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Emergency Department Activity 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: Apr-11 to Sep-11 Source: A&E data mart, ISD Scotland Date: 04 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 5 NHS Scotland - Emergency Department Activity Table 1: HEAT target attendances rates, Apr-11 to Sep-11 Apr-11 May-11 Jun-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), (c) 139,202 2,666 117,212 2,253 143,259 2,743 121,051 2,327 137,014 2,624 115,818 2,226 Ayrshire & Arran 10,233 2,789 9,824 2,678 10,491 2,860 10,118 2,758 10,326 2,815 9,904 2,700 Borders (a) 2,293 2,032 2,064 1,829 2,392 2,119 2,113 1,872 2,313 2,049 2,074 1,838 Dumfries & Galloway 4,149 2,800 3,962 2,674 4,090 2,760 3,944 2,661 4,023 2,715 3,872 2,613 Fife 7,941 2,176 7,391 2,025 7,966 2,183 7,389 2,025 7,704 2,111 7,090 1,943 Forth Valley 6,354 2,166 4,892 1,667 6,696 2,282 5,108 1,741 6,203 2,114 4,768 1,625 Grampian 12,530 2,276 9,115 1,655 13,043 2,369 9,587 1,741 12,062 2,191 8,810 1,600 Greater Glasgow & Clyde (b) 38,420 3,191 34,412 2,858 39,644 3,293 35,388 2,940 37,997 3,156 33,905 2,816 Highland 8,444 2,717 4,651 1,496 8,542 2,748 4,826 1,553 8,574 2,758 4,855 1,562 Lanarkshire (c) 16,317 2,901 16,172 2,875 16,822 2,991 16,661 2,962 16,071 2,857 15,897 2,826 Lothian 20,325 2,429 16,930 2,023 21,279 2,543 17,826 2,130 20,300 2,426 16,925 2,023 Orkney 262 1,303 x x 301 1,497 x x 243 1,208 x x Shetland 729 3,254 729 3,254 790 3,527 790 3,527 767 3,424 767 3,424 Tayside 10,501 2,608 6,534 1,623 10,485 2,604 6,748 1,676 9,689 2,406 6,371 1,582 Western Isles 704 2,688 536 2,047 718 2,742 553 2,111 742 2,833 580 2,215 Key to symbols: - zero .. not available x not applicable 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 April to September 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) Greater Glasgow & Clyde - due to the implementation of new patient management system at Inverclyde Royal Hospital no data for 19 to 30 September has been submitted as yet. This results in the attendance figures being approximately 1,300 lower than expected (estimated from the previous 12 months data), please interpret with caution. (c) Lanarkshire - the three EDs transferred to a new patient management system during March 2011. There was an issue with the new system that prevented the recording of different attendance categories from April to June 2011. This results in the attendance figures for the three EDs being artificially inflated by approximately 5.0 % (estimated from the data 12 months leading up to transfer), please interpret with caution. Table1 Page 2 of 5 NHS Scotland - Emergency Department Activity Table 1: HEAT target attendances rates, Apr-11 to Sep-11 Jul-11 Aug-11 Sep-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), (c) 140,714 2,695 117,985 2,268 139,903 2,679 117,711 2,263 137,558 2,634 115,725 2,225 Ayrshire & Arran 10,540 2,873 9,987 2,722 10,429 2,843 9,934 2,708 10,019 2,731 9,646 2,629 Borders (a) 2,213 1,961 1,997 1,769 2,317 2,053 2,070 1,834 2,187 1,938 1,970 1,745 Dumfries & Galloway 4,244 2,864 4,056 2,737 4,233 2,856 4,037 2,724 3,919 2,645 3,778 2,549 Fife 8,022 2,198 7,340 2,011 7,738 2,120 7,138 1,956 7,956 2,180 7,255 1,988 Forth Valley 6,442 2,196 5,092 1,736 6,218 2,119 5,004 1,706 6,218 2,119 5,010 1,708 Grampian 12,252 2,225 8,646 1,570 12,378 2,248 8,916 1,619 12,538 2,277 8,968 1,629 Greater Glasgow & Clyde (b) 39,335 3,267 34,951 2,903 38,766 3,220 34,471 2,863 37,841 3,143 33,606 2,791 Highland 9,142 2,941 4,935 1,588 8,858 2,850 4,860 1,564 8,863 2,851 4,642 1,493 Lanarkshire (c) 16,278 2,894 16,117 2,865 16,514 2,936 16,363 2,909 16,281 2,895 16,125 2,867 Lothian 20,229 2,418 16,926 2,023 20,713 2,476 17,067 2,040 20,462 2,446 17,104 2,044 Orkney 256 1,273 x x 215 1,069 x x 142 706 x x Shetland 804 3,589 804 3,589 692 3,089 692 3,089 637 2,844 637 2,844 Tayside 10,028 2,491 6,445 1,601 9,985 2,480 6,470 1,607 9,782 2,429 6,392 1,588 Western Isles 929 3,547 689 2,631 847 3,234 689 2,631 713 2,722 592 2,260 Source: A&E data mart, ISD Scotland Key to symbols: - zero .. not available x not applicable 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 April to September 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) Greater Glasgow & Clyde - due to the implementation of new patient management system at Inverclyde Royal Hospital no data for 19 to 30 September has been submitted as yet. This results in the attendance figures being approximately 1,300 lower than expected (estimated from the previous 12 months data), please interpret with caution. (c) Lanarkshire - the three EDs transferred to a new patient management system during March 2011. There was an issue with the new system that prevented the recording of different attendance categories from April to June 2011.
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