Modernising Glasgow's Acute Hospital Services
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THE FUTURE OF GLASGOW’S HOSPITAL SERVICES:
FIRST PHASE OF CONSULTATION

CONTENTS

See also Erratum - 6th November 2000

Click on Chapter title below to view full document.

1.  Introduction

Sets out the Board’s aims as it embarked upon a period of 5 months consultation on Modernising the Acute Hospital Services in Glasgow. 

2.  The Nature of the Debate

Explains that debate has been vigorous with sectional campaigning, but with others recognising the complexity of the issues and the knock-on effect one decision has on other parts of the strategy.

3.  The Theme of Consolidating In-Patient Services 

Proposals sought the creation of larger Specialist teams to achieve real benefits for patient care and for staff – this could be achieved by creating 3 in-patient sites. Support for Gartnavel General and a single in-patient site for the southside was overwhelming: Trusts and medical advisory committees suggest creating a single in-patient centre for North and East Glasgow at the GRI. 

4.  Ambulatory Care 

Explains the rationale behind Ambulatory Care Hospitals for Stobhill and the Victoria in easing local access to hospital services. Opposition to Ambulatory Care Hospitals has centred upon them being untried, no in-patient back-up should complications arise and will lead to split-site working – each issue is explored further.

5.  Accident and Emergency and Related Services 

Detailed section on the role Trauma Centres and Minor Injuries Units can play and the impact they can have on patients’ attendances, ambulances’ response times and major disaster planning. Raises the issue of the capacity of the A&E Unit at GRI.

6.  Access, Public Transport and Traffic Impact 

Public transport, road congestion and car parking at hospitals – all major concerns – now and in the future. This chapter includes detailed analysis of the Southside Hospital Travel Time Study – commissioned by the South-East Health Forum.

7.  Population Change, Cross-Boundary Flows and Wider Planning Choices 

Gives recognition to the falling population in GGNHSB’s areas (which may be addressed by the creation of new neighbourhoods, better housing and the arrival of asylum seekers), neighbouring Health Boards’ plans for the future and the potential role of hospitals nearby.

8.  Bed Numbers

Picks up on the issue of the error in the original calculation of the bed numbers and the need to further discuss with clinicians an agreed bed model.

9.  The Financial Position and Affordability 

Explores the affordability issue of the proposals, bearing in mind that Health Boards have received additional NHS funds in the recent past. The paper suggests that this level of funding may be difficult to sustain in the longer term and examines the implications. This chapter maps out a framework for the known choices with other Ministerial announcements still to be made.

10.  Decision-Making and Risk

Emphasises the responsibilities of Health Boards in taking account of affordability, best value for taxpayers money, synergy of public policies and managing the risks – recognising that decisions in one area affects another part of the strategy.

11.  South Glasgow Services

The issue which has attracted by far the most comment: consensus for single in-patient hospital for South Glasgow – the issue of debate is where should it be located.

12.  The GRI/Stobhill Partnership 

Addresses the detail of the proposals for change that have developed during the consultation debate. Shows this debate on a specialty by specialty basis.

13.  Services in West Glasgow

The chapter deals with Orthopaedic services in the West, the wish to see the acceleration of the transfer of the Beatson Oncology Centre to Gartnavel and the plans for Cardiothoracic services.

14.  Other Specialties

Specific proposals for Dermatology, Nephrology, Urology and the linkages with aspects of Mental Health services.

15.  Maternal and Child Health 

Addresses further the suggestion made about the possibility of re-locating Yorkhill’s hospital services into brand new facilities.

16.  Future of Glasgow Dental Hospital and School 

Separate consideration now to be given to the future of Glasgow’s Dental Hospital and School following a structural survey of the existing building. Options are explored.

17.  Summary of Proposed Decisions and Further Work After December 2000 

Sets out the issues and propositions from the consultation which will require decisions at the end of the consultation process in December 2000.

ANNEXES

Please note: Only some of the Annexes are available on-line.  Should you require a copy of those not on-line, please contact us.

Annex 1.

List of Consultation Leaflets

Annex 2.

The Process of Consultation:

 

i)

Feedback from Public Meetings

Annex 3.

Analysis of the Responses to the Consultation:

 

i)

Response by Subject Matter by Organisation

 

ii)

Individual Responses

 

iii)

Standard Responses

 

iv)

Graphic Illustrations

Annex 4.

Report on a Visit to the Jethro Arscott Day Surgery Unit, Bexhill

Annex 5.

Scottish Ambulance Service Daily Shift in Greater Glasgow

Annex 6.

A&E Services: A Model for Gauging Future Flows

Annex 7.

"Southside Hospitals Travel Time Study", Mr A W Drewette, Consulting Traffic and Transportation Engineer

Annex 8.

Proposal for a Unified Dermatology Service for Glasgow

Annex 9.

Maternal and Child Health: 10 Key Principles

Annex 10.

Acute Hospital Services – How it Looks to us Now

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Last modified: August 15, 2002

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