1. Spinal Surgery ISD data request 5 years activity data for NHS Grampian and NHS Highland

2. ISD data request Requested data for 2008/09 to 2012/13 financial years for – All spinal surgery OPCS4 codes (from SMR01) – Excluded emergency surgery (i.e fracture stabilisation) – Amalysis group by: Cervical and Thoracic/Lumbar intervertegral surgery All other spinal surgical procedures

4. Activity by NHS Board

5. Activity data – NHS Highland

8. Activity data – NHS Grampian

11. Summary Data shows total activity data static over last 5 years. However, activity pattern has changed (reduction in inter-vertebral surgery but increases in other spinal surgery). Slight drop in referrals from NHS Highland to NHS Grampian. Increasing use of private sector. Data does not reflect out-patient work – perception that this is increasing.