Modernising Glasgow's Acute Hospital Services
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MODERNISING GLASGOW'S ACUTE HOSPITAL SERVICES
Board Paper No.
RECOMMENDATION: The Board is asked to note progress towards the
development of Outline Business Cases for capital
investment in Glasgow's Acute Hospital Services.
1. Attached is a Newsletter which reports on progress being made on the three adult acute hospital Outline Business Cases and the appraisal of options for child and maternal health services.
2. It sets out (page 3) the sequence for option appraisal workshops for adult acute services on the Southside and North-East Glasgow. The dates for the various Workshops are:
A Defining service benefits and their weightings 7th September
B Briefing for subsequent Workshops 17th September
C Option Appraisal for North-East 28th September
C Option Appraisal for Southside 1st October
E Final Workshop - bringing whole picture together 12th October
3. The North-East Reference Group has more clearly defined the options. These are shown on page 1, but can more clearly be described as:
a) Glasgow Royal Infirmary as the in-patient site for the North and East.
Stobhill Hospital as walk-in, walk-out same day Diagnostic and Treatment
Centre (ACAD) with minor injuries service. GRI would need new ward
block and support service facilities to accommodate the extra workload.
b) Glasgow Royal Infirmary as a specialist hospital. New build at Stobhill
as the District General Hospital for North and East with integrated
ambulatory care services.
c) There is a third service model which sees:
Stobhill as a local hospital providing general medicine and general
surgery services with a walk-in, walk-out same day Diagnostic and
Treatment Centre (ACAD), including a "casualty" service.
GRI also retaining its present role.
There are some choices about how much new capital investment is committed in this service model and these choices will need to be covered in the option appraisal:
i) Totally new building at Stobhill for in-patient general medicine
and surgery and for the hospital's Diagnostic and Treatment
services and 'casualty'
ii) Additional new buildings at the GRI to allow those services
still using old buildings at the Cathedral end of the site to move
into new buildings.
iii) Retain medicine and surgery in existing accommodation at Stobhill but build a new ACAD (to include a 'casualty' service).
No more new buildings at GRI. Where existing old buildings
remain in use at Stobhill and the GRI money would be spent to
bring them up to an acceptable safety and maintenance standard.
4. In addition the North-East Reference Group has decided on the arrangements for its Workshop C on 28th September. Around 200 people will be drawn from some 20 different stakeholder groups:
1. GRI doctors
2. Stobhill doctors
3. North and East GPs
4. North and East LHCC
5. Advisory Committee doctors
6. GRI staff
7. Stobhill staff
8. Nursing and PAMs Advisory Committees
9. East End Community Councils & SIPs
10. North Glasgow Community Councils & SIPs
11. Strathkelvin Community Councils (+ relevant North Lanarkshire Community Councils)
12. North Glasgow Action Group
13. Local Health Council
14. Glasgow City Council
15. East Dunbartonshire Council
16. South Lanarkshire Council
17. North Lanarkshire Council
19. Glasgow University
The 200 people will be organised in 20 mixed groups of 10 people per group. Each
group will score the options against the service benefits criteria and scores will then
be consolidated. The way in which the service benefits inter-relate with financial,
economic and risk assessment will subsequently be considered at Workshop E.
5. The Southside Reference Group will consider its Workshop C arrangements when it next meets at the end of this month.
6. The Child and Maternal Health Steering Group met on 6th August and agreed the weighting of service benefits criteria, while identifying how the criteria might be further refined to be sufficiently useful for an Option Appraisal Workshop to be held on a future occasion. The Group also identified the full permutation of logical options that will need to be considered. The various permutations reflect:
a) future location of children's hospital (Yorkhill or Southside).
b) future location of maternity services (Yorkhill site or Southside)
c) degree of capital investment incurred - ranging from minimal to extensive.
The next meeting of the Group is to be held on 3rd September.
7. A meeting of the Bed Numbers Review Group has been arranged for 28th August. It is hoped that it will be able to confirm the basis on which the bed numbers methodology can be applied. The Board's external auditors will be asked to advise on how the bed numbers compare with those included in other major acute hospital investments elsewhere in the UK.
8. The Accident and Emergency Services Planning Group has commissioned a full survey of A & E attendances for a two week period in September. This will provide up-to-date information to aid subsequent detailed planning. In the meantime the Group has reviewed:
a) progress on the GRI A & E re-design project (which has highlighted how better focus of skills at earlier stages in the review and management of patients can yield important benefits).
b) choices for the organisation of "front-door services" at Gartnavel (to be revisited after the data collection exercise). One key issue is how best to use the skills of consultant physicians on emergency receiving duties. Are they better deployed in concentrating solely on GP emergency referrals or should they also "sort" 999 ambulance cases - most of whom will not require admission?
9. The first meeting of the formal Project Steering Group, involving Chief Executives, the Dean of the Medical School, the Board Finance Director and a representative of PWC (external auditors) will be held on 27th August. A Project Timetable has been prepared and will be maintained on Project Management Software.
10. A meeting with Partnerships UK is due to be held on 31st August to discuss a proposed agreement between PUK and NHS Greater Glasgow.
11. The progress reported above should enable the outcome of the Option Appraisals to be considered by the NHS Board for Greater Glasgow at its meeting in December, 2001.
Last modified: November 13, 2002
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