Chamber and committees

I have asked Angiolina Foster, Chief Executive of Communities Scotland to respond. Her response is asfollows:

The affordable housingfunding provided by Communities Scotland is set out in the following table:

Year	Angus (£ Million)	Aberdeenshire (£ Million)
2003-04	4.355	12.734
2004-05	4.376	12.037
2005-06	5.518	11.139
2006-07*	6.504	13.086

Note: *Figures for 2006-07are budget figures.

Information on the percentageof school leavers entering higher and further education can be found in the Scottish Executive’s Statistical Publication Notice Destinations of Leaversfrom Scottish Schools: 2005-06 published on 6 December 2006.A local authority breakdown is available at table 6 of the publication. It canbe accessed at http://www.scotland.gov.uk/stats/bulletins/00550.

In terms of context, itshould be remembered that the successful implementation of Delivering forHealth (launched in October 2005) is already bringing about afundamental shift in the balance of care. This, quite appropriately, places agreater emphasis on anticipatory care so that those at risk of ill health receivethe services they need. In effect, the NHS in Scotland is no longer waitingfor people to become ill, then sending them to hospital for urgent treatment.Instead, the Executive and NHS is doing more than ever before to encouragepeople to lead healthy lives, and spotting and dealing with poor health beforeit can develop into something more serious. When people do need treatment, the Executive and NHS are committed to delivering more of it closer to home inlocal communities.

Theinformation requested on the number of inpatient and day case episodes, and newand return outpatient attendances is shown in Table 1.

Table1: Number of In-patient and Day Case Episodes, and New and Return Out-patient Attendancesin NHS Grampian Board of Treatment for Years Ending 31 March 2000 to 2006

Year Ending 31 March:	In-patients	Day Cases	New Out-patients	Return Out-patients
2000	105,003	26,354	152,533	303,541
2001	103,044	27,314	151,036	301,978
2002	102,745	23,526	146,683	295,771
2003	103,695	18,797	146,780	283,893
2004	110,499	18,360	143,901	293,752
2005	105,711	18,783	120,785	277,178
2006	108,108	19,333	128,942	259,098

Source: ISD(S)1.

Inaddition, hospital activity is undertaken at nurse-led clinics. ISD Scotlandhave been working with NHS Boards to capture this information. Initial findingsare published as part of ISD Scotland’s “data development” web pages at:

http://www.isdscotland.org/isd/4453.html.

Proceduresare carried out within NHSScotland in a wide range of settings dependent on anumber of factors including thecomplexity of the operation and the clinical and personal needs of the patient.Table 2 shows the number of procedures carried out on patients admitted as in-patientsor day cases.

Procedures can also beperformed in an outpatient setting. From April 2003, the national reporting ofsurgical activity in outpatients has been required and ISD has been workingwith NHS boards to develop full compliance nationally. At this stage only aproportion of boards have achieved extensive coverage and further work will benecessary before a complete account of all outpatient surgical activity can bemade. The number of outpatient procedures recorded in NHS Grampian in the yearended 31 March 2006 was 28,567.

Table2: Number of Procedures Performed in Acute Specialties in NHS Grampian Board ofTreatment for Years Ending 31 March 2000 to 2006

Year Ending 31 March:	In-patients	Day Cases
	Total Procedures	Total Procedures
2000	67,186	30,775
2001	63,238	31,711
2002	62,077	27,440
2003	68,269	22,381
2004	77,873	21,091
2005	78,282	21,810
2006	82,500	23,735

Source: SMR01.

In terms of context, itshould be remembered that the successful implementation of Delivering forHealth (launched in October 2005) is already bringing about a fundamentalshift in the balance of care. This, quite appropriately, places a greateremphasis on anticipatory care so that those at risk of ill health receive theservices they need. In effect, the NHS in Scotland is no longer waiting for people to become ill, thensending them to hospital for urgent treatment. Instead, the Executive and NHSis doing more than ever before to encourage people to lead healthy lives, andspotting and dealing with poor health before it can develop into something moreserious. When people do need treatment, the Executive and NHS are committed todelivering more of it closer to home in local communities.

Theinformation requested on the number of inpatient and day case episodes, and newand return outpatient attendances is shown in Table 1.

Table1: Number of In-patient and Day Case Episodes, and New and Return Out-patient Attendancesin NHS Tayside Board of Treatment for Years Ending 31 March 2000 to 2006

Year Ending 31 March:	In-patients	Day Cases	New Out-patients	Return Out-patients
2000	80,791	33,823	138,231	365,476
2001	78,371	34,930	133,886	356,010
2002	77,501	25,417	127,611	332,597
2003	75,322	22,246	129,918	340,588
2004	76,169	25,021	136,489	351,854
2005	73,818	24,695	139,338	348,024
2006p	73,291	25,025	131,964	337,208

Source: ISD(S)1.

^pprovisional.

Inaddition, hospital activity is undertaken at nurse-led clinics. ISD Scotland havebeen working with NHS boards to capture this information. Initial findings arepublished as part of ISD Scotland’s “data development” web pages at:

http://www.isdscotland.org/isd/4453.html.

Proceduresare carried out within NHSScotland in a wide range of settings dependent on anumber of factors including thecomplexity of the operation and the clinical and personal needs of the patient.Table 2 shows the number of procedures carried out on patients admitted asinpatients or day cases.

Procedures can also beperformed in an outpatient setting. From April 2003, the national reporting ofsurgical activity in outpatients has been required and ISD has been workingwith NHS boards to develop full compliance nationally. At this stage only aproportion of boards have achieved extensive coverage and further work will benecessary before a complete account of all outpatient surgical activity can bemade. The number of outpatient procedures recorded in NHS Tayside in the yearended 31 March 2006 was 7,083.

Table2: Number of Procedures Performed in Acute Specialties in NHS Tayside Board of Treatmentfor Years Ending 31 March 2000 to 2006

Year Ending 31 March:	In-patients	Day Cases
	Total Procedures	Total Procedures
2000	41,010	33,262
2001	41,109	33,683
2002	39,613	23,795
2003	41,165	21,814
2004	41,327	23,936
2005	45,334	23,829
2006	45,897	24,708

Source: SMR01.

Information on the number ofattendances at each accident and emergency centre in NHS Tayside is shown inTable 1.

Table 1: Accident and EmergencyAttendances in NHS Tayside by hospital; Years Ended 31 March 2000 to 2006

Hospital/Location	2000	2001	2002	2003	2004	2005p	2006P
Aberfeldy Community Hospital	734	838	799	742	639	575	340
Arbroath Infirmary	13,483	11,745	11,763	12,026	10,920	11,070	11,996
Blairgowrie Community Hospital	3,318	2,966	3,136	3,954	4,699	3,021	1,502
Brechin Infirmary	1,684	1,615	1,560	1,775	3,362	4,678	5,067
Crieff Community Hospital	4,276	3,715	3,583	4,022	3,549	2,780	2,756
Forfar Infirmary	4,293	4,794	4,970	4,758	4,800	4,927	140
Esk House Health Clinic, Montrose	-	-	-	-	-	-	8,855
Irvine Memorial Hospital	1,526	1,402	1,596	1,596	1,433	1,254	1,840
Links Health Centre	-	-	-	-	3,269	2,981	-
Montrose Royal Infirmary	3,366	3,054	3,277	3,613	959	3,215	-
Ninewells Hospital	36,516	35,283	42,968	47,677	48,096	49,723	50,620
Perth Royal Infirmary	28,664	27,224	26,780	24,025	24,472	24,714	25,460
St Margaret's Hospital	1,778	1,892	2,401	2,168	2,094	1,612	891
Stracathro Hospital	6,171	5,477	4,947	3,267	766	-	-
Whitehills Health & Community Care Centre	-	-	-	-	-	-	6,417
Total	105,809	100,005	107,780	109,623	109,058	110,550	115,884

Note:

^PProvisional, some information isestimated.

In terms of context, itshould be remembered that the successful implementation of Delivering forHealth (launched in October 2005) is already bringing about afundamental shift in the balance of care. This, quite appropriately, places agreater emphasis on anticipatory care so that those at risk of ill healthreceive the services they need. In effect, the NHS in Scotland isno longer waiting for people to become ill, then sending them to hospital forurgent treatment. Instead, the Executive and NHS is doing more than ever beforeto encourage people to lead healthy lives, and spotting and dealing with poorhealth before it can develop into something more serious. When people do needtreatment, the Executive and NHS are committed to delivering more of it closerto home in local communities.

Operations are carried outwithin NHSScotland in a wide range of settings dependent on a number of factors including the complexity of the operationand the clinical and personal needs of the patient. Table 1 shows the number ofoperations carried out on patients admitted as in-patients or day cases.

Operations can also beperformed in an out-patient setting. From April 2003, the national reporting ofsurgical activity in out-patients has been required and ISD has been workingwith NHS boards to develop full compliance nationally. At this stage only aproportion of boards have achieved extensive coverage and further work will benecessary before a complete account of all out-patient surgical activity can bemade. The number of out-patient operations recorded in NHS Tayside in the yearended 31 March 2006 was 7,083.

Table1: Number of Operations^1,2 Performed in Acute Specialties in each NHS Tayside Hospital forYear Ended 31 March 2006^P

Location	In-Patients	Day Cases
	Total Operations	Total Operations
Blairgowrie Community Hospital	14	0
Brechin Infirmary	12	2
Crieff Community Hospital	5	0
Fernbrae Hospital	69	3
Irvine Memorial Hospital	5	0
Ninewells Hospital	22,866	13,430
Perth Royal Infirmary	6,768	4,626
St Margaret's Hospital	11	0
Stracathro Hospital	1,099	2,552
All Tayside Hospitals	30,849	20,613

Source:SMR01.

^PProvisional.

Notes:

1. “Operations” has been assumed tobe the number of invasive procedures undertaken. ISD Scotland does not maintaina definitive code list that distinguishes between invasive and non-invasive procedures. However, thereare a few non-invasive procedures that are easily identified and as a resulthave been excluded from the information in Table 1, they include:

X29 –Continuous infusion of therapeutic substance (including chemotherapy)

X33 – Otherblood transfusions

X35 – Otherintravenous injection

X55 – Otheroperations on unspecified organs (this includes MRI scans and various types ofimaging)

2. The information in table 1 therefore includes all procedures(other than those specified above) whether invasive or non-invasive.

In terms of context, itshould be remembered that the successful implementation of Delivering forHealth (launched in October 2005) is already bringing about afundamental shift in the balance of care. This, quite appropriately, places agreater emphasis on anticipatory care so that those at risk of ill healthreceive the services they need. In effect, the NHS in Scotland isno longer waiting for people to become ill, then sending them to hospital forurgent treatment. Instead, the Executive and NHS is doing more than ever beforeto encourage people to lead healthy lives, and spotting and dealing with poorhealth before it can develop into something more serious. When people do needtreatment, the Executive and NHS are committed to delivering more of it closerto home in local communities.

Operationsare carried out within NHSScotland in a wide range of settings dependent on anumber of factors including thecomplexity of the operation and the clinical and personal needs of the patient.Table 1 shows the number of operations carried out on patients admitted as in-patientsor day cases.

Operations can also be performedin an out-patient setting. From April 2003, the national reporting of surgicalactivity in out-patients has been required and ISD has been working with NHSboards to develop full compliance nationally. At this stage only a proportionof boards have achieved extensive coverage and further work will be necessarybefore a complete account of all out-patient surgical activity can be made. Thenumber of out-patient operations recorded in NHS Tayside in the year ended 31 March 2006 was7,083.

Table1: Number of Operations^1,2 Performed in Acute Specialties in NHS Tayside Board ofTreatment for Years Ended 31 March 2000 to 2006

Year Ending 31 March:	In-Patients	Day Cases
	Total Operations	Total Operations
2000	33,465	30,429
2001	32,693	30,468
2002	31,433	21,467
2003	31,406	19,250
2004	30,354	20,758
2005	30,684	20,173
2006P	30,849	20,613

Source:SMR01.

^PProvisional.

Notes:

1. “Operations” has been assumed tobe the number of invasive procedures undertaken. ISD Scotland does not maintaina definitive code list that distinguishes between invasive and non-invasive procedures. However, thereare a few non-invasive procedures that are easily identified and as a resulthave been excluded from the information in Table 1, they include:

X29 –Continuous infusion of therapeutic substance (including chemotherapy)

X33 – Otherblood transfusions

X35 – Otherintravenous injection

X55 – Otheroperations on unspecified organs (this includes MRI scans and various types ofimaging)

2. The information in table 1 therefore includes all procedures(other than those specified above) whether invasive or non-invasive.

In terms of context, itshould be remembered that the successful implementation of Delivering forHealth (launched in October 2005) is already bringing about a fundamentalshift in the balance of care. This, quite appropriately, places a greateremphasis on anticipatory care so that those at risk of ill health receive theservices they need. In effect, the NHS in Scotland is no longer waiting for people to become ill, thensending them to hospital for urgent treatment. Instead, the Executive and NHSis doing more than ever before to encourage people to lead healthy lives, andspotting and dealing with poor health before it can develop into something moreserious. When people do need treatment, the Executive and NHS are committed todelivering more of it closer to home in local communities.

Operationsare carried out within NHSScotland in a wide range of settings dependent on anumber of factors including thecomplexity of the operation and the clinical and personal needs of the patient.Table 1 shows the number of operations carried out on patients admitted as in-patientsor day cases.

Operations can also be performedin an out-patient setting. From April 2003, the national reporting of surgicalactivity in out-patients has been required and ISD has been working with NHSboards to develop full compliance nationally. At this stage only a proportionof boards have achieved extensive coverage and further work will be necessarybefore a complete account of all out-patient surgical activity can be made. Thenumber of out-patient operations recorded in NHS Grampian in the year ended 31 March 2006 was25,381.

Table1: Number of operations^1,2 performed in acute specialties in NHSGrampian board of treatment for years ended 31 March 2000to 2006

Year Ending 31 March:	In-Patients		Day Cases
	Total Operations	Principal Operations	Total Operations	Principal Operations
2000	49,693	34,659	28,065	23,898
2001	46,847	32,891	28,534	24,378
2002	46,130	32,631	26,081	22,141
2003	47,127	32,678	21,257	17,681
2004	46,862	32,858	19,862	16,851
2005	46,127	32,075	20,344	17,278
2006P	48,744	33,654	22,226	18,728

Source:SMR01.

^PProvisional.

Notes:

1. “Operations” has been assumed tobe the number of invasive procedures undertaken.  ISD Scotland does notmaintain a definitive code list that distinguishes between invasive and non-invasiveprocedures.  However, there are a few non-invasive procedures that are easilyidentified and as a result have been excluded from the information in Table 1,they include:

X29 –Continuous infusion of therapeutic substance (including chemotherapy)

X33 – Otherblood transfusions

X35 – Otherintravenous injection

X55 – Otheroperations on unspecified organs (this includes MRI scans and various types ofimaging).

2. The information in table 1therefore includes all procedures (other than those specified above) whether invasive or non-invasive.

Information on the number ofattendances at each accident and emergency centre in NHS Grampian is shown inTable 1.

Table 1: Accident and EmergencyAttendances in NHS Grampian by Hospital; Years Ended 31 March 2000 to 2006

Hospital/Location	2000	2001	2002	2003	2004	2005	2006
Aberdeen Royal Infirmary	78,768	76,113	76,139	70,882	62,570	57,798	59,395
Aboyne Hospital	784	719	726	580	862	514	444
Chalmers Hospital	8,524	7,686	7,374	6,189	5,630	2,439	2,383
Dr Gray's Hospital	16,541	16,380	17,260	18,268	19,577	18,471	25,025
Fleming Cottage Hospital	771	546	524	684	559	335	221
Fraserburgh Hospital	15,891	14,846	15,189	14,515	11,290	4,435	3,759
Hyperbaric Centre	-	-	47	37	86	1	-
Insch and District War Memorial Hospital	618	681	718	772	925	653	618
Inverurie Hospital	728	792	766	939	1,087	580	19
Jubilee Hospital	3,856	4,161	3,992	3,915	3,555	1,716	2,022
Kincardine Community Hospital	1,720	1,673	1,410	1,725	1,704	613	434
Leanchoil Hospital	1,905	1,144	1,103	813	819	253	275
Mintlaw Group Practice	-	-	-	-	-	-	2
Peterhead Community Hospital	10,168	9,181	9,062	8,631	7,980	3,331	5,892
Royal Aberdeen Children's Hospital	22,221	20,926	20,806	20,035	20,466	19,789	19,647
Seafield Hospital	2,135	1,962	1,276	1,470	1,687	769	562
Stephen Cottage Hospital	1,293	594	678	702	771	466	309
Turner Memorial Hospital	3,160	3,044	2,843	3,057	3,238	1,623	1,061
Turriff Cottage Hospital	2,791	3,117	3,236	3,359	2,884	1,122	877
Total	171,874	163,565	163,149	156,573	145,690	114,908	122,945

 

The apparent decrease in thenumber of accident and emergency attendances in the most recent years islargely due to activity for emergency nurse practitioners being recorded asnurse-led activity in NHS Grampian. The nurse led activity return is part ofISD’s data development initiative. Preliminary data and further information onthis return is available on the ISD Scotland website at:

http://www.isdscotland.org/isd/collect2.jsp?pContentID=2789andp_applic=CCCandp_service=Content.showand.

Data on the number of individualbeneficiaries of services provided under the Sure Start Scotland programme,broken down by local authority area, is not held centrally.