NHSScotland Chief Executive's annual report 2015-16

Presents an assessment of the performance of NHSScotland from 2015 to 2016 and describes key achievements and outcomes.


Footnotes

1. Healthcare Quality Strategy for Scotland, Scottish Government, May 2010. Access at: www.gov.scot/Resource/Doc/311667/0098354.pdf

2. Report on the Future Delivery of Public Services by the Commission chaired by Dr Campbell Christie, Public Services Commission, 29 June 2011. Access at: www.gov.scot/Publications/2011/06/27154527/0

3. Creating a Healthier Scotland, Scottish Government, March 2016. Access at: www.gov.scot/Resource/0049/00497965.pdf

4. A National Clinical Strategy for Scotland, The Scottish Government, February 2016. Access at: www.gov.scot/Publications/2016/02/8699

5. Chief Medical Officer's Annual Report 2015: Realistic Medicine, The Scottish Government, January 2016. Access at: www.gov.scot/Publications/2016/01/3745

6. Further information on the Technology Enabled Care Programme can be found at: www.jitscotland.org.uk/action-areas/telehealth-and-telecare/technology-enabled-care-programme

7. Source: ISD Scotland: Emergency Department Activity & Waiting Times. Access at: www.isdscotland.org/Health-Topics/Emergency-Care/Publications/index.asp

8. England: NHS England, A&E Attendances and Emergency Admissions Monthly. Access at:
www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/statistical-work-areasae-waiting-times-and-activityae-attendances-and-emergency-admissions-2016-17, Northern Ireland: NHS Northern Ireland, Statistics on Emergency Care Waiting Times by Department and Month. Access at: www.health-ni.gov.uk/articles/emergency-care-waiting-times, Wales: Time Spent in NHS Wales Accident and Emergency Departments: Monthly Management Information. Access at: www.infoandstats.wales.nhs.uk/page.cfm?org

9. ISD Scotland: Delayed Discharges in NHSScotland. Access at: www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care

10. ISD Scotland: Cancer Waiting Times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Cancer

11. Beating Cancer: Ambition and Action, The Scottish Government, March 2016. Access at: www.gov.scot/Publications/2016/03/9784

12. ISD Scotland: Diagnostics Waiting Times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Diagnostics

13. Source: ISD Scotland: Inpatient, Day Case & Outpatient stage of treatment waiting times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Inpatient-Day-Cases-and-Outpatients

14. Source: ISD Scotland: Child and Adolescent Mental Health Waiting times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Child-and-Adolescent-Mental-Health

15. Health and Care Experience Survey 2015/16, The Scottish Government. Access at: www.gov.scot/Topics/Statistics/Browse/Health/GPPatientExperienceSurvey/HACE2015-16

16. Scottish Inpatient Patient Experience Survey 2016, The Scottish Government. Access at: www.gov.scot/Topics/Statistics/Browse/Health/InpatientSurvey

17. Health Protection Scotland: Quarterly Epidemiological Commentaries. Access at: www.hps.scot.nhs.uk/haiic/sshaip/quarterlyepidemiologicalcommentaries.aspx

18. Scotland Performs. Access at: www.gov.scot/About/Performance/scotPerforms/NHSScotlandperformance

19. Chief Medical Officer's Annual Report 2015: Realistic Medicine, The Scottish Government, January 2016. Access at: www.gov.scot/Publications/2016/01/3745

20. Further information on the House of Care approach to collaborative care and support-planning can be found at: www.gov.scot/Publications/2016/02/8618/7

21. Living it Up is a health, wellbeing and self-management website for the over 50s, run by NHS 24. Access at: www.livingitup.scot

22. Making it Easy: a Health Literacy Action Plan for Scotland, The Scottish Government, May 2014. Access at: www.gov.scot/Publications/2014/06/9850

23. The Enabling State: From Rhetoric to Reality, Carnegie UK Trust, November 2013. Access at: http://www.carnegieuktrust.org.uk/publications/the-enabling-statefrom-rhetoric-to-reality/

24. Further information can be found at:
www.selfdirectedsupportscotland.org.uk

25. Social Care Services, Scotland, 2015, The Scottish Government, November 2015. Access at: www.gov.scot/Topics/Statistics/Browse/Health/Data/HomeCare

26. You can read the full progress report at www.inspiringscotland.org.uk/our-funds/self-directed-support/project-progress-and-sds-resources

27. Further information on ClickGo can be found at:
www.clickgo2.com

28. The full progress report can be accessed at:
www.inspiringscotland.org.uk/our-funds/self-directed-support/project-progress-and-sds-resources

29. Further information on Self Directed Support Financial Guidance can be found at: www.selfdirectedsupportscotland.org.uk/whats-new/25-cipfa-self-directed-support-guidance-launched

30. Strategic Framework for Action on Palliative and End of Life Care, The Scottish Government, December 2015. Access at:
www.gov.scot/Publications/2015/12/4053

31. Further information and the Our Voice website can be found at: www.ourvoice.scot

32. Further information on the Healthcare Improvement Scotland Person-Centred Health and Care Programme can be found at: www.healthcareimprovementscotland.org/our_work/person-centred_care/person-centred_collaborative.aspx

33. Experience Based Co-design Methodology, The Kings Fund. Access at: www.kingsfund.org.uk/projects/ebcd/experience-based-co-design-description

34. Listening and Learning: how feedback, comments, concerns and complaints can improve NHS services in Scotland, The Scottish Health Council, April 2014. Access at:
www.scottishhealthcouncil.org/publications/research/listening_and_learning.aspx

35. Further information on The Patient Rights (Scotland) Act 2011 can be found at: www.legislation.gov.uk/asp/2011/5/contents

36. ISD Scotland: NHS Complaints Statistics. Access at:
www.isdscotland.org/Health-Topics/Quality-Indicators/NHS-Complaints-Statistics/

37. The Patient Opinion website can be accessed at:
www.patientopinion.org.uk

38. Patient Opinion Annual Review. Access at: www.patientopinion.org.uk/resources/patient-opinion-annual-summary-2015-2016.pdf

39. Scottish Inpatient Patient Experience Survey 2016, The Scottish Government, August 2016. Access at: www.gov.scot/Topics/Statistics/Browse/Health/InpatientSurvey/Inpatient2016

40. Health and Care Experience Survey 2015/16, The Scottish Government, May 2016. Access at: www.gov.scot/Topics/Statistics/Browse/Health/GPPatientExperienceSurvey

41. Cancer Patient Experience Survey, The Scottish Government, October 2015. Access at: www.gov.scot/Topics/Statistics/Browse/Health/cancersurvey

42. Having a baby in Scotland 2015: listening to mothers, Maternity Care Experience Survey, December 2015. Access at:
www.gov.scot/Topics/Statistics/Browse/Health/maternitysurvey

43. Source: Management Data, NHS Education for Scotland

44. Focus on Dementia is a partnership improvement programme which brings together and maximises the skills, expertise and knowledge of improvement professionals, policy practitioners and the third sector. Further information can be found at: www.qihub.scot.nhs.uk/quality-and-efficiency/focus-on-dementia.aspx

45. The Scottish Strategy for Autism. Access at:
www.autismstrategyscotland.org.uk

46. Scottish Strategy for Autism. Access at:
www.autismstrategyscotland.org.uk/news/outcomes-framework-aligns-strategy-with-national-priorities.html

47. The Keys to Life - Improving Quality of Life for People with Learning Disabilities, The Scottish Government, June 2013, www.gov.scot/Publications/2013/06/1123

48. The Keys to Life Implementation Framework and Priorities, 2015-17. Access at: www.keystolife.info/updates/the-keys-to-life-implementation-framework-and-priorities-2015-17

49. Survivor Scotland Strategic Outcomes and Priorities 2015 - 2017, The Scottish Government, October 2015. Access at: www.gov.scot/Publications/2015/10/3487

50. Further information on the National Health and Wellbeing Outcomes can be found at: www.gov.scot/Topics/Health/Policy/Adult-Health-SocialCare-Integration/Outcomes

51. The Breakthrough Series: IHI's Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2003. Access at: www.IHI.org

52. The Improvement Hub (iHub) is hosted by Healthcare Improvement Scotland and can be found at: www.ihub.scot

53. Quarterly Hospital Standardised Mortality Ratios ( HSMR), ISD Scotland. Access at: www.isdscotland.org/Health-Topics/Quality-Indicators/HSMR

54. Scottish Patient Safety Programme Acute Adult: End of phase report August 2016, Healthcare Improvement Scotland. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/Media/Docs/Acute%20Adult%20Care/201609%20SPSP%20AA%20EOPR%201.1.pdf

55. Scottish Patient Safety Programme Acute Adult: End of phase report August 2016, Healthcare Improvement Scotland. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/Media/Docs/Acute%20Adult%20Care/201609%20SPSP%20AA%20EOPR%201.1.pdf

56. Health Protection Scotland: Quarterly Epidemiological Commentaries. Access at: www.hps.scot.nhs.uk/haiic/sshaip/quarterlyepidemiologicalcommentaries.aspx

57. Healthcare Associated Infection ( HAI) standards. Access at: www.healthcareimprovementscotland.org/our_work/inspecting_and_regulating_care/hei_policies_and_procedures/hai_standards_2015.aspx

58. Further information on HEI Inspections can be found at:
www.healthcareimprovementscotland.org/our_work/inspecting_and_regulating_care/nhs_hospitals_and_services/hei_inspections/all_hei_reports.aspx

59. UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, Department of Health, September 2013. Access at:
www.gov.uk/government/publications/uk-5-year-antimicrobial-resistance-strategy-2013-to-2018

60. The Scottish Patient Safety Mental Health Programme. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/programmes/mental-health

61. SPSP Primary Care: End of Phase Report August 2016, Healthcare Improvement Scotland, August 2016. Access at: www.scottishpatientsafetyprogramme.scot.nhs.uk/Media/Docs/Primary%20Care/SPSP%20PC%20EOPR.PDF

62. Learning from adverse events through reporting and review: A national framework for Scotland: Second edition, Healthcare Improvement Scotland, April 2015. Access at:
www.healthcareimprovementscotland.org/our_work/governance_and_assurance/management_of_adverse_events/national_framework.aspx

63. Clinical and Care Governance Framework, The Scottish Government, October 2015. Access at: www.gov.scot/Resource/0049/00491266.pdf

64. A National Clinical Strategy for Scotland, The Scottish Government, February 2016. Access at: www.gov.scot/Publications/2016/02/8699

65. Further information on the Six Essential Actions can be found at: www.gov.scot/Topics/Health/Quality-Improvement-Performance/UnscheduledCare/6-Essential-Actions-To-Improving-Unscheduled-Care

66. ISD Scotland: Delayed Discharges. Access at: www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Delayed-Discharges

67. A National Clinical Strategy for Scotland, The Scottish Government, February 2016. Access at: www.gov.scot/Resource/0049/00494144.pdf

68. Chief Medical Officer's Annual Report 2014/15: Realistic Medicine, The Scottish Government, January 2016. Access at: www.gov.scot/Resource/0049/00492520.pdf

69. ISD Scotland: Diagnostics Waiting Times. Access at:
www.isdscotland.org/Health-Topics/Waiting-Times/Diagnostics

70. ISD Scotland: Inpatient, Day Case & Outpatient stage of treatment waiting times. Access at: www.isdscotland.org/Health-Topics/Waiting-Times/Inpatient-Day-Cases-and-Outpatients

71. Beating Cancer: Ambition and Action, The Scottish Government, March 2016. Access at: www.gov.scot/Publications/2016/03/9784

72. Further information on the Innovative Healthcare Delivery Programme can be found at: www.farrinstitute.org/partnerships/ihdp

73. Further information on the Detect Cancer Early Programme can be found at: www.gov.scot/Topics/Health/Services/Cancer/Detect-Cancer-Early

74. ISD Scotland: Detect Cancer Early staging data year 4 July 2016

75. The wee c website can be accessed at: www.theweec.org

76. Scottish Referral Guidelines for Suspected Cancer, Healthcare Improvement Scotland, August 2014. Access at:
www.healthcareimprovementscotland.org/our_work/cancer_care_improvement/programme_resources/scottish_referral_guidelines.aspx

77. ISD Scotland: Cancer Waiting Times Access at:
www.isdscotland.org/Health-Topics/Waiting-Times/Cancer

78. ISD Scotland: Hip Fracture Audit - www.isdscotland.org/Health-Topics/Scottish-Healthcare-Audits/Publications/index.asp?#1698

79. Enhanced Recovery Pathway - Optimising patient recovery after joint replacement. Access at: www.qihub.scot.nhs.uk/quality-and-efficiency/msk-and-orthopaedics-quality-drive/enhanced-recovery.aspx

80. ISD Scotland: The Musculoskeletal Audit. Access at: www.msk.scot.nhs.uk

81. Pulling together: transforming urgent care for the people of Scotland, The Report of the Independent Review of Primary Care Out of Hours Services. The Scottish Government, December 2015. Access at: www.gov.scot/Resource/0048/00489938.pdf

82. Glaucoma referral and safe discharge, The Scottish Intercollegiate Guidelines Network ( SIGN). Access at: www.sign.ac.uk/guidelines/fulltext/144/index.html

83. Management data, Pharmacy and Medicines Division, The Scottish Government

84. Out-of-Hospital Cardiac Arrest: A Strategy for Scotland, The Scottish Government, March 2015. Access at: www.gov.scot/Publications/2015/03/7484

85. Further information on the Save a Life for Scotland campaign can be found at: www.savealife.scot

86. Save a Life for Scotland - External Report, SALFS Launch, Friday 16th October 2015. Access at: www.savealife.scot/resources/The%20Launch%20Report%2016th%20October%202015.pdf

87. Mental Health in Scotland - a 10 year vision, The Scottish Government, July 2016. Access at: www.gov.scot/Publications/2016/07/7151

88. Child and Adolescent Mental Health Services Waiting Times in NHSScotland and Psychological Therapies Waiting Times in NHSScotland. Both published reports published quarterly by ISD Scotland are available online at: www.isdscotland.org/Publications

89. ISD Scotland: Psychological Therapies Waiting Times. Access at: www.isdscotland.org/Publications

90. ISD Scotland: Child and Adolescent Mental Health Services Source: ISD Scotland Waiting Times in NHSScotland. Access at: www.isdscotland.org/Publications

91. Further information on the Suicide Prevention Strategy can be found at: www.gov.scot/Topics/Health/Services/Mental-Health/Suicide-Self-Harm/SPS-IMG/SPSCommitments

92. Mental Health Strategy for Scotland: 2012-2015, The Scottish Government, August 2012. Access at: www.gov.scot/Publications/2012/08/9714

93. Mental Health & Learning Disability Inpatient Bed Census, 2014, The Scottish Government, October 2014. Access at:
www.gov.scot/Publications/2015/06/7555/4

94. Inpatient Census, 2016 - Part 1: Mental Health & Learning Disability Inpatient Bed Census - Part 2: Out of Scotland NHS Placements, The Scottish Government, September 2016. Access at: www.gov.scot/publications/inpatient-census-2016-part-1-mental-health-learning-disability-inpatient/

95. The discussion framework can be found at: www.knowledge.scot.nhs.uk/media/CLT/ResourceUploads/4062767/Reducing%20suicide%20risk%20-%20discussion%20framework%20v0.18%20final.pdf

96. National Records of Scotland: 2015 Births, Deaths and Other Vital Events - Preliminary Annual Figures. Access at:
www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/general-publications/births-deaths-and-other-vital-events-preliminary-annual-figures/2015

97. Universal Health Visiting Pathway in Scotland - Pre Birth to Pre School, The Scottish Government, October 2015

98. Further information on the Early Years Collaborative can be found at: www.gov.scot/Topics/People/Young-People/early-years/early-years-collaborative. The Early Years Collaborative and the Raising Attainment for All Programme are joining up to become the Children and Young People Improvement Collaborative to deliver quality improvement throughout a child's journey.

99. Further information on Getting It Right For Every Child can be found at: www.gov.scot/Topics/People/Young-People/gettingitright

100. Further information on the Maternity and Children Quality Improvement Collaborative can be found at:
www.scottishpatientsafetyprogramme.scot.nhs.uk/programmes/mcqic

101. ISD Scotland: IVF Waiting Times in Scotland. Access at:
www.isdscotland.org/Health-Topics/Waiting-Times/IVF-Waiting-Times/Publications/2016-05-31

102. Further information on the Scottish Genomes Partnership can be found at: www.scottishgenomespartnership.org

103. The 'My Diabetes My Way' Interactive Website can be found at: www.mydiabetesmyway.scot.nhs.uk

104. Management Information provided by the 'My Diabetes My Way' Project Team at the University of Dundee. The My Diabetes My Way website can be found at: www.mydiabetesmyway.scot.nhs.uk

105. NHSScotland Information Security Policy Framework, July 2015. Access at: www.informationgovernance.scot.nhs.uk/wp-content/uploads/2016/03/IS-Policy-Framework.pdf

106. Further information on the Scottish Wide Area Network can be found at: www.scottishwan.com

107. Context-sensitive decision support is decision support that is adaptable to different contexts and evolving technical and work environments.

108. Information on clinical decision support ( CDS) for diabetes in NHS Tayside and NHS Lothian is available on the eHealth website at: www.ehealth.nhs.scot/case-studies

109. Healthcare Science National Delivery Plan for Healthcare Science Professionals in Scotland 2014-2017, The Scottish Government, June 2014. Access at: www.gov.scot/Resource/0045/00453441.pdf

110. Creating Places - A policy statement on architecture and place for Scotland, The Scottish Government, June 2013. Access at: www.gov.scot/Publications/2013/06/9811

111. Further information on Good Places, Better Health can be found at: www.gov.scot/Topics/Health/Healthy-Living/Good-Places-Better-Health

112. National Records of Scotland: Age-standardised Death Rates Calculated Using the European Standard Population. Access at: www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-events/deaths/age-standardised-death-rates-calculated-using-the-esp

113. Changing Scotland's Relationship with Alcohol: A Framework for Action, The Scottish Government, March 2009. Access at:
www.gov.scot/Publications/2009/03/04144703/0

114. Alcohol Brief Interventions 2015/16, ISD Scotland, June 2015. Access at: www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2016-06-14/2016-06-14-ABI2015-16-Summary.pdf

115. ScotPHO Smoking Ready Reckoner - 2011 Edition, Scottish Public Health Observatory ( ScotPHO), January 2012. Access at: www.scotpho.org.uk/downloads/scotphoreports/scotpho120626_smokingreadyreckoner.pdf

116. Tobacco Control Strategy - Creating a Tobacco-free Generation, The Scottish Government, March 2013. Access at:
www.gov.scot/Publications/2013/03/3766

117. Scottish Health Survey 2015, The Scottish Government. Access at: www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey

118. ISD Scotland: NHS Smoking Cessation Service Statistics (Scotland) 2015-16. Access at: www.isdscotland.org/Health-Topics/Public-Health/Publications/index.asp#1752

119. Semple S, Latif N (2014). How Long Does Secondhand Smoke Remain in Household Air: Analysis of PM2.5 Data From Smokers' Homes. Nicotine Tob Res. 16(10):1365-70. Access at: www.ncbi.nlm.nih.gov/pubmed/24904023

120. Preventing Overweight and Obesity in Scotland: A Route Map Towards Healthy Weight, The Scottish Government, February 2010. Access at: www.gov.scot/Publications/2010/02/17140721/0

121. Scottish Health Survey, The Scottish Government, September 2016. Access at: www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey

122. Preventing Overweight and Obesity in Scotland: A Route Map Towards Healthy Weight, The Scottish Government, February 2010. Access at: www.gov.scot/Publications/2010/02/17140721/0

123. The Lancet, Volume 383, No. 9924, p1211-1221, 5 April 2014 A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs ( FFIT): a pragmatic randomised controlled trial. Access at: www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62420-4/abstract

124. Source: www.gla.ac.uk/myglasgow/news/headline_485287_en.html

125. Pregnancy and Parenthood in Young People Strategy, The Scottish Government, March 2016. Access at: www.gov.scot/Publications/2016/03/5858

126. Further information on the Health Living Award Plus can be found at: www.healthylivingaward.co.uk/caterers/the-plus-award

127. Criteria for the Healthcare Retail Standard, The Scottish Government, July 2016. Access at: www.gov.scot/Publications/2016/07/2024

128. Latest National Dental Inspection Programme ( NDIP) results can be found at: www.ndip.scottishdental.org/ndip-reports

129. Scotland's Oral Health Plan: A Scottish Government Consultation Exercise on the Future of Oral Health, The Scottish Government, September 2016. Access at: www.gov.scot/publications/scotlands-oral-health-plan-scottish-government-consultation-exercise-thr-future/

130. Health Protection Scotland: Provisional vaccine uptake for the new meningococcal B (MenB) immunisation programme in Scotland, March 2016. Access at: www.hps.scot.nhs.uk/immvax/wrdetail.aspx?id=67129&wrtype=9

131. Source: Glasgow Royal Infirmary

132. Everyone Matters: 2020 Workforce Vision. Access at:
www.workforcevision.scot.nhs.uk

133. Reported at: www.news.scotland.gov.uk/News/Report-recognises-quality-of-Scottish-healthcare-228d.aspx. The OECD Quality Review is available at: www.oecd.org/unitedkingdom/oecd-reviews-of-health-care-quality-united-kingdom-2016-9789264239487-en.htm

134. ISD Scotland Workforce Statistics. Access at: www.isdscotland.org/Health-Topics/Workforce

135. Further information on the Sustainability and Seven Day Services Programme can be found at: www.gov.scot/Topics/Health/NHS-Workforce/Policy/SustainSevenDayServ

136. Sustainability and Seven Day Services Taskforce Interim Report, The Scottish Government, March 2015. Access at:
www.gov.scot/Publications/2015/03/7764

137. Programme for Government 2015-16, The Scottish Government, September 2015. Access at: www.gov.scot/publications/programme-government-2015-16/

138. NHS Education Scotland: Return to Practice management information based on numbers enrolled and receiving funding

139. Tier 2 Shortage Occupation List: Government-approved version valid from 6 April 2015. Access at: www.gov.uk/government/uploads/system/uploads/attachment_data/file/423800/shortage_occupation_list_april_2015.pdf

140. The Code of Practice for the International Recruitment of Healthcare Professionals in Scotland, The Scottish Executive, 2006. Access at: www.gov.scot/Resource/0041/00412480.pdf

141. Developing the Young Workforce: Scotland's Youth Employment Strategy, The Scottish Government, December 2014. Access at: www.gov.scot/Publications/2014/12/7750

142. Source: Management data collated on behalf of NHSScotland by Employee Experience Team, Health Workforce and Strategic Change Directorate, Scottish Government

143. Further information on the Human Resources Working Group on Integration can be found at: www.gov.scot/Topics/Health/Policy/Adult-Health-SocialCare-Integration/Implementation/working_Groups/HRWG

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