degree of year-on-year fluctuation than is found in England. In making UK comparisons it is therefore preferable to use pooled rates over several years. Pooled rates were not available, however, so caution should be taken when interpreting these data.</description>
<pubDate>Fri, 5 Aug 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#594</guid>
</item>
<item>
<title>Ophthalmic Workload Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Eye-Care/Publications/index.asp#592</link>
<description>The total number of NHS eye examinations increased by 1.6% from 1.78 million for year ending 31 March 2010 to 1.80 million for year ending 31 March 2011.The number of patients receiving a primary eye examination decreased by 9.1% from 1,655,075 for year ending 31 March 2010 to 1,504,230 for year ending 31 March 2011. Of the 1,504,230 primary eye examinations, 1,497,503 were for ordinary residents, a decrease of 9.1% and 6,727 were for exempt visitors, a decrease of 14.7%.The number of patients receiving a supplementary eye examination increased by 149.6% from 120,381 for year ending 31 March 2010 to 300,451 for year ending March 2011. Of the 300,451 supplementary eye examinations, 299,276 were for ordinary residents, an increase of 149.7% and 1,175 were for exempt visitors, an increase of 122.1%.</description>
<pubDate>Tue, 26 Jul 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Eye-Care/Publications/index.asp#592</guid>
</item>
<item>
<title>Scottish Breast Screening Programme Statistics 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#589</link>
<description>Annual update of breast screening statistics to 31st March 2010, including uptake, cancer detection rates, biopsy results and other outcomes.NHSBSP Performance Standards, at 31st March 2010: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.In 2009-10, all NHS Breast Screening Programme Minimum Performance Standards were met.</description>
<pubDate>Tue, 26 Jul 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#589</guid>
</item>
<item>
<title>Cardiovascular Anticipatory Care Screenings 2010-11...
</title>
<link>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#834</link>
<description>A total of 41,107 checks were reported by 14 Health Boards in Scotland in the year to 31st March 2011.The total number of checks reported in the year to 31st March 2010 was 29,433The target number of checks for the year to 31st March 2011 was 23,579.The number of reported checks varied from 90 in Shetland NHS Board to 13,503 in Greater Glasgow and Clyde NHS Board.</description>
<pubDate>Tue, 26 Jul 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#834</guid>
</item>
<item>
<title>Provision of Injecting Equipment in Scotland, 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#833</link>
<description>263,424 contacts were reported across IEP outlets in Scotland. Where gender of the client was reported, 78% of contacts were made by males. NHS Greater Glasgow and Clyde reported the largest number of contacts (73,529), followed by NHS Lothian (48,079).A total of 4.68 million needles/syringes were reported to have been distributed in 2009/10, an increase from 4.38 million in 2008/09. NHS Greater Glasgow and Clyde reported the highest number of needles/syringes distributed (1.28 million).A total of 2.62 million needles/syringes were reported to have been returned to IEP services in 2009/10, an increase from 2.48 million in 2008/09. Approximately 540,000 needles/syringes were returned in the NHS Greater Glasgow and Clyde area. It should be noted that there are other safe disposal routes for needles/syringes that are not covered by this survey, so the reported returned figure is likely to be an underestimate.As well as needles/syringes, other injecting paraphernalia can be provided by IEP outlets. In 2009/10, the most commonly provided items of injecting paraphernalia were wipes/swabs and citric acid/vitamin C. Filters and spoons/other forms of cooker showed a large increase between 2008/09 and 2009/10. However, many IEP outlets only started to distribute filters after April 2009 which explains the increase for that item.</description>
<pubDate>Tue, 26 Jul 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#833</guid>
</item>
<item>
<title>Long Acting Reversible Contraception (LARC) Key Clinical Indicator (KCI)</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#724</link>
<description>The majority (10 out of 13) of NHS boards have increased their uptake of these very long acting or ‘lasting’ methods.The contraceptive implant continues to be the most popular method of LARC.</description>
<pubDate>Tue, 26 Jul 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#724</guid>
</item>
<item>
<title>Prescribing and Medicines: Annual and quarterly update of prescription charges Financial year 2005/06 to 2010/11, and financial Q1 to Q4 2010/1</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#829</link>
<description>Due to falling charges, the total income generated by sales of all prescriptions has steadily decreased.  As of 1 April 2011, prescription items are now dispensed free of charge in Scotland.The volume of prescription items dispensed where the patient held a pre-payment decreased slightly over the past year.  The number of prescriptions dispensed where a charge was paid at the point of delivery has increased in the last year, as did the volume of prescription items dispensed where the patient was exempt from paying any charge.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#829</guid>
</item>
<item>
<title>Care Home Census 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#580</link>
<description>As at 31st March 2010 there were 1,375 care homes for adults providing 43,887 places and housing 36,359 long stay residents, of which 58 per cent required nursing care and 44 per cent had medically diagnosed dementia.As at the 31st of March 2010 there were 943 care homes for older people providing 39,150 places and housing 32,685 long stay residents. Around a third of residents had been in the care home for more than three years.The average weekly charge for publicly funded long stay residents was £465 per week without nursing care and £540 per week with nursing care in line with the rates agreed in the National Care Homes contract. The average weekly charge for self-funding residents was £582 per week without nursing care and £657 per week with nursing care.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#580</guid>
</item>
<item>
<title>Prescribing and Medicines: Reimbursement and remuneration paid to dispensing contractors Calendar and financial years 2006-2011</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#831</link>
<description>The gross total payments to Scottish dispensing contractors continue to increase year on year.The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement continues to increase, as does the cost for remuneration of services.The gross ingredient amount of payments to dispensing contractors for the financial year 2010-11, in respect of various fees and allowances for dispensing prescriptions and providing pharmaceutical services was £1.16 billion.  This is an increase of £12million (1.2%) when compared to the financial year 2009-10.The cost of a singe prescription reduced from £4.00 to £3.00 in April 2010.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#831</guid>
</item>
<item>
<title>Prescribing and Medicines: Prescription Cost Analysis Financial Year - 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#830</link>
<description>The generic prescribing rate has decreased for the first time in over ten years, decreasing from 82.2% in 2009/10 to 81.8% in 2010/11.In 2010/11 aspirin (primarily prescribed to help prevent cardiovascular disease) was the most commonly prescribed drug by volume and atorvastatin (used for controlling cholesterol) was the most expensive by gross ingredient cost; these are consistent with 2009/10.The total volume of items dispensed in Scotland in 2010/11 is 91.1 million, a rise of 2.4% between 2009/10 and 2010/11.The total (net) cost rose by 2.5% in 2010/11 compared to 2009/10 to almost £1.14 billion.NHS Lothian has the lowest items (12.4) and net cost (£170.82) per person on a GP list size, with NHS Western Isles the highest in terms of both items (23.0) and net cost (£238.45) in 2010/11.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#830</guid>
</item>
<item>
<title>Prescribing and Medicines: Minor Ailments Service (MAS) April 2010 - March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#828</link>
<description>There is an increasing trend in registrations between April 2010 and March 2011, indicating that in the majority of months the number of new registrations is greater than the number of lapsed registrations.In Scotland, 99.8% of community pharmacies have patients registered for MAS at 31st March 2011.At 31st March 2011, 790,509 people were registered for the service. On average 14.3% of those registered with a GP in Scotland are also registered for MAS.Between April 2010 and March 2011 almost 1.7 million items were dispensed under MAS at a cost of £3.49 million.MAS accounted for 1.8% of all items dispensed in the community in Scotland, with paracetamol being the top item dispensed.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#828</guid>
</item>
<item>
<title>Findings from the 6th Balance of Care/Continuing Care Census, 31 March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#570</link>
<description>The number of NHS Continuing Health Care patients (Category A) has continued to decrease. In March 2011, 2099 patients were reported as Category A, this compares to 2285 in September 2010 (a fall of 8%) and 2495 in March 2010 (an overall fall of 16%). (Figure 1, Table 1)The 2099 patients reported as receiving NHS Continuing Health Care in March 2011, corresponds to a European age/sex standardised rate of 26 patients per 100 000 Scottish population. There is a significant variation in the rate for each NHS Board. NHS Western Isles and NHS Greater Glasgow and Clyde have the highest rates of Category A patients per 100 000 population, at 45 and 43 respectively, compared with 3 patients per 100 000 population in NHS Dumfries &amp;Galloway. (Table 5)For those patients who do not meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set (Category B), 496 patients were reported in March 2011, a rise of 26 patients (6%) from September 2010 and a rise of 82 patients (20%) from March 2010. This increase can in part be explained by (i) patients whose status has changed between censuses and (ii) patients who had previously been in hospital for less than a year but as at March 2011 their length of stay was over 1 year. (Figure 1, Table 1)</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#570</guid>
</item>
<item>
<title>Alcohol Brief Interventions 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#572</link>
<description>In 2010/11, there were 88,138 alcohol brief interventions delivered in Scotland.Over the three-year period of the target, there were 174,205 alcohol brief interventions delivered in Scotland.The HEAT H4 target on the number of alcohol brief interventions delivered was met at the Scotland level.All Health Boards, with the exception of NHS Shetland, met their Health Board specific target on the number of alcohol brief interventions delivered.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#572</guid>
</item>
<item>
<title>NHSScotland Psychology Services Workforce Information as at 31st March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#573</link>
<description>In total there were 741 (631.0 wte) Clinical &amp; Other Applied Psychologists employed in NHSScotland as at 31st March 2011.  This is an increase of 1.9% Clinical &amp; Other Applied Psychologists compared to 30th September 2010.This total of 741 (631.0 wte) equates to 688 (583.7 wte) Clinical Psychologists plus 53 (47.3wte) Other Applied Psychologists. This represents a national staffing level of 1 wte Clinical Psychologist per 8 946 of the general population of Scotland.Psychology services increasingly employ a skill-mix of staff.   Graduates of the MSc in Psychological Therapies in Primary Care (56.5 wte Clinical Associates), Graduates of the MSc in the Applied Psychology of Children and Young People (22.5 wte), assistant psychologists (73.9 wte), cognitive behavioural therapists (30.2 wte), counsellors (15.8 wte), other therapists (15.5 wte), and other clinical staff (15.8 wte), were employed in NHSScotland psychology services as at 31st March 2011. </description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#573</guid>
</item>
<item>
<title>National Drug Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#579</link>
<description>Time waited from referral to assessment date offeredIn Jan-Mar 2011, approximately 94% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1).Approximately 77% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jan-Mar 2011, and which was within 14 days of referral (Table 1).Of those who were still waiting for an appointment for assessment, approximately 3% had waited more than 26 weeks by the end of March 2011 (Table 2).Time waited for first interventionIn Jan-Mar 2011, approximately 96% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3).Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jan-Mar 2011, and which was within 14 days 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, 8% had waited more than 52 weeks by the end of March 2011 (Table 4).</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#579</guid>
</item>
<item>
<title>Child and Adolescent Mental Health Services (CAMHS) in NHSScotland: Characteristics of the workforce supply.</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#582</link>
<description>Data show that a headcount of 989 clinical staff (857.5wte) were working in CAMHS in Scotland as at 31st March 2011; this is an increase of 5.9% in staff in post since 30th Sept 2010.Nationally, this represents a staffing level of 16.4 wte clinical workers per 100,000 of the population of Scotland.NHSScotland CAMHS vary in the age of population served. In some areas services are provided up to age 16 only; while others offer services up to 18 years. This has significant implications for workforce requirements. Please see Table 2 in the full publication report for details. As at 31st March 2011, an additional headcount of 17.8 wte posts were between being advertised and being filled with start dates between 01/04/2011 and 01/10/2011.  A further 4.3 wte posts were approved for recruitment but not yet advertised.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#582</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information; Quarter ending March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#583</link>
<description>There were around 349,000 acute inpatient and day case discharges in the quarter ending March 2011. This is an increase of 0.2% when compared to the same quarter of the previous year.The total number of outpatient attendances in the quarter ending March 2011 was around 1,153,000. An increase of 0.9% when compared to the quarter ending March 2010.The average number of available staffed beds in acute specialties was 17,169 in the quarter ending March 2010 and is recorded as 16,683 in March 2011.There has been a decrease of 3.3% in the emergency bed days rate per 100,000 population for patients aged 65+ from 339,000 to 328,000 between 2008/09 and 2009/10.There has been a decrease of 3.1% in the emergency bed days rate per 1,000 population for patients aged 75+ from 5,528 to 5,356 between 2008/09 and 2009/10.In the month of December 2010, 78% of all elective BADS procedures were carried out as day cases or outpatients, showing an increase from 76% in the month of December 2009.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#583</guid>
</item>
<item>
<title>Teenage Pregnancies, year ending 31st December 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#584</link>
<description>The teenage pregnancy rate has been fairly steady for the past decade with a small drop over the last 3 years.  In 2009, in the under 16 age group there were 7.1 pregnancies per 1,000, down from 7.8 in 2008. In mainland NHS boards in 2009, NHS Borders recorded the lowest rate of teenage pregnancy in all three age groups (under 16 age group - 4.9 per 1,000). NHS Fife has the highest teenage pregnancy rate in 2009 for the under 16 age group (10.1 per 1,000). In the under 18 and 20 age groups the highest rates were in NHS Tayside.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.There is a strong deprivation gradient.  In the under 20 age group, the most deprived areas have approximately ten times the rate of delivery as the least deprived (65.3 per 1,000 and 7.6 per 1,000).</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#584</guid>
</item>
<item>
<title>Scottish Stroke Care Audit 2011 National Report</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#585</link>
<description>The five key NHS QIS quality standards for stroke are:At least 60% of patients should be admitted to a Stroke Unit on day of admission (Day 0) and 90% by the day following admission (Day 1) to hospital. In 2010 39% (2009 - 37%) admitted to a Stroke Unit on Day 0 and 63% (2009 - 61%) by Day 1.All patients should have a swallow screen on the day of admission. In 2010 61% (2009 - 62%) of patients had a swallow screen recorded on the day of admission.At least 80% should have a brain scan on the day of admission. In 2010 52% (2009 - 49%) of patients had a brain scan on the day of admission.All patients with ischaemic stroke should receive aspirin on the day of admission or the day after unless contraindicated. In 2010 73% (2009 - 68%) of ischaemic stroke patients received aspirin by the day after admission.80% should be seen within 7 days from referral. In 2010 82% (2009 - 81%) of patients seen in neurovascular clinics were seen within 7 days.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#585</guid>
</item>
<item>
<title>ScotPHO website annual section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#586</link>
<description>Over the last decade, there has been a downward trend in multiple sclerosis (MS) related hospital admissions and this continued in 2009/10.  In financial year 2009/10 there were 2,145 hospital admissions where MS was the primary diagnosis, of which, 327 were the patient’s first admission.  These figures compare with 2,196 and 327 for the previous year. Updated data on hospital admissions for asthma show a continuation of previous trends, with no clear change in the number of hospital episodes or the annual number people being admitted to hospital with asthma for the first time.Updated data on hospital admissions for epilepsy show a continuing downward trend in the number of emergency admissions in Scotland between 1998 and 2010 where epilepsy was the principal diagnosis.During 2010 there were over 39,000 hospital discharges in Scotland where a diagnosis of diabetes was recorded. However this is likely to be a substantial under-estimate of the true number of admissions due to diabetes.In 2009/10 there were over 2000 hospital discharges with diabetic ketoacidosis, a serious complication of diabetes.Diabetes was recorded as contributing to over 4000 deaths in Scotland in 2010.COPD is a chronic lung disease that causes cough and breathlessness.  Updated data on the number of people being admitted to hospital for the first time with COPD show a continuation of recent constant trends.Mortality from COPD continues to decrease in men and increase rate in women.  The increase for women may be because smoking rates have taken longer to fall among women than men.</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#586</guid>
</item>
<item>
<title>New Cancer Waiting Times to March 2011 - Quarterly update of New Cancer Waiting Times statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#587</link>
<description>During the period January – March 2011:96.0% of patients started treatment within 62 days of urgent referral with suspicion of cancer; an increase of 0.3 percentage points compared to the period October - December 2010.  Within the same period, 97.7% of patients started treatment within 31 days of decision to treat (regardless of the route of referral); an increase of 0.7 percentage points compared to the period October - December 2010. The target, for both the 31-day and 62-day, set by the Scottish Government is 95% by October – December 2011.For all cancer types combined, NHS Dumfries &amp;Galloway reported that 98.9% of patients started treatment within 62 days, the highest of the mainland NHS Boards in Scotland. The lowest proportion of patients that started treatment within 62 days was found in NHS Borders, with 94.1%. Aside from Island Boards and the Golden Jubilee, the highest proportion of patients that started treatment within 31 days was found in NHS Ayrshire &amp;Arran, with 99.4%; the lowest proportion was found in NHS Forth Valley, with 93.6%. </description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#587</guid>
</item>
<item>
<title>NHS Workforce (comprising: Agency and bank nurse usage; Equality and diversity summary; Sickness absence; Staff in post; Staff turnover; Vacancies)</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#577</link>
<description>The total number of staff in post (headcount) as at 31st March 2011 is 156,901 (excluding GPs &amp;GDs) compared with 158,756 (headcount) as at 30th September 2010.  This is a decrease of 1.2% (1,855 headcount).The total number of staff in post (WTE) as at 31st March 2011 is 133,325.6 (excluding GPs &amp;GDs) compared with 134,964.2 (WTE) as at 30th September 2010.  This is a decrease of 1.2% (1,638.6 WTE).The number of HCHS medical and dental staff in post as at 31st March 2011 is 12,786 (headcount), compared to 12,757 (headcount) as at 30th September 2010, an increase of 0.2% (29 headcount). The number of consultants in post as at 31st March 2011 is 4,714 (headcount), compared to 4,670 (headcount) as at 30th September 2010, an increase of 0.9% (44 headcount).The number of nursing and midwifery staff in post as at 31st March 2011 is 57,166.9 (WTE), compared to 57,878.3 (WTE) as at 30th September 2010, a decrease of 1.2% (225.5 WTE). The corresponding headcount also showed a decrease of 1.2% (834 headcount) from 67,259 as at 30th September 2010 to 66,425 as at 31st March 2011. The national gross turnover rate for both headcount and WTE are at there lowest over the past five years (2006/07 to 2010/11).</description>
<pubDate>Tue, 28 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#577</guid>
</item>
<item>
<title>Childhood Immunisation Statistics, quarter and year ending 31 March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#581</link>
<description>In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of immunisation against diphtheria, tetanus, pertussis, polio &amp;Hib (DTP/Pol/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 93.3% (the previous quarterly figure was 92.7%).  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% to 94%.</description>
<pubDate>Thu, 23 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#581</guid>
</item>
<item>
<title>Termination of Pregnancy Key Clinical Indicator (KCI)</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#825</link>
<description>Note that these statistics are secondary analyses of previous published official statistics.The proportion of early terminations has been rising steadily in more recent years, with 65.2% of all terminations performed at less than 9 completed weeks gestation in 2010. This figure has risen by 3.0 percentage points from 2009 making it the highest it has been for the past decade.In 2010 there was a 7.5 percentage point difference between access to early abortions by the least deprived category and the most deprived category which suggests that deprivation continues to have an influence on whether women access services rapidly.</description>
<pubDate>Wed, 8 Jun 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#825</guid>
</item>
<item>
<title>Inpatient, Day case and Outpatient stage of treatment waiting times (Formerly known as New Ways) Monthly &amp; quarterly data to 31 March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#568</link>
<description>At 31 March 2011, 99.9% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatient.At 31 March 2011, 99.7% of inpatients and day cases were waiting less than the 9-week national standard. 9 weeks is the new national standard that came into place on 31 March 2011 replacing the previous 12-week standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases.During quarter ending 31 March 2011, approximately 97.4% of new outpatients seen (all sources of referral) and 95.7% for inpatients and day cases admitted had waited less than 12 weeks.NHS Grampian have moved to a new patient management system. This has led to technical difficulties in returning records to the data warehouse at ISD. As a result, NHS Grampian data has been excluded from NHS Scotland figures for quarter ending 31 March 2011.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#568</guid>
</item>
<item>
<title>Waiting Times - Comprises: Inpatient, Day case and Outpatient stage of treatment waiting times (formerly known as New Ways), Accident and Emergency Waiting Times, Diagnostic Waiting Times, Audiology Waiting Times - Quarter ending 31 March 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#815</link>
<description>At 31 March 2011, 99.9% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatients. Due to technical difficulties, NHS Grampian data has been excluded from NHS Scotland figures.At 31 March 2011, 99.7% of inpatients and day cases were waiting less than the 9-week national standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases. 9 weeks is the new national standard that came into place on 31 March 2011. Due to technical difficulties, NHS Grampian data has been excluded from NHS Scotland figures.During the quarter ending 31 March 2011, the proportion of patients attending A&amp;E departments across Scotland that were seen within 4 hours was; 93.6 % in January, 94.9 % in February and 95.6 % in March.At 31 March 2011, 39,683 patients were waiting for 1 of 8 key diagnostic tests and investigations. Of these patients over 97.6% were recorded as having been waiting no longer than 6 weeks. This compares to over 93.6% of patients waiting no longer than 6 weeks at 31 December 2010. The following audiology data are classed as developmental, Official Statistics.For those patients recorded as seen during quarter ending March 2011, 73.0% waited no longer than 12 weeks for a first contact appointment, 80.1% waited no longer than 12 weeks from assessment to fitting of hearing aid(s) and 97.4% waited no longer than 12 weeks from assessment to treatment (excluding fitting of hearing aids). For those patients recorded as waiting at month end March 2011, 79.7% were waiting no longer than 12 weeks for a first contact appointment, 90.1% were waiting no longer than 12 weeks from assessment to fitting of hearing aid(s) and 57.2% were waiting no longer than 12 weeks from assessment to treatment (excluding fitting of hearing aids). </description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#815</guid>
</item>
<item>
<title>NHS Smoking Cessation Service Statistics (Scotland) 1st January to 31st December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#560</link>
<description>There were 79,672 quit attempts made with the help of NHS smoking cessation services in Scotland in 2010.  This compares with 74,038 quit attempts in 2009 (revised 2009 figures), an increase of 5,634 (7.6%).An estimated 7.4% of smokers made a quit attempt with an NHS cessation service in 2010 (6.9% in 2009).  Pharmacy services accounted for 63% of quit attempts made (over 75% in some NHS boards).Women were more likely than men to make a quit attempt with an NHS smoking cessation service.  The older age groups were also more likely to attempt to quit.  The largest number of quit attempts were made by people living in the ‘most deprived’ areas.  One month after the quit date, 39% had quit (self-reported ‘not smoked, even a puff, in the last two weeks’), 17% were still smoking and 44% were ‘lost to follow-up’/unknown smoking status.   There were a total of 31,456 one month self-reported quits in 2010, an increase from 28,208 in 2009 (revised 2009 figures), up 3,248 or 11.5%.Three months after the quit date the percentage quit rate was 16% (based on client self-reported 'smoked up to five cigarettes since one month follow-up').   Quit outcomes based on client follow-up at 12 months after the quit date use data for the 2009 calendar year (12 month outcomes for the full 2010 calendar year are not yet available).  Based on data for 2009, the quit rate at 12 months was 7% with 68% of cases ‘lost to follow-up’/smoking status unknown by this stage.  Note: the denominator for the percentages remains total quit attempts made in the year.   </description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#560</guid>
</item>
<item>
<title>Dental Statistics - NHS General Dental Service Registrations</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#809</link>
<description>At 31 March 2011:The level of the Scottish population (all ages) registered with an NHS GDS dentist was 73.2%, up from 72.0% as at 31 December 2010. The 6-12 age group had the highest level of population registered (95.5%) with an NHS GDS dentist. Among mainland NHS boards, NHS Ayrshire &amp; Arran had the highest level of children registered (85.2%) and NHS Lanarkshire the highest level of adults registered (77.2%).People from the most deprived backgrounds make up the lowest proportion (18.8%) of those registered. At Scotland level, the rate of participation in NHS General Dental Services among registered patients over the last 2 years was 80.3% for adults and 88.6% for children. Participation rates for children were highest in NHS Borders (93.0%) and lowest in NHS Western Isles (74.4%), while rates for adults were highest in NHS Borders (87.6%) and lowest in NHS Orkney (63.1%).</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#809</guid>
</item>
<item>
<title>Diagnostic tests waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#562</link>
<description>At 31 March 2011, 39,683 patients were waiting for these tests and investigations. Of these patients:Over 97.6% were recorded as having been waiting no longer than 6 weeks. This compares to over 93.6% of patients waiting no longer than 6 weeks at 31 December 2010. Over 95.8% were recorded as having been waiting no longer than 4 weeks. This compares to over 91.0% of patients waiting no longer than 4 weeks at 31 December 2010. </description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#562</guid>
</item>
<item>
<title>Delayed Discharges in NHSScotland - figures from April 2011 census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#563</link>
<description>There were 12 patients delayed for over 6 weeks in the April 2011 census. This compareswith 168 at the January 2011 census and zero at the April 2010 census.At the April 2011 census, there were a total of 665 delayed discharges in Scotland, compared with 790 at the January 2011 census, and 579 at the April 2010 census.The median duration to the census point for all delayed discharges was 21 days (26 day at the January 2011 census, and 19 days at the April 2010 census).</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#563</guid>
</item>
<item>
<title>Adult Mental Health Benchmarking Toolkit - Year ending 31st March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#806</link>
<description>The indicators presented here have been chosen based on a wide range of stakeholder input to represent a balanced view of the Adult Mental Health Service in Scotland. It is recommended that individual indicators should not be approached in isolation but interpreted in the context of the overall balanced view of the service.The key changes incorporated in this publication compared to the previous release of the toolkit are:addition of data on suicides within 30 days of dischargebreakdown of relative risk of death for severe and enduring mentally ill patients by natural and un-natural deathsaddition of data on defined daily doses to supplement the mental health drugs costs</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#806</guid>
</item>
<item>
<title>Abortions Statistics - Year ending 31 December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#805</link>
<description>For the past two years there has been a fall in the number and rate of abortions with 12,826 in 2010 compared to 13,108 in 2009 and 13,902 in 2008 (representing rates of 12.3 per 1000 women aged 15-44 in 2010, 12.6 in 2009 and 13.3 in 2008). This fall is a change to the overall pattern of increase since the implementation of the 1967 Abortion Act, although small dips for short periods have been observed before.As in previous years, the rate of terminations in 2010 was highest in younger women, 16-19 (21.4 per 1000) and those aged 20-24 (22.4 per 1000). Lower rates are seen in the older age groups; women aged 25-29 (15.3 per 1000); aged 30-34 (10.8 per 1000); aged 35-39 (6.3 per 1000) and in women aged over 40 (2.1 per 1000).The proportion of early terminations has been rising steadily in recent years, with 65.2% of all terminations performed at less than 9 weeks in 2010, compared to 62.2% in 2009. There has also been a sustained increase in the use of medical methods compared to surgical terminations.In 2010, the rate of abortions continues to show a clear link with the level of deprivation. In areas of high deprivation the rate is 16.0 per 1000, nearly double the rate of 9.2 per 1000 for the least deprived areas of Scotland. More than a quarter (28.4%) of the 12,826 women having a termination in 2010 had a previous termination. The proportion of women having had a previous termination varies across NHS boards from 21.3% in the NHS Island Boards (Orkney, Shetland and Western Isles) to 35.2% in NHS Tayside.In 2010, the vast majority (12,074; 94.0%) of terminations were carried out under Ground C. There were 142 terminations carried out under Ground E of which 23 were for Down’s syndrome, 13 for other chromosomal conditions, 18 for anencephaly with the remaining 88 being for spina bifida and other conditions.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#805</guid>
</item>
<item>
<title>Accident &amp; Emergency waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#564</link>
<description>During the quarter ending 31 March 2011, the proportion of patients attending A&amp;E departments across Scotland that were seen within 4 hours was; 93.6 % in January, 94.9 % in February and 95.6 % in March.During the quarter ending 31 March 2011, the number of patients attending A&amp;E departments across Scotland was approximately; 132,900 in January, 119,000 in February and 131,100 in March.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#564</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#567</link>
<description>These data show that hospital mortality across Scotland is reducing over time.A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#567</guid>
</item>
<item>
<title>Audiology Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#559</link>
<description>These data are developmental. ISD is actively working with the NHS Boards to improve the consistency and completeness of these data.For those patients recorded as seen during quarter ending March 2011, 73.0% waited no longer than 12 weeks for a first contact appointment, 80.1% waited no longer than 12 weeks from assessment to fitting of hearing aid(s) and 97.4% waited no longer than 12 weeks from assessment to treatment (excluding fitting of hearing aids). This compares to 76.2%, 83.9% and 95.1% at month end December 2010, respectively for the three stages.For those patients recorded as waiting at month end March 2011, 79.7% were waiting no longer than 12 weeks for a first contact appointment, 90.1% were waiting no longer than 12 weeks from assessment to fitting of hearing aid(s) and 57.2% were waiting no longer than 12 weeks from assessment to treatment (excluding fitting of hearing aids). This compares to 64.7%, 79.2% and 72.4% at month end December 2010, respectively for the three stages.As NHS Boards progress towards managing their patients along an 18 Weeks Referral To Treatment pathway, several NHS Boards have brought in ‘one-stop’ clinics, where patients can be assessed and treated in a single appointment. From January 2011, NHS Boards have the option to record ‘one-stop’ patients separate from the stages of treatment.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#559</guid>
</item>
<item>
<title>18 weeks Referral To Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#566</link>
<description>In March 2011 85.2% of patients on an 18 Weeks Referral To Treatment (18 Weeks RTT) pathway were reported as being seen within 18 weeks. The figures for January and February 2011 were 82.1% and 83.7%, respectively.To be able to report the 18 Weeks RTT waiting time it is necessary for NHS Boards to link the patient's ‘clock start’ to the ‘clock stop’. Hospital information systems are being upgraded to provide high levels of linkage. Performance against the 18 Weeks RTT target should be interpreted in consideration of the level of pathway linkage. In March 2011 pathway linkage was 68.3%.This is the first publication of 18 Weeks RTT statistics. These data are still at an early stage of development. NHS Boards are working with ISD and Scottish Government to improve the consistency and completeness of these data. This target is due to be delivered from 31 December 2011.</description>
<pubDate>Tue, 31 May 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#566</guid>
</item>
<item>
<title>Action Plan for Improving Oral Health and Modernising NHS Dental Services in Scotland - NHS Board Monitoring Report</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#728</link>
<description>This report monitors NHS boards' progress made towards the targets at both local and national level and covers the last 6 months of the calendar year 2010. Targets are monitored across 4 key areas:Oral Health ImprovementWorkforceServicesQuality of Services.</description>
<pubDate>Tue, 26 Apr 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#728</guid>
</item>
<item>
<title>Childhood Cancers in Scotland</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#816</link>
<description>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). </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#816</guid>
</item>
<item>
<title>ScotPHO website annual updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#734</link>
<description>New deprivation specific analyses from the 2008/09 Scottish Health Survey showThere is no clear trend in the proportion of adults meeting the physical activity recommendation across the area-based deprivation quintiles, although for both men and women the lowest percentage meeting the recommended level was in the most deprived areas. People living in the most deprived areas of Scotland are less likely to meet five-a-day recommendations for daily fruit and vegetable consumption compared with those in the least deprived areas. Age-standardisation of the GROS 2009 death data showsIn Scotland in 2009 the all-cause age/sex standardised mortality rate was 679.6 per 100,000 population. In keeping with figures previously published, the rate has fallen consistently over the period 1980-2009.  The highest mortality rates were generally found in the west of the country (e.g. Greater Glasgow, Lanarkshire, Ayrshire &amp; Arran NHS Boards). The lowest rate (for residents of NHS Shetland Islands Board) was almost 31% lower than the figure recorded for those living within the Greater Glasgow NHS Board. The age-standardised mortality rate for persons living in the least deprived areas were less than half the rate of those in the most deprived areas. For chronic liver disease (CLD), from 1993 to 2003 there was a sharp increase in CLD mortality rates for both men and women, though since 2006 CLD mortality rates have fallen in each successive year up to and including 2009.  The age-standardised CLD mortality rate for men living in the most deprived areas was 12 times higher and for women seven times higher, than those living in least deprived areas. </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#734</guid>
</item>
<item>
<title>New Cancer Waiting Times to December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#813</link>
<description>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 </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#813</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information; Quarter ending December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#534</link>
<description>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.The average number of available staffed beds in acute specialties has decreased from 17,014 in the quarter ending December 2009 to 16,570 in December 2010.  A reduction of 2.6%.There has been a decrease of 3.5% in the emergency bed days rate per 100,000 population for patients aged 65+ from 339,000 to 327,000 between 2008/09 and 2009/10.In the month of September 2010, 80% of all elective BADS procedures were carried out as day cases or outpatients, showing an increase from 76% in the month of September 2009.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#534</guid>
</item>
<item>
<title>National Resource Allocation Committee 2011/12 target allocation shares</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#733</link>
<description>Target shares are shown at NHS Board level. Adjustments for the age/sex, additional needs and unavoidable excess costs are shown at NHS Board level and small geographical areas within Boards. The shares shown within this publication are the TARGET shares produced by the NRAC formula and are not the final shares allocated to the NHS Boards. When the NRAC formula was introduced it was agreed to phase the new shares in over a period of time by way of differential growth, as had been the practice under the previous Arbuthnott and SHARE formulae. Under this methodology, all Boards continue to enjoy real-terms growth in their allocations year-on-year, with those below parity (i.e. below their target share) receiving more growth than those above parity until the new distribution is achieved over time. In this way no Board receives a reduction in core funding. </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#733</guid>
</item>
<item>
<title>Drug Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#732</link>
<description>December KPI - The KPI expects that by December 2010, 90% of clients will be offered an assessment date that falls within 4 weeks of the referral date and 90% of clients will be offered a treatment date that falls within 4 weeks of their recovery plan being agreed.In the month of December 2010, 92% of those offered an appointment for assessment were offered a date which was within 4 weeks of referral (Table A). In the month of December 2010, 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table A). Time waited from referral to assessment date offeredIn Oct-Dec 2010, approximately 89% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Approximately 72% of those offered an appointment for assessment were offered a date which fell within the reporting period, Oct-Dec 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, almost 2% had waited more than 26 weeks by the end of December 2010 (Table 2). Time waited for first interventionIn Oct-Dec 2010, approximately 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Oct-Dec 2010, and which was within 14 days 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, just over 1% had waited more than 52 weeks by the end of December 2010 (Table 4). </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#732</guid>
</item>
<item>
<title>Quarterly update of prescription charges - Financial Q1 (April to June) 2009/10 to financial Q3 (October to December) 2010/11</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#731</link>
<description>Since April 2008, total income generated by sales of prescriptions continues to steadily decrease.The volume of prescription items dispensed where the patient holds a pre-payment is increasing, as is the volume of prescription items dispensed where the patient is exempt from paying any charge.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#731</guid>
</item>
<item>
<title>Reimbursement and remuneration paid to dispensing contractors -  Calendar and financial years 2006-2010</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#730</link>
<description>The gross total payments to Scottish dispensing contractors continue to increase year on year.The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement continues to increase, as does the cost for remuneration of services.The gross ingredient amount of payments to dispensing contractors for the calendar year 2010, in respect of various fees and allowances for dispensing prescriptions and providing pharmaceutical services was £1.16 billion. This is an increase of £27million (2.4%) when compared to the calendar year 2009.The cost of a singe prescription reduced from £4.00 to £3.00 in April 2010.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#730</guid>
</item>
<item>
<title>Healthy Life Expectancy</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#729</link>
<description>Life expectancy (LE) is an estimate of how many years the average person might be expected to live. Healthy life expectancy (HLE) is an estimate of how many years they might live in a 'healthy' state.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.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#729</guid>
</item>
<item>
<title>Drugs indicated for the treatment of obesity - Financial Years 2000/01 - 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#822</link>
<description>A total of 134,491 items were prescribed in Scotland during 2009/10, an increase of 18.6% on the previous year.Rimonabant has not been dispensed in the community during 2009/10 following its withdrawal from the market in January 2009.Expenditure on obesity drugs increased from £4.04 million to £4.64 million between 2008/09 and 2009/10.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#822</guid>
</item>
<item>
<title>Teenage and Young Adult Cancers in Scotland</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#817</link>
<description>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%.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#817</guid>
</item>
<item>
<title>Support Needs System (SNS) Summary Statistics as at August 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#552</link>
<description>Overall, in the nine participating Boards with data included, 14,405 children and young people had assessment data recorded on SNS. 76.8% of all children and young people on SNS had at least one impairment (of any severity) recorded and 26.2% of all children and young people on SNS had at least one severe impairment recorded. Of all children and young people on SNS, 97.8% required at least one service (newly identified or ongoing). The most commonly required service type was the involvement of a professional, such as a speech therapist (97.7% of all children on SNS). </description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#552</guid>
</item>
<item>
<title>Minor Ailments Service (MAS) Registrations - September 2008 - September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#820</link>
<description>There is an increasing trend in registrations since calendar year 2008, indicating that in the majority of months the number of new registrations is greater than the number of lapsed registrations.In Scotland, 99.8% of community pharmacies have patients registered for MAS at 30th September 2010.At 30th September 2010, 770,526 people were registered for the service. On average 14.0% of those registered with a GP in Scotland are also registered for MAS.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#820</guid>
</item>
<item>
<title>Prescribing of Smoking Cessation Interventions in Scotland - Calendar Years 2001 - 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#821</link>
<description>Prescribing of smoking cessation products show seasonal variation.The sharp peaks around the months of January, February and March may be due to New Year Resolutions, while the steady decline after March may be due to successfully quitting or else relapsing.Prescribing of smoking cessation products rose sharply just before the introduction of the ban in smoking in public places was introduced in Scotland in March 2006.Of the prescribable treatments for smoking cessation, NRT is the most prevalent.</description>
<pubDate>Tue, 29 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#821</guid>
</item>
<item>
<title>Childhood Immunisation Statistics Quarter and year ending 31 December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#541</link>
<description>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%.</description>
<pubDate>Thu, 24 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#541</guid>
</item>
<item>
<title>Provisional HPV Immunisation Uptake Statistics - Year 3 of the HPV Immunisation Programme (2010/11)</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#544#544</link>
<description>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.</description>
<pubDate>Thu, 24 Mar 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#544#544</guid>
</item>
<item>
<title>Diagnostic Waiting Times - Quarter ending 31 December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#555</link>
<description>Measurement of Current Key Diagnostics Test.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#555</guid>
</item>
<item>
<title>Audiology Waiting Times - Quarter ending 31 December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#554</link>
<description>Information on the number of patients waiting and seen for Audiology services. Data to 31 December 2010 (monthly and quarterly data)</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#554</guid>
</item>
<item>
<title>Delayed Discharges in NHS Scotland Figures from January 2011 Census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#539</link>
<description>There were 168 patients delayed for over 6 weeks in the January 2011 census. This compares with 128 at the October 2010 census and 83 at the January 2010 census. 
At the January 2011 census, there were a total of 790 delayed discharges in Scotland, compared with 776 at the October 2010 census, and 606 at the January 2010 census. 
The median duration to the census point for all delayed discharges was 26 days ( 23 days at the October 2010 census, and 25 days at the January 2010  census). 
The number of patients experiencing delays in short stay specialties in Scotland has increased since October 2010. There were 87 at the January 2011 census compared to 75 at October 2010 and 55 at the January 2010 census.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#539</guid>
</item>
<item>
<title>Alcohol Statistics Scotland 2011</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#735</link>
<description>There has been a fall in the number of alcohol-related discharges from general acute hospitals in Scotland between 2008/09 and 2009/10; the number of alcohol-related discharged declined from 41,977 to 39,278.In 2009/10 there were 13,564 discharges with a diagnosis of harmful use, and 6,733 discharges for alcoholic liver disease from general acute hospitals in Scotland.Over the five-year period 2005/06 to 2009/10 the rate of alcohol-related discharges from Scottish general hospitals fluctuated, increasing to 788 discharges per 100,000 population in 2007/08 before dropping again.&#160; The rate in 2009/10 was similar to the rate in 2005/06 (709 discharges per 100,000 population in 2009/10 compared to 707 discharges per 100,000 population in 2005/06.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#735</guid>
</item>
<item>
<title>Heart Disease Statistics Update</title>
<link>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#737</link>
<description>The age-standardised mortality rate (for under 75s) for Coronary Heart Disease (CHD) continues to fall, from 124.6 per 100,000 population in 1995 to 50.4 per 100,000 population in 2009. The target to reduce the mortality rate by 60% between 1995 and 2010 has very nearly been achieved. The fall was 59.6%.30 day survival following emergency admission for an AMI increased from 83.1% in 2000-01 to 87.8% in 2008-09 and 89.0% in 2009-10.Between 2008/09 and 2009/10 the incidence rate for HD (total number of people diagnosed with HD per 100,000 population, standardised by age and sex) decreased by 5.1%. (from 294.8 cases per 100,000 population for 2008/09 to 279.7 cases per 100,000 population in 2009/10.The number of revascularisation procedures (Coronary Artery Bypass Grafts and Coronary Angioplasties) performed by NHSScotland increased between 2008/09 and 2009/10. The standardised rate remained stable over the latest 4 to 5 years. Reductions in coronary artery bypass operations are offset by increases in the number of coronary angioplasties being performed.The number of prescriptions for cardiovascular disease (both coronary heart disease and cerebrovascular disease) increased by 61% in the last decade (from 15 million in 2000/01 to 25 million in 2009/10). The associated costs over the same period rose by a fifth, from £150 million to £187 million, and reached a peak of £230 million in 2004/05 before reducing to £187 million in 2009/10.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Heart-Disease/Publications/index.asp#737</guid>
</item>
<item>
<title>Dental Statistics - Registrations (for quarter ending 31st December 2010)</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#738</link>
<description>The level of the Scottish population (all ages) registered with an NHS GDS dentist was 72.0%, up from 70.9% as at 30 September 2010. The 6-12 age group had the highest level of population registered (94.7%) with an NHS GDS dentist. NHS Ayrshire &amp; Arran had the highest level of population (all ages) registered with an NHS GDS dentist as at 31st December 2010 (77.6%) and in the previous quarter ending 30th September 2010 (76.7%). </description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#738</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios: Quarterly Statistic</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#739</link>
<description>These data show that hospital mortality across Scotland is reducing over time.A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations.The process was not designed to compare hospitals or identify “outliers”.The model does not adjust for all clinically relevent characterstics that define risk in the patient case mix of individual hospitals over time. Features such as the type of hospital, extent of provision of palliative care or the balance between elective and non-elective activity need to be understood before a meaningful conclusion can be drawn from direct comparisons between different hospitals.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#739</guid>
</item>
<item>
<title>Improving ethnic data collection for equality and diversity monitoring</title>
<link>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#740</link>
<description>For Scotland as a whole there have been substantial improvements in the recording of ethnic group. Completeness of recording has more than doubled over the last two years for both acute hospital discharges and new outpatient appointments. Despite this improvement, the recording of ethnicity remains low: a valid ethnic group code was recorded in only 42% of acute inpatient and day case records (SMR01) in the quarter ending September 2010 and in only 27% of new outpatient appointment records (SMR00). Over the last two years Golden Jubilee National Hospital (GJNH), Lanarkshire, Greater Glasgow and Clyde (GGC), Dumfries and Galloway, Highland and Ayrshire and Arran have made significant improvements in recording, with Fife and Highland achieving modest improvements. </description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#740</guid>
</item>
<item>
<title>Stroke Statistics Update</title>
<link>http://www.isdscotland.org/Health-Topics/Stroke/Publications/index.asp#736</link>
<description>Age-standardised mortality rates for CVD ( cerebrovascular disease ),for those under 75, fell from 19.6 per 100,000 population in 2008 to 17.2 per 100,000 population in 2009, a decrease of 12.4%.&#160; They have fallen by 54.4% over the period 1995-2009, meeting the Scottish Government target of a 50% reduction in premature stroke mortality over the period 1995-2010.Between 2000/01 and 2009/10 the incidence rate for CVD (total number of people diagnosed with CVD per 100,000 population, standardised by age and sex) decreased by 21.3% (from 209.8 cases per 100,000 population in 2000/01 to 165.1 cases per 100,000 population in 2009/10)The number of prescriptions for cardiovascular disease (both coronary heart disease and cerebrovascular disease) increased by 61%&#160; in the last decade (from 15 million in 2000/01 to 25 million in 2009/10). The associated costs over the same period rose by a fifth, from &#163;150 million to &#163;187 million, and reached a peak of &#163;230 million in 2004/05 before reducing to &#163;187 million in 2009/1</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Stroke/Publications/index.asp#736</guid>
</item>
<item>
<title>Accident &amp; Emergency Department Waiting Times - Quarter Ending 31 December 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#807</link>
<description>The current national waiting time standard states that at least 98% of patients attending an A&amp;E department should be seen within 4 hours of arrival.During the quarter ending 31 December 2010, the number of patients attending A&amp;E departments was approximately 131,800 in October, 122,000 in November and 119,300 in December.Of these, the proportion seen within 4 hours was; 96.8% in October, 96.1% in November and 94.8% in December.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#807</guid>
</item>
<item>
<title>Inpatient, Day case and Outpatient stage of treatment waiting times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#810</link>
<description>At 31 December 2010, 98.8% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatients. At 31 December 2010, 99.6% of inpatients and day cases were waiting less than the 12-week national standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases. During quarter ending 31 December 2010, approximately 98.3% of new outpatients seen (all sources of referral) and 99.7% for inpatients and day cases admitted had waited less than 12 weeks. </description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#810</guid>
</item>
<item>
<title>Practice Team Information (PTI) Annual Update (2009/10)</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#804</link>
<description>GP and practice-employed nurses combined had an estimated 24.2 million face-to-face contacts with patients in 2009/10, with the nurses having a 30% share in this. This represents an increase of roughly 1.0 million compared to the previous year and 2.5 million compared to 2003/04, continuing the upwards trend that was generally observed from 2003/04 to 2009/10 (with the exception of a dip in 2007/08). Of the patients registered with a practice, 85% had at least one face-to-face contact with a GP or practice-employed nurse in 2009/10 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. This reflects the general character of GP workload as opposed to nurse workload, which focuses more on managing specific long-term conditions.</description>
<pubDate>Tue, 22 Feb 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#804</guid>
</item>
<item>
<title>The National Drug Related Deaths Database (Scotland) Report 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#741</link>
<description>This is the first report from the National Drug Related Death Database (NDRDD) which reports on a subset of the drug related deaths that occurred in Scotland during the calendar year 2009. The NDRDD was established to collect in depth information on the nature and circumstances of individuals who had died a drug related deathThe majority of those who had died a drug related death (in 2009) were male, white and from a deprived area. Almost 9 out of 10 were under the age of 45 representing a considerable loss of life.Nearly two thirds had been long term users for 5 or more years and over half had used drugs intravenously.In the 6 months prior to death two fifths of the entire cohort had problem alcohol use; over 1 in 10 had Hepatitis C and 1 in 20 had liver disease.Resuscitation was attempted in nearly half of deaths and for a quarter of deaths this had been attempted by someone in the vicinity.The two most common drugs present were diazapem and heroin, each found in three quarters of cases overalOver a third had no record of any contact with a drug treatment service at any point in their life.</description>
<pubDate>Tue, 25 Jan 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#741</guid>
</item>
<item>
<title>Scottish Perinatal and Infant Mortality and Morbidity Report 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#742</link>
<description>Births in Scotland fell slightly in 2009 for the first time since 2002.The perinatal mortality rate (7.4 per 1000 births) is the same as 2008 which was the lowest ever recorded.The rate of stillbirths remains unchanged at 5.3 per 1000 births.There were 70 deaths between one month and one year of age. This is the lowest number ever.</description>
<pubDate>Tue, 25 Jan 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#742</guid>
</item>
<item>
<title>Scottish Antimicrobial Prescribing Group (SAPG) Report on Antimicrobial Use and  Resistance in Humans in 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#743</link>
<description>This is the second annual report from the Scottish Antimicrobial Prescribing Group (SAPG), published by Health Protection Scotland (HPS)/Information Services Division (ISD) of NHS National Services Scotland that combines information on antimicrobial use and resistance in humans in Scotland.In 2009, 44,500 fewer prescriptions for antibacterials in primary care were dispensed in Scotland in 2009 than in 2008.The use of antibacterials in primary care (expressed as items/1000/day) associated with a higher risk of Clostridium difficile infection (CDI) decreased by 19.5% between 2008 and 2009.&#160; The use of first-line antibacterials promoted by SAPG increased by 4.9% between 2008 and 2009.Despite promising trends in some areas, antimicrobial resistance remains a serious cause for concern, in particular the emergence of carbapenemase producing Enterobacteriaceae in the UK and other countries. Continued vigilance and efforts to improve the quality of antimicrobial prescribing are therefore crucial.</description>
<pubDate>Tue, 25 Jan 2011 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#743</guid>
</item>
<item>
<title>Prescribing Statistics - Medicines used in Mental Health</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#818</link>
<description>The volume of medicines indicated for depression rose between 2008/09 and 2009/10 from 4.01 to 4.31 million items; an increase of 7.6% </description>
<pubDate>Tue, 21 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#818</guid>
</item>
<item>
<title>Quarterly update of reimbursement and remuneration paid to dispensing contractors, and quarterly update of prescription charges</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#819</link>
<description>Remuneration:The tables display payments made to Scottish dispensers of pharmaceuticals in the community, up to September 2010.  They are intended as reference tables but may also be used to compare trends of payments from month to month.Tables show the remuneration and reimbursement amounts for the financial year 2010/11 and calendar year 2010 (up to September 2010).Each worksheet contains the overall Scotland total payments to dispensing contractors, split between three defined groupings: community pharmacies, appliance suppliers and dispensing doctors.Prescription charges:This is a quarterly update of the data shown at: http://www.isdscotland.org/isd/2237.html  Data exclude prescriptions written on Stock Order (SO) and Minor Ailment Service (MAS) forms.Statistics are presented by financial quarter from Q1 2009/10 to Q2 2010/11 to monitor the effect of the decreasing cost of single prescriptions and pre-payment certificates (PPCs) in Scotland.  Data are shown by the volume and GIC of prescriptions dispensed by exemption category (holds a valid PPC, pays for single prescription items at the point of issue, or is exempt from paying any charge).Income generated by pre-payment certificate and prescription sales is shown by financial year from 2004/05 to 2009/10, and by financial quarter from Q1 2009/10 to Q2 2010/11.</description>
<pubDate>Tue, 21 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#819</guid>
</item>
<item>
<title>New Cancer Waiting Times to September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#814</link>
<description>This is the first publication release that includes screened positive patients in both the new 31-day and 62-day targets. During the period July - September 2010:97.3% of patients started treatment within 62 days of urgent referral with suspicion of cancer; a rise of 0.7 percentage points compared to the period April – June 2010. Within the same period, 98.1% of patients started treatment within 31 days of decision to treat (regardless of the route of referral); an increase of 0.4 percentage points compared to the period April – June 2010. The target, for both the 31-day and 62-day, set by the Scottish Government is 95% by October – December 2011. 100% of screened positive breast patients and ovarian patients started treatment within 62 days of urgent referral with suspicion of cancer. The lowest proportion of patients that started treatment within 62 days were screened positive colorectal patients, with 90.7%. 100% of cervical screened positive patients and ovarian patients started treatment within 31 days of decision to treat; the lowest proportion were urology patients, with 95.3%. For all cancer types combined, NHS Lothian reported that 98.9% of patients started treatment within 62 days, the highest of the mainland NHS Boards in Scotland. The lowest proportion of patients that started treatment within 62 days was found in NHS Forth Valley, with 93.3%. </description>
<pubDate>Tue, 21 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#814</guid>
</item>
<item>
<title>Childhood immunisation uptake rates, quarter ending 30 September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#808</link>
<description>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 93.1% (the previous quarterly figure was 93.4%).  Quarterly uptake by 5 years of age is 96.2% (the previous quarterly figure was 96.1%). Quarterly uptake of the Hib/MenC and PCV booster by 24 months remains relatively stable at around 93% to 94%. </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#808</guid>
</item>
<item>
<title>Findings from the 5th Balance of Care/Continuing Care Census</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#545</link>
<description>The number of Category A patients i.e. NHS Continuing Health Care patients decreased from 2495 in March 2010 to 2285 patients in September 2010, a fall of 210 patients (8%). (Table 1)The 2285 patients reported as receiving NHS Continuing Health Care in September 2010, corresponds to a European age/sex standardised rate of 29 patients per 100 000 Scottish population. A slightly lower rate to that shown in previous censuses. (Table 5)For Category B patients (i.e. patients who do not specifically meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set), 414 patients were reported in March 2010,. This rose to 471 patients in September 2010, a rise of 57 patients (14%). This increase can in part be explained by (i) patients whose status has changed from Caregory A (in March 2010) to Category B in September 2010 or (ii) patients who had previously been in hospital for less than a year but as at September 2010 their length of stay was over 1 year. (Table 1) </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#545</guid>
</item>
<item>
<title>Acute Hospital Activity and NHS Beds information - Year end 31 March 2010 - Quarter ending September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#549</link>
<description>The total number of hospital discharges (episodes) has remained constant at approximately 1,400,000 for the last two financial years ending March 2009 and March 2010.  There were 529,000 emergency inpatient discharges (episodes) and 440,000 day case discharges (episodes) in the year ending March 2010, a decrease of 2.0% and an increase of 2.8% respectively on the previous year.   Neoplasms (including cancer) were the most common main diagnosis for patients discharged from hospital in the year ending March 2010, accounting for 14.1% of all primary diagnoses.  This figure has remained at approximately 14% for the last three financial years.   4,583,000 outpatients were seen at consultant clinics in the year ending March 2010, showing a slight decrease of 1.1% when compared to year ending March 2009.  In 2009/10, 1,467,000 were new outpatient attendances, a slight increase of 0.3% from 1,463,000 in 2008/09.   The numbers of inpatient and day case discharges in the quarter ending September 2010 show small increases when compared to the same quarter of the previous year.  Outpatient attendance figures show a slight decrease when comparing the same time periods.   In 2009/10 there were around 106,000 hospital admissions (episodes) for children aged 14 years and under.   This is similar to the number of admissions in 2007/08 and 2008/09. </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#549</guid>
</item>
<item>
<title>Drug Treatment Waiting Times Information Framework Report July - September 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#750</link>
<description>Time waited from referral to assessment date offeredIn Jul-Sep 2010, approximately 86% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Almost 73% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jul-Sep 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, almost 11% had waited more than 26 weeks by the end of September 2010 (Table 2). Time waited for first interventionIn Jul-Sep 2010, nearly 97% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jul-Sep 2010, and which was within 14 days 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, Just over 3% had waited more than 52 weeks by the end of September 2010 (Table 4). </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#750</guid>
</item>
<item>
<title>Primary 1 Body Mass Index (BMI) Statistics School Year 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#548</link>
<description>In 2009/10 a total of 39,056 valid height and weight measurements were recorded for children in Primary 1 in Scotland. This is approximately 71% of children in Primary 1.In the last decade, the prevalence of overweight and obesity has remained at a similar level of around 1 in 5 children in Primary 1.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#548</guid>
</item>
<item>
<title>General Practice - GP workforce and practice population statistics to 2010</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#556</link>
<description>There has been a steady increase in the headcount of GPs contracted to work in Scottish practices since the introduction of the General Medical Services contract in 2004, rising from 4,456 in 2004 to 4,960 in 2010 (an increase of 11.3%).In the same time period there has been a large rise in the number of salaried GP posts, from 188 in 2004 to 527 in 2010 (an increase of 180%).</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#556</guid>
</item>
<item>
<title>ScotPHO website section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#751</link>
<description>The ScotPHO website contains comprehensive information on a wide range of topics including behaviour, health, well being and disease and clinical risk factors. Along with summary data and statistics, the website provides background information, interpretation, policy notes, commentaries on data sources, references and links to further information.Annual updates of the following sections of the ScotPHO website have be completed: obesity, pregnancy and births, diabetes and the summary of main surveys used in ScotPHO.   This includes text updates with links to and presentation of previously published data, where applicable.  </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#751</guid>
</item>
<item>
<title>Workforce Planning for Psychology Services in NHSScotland: Characteristics of the Workforce Supply in 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#749</link>
<description>In total there were 701 (619.5 wte) Clinical &amp; Other Applied Psychologists employed in NHSScotland as at 30th September 2010.  This is an increase of 1.0% for Clinical &amp; Other Applied Psychologists compared to 30th September 2009.  This total of 701 (619.5 wte) equates to 656 (578.2 wte) Clinical Psychologists plus 45 (41.3wte) Other Applied Psychologists. This represents a national staffing level of 1 wte Clinical Psychologist per 8 983 of the general population of Scotland.  Psychology services increasingly employ a skill-mix of staff.   Graduates of the MSc in Psychological Therapies in Primary Care (61.6 wte Clinical Associates), Graduates of the MSc in the Applied Psychology of Children and Young People (21.0 wte), assistant psychologists (65.8 wte), cognitive behavioural therapists (31.8 wte), counsellors (14.8 wte), other therapists (14.5 wte), and other clinical staff (16.8 wte), were employed in NHSScotland psychology services as at 30th September 2010. NHS Education for Scotland has responsibility for the pre-registration training of Clinical Psychologists for NHSScotland.  The number of trainees on the doctoral Clinical Psychology course at mid October 2010* was 208.  The impact of the modernisation of psychology training is accruing as successive cohorts of those who have completed the new Masters programmes enter the workforce.  The number of trainees on the MSc in Psychological Therapies in Primary Care was 18, and the number on the MSc in Applied Psychology of Children and Young People was 17 as at 30th September 2010.* Course starts early October.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#749</guid>
</item>
<item>
<title>Child &amp; Adolescent Mental Health Services (CAMHS) in NHS Scotland: Characteristics of the Workforce Supply in 2010.</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#748</link>
<description>It was reported that a headcount of 938 clinical staff (810.2wte) were working in CAMHS in Scotland as at 30th September 2010, which means the total staffing has increased by 6.0% since 30th Sept 2009. Nationally, this represents a staffing level of 15.5 wte clinical workers per 100,000 of the population of Scotland. New staff to the CAMHS workforce since 30th September 2009 included: 38.6 wte in Nursing &amp; 36.8wte in Psychology. NHSScotland CAMHS vary in the age of population served. In some areas services are provided up to 16 only; while others offer services up to 18 years. This has significant implications for workforce requirements.  Please see the table in the Detailed Comments section for details. </description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#748</guid>
</item>
<item>
<title>Unintentional Injuries</title>
<link>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#747</link>
<description>In 2009/10, unintentional injuries accounted for approximately 1 in 7 emergency hospital admissions for children and 1 in 9 for adults.In 2009/10, there were approximately 366,545 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 61,977 in 2009/10 (a decrease of 6.6%). There has also been a decrease in the number of deaths as a result of an unintentional injury from 1,367 in 2000 to 1,347 in 2009 (a decrease of 1.5%).In 2009 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 40 deaths.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp#747</guid>
</item>
<item>
<title>Mental Health (Psychiatric) Hospital Activity Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#746</link>
<description>There were around 21,570 inpatient admissions to mental health hospitals during the year ending 31 March 2010. This continues the downward trend seen in recent years and represents a 16% fall in the number of admissions since year 2005/06Alcohol/drug related problems were responsible for 26% of all discharge diagnoses in men and schizophrenia accounted for a further 19%. For women, mood (affective) disorders accounted for 31% of the diagnoses recorded, while dementia diagnoses were identified in 15% of discharges.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#746</guid>
</item>
<item>
<title>Drug Misuse Statistics Scotland 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#745</link>
<description>Of those reporting illicit drug use to the Scottish Drug Misuse Database (SDMD), 66% reported using heroin (5,340 individuals). This is based on the 10,325 &#8216;new&#8217; individuals reported to the SDMD during 2009/10.During 2009/10, there were 5,705 general acute hospital discharges with a diagnosis of drug misuse, a rate of 115 discharges per 100,000 population.In Scotland, in 2009/10, there were 510,063 prescriptions for methadone oral solution, around 98 prescriptions per 1,000 population.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#745</guid>
</item>
<item>
<title>NHSScotland Workforce Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#744</link>
<description>The number of staff employed in NHSScotland as at 30th September 2010 is 168,051 (headcount), compared to 169,045 (headcount) as at 30th September 2009, a decrease of 0.6% (994 headcount).The number of medical staff in post (including GPs and Medical Support) as at 30th September 2010 is 16,356 (headcount) compared to 16,256 (headcount) as at 30th September 2009, an increase of 0.6% (100 headcount).The number of Administrative Services staff in post (headcount) as at 30th September 2010 is 30,778 (headcount), compared to 31,073 (headcount) as at 30th September 2009, a decrease of 0.9% (295 headcount).Nursing &amp; Midwifery staff accounted for 40.3% of all staff (headcount) employed in NHSScotland as at 30th September 2010. The number of Nursing &amp; Midwifery staff in post as at 30th September 2010 is 68,133 (headcount), compared to 68,681 (headcount) as at 30th September 2009, a decrease of 0.8% (548 headcount).Staff Turnover rate (All leavers from NHS Scotland) has decreased in the last 3 financial years. From 7.5% in 2007/08 to 6.8% in 2008/09 to 6.5% in 2009/10.</description>
<pubDate>Tue, 14 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#744</guid>
</item>
<item>
<title>Scotland's Sexual Health Information (SSHI) Report: Year of Publication - 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#752</link>
<description>Diagnoses of sexually transmitted infections (STIs) among heterosexual men and women continue to increase; young people, aged less than 25, are the group most at risk of being infected with an STI.Just under half (48%) of all chlamydia testing performed in 2009 was undertaken on those aged less than 25: this proportion has not changed over the last five years.High rates of STIs, teenage pregnancies, and abortions indicate that young people continue to take risks, including the inconsistent use of contraception - unprotected sexual intercourse remains a problem.</description>
<pubDate>Wed, 1 Dec 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#752</guid>
</item>
<item>
<title>Waiting Times (comprising Waiting Times and Waiting Lists, Audiology, Diagnostic and A &amp; E)</title>
<link>http://www.isdscotland.org/Health-Topics#835</link>
<description>At 30 September 2010, 99.7% of new outpatients (all sources of referral) had been waiting 12 weeks or less. This is the statistic used by NHS Boards from 31 March 2010 to measure performance against Scottish Government waiting times standards for new outpatients. At 30 September 2010, 99.8% of inpatients and day cases were waiting less than the 12-week national standard. This is the statistic used by NHS Boards to measure performance against Scottish Government waiting times standards for inpatients and day cases. During quarter ending 30 September 2010, approximately 98.1% of new outpatients seen (all sources of referral) and 99.8% for inpatients and day cases admitted had waited less than 12 weeks. 97.2 % of patients attending Accident and Emergency (A&amp;E) departments in Scotland during the month ending 30 September 2010 were seen within 4 hours. 99.5% of patients waiting for the eight key diagnostic tests and investigations at 30 September 2010 were recorded as having been waiting no longer than 6 weeks. </description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics#835</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios: Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#755</link>
<description>These data show that hospital mortality across Scotland is reducing over time. A single high quarterly HSMR figure is not sufficient evidence of an individual hospital providing poor quality of care or unsafe services, but should be used as a trigger for further investigations. The process was not designed to compare hospitals or identify 'outliers'. The model does not adjust for all clinically relevent characterstics that define risk in the patient case mix of individual hospitals over time. Features such as the type of hospital, extent of provision of palliative care or the balance between elective and non-elective activity need to be understood before a meaningful conclusion can be drawn from direct comparisons between different hospitals.</description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#755</guid>
</item>
<item>
<title>Scottish Health Service Costs Year ended 31 March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#540</link>
<description>ISD Scotland collects annual data on the cost of providing health care in Scotland and publishes this information in Scottish Health Service Costs (Costs Book).  Costs Book 2010 presents a detailed breakdown of expenditure on health, covering over £9.7 billion of NHS spending on Hospital and Primary Care Services by the 14 territorial health boards, the State Hospital and the Golden Jubilee National Hospital.   The published information is derived mainly from the financial and statistical data prepared as part of the annual accounts cycle and is unaudited. See http://www.isdscotland.scot.nhs.uk/Health-Topics/Finance/Publications/Costs_Summary_Changes_2010.pdfSummary of Changes for important information about the 2009/10 data.</description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#540</guid>
</item>
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<title>Scottish Renal Registry Report 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#759</link>
<description>The incidence of new patients starting renal replacement therapy (RRT) for  established renal failure (ERF) each year has fluctuated over the past 10 years between 101 per million of the population in 2001, up to 111 in 2007. 104 patients per million population started RRT for established renal failure (ERF) in 2009.4278 patients were receiving RRT for ERF on 31 December 2009. Of these, 49% of patients had a functioning kidney transplant, 44% were being treated with haemodialysis (HD) and 7% with peritoneal dialysis (PD). In contrast to the number of new patients starting RRT, the number of prevalent patients continues to rise annually.209 patients received a kidney transplant in Scotland in 2009. 27% of kidney transplants performed between 2005 and 2009 were from live kidney donors. Kidney transplants performed in 2008 had a 93% 1 year kidney transplant survival and a 99% 1 year patient survival.The life expectancy of patients receiving RRT is shorter than that of the general population. The survival of patients is influenced by their age at the time of starting RRT and also by their primary renal diagnosis (PRD). The median survival for a patient aged 45 to 64 years at the start of RRT with glomerulonephritis is 7.7 years. The median survival of a patient in the same age group with a PRD of diabetic nephropathy is 2.9 years. In contrast: the life expectancy of a male from the general population aged 55 years is 24.2 years. There is a trend of significant improvement in two year survival for patients starting RRT over the past 10 years.</description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#759</guid>
</item>
<item>
<title>Action Plan for Improving Oral Health and Modernising NHS Dental Services in Scotland - NHS Board Monitoring Report</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#758</link>
<description>Targets are monitored across 4 key areas:Oral Health Improvement WorkforceServicesQuality of Services. This report has been completed using a combination of data collated by NHS boards, NES and ISD, some of which have already been published (e.g. registrations data in section 3, Services).</description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#758</guid>
</item>
<item>
<title>Sepsis Management in Scotland</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#756</link>
<description>308,910 emergency attendances were recorded at the 20 participating hospitals between 2nd March and 31st May 2009, 1.7% (5285) of which developed signs of sepsis within two days of attendance. The median duration of stay in hospital was seven days. Most patients were cared for within a ward, however 14% were admitted to a Critical Care unit within two days of attendance. The median length of stay for patients within a Critical Care unit was three days. Early Warning System (EWS) charts were commenced for 71% of patients within two hours of attendance. Where the EWS chart indicated the need for review by senior nursing / medical staff, documented confirmation that this had occurred was present in 91% of cases. 34% of patients with sepsis also developed signs of severe sepsis within two days of attendance. The overall mortality for patients who met the criteria for sepsis was 14%. For patients who met the criteria for severe sepsis, mortality was 24%. </description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#756</guid>
</item>
<item>
<title>ScotPHO Health and Wellbeing Profiles for Community Health Partnerships</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#754</link>
<description>The profiles present a large number of detailed results. Some examples of key findings include the following:Across small areas of Scotland during 2003-07:Male life expectancy ranges from 59.9 years in Parkhead West and Barrowfield to 89.0 years in part of Moray CHCP Female life expectancy ranges from 70.2 years in Paisley Ferguslie to 92.3 years in Fairmilehead, part of Edinburgh CHP. Across CHPs and local areas during 2007-10:The number of people admitted to hospital annually with alcohol related problems ranges from 654 to 1700 per 100,000 people. The number of people admitted to hospital annually with coronary heart disease ranges from 244 to 456 per 100,000 people. The proportion of the working age population claiming Jobseekers allowance varies from 1.4% to 6.8%. </description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#754</guid>
</item>
<item>
<title>Delayed Discharges in NHSScotland (formerly Patients Ready for Discharge) figures from the October 2010 Census.</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-CarePublications/index.asp#753</link>
<description>At the October 2010 census, there were a total of 776 delayed discharges in Scotland, compared with 708 at the July 2010 census, and 662 at the October 2009 census.Of the 776 delayed discharges 128 (16%) patients were delayed for over 6 weeks in the October 2010 census. This compares with 62 (9%) at the July 2010 census and 94 (14%) at the October 2009 census.The median duration to the census point for all delayed discharges was 23 days ( 21 days at the July 2010 census, and 22 days at the October 2009 census).The number of patients experiencing delays in short stay specialties in Scotland has decreased since July 2010. There were 75 at the October 2010 census compared to 86 at July 2010 and 59 at the October 2009 census.</description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-CarePublications/index.asp#753</guid>
</item>
<item>
<title>Dental Statistics; Registrations</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#757</link>
<description>The percentage of the Scottish population registered with an NHS GDS dentist was 70.9%, up from 70.1% at 30th June 2010. The 6-12 age group had the highest percentage of population registered (94.5%) with an NHS GDS dentist. NHS Ayrshire &amp; Arran had the highest proportion (all ages) registered with an NHS GDS dentist as at 30th September 2010 (76.7%) and 30th June (75.3%). Participation rates have been published for the first time and show that 74% of children and 54% of adults in Scotland attended the dentist within the 2 year period to Sep 2010. </description>
<pubDate>Tue, 30 Nov 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#757</guid>
</item>
<item>
<title>Cancer Incidence (2008)</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#546</link>
<description>In recent years, the overall age-standardised incidence rates have fallen slightly for males and increased slightly 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. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#546</guid>
</item>
<item>
<title>Cancer Mortality in Scotland (2009)</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#550</link>
<description>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 14% over the last 10 years, while female death rates due to lung cancer have increased almost 12% 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 the elderly. 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. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#550</guid>
</item>
<item>
<title>Mental Health Benchmarking Toolkit</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#760</link>
<description>The indicators presented here have been chosen based on a wide range of stakeholder input to represent a balanced view of the Adult Mental Health Service in Scotland. It is recommended that individual indicators should not be approached in isolation but interpreted in the context of the overall balanced view of the service.</description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#760</guid>
</item>
<item>
<title>Care Home Census 2010, Scotland</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#551</link>
<description>At 31 March 2010 there were a total of 1,375 registered care homes providing 43,887 places to 38,042 residents. There were 943 care homes for older people as at 31 March 2010 compared to 1,059 at 31 March 2000, a decrease of 11%. There were 39,150 registered places in care homes for older people at 31 March 2010. The number of places has increased by 2.0 per cent since March 2009 and decreased by 0.1 per cent from the March 2000 level. The number of care homes for adults with learning disabilities has decreased by 27.1 per cent since March 2000, from 380 to 277 as at March 2010. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#551</guid>
</item>
<item>
<title>Scottish National Tariff 2010/2011</title>
<link>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#766</link>
<description>Healthcare Resource Group (HRG) version 4.0 has been used in this analysis. The Scottish National Tariff for cross boundary flows covers acute (hospital) sector inpatients and day cases A combined rate is produced for elective inpatients and day cases and a separate rate is produced for non-elective inpatients Activities excluded from the tariff calculation include certain specialised services such as those funded by National Services Division (NSD), high cost low volume activity (e.g. defibrillator pacemaker implants). </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Finance/Publications/index.asp#766</guid>
</item>
<item>
<title>Antibacterial Primary Care Prescribing Indicators Annual Report 2009-10</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#765</link>
<description>In 2009/10, over 47,000 fewer prescriptions for antibacterials were dispensed in Scotland compared to 2008?09. Seasonal variation in quinolone use is one of the three prescribing indicators agreed by SAPG and the Scottish Government Health Directorate in support of the HEAT target for CDI reduction. Based on data for year ending March 2010, progress has been made with nine NHS Boards below the target and most others making good progress towards the target which will be assessed in March 2011. A reduction of 15% in the use of antibacterials associated with a higher risk of CDI expressed as defined daily doses per 1000 population per day (DDD/1000/day) in 2009?10 compared with 2008?09. When expressed as items per 1000 population per day (items/1000/day) the reduction is 20%. The use of antibacterials recommended by SAPG for treatment of commonly encountered infections in primary care, expressed as DDD/1000/day, increased by 2.8% in 2009?10 compared with 2008?09. When expressed as items/1000/day the increase is 5%. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#765</guid>
</item>
<item>
<title>Scottish Electro-convulsive Therapy Accreditation Network Annual Report 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#764</link>
<description>In 2009, there were 483 episodes of ECT with 390 patients being treated. Although there has generally been a downward trend in the use of ECT, a slight increase in use was observed in 2009 compared to 2008 (444 episodes). Around three quarters of the ECT episodes that occurred in Scotland in 2009 involved patients who were capable of giving informed consent. The majority of patients undergoing ECT treatment do so because of a depressive episode, in relation to either a bipolar or a depressive disorder. Seventy-eight percent of patients with capacity and 85% of patients without capacity showed a definite improvement following ECT. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#764</guid>
</item>
<item>
<title>Scottish Audit of Surgical Mortality - Annual Report 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#763</link>
<description>In 2009 the total number of inpatient deaths occurring whilst under the care of a surgeon and reported to SASM was 3,310. By 1st July 2010, 78% (2,583) of these deaths had been audited. Of the 3,310 reported deaths, 51% (1,691) completed the full SASM peer review process. In 89% of cases where the patient had completed the full SASM process, no areas of concern or for consideration in relation to the patient's management were reported. Cases where concerns were raised that were deemed to have contributed to (1.8%) or caused (0.2%) the death of a patient were rare. The most commonly reported area of concern or for consideration was "Transfer should not have occurred / Inappropriate admission to a surgical ward". SASM believes that the best driver for change is local discussion and recommends that all surgical deaths are reviewed by hospitals at morbidity and mortality meetings. In 82% of all audited deaths that occurred in 2009, the case had either been discussed or was planned to be discussed at a morbidity and mortality meeting. </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#763</guid>
</item>
<item>
<title>Breastfeeding Statistics 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#547</link>
<description>Among the 12 participating NHS Boards in ScotlandThe overall breastfeeding rate and exclusive breastfeeding rate have remained relatively stable since 2001/02. In 2009/10, a total of 45.6% of babies were breastfed at the First Visit review, which takes place at around 10 days (compared with the 2008/09 level of 45.4%). This includes 36.3% of babies who were exclusively breastfed (compared with 37.2% in 2008/09). At the 6-8 week review, the overall breastfeeding rate was 36.0% in 2009/10 (36.2% in 2008/09). This includes 26.1% of babies who were exclusively breastfed (26.6% in 2008/09). </description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#547</guid>
</item>
<item>
<title>Key Clinical Indicators for Sexual Health: Population Based Indicators Report 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#761</link>
<description>ChlamydiaBetween 2008 and 2009 there was little change observed in the number of chlamydia tests performed in men and women (267,854). However, 20% more tests were carried out in 2009 compared to 2005.The majority of positive tests (72%) were seen in those aged less than 25 however the same age group accounted for less than half (48%) of all chlamydia testing in Scotland in 2009.HIVIn 2009, 3092 HIV infected individuals attended for CD4 cell count monitoring across Scotland. This represents an 8% increase compared with the number reproted in 2008 (2871) and a 16% increase in that reported in 2007 (2666).Of those cases eligible for antiretroviral therapy (ART) in 2009, 1285 (98%) had attended for CD4 monitoring and treatment for at least 6 months and 96% of them (1231/1285) had received ART (at any level) during 2009. A similar proportion attended for CD4 monitoring in 2008 however the proportion of them who had received ART are higher in 2009 than those observed in 2008 (98% v 93%).</description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#761</guid>
</item>
<item>
<title>Scottish Arthroplasty Project - Annual Report 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#762</link>
<description>The number of hip and replacements continued to rise in 2009. There were 7,168 hip replacements, 6,884 knee replacements, 986 hip revisions and 567 knee revisions. Shoulder and finger arthroplasties also continued to increase (405 and 77 respectively).The length of stay for hip replacements continued to fall year on year. It has decreased from an average (mean)of 10.3 days in 2001 to 6.2 days in 2009. The length of stay for knee replacements has decreased from 10.1 days in 2001 to 6.5 days in 2009.The rate of DVT/PE (1%) and mortality (0.4%) at 90 days after hip arthroplasty were at their lowest level ever. The rate of dislocation and infection within a year of hip arthroplasty did not differ greatly from recent years. Rates for infection, DVT/PE and deaths following knee replacement also remained similar to recent years.In this annual report, for the first time, revision rates are reported at 1, 3 and 5 years following primary hip and knee replacement. Revision rates at 1 and 3 years for hip and knees were lowest in 2005. There has been a small increase in revision rate since then. There was less variation between boards for knee revisions at 1 year compared to hip revisions. This may be due to a more uniform design of knee prostheses compared to hip prostheses.</description>
<pubDate>Tue, 26 Oct 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#762</guid>
</item>
<item>
<title>Quality &amp; Outcomes Framework (QOF) of the new GMS contract - Achievement, prevalence and exception reporting data 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#811</link>
<description>GMS practices in Scotland achieved an average of 972.2 QOF points in 2009/10 out of a possible maximum 1000. Although this is very similar to the 972.0 average for 2008/09 there were changes in achievement levels for some indicators. The average QOF payment to a GMS practice for 2009/10 was £130,778. This is up slightly from £129,434 in 2008/09</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#811</guid>
</item>
<item>
<title>New Cancer Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#767</link>
<description>During the period April to June 2010, 96.6% of patients started treatment within 62 days of urgent referral with suspicion of cancer.Within the same period, 97.7% of patients started treatment within 31 days of decision to treat. This is the first publication of these statistics.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#767</guid>
</item>
<item>
<title>ScotPHO website annual update</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#775</link>
<description>Allergic conditions: Figures on consultations in primary care and on hospital admissions have been updated to March 2009. In 2009 the most common allergic condition for which patients consulted their general practice continued to be asthma - an estimated 520 people per 100,000 consulted at least once during the year. Around 284 people per 100,000 consulted because of eczema or dermatitis.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#775</guid>
</item>
<item>
<title>Key Clinical Indicators for Sterilisation, Termination of Pregnancy, Long acting Reversible methods of Contraception</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#774</link>
<description>Female Sterilisation: 10.9 women per 10,000 (aged 15 – 49) had a sterilisation procedure in 2009, compared to 12.3 in 2008.Vasectomy: A total of 38.4 per 10,000 men (aged 15 – 59) in Scotland had a vasectomy in 2009, compared with 41.0 in 2008. It should be noted that it is not currently possible to quality assure the vasectomy data provided by NHS boards to the same extent as the ISD national data returns.Termination of Pregnancy: The proportion of early terminations has been rising steadily in more recent years, with 62.1% of all terminations performed at less than 9 completed weeks gestation in 2009. This figure has risen by 5.4 percentage points from 2008.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 46.9 per 1000 women aged 15 – 49 in 2008/2009 to 56.7 in 2009/2010. The majority of NHS boards have increased their uptake of these very long acting or ‘lasting’ methods.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#774</guid>
</item>
<item>
<title>Drug Treatment Waiting Times</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#773</link>
<description>Time from referral to assessment date offeredIn Apr-Jun 2010, 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 (Table 1). 70% of those offered an appointment for assessment were offered a date which fell within the reporting period, Apr-Jun 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, less than 1% had waited more than 52 weeks by the end of June 2010 (Table 2). Time waited for first interventionIn Apr-Jun 2010, nearly 96% of those offered an appointment for treatment were offered a date within 4 weeks of the date a care plan was agreed (Table 3). Just over 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Apr-Jun 2010, and which was within 14 days 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, Just over 1% had waited more than 52 weeks by the end of June 2010 (Table 4). </description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#773</guid>
</item>
<item>
<title>Smoking Cessation Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#772</link>
<description>There were 134,656 quit attempts made with the help of NHS smoking cessation services in Scotland between 1st April 2008 and 31st March 2010. The total number of 'self-reported' quits at one month after 'quit date', in Scotland in the period 1st April 2008 to 31st March 2010 >was 52,277. </description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#772</guid>
</item>
<item>
<title>NHS Acute Hospital Activity</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#771</link>
<description>The total number of hospital discharges (episodes) has remained constant at approximately 1,400,000 for the last two financial years ending March 2009 and March 2010.Emergency inpatient discharges (episodes) decreased by 2.2%, and day case discharges (episodes) increased by 2.6%, from the previous year.4,590,000 outpatients were seen at consultant clinics in the year ending March 2010, showing a slight decrease of 0.8% when compared to year ending March 2009.The numbers of inpatient and day case discharges in the quarter ending June 2010 show small increases when compared to the same quarter of the previous year. Outpatient attendance figures show a slight decrease when comparing the same time periods.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#771</guid>
</item>
<item>
<title>NHS Complaints 2009-10</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#769</link>
<description>The number of complaints for Hospital and Community Services has been relatively stable in recent years, with 7,123 complaints received in 2009/10.76.0% of complaints were dealt with within the national target of 20 working days in 2009/10.The number of complaints for Family Health Services was estimated at 3,515 in 2009/10, expected to represent an 11% increase when compared against 2008/09.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#769</guid>
</item>
<item>
<title>Provision of Injecting Equipment in Scotland, 2008/09</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#770</link>
<description>240 injecting equipment provision (IEP) outlets responded to the 2008/09 IEP survey corresponding to approximately 98% of all IEP outlets across Scotland.In 2008/09, 251,349 contacts with IEP services were reported across Scotland. The majority of the contacts were made by males (77%).In Scotland, 4.38 million needles/syringes were distributed in 2008/09 compared to 4.43 million in 2007/08. In the first half of 2009/10, 2.16 million needles/syringes were distributed by IEP outlets.</description>
<pubDate>Tue, 28 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#770</guid>
</item>
<item>
<title>Human Papilloma Virus (HPV) Immunisation Uptake</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#777</link>
<description>Uptake rates by mid-August 2010 for girls in S2 offered HPV immunisation in Year 2 of the programme (in school year 2009/10) are 92.6% for the first dose, 91.1% for the second dose and 86.9% for the third dose.</description>
<pubDate>Thu, 23 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#777</guid>
</item>
<item>
<title>Childhood Immunisation Rates: quarter ending 30 June 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#776</link>
<description>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 93.4%. This is a decrease of 0.1 percentage points on the previous quarterly figure. Quarterly uptake by 5 years of age is 96.1%, also down 0.1 percentage points on the previous quarter.Quarterly uptake of the Hib/MenC and PCV booster by 24 months remains relatively stable at around 94%</description>
<pubDate>Thu, 23 Sep 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#776</guid>
</item>
<item>
<title>Scottish Cervical Screening Programme Statistics 2009/2010</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#824</link>
<description>At 31st March 2010:Of eligible women, 73.7% had been screened in the previous 3.5 years, a rise of approximately 0.3% compared to 31st March 2009.In contrast to 31st March 2009, uptake rates for those women invited to attend cervical screening in the previous 3.5 years have increased in 9 out of 15 NHS Boards, including former Argyll &amp; Clyde.Of those eligible women with a record of a previous cervical screening test taken within the last 3.5 years, uptake rates have improved across most five year age bands within the target age range.In 2009 -10:Approximately 415,500 cervical screening tests were processed within the programme. This resulted in a decrease of almost 8% compared to 2008-09, which reported the largest number of cervical screening tests processed in any one year since 2001-02, with over 450,500 screening tests processed.Of all the tests processed, 97% were satisfactory. Approximately 91% of satisfactory tests had a negative result and 3.4% had some degree of pre-cancerous change.</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#824</guid>
</item>
<item>
<title>Cancer Survival in Scotland</title>
<link>http://www.isdscotland.org/Health-TopicsCancer/Publications/index.asp#826</link>
<description>Survival from cancer has, in general, increased between the periods of 1983-1987 and 2003-2007Taking all cancers combined, five year relative survival in the period 2003-2007 is estimated as 46% for males and 54% for females.This represents an increase of 18 percentage points in males and almost 15 percentage points in females when looking at all cancers combined over the study period.The largest absolute increases in survival are found in breast, prostate and colorectal</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-TopicsCancer/Publications/index.asp#826</guid>
</item>
<item>
<title>Births in Scottish Hospitals Year ending 31st March 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#535</link>
<description>The number of births in Scotland is increasingThere was a steady increase in the proportion of births to mothers aged 30-34, from 13% in 1976 to a peak of 31% in 2002 but this has now declined slightly to 26.5% in 2009. There has also been a steady rise in the proportion of births to women aged 35-39, from 5% in 1976 to 17% in each of the last 4 years.</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#535</guid>
</item>
<item>
<title>Influenza Update 2009 - 2010</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#781</link>
<description>Patient consultations with GPs for flu-like illness over the winter of 2009/10 were somewhat higher than in previous years with estimated weekly consultation rates peaking at 105 consultations per 100,000 registered patients. The main rise occurred in November 2009, which isunusually early in the season. This was for a large part due to recording of suspected H1N1 cases in younger age groups. For the 2009/10 season, the recorded vaccination uptake rate in patients aged 65 and over (one of the main groups included in Scottish Government vaccination targets) was 75.0%. Although slightly down from the previous year (which may relate to the H1N1 vaccination campaign overlapping with the tail end of the normal seasonal flu vaccination campaign) it was well over the target of 70%. For the first time the uptake rate in patients who were under 65 but considered (for other reasons) to be at increased risk of developing complications from flu was over 50% (53.4%). Provisional figures suggest that for the 2009/10 season more than 1.16 million seasonal flu vaccines were dispensed by community pharmacies to general practices across Scotland. This does NOT include specific H1N1 vaccines, which were provided completely separately. The total cost of the dispensed seasonal flu vaccines (including handling and other fees payable to community pharmacies), is expected to amount to approximately £6.8 million; an increase of £0.9 million, mainly due to a nearly 20% rise in Gross Ingredient Cost compared to the previous year. </description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#781</guid>
</item>
<item>
<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#778</link>
<description>The data suggest that hospital mortality across Scotland is largely reducing over time.No hospital had mortality which was significantly higher than predicted given the patients and conditions seen there and relative to the Oct 06 ? September 07 baseline.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.&#160; 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.&#160; ISD seeks to avoid this by undertaking regular surveys of data quality in all NHS Boards and provides training in clinical coding.</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#778</guid>
</item>
<item>
<title>Waiting times and waiting lists</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#779</link>
<description>This publication reports on:Waiting times and waiting lists to 30 June 2010 (monthly and quarterly data) - At 30 June 2010, approximately 99.9% of new outpatients (all sources of referral) had been waiting 12 weeks or less. &#160; - At 30 June 2010, approximately 99.9% of inpatients and day cases were waiting less than the 12-week national standard.Audiology Waiting Times to 30 June 2010 (monthly and quarterly data)A&amp;E waiting times to 30 June 2010 (monthly and quarterly data)Diagnostic waiting times to 30 June 2010 (monthly and quarterly data</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#779</guid>
</item>
<item>
<title>Dental Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#780</link>
<description>Publication reports on Registrations and Fees &amp; TreatmentsThe percentage of the Scottish population registered with an NHS GDS dentist was 69.0% (all ages) as at 31st March 2010 and 70.1% (all ages) as at 30th June 2010. Overall, there was a 0.8 percentage point decrease from 31st December 2009 to 31st March 2010, followed by a 1.1 percentage point increase from 31st March 2010 to 30th June 2010. [These figures are based on an improved methodology which has removed deceased and duplicate patient records and allowed for reporting by patient residence postcode ].</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Dental-Care/Publications/index.asp#780</guid>
</item>
<item>
<title>Genito-urinary Medicine Statistics, year ending December2009</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#782</link>
<description>In 2009, as seen in previous years, more new acute STIs were diagnosed in men compared to women, with the number of diagnoses of syphilis, gonorrhoea, genital warts, NSGI (non-specific genital infection) non-chlamydial, HIV and other STIs being higher in men than women.  The number of diagnoses of chlamydia, genital herpes and trichomoniasis was greater in women. Almost a quarter of all acute STI diagnoses are in those aged less than 20. The rate of new acute STIs varies greatly across NHS Boards with  the highest rates being recorded in the large urban boards of Lothian, Tayside and Greater Glasgow &amp; Clyde.</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#782</guid>
</item>
<item>
<title>Improving ethnic data collection for equality and  diversity monitoring</title>
<link>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#784</link>
<description>For Scotland as a whole there have been substantial improvements in the recording of ethnic group. Completeness of recording has more than doubled between the second quarter of 2008 and the first quarter of 2010 for both hospital discharges and new outpatient appointments. Despite this improvement the recording of ethnicity remains low: a valid ethnic group code was recorded in only 37.5% of inpatient and daycase records (SMR01) in the quarter to March 2010 and only 25% of new outpatient appointment records (SMR00). Over the last two years Golden Jubilee National Hospital (GJNH), NHS Lanarkshire, NHS Borders, NHS Dumfries &amp; Galloway, NHS Greater Glasgow and Clyde (GGC) and NHS Ayrshire &amp; Arran in particular have made significant improvements in recording, with some other NHS Boards achieving modest improvements. However, some NHS Boards continue to shown little or no improvement in recording. For SMR01 records and/or SMR00 records, Tayside and the Island Boards continue to have recording levels persistently below 1%. </description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Equality-and-Diversity/Publications/index.asp#784</guid>
</item>
<item>
<title>Delayed Discharges in NHSScotland (formerly Patients Ready for  Discharge) figures from the July 2010 Census.</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#783</link>
<description>There were 62 patients delayed for over 6 weeks in the July 2010 census. This compares with zero at the April 2010 census and 55 at the July 2009 census. At the July 2010 census, there were a total of 708 delayed discharges in Scotland, compared with 579 at the April 2010 census, and 634 at the July 2009 census. The median duration to the census point for all delayed discharges at the July 2010 census was 21 days  compared to 19 days at the April 2010 census and 21 days at the July 2009 census. The number of patients experiencing delays in short stay specialties in Scotland has increased since April 2010. There were 86 at the July 2010 census compared to 53 at April 2010 and 65 at the July 2009 census.</description>
<pubDate>Tue, 31 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#783</guid>
</item>
<item>
<title>Suicide Statistics 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#785</link>
<description>Suicide is a leading cause of mortality among young people and Scotland's suicide rate is higher than in other parts of the UK.There were 746 deaths by suicide in Scotland in 2009 (deaths from intentional self harm and events of undetermined intent). This is a reduction on the 2008 figure, and equates to an age-sex-standardised rate for 2009 of 14.2 per 100,000 population.Based on three-year rolling averages there was a 13% fall in suicide rates between 2000-02 and 2007-09 in men and a 7% fall in women.In 2009, the suicide rate for males was just under three times that for females.Suicide rates generally increased with increasing deprivation, with rates in the most deprived 30% of areas of Scotland significantly higher than the Scottish average. This rate remains approximately four times higher in the most deprived area compared to the least deprived area.Between 2000-04 and 2005-09, the suicide rate decreased in 10 of the 14 NHS Boards and in 22 of the 32 local authorities.</description>
<pubDate>Fri, 6 Aug 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#785</guid>
</item>
<item>
<title>General Ophthalmic Services</title>
<link>http://www.isdscotland.org/Health-Topics/Eye-Care/Publications/index.asp#790</link>
<description>The number of NHS eye examinations has increased from 1.73 million for year ending 31 March 2009 to 1.78 million for year ending 31 March 2010. 4.5% of all patients who had an eye examination during the year ending 31st March 2010 were then referred to either their GP or Hospital for follow up care. This compares to 4.2% from the previous year. 473,755 GOS(S)3 optical vouchers (pairs of spectacles for which vouchers were redeemed, including complex appliance payments) were reimbursed by NHS Boards during the year ending 31st March 2010. This was a 1.2% increase on the previous year. </description>
<pubDate>Tue, 27 Jul 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Eye-Care/Publications/index.asp#790</guid>
</item>
<item>
<title>Mental Health (Psychiatric) Hospital Activity Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#786</link>
<description>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 3,700Alcohol/drug related problems were responsible for 25% of all discharge diagnoses in men and schizophrenia accounted for a further 20%.&#160; For women, mood (affective) disorders accounted for 32% of the diagnoses recorded, while dementia diagnoses were identified in 14% of discharges.</description>
<pubDate>Tue, 27 Jul 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Mental-Health/Publications/index.asp#786</guid>
</item>
<item>
<title>Scottish Breast Screening Programme Statistics 2008/2009</title>
<link>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#787</link>
<description>In 2008-09, approximately 1,500 cases of screen detected breast cancer were diagnosed in women of all agesLooking 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 &gt;70% of women invited during the previous three years.</description>
<pubDate>Tue, 27 Jul 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp#787</guid>
</item>
<item>
<title>Cardiovascular Anticipatory Care Screenings 2009-10</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#788</link>
<description>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.</description>
<pubDate>Tue, 27 Jul 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#788</guid>
</item>
<item>
<title>Scottish Intensive Care Society Audit Group Audit of Critical Care in Scotland 2010 - Reporting on 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#789</link>
<description>Significant out of hours workload: 44% of admissions to ICU and 30% of admissions to HDU occur between 8pm and 8am, reflecting the 24/7 nature of Critical Care.New measures: early discharges and readmission within 48 hours of discharge: Both early discharge and readmission within 48 hours can be a marker of insufficient resources, although this is not the only factor. It is recommended that units whose measures are above the norm, examine the reason for this.  Delayed discharges and Out of hours discharges: Delays continue to increase (although this may be partly due to improvements in the data collection method). The main reason for both ICU and HDU delays is delay in obtaining downstream beds. Out of hours discharges remain around 15%, reasons may be due to overall shortage of beds or difficulties in finding a downstream bed. ICU mortality continues to improve: ICU Standardised mortality ratio has reduced to 0.84. (APACHE II methodology). H1N1 planning and preparation: Preparation and planning for pandemic influenza was a major excersise for Critical Care which will serve Scotland well for the future.  Quality improvement measures/processes: Appendix 2 and 3 show that quality improvement measures have been adopted in all units.   </description>
<pubDate>Tue, 27 Jul 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#789</guid>
</item>
<item>
<title>NHSScotland Workforce Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#792</link>
<description>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%.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp#792</guid>
</item>
<item>
<title>Scottish Stroke Care Audit 2010 National Report</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#793</link>
<description>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%.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#793</guid>
</item>
<item>
<title>Acute Hospital Activity to 31 March 2009 (annual data) and to 31 March 2010 (quarterly data)</title>
<link>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#794</link>
<description>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.&#160; 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.&#160; 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.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp#794</guid>
</item>
<item>
<title>ScotPHO website section updates</title>
<link>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#795</link>
<description>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.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#795</guid>
</item>
<item>
<title>Quality &amp; Outcomes Framework (QOF) of the new GMS contract - Scotland level prevalence figures 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#796</link>
<description>The QOF-reported prevalence of many conditions has changed relatively little over the previous few years.  Examples of these are Coronary Heart Disease, Chronic Obstructive Pulmonary Disease, Atrial Fibrillation, Dementia, Heart Failure, Epilepsy and Left Ventricular Dysfunction.Any reported changes in the prevalence figures over time are increases. In some cases these are due to the fact that the registers are cumulative.  Other examples of prevalence rates increasing include asthma (up from 5.4% in 2004/05 to a provisional 5.9% in 2009/10), hypertension (up from 11.5% to 13.9%), hypothyroidism (up from 2.8% to 3.6%) and diabetes (up from 3.5% in 2006/07 to 4.5% in 2009/10).A new register has been included in the QOF for 2009/10.  This requires practices to identify patients who have newly diagnosed hypertension and are therefore at risk of developing cardiovascular disease.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#796</guid>
</item>
<item>
<title>Alcohol Brief Interventions 2009/10</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#797</link>
<description>The total number of brief interventions carried out in Scotland in 2009/10 was 53 985.  Over 2008/09 and 2009/10 82 564 brief interventions were carried out.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#797</guid>
</item>
<item>
<title>Teenage Pregnancy Year ending 31st December 2008.</title>
<link>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#543#543</link>
<description>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.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/index.asp#543#543</guid>
</item>
<item>
<title>Drug Treatment Waiting Times Information Framework Report January-March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#798</link>
<description>Time from referral to assessment date offeredIn Jan-Mar 2010, over 80% of those offered an appointment for assessment were offered a date which fell within the reporting period and was within 4 weeks of referral (Table 1). Over 65% of those offered an appointment for assessment were offered a date which fell within the reporting period, Jan-Mar 2010, and which was within 14 days of referral (Table 1). Of those who were still waiting for an appointment for assessment, 3% had waited more than 52 weeks by the end of March 2010 (Table 2). Time waited for first interventionIn Jan-Mar 2010, nearly 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). Just under 90% of those offered an appointment for treatment were offered a date which fell within the reporting period, Jan-Mar 2010, and which was within 14 days 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 4% had waited more than 52 weeks by the end of March 2010 (Table 4). </description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/index.asp#798</guid>
</item>
<item>
<title>Findings from the 4th Balance of Care / Continuing Care Census 31 March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#799</link>
<description>The number of Category A patients i.e. NHS Continuing Health Care patients decreased from 2641 patients in September 2009 to 2495 in March 2010, a fall of 146 patients (6%). (Table 1) For Category B patients (i.e. patients who do not specifically meet the criteria for NHS Continuing Health Care but who have been in hospital for over one year and for whom no estimated date of discharge has been set), 486 patients were reported in September 2009. This fell to 414 patients in March 2010, a fall of 72 patients (15%). (Table 1) The 2495 patients reported as receiving NHS Continuing Health Care in March 2010, corresponds to a European age/sex standardised rate of 32 patients per 100 000 Scottish population. A similar rate to that shown in previous cenuses. (Table 5) </description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/index.asp#799</guid>
</item>
<item>
<title>Prescribing Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#800</link>
<description>RemunerationThe gross total payments to Scottish dispensing contractors continues to increase year on year. The net ingredient cost (NIC) paid to dispensing contractors for drug reimbursement continues to increase, as does the cost for remuneration of services. Prescription chargesSince April 2008, total income generated by sales of prescriptions continues to steadily decrease. 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. Smoking cessation interventionsAll NHS Boards, with the exception of NHS Shetland, have a percentage rise in the number of items for smoking cessation interventions.  This could be attributable to the rise in Nicotine Replacement Therapy, through the Public Health Service. All but three NHS Boards – NHS Shetland, NHS Fife and NHS Orkney, saw an increase in the Gross Ingredient Cost. </description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Publications/index.asp#800</guid>
</item>
<item>
<title>New Cancer Waiting Times January - March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#791</link>
<description>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.&#160; 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 &amp; 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.</description>
<pubDate>Tue, 29 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/index.asp#791</guid>
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<title>Childhood immunisation uptake rates, quarter and year ending 31 March 2010</title>
<link>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#801</link>
<description>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%.&#160; This is a decrease of 0.7 percentage points on the previous quarterly figure.&#160; 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%).</description>
<pubDate>Thu, 24 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Child-Health/Publications/index.asp#801</guid>
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<title>Hospital Standardised Mortality Ratios - Quarterly Statistics</title>
<link>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#802</link>
<description>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.&#160; 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.&#160; ISD seeks to avoid this by undertaking regular surveys of data quality in all NHS Boards and provides training in clinical coding.</description>
<pubDate>Mon, 21 Jun 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Quality-Improvement/Publications/index.asp#802</guid>
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<title>Abortion Statistics - year end 31 December 2009</title>
<link>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#553</link>
<description>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.</description>
<pubDate>Tue, 25 May 2010 09:30:00 GMT</pubDate>
<guid>http://www.isdscotland.org/Health-Topics/Sexual-Health/Publications/index.asp#553</guid>
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