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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 1.9 patients per bed per year in 2000.
Table 2.14: Bed Availability and Occupancy in the Learning Disability Specialty1, 1980 - 2000
|
1980 |
1985 |
1990 |
1995 |
1996 |
1997 |
19983 |
19993 |
20003 | |
|
Average Available Beds |
7,139 |
6,469 |
5,021 |
3,468 |
3,325 |
3,141 |
2,888 |
2,597 |
2,223 |
|
Average Occupied Beds |
6,739 |
5,995 |
4,344 |
3,186 |
3,019 |
2,776 |
2,553 |
2,189 |
1,832 |
|
Mean Stay (Days) |
1,178 |
715 |
381 |
247 |
231 |
213 |
193 |
171 |
154 |
|
Throughput 2 |
0.3 |
0.5 |
0.8 |
1.4 |
1.4 |
1.5 |
1.7 |
1.8 |
1.9 |
1 Includes information on NHS patients treated in Joint-user and
contractual hospitals.
2 Throughput is based on the average inpatient discharges/average
available staffed beds per year.
3 Figures for 1998 onwards 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 2000 by Health Board in Scotland.
In 2000, Grampian Health Board had the highest percentage of occupancy at 95.6 per cent, whilst Fife had an occupancy rate of only 72.5 per cent, the lowest in Scotland. There were a total of 2,223 beds available in Scotland with the number occupied averaging 1,832 amounting to 82 per cent occupancy.
Table 2.15: Bed Availability and Occupancy in the Learning Disability Specialty1, 2000
|
Health Board |
Average available beds |
Average occupied beds |
Percentage Occupancy |
|
Argyll & Clyde |
194 |
181 |
93.3% |
|
Ayrshire & Arran |
127 |
109 |
85.8% |
|
Borders |
5 |
4 |
80.0% |
|
Dumfries & Galloway |
65 |
49 |
75.4% |
|
Fife |
153 |
111 |
72.5% |
|
Forth Valley |
376 |
327 |
87.0% |
|
Grampian |
205 |
196 |
95.6% |
|
Greater Glasgow |
409 |
321 |
78.5% |
|
Highland |
66 |
51 |
77.3% |
|
Lanarkshire |
394 |
294 |
74.6% |
|
Lothian |
107 |
84 |
78.5% |
|
Orkney |
- |
- |
- |
|
Shetland |
- |
- |
- |
|
Tayside |
124 |
105 |
84.7% |
|
Western Isles |
- |
- |
- |
|
Scotland |
2,223 |
1,832 |
82.4% |
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 94 per cent for admissions and 88 per cent for discharges.
Table 2.16: Admissions and Discharges in Hospitals for People with Learning Disabilities, 1980 - 2000
|
1979/80 |
1984/85 |
1989/90 |
1994/95 |
1995/96 |
1996/97 |
1997/98 |
1998/99r |
1999/2000p | |
|
Total Admissions |
1,871 |
2,464 |
3,095 |
4,523 |
4,451 |
4,162 |
4,155 |
4,131 |
3,648 |
|
Home |
1,564 |
2,254 |
2,924 |
4,283 |
4,267 |
3,971 |
3,992 |
3,938 |
3,448 |
|
Hospital |
233 |
95 |
63 |
112 |
47 |
83 |
69 |
97 |
88 |
|
Local Authority/Voluntary1 |
46 |
73 |
71 |
61 |
71 |
47 |
41 |
53 |
70 |
|
Other |
28 |
42 |
37 |
67 |
66 |
61 |
53 |
43 |
42 |
|
Total Discharges |
2,011 |
2,721 |
3,357 |
4,674 |
4,683 |
4,379 |
4,376 |
4,486 |
3,931 |
|
Home |
1,490 |
2,226 |
2,882 |
4,255 |
4,218 |
3,906 |
4,028 |
3,986 |
3,507 |
|
Hospital |
258 |
117 |
79 |
111 |
53 |
74 |
50 |
80 |
64 |
|
Local Authority/Voluntary1 |
65 |
98 |
204 |
110 |
158 |
146 |
119 |
149 |
197 |
|
Other |
198 |
280 |
192 |
198 |
254 |
253 |
179 |
271 |
163 |
|
Residents as at 31 March |
6,658 |
5,772 |
4,253 |
3,106 |
2,873 |
2,656 |
2,434 |
2,101 |
1,818 |
1 Local Authority/ Voluntary includes Residential Homes, Hospitals
and Group Homes in the Local Authority and Voluntary sectors.
r Revised.
p 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 2000.
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 86 per cent in 2000. The proportion of people aged under 65 has been declining slightly over the years. The 85 and over group has remained the same at approximately one per cent of the total.
Table 2.17: Age1,2 Breakdown of Residents in Hospitals for the Learning Disabled, 1980-2000
|
Age Group |
1980 |
1985 |
1990 |
1995 |
1996 |
1997 |
1998 |
1999r |
2000p |
|
<65 |
90% |
87% |
86% |
84% |
84% |
85% |
85% |
85% |
86% |
|
65-74 |
8% |
9% |
10% |
10% |
10% |
9% |
8% |
8% |
7% |
|
75-84 |
2% |
4% |
4% |
5% |
5% |
5% |
5% |
6% |
5% |
|
85 and over |
0% |
1% |
1% |
1% |
1% |
1% |
1% |
1% |
1% |
|
Unknown (Number) |
34 |
19 |
8 |
- |
- |
- |
- |
- |
- |
|
Total residents |
6,658 |
5,772 |
4,253 |
3,106 |
2,873 |
2,656 |
2,434 |
2,101 |
1,818 |
1 Age at date of residence.
2 Percentages are based on the number of residents whose age is known.
r Revised
p Provisional
Source: ISD Scotland, SMR4/SMR04 Returns
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