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equality-and-poverty-analysis@scotland.gsi.gov.uk

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Equality, Poverty & Welfare Analysis Team
Communities Analytical Services
Scottish Government
1F North Victoria Quay
Edinburgh EH6 6QQ

Summary: Health, Social Care and Sport

Summary: Health, Social Care and Sport

Age
  • In 2016 the vast majority of both Social Care* at home clients (75%) and long stay care home residents (90%) were aged 65 years old and over.

* Social Care services refer to: Home Care, Telecare / Community alarm, Housing Support, Direct Payments and Meals services.

Source: Care Home Census 2016 (Last updated: October 2016), Social Care Services Scotland 2016 (Last updated: November 2016)

 
  • In 2015, the proportion of adults reporting to be in 'very good' or 'good' health declined with age from 88% of those aged 16-24 to 55% of those aged 75 and over.  Levels of 'very good' health for children ranged between 65% and 73% for those aged 0-11 but declined from 63% for those aged 12-13 to 52% for those aged 14-15. 

 

  • Levels of wellbeing were significantly lower for women aged 16-24 than for other age groups of men and women, in 2015Levels of wellbeing were significantly lower for women aged 16-24 than for other age groups of men and women

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Prevalence of multiple long-term conditions was much higher among older adults, 2012-2015

Prevalence of multiple long-term conditions was much higher among older adults, 2012-2015

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Drug-related deaths in Scotland continue to increase and are currently at the highest level recorded.
  • Over two thirds (73%) of deaths were amongst those aged 35 and over, the same as in 2015. The median age at death increased from 28 years in 1996 to 41 years in 2016.

Source: Drug Related Deaths in Scotland 2016 (Last updated: August 2017)

 

Useful Links

Age and Health, Social Care and Sport Page

Age Page

Disability
  • In 2014, those with a long-term limiting condition have considerably lower levels of good/very good general health than the rest of the population (27.5% compared with 88.6% in the non-disabled group).

Source: Scottish Surveys Core Questions 2014 (Last updated: May 2016)

 

Useful Links

Disability and Health, Social Care and Sport Page

Disability Page

Ethnicity
  • In 2014, when the differing age profile of ethnic groups are taken into account, the "White: Other British" and "White: Other" groups have significantly higher levels of good/very good general health compared to the "White: Scottish" majority.

Source: Scottish Surveys Core Questions 2014 (Last updated: May 2016)

 

Useful Links

Ethnicity and Health, Social Care and Sport Page

Ethnicity Page

Gender
  • As at end June 2017, over three-quarters (77.2%) of NHSScotland workforce (whole-time equivalent) were women (107,302.5 WTE employees out of 138,931.4 WTE).

Source: NHS Workforce Statistics (ISD. Last updated: June 2017)

 
  • In 2012-2015 the average mental wellbeing (WEMWBS) score for 13 to 15 year old boys (52.0) was significantly higher than for girls of the same age (49.9).

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • In 2015, male drinkers consumed around twice as much a week on average as female drinkers

Male drinkers consume around twice as much a week on average as female drinkers

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Men were more likely than women to meet the Moderate or Vigorous Physical Activity guidelines in 2015

Men were more likely than women to meet the Moderate or Vigorous Physical Activity guidelines

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • In 2015, 15% of boys and 14% of girls were at risk of obesity, figures which were identical to those in 1998.
  • The proportion of boys of healthy weight has increased every year since 2011

The proportion of boys of healthy weight has increased every year since 2011

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Self-reported drug use in Scotland is higher for men than for women.  In 2014/15 8.9% of men reported illicit drug use in the last year compared with 3.4% of women.
  • Self-reported drug use in Scotland is higher for men than for women.  

Self-reported drug use in Scotland is higher for men than for women.

Source: Scottish Crime and Justice Survey 2014/15: Drug Use (Last updated: June 2016)

 

Useful Links

Gender and Health, Social Care and Sport Page

Gender Page

Religion

 

  • In 2014, after the age distribution of religion groups is taken into account, most of the apparent differences in good/very good general health disappear. Only the lower than average rates for the "Roman Catholic" and "Other" groups are significant, at 72.5% and 70.4% respectively.

Source: Scottish Surveys Core Questions 2014 (Last updated: May 2016)

 
  • The Scottish Government collects information on the experiences of people in relation to healthcare services through the Scottish care experience survey programme.  Both patient and non-patient factors influence people’s experiences. While patient characteristics such as age and gender account for some of the variation in experiences, non-patient factors such as the individual GP practice, GP practice size, type of admission to hospital and individual hospital are also an important influence on experience.
  • Analysis has been undertaken which takes all of these factors into account in relation to differences in experiences for GP, Inpatient and Cancer care.

Sources:

Note: this analysis is not routinely carried out every year, and isn't available for more recent years

 

Useful Links

Religion and Health, Social Care and Sports Page

Religion Page

Sexual Orientation

 

  • In 2014, after age standardisation, the proportion of the "LGB & Other" group reporting good or very good general health is significantly lower than the rest of the population (65.6% compared with 74.5%).

Source: Scottish Surveys Core Questions 2014 (Last updated: May 2016)

 
  • The Scottish Government collects information on the experiences of people in relation to healthcare services through the Scottish care experience survey programme.  Both patient and non-patient factors influence people’s experiences. While patient characteristics such as age and gender account for some of the variation in experiences, non-patient factors such as the individual GP practice, GP practice size, type of admission to hospital and individual hospital are also an important influence on experience.
  • Analysis has been undertaken which takes all of these factors into account in relation to differences in experiences for GP, Inpatient and Cancer care.

Sources:

Note: this analysis is not routinely carried out every year, and isn't available for more recent years

 

Useful Links

Sexual Orientation and Health, Social Care and Sports Page

Sexual Orientation Page

Transgender

It is widely recognised that there is limited evidence into the health and experiences of transgender people in Scotland. Currently, there is no fully tested recommended question with which to collect information on gender identity in surveys or other data sources. A recent project carried out for the Equality and Human Rights Commission began work into this and the Scottish Government is considering future work in this area.

 

Useful links

Transgender and Health, Social Care and Sport Page

Transgender Page

National Performance Framework

National Performance Framework

Fifty National Indicators enable progress towards the achievement of the National Outcomes and ultimately the delivery of the Purpose to be tracked.

Indicators are chosen to show how the Scottish Government are progressing on the range of Outcomes. Equality breakdowns illustrate how protected groups are progressing towards achievement of the National Outcomes, particularly ‘we have tackled the significant inequalities in Scottish society’

Where available, equality breakdowns of progress against these National Indicators can be found under the 'What more do we know about the National indicator?' heading.

Increase physical activity, Data Tables (including Age and Gender)

Improve self-assessed general health, Data Tables (including Age and Gender)

Improve mental wellbeing, Data Tables (including Age and Gender)

Reduce emergency admissions to hospital, Data Tables (including Age and Gender)

Improve the quality of healthcare experience, Data Tables (including Age and Gender)

Reduce the percentage of adults who smoke, Data Tables (including Age, Gender, Disability and Ethnicity)

Reduce alcohol related hospital admissions, Data Tables (including Gender)

Reduce the number of individuals with problem drug use, Data Tables (including Age and Gender)

Publications and Outputs

Publications and Outputs

Scottish Health Survey 2016 (October 2017) The Scottish Health Survey 2016 report presents statistics on mental health, general health and caring, alcohol consumption, smoking, diet, physical activity, obesity, respiratory conditions, cardiovascular disease, and diabetes. Contains analysis on age, deprivation and gender

Measuring Use of Health Services by Equality Group (NHS Scotland Information Services Division, 2017) This report describes the current availability of equality data in routine national administrative health datasets in Scotland that are used for a number of secondary uses such as planning, performance monitoring, benchmarking and research. It covers age, disability, ethnicity, gender, religion, sexual orientation and transgender

ISD Equality Evidence Finder (NHS Scotland Information Services Division) Summarises the NHS data available by equality characteristics

Scottish Surveys Core Questions 2016 (April 2018) Official statistics publication on equality groups across a range of measures from harmonised questions across the major SG population surveys. This publication provides statistics centred around protected equality characteristics and sub-national geographies: age, disability, ethnicity, gender, religion, sexual orientation, country of birth, deprivation and Health Board/Police Scotland Division.

Scottish Household Survey 2016 (September 2017) This report presents reliable and up-to-date information on the composition, characteristics and behaviour of Scottish households, both nationally and at a sub-national level. This includes analysis of age, deprivation, disability, ethnicity, gender, religion and sexual orientation

 

Social Care Services, Scotland 2017 (December 2017) Presents the latest national figures for Social Care services provided or purchased by Local Authorities in Scotland. Includes breakdowns by age and disability

 

Drug Related Deaths in Scotland 2016 (NRS, August 2017) Statistics of drug-related deaths in 2016 and earlier years, broken down by cause of death, selected drugs reported, age and gender.

Self-Directed Support 2015-16 (July 2017) This report provides analysis of information collected by the 2016 Social Care Survey for all Self-directed Support options. It contains breakdowns by age, deprivation, and gender

Inpatient Experience Survey Volume 3: Exploring differences in experience (April 2017) This report explores differences in the self-reported experiences of different groups of people based on the 2015/16 Scottish Inpatient Experience Survey. It considers age, deprivation, disability, ethnicity, gender, religion and sexual orientation

Care Home Census 2016 (October 2016) This annual census publication presents information on care homes for adults (aged eighteen and older) in Scotland. It focuses on the five main client groups: older people 65+, adults with physical disabilities, adults with mental health problems, adults with learning difficulties, and other vulnerable adults

Respite Care 2015 (December 2015) Presents information on respite care services provided or purchased by Local Authorities in Scotland.

Active Scotland Outcomes: Indicator Equality Analysis (November 2015) This report presents an analysis of equality data across the indicators from the Active Scotland Outcomes Framework. Many data gaps were highlighted, however, available evidence points to inequality of opportunities and outcomes for all groups with protected characteristics across all the Active Scotland outcomes.

Scottish Patient Experience Survey of GP and Local NHS Services 2011/12 Volume 3: Variation in the Experiences of Primary Care Patients (March 2013) This report explores variations in the self-reported experiences of different people using GP and out-of–hours health services. The main source of information is the Scottish Patient Experience Survey of GP and Local NHS Services 2011/12. It considers age, deprivation, disability, ethnicity, gender and religion

Scotland’s Mental Health and its Context: Adults (NHS Health Scotland, 2012) Report describing the state of mental health and the associated contextual factors that influence it. It identifies inequalities in mental health within the Scottish population, by socio-economic status, age and gender.

Dimensions of Diversity:Population Differences and Health Improvement Opportunities (NHS Health Scotland, 2010) This gives a concise overview, of basic health information about a range of population groups in Scotland, linking users to further sources of information.

Data

Future Developments

Future Developments

Tod, E., Parkinson, J., McCartney, G. Children and young people 2013. Glasgow: NHS Health Scotland (2013)

Developing datasets section of website to include more interactive spreadsheets that provide additional anaylsis than in our publications - http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Data

Health, Social Care and Housing - Data linking project : http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Datalinking/HealthSocialCareandHousin

External Links

External Links

Please note that you will leave the Scottish Government web site by clicking on any of the following links, and that the Scottish Government and its staff are not responsible for content external to this web site. The research below has been carried out independently of the Scottish Government and the findings do not necessarily represent the views of the Scottish Government or Scottish Ministers

External Publications and Outputs

Treat Me Well (Mencap, March 2018) Report on the experiences of people with learning disabilities when accessing hospital healthcare. Includes a survey of people with learning disabilities, as well as health care professionals across the UK.

The changing ethnic profiles of Glasgow and Scotland (GCPH, September 2017) a report by Glasgow Centre for Population Health (GCPH) aimed at providing a better understanding of the potential population health implications of the changing ethnic profiles of Scotland and, in particular, Glasgow

Learning Disabilities Scotland Statisics 2017 (SCLD, 2017) This Scottish Commission for Learning Disability statistics Release is based on the thirteenth set of national and local authority level figures provided by local authorities in Scotland for adults with learning disabilities.

Unhealthy Attitudes Scotland: The treatment of LGBT people within health and social care organisations in Scotland (Stonewall Scotland, 2015) Survey looking into LGBT issues in health and social care settings within Scotland

Children and Young People Statistics 2013 (British Heart Foundation, 2013) Presents statistics on children and young people's health and diet. Examines incidence, mortality, treatment and quality of life for congenital heart disease. Looks at medical risk factors associated with cardiovascular disease, setting out figures on blood pressure, diabetes, cholestorol and obesity. Presents findings from Scotland, England, Wales and UK level.

Gay and Bisexual Men’s Health Survey (Stonewall, 2013) Stonewall surveyed 6,861 gay and bisexual men to explore whether their health needs are being met.

Experiences of Healthcare – Stonewall Health Briefing (Stonewall, 2012) Research by Stonewall demonstrates that the specific needs of lesbian, gay and bisexual people are too often overlooked in the provision of healthcare.

Lesbian, Gay and Bisexual People in later life Survey (Stonewall, 2011) This research by Stonewall examines the expectations that both heterosexual and gay people have about getting older and underlines how their experiences differ. It demonstrates that older gay people are not accessing the services they need and are genuinely afraid about who will support them as they age.

External Research Organisations

NHS Health Scotland - Provide an introduction to equality, health inequalities and human rights in relation to health outcomes for each of the nine protected characteristics, signposting to qualitative research about access to services, practice guidance and case studies to help planners and practitioners design and deliver services which meet the needs of individuals and communities. Their Monthly Equalities Alert provides an update on the latest articles and journals covering health in relation to protected characteristics and population groups.

 

Scottish Public Health Observatory - Presents information on health inequalities covering children and young people, older people, ethnicity, religion and sexual orientation.

Statistics in more details

Contacts

Health, Social Care and Sport

swstat@scotland.gsi.gov.uk

 

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