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Scottish Community Care Statistics 2001

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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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Page updated: Friday, May 19, 2006