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Inpatient and Day Case Activity

A patient is termed an inpatient when they occupy a staffed bed in a hospital and either remain overnight (whether intended or not) or are expected to remain overnight but are discharged earlier. An inpatient’s admission can be an emergency, an elective or a transfer. A day case is when a patient makes a planned attendance for one day to a specialty for clinical care and requires the use of a bed (or trolley in lieu of a bed). Although a day case is usually completed on the same day, the patient may need to be admitted as an inpatient if they are not fit to be discharged.

The residence data files relate to activity by NHS board of residence. The treatment data files relate to activity by NHS board of treatment.

All publications and supporting material to this topic area can be found on the Public Health Scotland website (external website).

Further information on hospital activity can be found in the recent quarterly publication (external website).

The date of the next release can be found on our list of forthcoming publications (external website).

Data og ressourcer

Yderligere info

Felt Værdi
Kilde Inpatient data is sourced from SMR01
Forfatter Secondary Care Team
Version 1.0
Last Updated Juni 2, 2022, 11:17 (BST)
Oprettet November 5, 2019, 10:44 (GMT)
Contact Address Public Health Scotland, Gyle Square, 1 South Gyle Crescent, Edinburgh, EH12 9EB
Subject Hospital Care
Frequency Quarterly
Time frame of data and timeliness Data from the quarter ending 31 December 2016 to the quarter ending 31 December 2021.
Coverage Covers all NHS boards in Scotland.
Completeness At the time of extract, the completeness of SMR01 for quarter ending 31 December 2021 was 98%. For the completeness of SMR01 in other years see https://www.opendata.nhs.scot/dataset/scottish-morbidity-record-completeness
Accuracy https://www.opendata.nhs.scot/dataset/inpatient-and-daycase-activity/resource/a15a1878-3203-4506-90ac-586bd672545d
Continuity of data There are known issues with the quality of data presented. For more information, please see the continuity and accuracy of data section of the official data release information. https://www.publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2021/official-data-release-information/ The quarterly publication should not be used to approximate yearly figures as NHS boards can update and submit their data monthly which may result in changes in the recent data shown from one publication to another. This means that there will likely be more variation in the quarterly data which would level off over the year when presenting annual data within the annual publication. Also, it should be noted that the quarterly publication includes acute hospitals only. In addition, only acute specialties are included in the inpatient and day case figures. Change to Council Area/NHS board codes: There have been two minor boundary changes to council areas since early 2018. As a result, the following geographies are impacted and new 9-digit codes have been generated: Council Areas, Electoral Wards, Health Boards, Health and Social Care Partnerships, Police Divisions, Fire and Rescue, Postcodes and LAU1. Further details on these changes and the affected geography codes are detailed in the Geography Codes and Labels dataset metadata: https://www.opendata.nhs.scot/dataset/geography-codes-and-labels. Hospital/location code changes: Dumfries & Galloway Royal Infirmary (Y104H) moved location in December 2017, and activity is now recorded under a new code, Y146H. The name remains “Dumfries & Galloway Royal Infirmary”. To ensure that no activity is missed, and to allow trends to be presented, the two hospital codes Y146H and Y104H (for SMR01 and SMR00 activity) are combined in our analyses under Y146H. The old site (Y104H) still exists and is now a treatment centre named “Mountainhall Treatment Centre”. This new activity will be reported separately under a new code (Y177C) which came into effect in December 2017. From 1st December 2018, Stirling Community Hospital closed along with all its wards and the Bellfield Centre opened. The Bellfield Centre provides short-term inpatient care, assessment or rehabilitation for people who require additional support following an operation or illness. Within the Bellfield Centre there is one new NHS ward, the Wallace Suite. Most of the beds are converting to partnership controlled intermediate beds. This may impact on NHS Forth Valley’s bed figures. Balfour Hospital (R101H) moved location between April and November 2019. Both the hospital name and code have changed to “The Balfour” and R103H respectively. For inpatient, outpatient and beds activity, both hospital codes have been added together. Geographical coding changes have been applied to make the coding of “Other” locations (e.g., when patients have no fixed abode and are resident outside Scotland/UK) to be consistent with PHS Open Data Geography Codes. https://www.opendata.nhs.scot/dataset/non-standard-geography-codes-and-labels/resource/32164b83-c9ec-495a-ac9f-dbeeb6ed5e59
Concepts and definitions https://www.isdscotland.org/Health-Topics/Hospital-Care/Inpatient-and-Day-Case-Activity/ https://www.publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2021/methods-used-to-produce-this-data-release/ https://publichealthscotland.scot/publications/acute-hospital-activity-and-nhs-beds-information-quarterly/acute-hospital-activity-and-nhs-beds-information-quarterly-quarter-ending-31-december-2021/glossary/ Further details are also available on the Health and Social Care Data Dictionary: https://www.ndc.scot.nhs.uk/Data-Dictionary/. For detailed information on the data sources and clinical coding used within Hospital Care analysis please refer to the SMR Datasets, ISD(S)1 data collection and Terminology Services web pages: https://www.isdscotland.org/Products-and-Services/Terminology-Services/.
Disclosure Disclosure control methods have been applied to the data in order to protect patient confidentiality, therefore some figures may not be additive. The PHS protocol on Statistical Disclosure Protocol is followed. https://beta.isdscotland.org/media/4191/public-health-scotland-statistical-disclosure-control-protocol.pdf
Revision statement All revisions to data within this release are planned and are due to incomplete data returns at the time of publication. In general, these revisions have minimal effect on the statistics. If data providers discover that data submitted for publication is incorrect, and/or missing or incomplete and is significant, this can be re-submitted and published in subsequent releases. Any changes will be highlighted within the notes on the affected table. Please see the PHS revisions policy for further details. https://beta.isdscotland.org/media/4106/isd-revisions-policy-v04.pdf
Official statistics designation The UK Statistics Authority has designated these statistics as National Statistics signifying compliance with the Code of Practice for Statistics, available on the UK Statistics Authority website. http://www.statisticsauthority.gov.uk/assessment/code-of-practice
Relevance and key uses of the statistics To compare areas and activity across Scotland and view trends over time. To allow NHS board employees to compare activity levels nationally, e.g. NHS clinical consultants interested in their specialty figures by NHS board, NHS information managers planning capacity, to assist in the development of Service Agreements between NHS boards. To investigate the implications of common systemic diseases in Scotland as a basis for assessing health demands in the future. To assess whether patients were treated within or outwith their own NHS board. To allow members of the public to readily access information on the number of hospital admissions for specific diagnoses or procedures that may be of personal interest to them. To assist students and universities conducting medical studies for research purposes. Private companies interested in hospital activity levels in Scotland such as pharmaceutical companies, consultancy companies employed by NHS Trusts in England, advertising/media companies on behalf of clients.
Format CSV
Sprog English
Links

Quarterly Publication

NHS England Outcomes and Performance, Hospital Episode Statistics (HES)

NHS Wales Hospital Activity

Northern Ireland Hospital Statistics and Research
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