Cancelled planned operations
Month ending 31 August 2023

About this release

This release by Public Health Scotland (PHS) provides a monthly update on the number of operations in NHSScotland that were cancelled the day before or on the day of treatment. Following a review of data processes, an error has been identified at NHS Orkney which means historic statistics for this Board prior to July 2023 are likely to be undercounting the true number of cancellations. PHS are collaborating with the NHS Orkney to resolve this issue.

Main points

• During August 2023, there were 26,006 operations planned to take place across NHSScotland, the highest number of planned operations since February 2020. This is 10.1% higher than the number planned a year previously in August 2022 (23,626).
• The number of planned operations has been steadily increasing since pandemic restrictions first affected provision of services in March 2020. In the 12 months to August 2023, there was a 17.4% increase in the number of planned operations compared to the previous 12 months. This compares to a 10.2% year-on-year increase when comparing year ending August 2022 to year ending August 2021. However, activity remains lower than pre-pandemic levels. When comparing to August 2019 (28,036), there were 7.2% fewer operations planned during the latest month.
• During the latest month, 8.6% (2,229) planned operations were cancelled the day before or on the day the patient was due to be treated in NHSScotland. This has increased from 7.9% (1,732) reported during July 2023 but remains comparable to pre-pandemic levels of 8.4% (2,343) in August 2019. Across NHS Boards, this percentage ranged from 5.6% to 17.5%.
• Of all planned operations during August 2023 in NHSScotland, 786 (3%) were cancelled by the hospital based on clinical reasons, 817 (3.1%) were cancelled by the patient, 521 (2%) were cancelled by the hospital due to capacity or non-clinical reasons, and 105 (0.4%) were cancelled due to other reasons.

Time series chart showing the percentage of cancellations for clinical reason, non-clinical or capacity reason, made by the patient, or for other reasons in NHS Scotland from 1 January 2020 to 31 August 2023. The number of total planned operations is shown in a green area chart. There are vertical lines showing the start and end dates of covid-19 emergency measures, March 2020 and May 2022 respectively.

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Total planned operations and percentage of cancelled planned operations, by reason, up to August 2023

Background

These statistics are released monthly. Data for this publication are submitted from NHS board theatre systems. Further information on the reasons for cancellation can be found on the Cancelled Planned Operations section of our website.

Further information

The next release of this publication will be 7 November 2023.

NHS Performs

A selection of information from this publication is included in NHS Performs. NHS Performs is a website that brings together a range of information on how hospitals and NHS Boards within NHSScotland are performing.