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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?

#DataFest17

ISD are delighted to be taking part in #DataFest17 this week. It is a festival of data innovation hosted across Scotland from 20th-24 March 2017. Find out more at http://www.datafest.global/

[20 March 2017]

Stress Urinary Incontinence and Pelvic Organ Prolapse

A study looking at patient outcomes after vaginal mesh surgery for stress urinary incontinence and pelvic organ prolapse has been published in The Lancet. The study was led by ISD in conjunction with doctors and academics from across Scotland.

Further information on the study
[28 March 2017]

NHS Performs - Latest update

NHS Performs has been updated to include information on:

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

See our News Archive for earlier stories

Latest Statistics

Published: 25 April 2017
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  • In 2015, excluding non-melanoma skin cancer, there were 31,467 people diagnosed with cancer in Scotland (16,266 women and 15,201 men). Lung cancer remains the most common cancer in Scotland with 4,997 cases diagnosed in 2015.
  • Over the last ten years, age-adjusted incidence rates of cancer in Scotland have decreased by 4% for men but increased by 5% for women. Across both sexes, there was a decrease of 0.1% over the last ten years.
  • There is considerable variation in incidence trends between different types of cancer. For instance, the incidence rate of head and neck cancer in women has increased by almost 24% over the last ten years. In contrast, the rate for lung cancer in men has decreased by just over 15% during the same period.
  • Currently, it is estimated that two in five people in Scotland will be diagnosed with some form of cancer during their lifetime, which is the same as the previous estimate. This includes some cancers that may have no detrimental impact on life expectancy, such as slow-growing prostate tumours.
  • There are approximately 186,500 people in Scotland who have been diagnosed with cancer over the last 20 years and who are still alive.
Published: 25 April 2017
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NHS Breast Screening Programme performance standards for the three-year period 1 April 2013 to 31 March 2016:

  • The uptake rate in Scotland has fallen slightly by 0.6 percentage points from 72.5% in 2012-15 to 71.9% in 2013-16. The results for both periods exceed the 70% minimum performance standard. The overall trend shows a slight reduction from 74.9% in 2006-09.
  • All but four NHS Boards achieved the 70% minimum performance standard for uptake: NHS Greater Glasgow and Clyde (67.5%), NHS Lanarkshire (68.6%), NHS Fife (69.0%) and NHS Lothian (69.3%).
  • The invasive cancer detection rate for women aged 53-70 years who have previously been screened within five years of their last attendance was 6.4 per 1,000 women screened. This is a slight decrease from the previous three-year period 2012-15 (6.5 per 1,000 women screened).
  • The 2015/16 data for Scotland are 9% incomplete due to the Breast Screening Programme implementing a new Scottish Breast Screening System. Data should be complete for 2016/17.

In 2015/16:

  • All of the 13 NHS Breast Screening Programme minimum performance standards were achieved and all but two of the 11 targets were met (uptake rate and recalled for assessment rate).
  • There were 1,392 cases of screen-detected breast cancer diagnosed in women of all ages.
  • Of these, 81.3% (1,132 cases) of cancers detected were invasive, of which nearly three out of five (55.5%) were less than 15 mm in size and unlikely to be detected by physical examination.
Published: 25 April 2017
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During the week ending 16 April 2017:

  • There were 25,505 attendances at Emergency Departments across Scotland.
  • 92.5% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 129 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 24 patients (0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

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

  • There were 25,837 attendances at Emergency Departments across Scotland.
  • 92.8% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 151 patients (0.6%) spent more than 8 hours in an Emergency Department.
  • 11 patients (< 0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 11 April 2017
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The data extract is presented as downloadable text (.csv) file and covers practice level prescribing for the month of January 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 March 2017 Summary stats dashboard).

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

  • There were 26,592 attendances at Emergency Departments across Scotland.
  • 92.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 140 patients (0.5%) spent more than 8 hours in an Emergency Department.
  • 15 patients (0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 04 April 2017
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  • In 2015/16, initial assessments for specialist drug treatment relating to 11,954 individuals were recorded on the Scottish Drug Misuse Database.
  • Among individuals reporting recent illicit drug use:
    • the percentage seeking treatment for heroin (reporting it as their main drug) decreased from 64% in 2006/07 to 47% in 2015/16.
    • the percentage of under 25s reporting recent heroin use fell from 58% in 2006/07 to 25% in 2015/16.
  • A general downward trend in the percentage of individuals who reported that they were currently injecting was observed (from 28% in 2006/07 to 18% in 2015/16).
  • Between 2006/07 and 2015/16 current sharing of needles/syringes decreased from 12% to 6%, whilst sharing of other injection-related equipment fell from 20% to 8%.
  • The percentage of individuals assessed for specialist drug treatment who were aged 35 and over increased from 30% in 2006/07 to 50% in 2015/16.
Published: 04 April 2017
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  • In February 2017, 40,246 days were spent in hospital by people delayed in their discharge.
    • The number of bed days occupied by delayed discharges has fallen gradually since October 2016.
    • While there was a fall in bed days in February, this is largely due to the fact that February has fewer days than January.
    • The average daily number of bed days occupied by delayed discharges in February was 1,437, compared with 1,427 in January.
  • At the February 2017 census, there were 1,439 people delayed. Of these, 834 (58%) were delayed more than three days for health and social care reasons.
Published: 04 April 2017
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  • The total number of planned operations across NHSScotland during February 2017 was 27,475 a decrease of 11.9% from 31,177 during February 2016. This decrease may be partly due to 2016 being a leap year.
  • 2,544 operations (9.3% of planned operations) were cancelled in February 2017, ranging from 3.6% to 13.8% across individual NHS Boards. This compares to 3,225 (10.3%) in February 2016.
  • Of all planned operations: 933 (3.4%) were cancelled by the patient; 946 (3.4%) were cancelled based on clinical reasons by the hospital; 586 (2.1%) were cancelled by the hospital due to capacity or non-clinical reasons; 79 (0.3%) were cancelled due to other reasons.
Published: 04 April 2017
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During February 2017:

  • There were 118,803 attendances at A&E services across Scotland.
  • 92.5% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
  • 1,111 (1%) patients spent more than 8 hours in an A&E department.
  • 287 (0.3%) patients spent more than 12 hours in an A&E department.
  • 26.6% of attendances led to an admission to hospital.
Published: 04 April 2017
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During the week ending 26 March 2017:

  • There were 25,628 attendances at Emergency Departments across Scotland.
  • 93.6% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 141 (0.6%) spent more than 8 hours in an Emergency Department.
  • 38 patients (0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 28 March 2017
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  • There were around 2.8 million emergency and urgent care patient journeys across Scotland in the year ending March 2016. This equates to around 5 million separate contacts with NHS 24, OOH Primary Care, SAS, A&E and Emergency Inpatient services.
  • Three quarters of the activity for NHS 24, OOH Primary Care, SAS and A&E took place in the out of hours period. The out of hours period is defined as 6pm to 8 am, Monday to Friday and all day Saturday and Sunday.
  • Children under five accounted for around one in ten of all contacts with all emergency and urgent care services.
  • Around twice as many contacts were made to emergency and urgent care services by individuals living in Scotlandís most deprived areas compared to the least deprived.
  • Females in age groups 15 through to 30 were twice as likely to contact NHS 24 and OOH Primary Care services as males.
  • In the year ending March 2016, the most common patient journey involved self referrals to A&E with no subsequent contact with emergency/urgent care services within 24 hours (27%).
  • Around a quarter of patient journeys starting in the OOH period involved a single contact with NHS 24 followed by a contact with OOH Primary Care. A further one in five journeys involved a single contact with either NHS 24 or OOH Primary Care.
Published: 28 March 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

  • 87.5% of patients started treatment within the 62 day standard, compared to 87.1% in the previous quarter.
  • The 62 day standard was met by five NHS Boards (NHS Borders, NHS Dumfries & Galloway, NHS Lanarkshire, NHS Orkney and NHS Shetland).

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

  • 94.1% of patients started treatment within the 31 day standard, a slight decrease from 94.3% in the previous quarter.
  • The 31 day standard was met by 11 of 15 NHS Boards.
Published: 28 March 2017
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  • The quarterly trend over the past two years shows a high proportion of people receiving early access for their first drug or alcohol treatment. Of the 10,322 people who started their first treatment in the most recent quarter, 95.0% waited three weeks or less. More than half (55.3%) started their first treatment within one week of referral.
    • For the 6,259 people seeking alcohol treatment, 95.2% waited three weeks or less.
    • For the 4,063 people seeking drug treatment, 94.6% waited three weeks or less.
    • There has been little change in the waiting times performance of both drug and alcohol treatment in the last 2 years.
  • All NHS Boards, except NHS Borders, NHS Highland and NHS Lothian met the Scottish Governmentís standard.
  • At the end of this quarter, 2,370 people were waiting to start their first drug or alcohol treatment, of which 190 (8.0%) had been waiting more than six weeks. This is an increase from the same quarter last year when 143 (5.8%) people were waiting more than six weeks.
  • In prisons, 1,136 people started their first drug or alcohol treatment between October-December 2016, with 96.8% waiting three weeks or less and 75.3% waiting one week or less.
Published: 28 March 2017
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  • There were 1,366 people diagnosed with Upper GI cancer in Scotland during 2015.
  • The target for the mortality rate 30 days following surgery is to be below 10%. Overall in Scotland, in each of the three years this was achieved. In 2015, for example, the percentage of patients who died within 30 days of surgery was 1.3% for gastric cancer and 3.4% for oesophageal cancer.
  • For patients diagnosed in Scotland between 2012 and 2014, the estimated three year survival rate for patients aged 15-44 with oesophageal cancer is 29%. As with many other types of cancer, including gastric cancer, survival rates decrease sharply with increasing age.
Published: 28 March 2017
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  • Immunisation uptake rates for children in Scotland remained high in 2016.
  • 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), MenC and PCV were above 96%.
  • Although vaccine uptake by 12 months was high in the most deprived areas, the rates were slightly lower in these areas compared to the least deprived areas.
  • 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 2016, 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 96.8%. Uptake rates of one dose of MMR by five years have remained above the 95% target since 2009.
  • Quarterly uptake of the MenB vaccine by 12 months of age has increased from 94.5% to 95.8%. This was the second full quarter where data were available.
Published: 28 March 2017
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Outpatients

  • There were 1,029,730 total outpatient attendances in the quarter ending December 2016, a slight decrease on the quarter ending December 2015 (1,091,724), with an 11.4% increase in the last five years.
  • Of the total outpatient attendances, there were 356,257 new attendances and 673,473 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 2015.

Inpatient and day case discharges

  • In total there were 401,412 acute inpatient, day case episodes of care and transfers recorded in the quarter ending December 2016. This is a decrease of 3.2 % from 414,592 in quarter ending December 2015.
  • Driven by changes in recording practices and service redesign to the emergency care services in some NHS Boards the number of transfers have increased by 1.3% to 104,518 episodes compared to the quarter ending December 2015.

Bed statistics

  • There were on average 15,495 available staffed beds for all acute specialties in December 2016. This is a decrease of 0.7% since the quarter ending December 2015.
Published: 28 March 2017
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Compared to financial year 2014-2015:

  • In 2015/16, the total cost of General Dental Services and Public Dental Services in Scotland increased by 1.8% to £402.1m.
  • Total payments made to dentists increased by 3.0% to £349.5m.
  • Costs of dental registration fees for both children and adults increased by 2.1% and 4.3% respectively. This is due to fee increases and to higher numbers of patients registered.
  • The total cost of treatment fees increased by 1.0% to £125.8m. However, this is due to a feescale increase of 1.6%; numbers of treatments provided continue to decrease year on year.
  • Due to changes in superannuation contribution rated for NHS employers there was a further increase in costs to NHS Boards.
Published: 28 March 2017
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  • At 31 March 2016, 17.6% of the population of Scotland (946,804 people) were registered for MAS.
  • The service dispensed over 2.1 million items with a total value of £5.1 million, similar to the previous two years. This accounted for 2.2% of all items dispensed by community pharmacies in Scotland.
  • The most common drug dispensed was paracetamol, which accounted for 21.5% of items.
  • By 31 March 2016 every community pharmacy in Scotland had patients registered for the service. Registrations increased by 3.6% between 2014/15 and 2015/16.
Published: 28 March 2017
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During the week ending 19 March 2017:

  • There were 26,086 attendances at Emergency Departments across Scotland.
  • 92.9% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 151 (0.6%) spent more than 8 hours in an Emergency Department.
  • 26 patients (0.1%) spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

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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.

More about Confidentiality

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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