To ask the Scottish Executive, further to the answer to question S2W-17976 by Mr Andy Kerr on 16 August 2005, how many operations were cancelled on (a) the day of and (b) the day after admission and how many of the patients involved were not readmitted within a month in each quarter of the last five years for which figures are available in each NHS (i) board and (ii) hospital.
The specific information requestedis not available centrally.
Limited information is availableon the number of inpatient/day case episodes where operations/procedures were notcarried out following admission. Information on the number of in-patientand day case episodes where operations/procedures were cancelled following admissionby NHS board of treatment and hospital, for calendar years 2000 to 2004, and thenumber of patients who were not subsequently admitted to hospital for an operationwithin 30 days of discharge has been placed in the Scottish ParliamentInformation Centre (Bib. number 37492). It is not possible to identify on what daythe operation was cancelled.
For the calendar years 2000 to2004 the percentage of operations which were cancelled has decreased from 2.0% to1.8%.
Operations can be cancelled dueto various unforeseen pressures. Some examples of these are; an influx of emergencyadmissions, widespread staff sickness, theatre equipment failure or infection inwards.
On occasions, some patients maybe sent home, following admission, when a planned procedure/operation has not beencarried out. Some reasons for this include; patient being unfit for treatment dueto illness (e.g. chest infection), having omitted to fast before admission, failingto follow pre-admission advice on medication, or where theatre time is unavailabledue to unexpected complications arising in earlier theatre cases.
In setting out an initial responseto Professor David Kerr’s report Building A Health Service Fit For The Future,I made it clear that I supported his proposals that we should stream planned care,separating it, where possible, from emergency care. I have asked the Regional PlanningGroups to develop arrangements for streaming planned care that will reduce cancellations,increase predictability and workflow and reduce waiting times.