To ask the Scottish Executive how many patients waited more than (a) three, (b) six, (c) nine, (d) 12, (e) 15, (f) 18 and (g) 24 months for (i) heart operations, (ii) cancer treatment and (iii) hip replacements in 1997 and 1998, broken down by NHS board.
The majority of patients whorequire in-patient and day case treatment, including heart operations and hipreplacement surgery, are treated quickly. Over 53% of patients treated inNHSScotland hospitals receive immediate treatment and never join a waitinglist. Of those who condition does not require immediate treatment and who areplaced on a waiting list, over 40% are admitted within one month and almost 70%within three months.
The Executive has beensteadily reducing the maximum waiting time for those patient who wait longer.The national maximum waiting times was reduced from 12 months to nine months on31 December 2003 and to six months on 31 December 2005. This willfurther reduce to 18 weeks from the end of 2007. On 31 December 2005, no patientwith a guarantee had waited more than six months for a heart operation or forhip replacement surgery.
NHSScotland is making goodprogress towards meeting the next key target of a maximum wait of 18 weeks bythe end of 2007. At that point, a new approach to defining and measuringwaiting will also be introduced to replace availability status codes (ASCs),which have the effect at present of excluding patients from waiting timesguarantees where for example, they are medically unfit for treatment, wherethey have asked for their treatment to be postponed, or where their treatmentis highly specialised or of low clinical priority. The new approach will befairer, more consistent and more transparent.
Retrospective analyses of waiting timesfor hospital treatment compiled from SMR01 returns are based on data that doesnot record whether patients have had an ASC applied. The information requestedhas been place in the Scottish Parliament Information Centre (Bib. number 40082)and it includes the waitingtimes of patients who have been exempted from waiting times guarantees for thereasons given above and therefore overstates true waiting times. It is notpossible to estimate the extent of the overstatement. The SMR3 waiting timescensus data which excludes patients with ASCs, is used for target compliancepurposes, and the tables provided also include SMR3 data for hip replacementfor NHSScotland from the censuses undertaken on 31 December 1997 and 1998.
Census information on NHSScotland performanceagainst the Executive’s maximum waiting times targets for angiography,angioplasty and coronary artery bypass graft surgery has only been collectedsince 2002.
Waiting times for cancertreatments equivalent to the waiting times for the other specified proceduresare not available from routinely collected hospital data, as completeinformation is not captured on all treatment types, such as hormonal therapyand chemotherapy, and not all cancer treatments require a hospital admission.
Information on cancerwaiting times is currently gathered through cancer audit systems in order tomeasure the target that “by December 2005 the maximum wait from urgent referralto treatment for all cancers will be two months” from Cancer in Scotland: Action for Change,published in 2001. Information showing performance against the target by NHS boardof diagnosis is currently available for breast, colorectal, lung, ovarian,melanoma, lymphoma, urological, Upper GI and head and neck cancers and isavailable from the following Scottish Executive website:
http://www.scotland.gov.uk/Topics/Health/health/cancer/cancerwaits.