To ask the Scottish Executive what proportion of patients waiting for elective admission to trauma and orthopaedic departments were seen in (a) under three months, (b) under 12 months and (c) 12 months and over in each year since 1999.
The majority of patients whorequire in-patient and day case treatment, including orthopaedic surgery, aretreated quickly. Nearly 53% of patients treated in NHSScotland hospitalsreceive immediate treatment and never join a waiting list. Of those whosecondition does not require immediate treatment and who are placed on a waitinglist, over 40% are admitted within 1 month and over 70% within three months.
The Executive has beensteadily reducing the maximum waiting time for those patients who wait longer. Thenational maximum waiting time was reduced from 12 months to nine months on 31 December 2003and to six months on 31 December 2005. This will be further reduced to 18 weeks from theend of 2007. On 31 March 2006, no patient with a guarantee had waited more than sixmonths for orthopaedic 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 times for hospitaltreatment compiled from SMR01 returns are based on data that does not recordwhether patients have had an ASC applied. Information requested on waitingtimes for elective admissions to trauma and orthopaedic departments is given inthe following table: it includes the waiting times of patients who have beenexempted from the guarantee for the reasons given above and thereforeoverstates true waiting times. It is not possible to estimate the extent of theoverstatement. The SMR3 waiting times census data, which excludes patients withASCs, is used for target compliance purposes, and the table also presents SMR3data for patients who were waiting for elective admission to trauma andorthopaedic departments on the censuses undertaken on 31 March in each yearsince 1999.
NHSScotland: Percentage of Patients1Who Waited Less Than Three Months, Less Than 12 Months and More Than 12 Months forElective Admission2 in the Specialty of Trauma And Orthopaedics. Years Ended 31 March 1999–2006.
Year | | Percentage Of Patients Who Waited |
Total Elective Discharges | Less Than 3 Months | Less Than 12 Months | Over 12 Months |
1999 | 41,613 | 55.6% | 97.2% | 2.9% |
2000 | 39,376 | 57.4% | 97.3% | 2.7% |
2001 | 39,647 | 51.4% | 95.8% | 4.2% |
2002 | 37,834 | 49.9% | 94.5% | 5.5% |
2003 | 37,329 | 45.8% | 92.2% | 7.9% |
2004 | 39,827 | 44.5% | 94.9% | 5.1% |
2005 | 41,935 | 40.4% | 95.5% | 4.5% |
2006P | 41,833 | 38.7% | 96.0% | 4.0% |
Source: ISD Scotland.SMR01.
Notes:
PProvisional.
1. Includes patients whoheld an availability status code.
2. Includes admissions fromthe deferred waiting list prior to its abolition on 1 April 2003.
NHSScotland: Percentage of PatientsWho Had Waited Less Than Three Months, Less Than 12 Months and More Than 12Months for Elective Admission in the Specialty of Trauma and Orthopaedics on 31March in Each Year From 1999-2006.
Year | | Percentage Of Patients Who Had Waited |
Total Waiting List – With A Guarantee | Less Than 3 Months | Less Than 12 Months | Over 12 Months |
1999 | 10,577 | 58.5% | 100% | 0% |
2000 | 13,132 | 52.6% | 99.7% | 0.3% |
2001 | 13,962 | 48.1% | 100% | 0% |
2002 | 14,661 | 44.2% | 100% | 0% |
2003 | 15,219 | 50.8% | 100% | 0% |
2004 | 15,272 | 57.9% | 100% | 0% |
2005 | 15,096 | 58.9% | 100% | 0% |
2006 | 14,070 | 69.6% | 100% | 0% |
Source: ISD ScotlandSMR3.