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The information published in SKIPPER was split into 11 broad groups each of which contained a variety of analyses as listed in the table below.  The tables below show the definition of each category of analysis, whether it is currently available from another source and relevant comments.  The final release of SKIPPER includes details of alternative sources of information available on the ISD website.

ISD continually work with all stakeholders across NHSScotland to ensure theinformation published is relevant and accurate, undertaking reviews as necessary.

The only areas where ISD has made a decision not to provide the information on the website are where the SKIPPER presentation no longer reflected theorganisational structure of NHSScotland, or where improved information isalready available on the web site.

Detailed tables, by topic, are shown on the following pages.

Activity

Category of Analysis	Currently Available	Comments
NHS BOARDS
Deprivation Category -Inpatients, Outpatients Treated	No	There is deprivation information available on specific topic areas on the web site, for example, http://www.show.scot.nhs.uk/publications/isd/deprivation_and_health/
Discharge Rates by Principal Diagnosis	No	Discharge Information is available on specific topic areas.
Discharge Rates by Principal Operation Procedure	Yes	Only numbers (not rates) on web. Breakdown by board not available.
Inpatient, Day Case Episodes - SMR01	Yes	Less detail available. Figures on web not shown at specialty level.
Specialty: NHS Board Residents by Trust of Treatment	No	Acute activity information on the web is currently under review.
Specialty: Discharge Rates & New OP Appointment Rates	Yes	Only numbers (not rates) on web. Less detail available. Figures on web not shown at specialty level.
Hospital Activity - ISD(S)1	No	Scottish figures on acute activity website for beds and quarterly inpatients & day cases & outpatients by NHS Board. Information on web under review – plans to increase information available on web.
Day Patient Activity: HB Comparison	No	Scottish figures on mental health area. Information on web under review – plans to increase information available on web.
Professions Allied to Medicine (PAMs) (now known as Allied Health Professionals) : HB Comparison	No	Community PAMs (now known as Allied Health Professionals) on data development area. Information on web under review – plans to increase information available on web.

 

NHS TRUSTS <>Trust level data for the following categories were produced on SKIPPER but, as Trusts no longer exist, data are no longer produced at this level. Some of the categories are produced at Health Board level.
Average Length of Stay Distribution
Case Mix Adjusted - Average Length of Stay
Case Mix Adjusted - Day Case Rate
Day Case Procedures	Presented at NHS Board level not Trust on the web.
Deprivation Category -Inpatients, Outpatients Treated
Geriatric Long Stay - Hospital Admissions
Hospital Activity - ISD(S)1	See notes for ISD(S) 1 under NHS Board. (previous section)
Inpatient, Day Case Episodes - SMR01	Less detailed organisation breakdown available on the web.
Non Attendance Rates - New Outpatient Appointments	Less detail available on the web.  At Scotland and specialty level only.
Non Attendance Rates - Specialty Mix Adjusted
Obstetric Episodes - SMR02

 

 

Cancer

 

Breast Screening Uptake	Yes	Although not exactly the same – only percentages are provided.
Cervical Screening	Yes	Only for target age group – no age breakdown supplied.
Standardised Incidence Ratios	Yes	General incidence & mortality information available.  Level may vary.
Standardised Mortality Rate	Yes	General incidence & mortality information available.  Level may vary.
Survival Rates	Yes	General survival information available.  Level may vary.

 

Child Health

 

Accidents to Children - Emergency Admissions to Hospital	Yes	Level of information presented will vary
Breast Fed Babies	Yes	Information might vary slightly
Children Free from Dental Caries	No	Current data are held by DHSRU.  There is a link to their website from the ISD website.
Childhood Mortality	Yes	No board breakdown on the web but probably available from GROS
Immunisations	Yes
Infant Mortality Rate	Yes	Information presented may vary slightly but in general information is available on the web.
Teenage Pregnancy	Yes

 

 

Clinical Outcomes - this information is available on the clinical governance website:

ClinicalOutcomes Indicators December 2000 report

 

Standardised % First Births by Caesarean Section	Yes	Tables were not updated every year in SKIPPER.
First Delivery by Caesarean Section Second Delivery Vaginal	Yes	Tables were not updated every year in SKIPPER.
Live Births Admitted to Neonatal Unit	Yes	Tables were not updated every year in SKIPPER.
Termination of Pregnancy at <=9 weeks="" by="" medical="">	Yes	Tables were not updated every year in SKIPPER.

 

 

Finance

 

NHS Board
NHS Board Management Costs per Head of Population	No	Data no longer available due to a change in Board annual accounts.
Expenditure by Head of Population	Yes
Trust – Provision of Healthcare Expenditure
Total Expenditure – All Services	Yes
Acute Services	Yes
Maternity Services Geriatric Assessment Services	Yes
General Psychiatry Services	Yes
Learning Disabilities Services	Yes
Geriatric Continuing Care Services	Yes
Younger Physically Disabled Services	Yes
Other Community Services	Yes
Family Health Services	Yes
Hospital
Hospital Running Costs	Yes

 

Heart Disease

 

Directly Standardised Mortality Rate - HB Comparison	Yes	Will be available on updated CHD website release on 29th October 2004
Discharge Rates by Principal Diagnosis	Yes	Will be available on updated CHD website release on 29th October 2004
Operation Procedures - HB Comparison	Yes	Will be available on updated CHD website release on 29th October 2004
Procedures Within 2 Years of Emergency Admission	No	May be added to future updates of the Coronary Heart Disease (CHD) website

 

 

Mental Health

 

Admissions by Diagnosis	Yes	Some information available but for discharges rather than admissions and not at the same level of detail (only broad diagnostic groups – hidden in the age/sex breakdown category!).  The most recent year for which we have complete data on psychiatric admissions and discharges for all health boards is 2001 This is because of data extraction problems due to the introduction of new computer systems.
Admissions - Learning Disabilities	No
Admissions by NHS Board of Residence by Trust of Treatment	Yes	Some information available but not at the same level of detail.(available for NHS board of residence but not trust of treatment)
Continuous Morbidity Recording (CMR) - GP Consultation Rates	Yes	GP consultation, incidence and prevalence rates for depression and anxiety for 2003, available at: www.isdscotland.org/isd/general_practice_info
Discharges from Hospital	Yes	Some information available but not at the same level of detail (destination on discharge; discharges by NHS board/local authority of residence; by diagnosis group)
Standardised Admission Rates by NHS Board	No
Suicides - Years of Life Lost by Age Group	No

 

 

Primary Care Services

 

Dental
Number of  General Dental Practitioners (GDPs) per 1000 population	Yes	Is currently available on web (as number of GDPs per 100,000 population, at 31/3/2004), but is not likely to be updated more than once per year.
Patients Registered with a GDP by Age Group	Yes	Is currently available on web (at 31 December 2002 and 31 March 2003), but is not likely to be updated more than once per year.

 

Medical
Continuous Morbidity Recording (CMR) - GP Consultation Rates (annual)	Yes	GP consultation rates by age and sex for 2000 - 2003, available at: www.isdscotland.org/isd/general_practice_info
GPs per 1000 Practice Population	No	Will probably be added to the web – after accessing stakeholder demand for information.
GP Practice Average List Size (Trust / Local Health Care Cooperative (LHCC)	Yes	Level of information presented may vary on the web.
GP Practice Populations  (Trust / LHCC)	Yes	Information presented at NHS Board level on the web.
Prescribing
Expenditure(£) – Trust / LHCC Comparison	No	Monthly reports are sent to interested parties (HBs and GPs).
Prescriptions & Ingredient Cost – Trust Comparison	Yes	Scotland level only, but a greater level of information available on the web.

 

 

Public Health

 

Births
Births by Maternal Age	Yes
Live Births by Gestation & Weight Group	Yes
Communicable Diseases
Notifiable Disease Rates	Yes
Genito Urinary Medicine - New Patients Seen by Age Group	Yes
Mortality Rates
Mortality Targets - Year 2010	Yes	Information on performance against targets is available on the Performance Assessment Framework (PAF) PAF link
Directly Standardised Rates NHS Board Comparison	No	Standardised mortality Information is available on specific topic areas.
Years of Life Lost NHS Board Comparison	No	Information is available on life expectancy and healthy life expectancy on the GROS and ISD web sites.
Populations
Estimates - NHS Board Annual Trend	Yes	On GROS website
Projection - NHS Board Annual Trend	Yes	On GROS website
Deprivation Categories - HB Comparison	Yes	There is deprivation information available on specific topic areas on the web site, for example, http://www.show.scot.nhs.uk/publications/isd/deprivation_and_health/

 

Waiting Times

 

NHS Board
Inpatients, Day Cases on Waiting List	Yes	Level of presentation different
Inpatients, Day Cases Treated - Time Waited	Yes	Level of presentation different
Deferred Inpatient Day Case Waiting List	No	The deferred waiting list was abolished on 1st April 2003 it is therefore not possible to update this information any more.  See more detailed note below table.
Outpatients by Time Waited	Yes	Level of presentation different
Trust
Inpatients, Day Cases on Waiting List	Yes	Level of presentation different
Inpatients, Day Cases Treated Time Waited	Yes	Level of presentation different
Deferred Inpatient Day Case Waiting List	No	The deferred waiting list was abolished on 1st April 2003 it is therefore not possible to update this information any more.  See more detailed note below table.
Outpatients by Time Waited	Yes	Level of presentation different
Accident & Emergency
Accident & Emergency Waiting Times	Yes	Distribution of times may vary

 

Changes arising from the abolition of the Deferred Waiting List (DWL)

 

The Scottish Executive advised NHSScotland that the DWL would be abolished on 1 April 2003. In order to meet this commitment NHS Trusts have been required to carry out a review of patients on the deferred waiting list in the period up to that date.

 

Following review, these patients will either be:

· added to the true waiting list and assigned an appropriate Availability Status Code (ASC). In such cases the patients will be included in the headline true waiting list number but will be excluded from those figures measuring progress towards the national waiting time standards, or 

· added to the true waiting list without an ASC. In this case the patients will be included in the figures measuring progress towards the waiting time standards, or 

· removed from the waiting list because, for example, they no longer require treatment

 

Workforce

 

Staff  Summary
Staff in post – all staff groups	Yes
Staff Turnover - all staff groups	No	Considering adding this information to future website releases.  Will assess demand.
Medical and Dental
Staff in post	Yes
Vacancy survey	Yes
Junior doctors and dentists hours	Yes
Nursing and Midwifery
Staff in post	Yes
Vacancy survey	Yes
Agency usage	Yes
Bank  usage	Yes
Agency v. Bank nurse usage	Yes
Professions Allied to Medicine (PAMs) (now known as Allied Health Professionals)
Staff in post	Yes
Vacancy survey	Yes

 

SCOTTISH EXECUTIVE

A decision to recommend the use of the Royal Prerogative of Mercy to grant a free pardon is limited to cases where no court based remedy is available, or where new evidence, not previously heard by the courts, has arisen which demonstrates beyond any doubt that no offence was committed, or that the person concerned did not commit the crime.  The effect of a free pardon is that the conviction is disregarded to the extent that, as far as possible, the person is relieved of all penalties and other consequences of the conviction.  Only the courts have the power to quash a conviction, and the criteria adopted in considering whether to make a recommendation to Her Majesty to grant a free pardon have proper regard to the constitutional position that the courts decide whether a person is guilty of an offence, and not the Government.

The First Minister has asked for consideration to be given to an appropriate way of recognising the contribution made by the Women’s Suffrage movement to the development of democracy as we know it today. Options are currently being considered by Ministers.

NHS Borders did not apply for capital funding to support the development of premises for the provision of NHS dental facilities.

Evaluation has shown that in Greater Glasgow the introduction of NHS 24 has been associated with a reduction in GP home visits from 15.5% to 12.3% of calls to out-of-hours services, and in Aberdeen has been associated with a reduction in GP home visits from 21.8% to 14.5% of calls to out-of-hours services.

The Executive is currently running an awareness campaign on Drug Assisted Sexual Assault through its Know the Score communications strategy. The campaign is supported by the Association of Chief Police Officers in Scotland.

This campaign – Who’s Keeping An Eye On Your Drink? – was prompted by increased police and public concern about the problem of drug assisted sexual assault. The first phase of the campaign ran over Christmas and New Year. Posters were displayed in licensed premises across Scotland and leaflets were distributed in town and city centre pubs and clubs.

An educational cd:rom, video and drink cover/straw holder have now been developed to take forward the campaign and these will be made available shortly through the Know the Score information line 0800 587 5879 and website (www.knowthescore.info). Posters and leaflets also remain available.

I refer the member to the answer given to question S2W-8036 answered on 18 May 2004.

All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.scottish.parliament.uk/webapp/search_wa.

The following table shows the number of whole-time equivalent (WTE) administrative and clerical staff, expressed as a ratio of the average number of NHS hospital staffed beds. The figures for each NHS board area include staff employed in community health settings. The Scotland figures also include staff employed by Special Health Boards.

The ratio is based on a comparison over the period from September 1994 to March 2004, between the number of whole time equivalent administrative and clerical staff, which increased from 17,758 to 21,541 to the average number of available staffed beds in Scotland, which decreased from 42,340 to 28,879.

The decrease in the number of beds over this period reflects the shift towards providing patient care within the community. New treatments and procedures are allowing patients, who may have previously been treated in the acute sector, to be treated as day cases, outpatients or within primary care settings.

Administrative staff are defined as comprising all administrative clerical staff in Whitley Grades 1-10 (for example ward receptionists, ambulancecontrol staff, medical secretaries, clinical support staff, payroll staff and medical records staff). These staff are vital to the successful delivery of modern healthcare in a range of settings by multidisciplinary teams. They ensure that clinical and nursing staff alike are free to spend as much time as possible on what they are trained to deliver - direct patient care.

Ratio of WTE Administrative Staff¹ per Average Staffed Bed²

	At 30th September	At 31 March
	1994	1995	1996	1997	1998	1999	2000	2001	2002	2003	2004
Scotland3	0.42	0.43	0.43	0.45	0.47	0.50	0.54	0.59	0.66	0.72	0.75
Argyll and Clyde	0.39	0.36	0.35	0.34	0.37	0.38	0.40	0.44	0.49	0.53	0.58
Ayrshire and Arran	0.33	0.37	0.37	0.38	0.41	0.41	0.44	0.48	0.53	0.59	0.63
Borders	0.38	0.40	0.39	0.38	0.39	0.47	0.48	0.48	0.56	0.55	0.55
Dumfries and Galloway	0.37	0.42	0.42	0.42	0.40	0.45	0.56	0.62	0.67	0.65	0.71
Fife	0.38	0.38	0.38	0.39	0.41	0.44	0.45	0.51	0.56	0.60	0.60
Forth Valley	0.28	0.30	0.30	0.31	0.33	0.34	0.40	0.44	0.51	0.59	0.60
Grampian	0.36	0.36	0.34	0.35	0.35	0.38	0.41	0.45	0.46	0.49	0.49
Greater Glasgow	0.44	0.46	0.48	0.49	0.51	0.53	0.55	0.62	0.70	0.73	0.76
Highland	0.36	0.39	0.40	0.40	0.43	0.45	0.49	0.51	0.58	0.64	0.67
Lanarkshire	0.31	0.34	0.35	0.37	0.38	0.39	0.41	0.48	0.54	0.57	0.58
Lothian	0.41	0.43	0.44	0.47	0.50	0.52	0.55	0.55	0.56	0.63	0.65
Orkney	0.21	0.23	0.24	0.25	0.30	0.39	0.46	0.59	0.66	0.70	0.72
Shetland	0.41	0.44	0.46	0.56	0.65	0.65	0.66	0.73	0.84	0.85	0.89
Tayside	0.37	0.39	0.38	0.42	0.45	0.47	0.51	0.59	0.61	0.69	0.71
Western Isles	0.29	0.27	0.31	0.31	0.32	0.36	0.38	0.44	0.48	0.49	0.50

Notes:

1 At 30 September each year except 2004 which is at 31 March – all staff in Administration and Clerical (A and C) grades.

2 Average staffed beds during year 30 Sept 1994-2003 and ending 31 March 2004.

3 Includes Special Health Boards.

Part of the increase since 1997 can be attributed to a reclassification of some staff on “senior managers” grades to “administrative and clerical” grades.

Trends in “senior managers” and “administrative and clerical” grades are show on table G1 on the Scottish Health Statistics web page at http://www.isdscotland.org/.

The following table shows the ratio of whole-time equivalent (WTE) administrative staff to WTE NHS Hospital and Community (HCHS) doctors at 30 September 1994-2003.

The ratio is based on a comparison over the period from September 1994 to September 2003 between the number of WTE administration staff (which increased from 17,758 to 20,960), to the number of WTE doctors (which increased from 7,105 in 1994 to 9,268 in 2003).

Administrative staff are defined as comprising all administrative clerical staff in Whitley Grades 1-10 (for example ward receptionists, ambulancecontrol staff, medical secretaries, clinical support staff, payroll staff and medical records staff). These staff are vital to the successful delivery of modern healthcare in a range of settings by multidisciplinary teams. They ensure that clinical and nursing staff alike are free to spend as much time as possible on what they are trained to deliver - direct patient care.

Ratio of Administrative Staff¹ to Doctors²

Whole-Time Equivalent at 30 September

	1994	1995	1996	1997	1998	1999	2000	2001	2002	2003
Scotland 3	2.50	2.41	2.21	2.08	2.08	2.07	2.11	2.16	2.17	2.26
Argyll and Clyde	3.26	2.91	2.70	2.46	2.51	2.45	2.48	2.67	2.67	2.61
Ayrshire and Arran	2.40	2.48	2.16	2.11	2.14	2.17	2.23	2.38	2.41	2.62
Borders	3.03	3.16	2.97	2.51	2.55	2.64	2.56	2.47	2.47	2.40
Dumfries and Galloway	2.78	2.87	2.69	2.51	2.51	2.37	2.50	2.68	2.49	2.57
Fife	3.08	2.90	2.63	2.43	2.38	2.39	2.34	2.38	2.51	2.55
Forth Valley	2.64	2.57	2.36	2.08	2.03	2.03	2.18	2.22	2.21	2.24
Grampian	2.30	2.17	1.90	1.66	1.57	1.59	1.62	1.52	1.43	1.49
Greater Glasgow	1.92	1.89	1.74	1.67	1.64	1.58	1.60	1.65	1.65	1.69
Highland	2.49	2.52	2.23	2.09	2.13	2.13	2.20	2.26	2.10	2.54
Lanarkshire	2.25	2.37	2.33	2.24	2.13	2.04	2.01	2.12	2.10	2.16
Lothian	2.01	1.90	1.74	1.65	1.67	1.65	1.66	1.65	1.63	1.67
Orkney	3.46	3.99	3.34	3.47	3.52	2.52	3.06	4.09	3.36	3.37
Shetland	3.72	3.29	4.96	5.40	3.76	4.83	3.76	3.94	4.38	3.94
Tayside	2.09	2.10	1.91	1.92	1.95	1.83	1.91	1.93	1.84	1.92
Western Isles	3.03	2.78	2.73	3.12	2.91	3.08	3.23	3.01	3.37	3.49

Source: ISD Scotland

Notes:

1 At 30 September each year - all staff in administration and clerical (A and C) grades.

2 Doctors includes all hospital and community medical and dental staff (including consultants, doctors in training etc)

3 Includes Special Health Boards.

Part of the increase since 1997 can be attributed to a reclassification of some staff on “senior managers” grades to “administrative and clerical” grades.

Trends in “senior managers” and “administrative and clerical” grades are show on table G1 on the Scottish Health Statistics web page at http://www.isdscotland.org/.

The following table shows the ratio of whole-time equivalent (WTE) administrative staff to qualified WTE Nursing and Midwifery staff at 30 September 1994-2003 and at 31 March 2004.

The ratio is based on a comparison over the period from September 1994 to March 2004, between the number of WTE administration staff, which increased from 17,758 to 21,541, to the number of qualified WTE nursing and midwifery staff, which increased from 35,270 to 39,037.

 New figures published by Information Services Division on 12 August show that numbers of nursing and midwifery staff are at their highest level since reporting began ten years ago. The number of people training as nurses and midwives has also increased to an all time high of 8,986, an increase of three per cent over the last year and more than 35 per cent more than in 1997. Incentives such as more flexible working and the Return to Practice initiative, which has already attracted over 400 nurses to the profession, have combined to make these professions even more attractive and this is reflected in these new figures.

Administrative staff are defined as comprising all administrative clerical staff in Whitley Grades 1-10 (for example ward receptionists, ambulancecontrol staff, medical secretaries, clinical support staff, payroll staff and medical records staff). These staff are vital to the successful delivery of modern healthcare in a range of settings by multidisciplinary teams. They ensure that clinical and nursing staff alike are free to spend as much time as possible on what they are trained to deliver - direct patient care.

Ratio of Administrative staff ¹ to Qualified Nurses²

	Whole Time Equivalent at 30 September	At 31 March
1994	1995	1996	1997	1998	1999	2000	2001	2002	2003	2004
Scotland3	0.50	0.50	0.47	0.47	0.47	0.47	0.48	0.50	0.53	0.55	0.55
Argyll and Clyde	0.54	0.50	0.48	0.46	0.47	0.46	0.48	0.50	0.52	0.52	0.51
Ayrshire and Arran	0.42	0.43	0.40	0.39	0.40	0.40	0.42	0.43	0.46	0.49	0.51
Borders	0.43	0.44	0.41	0.39	0.38	0.42	0.41	0.42	0.46	0.45	0.44
Dumfries and Galloway	0.42	0.44	0.40	0.41	0.40	0.40	0.42	0.44	0.45	0.45	0.47
Fife	0.43	0.41	0.40	0.41	0.41	0.39	0.39	0.41	0.43	0.45	0.45
Forth Valley	0.38	0.40	0.38	0.37	0.37	0.36	0.39	0.41	0.46	0.47	0.47
Grampian	0.47	0.45	0.41	0.40	0.39	0.38	0.40	0.40	0.41	0.41	0.41
Greater Glasgow	0.52	0.52	0.51	0.49	0.49	0.48	0.47	0.50	0.52	0.53	0.53
Highland	0.40	0.41	0.39	0.39	0.40	0.42	0.42	0.42	0.44	0.47	0.48
Lanarkshire	0.39	0.40	0.40	0.41	0.41	0.40	0.41	0.43	0.46	0.48	0.48
Lothian	0.49	0.49	0.47	0.46	0.46	0.44	0.44	0.44	0.44	0.47	0.47
Orkney	0.19	0.20	0.22	0.24	0.26	0.29	0.30	0.38	0.42	0.44	0.45
Shetland	0.32	0.35	0.39	0.41	0.41	0.43	0.42	0.44	0.52	0.50	0.54
Tayside	0.40	0.41	0.38	0.39	0.40	0.42	0.43	0.45	0.46	0.48	0.49
Western Isles	0.30	0.28	0.31	0.35	0.34	0.36	0.38	0.38	0.40	0.41	0.42

Notes:

1 All staff in Administration and Clerical (A and C) grades at 30 September each year except for 2004 which is at 31 March.

2 Excludes agency, bank and unqualified nursing and midwifery staff.

3 Includes Special Health Boards.

Part of the increase since 1997 can be attributed to a reclassification of some staff on “senior managers” grades to “administrative and clerical” grades.

Trends in “senior managers” and “administrative and clerical” grades are shown on table G1 on the Scottish Health Statistics web page at http://www.isdscotland.org/.

The available information is given in the table. The data for 2003 and 2004 have not yet been published; 2003 data are expected to be published towards the end of 2004.

Persons Proceeded Against in Scottish Courts where the Main Offence was a Litter Offence^1,2, by Local Authority, 2002

Local Authority	2002
City of Edinburgh	1
Dundee City	8
East Ayrshire	1
East Dunbartonshire	2
Glasgow City	2
Highland	1
Inverclyde	3
North Ayrshire	1
North Lanarkshire	1
Renfrewshire	1
Scottish Borders	1
South Ayrshire	1
South Lanarkshire	7
Stirling	2
Total	31

Notes:

1. Offences categorised as litter offences under the Scottish Executive Justice Department’s classification of crimes and offences.

2. Figures may be underestimates due to time taken to record details of some court proceedings in SCRO system.