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NHS survival a postcode lottery



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Published Date: 30 January 2008
SURVIVAL rates after heart attacks, strokes and hip fractures vary widely across Scotland, figures revealed yesterday.
The overall proportion of patients surviving after suffering serious illnesses, such as stroke, has risen since 1998. But figures showed that in the past year, some health boards saw survival rates fall, with wide differences between the regions.

The proportion of patients surviving for 30 days after being admitted with a stroke fell slightly between 2005 and 2006, from 81 per cent to 80.6 per cent. But the survival rate varied from 68.7 per cent in Dumfries and Galloway to 84.1 per cent in Lothian.

The figures, from ISD Scotland, the health-statistics body, also revealed that 30-day survival after a heart attack improved from 85.1 per cent in 2005 to 85.8 per cent in 2006.

But rates varied from 81.5 per cent in Lanarkshire to 89.5 per cent in Borders and Highland.

Survival at 120 days after a hip fracture rose from 80.6 per cent in 2005 to 82.6 per cent in 2006. Rates varied from 79.4 per cent in Forth Valley to 88.2 per cent in Dumfries and Galloway. Experts believe the variations could be explained by different population characteristics, with more elderly people in some areas.

The figures also showed that readmission within 28 days of medical treatment went up from 9.8 per 100 discharges in 1998 to 11.2 per cent in 2006.

Ross Finnie, the Lib Dem health spokesman, was concerned at the rise in readmissions. "I hope this is not a sign that patients are being discharged too early by doctors trying to meet waiting-time targets," he said.



The full article contains 289 words and appears in The Scotsman newspaper.
Page 1 of 1

  • Last Updated: 29 January 2008 11:02 PM
  • Source: The Scotsman
  • Location: Edinburgh
 
1

John Blackley,

Winter Garden, FL 30/01/2008 00:25:56
"SURVIVAL rates after heart attacks, strokes and hip fractures vary widely across Scotland,"

At what point, over the past thirty years, has this constituted news.

A state-run system that was designed in an era when anaesthetic was 'gee-whiz' and has since been abused by every political party is unfit - by its nature - to provide healthcare in today's society.
2

Vincent-W,

30/01/2008 09:04:37
Localised variations are inevitable in any sphere of public or private service. Why are we all surprised?

I've got a brilliant GP - best I've ever had. He has a particular interest in the area of my specific health problem. He has given it extra study and has become a 'local expert'. You can't legislate for that, it's just the way of the world. Mind he's merely adequate at some other things.

It's simple statistics and probability that there will be 'clusters' of excellence and 'clusters' of adequacy. Just look at journalism - some Scottish cities have a good daily paper and others don't.................

3

GP,

30/01/2008 09:58:23
allways has been a postcode lottery.
4

ARP,

Scotland 30/01/2008 11:39:44
Communities must look out for themselves and set up voluntary Community First Responders teams. They can sustain life with oxygen and automatic defibrillators until the ambulance gets there.

Stop bleating about the inadequate NHS service - do something about it!

No out of hours GP service, no NHS24 and no ambulance service, however efficient can give the support needed in the first few minutes of a life-threatening medical emergency. Only someone living locally, trained and equipped properly can, on being called out by the 999 ambulance dispatcher, get to the patient in time; otherwise its death or a vegetative 'existence'.

The NHS ambulance service provider is ready, willing and waiting for communities to take an initiative. The British Heart Foundation and others can help with cash support, but unless and until someone in each community makes a move, unnecessary deaths nd disabilities will continue.

And the next victim - ask not for whom the bells tolls....
5

Dr Finlay,

Tannochbrae 31/01/2008 21:46:51
This has nothing whatever to do with quality of services or a postcode lottery - it is simple arithmetic!

1. Heart attacks have a peak mortality within the first hour or so after they occur.
2. Rural areas have lots of people who live an hour away from the hospital.
3. Some of them die before they reach hospital.
4. The hospital figure can't include those who are never there.
5. Ergo - rural hospitals have a "better" survival rate.

This story is completely pointless. Don't be fooled by simple stats - use your brain.


 

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