Board paper cover sheet - NHS Ayrshire and Arran.

NHS Board Meeting23 June 2010 Paper 5ActivityMonth 12 - Interyear Comparison - 2009/2010 - CumulativeMARCH2008/09 2009/10 Increase/(Decrease)Emergency/Urgent Care Inpatient 4,194 3,549 (645) (15.4%)Assessment/Intermediate Treatment Inpatient 28,316 28,985 669 2.4%Assessment/Intermediate Treatment Day Case 8,361 8,137 (224) (2.7%)Assessment/Intermediate Treatment Inpatient and Day Case 36,677 37,122 445 1.2%Medical Specialties Inpatient 3,489 4,078 589 16.9%Medical Specialties Day Case 2,713 2,261 (452) (16.7%)Medical Specialties Inpatient and Day Case 6,202 6,339 137 2.2%Care of the Elderly Inpatient 4,794 4,670 (124) (2.6%)Improving Balance of Care/LTCM Inpatient 1,873 1,759 (114) (6.1%)Improving Balance of Care/LTCM Day Case 600 164 (436) (72.7%)Improving Balance of Care/LTCM Inpatient and Day Case 2,473 1,923 (550) (22.2%)Ambulatory CareInpatient 3,087 3,063 (24) (0.8%)Ambulatory Care Day Case 7,023 7,821 798 11.4%Ambulatory Care Inpatient and Day Case 10,110 10,884 774 7.7%Planned Care Inpatient 12,292 12,982 690 5.6%Planned Care Day Case 11,791 11,835 44 0.4%Planned Care Inpatient and Day Case 24,083 24,817 734 3.0%Children's, Women's & Sexual Health Services Inpatient 11,615 12,025 410 3.5%Children's, Women's & Sexual Health Services Day Case 4,682 4,467 (215) (4.6%)Children's, Women's & Sexual Health Services Inpatient and Day Case 16,297 16,492 195 1.2%Emergency/Urgent Care OPD New 105,946 108,4782,532 2.4%Total Inpatient 69,660 71,111 1,451 2.1%Total Day Case 35,170 34,685 (485) (1.4%)Counter Fraud ServiceThe National Counter Fraud Service has calculated an estimated and potentiallevel of fraud for calendar year 2009 in relation to Ayrshire and Arran patientswrongly claiming exemption from dental charges, ophthalmic charges orprescription fee charges. These are based on extrapolation of a small sampleand are shown in the table below:Estimated Fraud Potential Fraud£ £Dental Fees 573,317 954,576Ophthalmic Fees 95,250 85,900Pharmacy Fees 506,989 316,506DentalThe levels of fraud/error and potential fraud/error both show increases in 2009compared to 2008. In the case of the level of fraud/error, the increase is due toincreases in the levels of fraud/error in all but one exception category.OphthalmicThe level of fraud/error in 2009 is almost double the level estimated from thePage 18 of 136