The quarterly acute hospital activity publication provides data on outpatient activity, inpatient and day case activity and beds for National Health Service (NHS) Scotland. This data release covers the period from the quarter ending March 2013 to the quarter ending March 2018. The aim of this dataset is to summarize the completeness of the data used in the publication and provide details of known issues with national data affecting this release. NHS Ayrshire & Arran has suggested that there may be some affected records before January 2016. The Board is used to implement a change to ensure that no additional records are generated when patients are transferred to discharge lounges, which should take place in the near future. The data used NHS Ayrshire & Arran also suggested that the decreases in elective inpatient admissions can be attributed to winter pressures:
NHS Borders: Decreases were observed in elective inpatient admissions, whilst increases were seen in internal transfer activity. NHS Borders has suggested that inpatients falls are in General Surgery and Orthopaedics.
NHS Dumfries & Galloway: Dumfries & Galloway Royal Infirmary (Y104H) moved location in December 2017, and inpatient and day case (SMR01) episodes are now recorded under a new code Y146H.
NHS Fife: Decreases were observed in elective inpatient admissions and day cases. Internal transfer activity has increased.
NHS Forth Valley: Decreases were seen in elective inpatient admissions and day cases.
NHS Greater Glasgow & Clyde: Decreases in elective and emergency inpatient admissions, and day cases whilst internal transfer activity increased. NHS Greater Glasgow and Clyde have advised that their backlog of SMR01s/completeness levels will be impacting on their submitted data/activity.
NHS Highland: Decreases in elective inpatient admissions and internal transfers whilst day case activity increased. NHS Highland has suggested that the increases in day cases are due to the way in which Ambulatory Emergency Care patients are now reported in SMR01.
NHS Lanarkshire: Decreases in elective admissions and day case activity.
NHS Lothian: Increases were observed in internal transfers. NHS Lothian has observed at the source records for some of these internal transfer patients in Trakcare and identified admission records which are not being included when submitted to the Information Services Division (ISD).
NHS Orkney: Increases in elective admissions, emergency admissions and day cases.
NHS Shetland: Decreases in all inpatient and daycase activity elective admissions, emergency admissions and day cases.
NHS Tayside: Decreases in elective inpatient admissions and day case activity.
NHS Western Isles: Increases in elective and emergency admissions whilst declines were witnessed in day case and transfer activity.
Golden Jubilee: Decreases were observed in elective and emergency admissions. However, it should be noted that any changes are based on relatively small numbers which will impact on the percentage change.
This data has been used to assess the performance of these services, to plan for future needs, to look at quality improvement, to see how services are changing over time and many other uses. There were just under 250,000 (249,503) hospital admissions from 1 January to 31 March 2018. Of these, 47% (118,372) were emergency admissions; 12% (29,259) elective admissions; 40% (99,415) day cases and 1% (2,457) transfers.