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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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