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Scottish Community Care Statistics 1999

Hospitals

Table 2.14 presents the number of available beds, the number occupied and the mean stay and throughput in the specialty of learning disability over time.

Bed availability, occupancy and mean stay have all been following a downward trend since 1980. Meanwhile the throughput of patients with learning disabilities has been gradually increasing to reach 1.8 patients per bed per year in 1999.

Table 2.14: Bed Availability and Occupancy in the Learning Disability Specialty 1, 1980 - 1999

 

1980

1985

1990

1995

1996

1997

1998 3

1999 3

Average Available Beds

7,139

6,469

5,021

3,468

3,325

3,141

2,888

2,597

Average Occupied Beds

6,739

5,995

4,344

3,186

3,019

2,776

2,553

2,189

Mean Stay (Days)

1,178

715

381

247

231

213

193

171

Throughput 2

0.3

0.5

0.8

1.4

1.4

1.5

1.7

1.8

1 Includes information on NHS patients treated in Joint-user and contractual hospitals.
2 Throughput is based on the average inpatient discharges divided by the average available staffed beds per year.
3 Figures for 1998 and 1999 are shown on the basis of the 'new' specialty groupings. For certain specialty groups there may be discontinuities when comparing figures for pre 1998 and post 1997, and trend comparisons should be made with caution.
Source: ISD Scotland - ISD(S)1 Return

 

Table 2.15 presents the number of beds available and the occupancy level in the specialty of learning disabilities in 1999 by Health Board in Scotland.

In 1999, Borders health board had the highest percentage of occupancy at 100 per cent, whilst Dumfries & Galloway had an occupancy rate of only 55 per cent, the lowest in Scotland. There were a total of 2,597 beds available in Scotland with the number occupied averaging 2,189, amounting to 84 per cent occupancy.

Table 2.15: Bed Availability and Occupancy in the Learning Disability Specialty 1, 1999

Health Board

Average available beds

Average occupied beds

Percentage Occupancy

Argyll & Clyde

203

185

91%

Ayrshire & Arran

127

113

89%

Borders

6

6

100%

Dumfries & Galloway

127

70

55%

Fife

203

154

76%

Forth Valley

415

379

91%

Grampian

225

211

94%

Greater Glasgow

463

416

90%

Highland

76

63

83%

Lanarkshire

394

326

83%

Lothian

220

144

65%

Orkney

-

-

-

Shetland

-

-

-

Tayside

138

122

88%

Western Isles

-

-

-

Scotland

2,597

2,189

84%

1 Includes all information on NHS patients treated in joint-user and contractual hospitals.

Source: ISD Scotland - ISD(S)1 Return

 

Table 2.16 presents the number of admissions and discharges in hospitals for people with learning disabilities.

The total number of admissions and discharges was on the increase until 1994/95 and has been on a slow decline since. The number of discharges has consistently been higher than admissions, resulting in the falling level of occupied beds.

The majority of people being admitted and discharged each year were directly to/from home. The average over the years was 93 per cent for admissions and 87 per cent for discharges.

Table 16: Admissions and Discharges in Hospitals for People with Learning Disabilities, 1980 - 1999

 

1979/80

1984/85

1989/90

1994/95

1995/96

1996/97

1997/98

1998/99 2

Admissions

Home

1,564

2,254

2,924

4,283

4,267

3,971

3,992

3,898

Hospital

233

95

63

112

47

83

69

96

Local Authority/Voluntary 1

46

73

71

61

71

47

41

49

Other

28

42

37

67

66

61

53

41

Total Admissions

1,871

2,464

3,095

4,523

4,451

4,162

4,155

4,084

Discharges

Home

1,490

2,226

2,882

4,255

4,218

3,906

4,028

3,945

Hospital

258

117

79

111

53

74

50

78

Local Authority/Voluntary 1

65

98

204

110

158

146

119

136

Other

198

280

192

198

254

253

179

257

Total Discharges

2,011

2,721

3,357

4,674

4,683

4,379

4,376

4,416

Residents as at 31 March

6,658

5,772

4,253

3,106

2,873

2,656

2,434

2,102

1 Local Authority/ Voluntary includes Residential Homes, Hospitals and Group Homes in the Local Authority and Voluntary sectors.
2 Provisional.
Source: ISD Scotland - SMR4/SMR04 Return

Table 2.17 presents a summary of those people with learning disabilities in hospitals and their associated age group for the period between 1980 and 1999.

It is apparent from the table that the majority of patients are under 65 years of age. These patients accounted for 90 per cent of the total in 1980 and 85 per cent in 1999. The proportion of people aged under 65 has been declining slightly over the years whilst the 74 - 85 age group has been on a slight incline. The 85 and over group has remained the same at approximately one per cent of the total.

Table 2.17: Age 1,2 Breakdown of Residents in Hospitals for the Learning Disabled, 1980-1999

Age Group

1980

1985

1990

1995

1996

1997

1998

1999 3

<65

90%

86%

85%

84%

84%

85%

85%

85%

65-74

8%

9%

10%

10%

10%

9%

8%

8%

75-84

2%

4%

4%

5%

5%

5%

5%

6%

85 and over

0%

1%

1%

1%

1%

1%

1%

1%

Unknown (Number)

34

19

8

0

0

0

0

0

Total residents 1

6,658

5,772

4,253

3,106

2,873

2,656

2,434

2,102

1 Age at date of residence.
2 Percentages are based on the number of patients whose age is known.
3 Provisional.
Source: ISD Scotland - SMR4/SMR04 Returns

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