To ask the Scottish Executive how many operations were cancelled in each NHS hospital (a) for medical reasons and (b) because of a lack of beds in each year since 1999.
The specific information requested is not available centrally.
Information on cancelled admissions to hospital is collected but does not specifically identify cancelled operations prior to or during a hospital stay, or the reasons for cancellation. Table 1 shows information on the number of cancellations made by hospitals prior to in-patient and day case admission for the years ending March 1999-2005.
Table 1: Cancellation of Planned Admissions for In-Patient or Day Case Treatment;
By NHS Hospital: Years Ending 31 March 1999-2005
| 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005p |
Scotland | 11,218 | 14,232 | 16,010 | 16,136 | 17,029 | 15,763 | 15,766 |
Aberdeen Royal Infirmary | 1,412 | 1,310 | 1,435 | 1,299 | 1,365 | 1,260 | 1,213 |
Aboyne Hospital | - | 5 | 6 | 4 | - | - | - |
Ayrshire Central Hospital | 6 | - | - | 7 | 3 | 1 | - |
Balfour Hospital | 7 | 20 | 14 | 7 | 15 | 15 | 22 |
Belford Hospital | 74 | 18 | 21 | 29 | 40 | 24 | 18 |
Borders General Hospital | 287 | 437 | 458 | 348 | 328 | 261 | 339 |
Caithness General Hospital | 4 | 14 | 5 | 6 | 20 | 75 | 55 |
Campbell Hospital | - | 1 | - | - | - | - | - |
Canniesburn Hospital (closed 31/03/03) | - | - | 34 | 343 | 366 | 34 | 19 |
Chalmers Hospital | 4 | 11 | 7 | - | 6 | - | - |
City Hospital (closed 28/02/02) | 155 | 152 | 139 | 98 | - | - | - |
Crosshouse Hospital | 167 | 274 | 170 | 213 | 218 | 224 | 369 |
Dr Gray's Hospital | 319 | 257 | 314 | 301 | 268 | 281 | 248 |
Dumfries and Galloway Royal Infirmary1 | 220 | 277 | 151 | 98 | 486 | 421 | 421 |
Dundee Royal Infirmary (closed 31/03/99) | 114 | - | - | - | - | - | - |
Falkirk and District Royal Infirmary | 61 | 109 | 218 | 252 | 263 | 478 | 301 |
Fleming Cottage Hospital | - | - | - | - | 2 | 8 | 1 |
Forth Park Hospital | 41 | 65 | 141 | 90 | 62 | 99 | 30 |
Fraserburgh Hospital | - | 20 | 2 | - | 7 | 12 | 9 |
Garrick Hospital | - | - | - | - | 48 | - | - |
Gilbert Bain Hospital | 24 | 25 | 17 | 34 | 9 | 2 | 4 |
Glasgow Royal Infirmary | 756 | 1,346 | 1,403 | 1,903 | 1,395 | 562 | 564 |
Glen O'Dee Hospital | - | 3 | 1 | - | 4 | 1 | 1 |
Hairmyres Hospital | 50 | 89 | 87 | 266 | 1,092 | 1,221 | 1,167 |
Inverclyde Royal Hospital | 207 | 203 | 202 | 173 | 304 | 345 | 371 |
Inverurie Hospital | - | 45 | 2 | - | - | - | - |
Jubilee Hospital | - | 3 | 1 | - | 3 | 4 | 1 |
Kincardine Community Hospital | - | - | - | - | 2 | - | 1 |
Law Hospital (closed 29/05/01) | 64 | 136 | 51 | 2 | - | - | - |
Lawson Memorial Hospital | - | 14 | 19 | 22 | 11 | 36 | 22 |
Lorn and Islands District Gen Hospital | - | - | 4 | - | 4 | 1 | 12 |
Mackinnon Memorial Hospital | 5 | 3 | 4 | 28 | 11 | 12 | 21 |
Maidencraig House | - | - | - | - | - | 1 | 1 |
Maud Hospital | - | 6 | 4 | 2 | 1 | 1 | - |
Monklands Hospital | 15 | 119 | 159 | 102 | 131 | 192 | 278 |
Ninewells Hospital | 667 | 1,201 | 1,228 | 868 | 849 | 837 | 842 |
Perth Royal Infirmary | 114 | 142 | 134 | 323 | 374 | 270 | 282 |
Peterhead Community Hospital | - | 49 | - | - | - | - | - |
Princess Alexandra Eye Pavilion | - | - | - | - | - | 155 | 321 |
Princess Margaret Rose Hospital (closed 31/01/02) | 156 | 131 | 95 | 137 | - | - | - |
Queen Margaret Hospital | 467 | 793 | 556 | 587 | 539 | 576 | 716 |
Raigmore Hospital | 666 | 849 | 1,032 | 924 | 801 | 1,136 | 1,442 |
Ross Memorial Hospital | 1 | 1 | - | - | 1 | - | - |
Roxburghe House | - | - | - | - | 1 | - | - |
Royal Aberdeen Children's Hospital | 131 | 86 | 155 | 97 | 103 | 140 | 108 |
Royal Alexandra Hospital | 544 | 653 | 982 | 791 | 971 | 465 | 367 |
Royal Hospital for Sick Children | 68 | 90 | 115 | 170 | 209 | 91 | 62 |
Royal Hospital for Sick Children | 24 | 34 | 53 | 80 | 101 | 158 | 159 |
Royal Inf. of Edinburgh at Little France (opened 28/01/02) | - | - | - | 2 | 126 | 627 | 607 |
Royal Infirmary of Edinburgh (closed 06/10/03) | 953 | 908 | 671 | 790 | 933 | 209 | - |
Seafield Hospital | - | - | - | - | - | - | 1 |
Southern General Hospital1 | 100 | 121 | 121 | 483 | 483 | 418 | 418 |
Spynie Hospital | - | - | - | 7 | 19 | 65 | 10 |
St John's Hospital At Howden | 313 | 436 | 396 | 366 | 477 | 302 | 295 |
Stirling Royal Infirmary | 207 | 337 | 370 | 478 | 341 | 452 | 332 |
Stobhill Hospital | 45 | 107 | 926 | 712 | 381 | 281 | 203 |
Stonehouse Hospital | 152 | 65 | 90 | - | - | - | - |
Stracathro Hospital | 52 | 112 | 116 | 96 | 77 | 78 | 67 |
The Ayr Hospital | 116 | 187 | 204 | 103 | 55 | 18 | 127 |
Turner Memorial Hospital | - | 3 | 1 | - | - | - | - |
Turriff Cottage Hospital | - | 27 | 15 | 16 | 20 | 13 | 26 |
Ugie Hospital | - | - | - | - | - | - | 1 |
Uist and Barra Hospital (opened 05/03/01) | - | - | - | - | - | 6 | - |
Vale of Leven District General Hospital | 75 | 184 | 208 | 121 | 201 | 105 | 117 |
Victoria Hospital | 2 | 2 | 2 | 5 | - | - | 2 |
Victoria Hospital | 288 | 614 | 379 | 298 | 348 | 513 | 499 |
Victoria Infirmary | 1,157 | 1,050 | 1,109 | 1,298 | 1,342 | 1,354 | 949 |
Western General Hospital | 569 | 577 | 1,221 | 740 | 725 | 958 | 811 |
Western Infirmary/Gartnavel General | 342 | 496 | 732 | 831 | 918 | 706 | 807 |
Western Isles Hospital | 9 | 6 | 10 | 25 | 36 | 64 | 70 |
Wishaw General Hospital (opened 25/05/01) | - | - | - | 98 | 78 | 79 | 541 |
Woodend General Hospital | 8 | 9 | 20 | 63 | 56 | 116 | 96 |
PProvisional.
Notes:
1. Data for Dumfries and Galloway Royal Infirmary for year 2002 and the Southern General for years 2001, 2003 and 2005 is not available. Data for previous years has been used as estimates.
2. Cancellations previously included with the Royal Infirmary of Edinburgh.
Source: ISD Scotland [From ISD(S)1]
Planned admissions, for an operation or for any other reason, can be cancelled due to various unforeseen pressures. Some examples of these are; an influx of emergency admissions, widespread staff sickness, theatre equipment failure, infection in wards.
On occasions, some patients may be sent home, following admission, when a planned procedure/operation has not been carried out. Some reasons for this include; patient being unfit for treatment due to illness (e.g. chest infection), having omitted to fast before admission, failing to follow pre-admission advice on medication or where theatre time is unavailable due to unexpected complications arising in earlier theatre cases.
The figures in Table 1 include cancelled admissions where no operation was planned, e.g. to non-surgical specialties.
Limited information is available centrally on the number of in-patient/day case episodes where operations/procedures were not carried out following admission. Table 2 shows information on the number of in-patient and day case episodes where operations/procedures were cancelled following admission for contraindication for the years ending March 1999-2005. It is not possible to identify operations/procedures cancelled due to a lack of beds from national information.
Table 2: Number of in-Patient/Day Case Discharges for Cancelled Operations due to Contraindication1,2,3 by NHS Hospital: Years Ending 31 March 1999-2005
NHS Hospital | Year Ending March 31 |
1999 | 2000 | 2001 | 2002 | 2003 | 2004 | Estimated 2005P |
Scotland | 6,446 | 6,180 | 6,216 | 5,595 | 4,862 | 5,560 | 4,743 |
Aberdeen Royal Infirmary | 620 | 704 | 710 | 601 | 482 | 464 | 422 |
Adamson Hospital | 4 | - | - | - | - | - | - |
Albyn Hospital | - | - | - | - | - | - | 2 |
Ayr Hospital | 254 | 227 | 256 | 285 | 261 | 339 | 287 |
Ayrshire Central Hospital | - | - | 1 | - | 1 | - | - |
Balfour Hospital | - | 6 | 4 | 11 | 8 | 3 | 2 |
Belford Hospital | 14 | 26 | 22 | 17 | 20 | 34 | 17 |
Borders General Hospital | 31 | 48 | 45 | 52 | 44 | 56 | 71 |
Caithness General Hospital | 27 | 29 | 33 | 32 | 26 | 17 | 10 |
Canniesburn Hospital | 42 | 53 | 50 | 78 | 75 | 84 | 99 |
Carrick Glen Hospital | 3 | - | - | - | - | - | - |
City Hospital | 19 | 11 | 4 | 21 | - | - | - |
Crosshouse Hospital | 289 | 300 | 349 | 342 | 314 | 299 | 236 |
Daliburgh Hospital | - | 1 | 1 | - | - | - | - |
Davidson Cottage Hospital | - | - | - | 2 | - | - | - |
Dr Gray's Hospital | 47 | 73 | 87 | 51 | 62 | 74 | 80 |
Dumfries and Galloway Royal Infirmary | 231 | 258 | 222 | 239 | 169 | 161 | 110 |
Dundee Royal Infirmary | 40 | - | - | - | - | - | - |
Dunoon and District General Hospital | 10 | 1 | - | - | - | - | - |
Eastern General Hospital | 1 | - | - | - | - | - | - |
Falkirk and District Royal Infirmary | 45 | 20 | 28 | 17 | 23 | 39 | 35 |
Fernbrae Hospital | - | - | - | - | - | 2 | 2 |
Forth Park Hospital | 8 | 16 | 24 | 16 | 17 | 17 | 15 |
Fraserburgh Hospital | - | 1 | - | - | - | - | - |
Garrick Hospital | 37 | 33 | 27 | 17 | 6 | 6 | 1 |
Gilbert Bain Hospital | 62 | 41 | 18 | 19 | 6 | 12 | 12 |
Glasgow Dental Hospital and School | - | - | - | 1 | 2 | 1 | - |
Glasgow Royal Infirmary | 479 | 397 | 329 | 292 | 312 | 252 | 252 |
Golden Jubilee National Hospital | - | - | - | - | 13 | 69 | 54 |
Hairmyres Hospital | 199 | 148 | 109 | 167 | 114 | 212 | 201 |
Inverclyde Royal Hospital | 208 | 206 | 273 | 240 | 165 | 152 | 114 |
Isle of Arran War Memorial Hospital | 6 | 2 | 3 | - | - | 2 | - |
Jubilee Hospital | - | 1 | - | - | 1 | - | - |
Kings Cross Hospital | 2 | - | 1 | - | - | - | - |
Law Hospital | 248 | 211 | 189 | 26 | - | - | - |
Lawson Memorial Hospital | 6 | 8 | 5 | 8 | 5 | 5 | 8 |
Lorn and Islands District Gen Hospital | 13 | 5 | 6 | 19 | 15 | 5 | 15 |
Mackinnon Memorial Hospital | 5 | 13 | 7 | 9 | 15 | 8 | 7 |
Monklands Hospital | 1 | - | 2 | 2 | - | - | - |
Ninewells Hospital | 251 | 217 | 209 | 122 | 106 | 126 | 106 |
Perth Royal Infirmary | 146 | 138 | 100 | 66 | 65 | 90 | 16 |
Princess Alexandra Eye Pavilion | - | - | - | - | - | 24 | 14 |
Princess Margaret Rose Hospital | 26 | 13 | 26 | 17 | - | - | - |
Queen Margaret Hospital | 101 | 125 | 157 | 124 | 117 | 164 | 71 |
Raigmore Hospital | 180 | 171 | 138 | 149 | 173 | 151 | 171 |
Roodlands General Hospital | 29 | 18 | 29 | 22 | 9 | 16 | 11 |
Ross Hall Hospital | - | - | - | 12 | 3 | - | - |
Royal Aberdeen Children's Hospital | 34 | 47 | 21 | 27 | 27 | 17 | 36 |
Royal Alexandra Hospital | 108 | 82 | 76 | 76 | 101 | 106 | 102 |
Royal Hospital for Sick Children Yorkhill | 128 | 117 | 117 | 89 | 135 | 133 | 123 |
Royal Hospital for Sick Children Edinburgh | 22 | 26 | 4 | 8 | 2 | 4 | 2 |
Royal Infirmary of Edinburgh | 88 | 98 | 69 | 96 | 84 | 18 | - |
Royal Infirmary of Edinburgh at Little France | - | - | - | 1 | 23 | 65 | 88 |
Southern General Hospital | 139 | 107 | 91 | 186 | 153 | 170 | 76 |
St Andrews Memorial Hospital | 11 | 17 | 10 | 10 | 3 | - | - |
Stirling Royal Infirmary | 120 | 140 | 128 | 82 | 23 | 21 | 42 |
St John's Hospital At Howden | 168 | 171 | 118 | 120 | 123 | 100 | 93 |
Stobhill Hospital | 207 | 158 | 198 | 252 | 211 | 166 | 92 |
Stonehouse Hospital | 257 | 237 | 299 | - | - | - | - |
Stracathro Hospital | 63 | 62 | 47 | 44 | 16 | 10 | 6 |
Uist and Barra Hospital | - | - | - | 2 | 1 | - | 1 |
Vale of Leven District General Hospital | 82 | 91 | 88 | 55 | 63 | 48 | 61 |
Victoria Hospital | 181 | 158 | 171 | 88 | 99 | 39 | 41 |
Victoria Infirmary | 189 | 188 | 192 | 158 | 93 | 116 | 100 |
Western General Hospital | 199 | 223 | 223 | 136 | 143 | 136 | 120 |
Western Infirmary/Gartnavel General | 659 | 605 | 799 | 828 | 591 | 1,155 | 1,041 |
Western Isles Hospital | 19 | 31 | 22 | 32 | 46 | 40 | 48 |
Wishaw General Hospital | - | - | - | 153 | 198 | 203 | 117 |
Woodend General Hospital | 88 | 101 | 79 | 76 | 98 | 129 | 110 |
PProvisional.
Source: ISD Scotland (SMR01). Date: 26/05/2005
Notes:
These statistics are derived from data collected on discharges from non-obstetric and non-psychiatric hospitals (SMR01) in Scotland.
Cases where the patient was not admitted to hospital are not included.
Up to six diagnoses (one principal, five secondary) are recorded on SMR01 returns. All six diagnoses have been used to identify operations cancelled due to contraindication. The following code was used from the International Statistical Classification of Diseases and Other Health Related Problems, tenth revision (ICD10): Z53.0 ; Procedure not carried out because of contraindication. However it should be noted that the use of this code may vary from hospital to hospital.
Complete data for 2004/2005 are not yet available. The currently available record counts have been grossed up to provide an estimate for the actual values.
In some hospitals, the ICD10 code Z53.0 has been used to indicate a planned procedure has been cancelled due to medical reasons. Although coding guidelines indicate that no procedure code should be recorded with an ICD10 code of Z53.0, there is a small number of instances where this rule appears to have been broken. For a high proportion of these, it is believed that the procedure code refers to a procedure other than the one that was cancelled. The majority of these include; scans, blood withdrawal and infusion of therapeutic substance. For completeness these are included in the above table.
The completeness of recording cancelled operations/procedures across Scotland cannot be fully ascertained, and it is considered that there is, in certain hospitals, some degree of under-recording.
The information in table 2 does not include operations/procedures cancelled prior to admission.
Please note that figures in table 2 include all procedures (i.e. include minor procedures that will be carried out-with a theatre setting) and not just major operations.
Information on the numbers of cancelled operations/procedures that had been planned on an out-patient basis is not centrally available.
Data for 2004-05 should be regarded as provisional and may contain estimates.