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better information --> better decisions --> better health1
Information Services Division
Kate HarleyHead of Waiting Times Programme
ISD
better information --> better decisions --> better health2
About the Programme
• Measurement of waiting against targets– Inpatients/day cases and outpatients– A&E– Cancer – Hip #– Diagnostic tests
better information --> better decisions --> better health3
Developments
• 18 weeks RTT
• Audiology
• New Cancer targets
• Extended diagnostics
• Musculoskeletal services
• Drug treatment
better information --> better decisions --> better health4
Audiology data collection and reporting
• Various versions since April 2006.
• Most recent requirements set out in letter to Chief Executives on 16th Dec 2008.
• First data collection due 23 Jan 2009
more on that later …………….
better information --> better decisions --> better health5
Summary of differencesPrevious Current
Numbers of new referrals, numbers assessed, numbers fitted with hearing aids and other activity information as totals for the quarter.
New dataset requests numbers of patients waiting at the month end in single week intervals from <7 days through to >104 weeks (2 years) in 4 categories.
Numbers waiting in 6 categories from initial assessment through to review of re-assessed patients were divided into 5 time bands from 0 to 9 weeks to > 52 weeks and a maximum wait.
Activity information is replaced by requesting how long the patients who were seen during the calendar month waited to be seen, in the same 4 categories as those currently waiting.
No separate category for patients who are waiting for re-assessment after review. These patients should be included with those waiting for a first contact appointment.
Quarterly submission Monthly submission
e-mailed to [email protected] e-mail to [email protected]
better information --> better decisions --> better health6
Uses of the Information
How will this information used ?– National and local quality & performance
management and service improvement.– Monitoring progress towards 18 week RTT targets.
Analysis and statistical calculations for:– Information Requests– Use by the Scottish Government Health Directorate– Parliamentary Questions (PQ’s)– Freedom of Information (FOI) requests (incl. Public,
media, charities)
better information --> better decisions --> better health7
Why has the Scottish Government not used the Audiology information submitted to ISD to answer the following
Parliamentary Questions?
To ask the Scottish Executive…
Question 1.‘What the average waiting time is for assessment and fitting of hearing aids, broken down by NHS board, and when it expects the national audiology collection programme, being established by the Information and Statistics Division of NHS National Services Scotland, to provide such information.’
Question 2.‘How many patients waited for more than (a) six months, (b) 12 months and (c) 24 months for a hearing aid to be issued after an initial hearing test and diagnosis in each year since 1999, broken down by NHS board.’
Question 3.‘How many people had to wait for hearing tests after referral in each year since 1999, broken down by NHS board.
better information --> better decisions --> better health8
ISD’s Support Role
• Technical• Definitional• Analytical• Support and information to the NHS
Boards, Audiology Service, SGHD and others.
• Raise awareness of the service at national level.
better information --> better decisions --> better health9
The Process
• Data submitted on 23rd of every month, from January 2009
• Approx 7 days later, report to SGHD for performance management
• Intention to publish as non National Stats from April
better information --> better decisions --> better health10
Next steps
• Each NHS Board to nominate a contact from the Information Department.
• A single return from each NHS Board
• Liaise with suppliers if necessary to provide data required
better information --> better decisions --> better health11
Result of first data collection
– So far… 3 named information contacts– 3 complete NHS Board data submissions– 1 partially complete– 1 old return– 2 total numbers only– 7 no return
better information --> better decisions --> better health12
New Dataset (effective 16 December 2008)Summary of adult data received by 30 January 2009
NHS Board Median Waiting Time (in weeks)Number of Patients Waiting 18
weeks or moreA 6.5 86B 4.5 NoneC 1.5 NoneD 13.5 580
Ayrshire & ArranBordersDumfries & GallowayFifeForth ValleyHighlandShetlandLanarkshireLothianWestern Isles
Audiology Performance data - Adult Patients, December 2008
