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.
What's New in ISD?
Transforming Information Programme
The Transforming Information Programme is a project focused on finding more effective ways of sharing information about health and care in Scotland. This week we are delighted to announce the launch of our blog at www.trip.scot.nhs.uk. Our first blog post features a video overview of the programme by programme sponsor Fiona Murphy. There is an overview of the programme in the ‘About’ page and we also made the video available on YouTube. We would love to hear your comments or suggestions about what we are doing. We think this is an exciting time in the development of health and care information and we hope you will give our programme your support.
[23 July 2014]
Consultation on the Community District Nursing Team Activity Dataset
We would like to hear your views, comments and amendments to the draft Community District Nursing Team Activity dataset and associated data definitions that will underpin national and local district nursing team data collection. The ISD project team has been working with a number of NHS Boards to develop this draft dataset. We are now undertaking a wider consultation with all NHS Boards and other stakeholders, so that the final dataset reflects both local data needs and current good practice and we welcome your participation in this important consultation process. You can find out more about the consultation through our Community Health Activity Data Project pages.
[8 July 2014]
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- The Scottish Government HEAT target was to achieve 14,910 completed child healthy weight interventions in Scotland over the three years ending March 2014. By 31 March 2014, there were 16,820 child healthy weight interventions completed across Scotland with all fourteen health boards meeting their individual targets.
- During the period 1 April 2012 to 31 March 2014, of the 9,450 completed interventions across Scotland with SIMD data recorded, nearly half (49.0%) were delivered to children/families from the two most deprived local SIMD quintiles (1 or 2)
- In Scotland, for the two year period 2012 and 2013, the percentage of people diagnosed with breast, colorectal and lung cancer (combined) at the earliest stage (stage 1) was 24.3%.
- In Scotland, there was a 4.7% increase in the percentage of people diagnosed at stage 1 for breast, colorectal and lung cancer (combined) between the baseline (2010 and 2011 combined) and year 2 (2012 and 2013 combined).
The April 2014 report on the 3,059 people whose deaths from ‘probable suicide’ (intentional self-harm and undetermined intent) were registered in Scotland between January 2009 and December 2012 included details of who they were, where they lived and what happened. The already-published findings on previous contact with health services are repeated below, along with new results (in red italics) on previous psychiatric inpatient care, to complete the picture.
- Over half (58%) of the Scottish residents in ScotSID had at least one mental health drug prescription dispensed in the community within the 12 months before death. This suggests that they were receiving care for a mental health problem or illness from a healthcare professional such as their GP or staff at an outpatient clinic.
- At least 20% had been offered a psychiatric outpatient appointment during the 12 months before death; records show that 16% attended their appointment and 4% did not attend.
- Around 13% had been a psychiatric inpatient/day case discharged within 12 months prior to death. Most of these (87%) had been admitted on a voluntary basis.
- Nearly one-third of all cases (32%) had been an inpatient/day case in a general hospital within the 12 months before death, and 14% of all cases had had a diagnosis of injury/ poisoning. Over half of these patients (9% of all ScotSID cases) were recorded as having intentionally self-harmed.
- A&E records showed that 16% attended A&E in the 30 days before death, and 25% attended within the three months before death. These figures exclude attendances which were likely to have resulted from the suicidal act.
- ScotSID analyses will be developed further to examine healthcare pathways and contact with more than one health service, and to identify further characteristics of individuals with particular risk of suicide. This information will assist health professionals and others to identify opportunities for intervention to reduce future loss of life through suicide.
- All NHS boards presented showed a decline in the number of admissions, discharges, continuous inpatient stays, patients and residents between 1997/98-1999/2000 and 2010/11-2012/13.
- The pattern for admissions was similar to discharges. For discharges, several boards showed a decline of around 40% over this time period.
- The decline in the number of patients (individuals discharged during the year) tended to be slightly less than for discharges, suggesting that in addition to fewer people being admitted in a year, each person had fewer admissions
- The number of residents (individuals in hospital on 31 March each year) in several boards dropped by over 50% (average for 2011, 2012 and 2013 compared with average for 1998, 1999 and 2000).
- These patterns are to be expected, due to the shift in recent years in the care of people with mental health problems away from inpatient treatment towards various forms of care in the community.
Since November 2013 the SSCA has monitored performance against a Stroke Care Bundle. The current bundle consists of the four inpatient standards, i.e. timely Stroke Unit admission, swallow screen, brain imaging and aspirin administration. This Stroke Care Bundle is included in the 2014-15 Health Board Local Delivery Plans and trajectories for improvement have been set locally. The proportion of individuals receiving the appropriate bundle has increased from 48% to 58% between 2012 and 2013. The wide variation between NHS Boards suggests that there is still large potential for improvements in 'bundle performance'.
Further Scottish Stroke Care Standards relating to attendance at specialist neurovascular clinic, thrombolysis and carotid intervention are also monitored by the SSCA.