Information Services Division

• 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 35.5% between 2008 and 2017. However, the rate of decline has slowed in the last five years with increases in 2015 for both sexes and in the males rate only for 2017.
• The rate at which new cases of coronary heart disease occur (the incidence) has fallen by 21.7% over the last decade, but there was a small increase in age-standardised incidence rates among both males and females between 2016/17 and 2017/18.
• Both incidence rates and mortality rates for heart attacks have decreased over the last 10 years, although the rate of hospital discharges has increased in this period. The percentage of people who survived 30 days or more following their first heart attack improved over the period 2008/09 to 2017/18 from 88% to 93%.
• Since 2014 there appears to have been a flattening in the rate of decline in the incidence of heart attacks. There were small increases in rates in 2016 and 2017, with increases slightly higher in females than males.
• For heart failure, incidence and mortality rates decreased over the 10 year period while there was a 23% increase in the hospital discharge rate, from 276 per 100,000 population in 2008/09 to 341 in 2017/18. The 30 day survival rate improved slightly over the same period.

• 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 12.1%. Incidence rates were consistently higher in males than females.
• In the last decade, the mortality rate for cerebrovascular disease decreased by 38.7%.
• The mortality rate for cerebrovascular disease in the most deprived areas was 36.0% higher than in the least deprived areas in 2017.
• The percentage of people surviving 30 days or more following their first emergency admission to hospital with a stroke improved over the last ten years from 80.8% in 2008/09 to 85.3% in 2017/18.
• The number of patients receiving prescriptions for drugs to treat diseases of the circulation increased by 11.2% in the last nine years. Despite this increase, the cost of prescriptions dispensed for these drugs has fallen by 23.4% over the last nine years to £135.7 million in 2017/18, reflecting falls in drug prices for these conditions.

• In the first quarter of the financial year 2018/19, NHS Scotland contributed 21.8% (1,647 out of 7,568) towards the required annual LDP Standard. If this pattern continued for the remainder of the financial year, NHS Scotland would achieve 87.1% of the required Standard.
• Four out of fourteen NHS Boards met or exceeded 25% of their annual LDP Standard during quarter one.
• NHS Board achievement in the first quarter of the financial year 2018/19 ranged between 10.9% and 28.6% of their local annual LDP Standard.
• In the first quarter of the financial year 2018/19, 20.8% (1,647 out of 7,911) of quit attempts in the most deprived areas were self-reported as still not smoking at twelve weeks. This is similar to the overall Scotland quit percentage of 21.8% (2,782 out of 12,755).
• In the first quarter of financial year 2018/19, successful twelve week quit percentages varied by setting type accessed with 17.6% (1,661 out of 9,422) in pharmacy settings, and 33.6% (1,121 out of 3,333) in specialist services (non-pharmacy).

Tonsillectomy

• In 2017/18 there was a 2.0-fold variation in the rate of tonsillectomy procedures across NHS Boards, ranging from 57.7 to 118.3 per 100,000 population, adjusted for age and sex. The corresponding figure for Scotland as a whole was 76.4.
• Elective adult tonsillectomy same day surgery rates across NHS Boards in 2017/18, ranged from 0% to 100% and the corresponding Scotland figure was 43.9%. The BADS aspirational goal is 90%.
• Elective paediatric tonsillectomy same day surgery rates across NHS Boards in 2017/18, ranged from 0% to 82.4% and the corresponding Scotland figure was 35.3%. The BADS aspirational goal is 70%.

Cholecystectomy

• In 2017/18 there was a 2.2-fold variation in the rate of cholecystectomy procedures across NHS Boards, ranging from 105.0 to 226.8 per 100,000 population, adjusted for age and sex. The corresponding figure for Scotland as a whole was 140.7.
• Laparoscopic cholecystectomy same day surgery rates across NHS Boards in 2017/18, ranged from 6.7% to 60.3% and the corresponding Scotland figure was 32.8%. The BADS aspirational goal is 75%.

Hernia

• In 2017/18 there was a 1.6-fold variation in the rate of hernia procedures across NHS Boards, ranging from 160.4 to 250.4 per 100,000 population, adjusted for age and sex. The corresponding figure for Scotland as a whole was 194.9.
• Primary repair of inguinal hernia same day surgery rates across NHS Boards in 2017/18, ranged from 35.5% to 89.7% and the corresponding Scotland figure was 72.6%. The BADS aspirational goal is 95%.

The Information Services Division has released results for financial year 2021/22 from the Resource Allocation Formula for NHSScotland. The previously published shares for 2019/20 and 2020/21 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.

During week ending 20 January 2019:

• There were 25,501 attendances at A&E services in NHSScotland.
• 88.5% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours
• 290 patients spent more than 8 hours in an A&E department
• 52 patients spent more than 12 hours in an A&E department.

• One in six of the Scottish population contact OOH Primary Care services each year with around 870,000 people being seen by them and having just under a million consultations.
• There were around 52,000 contacts with services over the two week festive period (22 December to 4 January). This was a decrease (16%) on the previous festive period, where there were two four day closures of in hours services due to where the public holidays fell.
• Over a typical weekend there are around 13,000 contacts with OOH Primary Care services.
• December continues to be OOH Primary care services busiest month with 86,000 contacts in 2018.
• During the summer A&E services have more attendances in the out of hours period, than OOH Primary Care cases possibly as a result of longer days and greater risk of injuries. During the winter months and months with public holidays there are more OOH Primary Care cases.

Registration

• 5.1 million people were registered with an NHS dentist as at 30 September 2018 (94.2% of the Scottish population). An increase of 1.7 percentage points since last year.
• Registration rates were similar for children and adults (94.1% and 94.3% respectively).
• 97.5% of adults living in the most deprived areas were registered with an NHS dentist compared to 88.6% in the least deprived areas.
• Registration rates for children living in the most deprived areas were similar to the rates for those living in the least deprived areas.

Contact with an NHS Dentist (Participation)

• As at 30 September 2018, 7 out of 10 registered patients (3.6 million) had seen an NHS dentist within the last two years.
• Children are more likely than adults to have seen an NHS dentist within the last two years (84.1% compared to 66.6%).
• Children and adults from the most deprived areas are less likely to have seen their dentist than those from the least deprived areas. For children, 79.8% of patients living in the most deprived areas compared to 89.2% of patients living in the least deprived areas. For adults, 62.2% compared to 72.7%.

During week ending 13 January 2019:

• There were 25,970 attendances at A&E services in NHSScotland.
• 85.8% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours
• 587 patients spent more than 8 hours in an A&E department
• 140 patients spent more than 12 hours in an A&E department.

• In November 2018, 43,918 days were spent in hospital by people whose discharge was delayed. This is an increase of 4% compared with 42,320 days in November 2017.
• In November 2018, the average number of beds occupied per day due to delayed discharges was 1,464. In October, the daily average was 1,526.
• At the November 2018 census point, there were 1,413 people delayed. This is a decrease of 1% compared with 1,434 delayed at the census point in November 2017.
• Of those delayed at the November 2018 census point, 1,146 were delayed more than three days. The most common reason for delays over three days was health and social care reasons (74%, 851), followed by complex needs (23%, 258), then patient and family-related reasons (3%, 37).

The data extract is presented as downloadable text (.csv) file and covers practice level prescribing for the month of October 2018. A dashboard is also be available to enable preview the data without downloading the large file. The data extract is also feed into existing dashboards which present historical data already published elsewhere on the ISD website (in the December 2018 Summary stats dashboard).

Based on the available data for the financial year ending March 2017:

• The total (net) expenditure for general psychiatry services for 2016/17 was just under £937 million for NHS Scotland. This is an increase of around 1% from £929 million in 2015/16.
• The total number of staff for General Psychiatric services per 100,000 population in 2017 was 198.6 WTE/100,000. This was an increase from 196 WTE per 100,000 population in 2016.
• In 2016/17 the average length of stay for mental health care in Scotland was 69.8 days. This represents a decrease from 76.2 days in 2015/16.

For Scotland as a whole for the financial year ending March 2017:

• The number of paid items for dementia drugs increased from 233.5 in 2015/16 to 244.1 per 1,000 population aged 65 years and above in 2016/17.
• The number of dementia guardianships aged 65 years and above increased from 865 in 2012/13 to 1,176 in 2016/17.
• The number of care home registered places for older people decreased from 38.4 in 2015/16 to 37.3 per 1,000 population aged 65 years and above in 2016/17.

• There were 26,000 attendances at A&E services in NHSScotland.
• 86.4% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours
• 579 patients spent more than 8 hours in an A&E department
• 142 patients spent more than 12 hours in an A&E department.

During week ending 30 December 2018:

• There were 25,384 attendances at A&E services in NHSScotland.
• 89.3% of attendances at A&E services were seen and resulted in a subsequent admission, transfer or discharge within 4 hours.
• 234 patients spent more than 8 hours in an A&E department.
• 29 patients spent more than 12 hours in an A&E department.