It should be noted that the successful implementation of Delivering for Health (launched in October 2005) is already bringing about a fundamental shift in the balance of care. This, quite appropriately, places a greater emphasis on anticipatory care so that those at risk of ill health receive the services they need. In effect, the NHS in Scotland is no longer waiting for people to become ill, then sending them to hospital for urgent treatment. Instead, the Executive and NHS is doing more than ever before to encourage people to lead healthy lives, and spotting and dealing with poor health before it can develop into something more serious. When people do need treatment, the Executive and NHS are committed to delivering more of it closer to home in local communities.
Operations are carried out within NHSScotland in a wide range of settings dependent on a number of factors including the complexity of the operation and the clinical and personal needs of the patient.
The number of operations and procedures undertaken as in-patients or day cases is published on the ISD Scotland website at: http://www.isdscotland.org/isd/files/Annual_trends_in_surgical_procedures_hbt_February2007.xls.
All procedures undertaken in NHS Forth Valley can be selected using the procedure and NHS board of treatment menus within the file. From April 2003, NHS Forth Valley reclassified some minor procedures and endoscopies previously coded as day case procedures to out-patient procedures.
Operations can also be performed in an out-patient setting. From April 2003, the national reporting of surgical activity in out-patients has been required and ISD Scotland has been working with NHS boards to develop full compliance nationally. At this stage only a proportion of boards have achieved extensive coverage and further work will be necessary before a complete account of all out-patient surgical activity can be made. Emerging findings from the data collection for out-patient procedures are published in the data development section of the ISD Scotland website at: http://www.isdscotland.org/isd/4454.html.