Chamber and committees

Number of Hospital Episodes in Lothian due to Assault by Sharp Object; by Hospital for Financial Year 2009-10.

Source: ISD Scotland, SMR01.

Percentage of Population Registered with a Dentist under NHS General Dental Services Arrangements in Lothian

Source: MIDAS (Management Information and Dental Accounting System).

Notes:

1. The NHS board area in which a registered patient lives may not be the same NHS board area in which their dental practice is located.

2. ISD Scotland began publishing registration data by patient postcode and ceased publishing by practice postcode in August 2010.

3. Mid-year population estimates are used to calculate the percentage registered and are sourced from the General Register Office.

National estimates can be given of the number of patients consulting a GP or practice-employed nurse for this condition based on information obtained from a sample of Scottish general practices participating in PTI (Practice Team Information). Patients registered to PTI practices are representative of Scotland as a whole in terms of their age, gender and deprivation profile. The PTI sample is only representative at national level, so NHS board-level estimates cannot be provided. The last year for which PTI data are currently available is the year ending 31 March 2010.

The following table shows the estimated number of patients who have consulted a GP or practice-employed nurse in Scotland at least once where a clinical code for alcohol-related dementia was recorded, for each of the financial years ending 31 March 2006 to 2010, based on PTI data.

These figures are likely to underestimate the true numbers of patients in Scotland with alcohol-related dementia. This is because, for the purposes of this request, alcohol-related dementia is defined so as to include specific clinical coding for the following only: alcohol amnestic syndrome; Korsakov''s alcoholic psychosis; Korsakov''s alcoholic psychosis with peripheral neuritis; Wernicke-Korsakov syndrome; alcohol amnestic syndrome NOS; other alcoholic dementia; chronic alcoholic brain syndrome, and mental and behavioural disorders due to use alcohol: amnesic syndrome. Clinicians may in some cases use less specific codes than these ones for patients with alcohol-related dementia, and these cases will therefore not be captured in the estimates shown in the table.

Estimated Numbers of Patients in Scotland Consulting for Alcohol-Related Dementia at Least Once in the Financial Years (1 April to 31 March) 2005-06 to 2009-10

Note: 1. As the estimates are based on data from a sample of practices, 95% confidence intervals are included to indicate the precision of these estimates. For more information see www.isdscotland.org/isd/3729.html.

A breakdown by hospital of treatment is not available due to small numbers and the potential risk of disclosure.

General Acute Inpatient and Day Case Discharges¹, Patients with a Diagnosis of Poisoning by Methadone^2,3,4,5 in any Position: 2008-09 and 2009-10^P

Source: ISD Scotland (SMR01). Date Extracted: March 2011.

^PProvisional.

Notes:

1. Excludes mental illness hospitals, psychiatric units and maternity hospitals.

2. Diseases recorded using the World Health Organization''s International Classification of Diseases 10th Revision (ICD10). Poisoning by methadone: T403. Up to six diagnoses are recorded. All six diagnoses have been used to identify alcohol related conditions.

3. Includes cases where the poisoning is either intentional or unintentional.

4. Caution is necessary when interpreting these figures. The recording of poisoning by methadone may vary from hospital to hospital.

5. Figures shown for specific diagnoses include an element of double counting where a patient is discharged in more than one year.

6. Includes all patients treated in Scotland regardless of whether they are resident in Scotland.

*Indicates values that have been suppressed due to the potential risk of disclosure and to help maintain patient confidentiality.

- (ZERO).

The following table shows the number of patients with an alcohol related emergency admission to hospital in NHS Lothian for 2008-09 and 2009-10.

Number of Emergency¹ Hospital Admissions^2,3,4 with an Alcohol-Related Diagnosis^5,6 by Hospital for NHS Lothian; 2008-09 to 2009-10^P

^PProvisional.

Source: ISD Scotland (SMR01). Date Extracted: March 2011.

Notes:

1. This does not include A&E attendances. Information is not currently collected in A&E to provide this information. This includes only patients who have been admitted as an inpatient and the type of admission is classified as an emergency.

2. Information is based on date of discharge (rather than date of admission) because the SMR01 dataset is a discharge summary record.

3. Excludes mental illness hospitals, psychiatric units and maternity hospitals.

4. Figures in this table relate only to those individuals who are treated as inpatients or day cases in an acute hospital. They do not include individuals managed as outpatients.

5. Diseases recorded using the World Health Organization''s International Classification of Diseases 10th Revision (ICD10). Alcohol-related codes: F10, K70, X45, X65, Y15, Y90, Y91, E24.4, E51.2, G31.2, G62.1, G72.1, I42.6, K29.2, K86.0, O35.4, P04.3, Q86.0, T51.0, T51.1, T51.9, Y57.3, R78.0, Z50.2, Z71.4, Z72.1. Up to six diagnoses are recorded. All six diagnoses have been used to identify alcohol-related conditions.

6. Caution is necessary when interpreting these figures. The recording of alcohol misuse may vary from hospital to hospital. Where alcohol misuse is suspected but unconfirmed it may not be recorded by the hospital.

*Indicates values that have been suppressed due to the potential risk of disclosure and to help maintain patient confidentiality.

- (ZERO).

The following table shows information on the number of occupied bed days in acute general hospitals in NHS Lothian in 2009-10 that related to assault by sharp object, by age group.

Number of Occupied Bed Days in NHS Lothian due to Assault by Sharp Object by Age Group for Financial Year 2009-10

Source: ISD Scotland.

Information, although limited, is available on the number of hospital stays where operations/procedures were not carried out following admission to hospital. The number of cancelled operations or procedures by NHS Lothian in 2008-09 and 2009-10 and for the period 1 April to 30 September 2010 (the latest available data) is provided in the following table. To provide context, we have also included information on total number of hospitals stays as well as the rate of cancellation.

It is not possible from centrally held data to identify specific reasons for the cancellations. Operations may be cancelled due to a number of reasons such as a particularly high level of emergency admissions, staff sickness, patient is unfit for treatment on admission or the patient has failed to follow pre-admission advice such as fasting before admission.

NHSScotland: Number of Cancelled Operations/Procedures^1,2, Acute Inpatient/Day Case Discharges and Rate of Cancellation

Source: ISD Scotland. Information derived from data collected on discharges from non-obstetric and non-psychiatric hospitals (SMR01) in Scotland.

Notes:

1. Up to six diagnoses (one principal and five secondary) are recorded on SMR01 returns. All six diagnosis positions have been used to identify cancelled operations. The following International Statistical Classifications of Disease and Related Health problems 10 revision (ICD-10) code has been used to identify cancelled operations/procedures z53: person encountering health service specific procedure not carried out.

2. Cases where an operation or procedure was cancelled prior to the patient being admitted to hospital are not included.