Scottish Community Care Statistics 2000 : page 27


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Scottish Community Care Statistics 2000

Hospitals

Table 3.14: Bed Availability and Occupancy in Psychiatric Specialties¹, 1980 - 2000²

	1980	1985	1990	1995	1996	1997	1998⁴	1999⁴	2000⁴
Average Available Beds	17,168	16,463	14,407	11,034	10,392	9,580	9,076	8,674	8,145
Average Occupied Beds	15,301	14,118	12,634	9,754	9,084	8,358	7,791	7,358	6,917
Mean Stay (Days)	212	183	153	108	98	91	86	84	81
Throughput ³	1.5	1.7	2.1	3.0	3.3	3.5	3.7	3.7	3.8

¹Includes Mental Illness, Psychogeriatrics, Child Psychiatry and Adolescent Psychiatry
²Includes information on NHS patients treated in Joint-user and contractual hospitals.
³Throughput is based on the average inpatient discharges/average available staffed beds per year
⁴Figures 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 2000 where it has reached 3.8 patients per bed per year..

Table 3.15: Bed Availability and Occupancy in Psychiatric Specialties^1,2, 2000

Health Board	Average available beds	Average occupied beds	Percentage Occupancy
Argyll & Clyde	949	860	91%
Ayrshire & Arran	433	366	85%
Borders	153	114	75%
Dumfries & Galloway	282	224	79%
Fife	589	464	79%
Forth Valley	369	322	87%
Grampian	733	635	87%
Greater Glasgow	1,440	1,244	86%
Highland	261	211	81%
Lanarkshire	832	708	85%
Lothian	1,208	1,031	85%
Orkney	-	-	-
Shetland	-	-	-
Tayside	853	698	82%
Western Isles	43	41	95%
Scotland	8,145	6,917	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 2000, by Health Board.

In 2000, Western Isles Health Board had the highest percentage occupancy at 95 per cent, whilst Borders had a 75 per cent occupancy rate, the lowest in Scotland. Meanwhile, Scotland had a total of 8,145 beds available and the number occupied averaging 6,917 (85 per cent occupancy).

Table 3.16: Admissions and Discharges in Hospitals for Psychiatric Specialties, 1980-2000

	1979/80	1984/85	1989/90	1994/95	1995/96	1996/97	1997/98	1998/99^r	1999/2000^p
Total admissions	25,322	26,692	29,648	30,092	30,232	31,697	32,262	31,675	30,594
Home	20,625	21,921	23,673	23,309	23,123	23,731	23,319	22521	21364
Hospital	3,242	3,307	3,968	4,314	4,405	5,833	6,984	7210	7334
Local Authority/ Voluntary¹	571	731	1,163	1,576	1,413	710	478	491	502
Other	884	733	844	893	1,291	1,423	1,481	1453	1394
Total discharges	25,423	27,255	30,210	30,862	30,727	31,489	32,077	31,722	30,259
Home	19,410	21,650	23,025	22,835	22,522	24,054	24,875	24255	23165
Hospital	1,145	1,446	1,919	2,583	2,368	2,253	2,913	3053	3195
Local Authority/ Voluntary ¹	675	839	1,537	2,226	2,468	1,484	907	916	727
Other	4,193	3,320	3,729	3,218	3,369	3,698	3,382	3498	3172
Residents as at 31 March	15,713	14,206	12,601	9,100	8,603	8,812	9,000	9,251	9,567

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 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, 1980-2000

Age Group	1980	1985	1990	1995	1996	1997	1998	1999^r	2000^p
<65	46%	39%	35%	37%	39%	43%	45%	45%	48%
65-74	21%	20%	19%	19%	18%	16%	17%	17%	16%
75-84	24%	28%	29%	26%	26%	25%	23%	23%	22%
85 and over	9%	12%	16%	18%	17%	16%	15%	15%	15%
Unknown(number)	693	371	132	13	6	2	2	-	-
Total residents	15,713	14,206	12,601	9,100	8,603	8,812	9,000	9,251	9,567

¹Age at date of residence.
²Percentages are based on the number of residents whose age is known.
^rRevised
^pProvisional

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 2000.

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, less than half of people with mental health problems in hospitals were in the 65 and under age group. At the same time approximately a quarter of people were aged between 75 and 84.

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