To ask the Scottish Executive how many angiography and angioplasty or coronary artery bypass graft patients in each year since 1999 have waited longer than (a) eight and (b) 18 weeks for treatment, broken down by NHS (i) board and (ii) hospital.
The majority of patients whorequire in-patient and day case treatment, particularly the diagnosis andtreatment of coronary heart disease, are seen and treated quickly. Over 53% ofpatients treated in NHSScotland hospitals receive immediate treatment and neverjoin a waiting list. Of those whose condition does not require immediatetreatment and who are placed on a waiting list, over 40% are admitted withinone month.
Reducing waiting times forthe diagnosis and treatment of coronary heart disease is a key priority forNHSScotland, and the Executive has beensteadily reducing the maximum waiting times for angiography, angioplasty and coronaryartery bypass grafts. The national maximum waiting time for angiography wasreduced from 12 months to 12 weeks on 31 December 2002 and to eight weeks on 31 December 2004. On 31 December 2005,no patient with a guarantee had waited more than eight weeks for angiography. Thenational maximum waiting time for angioplasty and coronary artery bypass graftswas reduced from 12 months to 24 weeks on 31 December 2002 and to 18 weeks on 30 June 2004. On 31 December 2005, no patient with aguarantee had waited more than 18 weeks for angioplasty or coronary arterybypass graft.
From the end of 2007, nopatient will wait more than 16 weeks from GP referral, through a rapid accesschest pain clinic or equivalent, to cardiac intervention. Patients notpresenting with chest pain will wait no more than 16 weeks for treatment afterthey have been seen as an out-patient by a heart specialist, and the specialisthas recommended treatment.
At that point, a newapproach to defining and measuring waiting will also be introduced to replaceavailability status codes (ASCs), which have the effect at present of excludingpatients from waiting times guarantees where for example, they are medicallyunfit for treatment, where they have asked for their treatment to be postponed,or where their treatment is highly specialised or of low clinical priority. Thenew approach will be fairer, more consistent and more transparent.
Retrospective analyses ofwaiting times for hospital treatment compiled from SMR01 returns are based ondata that does not record whether patients have had an ASC applied. Informationon numbers of patients who waited more than eight weeks for angiography and 18weeks for angioplasty and coronary artery bypass grafts has been placed in the Scottish ParliamentInformation Centre (Bib. number 39535): it includes the waiting times ofpatients who have been exempted from the guarantee for the reasons given aboveand therefore overstates true waiting times. It is not possible to estimate theextent of the overstatement. The SMR3 waiting times census data, which excludespatients with ASCs, is used for target compliance purposes, and the tablesprovided also include SMR3 data for angiography, angioplasty and coronaryartery bypass graft surgery for NHSScotland from the censuses undertaken on 31December in each year since 2002.