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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 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 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 .
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