APPENDIX H: National Data 1
NHS Board Area | Cost | Patient Quality | Efficiency |
|---|
Total expenditure (£) per 1,000 population (Arbuthnott) for General Psychiatry Services 2 | Community spend as a percentage of total spend for General Psychiatry Services 2,3 | Total Gross Ingredient Cost (£) per 1,000 population (Arbuthnott) for Medicines used in Mental Health (BNF categories) 4 | Incapacity Benefit/ Severe Disablement Allowance claimants with a mental health diagnosis per 1,000 population (Arbuthnott) 5 | Readmissions (%) 6 | Delayed Discharges
(>= 6 weeks) (%) 7 | Crude suicide rate per 1,000 population (Arbuthnott) 8 | Community-based compulsory treatment orders (CCTOs) as a percentage of total compulsory treatment orders (CTOs) 9 | Total beds per 1,000 population (Arbuthnott) for Mental Health Specialties 10 (adjusted for cross-boundary flow) | Average length of stay (days) 11 | Nurses per 1,000 population (Arbuthnott) for Mental Illness 12 | Psychologists per 1,000 population (Arbuthnott) within Mental Health 13 | Mental Health Officers per 1,000 population (Arbuthnott) within Mental Health 14 |
|---|
NHS Argyll & Clyde | 153,923 | 22.79 | 21,283 | - | - | 3.05 | 0.12 | - | 1.64 | 83.38 | 2.16 | 0.04 | - |
|---|
NHS Ayrshire & Arran | 128,629 | 29.89 | 17,532 | 23.56 | 31.80 | 4.63 | 0.14 | 7.95 | 0.92 | 108.40 | 1.65 | 0.03 | 0.16 |
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NHS Borders | 140,552 | 31.83 | 15,617 | 17.11 | 33.43 | 6.95 | 0.07 | 9.76 | 1.17 | 34.49 | 2.36 | 0.06 | 0.17 |
|---|
NHS Dumfries & Galloway | 117,812 | 33.65 | 17,936 | 16.63 | 30.38 | 0.55 | 0.17 | 4.26 | 1.06 | 52.86 | 1.59 | 0.04 | 0.12 |
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NHS Fife | 108,991 | 22.44 | 18,105 | 23.53 | 30.54 | 1.09 | 0.16 | 11.81 | 1.27 | 127.87 | 1.72 | 0.09 | 0.13 |
|---|
NHS Forth Valley | 134,119 | 32.61 | 18,836 | 24.00 | 27.51 | 3.87 | 0.10 | 10.81 | 1.22 | 83.85 | 2.07 | 0.03 | 0.08 |
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NHS Grampian | 157,909 | 36.52 | 19,122 | 23.42 | 30.02 | 6.93 | 0.18 | 8.84 | 1.23 | 114.37 | 1.95 | 0.07 | 0.15 |
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NHS Greater Glasgow | 150,044 | 45.07 | 17,793 | 35.04 | 32.15 | 2.02 | 0.15 | 12.63 | 1.14 | 78.74 | 1.73 | 0.05 | 0.10 |
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NHS Highland | 126,685 | 23.04 | 15,901 | 16.62 | 33.40 | 5.80 | 0.17 | 5.51 | 0.92 | 61.59 | 1.80 | 0.02 | 0.17 |
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NHS Lanarkshire | 97,894 | 29.14 | 20,789 | 30.22 | 31.08 | 1.34 | 0.15 | 4.20 | 1.15 | 71.90 | 1.43 | 0.03 | 0.10 |
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NHS Lothian | 164,080 | 24.37 | 18,252 | 27.32 | 35.38 | 2.47 | 0.17 | 9.29 | 1.41 | 66.81 | 2.48 | 0.05 | 0.13 |
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NHS Orkney | 72,640 | 60.11 | 13,517 | 9.85 | 29.03 | - | 0.19 | - | - | - | 0.22 | - | 0.19 |
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NHS Shetland | 36,015 | 87.44 | 11,294 | 12.93 | 19.05 | - | 0.10 | - | - | - | 0.30 | 0.05 | 0.11 |
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NHS Tayside | 159,922 | 32.30 | 19,062 | 22.77 | 27.79 | 3.23 | 0.14 | 5.33 | 1.17 | 110.72 | 2.61 | 0.03 | 0.10 |
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NHS Western Isles | 125,437 | 6.42 | 10,026 | 9.20 | 34.19 | 12.39 | 0.17 | - | 1.00 | 96.10 | 2.59 | - | 0.15 |
|---|
Scotland | 139,435 | 31.91 | 18,516 | 26.68 | 31.81 | 3.15 | 0.15 | 9.00 | 1.21 | 85.34 | 2.01 | 0.05 | 0.12 |
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Notes:
1. Data reproduced in August/September 2007 for financial year ending 31 st March 2006 unless otherwise stated.
2. Source: Scottish Health Service Costs: R240, GRO(S) 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. Health Care Expenditure for General Psychiatry Services is by Health Board of residence and includes resource transfer. The calculation of national average excludes expenditure where no activity data is available.
3. Community expenditure includes: Daypatients, Community Psychiatric Team and resource transfer.
4. Source: Practitioner Services: Prescribing & Dispensing. Analysis based on NHS Prescriptions dispensed in the Community, based on British -National Formulary categories: 4.1 - 4.4 & 4.11. Prescriptions written in hospitals that are dispensed in the community are also included, but drugs dispensed within hospitals themselves are excluded. GRO(S) 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. The Scottish total includes figures for unknown boards.
5. Source: DWP Information Directorate 100% Work and Pensions Longitudinal Study, GRO(S) 2006 mid-year population estimates adjusted with 2007/08 Arbuthnott formula.
Causes of incapacity are based on the International Classification of Diseases, 10th Revision, published by the World Health Organisation. Figures have been aggregated from local authority level into Health Board area. Data as at February 2007. Argyll & Clyde figures are incorporated into NHS Greater Glasgow (Clyde part) with the remainder incorporated into NHS Highland.
6. Source: SMR04 Linked Database (based on discharges and Health Board of residence). Data for the year ending 31 st March 2005 is provisional: data from Fife and Greater Glasgow and Clyde Health Boards (and therefore the Scotland total) are incomplete. Interpret with caution. Argyll & Clyde figures are incorporated into NHS Greater Glasgow (Clyde part) with the remainder incorporated into NHS Highland. Mental Health Specialties G1: General Psychiatry (Mental Illness), G21: Child Psychiatry, G22: Adolescent Psychiatry, G3: Forensic Psychiatry and G4: Psychiatry of Old Age. Numbers of readmissions for spells of inpatient treatment (lasting 7 days or more) within 365 days of patient's discharge from a previous spell of treatment (any length of stay) as a percentage of total admissions.
7. Source: ISD(S)1 (Patients ready for Discharge).
8. Source: GRO(S) deaths and 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. Includes intentional self-harm and events of undetermined intent.
9. Source: Mental Welfare Commission for Scotland, 2006/07 Annual Report: ( CCTOs), Mental Health Tribunal Scotland: ( CTOs), 2006/07. CTO figures from the Mental Health Tribunal comprise quarterly statistics from Apr - June 06 until Jan - Mar 07. These figures have been aggregated from local authority level into Health Board area. Argyll & Clyde figures are incorporated into NHS Greater Glasgow (Clyde part) with the remainder incorporated into NHS Highland.
10. Source: ISD(S)1, GRO(S) 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. Mental Health Specialties G1: General Psychiatry (Mental Illness), G21: Child Psychiatry, G22: Adolescent Psychiatry, G3: Forensic Psychiatry and G4: Psychiatry of Old Age. Excludes regional specialist beds e.g. Intensive Care.
11. Source: SMR04, ICD10 (Analysis based on principal diagnosis of mental illness).
12. Source: Scottish Workforce Information Standard System ( SWISS) as at 30 th September 2005, GRO(S) 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. Figures are whole-time equivalents ( WTEs) from the Nursing and Midwifery section and include both hospital and community specialties for mental illness (registered and non-registered staff).
13. Source: Workforce Planning for Psychology Services in NHS Scotland: Characteristics of the Workforce Supply in 2005, GRO(S) 2005 mid-year population estimates adjusted with 2006/07 Arbuthnott formula. Figures are whole-time equivalents ( WTEs) for all Applied Psychologists within the mental health work area.
14. Source: 2007 Mental Health Officer ( MHO) Staffing Survey, GRO(S) 2006 mid-year population estimates adjusted with 2007/08 Arbuthnott formula. Figures are whole-time equivalents ( WTEs) as at 31 st March 2007. Only MHOs currently practising have been included. Figures have been aggregated from local authority level into Health Board area. Argyll & Clyde figures are incorporated into NHS Greater Glasgow (Clyde part) with the remainder incorporated into NHS Highland. - indicates data not available and/or small figures.