NHSScotland Chief Executive's Annual Report 2014/15

The NHSScotland Chief Executive's Annual Report 2014/15 presents an assessment of the performance of NHSScotland in 2013/14 and describes key achievements and outcomes.


 

Footnotes

1. Further information on the Scottish Government’s Strategic Objectives can be found at: www.gov.scot/About/Performance/scotPerforms/objectives

2. The Healthcare Quality Strategy for NHSScotland, Scottish Government, May 2010. Access at: www.gov.scot/resource/doc/311667/0098354.pdf

3. Public Bodies (Joint Working) (Scotland) Act. Access at: www.legislation.gov.uk/asp/2014/9/contents/enacted

4. Everyone Matters: 2020 Workforce Vision, Scottish Government, June 2013. Access at: www.gov.scot/resource/0042/00424225.pdf

5. You can find out more and join in the conversation by accessing: www.healthier.scot/

6. Health & Social Care: Winter in Scotland in 2014/15, Scottish Government, August 2015. Access at: www.gov.scot/Publications/2015/08/4912

7. Health & Social Care: Preparing for Winter 2015/16 guidance, Scottish Government, August 2015. Access at: www.sehd.scot.nhs.uk/dl/DL(2015)20.pdf

8. Scottish Government: 6 Essential Actions. Access at: www.qihub.scot.nhs.uk/quality-and-efficiency/unscheduled-care-/6-essential-actions.aspx

9. ISD Scotland: NHSScotland Workforce Information – Quarterly Update of Staff in Post, Vacancies and Turnover. Access at: http://www.isdscotland.org/Health-Topics/Workforce/Publications/index.asp

10. ISD Scotland: Acute Hospital Activity and NHS Beds Information. Access at: www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp

11. www.scottishambulance.com/WhatWeDo/Howdowerespondtoyourcall.aspx

12. www.scottishambulance.com/TheService/BoardPapers.aspx www.nhs24.com/aboutus/nhs24board/agendasandpapers/

13. ISD Scotland: Acute Hospital Activity and NHS Beds Information. Access at: www.isdscotland.org/Health-Topics/Hospital-Care/Publications/index.asp

14. ISD Scotland: Detect Cancer Early. Access at: www.isdscotland.org/Health-Topics/Cancer/Publications/index.asp

15. ISD Scotland: Cancer Waiting Times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Cancer/

16. Scottish Government: Scottish Household Survey 2014 Annual Report. Access at: www.gov.scot/Publications/2015/08/3720

17. Results are presented by breaking DataZones down into five ‘quintiles’. Quintile 1 represents the 20 per cent most deprived DataZones in Scotland, Quintile 2 the next most deprived 20 per cent and so on, until Quintile 5 represents the 20 per cent least deprived DataZones.

18. ISD Scotland: NHS Smoking Cessation Service Statistics (Scotland). Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Public-Health/Publications/2015-10-06/2015-10-06-SmokingCessation-Report.pdf?30511111022

19. Scottish Government: Scottish Health Survey 2014. Volume 1: Main Report, Scottish Government, September 2015. Access at: www.gov.scot/Publications/2015/09/6648

20. Scottish Government: Scottish Health Survey 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey

21. ISD Scotland: Alcohol Brief Interventions, 2014/15. Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2015-06-30/2015-06-30-ABI2014-15-Report.pdf?70946902037

22. ISD Scotland: 18 Weeks Referral to Treatment (RTT). Access at: www.isdscotland.org/Health-Topics/Waiting-Times/18-Weeks-RTT/

23. ISD Scotland: Waiting Times Data Warehouse

24. ISD Scotland: Drug and Alcohol Treatment: Referral to Treatment. Access at: www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/

25. ISD Scotland IVF Waiting Times. Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Waiting-Times/IVF-Waiting-Times/Publications/2015-05-26/

26. ISD Scotland: Child and Adolescent Mental Health Waiting Times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Child-and-Adolescent-Mental-Health/

27. ISD Scotland: Psychological Therapies Waiting Times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Psychological-Therapies/

28. ISD Scotland: Hospital Standardised Mortality Ratios. Access at: www.isdscotland.org/Health-Topics/Quality-Indicators/Publications/index.asp

29. ISD Scotland: Emergency Department Activity & Waiting Times. Access at: www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp

30. NHS England, A&E Attendances and Emergency Admissions Weekly: www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2015/04/2015.06.28-AE-TimeseriesBaG87.xls Monthly: www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/statistical-work-areasae-waiting-times-and-activityae-attendances-and-emergency-admissions-2015-16-monthly-3/

31. NHS Northern Ireland, Statistics on Emergency Care Waiting Times by Department & Month. Access at: www.dhsspsni.gov.uk/index/statistics/hs-nitws-ecwt-tables-2008-2015.xls

32. Time Spent in NHS Wales Accident and Emergency Departments: Monthly Management Information. Access at: www.infoandstats.wales.nhs.uk/docopen.cfm?orgid=869&id=270705

33. You can access NHS Performs at: www.isdscotland.org/Products-and-Services/NHS-Performs

34. ISD Scotland: Delayed Discharge. Access at: www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/

35. Patient Rights (Scotland) Act 2011 can be found at: www.gov.scot/Topics/Health/Policy/Patients-Rights

36. Listening and Learning: How Feedback, Comments, Concerns and Complaints Can Improve NHS Services in Scotland, Scottish Health Council/Healthcare Improvement Scotland, April 2014. Access at: www.scottishhealthcouncil.org/publications/research/listening_and_learning.aspx

37. Can I Help You? Scottish Government, updated April 2012. Access at: www.gov.scot/Publications/2012/03/6414/0

38. NHSScotland Complaints Statistics. Access at: www.isdscotland.org/Health-Topics/Quality-Indicators/NHS-Complaints-Statistics/

39. Scottish Inpatient Patient Experience Survey 2014, Scottish Government, August 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/InpatientSurvey/inpatients2014

40. Health and Care Experience Survey 2013/14, Scottish Government, May 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/GPPatientExperienceSurvey/Survey1314

41. Scottish Radiotherapy 2014 National and Local Results, Scottish Government, November 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/RadiotherapySurvey/results2014

42. You can access the Our Voice website at: www.scottishhealthcouncil.org/patient__public_participation/our_voice/our_voice.aspx

43. You can access the Patient Opinion website at: www.patientopinion.org.uk/

44. Delivering Better Services for People with Long-term Conditions. Building the House of Care, King’s Fund, October 2013. Access at: www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/delivering-better-services-for-people-with-long-term-conditions.pdf

45. Making it Easy: a Health Literacy Action Plan for Scotland, Scottish Government, June 2014. Access at: www.gov.scot/Publications/2014/06/9850

46. Carer Information Strategies. Access at: www.gov.scot/Topics/Health/Support-Social-Care/Unpaid-Carers/CarerInformationStrategies

47. Further information on the Carers (Scotland) Bill can be found at: www.scottish.parliament.uk/parliamentarybusiness/Bills/86987.aspx

48. Scotland’s Carers, Scottish Government, March 2015. Access at: www.gov.scot/Publications/2015/03/1081

49. The Social Care (Self-directed Support) (Scotland) Act 2013. Access at: www.legislation.gov.uk/asp/2013/1/contents/enacted

50. Further information on Pilotlight, can be found at: www.pilotlight.iriss.org.uk/sds/business

51. What Matters to You about the Future of Palliative and End Of Life Care in Scotland? Engagement Document, Scottish Government, June 2015. Access at: www.rcpsych.ac.uk/pdf/SFA%20Engagement%20Document.pdf

52. NHS Inform is the national health and care information service. Access at: www.nhsinform.co.uk

53. Further information on Smokeline can be found at: www.canstopsmoking.com

54. Further information on Know Who To Turn To can be found at: www.knowwhototurnto.org

55. Further information on NHS 24 can be found at: www.nhs24.com

56. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/

57. World Sepsis Day fact sheet, 2013: www.world-sepsis-day.org

58. ISD Scotland referencing codes A40 and 41

59. Kumar A, et al. Initiation of inappropriate antimicrobial therapy results in a fivefold reduction of survival in human septic shock. Chest. 2009;136(5):1237–48. See more at: www.biomerieux.co.uk/clinical-diagnostics/solutions/sepsis#sthash.Z6k9MfV1.dpuf

60. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/programmes/mental-health

61. See: www.scottishpatientsafetyprogramme.scot.nhs.uk/programmes/mental-health (under ‘Tools and Resources’).

62. National Records of Scotland data: www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/general-publications/vital-events-reference-tables/2013/section-4-stillbirths-and-infant-deaths

63. Quarterly Surveillance Report on the Surveillance of Epidemiological Data on Staphylococcus aureus (S. aureus) Bacteraemia Infection in Scotland, Health Protection Scotland, October 2015.

64. Health Protection Scotland Quarterly Surveillance Report on the Surveillance of Clostridium difficile Infection (CDI) in Scotland, Health Protection Scotland, October 2015.

65. Report on Antimicrobial Use and Resistance in Humans 2013, NHS National Services Scotland, October 2015. Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Prescribing-and-Medicines/Publications/2015-10-06/2015-10-06-SAPG-2014-Report.pdf?87571352721

66. The Vale of Leven Hospital Inquiry Report, The Vale of Leven Hospital Inquiry, November 2014. Access at: www.valeoflevenhospitalinquiry.org/Report/j156505.pdf

67. The Scottish Government’s Response to the Vale of Leven Hospital Inquiry Report, Scottish Government, June 2015. Access at: www.gov.scot/Publications/2015/06/4333

68. The Healthcare Environment Inspectorate Annual Report 2013/14, Healthcare Environment Inspectorate, February 2015. Access at: www.healthcareimprovementscotland.org/our_work/inspecting_and_regulating_care/hei_annual_reports/hei_annual_report_2013-14.aspx

69. Prescription Cost Analysis 2014/15, NHS National Services Scotland, Practitioner Services Division, June 2015. Access at: www.isdscotland.org/Health-Topics/Prescribing-and-Medicines/Community-Dispensing/Prescription-Cost-Analysis/

70. Management Information provided by NHS National Services Scotland, Practitioner Services Division, Service Improvement Team.

71. Improving the Identification and Management of Frailty: a Case Study Report of Innovation on Four Acute Sites in NHSScotland, Health Improvement Scotland, April 2014. Access at: www.healthcareimprovementscotland.org/our_work/person-centred_care/opac_improvement_programme/frailty_report.aspx

72. Delayed Discharges in NHSScotland, ISD Scotland, September 2015. Access at: www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/

73. ISD Scotland: Delayed Discharge www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/

74. NHS 24 Management Data

75. Evaluating the Impact of the Alzheimer Scotland Dementia Nurse Consultants/Specialists & Dementia Champions in Bringing about Improvements to Dementia Care in Acute General Hospitals: Independent evaluation by Blake Stevenson, NHS Education for Scotland, April 2014. Access at: www.nes.scot.nhs.uk/media/2711493/impact_evaluation_-_final_report.pdf

76. Scotland’s National Dementia Strategy: 2013–16, Scottish Government, May 2013. Access at: www.gov.scot/Topics/Health/Services/Mental-Health/Dementia/DementiaStrategy1316

77. Evaluating the Impact of the Alzheimer Scotland Dementia Nurse Consultants/Specialists & Dementia Champions in Bringing about Improvements to Dementia Care in Acute General Hospitals: Independent evaluation by Blake Stevenson, NHS Education for Scotland, April 2014. Access at: www.nes.scot.nhs.uk/media/2711493/impact_evaluation_-_final_report.pdf

78. Psychological Therapies Waiting Times in Scotland: Quarter Ending 31 March 2014, ISD Scotland, May 2014. Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Waiting-Times/Publications/2014-05-27/2014-05-27-WT-PsychTherapies-Report.pdf?14344424010

79. Child and Adolescent Health Services Waiting Times in Scotland: Quarter Ending 31 March 2014, ISD Scotland, May 2014. Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Waiting-Times/Publications/2014-05-27/2014-05-27-CAMHS-Report.pdf?14344424010

80. Psychological Therapies Waiting Times in Scotland: Quarter Ending 31 March 2015, ISD Scotland, May 2015. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2015-05-26/2015-05-26-WT-PsychTherapies-Report.pdf?

81. Child and Adolescent Health Services Waiting Times in Scotland: Quarter Ending 31 March 2015, ISD Scotland, May 2015. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2015-05-26/2015-05-26-CAMHS-Report.pdf?

82. Probable Suicides: Deaths which are the Result of Intentional Self-harm or Events of Undetermined Intent, National Records of Scotland, 2014. Access at: http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/deaths/suicides/main-points

83. Suicide: Key Points, Scottish Public Health Observatory, 2014. Access at: www.scotpho.org.uk/health-wellbeing-and-disease/suicide/key-points.

84. Breathing Space website can be accessed at: www.breathingspace.scot/

85. Briefing 41: Commissioning –What Works, Sainsbury Centre for Mental Health, 2009. Access at: www.centreformentalhealth.org.uk/briefing-41-commissioning-what-works

86. You can access the film at: www.youtube.com/watch?v=lIOJGc0_QO4

87. Scottish Referral Guidelines for Suspected Cancer, Healthcare Improvement Scotland, August 2014. Access at: www.healthcareimprovementscotland.org/our_work/cancer_care_improvement/programme_resources/scottish_referral_guidelines.aspx

88. Information on the ‘wee c’ is available at: www.theweec.org/

89. Cancer Quality Performance Indicators, Healthcare Improvement Scotland, August 2013. Access at: www.healthcareimprovementscotland.org/our_work/cancer_care_improvement/cancer_qpis/quality_performance_indicators.aspx

90. National reports can be found at: www.isdscotland.org/Health-Topics/Quality-Indicators/Cancer-QPI/

91. Out-of-Hospital Cardiac Arrest: a Strategy for Scotland, Scottish Government, March 2015. Access at: www.gov.scot/Publications/2015/03/7484/downloads

92. Hasselqvist-Ax I, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med 2015;372:2307–15: DOI: 10.1056/NEJMoa1405796

93. Orphan and ultra-orphan drugs are those developed to treat very rare illnesses and conditions. They tend to be costly due to pharmaceutical companies’ development investment and the relatively small numbers of patients for whom they are appropriate, meaning individual treatment courses can be very expensive.

94. NHS Board individual patient treatment requests and New Medicines Fund data.

95. Access at: www.sehd.scot.nhs.uk/mels/CEL2012_04.pdf

96. SCOTSTAR – Critical Care Anywhere. Annual Report 2014-15, Scottish Ambulance Service, 2015. Access at: www.scottishambulance.com/UserFiles/file/TheService/Publications/ScotSTAR%20AR%20WEB.pdf

97. Access at: www.gov.scot/Topics/People/Young-People/early-years/early-years-collaborative

98. Access at: http://news.scotland.gov.uk/News/Student-nurse-levels-increase-by-3-per-cent-15de.aspx

99. Pan Scotland Workforce Planning Assessment and Recommendations, Scottish Parliament, March 2014. Access at: www.scottish.parliament.uk/S4_HealthandSportCommittee/SGDocs/PanScotlandWorkforcePlanning.pdf

100. 25% Reduction in Senior Management Posts Target – National Progress Towards 25% Reduction as at 31st March 2015, Scottish Government, August 2015. Access at: www.gov.scot/Publications/2015/08/9870

101. Sustainability and Seven Day Services Taskforce. Interim Report, Scottish Government, March 2015. Access at: www.gov.scot/Resource/0047/00472724.pdf

102. NHSScotland Youth Employment Returns, Scottish Government

103. eHealth Strategy 2014–2017, Scottish Government, March 2015. Access at: www.gov.scot/Publications/2015/03/5705

104. Further information can be found on the SISCC website at: www.siscc.dundee.ac.uk

105. NHS Board activity returns.

106. Life Expectancy (LE) is an estimate of how many years a person might be expected to live, while Healthy Life Expectancy (HLE) is an estimate of how many years they might live in a ‘healthy’ state. HLE is a key summary measure of a population’s health.

107. 1st Report, 2015 (Session 4): Report on Health Inequalities, Health and Sport Committee of the Scottish Parliament, January 2015. Access at: www.scottish.parliament.uk/parliamentarybusiness/CurrentCommittees/85035.aspx

108. ScotPHO Smoking Ready Reckoner –2011 Edition, Scottish Public Health Observatory (ScotPHO), January 2012. Access at: www.scotpho.org.uk/downloads/scotphoreports/scotpho120626_smokingreadyreckoner.pdf

109. Tobacco Control Strategy – Creating a Tobacco-free Generation, Scottish Government, March 2013. Access at: www.gov.scot/Publications/2013/03/3766

110. Scotland’s People Annual Report: Results from 2014 Scottish Household Survey, Scottish Government, August 2015. Access at: www.gov.scot/Publications/2015/08/3720

111. You can access the campaign website at: www.rightoutside.org/

112. You can access the Smokeline website at: www.canstopsmoking.com

113. Changing Scotland’s Relationship with Alcohol: a Framework for Action, Scottish Government, March 2009. Access at: www.gov.scot/Publications/2009/03/04144703/0

114. Alcohol Brief Interventions 2014/15, ISD Scotland, June 2015. Access at: www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2015-06-30/2015-06-30-ABI2014-15-Report.pdf

115. Child Healthy Weight Interventions 2013/14, ISD Scotland, July 2014 Access at: www.isdscotland.scot.nhs.uk/Health-Topics/Child-Health/Publications/2014-07-29/2014-07-29-ChildHealthyWeight-Report.pdf?24651736022

116. Scottish Health Survey 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey

117. Scottish Diabetes Survey 2014, Scottish Diabetes Survey Monitoring Group. Access at: www.diabetesinscotland.org.uk/Publications/SDS2014.pdf

118. Scottish Health Survey 2014. Access at: www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey

119. You can access the website at: www.fitforworkscotland.scot/

120. You can find out more about the HPHS at: www.knowledge.scot.nhs.uk/home/portals-and-topics/health-improvement/hphs.aspx

121. Costing the Burden of Ill Health Related to Physical Inactivity for Scotland, NHS Health Scotland, August 2012. Access at: www.healthscotland.com/uploads/documents/20437-D1physicalinactivityscotland12final.pdf

122. You can find out more about the Physical Activity Implementation Plan at: www.gov.scot/Topics/ArtsCultureSport/Sport/MajorEvents/Glasgow-2014/Commonwealth-games/Indicators/PAIP

123. You can find out more about the Active Scotland Outcomes Framework at: www.gov.scot/Topics/ArtsCultureSport/Sport/Outcomes-Framework

124. Nursery Toothbrushing Reduces Decay, University of Glasgow, November 2013. Access at: www.gla.ac.uk/schools/dental/aboutus/news/archive2013/headline_296200_en.html

125. Annual report of consolidated financial results of the Scottish Government, its Executive Agencies and the Crown Office, prepared in accordance with IFRS published 2 October 2015. Access at: www.gov.scot/Publications/2015/10/3786/0

126. Parliamentary Question S4W-19644: Aileen McLeod, South Scotland, Scottish National Party, Date Lodged: 06/02/2014. Access at: http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx?SearchType=Advance&ReferenceNumbers=S4W-19644&ResultsPerPage=10

127. Parliamentary Question S4W-24353: Bob Doris, Glasgow, Scottish National Party, Date Lodged: 05/02/2015. Access at: http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx?SearchType=Advance&ReferenceNumbers=S4W-19644&ResultsPerPage=10

128. NHS in 2015, Audit Scotland, October 2015. Access at: http://www.audit-scotland.gov.uk/uploads/docs/report/2015/nr_151022_nhs_overview.pdf

129. 2020 Framework for Quality, Efficiency and Value, Scottish Government, June 2014. Access at: www.qihub.scot.nhs.uk/media/607430/2020framework_12062014_final.pdf

130. Scottish Government HEAT Targets 2014/15 to Local Delivery Plan (LDP) Standards. Access at: www.gov.scot/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance

131. Access at: www.gov.scot/About/Performance/scotPerforms

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