To ask the Scottish Executive what the waiting times were for (a) in-patient, (b) day and (c) out-patient cases for (i) all specialities and (ii) coronary care specialties, such as angioplasty, angiography and coronary artery bypass graft, and what information it has on the equivalent waiting times in England in each of the last five years.
The majority of patients who require in-patient or day case treatment, including heart operations, are treated quickly. Nearly 55% of patients treated in NHSScotland hospitals are admitted immediately and never join a waiting list. Of those who do wait, 41% are admitted within one month and almost 70% within three months.
For those who have to wait longer, the national maximum waiting time was reduced from 12 months to nine months at the end of 2003. This guaranteed waiting time will be further reduced to six months by the end of this year and to 18 weeks by the end of 2007.
National maximum waiting times have also been set for the diagnosis and treatment of coronary heart disease. Currently, these are eight weeks for angiography – a diagnostic test – and 18 weeks for coronary artery bypass graft surgery or angioplasty. These guaranteed waiting times will be replaced by a “total journey” maximum wait of 16 weeks from GP referral, through a rapid access chest pain clinic or equivalent, to cardiac intervention, from the end of 2007.
With regard to out-patient waiting times, the majority of patients referred by a general medical or dental practitioner for a first out-patient appointment at a consultant-led clinic are seen quickly, with nearly 54% of patients being seen with nine weeks of referral and 66% within 13 weeks. For those who have to wait longer, we have set a national maximum waiting time target of 26 weeks from referral to consultation, by the end of 2005. This will be reduced to 18 weeks from the end of 2007.
To ensure performance is monitored effectively, Partnership for Care included a commitment to establish a national out-patient waiting list. Information on this list was published for the first time on 30 September 2004, and has been published quarterly since then. On 30 June 2005, 15,432 patients without an availability status code had waited more than 26 weeks for a first out-patient appointment – a reduction of 6,706 since 31 March 2005.
Information on waiting times for in-patient and day case treatment for the last five years and for the treatment of coronary heart disease against national commitments, since 30 June 2003, is given in the table.
Information about waiting times in England is available from Department of Health websites:
http://www.performance.doh.gov.uk/waitingtimes/index.htm.
http://www.hesonline.nhs.uk/ .
NHSScotland: Number of In-Patient and Day Cases with a Guarantee who had Waited More than Six, Nine and 12 Months
Date | Waiting Time Commitment | Number of Patients Waiting More than 6 Months | Number of Patients Waiting more than 9 Months | Number of Patients Waiting more than 12 Months |
30 June 2001 | 12 Month Guarantee | 11,619 | 3,227 | 0 |
30 June 2002 | 12 Month Guarantee | 12,336 | 3,841 | 0 |
30 June 2003 | 12 Month Guarantee | 9,974 | 1,177 | 0 |
30 June 2004 | 9 Month Guarantee | 6,161 | 0 | 0 |
30 June 2005 | 9 Month Guarantee | 1,121 | 0 | 0 |
NHSScotland: Number of Patients with a Guarantee who had Waited more than Eight Weeks and 12 Weeks for Angiography and 18 Weeks and 24 Weeks for Coronary Artery Bypass Graft or Angioplasty
Date | Waiting Time Commitment | Angiography | Coronary Artery Bypass Graft/Angioplasty (CABG/PTCA) |
Number Of Patients Waiting More Than 8 Weeks. | Number Of Patients Waiting More Than 12 Weeks. | Number Of Patients Waiting More Than 18 Weeks. | Number Of Patients Waiting More Than 24 Weeks. |
30 June 2003* | 12 Weeks for Angiography and 24 Weeks for CABG/PTCA | 122 | 7 | 33 | 0 |
30 June 2004 | 12 Weeks for Angiography and 18 Weeks for CABG/PTCA | 193 | 1 | 17 | 3 |
30 June 2005 | 8 Weeks for Angiography and 18 Weeks for CABG/PTCA | 16 | 2 | 0 | 0 |
Source ISD Scotland: SMR3.
Note: *Information only available from 30 June 2003.