Greater Glasgow NHS Board
Acute Services
THE FUTURE OF GLASGOW’S HOSPITAL SERVICES
REPORT ON FIRST PHASE OF CONSULTATION
8. BED NUMBERS
- our model assumed 85% occupancy; clinicians feel 80% makes it easier to manage peaks in demand.
- the assumption that all zero, one and two day stay in-patients would in future be day cases was felt by clinicians to be over-ambitious.
- the variant that assumed no increase in demand impacting on bed requirements in surgery was queried, although no statistically argued alternative hypothesis was put forward.
- legitimate scope for increased rates of day surgery (we are below national case-mix adjusted benchmarks in a number of specialties).
- an analytical approach to verifying different bed occupancy rates against their capacity to absorb peaks in demand in large or small pools of beds.
- bed requirements to deal with medical emergency admissions (for the immediate future we shall be increasing medical bed numbers this winter – 2000\1).
- the current number of beds in the North Glasgow Trust.
- the (arithmetically flawed) number suggested by ISD.
- figures suggested in recent discussions with North Glasgow clinicians.
Specialty |
Current |
ISD |
Trust |
ENT |
32 |
8 |
24 |
General Surgery |
373 |
263 |
350 |
Ophthalmology |
22 |
6 |
16 |
Urology |
82 |
41 |
79 |
ITU |
17 |
17 |
17 |
Cardiology |
103 |
66 |
95 |
Clinical Haematology |
26 |
24 |
27 |
Communicable Disease |
32 |
24 |
20 |
Dermatology |
20 |
6 |
18 |
Gastroenterology |
8 |
3 |
|
General Medicine (inc. Resp\Haem) |
417 |
504 |
513 |
Homoeopathy |
15 |
15 |
15 |
Nephrology |
61 |
62 |
73 |
Respiratory Medicine |
90 |
69 |
89 |
Rheumatology |
39 |
38 |
33 |
A & E |
22 |
0 |
0 |
Orthopaedics |
172 |
122 |
158 |
Plastics |
76 |
42 |
70 |
Burns |
22 |
15 |
15 |
Oncology |
141 |
130 |
130 |
Gynaecology |
75 |
32 |
30 |
Cardiothoracic |
94 |
94 |
94 |
Geriatric Assessment |
194 |
194 |
194 |
TOTAL |
2125 |
1792 |
2051 |
Copyright ©
Greater Glasgow NHS Board
Revised 04/01/02