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Publication - Research and analysis

Health - redesign of urgent care: evaluation - technical report

Published
15 January 2025
From
Cabinet Secretary for Health and Social Care
Directorate
Chief Operating Officer, NHS Scotland Directorate
Topic
Health and social care
ISBN
9781836911654

Technical report to support the redesign of urgent care evaluation main report.

View supporting documents Supporting documents

9 Analysis of delivery metrics at health board level: Full findings

This section provides the results of the Interrupted Time Series Analysis for the Urgent Care delivery metrics at Health Board level. Tables 1 to 5 present the change (i.e., relative difference) for each indicator for each Health Board relative to their ‘control’ Health Board(s). A summary of the key findings, where a statistically significant difference was observed, can be found in the Main report (please see Section 7.3).

Table 1: Relative difference for delivery metrics 1-5, by health board. Note: Statistically significant differences are displayed in bold

Health Board

Relative difference (%)

All A&E Attendance (planned and unplanned)

All ED attendance (unplanned)

Emergency Admission Weekly (unplanned)

Admissions following A&E attendance (unplanned)

Admission (%) following A&E Attendances (Unplanned)

Ayrshire and Arran

0

8

16

2

-34

Borders

37

46

-4

3

-25

Dumfries and Galloway

22

20

7

-15

-11

Fife

34

53

31

70

-22

Forth Valley

11

36

171

87

16

Grampian

33

31

-15

93

-5

Greater Glasgow and Clyde

-21

Highland

43

55

30

101

2

Lanarkshire

15

26

59

131

-4

Lothian

51

18

-45

34

-50

Orkney

39

46

72

124

-43

Shetland

33

64

71

52

48

Tayside

5

49

76

0

18

Western Isles

30

42

23

-35

1
Table 2: Relative difference for delivery metrics 6-10, by health board. Note: Statistically significant differences are displayed in bold

Health Board

Relative difference (%)

Admissions following ED attendance (unplanned)

Admission (%) following ED Attendances (unplanned)

All A&E Self Referrals (unplanned)

% of Self Referrals attending A&E (unplanned)

ED Self Referrals (unplanned)

Ayrshire and Arran

-2

-2

29

19

28

Borders

18

29

18

2

44

Dumfries and Galloway

-15

10

28

28

69

Fife

71

0

56

-1

84

Forth Valley

89

2

71

36

38

Grampian

92

2

43

3

47

Greater Glasgow and Clyde

16

12

Highland

99

20

71

-5

72

Lanarkshire

137

6

34

-7

35

Lothian

41

3

49

6

46

Orkney

97

2

43

-5

183

Shetland

101

-6

172

-1

172

Tayside

90

24

32

10

75

Western Isles

-39

-23

58

-20

92
Table 3: Relative difference for delivery metrics 11-15, by health board. Note: Statistically significant differences are displayed in bold

Health Board

Relative difference (%)

% of Self Referrals attending ED (Unplanned)

NHS 24 111 Mon - Fri: All (12.00am to 11.59pm) contacts

NHS 24 111 Mon - Fri: In Hours (8.00am to 6.00pm) contacts

NHS 24 111 Sat - Sun contacts

NHS 24 111 (call outcome: referral to A&E - weekday)

Ayrshire and Arran

17

-14

-59

10

6

Borders

-4

88

-236

1

896

Dumfries and Galloway

37

-28

-95

-4

-61

Fife

27

-13

-67

13

-12

Forth Valley

-12

0

-30

25

36

Grampian

17

7

-51

34

27

Greater Glasgow and Clyde

23

Highland

14

-19

-116

37

-8

Lanarkshire

-3

-10

-46

3

34

Lothian

6

3

-53

16

18

Orkney

-7

-53

-212

51

-121

Shetland

-9

-31

-133

36

-130

Tayside

12

-34

-80

6

-24

Western Isles

-10

-41

-136

2

-101
Table 4: Relative difference for delivery metrics 16-20, by health board.

Health Board

Relative difference (%)

NHS 24 111 (call outcome: referral to A&E – weekend)

NHS 24 111 (call outcome: referral to Primary Care Out of Hours - weekday)

NHS 24 111 (call outcome: referral to Primary Care Out of Hours – weekend)

NHS 24 111 (call outcome: referral to Scottish Ambulance Service - weekday)

NHS 24 111 (call outcome: referral to Scottish Ambulance Service - weekend)

Ayrshire and Arran

170

26

29

-12

30

Borders

-84

30

-29

401

0

Dumfries and Galloway

70

39

43

-47

69

Fife

197

38

31

-4

31

Forth Valley

188

-10

27

-26

53

Grampian

182

8

52

41

77

Greater Glasgow and Clyde

Highland

290

19

60

-1

68

Lanarkshire

280

13

43

-13

52

Lothian

523

-5

56

-33

4

Orkney

297

-12

76

-87

200

Shetland

185

31

41

-109

0

Tayside

216

-27

8

-31

43

Western Isles

330

40

21

161

700
Table 5: Relative difference for delivery metrics 21-26, by health board. Note: Statistically significant differences are displayed in bold

Health Board

Relative difference (%)

Primary Care Out of Hours services contacts - weekday

Primary Care Out of Hours services contacts - weekend

Attended Scottish Ambulance Service (SAS) incidents

Scottish Ambulance Service (SAS) incidents conveyed to hospital

Proportion of all unplanned A&E attendees waiting 4+ hours

Proportion of unplanned ED attendees waiting 4+ hours

Ayrshire and Arran

-74

-27

0

-9

43

19

Borders

24

-20

23

22

-2

1

Dumfries and Galloway

10

23

15

8

18

21

Fife

36

-34

25

39

8

1

Forth Valley

8

2

24

30

48

34

Grampian

-35

-31

12

8

4

4

Greater Glasgow and Clyde

Highland

-16

-20

21

34

23

26

Lanarkshire

49

13

4

18

18

18

Lothian

-15

-17

38

54

76

72

Orkney

-48

-22

40

37

-2

15

Shetland

-26

-25

54

116

-1

12

Tayside

47

-5

11

25

3

20

Western Isles

-26

-16

55

75

33

38

Contact

Email: dlhscbwsiawsiaa@gov.scot

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