Scottish Government

NHS NATIONAL TARGETS: RELATED TO NHS NATIONAL PRIORITIES

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HEALTH IMPROVEMENT: STEP CHANGE IN SCOTLAND'S HEALTH STATUS

• Develop targets for reducing health inequalities by spring 2003 (Improving Health in Scotland: The Challenge).

Teenage Pregnancy

• 20% reduction in teenage pregnancies amongst those aged 13-15: target date 2010.

Dental Health

• Children aged 12 should have, on average, no more than 1.5 teeth decayed, missing or filled: target date 2005.

• At least 80% of dentate adults aged 35-44 should have at least 21 or more standing teeth: target date 2008.

• Less than 5% of 45-54 age group to have no natural teeth by 2010.

• 60% of 5 year old children should have no cavities, fillings, extractions: target date 2010.

Smoking

• Reduce smoking among young people (12-15 age group) to 11%: target date 2010.

• Reduce rate of smoking among adults (16-64 age group) in all social classes to 31%: target date 2010.

• Reduce the proportion of women who smoke during pregnancy by 9% to 20%: target date 2010.

Alcohol Misuse

• Males aged 16-64 - reduce incidence exceeding weekly limit of 21 units to 29%: target date 2010.

• Females aged 16-64 - reduce incidence exceeding weekly limit of 14 units to 11%: target date 2010.

• Reduce frequency and level of drinking of 12-15 age group by 4% to 16%: target date 2010.

Drug Misuse

• Reverse upward trend in drug related deaths and reduce the total number by 25%: target date 2005.

• Increase the number of drug users in contact with drug treatment/care services in community by at least 10% every year: target date 2005.

• Reduce the proportion of drug users who inject and the proportion of injecting users sharing needles and syringes by 20% by 2005.

• Reduce the proportion of injecting drug users sharing needles and syringes by 20%: target date 2005.

• Reduce percentage of injecting drug users testing antibody positive for the PC by 20%: target date 2005.

Physical Activity

• 50% of all adults (aged 16+) accumulating a minimum of 30 minutes per day of moderate physical activity on 5 or more days per week.

• 80% of all children (aged 2-15) accumulating one hour per day of physical activity on 5 or more days per week.

Breast Feeding

• More than 50% of women should breast feed their babies at 6 weeks: target date 2005.

Diet

• Increase the proportion of the population consuming increased levels of fruits and vegetables, carbohydrates and fish as defined by the Scottish Dietary Targets: target date 2005.

• Increase the proportion of the population consuming decreased levels of fat, sugar and salt as defined by the Scottish Dietary Targets: target date 2005.

Immunisation/Vaccination

• 70% of over 65s vaccinated against flu: annual target.

• 95% uptake target for all childhood vaccinations (ongoing).

Low Birth Weight Babies

• To reduce incidence of low birth weight babies by 10%: target date 2005.

Eye and Dental Checks

• We will invest in health promotion and, as a priority, we will systematically introduce free eye and dental checks for all before 2007.

Hearing Tests

• We will introduce hearing tests for all new born babies.

DELAYED DISCHARGE

• National Delayed Discharge Plan targets to be set for each individual NHS Board following evaluation of Local Joint Action Plans to sustain progress in reducing delayed discharge numbers. Focus of planning will be to continue to relieve pressure on the acute sector; to look at whole systems re-design and capacity planning and to consider the development of appropriate convalescent care which should be outcomes focused rehabilitative care rather than the creation of new convalescent homes.

• We will invest 30m per annum for 3 years to provide 1,000 community and convalescent places for people leaving hospital.

48-HOUR ACCESS

• We will ensure that anyone contacting their GP surgery has guaranteed access to a GP, nurse or other health care professional within 48 hours by April 2004.

CANCER

• 20% reduction in the age standardised mortality rate from cancer in people aged under 75: target date 2010.

• For targets on Waiting Times refer to Waiting Times Priority.

• Breast screening target 70%: ongoing.

• Cervical screening target 80%: ongoing.

CHD/STROKE

• 50% reduction in the age standardised mortality rate from CHD in people aged under 75: target date 2010.

• 50% reduction in the age standardised mortality rate from stroke in people aged under 75: target date 2010.

• For targets on Waiting Times refer to Waiting Times Priority.

MENTAL HEALTH

• Reduce National Suicide Rate by 20% by 2013 (Suicide Prevention Strategy Dec 2002).

• Closure of all long-stay institutions for people with learning disabilities: target date 2005.

HEALTHCARE ACQUIRED INFECTION

• Implement Full Technical Requirements of the Glennie Recommendations for Decontamination of Medical Equipment and Devices by 31 March 2004.

WAITING TIMES

Hospital In-Patient and Day Case Treatment

• No patient with a guarantee should wait longer than 12 months for in-patient or day case treatment. This will be reduced to 9 months from 31 December 2003 and to 6 months from 31 December 2005.

• These targets are firm guarantees. If a patient's host NHS Board is unable to provide treatment within the target time, the patient will be offered treatment elsewhere in the NHS, in the private sector in Scotland, or England, or overseas.

Coronary Heart Disease

• From 31 December 2002 the maximum wait from angiography to surgery or angioplasty will be 24 weeks. This will be reduced to 18 weeks by 31 December 2004.

• These targets are firm guarantees. If a patient's host NHS Board is unable to provide treatment within the target time, the patient will be offered treatment elsewhere in the NHS, in the private sector in Scotland, or England, or overseas.

Cancer

• By 31 October 2001 women who have breast cancer and need urgent treatment will get it within one month where appropriate.

• By 31 October 2001 the maximum wait from urgent referral to treatment for children's cancer and acute leukaemia will be one month.

• By 31 December 2005 no patient urgently referred for cancer treatment should wait more than 2 months.

Coronary Heart Disease

• From 31 December 2002 the maximum wait for angiography will be 12 weeks from seeing a specialist. This will be reduced to 8 weeks from 31 December 2004.

Out-Patients

• By 31 December 2005 no patient should wait more than 6 months for a first out-patient appointment with a consultant, following referral by GMP/GDP.

Primary Care

• We will ensure that anyone contacting their GP surgery has guaranteed access to a GP, nurse or other health care professional within 48 hours by April 2004.

PATIENT FOCUS/PUBLIC INVOLVEMENT

• Each NHS Board/health system identifies strategic leadership at Director level to achieve implementation of an integrated approach to patient focus and public involvement across their area.

• Each NHS Board/health system agrees a strategy and framework for implementing an integrated approach to patient focus and public involvement with SEHD by October 2003.

• The agreed frameworks should set out:

WORKFORCE DEVELOPMENT/STAFF GOVERNANCE

• NHSScotland bodies must ensure that:

• Progress in ensuring that these targets are consistently met is assessed through the annual staff survey, the Self-Assessment Audit Tool (SAAT), and the action plans submitted to the Department.

• We will increase our programme to train, recruit and retain nurses and midwives bringing 12,000 into the NHS by 2007 as part of our overall improvements in workforce planning in the NHS.

• We will treble existing numbers of nurse consultants to 54.

• We will continue our guarantee of one years employment for all newly qualified nurses and midwives.

• We will aim to increase the number of consultants in the NHS by 600 by 2006 and continue to build on that increase thereafter.

• We will ensure a total of 1,500 extra allied health professionals such as radiographers, physiotherapists, dieticians and chiropodists.

FINANCIAL BREAK-EVEN

• NHS Boards to: operate within their revenue resource limit; operate within their capital resource limit; meet their cash requirement (PAF: Nov 2002).

• NHS Trusts to: break even taking one year with another; stay within their capital resource limit (PAF: Nov 2002).

SERVICE RE-DESIGN

• NHS Boards to form a Service Re-Design Committee with involvement of clinicians.

• NHS Boards to submit a Change and Innovation Plan.

• We will support Change and Innovation through a series of national collaboratives including major priorities such as cancer, out-patient waiting, primary care access and emergency medical admissions.