Hospital-Based Complex Clinical Care ( HBCCC) was introduced in Scotland on the 1 st June 2015 following a review of NHS Continuing Care. This report represents an overview of the results from the first Hospital-Based Complex Clinical Care Census, carried out by the Scottish Government and NHS Boards as at midnight, 31 March 2016.
A patient is defined as receiving HBCCC if they cannot have their care needs met in any setting other than hospital and require long-term complex clinical care, or if they have been in hospital for more than 6 months. This includes patients within NHS Scotland facilities ( e.g. acute general hospitals, community hospitals) as well as those patients funded by NHS Scotland but treated in non- NHS Scotland facilities ( e.g. Private Facilities or NHS facilities elsewhere in the UK). By definition, patients in receipt of HBCCC cannot be a Delayed Discharge. Further information about HBCCC is available from the following link:
The purpose of the census is to firstly monitor HBCCC and secondly, to enhance the Scottish Government and NHS Scotland's' understanding of HBCCC. This analytical evidence will inform policy development and service planning, both nationally and locally.
To enable further research and statistical analysis, extracts of the Census datasets may be made available for approved researchers.
Scope of census
Following on from the first Mental Health & Learning Disability Inpatient Bed Census held in October 2014, a review of the scope, frequency and questions were undertaken by Scottish Government in collaboration with NHS Boards. There are a number of differences between the 2014 Census and the 2016 Census. Most notably, a third part to the census was introduced in 2016 in order to reduce duplication for NHS Boards.
Part 1: Mental Health and Learning Disability Inpatient Bed Census
Part 2: Mental Health, Addiction and Learning Disability Patients: Out of NHS Scotland Placements Census
Part 3: Hospital Based Complex Clinical Care Census (for patients who are not occupying Mental Health, Addiction and Learning Disability Inpatient Beds)
Collectively, the three parts to the Census make up the Inpatient Census. This report is entirely focused on patients in receipt of Hospital Based Complex Clinical Care, therefore, information is used from Part 1, 2 and 3 of the census about all patients who meet the HBCCC definition.
It should be noted that HBCCC was introduced in Scotland on the 1 st June 2015 and as this is the first year which HBCCC information has been collected, the data collection systems and quality assurance processes in place are still being developed. However, the underlying data has undergone extensive validation by NHS Boards and Scottish Government Statisticians and is therefore being published as Official Statistics. All figures are provisional and may be subject to change in future publications.
The report for the first two parts of the Inpatient Census (Mental Health & Learning Disability Inpatient Bed Census, Out of NHS Scotland Placements Census) was published on 13 September 2016.
An accompanying spreadsheet containing the data behind this report, as well as some summary information at NHS Board level will also be made available at the following link:
Staff in NHS Boards will also be able to request access to more detailed analysis, which will be accessed through a secure online website. This will provide more graphical representations of data, as well as drilling down to hospital and ward level for users' health boards. Access is granted by a nominated NHS Board authorizer, for more details please contact firstname.lastname@example.org .
Future plans for the census
A repeat of the census is intended to be carried out at the end of March 2017, and any methodological changes will be informed by this year's census.