NHSScotland Chief Executive's Annual Report 2013/14

Reduce suicide rate between 2002 and 2013 by 20 per cent.

The suicide rate for 2011-13 was 14.0 per 100,000, compared with 14.3 per 100,000 in 2010-12. Between 2000-02 and 2011-13 there has been an overall downward trend of 19.5 per cent in suicide rates.

At least 60 per cent of 3- and 4-year-old children in each Scottish Index of Multiple Deprivation (SIMD) quintile to receive at least two applications of fluoride varnish (FV) per year by March 2014.

For the year ending March 2013, the worst-performing age/quintile combination at the national level was 10 per cent.

To achieve 14,910 completed Child Healthy Weight Interventions over the three years ending March 2014.

For the three years ending March 2014 the number of completed Child Healthy Weight Interventions was 16,820.

NHSScotland to deliver universal smoking cessation services to achieve at least 80,000 successful quits
(at one month post quit) including 48,000 in the 40 per cent most-deprived within-Board SIMD areas over the three years ending March 2014.

From April 2011 to March 2014, NHSScotland smoking cessation services reported 70,162 successful quit attempts (at one month post quit) in the 40 per cent most-deprived within-Board SIMD areas.

To increase the proportion of people diagnosed and treated in the first stage of breast, colorectal and lung cancer by 25 per cent by 2014/15.

In Scotland, there was a 4.7 per cent increase in the percentage of people diagnosed at stage 1 for breast, colorectal and lung cancer (combined) between the baseline of 2010/11 and 2012/13.

NHSScotland to deliver universal smoking cessation services to achieve at least 12,000 successful quits, at 12 weeks post quit, in the 40 per cent most deprived within-Board SIMD areas (60 per cent for island health boards) over one year ending March 2015.

Work is underway to develop the data source for reporting on target progress.

At least 80 per cent of pregnant women in each SIMD quintile will have booked for antenatal care by the 12th week of gestation by March 2015 so as to ensure improvements in breast feeding rates and other important health behaviours.

For the year ending March 2013, the worst-performing SIMD quintile at the national level
was 74.6 per cent.

NHS Boards are required to operate within their Revenue Resource Limit (RRL), their Capital Resource Limit (CRL) and meet their Cash Requirement.

All NHS Boards met their 2013/14 financial targets.

NHSScotland to reduce energy-based carbon dioxide (CO2) emissions and to continue a reduction in energy consumption to contribute to the greenhouse gas emissions reduction targets set in the Climate Change (Scotland) Act 2009.

Between 2009/10 and 2013/14, NHSScotland secured a 3.6 per cent reduction in carbon dioxide (CO2) emissions and a 3.4 per cent reduction in energy consumption.

Eligible patients will commence IVF treatment within 12 months by 31 March 2015.

Waiting times data for IVF treatment commencement is at an early stage of development. The initial estimates from data at this early stage indicate that for the quarter ending September 2014, around 71 per cent of eligible patients were screened for IVF treatment within 365 days.

Deliver faster access to mental health services by delivering 18 weeks referral to treatment for specialist Child and Adolescent Mental Health Services (CAMHS) services from December 2014; and 18 weeks referral to treatment for Psychological Therapies from December 2014.

During the quarter ending June 2014, 82.9 per cent of children and young people were seen within 18 weeks for CAMHS services. During the quarter ending June 2014, 81.9 per cent of people were seen within 18 weeks for Psychological Therapies.

95 per cent of patients will wait less than 4 hours from arrival to admission, discharge or transfer for accident and emergency treatment by year ending September 2014.

The percentage of patients waiting less than 4 hours for the year ending September 2014 was 93.4 per cent.

To support shifting the balance of care, NHS Boards will achieve agreed reductions in the rates of attendance at A&E between 2009/10 and 2013/14.

In the year ending March 2014, the number of unplanned A&E attendances per 100,000 population was 2,116.

Further reduce Healthcare Associated Infections so that by March 2015 NHS Boards' Staphylococcus aureus bacteraemia (including MRSA) cases are 0.24 or less per 1,000 acute occupied bed days; and the rate of Clostridium difficile infections in patients aged 15 and over is 0.32 cases or less per 1,000 total occupied bed days.

For the year ending June 2014, the rate of Staphylococcus aureus bacteraemia (including MRSA) cases across NHSScotland was 0.31 per 1,000 acute occupied bed days.
For the year ending June 2014, the rate of identifications of Clostridium difficile infections across NHSScotland was 0.34 per 1,000 occupied bed days among patients aged 15 and over.

No people will wait more than 14 days to be discharged from hospital into a more appropriate care setting, once treatment is complete from April 2015.

There were 587 people waiting over 14 days to be discharged from hospital in October 2014.

To deliver expected rates of dementia diagnosis and by 2015/16, all people newly diagnosed with dementia will have a minimum of a year's worth of post-diagnostic support coordinated by a Link Worker, including the building of a person-centred support plan.

Data systems and definitions are currently under development.

Reduce the rate of emergency inpatient bed days for people aged 75 and over per 1,000 population by at least 12 per cent between 2009/10 and 2014/15.

There was a 13.7 per cent decrease in the rate of occupied bed days for patients aged 75+ who were admitted in 2013/14 compared with the target baseline. There were 5,420 bed days per 1,000 population in 2009/10 compared to 4,677 in 2013/14.