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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?

Estimating the Prevalence of Problem Drug Use in Scotland in 2015/16

ISD’s Consultancy Services Team are currently undertaking the latest three yearly national drug prevalence study, incorporating data from drug treatment services, hospitals, the police and criminal justice social work. Further detail on the study is available on the drug misuse web pages.

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 08 October 2017
  • Numbers of hospital wards closed with confirmed or presumed Norovirus for the week ending 09 October 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

[17 October2017]

See our News Archive for earlier stories

Latest Statistics

Published: 17 October 2017
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During the week ending 08 October 2017:

  • There were 26,212 attendances at Emergency Departments across Scotland.
  • 93.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 114 (0.4%) patients spent more than 8 hours in an Emergency Department.
  • 8 (<0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 10 October 2017
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  • There were 53,224 deaths in Scotland during 2016/17, excluding those where an external cause such as unintentional injury was recorded.
  • For those who died, 87% of their last six months of life was spent at home or in a community setting with the remaining 13% spent in hospital. This has remained broadly similar over the last seven years from 2010/11 to 2016/17.
  • The percentage of those in the youngest age group that spent their last 6 months at home or in the community was slightly higher than the percentage in the oldest age group; 90% in the 0-54 age group compared to 87% for those aged 85+. This may reflect the different causes of death in these age groups.
  • The percentage of the last six months of life spent at home or in a community setting is similar in more deprived and less deprived areas.
Published: 10 October 2017
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  • In 2016/17 around 2.2 million eye examinations were performed by optometrists working in Scottish local communities, the highest level reported since 2006/07.
  • Most eye examinations (94%) were dealt with in a primary care setting and did not result in a referral.
  • Four in five claims were for initial eye examinations (primary examinations). The others were for emergency, additional or follow-up care (supplementary examinations).
  • The most common reason for a supplementary examination was ‘Sudden vision loss and floaters’.
  • Clinical conditions were recorded during the eye examination. Cataracts were the most common of all the recorded conditions (17%).
Published: 10 October 2017
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  • On 31 December 2016 5,026 individuals were receiving RRT in Scotland, of which 2,874 (57%) of these had a functioning kidney transplant.
  • 573 new patients started RRT in 2016, 10.6 per 100,000 population.
  • Transplant is the most frequent method of RRT for those aged less 65, and for those aged 65 or over it is hospital haemodialysis.
  • 248 patients received a kidney transplant in Scotland during 2016. 73 of these were from living donors and 33 of those transplants were pre-emptive meaning they were performed before the patient had required any other form of RRT.
  • The length of time over which transplanted kidneys work (graft survival) continues to improve.
  • Patients have a lower risk of infection if haemodialysis is received through an arteriovenous (AV) fistula. In May 2017, 73.2% of haemodialysis patients in Scotland in were receiving dialysis via an AV fistula. The Renal Association’s guideline is 80%.
  • There were 108 instances of Staphylococcal bacteraemia reported in RRT patients in 2016.
Published: 10 October 2017
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  • Dispensing of antipsychotics, antidepressants, drugs for ADHD and drugs for dementia has been steadily increasing over the past ten years. Dispensing of hypnotics and anxiolytics has remained stable in the past ten years.
  • There is an overall trend of increasing total cost for antidepressants and ADHD. This reflects increased usage. The cost for hypnotics and anxiolytics also increased between 2015/16 and 2016/17. There has been a decrease in cost for antipsychotics, and dementia drugs. This is primarily due to reductions in drug prices and drugs coming out of patent.
  • All of the mental health drugs considered in this report show a consistent pattern of increasing volume dispensed with increasing patient deprivation. For elderly patients dispensed dementia drugs this pattern is less pronounced but still evident.
  • For most of these groups of mental health drugs there are substantially more drugs dispensed to females than males. The exception to this is ADHD, where 80% of dispensing is to males.
  • There is wide variation in dispensing of mental health drugs between NHS Boards, reflecting different populations and methods of service delivery.
Published: 10 October 2017
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The data extract is presented as downloadable text (.csv) file and covers practice level prescribing for the month of July 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 September 2017 Summary stats dashboard).

Published: 10 October 2017
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During the week ending 01 October 2017:

  • There were 27,154 attendances at Emergency Departments across Scotland.
  • 92.7% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 158 (0.6%) patients spent more than 8 hours in an Emergency Department.
  • 31 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 03 October 2017
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  • There was a 10% increase in the total number of NHSScotland complaints received in 2016/17 (23,507). In NHSScotland overall six complaints were made per 10,000 contacts (which represents 0.06% of all contacts). Contacts include: hospital admissions; outpatient appointments; A&E attendances; visits to GP and nurses; dental and ophthalmic treatments.
  • The total number of complaints received by NHSScotland hospital and community health services was 14,703, a 9% increase.
  • There were also increases in the number of complaints received by family health services (7,660, 14% increase). Special boards, national and support organisations saw an 8% decrease (1,144).
  • Response times have remained steady over the last five years. The latest figures for complaints dealt with within 20 days are:
    • Hospital and community health services: 72%
    • Family health services: 91%
    • Special boards/national and support organisations: 88%
  • There was a small decrease in the number of complaints being fully upheld in hospital and community health services and special boards, national and support organisations. This information is not available for family health services; it is not mandatory for these organisations to provide this data.
Published: 03 October 2017
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  • In August 2017, 41,632 days were spent in hospital by people whose discharge was delayed. This compares with 45,551 days in August 2016.
  • The average number of beds occupied per day in August 2017 was 1,343. In July, the daily average was 1,312.
  • At the August 2017 census point, there were 1,370 people delayed. This compares with 1,472 at the census point in August 2016.
  • Of those delayed at the August 2017 census, 1,115 were delayed more than three days. The most common reason for delays over three days was health and social care reasons (768), followed by complex needs (298) then patient and family-related reasons (49).
Published: 03 October 2017
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  • The total number of planned operations across NHSScotland during August 2017 was 30,516, a decrease of 2.2% from 31,215 during August 2016.
  • 2,581 operations (8.5% of planned operations) were cancelled in August 2017, ranging from 5.1% to 10.5% across individual NHS Boards. This compares to 2,879 (9.2%) in August 2016.
  • Of all planned operations: 1013 (3.3%) were cancelled by the patient; 966 (3.2%) were cancelled by the hospital based on clinical reasons; 523 (1.7%) were cancelled by the hospital due to capacity or non-clinical reasons; 79 (0.3%) were cancelled due to other reasons.
Published: 03 October 2017
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During August 2017:

  • There were 141,354 attendances at A&E services in Scotland.
  • 95% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
  • 356 (0.3%) patients spent more than 8 hours in an A&E department.
  • 43 (<0.1%) patients spent more than 12 hours in an A&E department.
  • 23.8% of attendances led to an admission to hospital.
Published: 03 October 2017
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During the week ending 24 September 2017:

  • There were 27,176 attendances at Emergency Departments across Scotland.
  • 92.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 156 (0.6%) patients spent more than 8 hours in an Emergency Department.
  • 31 (0.1%) patients spent more than 12 hours in an Emergency Department.

The information from this publication is included in NHS Performs.

Published: 26 September 2017
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  • The quarterly trend over the past three years shows little change in performance. Of the 10,865 people who started their first treatment in the most recent quarter, 94.9% waited three weeks or less.
    - For the 6,557 people seeking alcohol treatment, 95.3% waited three weeks or less.
    - For the 4,308 people seeking drug treatment, 94.2% waited three weeks or less.
  • All NHS Boards, except NHS Borders, NHS Highland, NHS Lothian and NHS Tayside met the Local Delivery Plan standard.
  • At the end of this quarter, 2,926 people were waiting to start their first drug or alcohol treatment, of which 214 (7.3%) had been waiting more than six weeks. This is an increase from the same quarter last year when 101 (3.3%) people were waiting more than six weeks.
  • In prisons, 1,282 people started their first drug or alcohol treatment between April-June 2017 with 94.5% waiting three weeks or less.
  • In the year ending March 2017 approximately 70% of the people starting drug or alcohol treatment were male.
Published: 26 September 2017
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  • The rate of drug-related general acute stays increased steadily from 41 to 162 stays per 100,000 population between 1996/97 and 2016/17. After a lengthy period of stability, the rate of drug-related psychiatric stays increased from 29 to 36 stays per 100,000 population between 2014/15 and 2015/16.
  • Stays among individuals aged 35 and over increased over the time series. For general acute stays among 45-49 year olds, there was a greater than eighteen-fold increase from 11 to 203 patients per 100,000 population between 1996/97 and 2016/17.
  • In the most recent available year’s data, 61% of drug-related general acute stays were due to opioids (drugs similar to heroin) while 51% of drug-related psychiatric stays were associated with ‘multiple/other’ drugs.
  • In the most recent available year’s data, approximately half of patients with general acute or psychiatric stays in relation to drug misuse lived in the 20% most deprived areas in Scotland.
  • In 2015/16, 3,860 patients (72 new patients per 100,000 population) were treated in hospital (general acute/psychiatric combined) for drug misuse for the first time. The drug-related new patient rate has increased since 2006/07 (49 new patients per 100,000 population).
Published: 26 September 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.

  • 86.9% of patients started treatment within the 62 day standard, compared to 88.1% in the previous quarter and 89.8% for quarter ending June 2016.
  • The 62 day standard was met by three NHS Boards: NHS Dumfries & Galloway, NHS Lanarkshire and NHS Orkney.

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.

  • 94.8% of patients started treatment within the 31 day standard, compared to 94.9% in the previous quarter and 95.7% for quarter ending June 2016.
  • The 31 day standard was met by 10 of 15 NHS Boards.
Published: 26 September 2017
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  • Uptake rates remain high in Scotland. Uptake of most vaccines increased slightly this quarter.
  • Uptake rates by 12 months of age for complete primary courses of immunisation of the five-in-one vaccine (which protects against diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus (Hib)), Pneumococcal Conjugate Vaccine (PCV) and Meningitis B vaccine were all above 96%.
  • Uptake of the complete two dose course of rotavirus vaccine by 12 months of age remained just below 94%.
  • Uptake rates for the Haemophilus/Meningitis C (Hib/MenC) booster and Pneumococcal Conjugate Vaccine booster by 24 months were around 95%.
  • 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. Uptake of one dose of MMR vaccine was 94.8% by 24 months of age and 97.1% by five years of age. Uptake rates of one dose of MMR by age five have remained above the 95% target since 2009.
Published: 26 September 2017
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  • At 31 March 2017, 16.4% of the population of Scotland (around 884,000 people) were registered for the Minor Ailments Service. All but one community pharmacy in Scotland had patients registered for the service. Registrations decreased by 6.6% (from around 947,000 people) between March 2015/16 and March 2016/17.
  • Between 2007/8 and 2015/16 the number of items supplied under the Minor Ailments Service increased each year. However, in 2016/17 there has been a decrease, with 5.6% fewer items supplied compared to 2015/16, with a corresponding decrease in cost.
  • The service supplied over 2 million items in 2016/17 with a total cost of £4.9 million. This accounted for 2.0% of all items supplied by community pharmacies in Scotland.
  • The most common drug supplied was paracetamol, which accounted for 20.7% of items.
  • For patients aged under 16 registered for the Minor Ailments Service in 2016/17, those who lived in the most deprived Scottish Index of Multiple Deprivation quintile received the greatest number of items per 1,000 Minor Ailments Service registrations (2,927 items) while those who lived in the least deprived quintile received the least (2,318 items).
Published: 26 September 2017
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The Information Services Division has released Community Pharmacy activity and direct pharmaceutical care services in an open data format. This information release makes these data available in response to information requests for contractor data relating to specific Community Pharmacy services. The longer term aim is to give the greatest equality of access following feedback on these experimental statistics.

Published: 26 September 2017
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The Information Services Division has released results for financial year 2020/21 from the Resource Allocation Formula for NHSScotland. The previously published shares for 2018/19 and 2019/20 are also shown. The Formula is used to inform the budget allocations to territorial NHS Boards in Scotland for the provision of hospital and community healthcare services and GP prescribing. The final shares for these years may be different from the calculated target shares, as the results are used to inform the final allocation, not to determine them.

Published: 26 September 2017
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This information helps to provide a balanced view of CAMH services in NHS Scotland, incorporating the aims of the Quality Strategy domains of Client/Patient Focus, Delivering Best Practice, Internal Processes and Best Use of Resources. It achieves this by taking a range of information on waiting times for young people receiving mental health services, the workforce employed to provide those services, hospital activity and several other contextual measures. The balanced scorecard comprises of a detailed set of data tables in the CAMHS toolkit and an interactive comparative dashboard.

Published: 26 September 2017
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Drugs – Treatment for drug misuse

  • For the sixth successive year there has been a decrease in the number of Opioid Replacement Therapy drug items (including methadone) dispensed.
  • From 2010/11 to 2016/17, the cost of methadone dispensing decreased from £6,382 to £5,051 per 1,000 adult population.
  • The minimum number of individuals in Scotland prescribed methadone was 26,017 in 2016/17.

Drugs – Health harm

  • There were 8,684 HIV infections reported in Scotland between 1985 and 2016, 1,613 (19%) among people who inject drugs.
  • Of the 306 new HIV cases reported by NHS Boards in Scotland in 2016, 36 (12%) were among people who inject drugs.

Prisoners – Prisoner Health

  • In 2015 the Alcohol Use Disorders Identification Test (AUDIT) was administered to prisoners as part of the Scottish Prisoner Survey conducted by Scottish Prison Service. Among prisoners who completed the AUDIT assessment, 66% had an alcohol use disorder. Of these one third (33%) were classed as possibly alcohol dependent, 27% were hazardous drinkers and one in 20 (6%) were harmful drinkers.

Multiple Sclerosis

  • In 2016 there were 171 deaths where multiple sclerosis was recorded as the underlying cause of death. Over time the number of deaths among women is consistently around double the number in men, reflecting the fact that MS is more common among women.

Diabetes

  • The number of discharges with a diabetes diagnosis has increased gradually over the last ten years. Diabetic ketoacidosis shows a steady rise in the number of hospital discharges, particularly among younger age groups.
Published: 26 September 2017
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During the week ending 17 September 2017:

  • There were 26,963 attendances at Emergency Departments across Scotland.
  • 92.2% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
  • 193 (0.7%) patients spent more than 8 hours in an Emergency Department.
  • 40 (0.1%) patients 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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