Scottish Health Service Costs

Scottish Health Service Costs Year ended 31st March, 2001 i Blank Page SCOTTISH HEALTH SERVICE COSTS 2000/01 FOREWORD Introduction Scottish Health Service Costs provides financial and related activity information in sets of published tables. Most of the information relates to individual hospitals. An analysis of healthcare commissioned, practitioner services costs and community services costs is also included for each health board area. Divisional costs and Ambulance Service costs are included for the Common Services Agency. Costs of the Scottish Breast Screening Programme are included for each administrative area. The information may be used by managers at all levels as an aid to decision making, planning and control. It also provides a set of indicators of performance for comparison purposes. The Costs Book information may identify some problems and highlight questions to be asked: however, it will not provide answers by itself. These can only be found by looking at more detailed information in, for example, local information systems and also by considering the particular circumstances which pertain at the location. Source of Information The information contained in this publication is derived mainly from the financial and statistical information prepared as part of the annual accounts cycle of the Scottish Health Service and is unaudited. The annual accounts of health boards for 1992/93 were completely revised to bring them more closely into line with standard commercial accounts. Further minor changes have been made subsequently. The annual accounts of health boards and Scottish Financial Returns (SFRs) are prepared using common accounting principles as described in the Scottish Accounting Manual. The annual accounts of NHS trusts are prepared in accordance with the NHS Trusts Manual for Accounts. Most of the information for the Costs Book is derived from Scottish Financial Returns, principally SFR5 (Hospital Running Costs) and SFR8 (Community Services). Other sources are SFRs 13.0, 24.0 and 27.0. In addition limited information is taken from the draft accounts of health boards and NHS trusts. SCOTTISH HEALTH SERVICE COSTS 2000/01 Summary of Changes Introduced in 1994/95 For 1994/95 significant changes to the information gathered were implemented following a review of the publication. Purchasers The information now includes an analysis of healthcare purchased for the following types of care: Acute, Maternity, Geriatric Assessment, Mental Illness, Mental Handicap, Geriatric Continuing Care, Younger Physically Disabled and Community. Providers The costs of provision of health care are shown for the types of care classified above. Specialty group information has been extended to show day cases, outpatients and day patients as well as inpatients. Inpatient reports now include an index for acute specialties which takes account of care complexity. The analysis of costs within specialties has been redirected from full functional costs to direct costs and allocated costs, presenting costs per case for acute specialties and costs per inpatient week for long-stay specialties. With the development of patient procedure costing for contracting purposes, costs are now presented for the most common inpatient and day case procedures. Community Services reporting has been expanded to show costs and activity for the various functional services. Expenditure and activity are also presented for the Scottish Breast Screening Programme, as part of the analysis of expenditure by the Common Services Agency. Information relating to the expenditure and activity of radiology services, laboratory services and theatres is now shown as part of the Costs Book functional reporting. Summary of Changes Introduced in 1995/96 The publication being subject to an ongoing review, further modifications to the information were made for 1995/96. Purchasers For Healthcare purchased in the types of care Maternity, Mental Illness and Mental Handicap, the information has been extended to include Community Midwifery, Community Psychiatry and Community Learning Difficulties respectively. Providers The Community information described above has also been included for provider costs in these types of Health Care. The sections for patient procedure costs have been expanded to include additional procedures encompassing a higher percentage of the most common inpatient and day case procedures. SCOTTISH HEALTH SERVICE COSTS 2000/01 Summary of Changes Introduced in 1996/97 Further modifications to the publication format were made for 1996/97. Purchasers Certain Purchaser reports were modified to display tables in landscape format , thereby saving space. Providers Most Provider reports were also modified to display tables in landscape format. Also Group Indexes were annotated where appropriate to those reports which did not already have them. Summary of Changes Introduced in 1997/98 Further modifications to the publication format were made for 1997/98. Purchasers The ‘Health Care Purchased’ reports for Acute Services, Maternity Services and Geriatric Assessment now show the number of new outpatient attendances rather than total attendances. The unit cost now refers to the average cost per case which includes the first and repeat attendances. Mental Illness is now referred to as ‘General Psychiatry’ and Mental Handicap as ‘Learning Disabilities’. This also applies to Provider reports. Providers The two sections showing the cost of certain procedures have been dropped. However, information for some hospitals is still available in the PC-based Costs Book Data Retrieval System. Cost information for the medical specialties Haematology, Rheumatology and Nephrology is now shown. These specialties were previously included in the ‘Medical’ group. ITU is now ICU (Intensive Care Unit), and CCU (Coronary Care Unit) is now treated as a separate Costs Book specialty. Report 100: Hospital Energy Consumption has been replaced by an extract from the NHS in Scotland Energy and Environment Report of the Healthcare Engineering and Environment Unit, University of Strathclyde. Expenditure information in this report does not reconcile to Costs Book due to timing differences and accruals. Hospital total energy expenditure from SFR 5.2 is now included in report 090: Property Costs. Summary of Changes Introduced in 1998/99 No major changes have been made to the publication format for 1998/99. In Section 5: Specialty Group Costs - Day Cases, the specialty ‘Intensive Care Unit’ has been re-named ‘Pain Relief’ to better reflect the type of care referred to within this specialty group. SCOTTISH HEALTH SERVICE COSTS 2000/01 Summary of Changes Introduced in 1999/00 A number of significant changes have been made to the publication for 1999/2000. Health Care Commissioned replaces Health Care purchased. Population estimates replace weighted populations. Resource transfers are included in reports: General Psychiatry, Learning Disabilities, Geriatric Continuing Care and Younger Physically Disabled. The provision of healthcare is presented for the re-configured trusts, introduced in April 1999. Expenditure is net of income. A new report, Family Health Services expenditure, replaces the previous health care purchased report to reflect the shift of responsibility for these services to the primary care trusts. A new hospital classification is introduced, replacing the previous CAMO functional classification. The analysis of costs within specialty now shows details of income, including the additional cost of teaching, presenting costs per case for both gross and net expenditure. Summary of Changes Introduced in 2000/01 Although the Health Care Commissioned reports stay the same, the expenditure reported is in a transition phase and some allowance must be made for this when undertaking comparisons. Additional information on Community Services is now collected. This is shown in an expanded Report 500: Community Health Service, Summary of Service Provision and a new report 510: Community PAMS and Other Services. A new SFR has been introduced for Family Health Services. Two additional reports give information on Cash Limited and Unified Budgets. For the first time, no printed copy of the “Blue Book” is produced this year. Scottish Health Service Costs, year ended 31st March 2001 will be available on ISD Online at www.show.scot.nhs.uk/isd/ SCOTTISH HEALTH SERVICE COSTS 2000/01 CARE TYPE / PATIENT TYPE ANALYSIS Provider Costs by care type section 2 Provider Hospital Running Costs Community Health Services by patient type section 10 section 3 Hospital Running Costs by patient type section 3 Specialty Group Costs Specialty Group Costs Specialty Group Costs PAM Outpatients Costs Specialty Group Costs Inpatients Day Cases Consultant Outpatients Day Patients section 4 section 5 section 6 section 7 section 8 Summary of Reports The Costs Book contains health board reports and provider reports, the majority relating to providers. The majority of provider reports relate to hospital care and others relate to community care and the Common Services Agency. Hospital reports are structured to provide two main dimensions of analysis, one being a care type/ patient type analysis and the second a functional analysis. Within the care type/ patient type analysis the reports are designed in a hierarchy to provide increasing levels of detail. These reports form the bulk of the Costs Book. The overall picture shows, at provider level, an analysis of costs and activities over broad types of care eg acute, maternity. The above diagram shows the

Load more