Emergency Department Activity

Home , Castle Douglas Hospital, Grampian, Lawson Memorial Hospital, Stephen Cottage Hospital

NHS Scotland - Emergency Department Activity

HEAT Target Attendance Rates

The Scottish Government have introduced a performance measure in order to reduce the number of attendances at emergency departments across Scotland (HEAT target). NHS Boards are tasked with reductions in the rates of attendance at emergency departments between 2009/10 and 2013/14. NHS Boards nominate the individual sites in their area (HEAT sites) to be included in the target with the aim to reduce or redirect attendances from these sites.

Time Period: 2010/11 (Apr-10 to Mar-11) Source: A&E data mart, ISD Scotland Date: 15 November 2011

List of Tables:

Table 1: HEAT target attendances and rates, 2010/11 Attendances and attendance rates (per 100,000 population), Total and HEAT sites. Figures are given at NHS Board level.

Table 2: List of HEAT sites List of HEAT sites by NHS board and site type.

Notes:

1) Attendance rates are given as per 100,000 population

2) Attendance rates calculated using NRS mid-year population estimates for 2010.

3) New presentations only; excludes planned return and recall attendances.

4) There are two types of site that provide emergency care; • ED - Emergency Departments; sites that provide a 24 hour emergency medicine consultant led service • MIU/Other - sites including minor injuries units (MIU), small hospitals and health centres in rural areas that carry out emergency department related activity and are GP or Nurse led. They may or may not be open 24 hours.

5) The information presented is based on data under development, the quality and accuracy are being monitored.

Notes Page 1 of 7 NHS Scotland - Emergency Department Activity

Table 1: HEAT target attendances rates, 2010/11

Apr-10 May-10 Jun-10 Total HEAT sites Total HEAT sites Total HEAT sites

NHS Board Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate

SCOTLAND (a), (b) 136,260 2,609 115,482 2,220 149,334 2,860 125,765 2,418 142,782 2,734 119,992 2,307

Ayrshire & Arran 9,709 2,647 9,372 2,555 10,558 2,878 10,150 2,767 10,209 2,783 9,746 2,657 Borders (a) 2,117 1,876 1,912 1,694 2,315 2,051 2,100 1,861 2,248 1,992 2,024 1,793 Dumfries & Galloway 4,419 2,982 4,203 2,836 4,609 3,110 4,407 2,974 4,512 3,045 4,313 2,910 Fife 7,359 2,016 6,957 1,906 8,179 2,241 7,624 2,089 7,832 2,146 7,347 2,013 Forth Valley 6,450 2,198 4,731 1,613 7,167 2,443 5,110 1,742 6,710 2,287 4,833 1,647 Grampian 12,097 2,197 8,784 1,595 12,848 2,333 9,243 1,679 12,528 2,275 8,845 1,606 Greater Glasgow & Clyde 39,352 3,269 35,409 2,941 43,022 3,574 38,509 3,199 40,937 3,400 36,553 3,036 Highland 7,676 2,470 4,294 1,381 9,137 2,940 4,982 1,603 9,074 2,919 4,985 1,604 Lanarkshire (b) 16,550 2,942 16,190 2,878 17,887 3,180 17,525 3,116 16,880 3,001 16,698 2,969 Lothian 19,396 2,318 16,351 1,954 21,052 2,516 17,718 2,118 20,065 2,398 16,838 2,012 Orkney 223 1,109 x x 321 1,596 x x 301 1,497 x x Shetland 642 2,866 642 2,866 804 3,589 804 3,589 819 3,656 819 3,656 Tayside 9,620 2,389 6,118 1,519 10,739 2,667 7,039 1,748 9,944 2,470 6,413 1,593 Western Isles 650 2,482 519 1,982 696 2,658 554 2,115 723 2,761 578 2,207

Key to symbols: - zero .. not available x not applicable * suppressed

Notes: 1) Attendance rates are given as per 100,000 population 2) Attendance rates calculated using NRS mid-year population estimates for 2010. 3) Scotland rate for HEAT sites is calculated using the Scotland population excluding Orkney as there are no Orkney HEAT sites. 4) New presentations only; excludes planned return and recall attendances. 5) The information presented is based on data under development, the quality and accuracy are being monitored.

Footnotes: (a) Borders - Borders General Hospital transferred to a new patient management system at the end of November 2010. There was an issue with the new system that prevented the recording of different attendance categories from November 2010 to March 2011. This results in the attendance figures for Borders General being artificially inflated by approximately 0.8 % (estimated from the data 12 months leading up to transfer), please interpret with caution b) Lanarkshire - The NHS board transferred to a new patient management system during March 2011. No data has been submitted for the three main EDs over the period between 14 to 24 March due to issues with data quality. Consequently, the figures for March 2011 have been suppressed to avoid misinterpretation.

Table1 Page 2 of 7 NHS Scotland - Emergency Department Activity

Table 1: HEAT target attendances rates, 2010/11

Jul-10 Aug-10 Sep-10 Total HEAT sites Total HEAT sites Total HEAT sites

NHS Board Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate

SCOTLAND (a), (b) 134,422 2,574 113,315 2,178 144,215 2,762 122,422 2,353 136,464 2,613 115,352 2,217

Ayrshire & Arran 9,762 2,661 9,265 2,525 10,601 2,890 10,096 2,752 9,704 2,645 9,323 2,541 Borders (a) 2,142 1,898 1,934 1,713 2,224 1,970 1,962 1,738 2,156 1,910 1,961 1,737 Dumfries & Galloway 4,341 2,929 4,125 2,784 4,552 3,072 4,256 2,872 4,077 2,751 3,842 2,593 Fife 7,333 2,009 6,873 1,883 7,559 2,071 7,093 1,944 7,420 2,033 6,867 1,882 Forth Valley 6,175 2,105 4,653 1,586 6,821 2,325 5,022 1,712 6,444 2,196 4,895 1,668 Grampian 11,783 2,140 8,369 1,520 12,470 2,265 8,942 1,624 12,160 2,208 8,713 1,582 Greater Glasgow & Clyde 38,049 3,161 34,373 2,855 41,169 3,420 38,214 3,174 38,939 3,234 34,808 2,891 Highland 8,746 2,814 4,801 1,545 9,257 2,978 5,043 1,622 8,094 2,604 4,509 1,451 Lanarkshire (b) 15,959 2,837 15,807 2,810 16,979 3,019 16,822 2,991 16,203 2,881 16,028 2,850 Lothian 18,652 2,229 15,553 1,859 20,662 2,469 17,153 2,050 19,966 2,386 16,768 2,004 Orkney 293 1,457 x x 298 1,482 x x 289 1,437 x x Shetland 727 3,246 727 3,246 710 3,170 710 3,170 713 3,183 713 3,183 Tayside 9,694 2,408 6,235 1,549 10,189 2,531 6,543 1,625 9,593 2,383 6,333 1,573 Western Isles 766 2,925 600 2,291 724 2,764 566 2,161 706 2,696 592 2,260

Key to symbols: - zero .. not available x not applicable * suppressed

Table1 Page 3 of 7 NHS Scotland - Emergency Department Activity

Table 1: HEAT target attendances rates, 2010/11

Oct-10 Nov-10 Dec-10 Total HEAT sites Total HEAT sites Total HEAT sites

NHS Board Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate

SCOTLAND (a), (b) 131,751 2,523 112,037 2,154 123,029 2,356 105,679 2,032 121,775 2,332 104,987 2,018

Ayrshire & Arran 9,419 2,567 9,084 2,476 8,810 2,401 8,537 2,327 9,018 2,458 8,713 2,375 Borders (a) 2,119 1,877 1,926 1,706 1,896 1,680 1,744 1,545 1,964 1,740 1,821 1,613 Dumfries & Galloway 3,795 2,561 3,606 2,433 3,676 2,481 3,519 2,375 3,772 2,545 3,642 2,458 Fife 6,980 1,913 6,460 1,770 6,251 1,713 5,881 1,611 6,408 1,756 6,037 1,654 Forth Valley 6,150 2,096 4,749 1,619 5,424 1,849 4,277 1,458 5,695 1,941 4,497 1,533 Grampian 11,487 2,086 8,354 1,517 10,801 1,962 8,043 1,461 10,428 1,894 7,886 1,432 Greater Glasgow & Clyde 37,887 3,147 34,082 2,831 36,743 3,052 33,263 2,763 36,023 2,992 33,004 2,741 Highland 7,319 2,355 4,134 1,330 6,583 2,118 3,628 1,167 6,595 2,122 3,699 1,190 Lanarkshire (b) 15,632 2,779 15,483 2,753 14,586 2,593 14,450 2,569 13,954 2,481 13,847 2,462 Lothian 19,736 2,359 16,635 1,988 18,572 2,220 15,693 1,876 18,193 2,174 15,177 1,814 Orkney 296 1,472 x x 188 935 x x 215 1,069 x x Shetland 694 3,098 694 3,098 608 2,714 608 2,714 673 3,004 673 3,004 Tayside 9,572 2,377 6,268 1,557 8,311 2,064 5,561 1,381 8,230 2,044 5,503 1,367 Western Isles 665 2,539 562 2,146 580 2,215 475 1,814 607 2,318 488 1,863

Key to symbols: - zero .. not available x not applicable * suppressed

Table1 Page 4 of 7 NHS Scotland - Emergency Department Activity

Table 1: HEAT target attendances rates, 2010/11

Jan-11 Feb-11 Mar-11 Total HEAT sites Total HEAT sites Total HEAT sites

NHS Board Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate Attendances Rate

SCOTLAND (a), (b) 133,681 2,560 114,561 2,202 119,669 2,292 102,336 1,967 131,840 2,525 111,301 2,140

Ayrshire & Arran 9,707 2,646 9,402 2,563 8,553 2,331 8,300 2,262 10,038 2,736 9,672 2,636 Borders (a) 2,253 1,996 2,062 1,827 1,777 1,574 1,616 1,432 2,275 2,016 2,051 1,817 Dumfries & Galloway 4,080 2,753 3,961 2,673 3,560 2,402 3,447 2,326 3,822 2,579 3,673 2,479 Fife 7,237 1,983 6,852 1,878 6,300 1,726 5,866 1,607 7,514 2,059 6,981 1,913 Forth Valley 5,989 2,041 4,769 1,626 5,357 1,826 4,175 1,423 6,224 2,121 4,808 1,639 Grampian 11,884 2,158 8,763 1,591 10,326 1,875 7,708 1,400 12,150 2,207 8,936 1,623 Greater Glasgow & Clyde 38,748 3,219 35,174 2,922 35,175 2,922 31,733 2,636 39,938 3,317 35,748 2,969 Highland 7,032 2,262 3,881 1,249 6,470 2,082 3,588 1,154 7,538 2,425 4,149 1,335 Lanarkshire (b) 15,872 2,822 15,735 2,797 14,328 2,547 14,219 2,528 **** Lothian 19,654 2,349 16,511 1,973 18,319 2,189 15,345 1,834 21,123 2,525 17,657 2,110 Orkney 217 1,079 x x 163 811 x x 252 1,253 x x Shetland 692 3,089 692 3,089 603 2,692 603 2,692 685 3,058 685 3,058 Tayside 9,706 2,411 6,266 1,556 8,166 2,028 5,281 1,312 9,122 2,266 6,085 1,511 Western Isles 610 2,329 493 1,882 572 2,184 455 1,737 649 2,478 513 1,959 Source: A&E data mart, ISD Scotland

Key to symbols: - zero .. not available x not applicable * suppressed

Table1 Page 5 of 7 NHS Scotland - Emergency Department Activity

Table 2: List of HEAT sites

NHS Board Site Type Location Name HEAT site? Notes

Ayrshire & Arran ED Ayr Hospital Yes Crosshouse Hospital Yes MIU/Other Arran War Memorial Hospital No Girvan Community Hospital No Lady Margaret Hospital No Borders ED Borders General Hospital Yes MIU/Other Hawick Cottage Hospital No Hay Lodge Hospital No Kelso Hospital No Knoll Hospital No Dumfries & Galloway ED Dumfries & Galloway Royal Infirmary Yes Galloway Community Hospital Yes MIU/Other Castle Douglas Hospital No Kirkcudbright Hospital No Moffat Hospital No Newton Stewart Hospital No Fife ED Queen Margaret Hospital Yes Victoria Hospital Yes MIU/Other Adamson Hospital No St Andrews Memorial Hospital No Forth Valley ED Stirling Royal Infirmary Yes MIU/Other Falkirk Community Hospital No Grampian ED Aberdeen Royal Infirmary Yes Dr Gray's Hospital Yes Royal Aberdeen Children's Hospital Yes MIU/Other Aboyne Hospital No Chalmers Hospital No Fleming Cottage Hospital No Fraserburgh Hospital No Insch & District War Memorial Hospital No Inverurie Hospital No Jubilee Hospital No Kincardine Community Hospital No Leanchoil Hospital No Peterhead Community Hospital No Seafield Hospital No Stephen Cottage Hospital No Turner Memorial Hospital No Turriff Cottage Hospital No Greater Glasgow & Clyde ED Glasgow Royal Infirmary Yes Inverclyde Royal Hospital Yes Royal Alexandra Hospital Yes RHSC Glasgow Yes Southern General Hospital Yes Victoria Infirmary (ED) Yes Western Infirmary / Gartnavel General Yes MIU/Other Stobhill Hospital No Vale of Leven District General Hospital No Victoria Infirmary (MIU) No Highland ED Belford Hospital Yes Caithness General Hospital Yes Lorn & Islands District General Hospital Yes Raigmore Hospital Yes MIU/Other Aviemore Health Centre No Campbeltown Health Centre No County Hospital Invergordon No Cowal Community Hospital No Dunaros Hospital No Dunbar Hospital No Dunoon & District General Hospital No Ian Charles Hospital No Islay Hospital No Lawson Memorial Hospital No Mackinnon Memorial Hospital No Mid Argyll Hospital No Town and County Hospital, Nairn No Portree Hospital No Ross Memorial Hospital No Victoria Hospital No

Page 6 of 7 NHS Board Site Type Location Name HEAT site? Notes

Lanarkshire ED Hairmyres Hospital Yes Monklands Hospital Yes Wishaw General Hospital Yes MIU/Other Kello Hospital No Lady Home Hospital No Lothian ED RHSC Edinburgh Yes Royal Infirmary of Edinburgh Yes St John's Hospital at Howden Yes Western General Hospital (ED) No MIU/Other Belhaven Hospital No Edington Cottage Hospital No Western General Hospital (MIU) No Orkney MIU/Other Balfour Hospital No Shetland ED Gilbert Bain Hospital Yes Tayside ED Ninewells Hospital Yes Perth Royal Infirmary Yes MIU/Other Aberfeldy Cottage Hospital No Arbroath Infirmary No Blairgowrie Community Hospital No Brechin Infirmary No Crieff Community Hospital No Links Health Centre, Montrose No Pitlochry Community Hospital No St Margaret's Hospital No Whitehills Health & Community Care Centre No Western Isles ED Western Isles Hospital Yes MIU/Other St Brendan's Hospital No Uist & Barra Hospital No

Notes: 1) There are two types of site that provide emergency care: • ED - Emergency Departments; sites that provide a 24 hour emergency medicine consultant led service; • MIU/Other - sites including minor injuries units (MIU), small hospitals and health centres in rural areas that carry out emergency department related activity and are GP or Nurse led. They may or may not be open 24 hours.

Page 7 of 7