1. better information --> better decisions --> better health1 Information Services Division Kate Harley Head of Waiting Times Programme ISD

2. better information --> better decisions --> better health2 About the Programme Measurement of waiting against targets –Inpatients/day cases and outpatients –A&E –Cancer –Hip # –Diagnostic tests

3. better information --> better decisions --> better health3 Developments 18 weeks RTT Audiology New Cancer targets Extended diagnostics Musculoskeletal services Drug treatment

4. better information --> better decisions --> better health4 Audiology data collection and reporting Various versions since April 2006. Most recent requirements set out in letter to Chief Executives on 16 th Dec 2008. First data collection due 23 Jan 2009 more on that later …………….

5. better information --> better decisions --> better health5 Summary of differences PreviousCurrent Numbers of new referrals, numbers assessed, numbers fitted with hearing aids and other activity information as totals for the quarter. New dataset requests numbers of patients waiting at the month end in single week intervals from 104 weeks (2 years) in 4 categories. Numbers waiting in 6 categories from initial assessment through to review of re-assessed patients were divided into 5 time bands from 0 to 9 weeks to > 52 weeks and a maximum wait. Activity information is replaced by requesting how long the patients who were seen during the calendar month waited to be seen, in the same 4 categories as those currently waiting. No separate category for patients who are waiting for re-assessment after review. These patients should be included with those waiting for a first contact appointment. Quarterly submissionMonthly submission e-mailed to Dan.Harper@isd.csa.scot.nhs.uke-mail to Audiology@isd.csa.scot.nhs.uk

6. better information --> better decisions --> better health6 Uses of the Information How will this information used ? –National and local quality & performance management and service improvement. –Monitoring progress towards 18 week RTT targets. Analysis and statistical calculations for: –Information Requests –Use by the Scottish Government Health Directorate –Parliamentary Questions (PQ’s) –Freedom of Information (FOI) requests (incl. Public, media, charities)

7. better information --> better decisions --> better health7 Why has the Scottish Government not used the Audiology information submitted to ISD to answer the following Parliamentary Questions? To ask the Scottish Executive… Question 1. ‘What the average waiting time is for assessment and fitting of hearing aids, broken down by NHS board, and when it expects the national audiology collection programme, being established by the Information and Statistics Division of NHS National Services Scotland, to provide such information.’ Question 2. ‘H ow many patients waited for more than (a) six months, (b) 12 months and (c) 24 months for a hearing aid to be issued after an initial hearing test and diagnosis in each year since 1999, broken down by NHS board.’ Question 3. ‘H ow many people had to wait for hearing tests after referral in each year since 1999, broken down by NHS board.

8. better information --> better decisions --> better health8 ISD’s Support Role Technical Definitional Analytical Support and information to the NHS Boards, Audiology Service, SGHD and others. Raise awareness of the service at national level.

9. better information --> better decisions --> better health9 The Process Data submitted on 23 rd of every month, from January 2009 Approx 7 days later, report to SGHD for performance management Intention to publish as non National Stats from April

10. better information --> better decisions --> better health10 Next steps Each NHS Board to nominate a contact from the Information Department. A single return from each NHS Board Liaise with suppliers if necessary to provide data required

11. better information --> better decisions --> better health11 Result of first data collection –So far… 3 named information contacts –3 complete NHS Board data submissions –1 partially complete –1 old return –2 total numbers only –7 no return

12. better information --> better decisions --> better health12 New Dataset (effective 16 December 2008) Summary of adult data received by 30 January 2009

13. better information --> better decisions --> better health13 Contact details Audiology@isd.csa.scot.nhs.uk