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Scottish Community Care Statistics 2001
Hospitals
Information on hospitals is also collected by ISD Scotland and is previously published in Scottish Health Statistics.
Before 1998 figures for geriatric assessment and geriatric long stay were derived using separate specialty codes. Since 1998 figures have been derived using new specialty groupings and there may be discontinuities when comparing figures for pre and post 1998. Any trend comparisons should be made with caution.
Table 1.26: NHSiS - Selected activity statistics 1; Geriatric specialities; By Health board area of treatment: Year ending 31 March 2001
| 1980 | 1985 | 1990 | 1995 | 1996 | 1997 | 1998 | 1999 | 2000 | 2001 |
Geriatric Longstay |
Average Available Beds LS | 7,899 | 9,073 | 9,277 | 7,729 | 7,073 | 6,324 | 5,488 | 4,924 | 4,492 | 4,089 |
Average Occupied Beds LS | 7,609 | 8,735 | 8,544 | 6,787 | 6,098 | 5,370 | 4,585 | 4,111 | 3,816 | 3,464 |
Mean Stay (Days) LS | 347.9 | 287.2 | 175.7 | 186.5 | 179.8 | 170.3 | 180.9 | 170.4 | 163.4 | 163.2 |
Throughput LS 3 | 1.0 | 1.2 | 1.9 | 1.7 | 1.8 | 1.8 | 1.7 | 1.8 | 1.9 | 1.9 |
Geriatric Assessment |
Average Available Beds GA | 2,401 | 2,338 | 2,521 | 3,245 | 3,386 | 3,452 | 3,707 | 3,634 | 3,603 | 3,485 |
Average Occupied Beds GA | 2,235 | 2,153 | 2,250 | 2,861 | 2,979 | 3,058 | 3,268 | 3,298 | 3,280 | 3,180 |
Mean Stay (Days) GA | 60.9 | 46.2 | 33.4 | 26.8 | 26.1 | 26.3 | 26.0 | 25.5 | 25.7 | 27.3 |
Throughput GA 3 | 5.6 | 7.3 | 9.8 | 12.0 | 12.3 | 12.3 | 12.4 | 13.0 | 13.0 | 12.2 |
Total Geriatric Medicine |
Average Available Beds GM | 10,300 | 11,410 | 11,797 | 10,974 | 10,459 | 9,776 | 9,195 | 8,558 | 8,095 | 7,574 |
Average Occupied Beds GM | 9,844 | 10,888 | 10,794 | 9,648 | 9,077 | 8,427 | 7,853 | 7,409 | 7,096 | 6,644 |
Mean Stay (Days) GM | 168.1 | 141.3 | 93.0 | 67.3 | 61.3 | 56.9 | 52.0 | 48.4 | 47.0 | 48.3 |
Throughput GM 3 | 2.1 | 2.5 | 3.6 | 4.8 | 5.2 | 5.5 | 6.0 | 6.5 | 6.8 | 6.6 |
1 Includes all information on NHS patients treated in joint-user and contractual hospitals.
2 Includes all geriatric medicine activity
3 Throughput is based on the average inpatient discharges/average available staffed beds per year.
Source: ISD Scotland - ISD(S)1 Return
Table 1.26 presents the number of available and occupied beds in Geriatric Medicine for Scotland over time.
Since 1990 there has been a considerable downturn in available beds in long-stay geriatric care and therefore in the overall number of beds available in Geriatric Medicine. In contrast, the number of available beds in geriatric assessment increased between 1990 and 1998 but has remained fairly level since then. Average occupied bed figures follow the same trend as for available beds.
The mean stay of patients in Geriatric assessment beds has stayed around 26-27 days since 1990 whilst the mean stay of patients in long stay geriatrics has fluctuated between 163 and 187 days over the same period.
Throughput for geriatric assessment has steadily increased for the time period shown with 13.0 patients occupying each bed during the year in 2000, reducing to 12.2 during 2001. Geriatric long stay has remained on the whole constant since 1990 with around 1.8 patients per year.
Table 1.27: NHSiS - Selected activity statistics 1; Geriaric specialties; By Health board area of treatment: Year ending 31 March 2001
Health Board | Geriatric Assessment | Geriatric Longstay | Total Geriatric Medicine 2 |
Average available beds | Average occupied beds | Percentage Occupancy | Average available beds | Average occupied beds | Percentage Occupancy | Average available beds | Average occupied beds | Percentage Occupancy |
Argyll & Clyde | 365 | 336 | 92 | 519 | 454 | 88 | 883 | 790 | 89 |
Ayrshire & Arran | 283 | 261 | 92 | 311 | 285 | 92 | 594 | 546 | 92 |
Borders | 63 | 55 | 86 | 95 | 71 | 75 | 158 | 126 | 79 |
Dumfries & Galloway | 51 | 48 | 94 | 126 | 87 | 69 | 177 | 135 | 76 |
Fife | 164 | 154 | 94 | 296 | 275 | 93 | 460 | 429 | 93 |
Forth Valley | 206 | 203 | 99 | 262 | 239 | 91 | 468 | 442 | 95 |
Grampian | 226 | 211 | 93 | 427 | 343 | 80 | 653 | 553 | 85 |
Greater Glasgow | 874 | 780 | 89 | 723 | 634 | 88 | 1,597 | 1,414 | 89 |
Highland | 103 | 88 | 86 | 111 | 63 | 56 | 214 | 151 | 70 |
Lanarkshire | 304 | 258 | 85 | 424 | 329 | 78 | 728 | 586 | 81 |
Lothian | 567 | 529 | 93 | 441 | 385 | 87 | 1,008 | 914 | 91 |
Orkney | - | - | - | - | - | - | - | - | - |
Shetland | 2 | 2 | 100 | 35 | 30 | 86 | 37 | 32 | 87 |
Tayside | 243 | 224 | 92 | 311 | 264 | 85 | 554 | 489 | 88 |
Western Isles | 34 | 31 | 93 | 7 | 6 | 91 | 41 | 38 | 93 |
Scotland | 3,485 | 3,180 | 91 | 4,089 | 3,464 | 85 | 7,574 | 6,644 | 88 |
1 Includes all information on NHS patients treated in joint-user and contractual hospitals.
2 Includes all geriatric medicine activity.
Source: ISD Scotland - ISD(S) 1 Return
Table 1.27 details the number of available and occupied beds by health board for 2001. The overall occupancy rate in Geriatric Medicine, in Scotland, was 88 per cent. This ranged from 95 per cent in Forth Valley to 70 per cent in the Highlands.
Table 1.28: Admissions and Discharges in Hospitals for Geriatric Long Stay 1, 1998-2001
Total Admissions | 1997/98 r | 1998/99 r | 1999/2000 r | 2000/01 r |
8,315 | 8,219 | 7,927 | 7,021 |
Private Residence | 2,359 | 2,226 | 2,166 | 1,756 |
From Other Home | 56 | 48 | 39 | 45 |
Tranferred within/from other Hospital | 5,783 | 5,869 | 5,686 | 5,176 |
Other | 117 | 76 | 36 | 44 |
Total Discharges | 8,531 | 8,442 | 7,794 | 7,235 |
Died | 2,795 | 2,901 | 2,582 | 2,354 |
Private Residence | 3,207 | 3,091 | 2,810 | 2,339 |
To Other Home | 1,185 | 1,277 | 1,292 | 1,256 |
Transferred within/to other Hospital | 1,114 | 1,004 | 965 | 1,084 |
Other | 230 | 169 | 145 | 202 |
1 Includes geriatric medicine only.
The above table is regarded as provisional at present as the dataset is currently undergoing a 'clean up' program.
All information should be used for illustrative purposes only.
r revised
Source: ISD Scotland, SMR50
Table 1.28 shows the number of patients admitted to and discharged from geriatric long stay hospitals between 1998 and 2001. The majority of admissions (74 per cent in 2001) were transfers from within the same hospital or from another hospital whereas 15 per cent of discharges were in this category. Thirty two per cent of discharges were to private residences and 33 per cent were deaths.
Table 1.29: Age Breakdown 1 of Inpatients and Day Case Discharges from Geriatric Medicine, for year ending 1980-2001
| 1978/80 | 1984/85 | 1989/90 | 1994/95 | 1995/96 | 1996/97 | 1997/98 r,p | 1998/99 r,p | 1999/2000 p | 2000/01 r,p |
Geriatric Assessment |
Under 65 | 4% | 2% | 2% | 2% | 2% | 3% | 3% | 3% | 3% | 4% |
65-74 | 23% | 19% | 17% | 18% | 17% | 17% | 16% | 16% | 16% | 16% |
75-84 | 47% | 51% | 49% | 47% | 47% | 46% | 46% | 45% | 44% | 44% |
85 and over | 25% | 27% | 32% | 33% | 34% | 35% | 35% | 36% | 37% | 36% |
Total | 12,387 | 16,795 | 24,472 | 39,553 | 40,376 | 41,891 | 44,271 | 46,169 | 45,207 | 42,647 |
Geriatric Long Stay |
Under 65 | 6% | 5% | 4% | 4% | 4% | * | 4% | 4% | 5% | 4% |
65-74 | 22% | 20% | 18% | 20% | 20% | * | 18% | 18% | 18% | 17% |
75-84 | 45% | 47% | 45% | 42% | 41% | * | 39% | 39% | 40% | 40% |
85 and over | 27% | 28% | 32% | 35% | 35% | * | 38% | 38% | 37% | 39% |
Total | 6,548 | 9,067 | 11,831 | 11,116 | 7,792 | * | 8,531 | 8,442 | 7,794 | 7,235 |
Total Geriatric Medicine |
Under 65 | 5% | 3% | 3% | 2% | 3% | * | 3% | 3% | 3% | 4% |
65-74 | 23% | 19% | 18% | 18% | 18% | * | 17% | 17% | 16% | 16% |
75-84 | 46% | 50% | 48% | 46% | 46% | * | 45% | 44% | 44% | 44% |
85 and over | 26% | 28% | 32% | 34% | 34% | * | 36% | 36% | 37% | 36% |
Total | 18,935 | 25,862 | 36,303 | 50,669 | 48,168 | * | 52,802 | 54,611 | 53,001 | 49,882 |
1 Age on discharge.
* Due to the phase introduction of SMR50, reliable data for this period are not available
r revised
p The geriatric long stay dataset is currently undergoing a "clean up" program and all information should be used for illustrative purposes only.
Source: ISD Scotland - SMR1, SMR01 & SMR50 Returns (valid records only).
Table 1.29 shows the age breakdown of patients in geriatric medicine over the period 1980-2001.
In 2001, 80 per cent of patients were 75 or over. The proportion has remained fairly stable over time with little difference in ages between geriatric long stay and geriatric assessment.
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