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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?

The Scottish Centre for Telehealth and Telecare

The Scottish Centre for Telehealth and Telecare (SCTT), on behalf of the Scottish Government's Technology Enabled Care Programme, recently commissioned the Information Services Division (ISD) of NSS Scotland to bring together data to provide key intelligence to assist local planning, support transformation programmes and commissioning for Long Term Conditions in Scotland.

Complimenting previous work in this area, this new suite of reports , national projection tables and board projection tables, provides a much sharper focus by examining specific disease prevalence in the context of demographic change projections for the next 15 years.  The results are both informative and stark. They can be accessed at https://sctt.org.uk/programmes/home-and-mobile-monitoring/long-term-conditions/.

NHS Performs - Latest update

NHS Performs has been updated to include information on:

  • Emergency Department activity for the week ending 16 July 2017
  • Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 17 July 2017

NHS Performs

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.
[25 July 2017]

 

See our News Archive for earlier stories

Latest Statistics

Published: 25 July 2017
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The Indicator of Relative Need or ioRN is a data collection tool originally designed in 2003 by and for health and care professionals. By addressing function, need and outcomes it offers information that is essential yet, until now, difficult to gather routinely. This report explains why and how an initiative to re-design the original ioRN was carried out and documents the design, testing and launch of ioRN2.

Published: 25 July 2017
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  • For people with breast, colorectal or lung cancer, 25.5% were diagnosed at the earliest stage (stage 1). This is a 9.2% increase from the baseline (2010 and 2011 combined) which is below the Local Delivery Plan standard of 25%.
  • Among patients diagnosed with breast, colorectal and lung cancer living in the most deprived areas of Scotland, the highest proportion (29.4%) were diagnosed at stage 4, the most advanced stage of disease. Among those living in the least deprived areas, the highest proportion (28.6%) were diagnosed at stage 2.
  • For people with breast, colorectal or lung cancer in the most deprived areas, 23.8% were diagnosed at the earliest stage (stage 1). This is a 17.4% increase from the baseline.
  • There has been an improvement in the recording of the data with fewer patients being recorded with a not known stage of disease – a baseline of 8.4% compared with 5.3% for the latest time period.
Published: 25 July 2017
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During the week ending 16 July 2017:

  • There were 24,964 attendances at Emergency Departments across Scotland.
  • 95.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 55 (0.2%) patients spent more than 8 hours in an Emergency Department.
  • 7 (<0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 18 July 2017
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During the week ending 09 July 2017:

  • There were 25,069 attendances at Emergency Departments across Scotland.
  • 94.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 62 (0.2%) patients spent more than 8 hours in an Emergency Department.
  • 3 (<0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 11 July 2017
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  • Stroke is the third commonest cause of death in Scotland and the most common cause of severe physical disability amongst Scottish adults.
  • More than 9,000 stroke patients were discharged from Scottish hospitals in 2016.
  • Changes to the measurement of components of the Stroke Care Bundle during 2016 mean that there is no direct comparison with previous years.
  • Between 2015 and 2016 there have been improvements in the time to stroke unit admission and in the percentage of stroke patients receiving a CT scan within 24 hours of admission.
  • There has been no change in the proportion of patients who are given aspirin within 1 day of admission.
  • The number of stroke patients receiving thrombolysis within 1 hour of hospital admission has improved but remains well below the standard.
  • For carotid endarterectomy, there has also been modest improvement although the proportion of patients receiving treatment remains below the standard.
Published: 11 July 2017
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The data extract is presented as downloadable text (.csv) file and covers practice level prescribing for the month of April 2017. A dashboard will also available to enable preview the data without downloading the large file. The data extract will also feed into existing dashboards which present historical data already published elsewhere on the ISD website (in the June 2017 Summary stats dashboard).

Published: 11 July 2017
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During the week ending 02 July 2017:

  • There were 24,764 attendances at Emergency Departments across Scotland.
  • 95.1% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 72 (0.3%) patients spent more than 8 hours in an Emergency Department.
  • 1 (<0.1%) patient spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 04 July 2017
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  • Teenage pregnancies continue to decline: rates in the under 20s have dropped from the most recent peak of 57.7 per 1,000 women in 2007 to 32.4 in 2015, a decrease of 43.8%.
  • Teenagers from deprived areas are more likely to get pregnant: women aged under 20 and living in the most deprived areas had pregnancy rates five times higher than those in the least deprived (62.1 compared to 11.6 per 1,000 women).
  • Teenagers from deprived areas are more likely to deliver, while those in the least deprived areas are more likely to terminate their pregnancy.
  • Younger teenagers (under 16s) are more likely to have a termination than a delivery, while older teenagers (under 18s and under 20s) are more likely to have a delivery than a termination.
Published: 04 July 2017
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  • In May 2017, 39,651 days were spent in hospital by people whose discharge was delayed.
  • This is equivalent to an average of 1,279 beds occupied per day in May 2017. In April, the daily average was 1,364.
  • At the May 2017 census point, there were 1,286 people delayed.
  • Of these, 1,015 were delayed more than three days. The most common reason for delays over three days was health and social care reasons (670), followed by complex needs (299) then patient and family-related reasons (46).
Published: 04 July 2017
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  • The total number of planned operations across NHSScotland during May 2017 was 29,997, a decrease of 3.0% from 30,924 during May 2016.
  • 2,631 operations (8.8% of planned operations) were cancelled in May 2017, ranging from 6.3% to 11.8% across individual NHS Boards. This compares to 2,849 (9.2%) in May 2016.
  • Of all planned operations: 1,053 (3.5%) were cancelled by the patient; 1,001 (3.3%) were cancelled based on clinical reasons by the hospital; 512 (1.7%) were cancelled by the hospital due to capacity or non-clinical reasons; 65 (0.2%) were cancelled due to other reasons.
Published: 04 July 2017
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There were 150,442 attendances at A&E services in Scotland.

  • 94% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours
  • 704 (0.5%) patients spent more than 8 hours in an A&E department
  • 96 (0.1%) patients spent more than 12 hours in an A&E department.
  • 23.7% of attendances led to an admission to hospital.
Published: 04 July 2017
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During the week ending 25 June 2017:

  • There were 27,232 attendances at Emergency Departments across Scotland.
  • 94.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 71 (0.3%) patients spent more than 8 hours in an Emergency Department.
  • 12 (<0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 27 June 2017
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The Information Services Division has released a report describing the current availability of equality data in routine national administrative health datasets in Scotland. These datasets are used for a number of secondary uses such as planning, performance monitoring, benchmarking and research. The report provides information about what equality data are collected and how complete they are, discusses possible data quality issues and gives examples of how routine health service data can be used to measure differences between equality groups. It also highlights and explains the gaps in equality data and explores ways in which these could be addressed.

Published: 27 June 2017
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The 62 Day Standard is that 95% of patients urgently referred with a suspicion of cancer will wait a maximum of 62 days from referral to first cancer treatment

  • 88.1% of patients started treatment within the 62 day standard, compared to 87.5% in the previous quarter and 90.2% for quarter ending March 2016.
  • The 62 day standard was met by two NHS Boards (NHS Dumfries & Galloway and NHS Lanarkshire).

The 31 Day Standard is that 95% of all patients will wait no more than 31 days from decision to treat to first cancer treatment

  • 94.9% of patients started treatment within the 31 day standard, compared to 94.1% in the previous quarter. In quarter ending 2016 the figure was also 94.9%.
  • The 31 day standard was met by 11 of 15 NHS Boards.
Published: 27 June 2017
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  • The quarterly trend over the past three years shows little change in the performance and that people continue to receive early access for their first drug or alcohol treatment.
  • Of the 10,848 people who started their first treatment in the most recent quarter, 94.9% waited three weeks or less. More than half (56.3%) started their first treatment within one week of referral.
    • For the 6,651 people seeking alcohol treatment, 95.5% waited three weeks or less.
    • For the 4,197 people seeking drug treatment, 94.0% waited three weeks or less.
  • All NHS Boards, except NHS Highland, NHS Lothian and NHS Shetland met the National Delivery Plan standard.
Published: 27 June 2017
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ABIs delivered in 2016/17

  • In 2016/17 there were 86,560 ABIs delivered in Scotland. This is 42% more than the 61,081 set out in the Local Delivery Plan standard for 2016/17.
  • 55,950 of the ABIs delivered were in priority settings (Primary Care, Accident & Emergency and Antenatal settings). This is 12 percentage points more than the required minimum standard for priority settings.
  • Ten of the 14 NHS Boards met or exceeded their standard for delivery of all ABIs. Seven NHS Boards met or exceeded their standard for ABIs delivered in priority settings.
  • The number of ABIs delivered in Scotland fell for the third consecutive year to 86,560 from a peak of 104,356 in 2013/14.
  • The number of ABIs in ‘wider’ settings (settings other than priority settings) has increased for the fourth consecutive year from nearly 10,500 in 2012/13 to over 30,500 in 2016/17. ABIs delivered in wider settings account for 35% of all ABIs recorded in 2016/17.
Published: 27 June 2017
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Quarterly Uptake

  • Uptake rates of most vaccines by 12 and 24 months of age decreased slightly but remain high in Scotland.
  • Uptake rates by 12 months of age for complete primary courses of immunisation against diphtheria, tetanus, pertussis (whooping cough), polio and Hib (the five-in-one vaccine) and PCV were above 96%.
  • Uptake of the newly introduced MenB vaccine by 12 months age increased marginally to 95.9%. Uptake of rotavirus vaccine also increased marginally to 93.6%.
  • Uptake rates of the first dose of MMR, Hib/MenC and PCV booster by 24 months have all decreased slightly, to around 94.5%.

Annual Uptake

  • Immunisation uptake rates for children in Scotland decreased slightly from the previous year, although rates remained high in the year ending 31 March 2017.
  • The national target is for 95% uptake of one dose of the MMR vaccine by five years of age, with a supplementary measure at 24 months. In the year ending 31 March 2017, annual uptake of one dose of MMR vaccine by 24 months of age decreased slightly to 94.9%. Uptake of one dose by five years of age was 96.9%. Uptake rates of one dose of MMR by five years have remained above the 95% target since 2009.
Published: 27 June 2017
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Outpatient activity

  • There were 1,064,629 total outpatient attendances in the quarter ending March 2017, a slight decrease on the quarter ending March 2016(1,098,183), with a 9% increase in the last five years.
  • Of the total outpatient attendances, there were 374,182 new attendances and 690,447 follow-up attendances.
  • Less than one in ten patients did not attend their first outpatient appointment, which is a slight reduction compared to the same quarter in 2016.

Beds statistics

  • There were on average 15,635 available staffed beds for all acute specialties in March 2017. This is a decrease of 1.3% since the quarter ending March 2016.

Inpatient and day case activity

  • In total there were 398,746 acute inpatient, day case episodes of care and transfers recorded in the quarter ending March 2017. This is a decrease of 5.7% from 422,948 in quarter ending March 2016.
  • Driven by changes in recording practices and service redesign to the emergency care services in some NHS Boards, the number of transfers have shown a steady rise since March 2012, and have now decreased by 7.4 % to 103,221 episodes compared to the quarter ending March 2016.
Published: 27 June 2017
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Drugs – Addiction Prevalence Testing

  • In 2016/17, 76% of individuals entering prison tested positive for illegal drugs and 30% tested positive for illegal drugs when leaving prison.

Drugs – Drug-Related offences

  • In 2015/16, the rates of recorded offences for possession of drugs and possession of drugs with intent to supply remained similar to previous years at 55.7 and 7.4 offences per 10,000 population respectively.

Drugs – Drug-Related Criminal Proceedings

  • In 2015/16, for those convicted of possession of drugs with intent to supply, the most common sentence was imprisonment (49%). For possession of drugs, the most common sentence was a fine (61%).

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Confidentiality

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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