Scottish Community Care Statistics 2000 : page 13


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Scottish Community Care Statistics 2000

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: Bed Availability and Occupancy in Geriatric Specialities

	1980	1985	1990	1995	1996	1997	1998	1999	2000
Geriatric Longstay
Average Available Beds LS	7,899	9,073	9,277	7,729	7,073	6,324	5,488	4,924	4,492
Average Occupied Beds LS	7,609	8,735	8,544	6,787	6,098	5,370	4,585	4,111	3,816
Mean Stay (Days) LS	347.9	287.2	175.7	186.5	179.8	170.3	180.9	170.4	163.4
Throughput LS ¹	1.0	1.2	1.9	1.7	1.8	1.8	1.7	1.8	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
Average Occupied Beds GA	2,235	2,153	2,250	2,861	2,979	3,058	3,268	3,298	3,280
Mean Stay (Days) GA	60.9	46.2	33.4	26.8	26.1	26.3	26.0	25.5	25.7
Throughput GA ¹	5.6	7.3	9.8	12.0	12.3	12.3	12.4	13.0	13.0
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
Average Occupied Beds GM	9,844	10,888	10,794	9,648	9,077	8,427	7,853	7,409	7,096
Mean Stay (Days) GM	168.1	141.3	93.0	67.3	61.3	56.9	52.0	48.4	47.0
Throughput GM¹	2.1	2.5	3.6	4.8	5.2	5.5	6.0	6.5	6.8

¹ 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 has been increasing, with the exception of the latest two year's figures. Average occupied bed figures also show an increase, with the exception of the latest year.

The mean stay of patients in Geriatric assessment beds has been slowly declining since 1990 whilst the mean stay of patients in long stay geriatrics has fluctuated 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. Geriatric long stay has remained on the whole constant since 1990 with around 1.8 patients per year.

Table 1.27: Bed Availability and Occupancy in Geriatric Specialties 1, 2000

Health Board	Geriatric Assessment			Geriatric Longstay			Total Geriatric Medicine²
Health Board	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	369	354	95.9	517	467	90.3	887	821	92.6
Ayrshire & Arran	275	250	90.9	318	288	90.6	594	538	90.6
Borders	68	56	82.4	119	65	54.6	186	121	65.1
Dumfries & Galloway	50	47	94.0	148	115	77.7	199	162	81.4
Fife	149	141	94.6	296	275	92.9	445	416	93.5
Forth Valley	209	206	98.6	292	279	95.5	501	486	97.0
Grampian	228	211	92.5	448	364	81.3	676	576	85.2
Greater Glasgow	883	785	88.9	860	761	88.5	1,743	1,546	88.7
Highland	104	89	85.6	130	71	54.6	234	160	68.4
Lanarkshire	307	258	84.0	477	385	80.7	783	643	82.1
Lothian	665	630	94.7	469	378	80.6	1,134	1,008	88.9
Orkney	-	-	-	-	-	-	-	-	-
Shetland	3	2	66.7	37	31	83.8	40	33	82.5
Tayside	270	235	87.0	372	327	87.9	641	562	87.7
Western Isles	23	16	69.6	8	7	87.5	31	24	77.4
Scotland	3,603	3,280	91.0	4,492	3,816	85.0	8,095	7,096	87.7

¹ Includes all information on NHS patients treated in joint-user and contractual hospitals.
² Equals 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 2000. The overall occupancy rate in Geriatric Medicine, in Scotland, was 88 per cent. This ranged from 97 per cent in Forth Valley to 65 per cent in the Borders.

Table 1.28: Admissions and Discharges in Hospitals for Geriatric Long Stay, 1998-2000

	1997/98^r	1998/99^r	1999/2000
Total Admissions	8,731	8,616	8,084
Private Residence	2,592	2,438	2,259
From Other Home	56	48	35
Tranferred within/ from other Hospital	5,954	6,051	5,746
Other	129	79	44
Total Discharges	8,854	8,836	7,964
Died	2,832	2,941	2,580
Private Residence	3,466	3,394	2,961
To Other Home	1,202	1,299	1,296
Transferred within/ to other Hospital	1,124	1,035	989
Other	230	167	138

The above table is regarded as provisional at present as the dataset is in the initial stages of 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 2000. The majority of admissions (71 per cent in 2000) were transfers from within the same hospital or from another hospital whereas 12 per cent of discharges were in this category. Thirty seven per cent of discharges were to private residences and 32 per cent were deaths.

Table 1.29: Age Breakdown¹ of Inpatients and Day Case Discharges from Geriatric Medicine, for year ending 1980-2000

	1978/80	1984/85	1989/90	1994/95	1995/96	1996/97	1997/98^r,p	1998/99^r,p	1999/2000^p
Geriatric Assessment
<65	4%	2%	2%	2%	2%	3%	3%	3%	3%
65-74	23%	19%	17%	18%	17%	17%	16%	16%	16%
75-84	47%	51%	49%	47%	47%	46%	46%	45%	44%
85 and over	25%	27%	32%	33%	34%	35%	35%	36%	37%
Total	12,387	16,795	24,472	39,553	40,376	41,891	44,254	46,115	45,042
Geriatric Long Stay
<65	6%	5%	4%	4%	4%	*	4%	5%	5%
65-74	22%	20%	18%	20%	20%	*	18%	18%	18%
75-84	45%	47%	45%	42%	41%	*	39%	39%	40%
85 and over	27%	28%	32%	35%	35%	*	38%	38%	37%
Total	6,548	9,067	11,831	11,116	7,792	*	8,854	8,836	7,964
Total Geriatric Medicine
<65	5%	3%	3%	2%	3%	*	3%	3%	3%
65-74	23%	19%	18%	18%	18%	*	17%	17%	16%
75-84	46%	50%	48%	46%	46%	*	45%	44%	44%
85 and over	26%	28%	32%	34%	34%	*	36%	36%	37%
Total	18,935	25,862	36,303	50,669	48,168	*	53,108	54,951	53,006

¹Age on discharge
^*Due to the phase introduction of SMR50, reliable data for this period is not available.
^rrevised
^pThe 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 1980-2000.

In 2000, 81 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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