Post on 19-Jan-2016
description
Routine Data
SourcesDr James Reid, ISD ScotPHO Team
1. ScotPHO
2. Information Services Division (ISD)
3. Other, national sources
Data Sources and Tools
The sick man of Europe?
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
Finland
France
Ireland
Italy
Poland
Portugal
Spain
Sweden
United Kingdom
Scotland
Standardised death rates per 100,000, chronic liver disease and cirrhosis,
males all ages.
Standardised death rate per 100,000, ischaemic heart disease, males aged 0-64
0
20
40
60
80
100
120
140
160
180
200
Denmark
Finland
Greece
Italy
Norway
Sweden
United Kingdom
Scotland
ScotPHO Profiles
http://www.scotpho.org.uk/home/Comparativehealth/Profiles/2010CHPProfiles.asp
Health Inequalities Tool
One year of female LE gap can be attributed to COPD.
Click here to view the data another way
Dumfries CHP North East Glasgow CHCP
Hospital Data
Primary Care Data
Cancer Data
Maternity Data
Prescribing Data
ISD Sources
ACaDMe
A&E
Outpatients
‘Navigator’
NHS Staff Only
No. of episodes by specialty, NHS teaching boards 2008
Accident and Emergency Data
Outpatient clinic non-attendance
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Gastroenterology
All Specialties
General Psychiatry
Ante-natal Obstetrics
Navigator
• An overview of how the service is performing
• Pre-built reports from various datamarts• Allows benchmarking – 9 indicators• Used by medical directors and
information analysts
Nss.isdnavigator@nhs.net
Primary Care Data
Practice List Size DataStaff numbersConsultationsQuality outcomes framework (QoF)
All can be found at:
http://www.isdscotland.org/isd/1036.html
Practice Team Information (PTI)
CHD – estimated consultations with a GP or practice nurse 2003/4 – 2009/10
Cancer data
• Incidence – new cases• Prevalence – existing burden of disease• Mortality• Survival• Waiting Times• Screening• Clinical Trialshttp://www.isdscotland.org/isd/183.html
Age-sex specific cancer registrations per 100,000 population, 2008
Cancer Survival Rates
Maternity Data• Mother – age, height, smoking status,
obstetric history
• Births – induction, analgesia, delivery
method, location, outcome
• Gestation – apgar score, sex,
gestation, weight.
Maternity DataFirst Birth by Age of Mother and Deprivation Quintile3
Year ending 31 March 2009 p
0
100
200
300
400
500
600
Age
Num
ber
1 - Most Deprived
2
3
4
5 - Least Deprived
Source: SMR02ISD Scotland
1 - Excludes home births and births at non-NHS hospitals.2 - Where four or more babies are involved in a pregnancy, birth details are recorded only for the first three babies delivered.3 - Scottish Index of Multiple Deprivation (SIMD) 2009. p - Provisional.
Linked Analysis
• Specialist team in ISD• Use databases that underlie ACaDMe
and Maternity • Point prevalence and incidence• Specialist research projects• Patient ID, name, age, sex, dob,
postcode etc
The amalgamation of data from two or more independent sources that are
believed to relate to the same individual
Patient Record Date of Type of Hospital Specialty Principal Date ofID Type Admission Admission Diagnosis Discharge
99331 SMR1 30-Mar-86 Emergency V.H.K Gen. Surgery Appendicitis 08-Apr-86
99331 SMR4 10-Jan-87 Emergency Stratheden General Psychiatry Personality Dis. 13-Jan-87
99331 SMR1 09-Sep-88 Emergency E.R.I. Gen. Medicine A.M.I. 10-Sep-8899331 SMR1 10-Sep-88 Transfer E.R.I. Cardiology A.M.I. 15-Sep-8899331 SMR1 15-Sep-88 Transfer E.R.I. Geriatric Assess. A.M.I. 23-Sep-88
99331 SMR1 10-Feb-98 Emergency E.R.I. Gen. Medicine Depression 12-Feb-9899331 SMR4 12-Feb-98 Transfer Royal Edin. General Psychiatry Personality Dis. 15-Feb-98
99331 SMR1 22-May-98 Elective Western Gen. Medical Oncology Stomach Cancer 10-Jun-9899331 SOCRATES 24-May-98 Registration for stomach cancer
99331 RG death 01-Jul-98 Death record: cause of death - Stomach cancer
99333 SMR1 10-Jan-81 Emergency Ninewells Gen. Surgery Broken leg 10-Jan-81
Prescribing Data
Image: Carlos Porto/FreeDigitalPhotos.net
Prescribing Data – ADHD Drugs
Hospital prescribing
National Data Sources
GROS Data
Scottish Index of Multiple Deprivation