NHS Scotland’s continually improving cancer treatment figures

BCancertargets

https://www.isdscotland.org/Health-Topics/Quality-Indicators/Publications/2019-04-09/2019-04-09-Breast-QPI-Report.pdf

Note: These are the latest such figures published today.

As Reporting Scotland determinedly attempts to shake NHS Scotland to death, like a demented Border Terrier (other breeds are available), reliable statistics emerge to paint a different picture. You can see from the above table:

  1. A reduction to only 3 out of 17 targets not met.
  2. Targets exceeded in 14 of 17 cases.
  3. Incredibly high, near 100%, performance in the diagnosis and assessment phases.
  4. Performance improving year-on-year in 12 cases.
  5. The final target with worsening performance is pointless*.

*On further investigation (5), it appears that the increasing percentage is a function of a decreasing population, already very small, of those for whom home-based palliative care is not possible and for whom life beyond the 30-day target is less likely. The number treated in hospital has decreased by 25% from 2006 and the number treated at home has increased by around 20%.

https://www.isdscotland.org/Health-Topics/Cancer/Cancer-Statistics/Place-of-Death/

See this:

‘The percentage of patients dying within 30 days of receiving palliative chemotherapy from breast cancer has increased from 7% in 2015 to 11% in 2017 which is above the target of <5%. It should be noted, however, that the number of patients in this category was relatively small in each year.’

https://www.isdscotland.org/Health-Topics/Quality-Indicators/Publications/2019-04-09/2019-04-09-Breast-QPI-Report.pdf

Recent reports on related facts:

NHS Scotland hits 31 day cancer waiting time target for third time in a row despite massive demand

In the quarter ending December 2018, 94.9% of patients started treatment in 31 days from decision to treat, hitting the demanding 95% target. The 0.1% deficit is not statistically reliable and should be rounded up using BBC Scotland’s editorial…

Scottish Government invests £100 million in cancer strategy even as incidence falls

Thanks again to list MSP Annie wells for exposing the Scottish Government’s £100 million investment in cancer treatment despite falling incidence of the disease, their encouragement of preventative strategies such as in the reduction of alcohol consumption and smoking and…

NHS Scotland beats 95% target for cancer treatment despite 6.6% increase in demand

For the three months ending September 2018, 95.1% of patients waited 31 days or less for first treatment after diagnosis. In the previous quarter the figure was 95%, also meeting the target. This was despite a 6.6% increase in demand…

As NHS England cancer treatment wait statistics ‘set to be worst on record’, NHS Scotland’s success is ignored

 

It’s NOT a Hootsman poll so you CAN look at it to SNP PEAK literally

rotatedsnp

And it’s Dreghorn’s Favourite by two lengths as Nodding Richard falls and Rolling Ruthie’s lack of fitness shows!

This poll, in swing seats, for Politico, is mainly concerned with the two-nag battle between UK Labour and Conservatives on issues such as competence but allows the SNP in for some comparisons. I doubt Politico could be described as SNP-friendly, but I suspect they’re populated with the usual ‘centrist’, post-Blairites who despise Corbyn and Rees-Mogg almost equally and not that interested in them.

It hasn’t been getting much attention in Scotland due, I think, to the Scotsman scooping it and putting many readers off, so from TuS, one of the most trusted centres for citizen journalism in Ayrshire, here are some of the relevant graphics.

At first sight, because the questions are negative, the SNP peaking can look like slumping, to the lazy reader (yes you, wake up!) so, for impact, I turned one of them upside down for my header. Clever?

 snppeak1

So, roughly speaking and with a wee bit of presumption, in Scotland, just over 20% of people think the Tories ARE in touch and only about 30% think Labour are BUT 60% think the SNP are in touch. That’s a massive lead.

And, 70% think the Tories ARE only for the rich, more than 20% think Labour are only for the rich (20%! Anas, Kate!) while only 10% think the SNP are.

snppeak2

On competence, the SNP streak ahead at over 60% with Labour considered competent by less than 40% and the Tories under Carlaw at a miserable 30%. Labour will be pleased by that win over the Tories.

On support for average wage-earners, Labour close the gap on the SNP and the Tories do better than expected.

https://www.politico.eu/article/poll-brexit-distracted-tories-lose-voter-trust-on-core-issues/

For likely swing seats surveyed, see:

https://www.bbc.co.uk/news/uk-scotland-scotland-politics-39666275

rotatedsnp

As England wearies of its politicians the SNP remains popular and trusted

weary.png

A poll for the Times today suggests that:

‘More than half of Britons want a “strong leader willing to break the rules”, a new Times survey on the state of parliamentary democracy has found. In findings that suggest large parts of the country are ready to entertain radical political change, nearly three quarters of people felt that the British system of governing needed “quite a lot” or “a great deal” of improvement. More than four in ten thought that the country’s problems could be more easily solved if ministers “didn’t have to worry so much about votes in parliament”.

It’s a deeply worrying trend with echoes of 1930s Germany or Italy….or 21st Century USA?

02102018-boris-johnson-brexit-ue-chequers-plan-royaume-uni.jpg afb95c25-c0b6-4021-ac41-6af6ccdb0dff

Meanwhile in the People’s Secular Democracy of Scotland, the utterly democratic SNP surges in popularity:

snppop

With particular regard to trust, this research report seems to have gone awol:

ipsos1

ipsos2

That was this morning. Now it seems to have gone altogether. If you can get it, please share.

I can answer that! Because it’s rubbish and the editor of Reporting Scotland agrees!

autism1333

Scottish Tory parliamentary question today:

autismquest

The ‘research’ report used by BBC Scotland News, on 25th September 2018, to generate the headline:

Over a third of children with autism have been unlawfully excluded from school in the past two years’

is unsound on the basis of both a predisposing bias and a fatally flawed methodology leading to the headline being essentially a lie.

Artlessly, the researchers signal their predisposition to condemn Scottish schools catering for autistic children, by naming their report ‘Not included, not engaged, not involved’ and then peppering the text with more than forty melodramatic and sometimes redundant references to ‘unlawful’ exclusions.

Off course, if the methodology used had been able to scientifically demonstrate the existence of practice in schools warranting these accusations, then the criticism would have only been of lack of taste. However, the methodology as designed and implemented is utterly inadequate for that purpose.

The researchers tell us (p14) that they surveyed only parents and carers of children. 1434 chose to respond with some forms incomplete but still included. We are told that this represents around 10% of the pupils with ASD in Scotland. If the sample was random then it might be valid but given that the respondents were self-selecting, we cannot tell whether they meaningfully represent the total population or whether, as is more probable, they represent only those who perceive problems. For all we can tell, a strong majority of parents and carers may be satisfied with practice in schools.

The authors seem to acknowledge this but then go on to write their findings as if they had forgotten it. Worse still, the level of non-completion of parts of the survey further reduces the sample to a very small number of responses. For example: ‘[Only] 37% of the 478, [only], who answered this question (p19) indicated that their child had been excluded without formal recording’. That’s only around 160 pupils out of their sample of 1 434 and out of a possible total population of 10 000. How on earth do you get from those data to the researchers’ own conclusions? Even worse, the headline by BBC Scotland saying: ‘over a third of children with autism have been unlawfully excluded’, becomes frankly dishonest?

Furthermore, to only interview parents and carers and to fail to access school documents reporting absence or to interview head teachers, is to thoroughly weaken the research – triangulation anyone? We only know, from this research, what a perhaps unrepresentative sample of parents THINK schools are doing with regard to recording informal exclusions. We do not actually know what even a sample of schools IS doing in terms of recording.

Finally, the researchers make the astonishing assumption that percentages should be calculated from those responding to any question and not from the total sample. For example (p23):

When asked whether their child had been placed on a reduced timetable on more than one occasion, 63% (n=248) of parents told us that they had.

This sentence is utterly inaccurate, bananas, and should use the full sample to give the percentage – 17.2% (only)! This practice is repeated throughout to suggest that problems are more common than they are – astonishing incompetence or naked bias?

This research was commissioned, paid for, by Children in Scotland, the National Autistic Society Scotland and Scottish Autism. As you might expect, the researchers have clearly known from the outset what was expected of them.

The ‘researchers’, notengaged.com have no published track record as researchers. Does their name suggest that they, like their funders, are campaigners and not really researchers?

https://www.notengaged.com/download/SA-Out-Of-School-Report.pdf

I wrote to BBC Scotland to complain and they apologised.

Here’s the BBC response:

Dear Professor Robertson

Reference CAS-5101273-HLBVZ3

Thank you for your correspondence. Your comments were passed to the Editor of Reporting Scotland, who has asked that I forward her response as follows:

“Thank you for being in touch about Reporting Scotland on the morning of 24th September. You have raised concerns which I share about a report on a survey of parents and carers of autistic children. In retrospect we should not have carried this story in the way that we did and I apologise for that. I am taking steps to try to ensure that we do not do so again with similar stories. I believe that this was an honest mistake and that there was certainly no intention to mislead our audience, but that does not detract from the fact that we got it wrong. I am grateful to you for taking the time and the trouble to explain the reasons for your concern.”

No doubt Mr Swinney will want to be a bit kinder than I have been, but bad research is to be condemned.

autism1333

Tory righteous rage against fewer short sentences prompts letters from just two angry citizens and three Modern Studies students.

thoosands.png

From the Express in January 2018

Despite angry words in Holyrood aimed at winning popular support for the Tories, widely reported across the Scottish media, only 5 people wrote to the Scottish Government to complain about ‘scrapping’ short sentences. Two were very angry and seemed to agree with the Tories that the SNP actions would release a torrent of slavering violent psychopaths into their midst. The other three letters came from Advanced Modern Studies students researching the topic for their projects.

Hoping, I’m guessing, for a bigger sack, some ‘opposition’ politician or cub-reporter made this FoI request. The letters are published today at the link below:

shortsentences

https://www.gov.scot/publications/foi-201900000791/

Folk seem less anxious about crime than some might hope:

fearcrime

https://www.ipsos.com/ipsos-mori/en-uk/issues-index-concern-about-crime-reaches-seven-year-high

thoosands

LATEST: SNP solid at 42% Tories scary at 30% and Labour deid at 15%

Part-DV-DV2020640-1-1-1

After a long period with the sub-polls reporting SNP support steady at 41%, clearly unaffected by the ‘SNP Civil War’ following ‘Salmondgate’, we’ve had a run of 6 sub-polls with 5 suggesting SNP support at 45% to 50% and one back at 41%. Sub-polls are unreliable but with more than 700 people sampled in these collectively, they begin to reasonably suggest a surge.

Now from BMG, online, based on the period 2nd – 5th April, we get:

Conservative      30%

Labour                  15%

Lib Dem                2%

UKIP                      7%

SNP                        42%

https://www.bmgresearch.co.uk/bmgs-westminster-voting-intention-results-march-2019/

Across the 7 sub-polls from Ipsos MORI on 15th to 19th March, we have a healthy average of 46.14%, enough to wipe the board.

While the final throes of Labour are clear, the mini-surge for the Tories is to be regretted. I cannot believe that 3 in 10 Scots are Tories, yet…..

 

If it’s so bad on Scotland’s trains why did only 0.025%* complain to the FM?

Nicolagetsaonly83letters

83 people wrote to complain about lack of punctuality and other problems on Scotrail services. Out of context, I suppose it seems quite a lot but there were 97.8 million passenger journeys in 2018. Even if we generously estimate the total number of passengers to around that figure divided by 300 (everyone on the train 300 days a year), we still have around 326 000 passengers.

https://orr.gov.uk/__data/assets/pdf_file/0007/28195/scotrail-factsheet-1718.pdf

If only 83 of them were mad (angry) enough to write to the PM after a highly publicised invitation and media campaign to demonise Scotrail, that’s a miserable 0.025%!

Most people who are content with a service will never write-in to say so. If they did, might they say this kind of thing?

WingslovesRail

‘99.75% of passengers content or very happy with Scotrail services!’

 

Evidence of good governance IN SCOTLAND as Scotland outperforms UK for job creation

door_drop_leaflet-page-007_sized.jpg

Remember this old joke?

In Insider yesterday:

‘Further growth in permanent staff appointments were signalled by Scottish recruiters during March, extending the current upturn to 26 months. The latest data revealed a stark contrast to the trend at the UK level, where permanent placements dipped moderately. Meanwhile temporary billings growth in Scotland was sharp, having accelerated from the previous month. Relative to the UK as a whole, Scotland overperformed, as the expansion at the national level eased.’

https://www.insider.co.uk/news/scotland-outperforms-uk-permanent-job-14236540

Why do I suggest that good governance will have played a part in this sign of strength in the Scottish economy when neither Insider nor BBC Scotland would? Well, only because it’s obvious and had Labour been in government, you can be sure they’d have got some credit. However, some more explicit evidence is available in these earlier reports:

Unemployment in Scotland 13% lower than UK and wages higher AFTER SNP government gives businesses more than £4 billion in rates relief

Unemployment in Scotland nearly 13% lower than in UK!

Further evidence of better employment practices in Scotland

Unemployment in Scotland below UK level and employment better paid

Or see below the merciful other reality of employment in modern Scotland?

door_drop_leaflet-page-007_sized

Why does Reporting Scotland’s ‘dysfunctional’ breast cancer department have ‘average’ death rate?

BBCcancertysidegead5april

Should read: ‘after BBC attack’

In fact, the department looks ‘average’ and by no means ‘dysfunctional’. See the statistics below.

thingy.png

On the evening of April 1st, Reporting Scotland said of NHS Tayside’s Oncology Department at Ninewells in Dundee:

‘The report today pointed to the possibility of a dysfunctional department. ‘Detectives’ spoke of pharmacy and nursing staff who said they had concerns about the change of procedures, but they felt they were not being listened to.’

Only Reporting Scotland used the word ‘dysfunctional’. The BBC website and all the papers I looked at (8) did not use the term. Though only 14 out of the 304 patients (4.6%) who received the reduced-dose therapy, to reduce terrible side-effects, are being investigated, NHS Tayside have been bullied into a review just as NHS Glasgow were over pigeon poo-related infections.

Reporting Scotland did not think to look for any contextual evidence to support their accusation of the department being dysfunctional. Given the potential anxiety-inducing consequences for hundreds of patients of using that term, I suppose they didn’t care.

Some time ago, I had an exchange with a Reporting Scotland editor who told me it was all very well for academics go on about peer-reviewed sources of evidence. I just didn’t understand journalism. Maybe he felt they were working so fast and to tight dead-lines, that it was unreasonable to expect them to spend hours poring over the evidence. This took me ten minutes to find.

rates headers

rateadjusted

breastcancerkey

https://www.isdscotland.org/Health-Topics/Cancer/Cancer-Statistics/Breast/#cancer-of-the-breast

There are three useful ways of measuring these rates, used by scientists world-wide. In all three, NHS Tayside has an average rate of mortality per 100 000 persons, for its breast cancer patients and lower than for some other (dysfunctional?) health boards:

Measure          NHS Tayside    Scotland          NHS Grampian  

EASR                  18                            17.5                   19

WASR                8.3                             7.8                   8.6

SMR                   101.1                        100                  108.4

These are not statistically significant variations in a total sample of 424 deaths, in NHS Tayside, over a period of 5 years.

So, NHS Tayside is just average, but BBC Reporting Scotland can only dream of such success.

BBCcancertysidegead5april

 

UPDATE: SNP Government only spending 3% of its newspaper bill on Nationalist rags!

nespapers

In response to an anonymous Freedom of Inquiry request about how much the Scottish Government spends on the National, we find:

nationlcosts

The wee diggers don’t, of course, ask how much is spent on the more expensive Herald and Scotsman but at £32.76 for six days of the Herald times 9 copies plus £6.93 for the Sunday Herald times 4, we get total expenditure of £294.84 plus £20.79 or £315.63! Who knows if they get the Scotsman, the FT, the Guardian and others too? Being kind, I’d guess a weekly paper bill of more than £1 000.

So, £50 on pro-Indy newspapers and 20 times or more on the Unionist ones?

NO, SHOCK UPDATE, they spent £74 620.82p in 2018 on newspapers. See this for full list:

https://www.gov.scot/publications/foi-19-00677/

So, that would be £1492 a week and so 75 times as much as they do on the only Nat rag?

 

https://www.gov.scot/publications/foi-19-00798/