Neonatal intensive care unit services - demand and capacity modelling: final report

This report outlines this modelling approach, inputs, and interpretation of the outputs to support the future of neonatal intensive care unit (NICU) services.


Annex C – Projected impacts

Projected Impacts on Required Cot Capacity

Intensive Care Cots
Scenario Aberdeen Maternity IC Cots RHCG IC Cots Simpson Centre IC Cots Ninewells IC Cots Princess Royal Maternity IC Cots Victoria Hospital Fife IC Cots University Hospital Wishaw IC Cots University Hospital Crosshouse IC Cots
Baseline 10.0 16.0 9.0 4.0 4.0 4.0 8.0 5.0
Adjusted Occupancy (5.8) (1.0) 0.0 (0.7) (0.0) (3.1) (0.8) (3.3)
26 / 27 Population (0.1) (0.1) 0.0 (0.0) (0.0) (0.0) 0.0 (0.0)
Incidence trends 0.0 0.1 0.1 0.0 0.1 - 0.1 -
Shift Gestation Cohort 0.7 3.7 1.5 (1.1) (1.8) - (2.9) -
Shift Weight Cohort 0.2 0.5 0.0 (0.2) (0.0) - (0.4) (0.0)
Shift Interventions Cohort 0.2 2.6 0.5 (0.3) (0.6) (0.4) (2.1) -
Shift IC Extended Days Cohort 0.2 0.8 0.2 (0.2) (0.2) (0.1) (0.3) (0.3)
Projection 5.5 22.5 11.4 1.4 1.4 0.5 1.6 1.3

Note: Increases and (reductions) seen in each scenario

High Dependency Cots
Scenario Aberdeen Maternity HD Cots RHCG HD Cots Simpson Centre HD Cots Ninewells HD Cots Princess Royal Maternity HD Cots Victoria Hospital Fife HD Cots University Hospital Wishaw HD Cots University Hospital Crosshouse HD Cots
Baseline 5.0 14.0 8.0 3.0 6.0 2.0 10.0 4.0
Adjusted Occupancy 1.4 1.3 2.3 2.7 0.8 1.8 (3.3) (0.5)
26 / 27 Population (0.1) (0.1) 0.1 (0.1) (0.0) (0.1) (0.0) (0.0)
Incidence trends 0.0 0.0 0.1 0.0 0.0 0.0 0.0 -
Shift Gestation Cohort 0.3 1.2 0.4 (0.6) (0.7) (0.1) (0.6) (0.0)
Shift Weight Cohort 0.1 0.1 0.0 (0.1) (0.0) - (0.1) (0.0)
Shift Interventions Cohort 0.0 0.8 0.2 (0.1) (0.3) (0.2) (0.5) -
Shift IC Extended Days Cohort 0.1 0.2 0.1 (0.1) (0.1) (0.0) (0.1) (0.0)
Projection 6.9 17.7 11.2 4.8 5.7 3.5 5.5 3.4

Note: Increases and (reductions) seen in each scenario

Special Care Days
Scenario Aberdeen Maternity SC Cots RHCG SC Cots Simpson Centre SC Cots Ninewells SC Cots Princess Royal Maternity SC Cots Victoria Hospital Fife SC Cots University Hospital Wishaw SC Cots University Hospital Crosshouse SC Cots
Baseline 19.0 20.0 22.0 14.0 18.0 14.0 11.0 11.0
Adjusted Occupancy (2.0) 1.5 (1.9) (3.2) (4.8) (7.4) 3.6 (1.4)
26 / 27 Population (0.1) (0.1) 0.2 (0.1) (0.0) (0.1) (0.0) (0.1)
Incidence trends 0.0 0.0 0.0 0.0 0.0 0.0 0.0 -
Shift Gestation Cohort 0.0 0.1 0.0 (0.0) (0.0) (0.0) (0.0) (0.0)
Shift Weight Cohort 0.0 0.0 0.0 (0.0) (0.0) - (0.0) (0.0)
Shift Interventions Cohort 0.0 0.2 0.0 (0.0) (0.1) (0.0) (0.1) -
Shift IC Extended Days Cohort 0.0 0.1 0.0 (0.0) (0.0) (0.0) (0.0) (0.0)
Projection 17.0 21.8 20.4 10.6 13.0 6.5 14.4 9.5

Note: Increases and (reductions) seen in each scenario

Projected Impacts on Care Days

Intensive Care Days
Scenario Aberdeen Maternity IC Days RHCG IC Days Simpson Centre IC Days Ninewells IC Days Princess Royal Maternity IC Days Victoria Hospital Fife IC Days University Hospital Wishaw IC Days University Hospital Crosshouse IC Days
Baseline 1,004 3,549 2,146 791 947 222 1,704 400
Adjusted Occupancy - - - - - - - -
26 / 27 Population (15) (19) 12 (8) (1) (3) 0 (5)
Incidence trends 8 17 27 7 13 - 18 -
Shift Gestation Cohort 165 880 345 (265) (428) - (696) -
Shift Weight Cohort 46 114 10 (57) (9) - (100) (6)
Shift Interventions Cohort 55 613 116 (79) (130) (86) (489) -
Shift IC Extended Days Cohort 38 179 42 (46) (52) (19) (69) (73)
Projection 1,302 5,333 2,698 342 340 114 369 316

Note: Increases and (reductions) seen in each scenario

High Dependency Days
Scenario Aberdeen Maternity HD Days RHCG HD Days Simpson Centre HD Days Ninewells HD Days Princess Royal Maternity HD Days Victoria Hospital Fife HD Days University Hospital Wishaw HD Days University Hospital Crosshouse HD Days
Baseline 1,887 4,470 3,002 1,650 1,979 1,109 1,971 1,030
Adjusted Occupancy - - - - - - - -
26 / 27 Population (19) (22) 25 (17) (4) (16) (1) (14)
Incidence trends 7 14 20 10 11 2 9 -
Shift Gestation Cohort 90 357 131 (163) (208) (28) (178) (3)
Shift Weight Cohort 23 42 7 (29) (13) - (18) (11)
Shift Interventions Cohort 10 225 54 (18) (74) (46) (151) -
Shift IC Extended Days Cohort 24 55 17 (28) (22) (12) (24) (12)
Projection 2,022 5,140 3,257 1,405 1,670 1,009 1,609 990

Note: Increases and (reductions) seen in each scenario

Special Care Days
Scenario Aberdeen Maternity SC Days RHCG SC Days Simpson Centre SC Days Ninewells SC Days Princess Royal Maternity SC Days Victoria Hospital Fife SC Days University Hospital Wishaw SC Days University Hospital Crosshouse SC Days
Baseline 4,968 6,271 5,879 3,140 3,842 1,932 4,255 2,811
Adjusted Occupancy - - - - - - - -
26 / 27 Population (20) (22) 59 (32) (11) (29) (5) (40)
Incidence trends 2 9 1 1 2 1 7 -
Shift Gestation Cohort 1 25 3 (2) (11) (2) (14) (1)
Shift Weight Cohort 0 5 1 (1) (2) - (2) (1)
Shift Interventions Cohort 1 50 6 (2) (15) (5) (35) -
Shift IC Extended Days Cohort 4 24 4 (6) (10) (2) (8) (6)
Projection 4,958 6,363 5,953 3,098 3,797 1,895 4,197 2,762

Note: Increases and (reductions) seen in each scenario

Contact

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