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Operations and Procedures

Hospital Care

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Introduction

When a patient is admitted to hospital as an inpatient or day case within non-obstetric and non-psychiatric specialties procedural information is recorded for each episode of care. There are up to four procedures recorded on each SMR01 record. This should also be the case for each outpatient attendance (SMR00 record).

Due to variations in data recording across all NHS Boards it is difficult to describe and accurately quantify the level of procedures carried out in outpatients. This is particularly relevant for monitoring how changes in clinical practice have enabled the transfer of certain clinical activities, previously requiring inpatient or day case admission, to outpatients.

From the 1st April 2008, it was no longer mandatory to record procedures (such as imaging, injections, infusions, x-rays etc) on inpatient and day case records unless the patient was specifically admitted for this purpose. For further details please refer to the Clinical Coding Guidelines (March 08 No.22)Download PDF file.

Details on the clinical coding used to record procedures can be found in the following Data Sources and Clinical Coding documentDownload Word file.

The information linked below has been updated to include the most recent available data.


Inpatient and Day case Surgical Procedures and Operations - All Ages

The tables relating to procedures (for patients of all ages) have been revised to include outpatient activity alongside inpatient and day case activity, and also incorporate updated procedure groupings. This is to allow the data that are collected to be available for comparison and to ensure that the groups of OPCS-4 codes used are the most up-to-date. The groups have been selected to cover the majority of procedures undertaken in NHSScotland.

Details of all recorded inpatient, day case and outpatient procedures performed in NHS Scotland for the financial years 2011/12 to 2015/16 are contained within the following Excel file.

Number and Type of Procedures carried out by Health BoardDownload Excel file[2.6Mb]

Please note, in order to view this file, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

As nationally collected information about procedures performed in an outpatient setting is known to be incomplete, ISD are working with NHS Boards to develop full compliance nationally.


Inpatient and day case surgical procedures and operations - children aged 18 and under

Data on the number of main procedures performed on children aged 18 years and under by age group for financial years 2011/12 - 2015/16 are available in the Excel file below.

Childhood number of procedures and rates by Health Board of ResidenceDownload Excel file [3.7Mb]

Please note, in order to view this file, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.


British Association of Day Surgery (BADS) Procedures

British Association of Day Surgery (BADS) has produced a directory of surgical procedures that contain aspirational goals for day surgery (including outpatient surgery). These cover around 40% of all surgical procedures.

Monthly Data

The Scottish Government developed a HEAT target related to improving efficiencies in same-day surgery. The target was to achieve 80% of British Association of Day Surgery (BADS) procedures performed in a day case or outpatient setting by March 2011.

This target has now concluded. Previously published information on this target remains accessible through the Publications section of the ISD Hospital Care topic.

Annual Data

The Excel file below presents information on the numbers and percentage of British Association of Day Surgery (BADS) procedures performed in an inpatient, day case or outpatient setting for the last 5 financial years (2010/11 to 2014/15) by specialty.

Annual BADS data by NHS Board of treatmentDownload Excel file [128Kb]

Please note, in order to view this file, your macro security settings will need to be set to medium. To change macro security settings using Tools, Macro, Security - set security level to Medium and re-open the report.

The increase in the percentage procedures performed as a day case is attributable to a combination of efforts by NHS boards to provide day surgery for relevant cases and improvements in the level of procedure recording for outpatient attendances.

It should be noted that due to variations in data recording across all NHS Boards it is difficult to describe and accurately quantify the level of procedures carried out in outpatients, Nationally collected information about procedures performed in an outpatient setting is known to be incomplete. ISD are working with NHS Boards to develop full compliance nationally. Details of completeness can be found within the Monthly and Annual Excel files.

Surgeon Mortality Rates

In June 2013, the Information Services Division (ISD) of National Services Scotland provided information on the mortality rates of surgeons in Scotland from 2007 - 2012 in response to a Freedom of Information Request. ISD have made these data available on the website.

We would, however, ask that all users consider carefully the accompanying background information before making any attempt to draw conclusions from the figures.

Data are routinely provided to health professionals in Scotland, in confidence, to help them assess the outcomes of treatment of their patients. Used in this way, and with knowledge of the cases and the local care system, these data can be an important tool for improving the safety and quality of surgical care. Taken out of context and without this background information these figures do not provide reliable information about surgeons' performance.

Surgeon Mortality RatesDownload Excel file [9Mb]


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