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?
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
[21 December 2016]
NHS Performs - Latest update
NHS Performs user survey launched. Help us improve NHS Performs to best meet your performance information needs.
NHS Performs has been updated to include information on:
- Emergency Department activity for the week ending 12 February 2017
- Numbers of hospital wards closed with confirmed or presumed Norovirus infections on 13 February 2017
- Hospital Standardised Mortality Ratios for July - September 2016
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.
[21 February 2017]
In February 2016 the OECD published a report summarising its reviews of health care quality for each of the four nations of the UK. The report included several recommendations, one of which was ‘publishing more quality and outcomes data disaggregated by country and, in particular, reporting each of the OECDs health care quality indicators separately, for England, Scotland, Wales and Northern Ireland’.
In response to this recommendation the four nations have done some initial work to produce an experimental statistics product. This is based on the Health Care Quality Indicators (HCQI) submitted by the UK to the OECD as part of the 2015 Health at a Glance data collection.
It is important to stress that this experimental statistics product does not provide a full and comprehensive assessment of the quality of individual healthcare systems across the UK, and should not be used to draw such conclusions. The primary purpose for producing this product at this time is to invite user feedback, and in particular to receive comments on how the product might be developed further.
The indicators included in this experimental statistics product typically contain data up to and including 2013. We have broadly focused on those indicators where data can be produced for England, Scotland, Wales and Northern Ireland.
This work is a first step in developing a fuller set of indicators for England, Scotland, Wales and Northern Ireland. Further work will take place following the 2017 Health at a Glance data collection which the OECD is currently undertaking.
- This pilot study has shown that collecting survey data in relation to oral health and behaviours of patients aged 45 years and over as part of a dental examination is feasible.
- In this pilot survey of 1,867 patients seen by 92 dentists, 96% of adults aged 45 years and over who attended primary dental care for an examination had at least one natural tooth.
- Two-thirds (67%) of those with at least one natural tooth had a functional dentition: having enough teeth for general oral function, including being able to eat comfortably.
- Older patients and those living in the more deprived areas of Scotland were less likely to have a functional dentition. In other words, they did not have enough teeth for general oral function such as eating comfortably.
- Adults living in the most deprived areas were more likely to smoke cigarettes in this pilot study. There was a higher level of gum disease recorded for those adults who smoke cigarettes compared to those who do not.
- This pilot will inform the future collection of adult oral health data in Scotland.
- There has been a steady downward trend in deaths from coronary heart disease in Scotland and the rest of the UK over the last ten years. In Scotland, the mortality rate fell by 37.6% between 2006 and 2015. However, coronary heart disease is still a leading cause of death and a national clinical priority for Scotland.
- The incidence rate for coronary heart disease decreased over the past decade by 27.3%, as a result of better treatment and improvements in risk factors. Incidence rates for coronary heart disease remain consistently higher in males than females.
- The reduction in death rates for coronary heart disease was seen in both the most and least deprived communities. The percentage reduction in deaths in the most deprived category (31.3%) over the last ten years was smaller than that in the least deprived category (38.5%).
- For an individual admitted to hospital as an emergency with their first heart attack, their chances of surviving at least 30 days improved over the last ten years from 4.9% to 92.9%.
- The number of prescriptions for drugs to treat diseases of the circulation increased by 6.6% in the last ten years. Despite this, the cost of prescriptions dispensed for these drugs has fallen by 44.6% over the last ten years to £116.8 million in 2015/16, reflecting falls in drug prices for these conditions.
- Cerebrovascular disease develops as a result of problems with the blood vessels supplying the brain. The incidence rate for cerebrovascular disease decreased over the last decade by 14.0%, as a result of better treatment and improvements in risk factors. Incidence rates were consistently higher in males than females.
- In the last decade, the mortality rate for cerebrovascular disease decreased by 33.5%.
- The mortality rate for cerebrovascular disease in the most deprived areas was 42.3% higher than in the least deprived areas in 2015.
- The percentage of people surviving 30 days or more following their first emergency admission to hospital with a stroke improved slightly over the last ten years from 80.7% in 2006/07 to 84.9% in 2015/16.
- The number of prescriptions for drugs to treat diseases of the circulation increased by 6.6% in the last ten years. Despite this increase, the cost of prescriptions dispensed for these drugs has fallen by 44.6% over the last ten years to £116.8 million in 2015/16, reflecting falls in drug prices for these conditions.
- The HSMR for Scotland has decreased by 8.6% between January to March 2014 (first quarter after new baseline) and July to September 2016.
- No hospitals had significantly higher or lower standardised mortality ratios in July to September 2016 than the national average.
- Of the 29 hospitals participating in the Scottish Patient Safety Programme, 13 have shown a reduction of more than 10% since January to March 2014:
- Balfour Hospital
- Caithness General Hospital
- Forth Valley Royal Hospital
- Dumfries & Galloway Royal Infirmary
- Glasgow Royal Infirmary / Stobhill
- Hairmyres Hospital
- Monklands District General Hospital
- Ninewells Hospital
- Queen Elizabeth University Hospital / Gartnavel
- St John’s Hospital
- University Hospital Ayr
- Western Isles Hospital
- Wishaw General Hospital
During the week ending 12 February 2017:
- There were 23,794 attendances at Emergency Departments across Scotland.
- 92.0% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 181 patients (0.8%) spent more than 8 hours in an Emergency Department.
- 48 patients (0.2%) spent more than 12 hours in an Emergency Department.
The information from this publication is included in NHS Performs.
The Information Services Division has released NHSScotland prescribing data for October 2016 in two formats - practice level Open Data and an interactive dashboard.
In December 2016, 45,067 days were spent in hospital by people delayed in their discharge.
There were 1,333 people delayed at the December 2016 census. Of these:
- 69% were aged 75 and over.
- 22% people had specific complex care needs.
- 13% were awaiting completion of a post hospital social care assessment.
- 24% were awaiting completion of arrangements for social care support (e.g. carer) in order to live in their own home.
- 24% were awaiting place availability in a care home.
During the week ending 5 February 2017:
- There were 25,135 attendances at Emergency Departments across Scotland.
- 91.3% of people attending Emergency Departments were seen and subsequently admitted, transferred or discharged within 4 hours.
- 196 patients (0.8%) spent more than 8 hours in an Emergency Department.
- 28 patients (0.1%) spent more than 12 hours in an Emergency Department.
The information from this publication is included in NHS Performs.
- For the latest two-year reporting period uptake was 57.0% which was slightly lower than the uptake reported for the period 1 May 2013 to 30 April 2015 (57.7%).
- Uptake of bowel screening is higher in women (60.1%) than men (53.8%).
- Uptake in the most deprived areas was 44.2% compared with 66.2% in the least deprived areas.
- The percentage of positive test results was higher in men (2.5%) than women (1.7%).
- Cancer detection was slightly higher in men (6.7%) than women (6.1%).
- Three out of five screen detected cancers (61.1%) were diagnosed at the earliest two stages. The earlier a cancer is detected the greater the chances are of successful treatment.
- More than one in four children from the most deprived areas (26%) had at least one developmental concern identified in the 27-30 month review compared to one in nine for the least deprived areas (11%).
- Eighteen percent of children had at least one developmental concern identified, and boys (23%) were more likely to have a concern than girls (13%).
- Speech, language and communication was the developmental domain where most concerns were identified. Eleven percent of children had a newly identified concern in this domain, and 2% had a known concern prior to their review.
- The coverage of the 27-30 month review in Scotland has remained broadly similar since the review began in April 2013 (87% in 2013/14 compared to 88% in 2015/16).
- Nearly one in four (24%) children reported as ‘Asian’ had at least one concern compared to nearly one in five (19%) for the ‘White Scottish’ ethnic group.
- Children who were ‘looked after’ by a local authority (27%) were more likely to have at least one developmental concern identified compared to those who were not ‘looked after’ by a local authority (18%).
- The total number of planned operations across NHSScotland during December 2016 was 27,153 a decrease of 8.6% from 29,706 during December 2015.
- 2,738 operations (10.1% of planned operations) were cancelled either by the hospital or by the patient, ranging from 5.2% to 19.0% across individual NHS Boards. This compares to 2,921 (9.8%) in December 2015.
- Of all planned operations: 1,084 (4.0%) were cancelled by the patient; 920 (3.4%) were cancelled based on clinical reasons by the hospital; 644 (2.4%) were cancelled by the hospital due to capacity or non-clinical reasons; 90 (0.3%) were cancelled due to other reasons.
During December 2016:
- There were 130,848 attendances at A&E services across Scotland.
- 92.6% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
- 891 (0.7%) patients spent more than 8 hours in an A&E department.
- 144 (0.1%) patients spent more than 12 hours in an A&E department.
- 27.1% of attendances led to an admission to hospital.