Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T12:39:57.594Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of Scottish Government protocols on practice in Scotland

Published online by Cambridge University Press:  25 March 2014

P R C Steele ,
M L Barnes  and
P D Ross
P R C Steele*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
M L Barnes
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
P D Ross
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Mr PRC Steele, Ward 26, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK E-mail: petersteele@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To investigate rates of septorhinoplasty and rhinoplasty in Scotland between 2006 and 2010, and to establish the impact of government legislation.

Methods:

Data on the rates of rhinoplasty and septorhinoplasty were collected and analysed according to specialty, region and year.

Results:

In 2006, 754 septorhinoplasty and rhinoplasty cases were recorded (147 per million population), rising to 893 (171 per million population) in 2010. Mean annual rates per million population were 152 (87 per cent of procedures) in ENT, 13.9 (8 per cent) in plastic surgery and 8.7 (8 per cent) in oromaxillofacial surgery. After 2009, there was a 43 per cent reduction in the rhinoplasty rate (p < 0.0001), although the oromaxillofacial surgery rate increased by 68 per cent (p < 0.05). Over the same period, the septorhinoplasty rate increased in ENT (46 per cent, p < 0.0001), and declined in plastic surgery (24 per cent, p = 0.49) and oromaxillofacial surgery (45 per cent, p = 0.05). Overall, the rate for rhinoplasty plus septorhinoplasty only declined by 1 per cent. There was significant regional variation.

Conclusion:

Overall, septorhinoplasty rates have increased and rhinoplasty rates have decreased. There was only a 1 per cent decrease in the overall rate following the 2009 legislation. Practice differs between regions.

Keywords

EpidemiologyLegislation as TopicRhinoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 4 , April 2014 , pp. 345 - 349
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Scottish Government Health Directorates. The Exceptional Aesthetic Referral Protocol – Revised June 2011. In: http://www.sehd.scot.nhs.uk/mels/CEL2011_27.pdf [15 March 2013]Google Scholar
2Scottish Government Health Directorates. The Exceptional Aesthetic Referral Protocol – Revised May 2009. In: http://www.sehd.scot.nhs.uk/mels/CEL2009_30.pdf [15 March 2013]Google Scholar
3McKiernan, D, Banfield, G, Kumar, R, Hinton, AE. Patient benefit from functional and cosmetic rhinoplasty. Clin Otolaryngol 2001;26:50–2Google Scholar
4NHS Scotland. 18 weeks – Scotland's Referral to Treatment Standard. Task and Finish Group Plastic Surgery. In: http://www.18weeks.scot.nhs.uk/task-and-finish-groups/plastic-surgery [15 March 2013]Google Scholar
5Stroman, L, McLeod, R, Owens, D, Backhouse, S. Rates of rhinoplasty performed within the NHS in England and Wales: a 10-year retrospective analysis. Int J Surg 2012;10:S36Google Scholar
6Joint Committee on Surgical Training. Guidelines for the award of CCT in Otolaryngology. In: http://www.jcst.org/quality_assurance/Docs/cct_guidelines_ent [15 March 2013]Google Scholar
7Pothier, DD, Toll, EC, Grant, DG, Giddings, CE. Trends in operative training opportunities for junior and senior trainees in otolaryngology. Clin Otolaryngol 2009;34:179–84Google Scholar