The Western Isles has a changing demographic with a higher population of older people than the Scottish average, this coupled with an ageing workforce and outward migration of young people has brought into focus the need to continue with the modernisation of our acute services and deliver more services closer to communities.
In conducting a review of unscheduled care the National Dashboard summarises NHS Western Isles performance as:
- A&E attendances -7% WI v.+ 1% Scotland
- A&E admissions : -6% WI v. +10% Scotland
- A&E admissions as % of non-routine discharges: 65% WI v. 71% Scotland
- Ave. Stay Emergency stay (WIH ) : 5 days less than Q4 2011
- Acute beds: down 12% WI v. 2% Scotland
- Acute Beds per 1,000 acute discharges: 66 WI v. 44 Scotland
- Acute emergency discharges: -2.5% WI v. +2% Scotland
- Acute non-emergency discharges: -2.5% WI v. +2.6% Scotland
- Beds lost to DDs: 7 WI
In summary for latest period WI has reducing lengths of stay reflecting reduced bed numbers and reduced acute admissions (both emergency and elective) in turn reflecting reduced A&E attendances and onward admissions from A&E. Some of this contrary to Scottish trend (See above list) but remain above average in comparison to Scottish levels for few areas eg. ALoS and Number of beds relative to number of patients.
NHS Western Isles approach is integrating all of our Unscheduled Care activity under a single work stream, taking a whole system approach and working closely with service users, Local Authority partners and Third Sector providers. This work is ongoing.