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Transcription

1 ^ìçáí=çñ=eáöü=aéééåçéååó= `~êé=ñçê=`üáäçêéå=c=vçìåö= méçéäé=áå=påçíä~åç gìäáé=^ç~ãë mêçöê~ããé=j~å~öéêi======= k~íáçå~ä=péêîáåéë=aáîáëáçå

2 m~éçá~íêáå=åêáíáå~ä=å~êé=áå=påçíä~åç== P=ÉäÉãÉåíëW fåíéåëáîé=å~êé Å~êÉ=íç=íÜÉ=ãçëí=ÅêáíáÅ~ääó=áää=ÅÜáäÇêÉåI=ãçëí= çñ=ïüçã=ïáää=äé=~êíáñáåá~ääó=îéåíáä~íéçò pmf`^=^ìçáí= ÅÉåíê~äáëÉÇ=ëÉêîáÅÉë=áå= bçáåäìêöü=c=dä~ëöçï============================== kpa=péêîáåé=ommt eáöü=çéééåçéååó=å~êé Å~êÉ=éêçîáÇÉÇ=íç=~=ÅÜáäÇ=ïÜç=ã~ó=êÉèìáêÉ= ÅäçëÉê=çÄëÉêî~íáçå=~åÇ=ãçåáíçêáåÖ=íÜ~å=áë= ìëì~ääó=~î~áä~ääé=çå=~å=çêçáå~êó=ï~êçò mêçîáçéç=áå=üçëéáí~äë=~åêçëë=påçíä~åç qê~åëéçêí `çããáëëáçåéç=áå=ommn=íç=éêçîáçé=~=ë~ñé=íê~åëéçêí= ëéêîáåé=ñçê=åüáäçêéå=~åêçëë=påçíä~åç=ïüç=êéèìáêé= áåíéåëáîé=å~êé= íé~ãë=áå=dä~ëöçï=c=bçáåäìêöü== mêçîáçéë=~çîáåé=c=çìíêé~åü=éçìå~íáçå================== kpa=péêîáåé=ommn

3 _~ÅâÖêçìåÇ=íç=íÜÉ=^ìÇáí qüé=héêê=oééçêí=eommrfw ÅçåíáåìÉÇ=éêçîáëáçå=çÑ=é~ÉÇá~íêáÅ= áåíéåëáîé=å~êé=~åç=üáöü=çéééåçéååó= Å~êÉ=Eea`F=áë=~å=áããÉÇá~íÉ=áëëìÉ=Ñçê= keppåçíä~åçi=áå=íüé=äáöüí=çñ=íêéåçë=áå= ~Åíáîáíó=~åÇ=Å~ëÉ=ãáñ=íÜ~í=ã~ó=åçí=ÄÉ= ëìëí~áå~ääé=ïáíüáå=åìêêéåí=éêçîáëáçåkò ^ìçáí=é~êí=çñ========== íüé=`êáíáå~ä=`~êé== tçêâëíêé~ã=

4 içå~äi=oéöáçå~ä=c=k~íáçå~ä= mä~ååáåö=çäàéåíáîéëw aéã~åç=ñçê=üáöü=çéééåçéååó=å~êéw åìãäéê=çñ=åüáäçêéå=êéèìáêáåö=üáöü=çéééåçéååó=å~êék tüéêé=üáöü=çéééåçéååó=å~êé=ï~ë=çéäáîéêéçw ÇáëíêáÄìíáçå=çÑ=ÜáÖÜ=ÇÉéÉåÇÉåÅó=Å~êÉ=Äó=kep=_ç~êÇI=êÉÖáçåI= Üçëéáí~äX ÇáëíêáÄìíáçå=çÑ=äçÅ~íáçå=çÑ=Å~êÉ=çìíëáÇÉ=çÑ=ÜáÖÜ=ÇÉéÉåÇÉåÅó=ìåáíëK mêçîáëáçå=çñ=üáöü=çéééåçéååó=å~êéw éêçéçêíáçå=çñ=éä~ååéç=~åç=éãéêöéååó=üáöü=çéééåçéååó=å~êék m~íáéåí=é~íüï~óëw áåíéêláåíê~=üçëéáí~ä=~çãáëëáçåë=~åç=íê~åëñéêëx ÇáëíêáÄìíáçå=çÑ=é~íáÉåí=ÇÉëíáå~íáçåë=çìíëáÇÉ=êÉÖáçå~ä=ÄçìåÇ~êáÉëK lêö~åáë~íáçå=çñ=åêáíáå~ä=å~êéw èì~äáí~íáîé=~ëëéëëãéåí=çñ=íüé=éêçîáëáçå=çñ=üáöü=çéééåçéååó=å~êék

5 ^ìçáí=j jéíüçççäçöó aéîéäçé=å~íáçå~ä=ea`=åêáíéêá~=~åç=åä~ëëáñáå~íáçå==== ëí~åç~êçë= Äêç~Ç=ÇÉÑáåáíáçå=çÑ=ea`K fååäìçé=~ää=åüáäçêéå=ìé=íç=íüéáê=ns íü ÄáêíÜÇ~óW é~éçá~íêáå=ï~êçë= ÖÉåÉê~äI=ãÉÇáÅ~äI=ëéÉÅá~äáëí=~åÇ=ëìêÖáÅ~äK é~éçá~íêáå=üáöü=çéééåçéååó=ìåáíëx ëüçêí=ëí~ó=ï~êçëx mf`rëlf`rë= ïüéå=ìëéç=ñçê=ea`=é~íáéåíëx ~Çìäí=ÖÉåÉê~ä=~åÇ=ëéÉÅá~äáëí=ï~êÇëX ~Çìäí=earëX ~Çìäí=~ÅìíÉ=ãÉÇáÅ~ä=êÉÅÉáîáåÖ=ï~êÇëK máäçí=åçåçìåíéç=áå=ï~êçë=ïáíüáå=adei=qéêíá~êó= eçëéáí~äë=~åç=^çìäí=eçëéáí~äëk mêçëééåíáîé=~ìçáí= Üçëéáí~äë=~Åêçëë=pÅçíä~åÇI=Ñêçã= låíçäéê=omms= kçîéãäéê=ommtk lêö~åáë~íáçå=çñ=åêáíáå~ä=å~êé

6 aéã~åç=ñçê=üáöü= ÇÉéÉåÇÉåÅó=Å~êÉ pìãã~êów ëíé~çó=çéã~åç=çîéê=no=ãçåíü=ééêáçç=ñçê=íüáë=äéîéä=çñ= Å~êÉX QIUMQ=ÅÜáäÇêÉåX VISUM=ÉéáëçÇÉë=ERPUIMMP=ÜçìêëFX VB=çÑ=ìåÇÉê=NS=EpjoMNF=~Çãáëëáçåë=Erh=ea`= áååáçéååé=rjnrbfx OQB=ïÉêÉ=ìåÇÉê=N=óÉ~ê=çÑ=~ÖÉ=åìãÄÉê=çÑ=ÅÜáäÇêÉå= êéèìáêáåö=üáöü=çéééåçéååó=å~êéx VSB=çÑ=ÉéáëçÇÉë=ïÉêÉ=ÇÉäáîÉêÉÇ=ïáíÜáå=~=é~ÉÇá~íêáÅ= ÉåîáêçåãÉåíK

7

8

9 Ward Type No. of Episodes % of Total Episodes Paediatric Medical* 1, % Paediatric HDU 1, % Paediatric (DGH wards) 1, % Paediatric Haematology & Oncology 1, % Paediatric Renal % Short Stay % Neonatal Surgery % PICU % Paediatric Surgery % Paediatric Cardiac % Paediatric Neuro Sciences % Paediatric Orthopaedics % A&E % Adult ICU % Paediatric Burns & Plastics % Paediatric ENT % Adult Medical % Adult HDU % Adult Assessment % Adult Orthopaedics % Adult Surgery % Adult Medical Specialist % Adult Infectious Diseases 2 0.0% Adult Neuro Sciences 2 0.0% Adult Renal 1 0.0% Total Episodes 9,680

10 HDC Audit - Individual Length of Episode summary No. of episodes <12h 12-24h 24-48h 48-72h 3-4 days 4-5 days 5-6 days 6-7 days 7-14 days days days >28 days Length of episode

11 jìäíáéäé=béáëççéë Children (%) Episodes (%) 10 or more episodes 115 (2%) 2460 (25%) 2 9 episodes 1287 (27%) 3818 (40%) 1 episode 3402 (71%) 3402 (35%)

12 Total number of children and episodes - North of Scotland Cohort Urban Level 2 (2), Rural Level 2 (2R), Level 3 (3), Children's Hospitals Ninewells Hospital, Dundee (Children's Hospitals) Royal Aberdeen Children's Hospital (Children's Hospitals) Raigmore Hospital, Inverness (3) Belford Hospital, Fort William (2R) Dr Gray's Hospital, Elgin (3) Perth Royal Infirmary (2) Balfour Hospital, Kirkwall (2R) Caithness General Hospital, Wick (2R) Gilbert Bain Hospital, Lerwick (2R) Dr Mackinnon Memorial Hospital, Broadford, Isle of Skye (2R) Lorn & Islands DG Hospital, Oban (2R) Aberdeen Royal Infirmary (2) Western Isles Hospital, Stornoway (2R) Victoria Hospital, Rothesay (2R) No. of Children No. of Episodes

13 Age at start of episode Children s Hospitals Level 3 Hospitals Urban Level 2 Hospitals Rural Level 2 Hospitals Totals (%) < 1 year 1, ,123 (22%) 1-4 years 2, ,603 (26%) 5-12 years 2, ,041 (32%) years ,442 (15%) years (5%) Totals (%) 7,808 (80%) 1,539 (16%) 188 (2%) 145 (2%)

14 100% ECF level by elective/emergency episode 90% 80% 70% % 50% % 30% 20% 10% 0% Urban Level 2 Rural Level 2 Level 3 Children's Hospitals 3190 HDC Audit Total Elective Emergency

15 m~íáéåí=m~íüï~óë mêáã~êó=àçìêåéóë= UNB=é~êÉåíë=L=NVB=p^pX j~àçêáíó=çñ=åüáäçêéå=~çãáííéç=ñêçã=üçãél^cblëüçêí= ëí~ó= SMBX VNM=ëÉÅçåÇ~êó=àçìêåÉóë=EfeqF=ïÉêÉ=êÉÅçêÇÉÇW QMB=m~ê~ãÉÇáÅ= PQB=péÉÅá~äáëí= UB=kÉçå~í~ä= NUB=jÉÇáÅ~äLkìêëÉ a~í~=çéãçåëíê~íéë=íê~åëñéêë=ñçê=çéñáåáíáîé=å~êéw `çããìåáíó=pb kçåjé~éçá~íêáå=üçëéáí~äë=oub adeë=pqb fãéêçîéç=íê~åëéçêí=~êê~åöéãéåíë= çññéê=ë~ñé=íê~åëñéê= ïáíüáå=~=êéöáçå~ä=åéíïçêâ=eê~íüéê=íü~å=mf`r=êéíêáéî~ä= íé~ãëfk

16 oéöáçå~ä=íê~åëñéêë Region Transferred From: Transferred To: Transfers North of Scotland Perth Royal Infirmary Ninewells Hospital 49 North of Scotland Dr Grays Royal Aberdeen Children s Hospital 14 North of Scotland Belford Hospital Raigmore Hospital 34 North of Scotland Caithness Hospital Raigmore Hospital 19 North of Scotland MacKinnon Memorial, Skye Raigmore Hospital 11 South East and Tayside Borders General Hospital RHSC, Edinburgh 18 South East and Tayside St John s Hospital RHSC, Edinburgh 48 South East and Tayside Victoria Hospital, Kirkcaldy RHSC, Edinburgh 26 West of Scotland Crosshouse Hospital Yorkhill, RHSC 26 West of Scotland Dumfries & Galloway Yorkhill, RHSC 11 West of Scotland Royal Alexandra Hospital Yorkhill, RHSC 26 West of Scotland Stirling Royal Infirmary Yorkhill, RHSC 46 West of Scotland Wishaw General Yorkhill, RHSC 19

17 kçêíü=çñ=påçíä~åç=péåçåç~êó=qê~åëñéêë NoS From hospital: NoS To hospital: Non-Scottish Hospitals Unknown Glenlaw House Aberdeen Royal Infirmary Perth Royal Infirmary Unknown Arbroath Hospital 1 1 Armistead Hospital 1 1 Brechin Community Hospital 1 1 Crieff Community Hospital 1 1 Glenlaw House 1 1 Golspie Community Hospital 1 1 Montrose Community Hospital 1 1 Hospices 1 1 Aberdeen Maternity Hospital 2 2 Aberdeen Royal Infirmary Hairmyres Hospital, East Kilbride 1 1 Perth Royal Infirmary Balfour Hospital, Kirkwall Belford Hospital, Fort William Caithness General Hospital, Wick Gilbert Bain Hospital, Lerwick Lorn & Islands DG Hospital, Oban Mackinnon Memorial Hospital, Skye Portree Hospital, Isle of Skye 1 1 Victoria Hospital, Rothesay Western Isles Hospital, Stornoway 1 1 Dr Gray's Hospital, Elgin Raigmore Hospital, Inverness Victoria Hospital, Kirkcaldy 2 2 Ninewells Hospital, Dundee RHSC, Edinburgh Royal Aberdeen Children's Hospital Yorkhill RHSC, Glasgow Total Southern General Hospital, Glasgow Belford Hospital, Fort William Mackinnon Memorial Hospital, Skye Raigmore Hospital, Inverness Royal Alexandra Hospital, Paisley Southern General Institute Stirling Royal Infirmary Wishaw General Hospital Ninewells Hospital, Dundee RHSC, Edinburgh Royal Aberdeen Children's Hospital Yorkhill, RHSC Total

18 tü~í=ççéë=íüé=^ìçáí=êéîé~ä=~äçìí= ea`=çéäáîéêéç=áå=påçíä~åç\ jçëí=åüáäçêéå=êéèìáêé=ëáåöäé=ëüçêí=ééáëççé=========== çñ=ea`x s~êá~íáçåë=áå=íüé=å~êé=çéäáîéêéç=äéíïééå=iéîéä=o=c= P=eçëéáí~äë=C=íÜÉ=Q=`ÜáäÇêÉåÛë=eçëéáí~äëX `ÜáäÇêÉå=ïáää=éêÉëÉåí=íç=åçåJé~ÉÇá~íêáÅ=Üçëéáí~äë=áå= ÉãÉêÖÉåÅáÉëX= qüéêé=åééçë=íç=äé=~=åçjçêçáå~íáçå=çñ=ëéêîáåéë= ïáíüáå=kep=_ç~êçë=c=oéöáçåëw ÅçããìåáÅ~íáçå= m~êéåíëi=kep=oqi=p^px Üçëéáí~äë=ãìëí=ÄÉ=~ÄäÉ=íç=éêçîáÇÉ=ëÜçêíJíÉêã=ea`X íê~åëñéê=éêçíçåçäëk

19 pìëí~áåáåö=~åç=áãéêçîáåö=å~êé=áå= påçíä~åç= Üçï=íç=ëìééçêí=íÜÉ== ÇÉîçäîÉÇ=ÇÉäáîÉêó=çÑ=ea` `~êé=áë=ëìååéëëñìääó=äéáåö=çéäáîéêéç=áå=üçëéáí~äë= ~Åêçëë=pÅçíä~åÇK ^ìçáí=ñáåçáåöë=åçãéäáãéåí=íüé=b`c=ïçêâx aéîéäçéáåö=k~íáçå~ä=c=oéöáçå~ä=`êáíáå~ä=`~êé= kéíïçêâë=ïáääw éêçîáçé=öçîéêå~ååé=ëíêìåíìêé= éêçíçåçäë=l=ëí~ññáåöx åéíïçêâ=çñ=üçëéáí~äë=íü~í=å~å=çéäáîéê=ëüçêíjíéêã=åçåj áåî~ëáîé=îéåíáä~íáçå=eéêéîéåí=ìååéåéëë~êó=íê~åëñéêëfx ÇÉîÉäçé=ïçêâÑçêÅÉ=íÜ~í=Å~å=ÇÉäáîÉê=ÇÉîçäîÉÇ=ÜáÖÜ= ÇÉéÉåÇÉåÅó=Å~êÉK