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ISD Scotland better information, better decisions, better health

Information Services Division

ISD Scotland is part of NHS National Services Scotland

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

About ISD

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

More about ISD

What's New in ISD?

Consultation on the publication of Scottish Cervical Screening Programme Statistics

We are currently reviewing the content and presentation of the cervical screening statistics and are keen to have your views on this. To take part, please complete the Consultation [730kb] and email to nss.isdcancerstats@nhs.net by Friday 12 January 2018.

NHS Performs - Latest update

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

NHS Performs has been updated to include information on:

  • Emergency Department activity for the week ending 12 November 2017
  • Hospital Standardised Mortality Ratios for March - June 2017

Recently a user engagement survey was carried out and the results can be found in the NHS Performs User Survey Report.

Following on from the results of the user engagement survey, user feedback has been taken on board and the following updates have been implemented to the NHS Performs website:

  • The addition of 11 new hospitals
  • New indicator data from the Inpatient Experience Survey
  • Cosmetic changes to improve navigation and readability of data
  • Improved background information

[21 November 2017]

See our News Archive for earlier stories

Latest Statistics

Published: 21 November 2017
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  • Total NHS Board operating costs increased by 4.1% to £11.7bn compared to £11.2bn in 2015/16. In real terms, once inflation has been taken into account, total operating costs increased by 2.0% compared to 2015/16.
  • Expenditure within the hospital sector was £6.5bn, an increase of 1.5% in cash terms compared to 2015/16. In real terms, there was a decrease of 0.5% compared to the previous year. The hospital sector accounts for the largest part of expenditure (55.4%).
  • Within the community sector, £2.2bn was spent, a cash terms increase of 15.8% compared to 2015/16. This is substantially higher than the previous four years, where annual increases were between 4.4% and 5.0% between 2012/13 and 2015/16. The corresponding real terms increase in the last year was 13.6%. The large increase in community expenditure in the last year is mainly due to the inclusion of £250 million to support the integration of health and social care.
  • Family health sector expenditure, which includes the cost of running local GP practices as well as local pharmacy, dental and ophthalmic services, amounted to £2.6bn in 2016/17 – a cash terms increase of 2.1% and a real terms increase of 0.1% compared to 2015/16.
  • Almost half of the total operating costs (47.6% or £5.6bn) were accounted for by hospital and community sector staff, excluding laboratory staff.
Published: 21 November 2017
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  • In 2016/17 there were 36,235 alcohol-related hospital admissions (stays) in general acute hospitals in Scotland. These relate to 24,060 Scottish residents who had at least one admission to hospital with an alcohol-related condition. Of these people 11,777 were admitted for an alcohol-related admission for the first time or had not been admitted to hospital for an alcohol-related admission in the previous 10 years.
  • In 2016/17 the alcohol-related stay rate per 100,000 population in general acute hospitals was 685.2; an increase compared to the previous year (673.2). Prior to this there had been a steady decline in alcohol-related stays since 2007/08.
  • Stays in general acute hospitals for alcohol liver disease continues to rise for the fourth consecutive year, with a rate of 140.0 stays per 100,000 population during 2016/17. This is similar to 2007/08 (140.1 per 100,000 population), which is the highest recorded since 1997/98.
  • The rate of alcohol-related stays in psychiatric hospitals in 2015/16 is unchanged from previous year (2014/15) at 54.4 per 100,000 population.
  • There is a difference in the pattern of alcohol-related admissions by deprivation. In the general acute setting in 2016/17, there were nearly eight times as many people (per 100,000 population) admitted from the most deprived areas compared to the least deprived areas. In the psychiatric setting in 2015/16, the difference was more pronounced, with just over 15 times as many people from the most deprived areas.
Published: 21 November 2017
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  • The HSMR for Scotland has decreased by 9.7% between January to March 2014 and April to June 2017.
  • Royal Alexandra/Vale of Leven Hospital (HSMR of 1.02) had a significantly higher standardised mortality ratio in April to June 2017 than the national average.
  • Two hospitals had a significantly lower standardised mortality ratio in April to June 2017 than the national average: Western General Hospital (HSMR of 0.63) and St John’s Hospital (HSMR of 0.62).
  • Of the 29 hospitals reported, 12 have shown a reduction of more than 10% since January to March 2014:
    • University Hospital Ayr
    • University Hospital Crosshouse
    • Dumfries & Galloway Royal Infirmary
    • Forth Valley Royal Hospital
    • Inverclyde Royal Hospital
    • Queen Elizabeth University Hospital/Gartnavel
    • Hairmyres Hospital
    • Monklands District General Hospital
    • Wishaw General Hospital
    • Balfour Hospital
    • Ninewells Hospital
    • Western Isles Hospital
Published: 21 November 2017
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During the week ending 12 November 2017:

  • There were 25,581 attendances at Emergency Departments across Scotland.
  • 93.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 166 (0.6%) patients spent more than 8 hours in an Emergency Department.
  • 44 (0.2%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 14 November 2017
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  • The use of ECT in Scotland has remained fairly steady since 2011. In 2016, 344 patients received ECT through 408 episodes of treatment.
  • The majority of treatments (67%) involved patients with the capacity to give informed consent to treatment.
  • In 9% of episodes, treatment was given for emergency life saving reasons and, in 31% of episodes, ECT treatment was expressed as a patient preference.
  • The greatest improvement was seen in the 77% of patients who were rated as “markedly, severely or extremely ill”.
Published: 14 November 2017
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  • In Scotland 5,119 individuals died from suicide between 2009 and 2015. The average suicide rate over this period was 15 people per 100,000.
  • Three quarters of people who died from suicide were men and almost half of all the individuals were aged between 35 and 54.
  • Suicide deaths were around three times more likely among those living in the most deprived areas than among those in the least deprived areas.
  • The most common method of suicide was ‘Hanging, strangulation & suffocation’ which accounted for 46% of all deaths. ‘Poisoning’ (including drug overdose) was the second most common cause of death overall, accounting for 30% of all deaths.
  • The majority of individuals (70%) had contact with at least one healthcare service in the 12 months before their death.
  • One in four people (26%) had at least one psychiatric inpatient stay or psychiatric outpatient appointment in the 12 months before their death, while 8% had both.
  • The most common form of contact individuals had with health services was a mental health drug prescription. Three out of five (59%) people had at least one prescription of this type dispensed within 12 months of death.
Published: 14 November 2017
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Open Data files enable independent analysis of NHSScotland prescribing data. Information is shown for each practice and by individual drug. In response to feedback from users we have produced a prescribing dashboard to allow exploration of the Open Data file. Four interactive views are available:

  • What are the highest cost therapeutic areas for prescriptions in the community?
  • How do individual GP Practices contribute to overall GP Practice prescribing?
  • What is the variation in Prescribing among the biggest GP practices?
  • Where are the most prescriptions being written?
Published: 14 November 2017
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During the week ending 05 November 2017:

  • There were 25,498 attendances at Emergency Departments across Scotland.
  • 94.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 120 (0.5%) patients spent more than 8 hours in an Emergency Department.
  • 20 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 07 November 2017
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Annual

Outpatients

  • 918,008 outpatient attendances occurred in the quarter ending June 2017; a 16% reduction on the quarter ending June 2016, and a 4% decrease in the last 5 years (June 2012). In both the quarters ending June 2017 and 2016; 34% were new appointments and 66% return appointments.
  • The new to return ratio has remained fairly static ranging from 1:1.7 in June 2012 to 1:1.9 for the quarters ending June 2016 and 2017.
  • The percentage of new outpatient appointments not kept without prior notification, described as ‘Did Not Attend’ (DNA) has been reducing over the years from 10.0% in June 2012 to 9.6% in June 2016 and 9.1% (28,682) for the quarter ending June 2017.

Hospital Admissions

  • 294,742 hospital admissions took place in the quarter ending June 2017; a 5% decrease on the quarter ending June 2016 (311,211) and a slight reduction (<1%) compared to the quarter ending June 2012.

Beds

  • The average number of available hospital beds in Scotland has been steadily decreasing over the years. 13,483 inpatient beds for acute specialties were available for the quarter ending June 2017; reductions of 2% and 4% when compared to June 2016 and June 2012 respectively.

Quarterly

Outpatients

  • 1.1 million Scottish residents (around one in five of the population) visited an outpatient department in 2016/17.
  • Overall there were 4.25 million total outpatient attendances; a slight decrease (1%) compared with last year, with a 6% reduction in the last five years (2011/12).
  • 9.4% (138,230) of new outpatient appointments were not kept without prior notification, lower than 2015/16 and 2011/12 at 10.0% and 10.4% respectively. In 2016/17, people aged 25-44 were three times more likely not to keep their new outpatient appointment compared with those aged over 65 (15% vs. 5%).

Hospital Admissions

  • 705,000 Scottish residents (one in eight of the population) were admitted to hospital in 2016/17. Of these, 69% had a single admission to hospital with three out of ten people having more than one admission.
  • There were a total of 1,222,916 admissions into hospital in 2016/17; a small reduction (<1%) compared to last year and 5% increase compared to five years ago.
  • The general trend to provide more hospital-based treatment in an outpatient or day case setting continues. In 2016/17, 731,150 (73%) of procedures were carried out as an outpatient or day case (excluding imaging, injections, infusions, x-ray); a slight reduction on last year (1.5%) but an increase of 13% compared to 2012/13.

Beds

  • The average number of available hospital beds in Scotland has been steadily decreasing over the years. In 2016/17, the available beds for acute specialties was 13,644; a 5% decrease on last year and a 4% reduction when compared to 2011/12.
Published: 07 November 2017
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  • In 2016/17 the sum of NHSScotland payments made to 966 General Practices was £798.4 million. An increase of £44.6 million (5.9%) compared to 2015/16.
  • The Global Sum was the largest payment made in 2016/17 amounting to £570.7 million to 966 General Practices, incorporating the now retired Quality and Outcomes Framework payment.
  • £25.6 million was paid to 898 General Practices in 2016/17 for the Quality and Outcomes Framework. This is a decrease of £59.0 million (69.7%) compared to 2015/16. This reduction is offset by an increase in the ‘Global Sum’ payments. In 2016/17, the £25.6 million includes the retrospective Quality and Outcomes Framework settlement.
  • In addition, £23.1 million was paid to 100 General Practices for dispensing services in 2016/17, similar to the previous year.
Published: 07 November 2017
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This is the first publication of the National Lymphoma Quality Performance Indicators by the Information Services Division. The report assesses performance against eleven indicators developed by lymphoma specialists working in Scotland. The information reported has been collected from clinical audits. This report provides an opportunity to review NHSScotland performance against these measures.

Published: 07 November 2017
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  • A total of 8,159 take-home naloxone kits were issued in Scotland in 2016/17, a decrease of 1% on the previous year. A total of 37,609 take-home naloxone kits were supplied in Scotland between 2011/12 and 2016/17.
  • In 2016/17, 6,497 kits were issued in the community, 700 kits were issued in prisons upon release and 962 kits were dispensed via community prescription.
  • In 2016/17, 3,471 (48%) take-home naloxone kits distributed in the community and prisons were repeat supplies. Of these, 882 (25%) repeat supplies were made because the previous kit was reported as having been used to treat an opioid overdose.
  • In 2016/17, it is estimated that 3,386 kits were issued as a first supply to an individual at risk of opioid overdose. Cumulatively, 21,189 ‘at risk’ individuals are estimated to have been supplied with take-home naloxone between 2011/12 and 2016/17.
  • At the end of 2016/17, the ‘reach’ of take-home naloxone (based on the number of ‘at risk’ individuals supplied with kits between 2011/12 and 2016/17) was estimated to be 345 kits per 1,000 problem drug users.
Published: 07 November 2017
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  • In September 2017, 41,718 days were spent in hospital by people whose discharge was delayed. This is a decrease compared with 45,074 days in September 2016.
  • The average number of beds occupied per day in September 2017 was 1,391. There has been a month on month increase in the average number of beds occupied by delayed discharges since May 2017.
  • At the September 2017 census point, there were 1,378 people delayed. This compares with 1,524 at the census point in September 2016.
  • Of those delayed at the September 2017 census point, 1,140 were delayed more than three days. The most common reason for delays over three days was health and social care reasons (799), followed by complex needs (297) then patient and family-related reasons (44).
Published: 07 November 2017
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  • The total number of planned operations across NHSScotland during September 2017 was 27,840, a decrease of 5.9% from 29,574 during September 2016.
  • 2,562 operations (9.2% of planned operations) were cancelled in September 2017 compared to 2,742 (9.3%) in September 2016. Cancellation rates for NHS Boards ranged from 5.6% to 11.5% with the exception of NHS Western Isles where a sterilisation unit equipment failure resulted in fewer planned operations and a cancellation rate of 23.5%.
  • Of all planned operations: 943 (3.4%) were cancelled by the patient; 970 (3.5%) were cancelled by the hospital based on clinical reasons; 560 (2.0%) were cancelled by the hospital due to capacity or non-clinical reasons; 89 (0.3%) were cancelled due to other reasons.
Published: 07 November 2017
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During September 2017:

  • There were 140,941 attendances at A&E services in Scotland.
  • 93.5% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
  • 774 (0.6%) patients spent more than 8 hours in an A&E department.
  • 166 (0.1%) patients spent more than 12 hours in an A&E department.
  • 24.3% of attendances led to an admission to hospital.
Published: 07 November 2017
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During the week ending 29 October 2017:

  • There were 25,547 attendances at Emergency Departments across Scotland.
  • 94.0% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 92 (0.4%) patients spent more than 8 hours in an Emergency Department.
  • 15 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 31 October 2017
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  • Over the last ten years, the overall age-adjusted cancer mortality rate has fallen by 11%. Although the rate of deaths due to cancer has decreased over this period, the actual number of deaths due to cancer has not. 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.
  • The age-adjusted cancer mortality rate has fallen by 13% for males and 7% for females over the past decade.
  • Lung cancer is the most common cause of death from cancer in Scotland (4,035 deaths). A quarter of all deaths from cancer in Scotland are attributed to lung cancer. The number of deaths due to lung cancer is more than double that of colorectal cancer, the next most common cause of death from cancer.
  • There is considerable variation in trends for different types of cancer. For example, the mortality rate for females due to breast cancer has decreased by 17% over the last ten years. The mortality rate for males due to stomach cancer has decreased by 35% over the same time.
  • The mortality rate for cancer of the liver has increased by 46% for males and 76% for females over the last ten years. The mortality rate for cancer of the corpus uteri has increased by 71% over the same time.
  • Significant patterns exist when examining incidence and mortality rates by deprivation in Scotland. For all cancers combined, the most deprived areas have incidence rates that are 27% higher than the least deprived areas. Mortality rates for all cancers combined are 61% higher in the most deprived compared with the least deprived areas.
Published: 31 October 2017
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  • Among babies born in Scotland in 2016/17, 63% had been breastfed for at least some time after birth, and 41% were being breastfed by 6-8 weeks of age.
  • Breastfeeding rates in Scotland are low compared to those in other countries worldwide. The proportion of babies who were breastfed for at least some time has increased in Scotland over recent years, and there has been a slight increase in the proportion of babies breastfed for at least 6 weeks after birth.
  • Breastfeeding is much more common among older mothers. 56% of mothers aged 40 or over were breastfeeding at the 6-8 week review compared to 12% of mothers aged under 20.
  • White Scottish babies are less likely to be breastfed than babies from any other ethnic group.
Published: 31 October 2017
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During the week ending 22 October 2017:

  • There were 24,517 attendances at Emergency Departments across Scotland.
  • 94.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 134 (0.5%) patients spent more than 8 hours in an Emergency Department.
  • 17 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 24 October 2017
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  • In the most recent financial year 2016/17 there were around 850,000 patients who contacted OOH Primary Care services, resulting in around 950,000 patient consultations (attendance at Primary Care Emergency Centres, Home Visits &/or GP Advice).
  • Children under 5, women in their twenties and people aged 75 and over were the most common age groups of patients contacting OOH Primary Care services.
  • Home visits accounted for 1 in 5 (183,000) of contacts with OOH Primary Care services. Among those aged 75 and over, over half (59%) of the patients receive a home visit.
  • For just over half of patients their treatment was completed following contact with OOH Primary Care services. Just over 3% of contacts resulted in a referral to A&E or Minor Injuries Unit.
  • During the summer A&E services have more attendances than OOH Primary Care services probably as a result of longer days and greater risk of injuries. During the winter months and months with public holidays there are more OOH Primary care contacts.
  • OOH Primary Care services see a larger increase in contacts during four day public holiday weekends than A&E Services.
Published: 24 October 2017
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Quit attempts in 2016/17

  • The number of quit attempts made with the help of NHS smoking cessation services in 2016/17 fell for the fifth consecutive year to 59,767. This represents an 8% decrease from 2015/16 and a 51% decrease since 2011/12. The reasons for the fall in quit attempts is likely to be the result of a combination of factors, including increasing use of electronic cigarettes, which may be viewed as a step towards quitting.

Success of quit attempts in 2016/17

  • Thirty eight percent (22,784) of those making a quit attempt reported that they were still not smoking at 4 weeks. This figure fell to 23% (13,506) at 12 weeks.
  • Of the 22,784 self-reported 4 week quits, 64% (14,483) were confirmed on carbon monoxide (CO) testing, 2.0% (492) were confirmed as smoking, and 34% (7,809) had no CO reading taken or the result was unknown.
  • In 2016/17, the percentage of successful quit attempts at both 4 and 12 weeks have increased by one percentage point from 2015/16.

Performance against the 2016/17 Local Delivery Plan Standard

  • There were 7,842 successful 12 week quits in the most deprived areas. This is below the annual local delivery plan standard of 9,404.
  • Three of the fourteen NHS Boards met their individual standard.
Published: 24 October 2017
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  • More than three quarters of P7 children had no obvious decay experience in their permanent teeth in 2017. This is a substantial improvement over the past twelve years.
  • In 2017, the average number of teeth affected by obvious decay experience in P7 children’s is 0.49. This is less than half of the average number of teeth affected in 2005 (1.29). (Note: no obvious decay experience means there are no obviously decayed, missing or filled teeth).
  • Only 65.6% of P7 children had no obvious decay experience in the most deprived areas compared with 86.5% in the least deprived areas.

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ISD works with information collected about patients and the NHSScotland workforce. We work very hard to ensure the safe and secure storage, use and management of that information.

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Media Monitoring

If you would like to know more about what is going on in the health service, you may be interested in Information Services Library's media monitoring service. This provides twice daily updates on health related stories being reported in the Scottish media.

Media Monitoring

National Data Catalogue

The National Data Catalogue (NDC) is a single definitive resource of information on Scottish Health and Social Care datasets that incorporates the Data Dictionary, information on the National Datasets and New Developments.

Visit the NDC website

ScotPHO

ScotPHO, The Scottish Public Health ObservatoryThe Scottish Public Health Observatory (ScotPHO) is a major web resource that has been developed by ISD Scotland in collaboration with NHS Health Scotland and other key national organisations.

Visit the ScotPHO website

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