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Scottish Community Care Statistics 1999

Hospitals

Table 3.14: Bed Availability and Occupancy in Psychiatric Specialties 1, 1980 - 1999 2

 

1980

1985

1990

1995

1996

1997

1998 4

1999 4

Average Available Beds

17,168

16,463

14,407

11,034

10,392

9,580

9,076

8,674

Average Occupied Beds

15,301

14,118

12,634

9,754

9,084

8,358

7,791

7,358

Mean Stay (Days)

211.9

182.5

152.5

107.6

98.1

90.8

85.7

83.5

Throughput 3

1.5

1.7

2.1

3.0

3.3

3.5

3.7

3.7

1 Includes Mental Illness, Psychogeriatrics, Child Psychiatry and Adolescent Psychiatry.
2 Includes information on NHS patients treated in Joint-user and contractual hospitals.
3 Throughput is based on the average inpatien discharges/average available staffed beds per year.
4 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 3.14 presents the number of available beds, the number occupied and the mean stay and throughput in the specialty of psychiatry, over time.

Bed availability, occupancy and mean stay have all been following a downward trend since 1980. The throughput of patients with mental health problems has been gradually increasing until 1998 where it has remained at 3.7 patients per bed per year.

Table 3.15: Bed Availability and Occupancy in Psychiatric Specialties 1,2, 1999

Health Board

Average available beds

Average occupied beds

Percentage Occupancy

Argyll & Clyde

1,001

908

91%

Ayrshire & Arran

445

374

84%

Borders

184

129

70%

Dumfries & Galloway

326

237

73%

Fife

583

491

84%

Forth Valley

455

361

79%

Grampian

767

667

87%

Greater Glasgow

1,587

1,366

86%

Highland

263

214

81%

Lanarkshire

846

723

85%

Lothian

1,274

1,092

86%

Orkney

-

-

-

Shetland

-

-

-

Tayside

896

754

84%

Western Isles

47

42

-

Scotland

8,674

7,358

85%

1 Includes all information on NHS patients treated in joint-user and contractual hospitals.
2 Includes mental illness, psychogeriatrics, child psychiatry and adolescent psychiatry.
Source: ISD Scotland - ISD(S)1 Return

 

Table 3.15 presents the number of beds available and the occupancy level in the specialty of psychiatry in 1999, by Health Board.

In 1999, Argyll & Clyde health board had the highest percentage occupancy at 91 per cent, whilst Borders had a 70 per cent occupancy rate, the lowest in Scotland. Meanwhile, Scotland had a total of 8,674 beds available and the number occupied averaging 7,358 (85 per cent occupancy).

Table 3.16: Admissions and Discharges in Hospitals for Psychiatric Specialties, 1980-1999

 

1979/80

1984/85

1989/90

1994/95

1995/96

1996/97

1997/98

1998/99 2

Admissions

Home

20,625

21,921

23,673

23,309

23,123

23,731

23,319

20,498

Hospital

3,242

3,307

3,968

4,314

4,405

5,833

6,984

6,313

Local Authority/ Voluntary 1

571

731

1,163

1,576

1,413

710

478

454

Other

884

733

844

893

1,291

1,423

1,481

1,367

Total admissions

25,322

26,692

29,648

30,092

30,232

31,697

32,262

28,632

Discharges

Home

19,410

21,650

23,025

22,835

22,522

24,054

24,875

22,255

Hospital

1,145

1,446

1,919

2,583

2,368

2,253

2,913

2,597

Local Authority/ Voluntary 1

675

839

1,537

2,226

2,468

1,484

907

860

Other

4,193

3,320

3,729

3,218

3,369

3,698

3,382

3,206

Total discharges

25,423

27,255

30,210

30,862

30,727

31,489

32,077

28,918

Residents as at 31 March

15,713

14,206

12,601

9,100

8,603

8,812

9,000

8,708

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 3.16 details the number of admissions and discharges in hospitals for psychiatric specialties over time.

Both admissions and discharges have followed a general upward trend until 1998/99 when the numbers decreased. In all years the majority of admissions and discharges, on average 76 per cent, were from home.

On the whole, the number of hospital admissions and discharges have been following an upward trend whilst the number of home admissions / discharges have been reasonably steady until 1998/99 when they declined.

Table 3.17: Age 1,2 Breakdown of Patients in Mental Illness Hospitals & Psychiatric Units, as at 31 March, 1980-1999

Age Group

1980

1985

1990

1995

1996

1997

1998

1999 3

<65

6,878

5,464

4,418

3,380

3,352

3,807

4,041

4,059

65-74

3,162

2,808

2,365

1,714

1,584

1,433

1,488

1,389

75-84

3,654

3,866

3,658

2,381

2,214

2,198

2,081

1,936

85 and over

1,326

1,697

2,028

1,612

1,447

1,372

1,388

1,322

Unknown (Number)

693

371

132

13

6

2

2

2

All residents

15,713

14,206

12,601

9,100

8,603

8,812

9,000

8,708

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

 

Table 3.17 presents a summary of those people with mental health problems in hospitals and their associated age group, between 1980 and 1999.

Over this time period the number of people with mental health problems declined at a steady pace until 1995, where it has remained relatively stable. The proportion of people in each age group has fluctuated over the years. Overall, there has been a slight increase in the proportion of people under 65 and over 85, whilst the proportion of people between 65 - 84 has decreased.

On average, 41 per cent of people with mental health problems in hospitals were in the 65 and under age group. At the same time approximately 25 per cent of people were aged between 75 and 84.

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