Greater Glasgow NHS Board
Acute Services

Annex 2

The Process of Consultation on Greater Glasgow NHS Board’s

Proposals to Modernise Glasgow’s Acute Hospital Services

 

Background

1.

Planning

 

1.1

The Health Board sought advice from the Public Relations Consultancy Shandwick on the most effective methods to use to engage effectively with its population. Shandwick were contracted to work for the Board and the Trusts from December 1999 – March 2000. Their remit was :-

     

to describe a participative consultation process with the public and interested bodies which is informed and coherent, for the Board to seek views on its proposals for the future provision of acute health care in Glasgow.

 
 

1.2

Shandwick assisted in the drafting of the leaflets, identifying appropriate design and print production houses and liasing on behalf of the Chief Executive with the media stratregy.

2.

Consultation Launch

 

2.1

Greater Glasgow NHS Board agreed at its meeting on March 21st to launch a consultation proposal to modernise Glasgow’s acute hospital services. The consultation document comprised:

    • the consultation paper - Modernising Glasgow’s Acute Hospital Services;
    • a summary leaflet entitled The Future of Glasgow’s Hospital Services: Let’s Plan it Together; and
    • 21 topic specific leaflets on a range of issues and geographical information of interest to the public and staff in the health service.
 

2.2

The materials were issued week beginning April 10th to our consultee list and others who requested the consultation package, see Appendix 1 and 1a. The period of consultation was initially set for June 30th. Following representations from a number of organisations, the Health Board announced on May 15th that the consultation period would be extended until September 8th, 2000.

 

2.3

A series of presentations were arranged with key partners of the Health Service, local Councillors and MP/MSPs, on the proposals and the long term benefits for the provision and delivery of health services in Glasgow. These took place on March 21st, 22nd, 28th and 31st. Representatives from all the Trusts and the Health Board took part in presenting the proposals and details of those invited to attend (and those presenting) are contained within Appendix 2.

 

2.4

Extensive staff briefings in each Trust were also arranged to co-incide with the March Board meeting to inform staff immediately of the consultation. This included scheduling meetings to ensure that staff on shifts also received the information at the earliest opportunity.

 

2.5

Meetings were arranged, through Shandwick, for the Chief Executive to meet with the key media editors to inform them of the basis for the consultation. Chris Spry met with the Herald, Evening Times, Daily Record, STV and BBC. The Evening Times commented that on an issue this big the embargo would not hold and in those circumstances they could not afford to be left ‘standing at the post’. We sought to achieve the best result we could from the expected breaking of the embargo. The Evening Times were asked to check their material with us before publishing and this they agreed to do. The Evening Times ran a detailed analysis of the proposals on March 15th.

 

2.6

Following extensive interest, the Evening Times worked closely with the Board on a series of articles which identified the key issues raised by its readers and carried an official response on each issue. The Chief Executive also took part in a People’s Jury on April 6th, organised by the Times to debate the key issues emerging from the Board’s proposals.

   

3.

Summary Leaflet

 

3.1

To ensure that as many people as possible who were interested in contributing in this debate had a clear understanding and easy access to the proposals, the Board decided to distribute the leaflet to every household in the GGNHSB area.

 

3.2

500,000 leaflets were printed comprising of 423,000 for the door-to-door distribution and the balance being distributed through hospital out-patient departments and clinics, GPs, Dentists, Opticians and Community Pharmacists, available at all the public meetings and from the key public outlets where the consultation documentation was available (libraries etc).

 

3.3

Scotmail on behalf of GGNHSB carried out the door-to-door distribution. Initial internal evidence suggested that the distribution of the leaflet had not been as comprehensive as we would have liked. This was also tested at the public meetings which indicated that a large proportion of people had not received the leaflet through their door. At the end of May, Scotmail were asked by the Board to survey postcode areas G3, G11, G12, G14, G32, G33, G44, G53, G61, G62, G64, and G81. The Health Board also requested that Scotmail survey geographical area G76 where reports that a high number of copies had not been received. The overall findings showed a 76% success rate in the distribution of the material by Scotmail (the areas surveyed had been chosen by Board officers following a survey of NHS staff and the survey included the householder signing for whether they recalled receiving the Summary Leaflet or not).

 

3.4

A number of minor errors occurred in some leaflets and the Board sought to correct these immediately. The Summary Leaflet referred to Leaflet 16 detailing options for the North – it should have said South, and Leaflet 19 – GRI/Stobhill Partnership contained errors in the bed numbers at Stobhill. Once these errors were identified, erratum slips were incorporated into the affected leaflets. More recently the basis for the figures in leaflet 11 – The Number of Beds We Propose To Provide has also been shown to have errors due to a fundamental assumption wrongly made on the calculation of bed numbers by ISD. A re-calculation has been carried out and is attached to the main covering paper.

4.

Topic Specific Leaflets

 

4.1

The scale of the consultation resulted in the key issues being explained individually within a series of topic/geographical specific leaflets. There were 21 leaflets cover the following:-

  1. The Patient’s Experience
  2. Getting it Right for Patients: What it Means for Organising Services
  3. Cancer Services: Specialisation in Action
  4. Why Specialisation Matters – And What we Propose to do to Make its Benefits More Available
  5. Creating More Responsive Accident and Emergency Services
  6. Ambulatory Care – What Is It?
  7. Minimally Invasive Technologies: Keyhole Surgery and the Like
  8. The Overall Planning Challenge for Greater Glasgow – Acute Hospitals in a Wider Context
  9. Some Recent Background History
  10. Impact of Regulations on Doctors’ Working Hours
  11. The Number of Beds we Propose to Provide
  12. Regional Services Provided by Glasgow Hospitals
  13. Why Teaching and Research Matters
  14. Staffing Matters
  15. How the Finance Works
  16. Detailed Analysis of the Options for South Glasgow
  17. Maternal and Child Health
  18. Better Access for West Glasgow Residents
  19. The GRI/Stobhill Partnership
  20. Why Centralise Cardiothoracic Surgery?
  21. Radiotherapy: Linear Accelerators – A Patient’s Guide

 

4.2

Over 3,000 copies of each leaflet were produced for distribution to the public. Annex 1 of the main covering paper shows the distribution of each leaflet.

   

The leaflets could be requested via the telephone enquiry line, website, writing to the Board’s Freepost address or by contacting the Board via letter, fax or telephone.

   

5.

Events Schedule/Public Meetings

 

5.1

The consultation process included many formal and informal opportunities to explain and discuss the implications of the proposals for individual specialities and within the context of Greater Glasgow as a whole.

 

52.

Greater Glasgow NHS Board, the North Glasgow Trust, the South Glasgow Trust and Yorkhill Trust undertook a range of meetings, some on a geographical basis and some with interested groups and organisations. Details of these meetings is attached as an Events Schedule covering March – August at Appendix 3.

   

The attendance at the 44 public meetings (4 launches and other open meetings) was mixed – some with good attendances and some disappointing attendances.

   

Also attached is the detail of the place, date and lead officers for each public meeting and the questions raised and answers given – this includes the public meetings held by North Glasgow, South Glasgow and Yorkhill NHS Trusts.

   

There is no distillation of the issues raised, however, the points discussed have been fed into the process and considered by the Board and Trusts as the strategy has emerged to its next stage.

Issues for the future centre around how to engage the public more on issues of such importance and a greater concentration of engagement with Social Inclusion Partnerships. These and other lessons learned will be discussed with the Trusts in order to improve our communications with the public in the future.

   

6.

Newsletter

 

6.1

The Board issued a newsletter to further publicise the consultation and its main aims and issues. The first newsletter was issued on April 14th with a follow up on May 9th which picked up on some of the key issues arising from the Board’s proposals in particular the issue of transport and the Chief Executive’s meeting with Strathclyde Passenger Transport Executive.

 

6.2

The newsletters were issued to our consultee list, available through our website, placed in libraries and available on request.

   

7.

Telephone Inquiry Line

 

7.1

Network Scotland were contracted to provide a telephone inquiry line for members of the public who required further information or literature about the proposals. The inquiry line operated as a freephone number (0800 85 85 85) and began on April 3rd. The service was available during the hours of 9.00am – 6.00 pm weekdays and from 10.00 am – 2.00 pm on Saturdays. Out of these hours callers could leave a message on an answering machine facility.

 

7.2

The number of callers was such that the service continued until May 24th. Within that period there was approximately 190 calls from people looking for leaflets, details of the public meetings or other specific information on the consultation.

 

7.3

Network Scotland also distributed copies of the leaflets. Over 2550 copies of the leaflets were requested and dispatched.

 

7.4

From May 24th, due to the low number of calls to the line, a message was left on the freephone number directing callers to the Health Board and indicating that further information or leaflets could be accessed using the Board’s Freepost address.

8.

Website (www.show.scot.nhs.uk/GGNHSB)

 

8.1

The Board’s website has provided an easy route for people far and wide to access the detail of our proposals. This is the first time we have put our proposals for consultation on our main website and we have been told that some individuals were pleased to be able to access the documentation electronically. All the consultation documents, together with the final versions of the 21 leaflets, are available both in PDF format and HTML. The Acute Hospital Services section of the website was launched on March 17th.

 

8.2

Throughout the process the website has been updated regularly with details of the public meetings, the newsletter and copies of subsequent related Board papers. We also built in a facility to request leaflets and receive comments on our proposals through the web; the e-mail address being acuteservices@gghb.scot.nhs.uk. A number of comments were received this way.

   

We introduced a hit counter on the site in May: there have been over 1830 visitors to the Acute Services section of the Board’s website since then.

     

9.

Advertising

 

9.1

A series of advertisements were placed in the Glasgow papers to publicise the series of public meetings. Adverts appeared in the Kirkintilloch Herald on April 12th and in the Herald, Evening Times, The Glaswegian, East End Independent, The Reformer, Clydebank Post, and The Extra on April 13th.

 

9.2

Posters were produced and distributed to the Trusts to publicise their local meetings within the hospitals and in local community settings.

 

10.

A backdrop visual based on the Summary Leaflet was produced for the Board and Trusts’ public meetings.

     

10.

Response

 

Up until the last few days of August Board officers have been trying to answer in full responses received from the public and others, as well as enquiries and requests for additional information.

 

In the last 2 weeks, efforts have been concentrated upon analysing the responses to consultation received and putting the themes raised into a Board paper and summarising the responses received for the September Board meeting. Over 3,100 responses have been received as at 13th September 2000.

Appendix 1

Modernising Glasgow’s Acute Hospital Services Consultation Documentation – Initial List of Recipients – April 3rd, 2000

Advisory Committees (Bulk supplies to Secretary with one copy to Chairman)

Area Dental Committee

(16 copies)

Area Paramedical Committee

(16 copies)

Area Medical Committee

(51 copies)

Area Nursing and Midwifery Committee

(21 copies)

Area Optometric Committee

(10 copies)

Area Pharmaceutical Committee

(21 copies)

Principal University of Strathclyde

( 5 copies)

University of Glasgow

(50 copies)

Principal Glasgow Caledonian University

(10 copies)

North Glasgow University Hospitals NHS Trust

South Glasgow University Hospitals NHS Trust

Yorkhill NHS Trust

Greater Glasgow Primary Care NHS Trust

(50 copies)


(50 copies)


(30 copies)

(10 copies)

   

Joint Professional Organisation

(2 copies to the Secretary + 1 copy each Member)

British Dental Association

 

British Orthoptic Society

 

British Dietetic Association

 

Royal College of Midwifery

 

Hospital Physicists Association

 

Association of Clinical Biochemists

 

British Medical Association

 

Royal College of Nursing

 

JTUC

(2 copies to Secretary + 1 copy to each Member)

AEEU

 

GMBATU/APEX (2 Members)

 

MSF

 

UCATT

 

TGWU

 

UNISON (3 Members)+

 

- Scottish Health Visitors Association

 

- British Association of Occupational Therapists

 

Chartered Society of Physiotherapists

 

Society of Radiograhpers

 

Community and District Nursing Association

 

Chair – Partnership Forum (Mr S MacLennan)

 
 

Main Public Libraries in GG Area

Mitchell

(1 copy in English, Chinese, Punjabi and Urdu plus 1 copy of audio tape)

Giffnock

 

Mearns

 

Rutherglen

 

Clydebank

 

Bishopbriggs

 

Milngavie

 

Rest of Public Libraries in GG Area

(1 copy in English, Chinese, Punjabi and Urdu plus 1 copy of audio tape)

Local Health Council (32 copies)

(including copies for Local Health Forums)

(Plus 2 copies in Chinese, Punjabi and Urdu plus 2 copies of audio tape)

   

Other Organisations/Professional Bodies

 

Scottish Asian Action Committee

Scottish Chinese Co-ordinating Committee

Strathclyde Community Relations Council

The Director of Social Work, Committee of Social Responsibility

One Plus

Bangladesh Association Glasgow

Indian Association of Strathclyde

Pakistan Muslim Welfare Society

East Pollokshields Project

Mr W G Alston,

Strathkelvin Health Forum

Glasgow Jewish Representative Council

National Federation of the Blind (West of Scotland Branch) (To receive audio tapes only – not printed version (2 copies)

Link - Glasgow Association for Mental Health

Castlemilk Youth Complex

Greater Pollok Health Group

Integrate

Soroptimist International (Glasgow West)

National Schizophrenic Fellowship

Glasgow Council for Voluntary Services

Archdiocese of Glasgow

Scottish Association for Mental Health

Soroptimist International (Glasgow West)

Glasgow Nursing Homes Association

Carntyne Clinic

c/o Soroptimists International

Nuffield Centre for Community Care Studies

(For consultations to do with Community Care only)

Royal College of Midwives (Scottish Branch)

Strathkelvin Health Forum

Glasgow Hospitals Auxiliary Association

Department of Nursing Studies, University of Glasgow

Mr A Tough, Health Board Archivist, University of Glasgow

Royal Pharmaceutical General Council (Scotland)

Royal College of Physicians and Surgeons of Glasgow

Glasgow City Council Social Work Department (3 copies plus 2 audio tape)

Glasgow and West of Scotland Society for the Blind (1 copy plus audio tape)

Multi-Cultural Elderly Care Centre (1 copy in English, Chinese, Urdu and Punjabi)

Glasgow Occupational Therapy Managers Group

Community and District Nursing Association

Scottish Association for Mental Health

SAMH North

SAMH South & East

SAMH Central

SAMH Glasgow & Ayrshire

Midwives Information & Resource Service (MIDIRS) (For consultations appropriate to Midwives)

Scottish Head Injury Forum

Professor of Primary Care

Marie Curie Centre (Huntershill)

All Scottish MSPs (129 ) (1 copy each)

Scottish Ambulance Service NHS Trust

All Scottish Health Boards (14) (3 copies each)

Unitary Authorities with Residents within Greater Glasgow (10 copies unless indicated),

City of Glasgow Council (20 copies)

North Lanarkshire Council

East Renfrewshire Council

South Lanarkshire Council

East Dunbartonshire Council

West Dunbartonshire Council

General Medical Practices within Greater Glasgow (220)

General Dental Practices within Greater Glasgow (195)

General Pharmaceutical Practices within Greater Glasgow (213)

General Optometric Practices within Greater Glasgow (135)

Local Medical Committee (1)

Community Councils (130)

Copies for Internal Circulation (one each unless otherwise shown):-

Non-Executive Board Members

Chief Executive

Director of Finance (4)

Director for Commissioning (5)

Director of Public Health (12)

Director of Health Promotion (2)

Nursing Adviser

Pharmaceutical Policy Adviser

Consultant in Dental Public Health

Head of Corporate Services (5)

Public Relations Manager

Chief Executive’s Office

Secretariat Officer

Women’s Health Co-ordinator (Sue Laughlin)

Assistant Director for Commissioning (South Sector)

Assistant Director for Commissioning (North)

Greater Glasgow Health Service Librarians = (8)

Spare (100)

Appendix 1a

Additional recipients of Modernising Glasgow’s Acute Hospital Services Consultation Documentation

Royal College of Physicians and Surgeons of Glasgow

Dr Alison Mack

Mr David Thompson

Mr D McGugan

Ms Susan G Watters

Ms Helen Drumond

Mr Alberto Lanniello

Liaison VAT Consultancy

Mr Chris Johnston

Mrs J Tottern

Ms Kerin Wells

Councillor Brian McKenney

Mr Robert P French

Mr Frank Harvey

Rev E Hope

Mr Blair Robertson

Father S Dunn

Ms Sheila Scott

Mr Adrian Lucas

Strathclyde Passenger Transport Executive

Mrs Lorna Howieson

Councillor Butler

Dr Green

Councillor McKenna

Professor S B Kaye

Mr Liam Purdie

Mr Ian Davidson

Ms Christine McNeill

Mr John A McLintock

Councillor Tony Devine

Mr John Jolly

Ms Marie Burns

Ms Lesley Garrick

Ms Shona Mackie

Mrs Glenda Kelly

Mrs Ann Campbell

The Right Hon Alex Mosson

Dr Malcolm Reid

Ms Carmel Sheriff

Dr Ian Gordon

Mrs Zoe Van Zwanenberg

Mrs D McNicol

Dr Hugh McNeill

Ms Alison Wood

Mrs Margaret Hinds

Ms M McAuley

Mr Calum Kerr

Mr D Hankins

Appendix 2

Consultation Launch – Lecture Theatre, North Glasgow Trust Headquarters, Stobhill Hospital

 

 

Invited Attendees

Presenters

     

21.3.00

Chairmen, Executive Directors and Trustees of NHS Boards in Glasgow

Greater Glasgow Health Council

MSPs

Jim Devine

Media

Glasgow Alliance

Healthy City Partners

Ambulance Service

Mr Chris Spry - Chief Exec.,GGNHSB

Dr Tim Parke –Chairman, A&E Sub-committee

Mr Ian Sother –

Clinical Director, Orthopaedics, North Glasgow Trust

Prof. Tim Cooke –

Chairman of Surgical Division, North Glasgow Trust

Dr Brian Cowan –

Medical Director, South Glasgow Trust

Dr Morgan Jamieson –

Medical Director, Yorkhill Trust

22.3.00

Greater Glasgow Partnership Forum

Professional Advisory Committees

Mr Chris Spry - Chief Executive, GGNHSB

Miss Maggie Boyle –

Chief Executive, North Glasgow Trust

Mr Robert Calderwood –

Chief Executive, South Glasgow Trust

Mr Jonathan Best –

Chief Executive, Yorkhill Trust

28.3.00

Chief Executives, Directors of Social Work and Councillors of Glasgow City, East Dunbartonshire, West Dunbartonshire, South Lanarkshire, North Lanarkshire and East Renfrewshire Councils

Dean and Heads of Nursing etc at Glasgow, Strathclyde and Caledonian Universities

Social Inclusion Partnerships

Secretaries of Community Councils

Mr Chris Spry - Chief Executive, GGNHSB

Dr Tim Parke –

Chairman, A&E Sub-committee

Mr Ian Sother –

Clinical Director, Orthopaedics, North Glasgow Trust

Dr Brian Cowan –

Medical Director, South Glasgow Trust

Dr Angus Ford –

Clinical Director, Yorkhill Trust

31.3.00

Chairman and General Managers of Local Health Care Co-operatives

Local Medical Committee

Royal Colleges

Charities – Hospices, Marie Curie, Macmillan

Ethnic Minorities Advisory Group

Mr Chris Spry – Chief Executive, GGNHSB

Miss Maggie Boyle -

Chief Executive, North Glasgow Trust

Mr Robert Calderwood -

Chief Executive, South Glasgow Trust

Mr Jonathan Best -

Chief Executive, Yorkhill Trust

Dr Tim Parke -

Chairman, A&E Sub-committee

Dr Brian Cowan -

Medical Director, South Glasgow Trust

Appendix 3

Greater Glasgow NHS Board Meetings

Date

Invited to Attend

Introductions

Nos.

9.3.00

Herald

Daily Record

Evening Times

Chris Spry

 

14.3.00

STV

Chris Spry

 

15.3.00

BBC

Chris Spry

 

24.3.00

31.3.00

3.4.00

Greater Glasgow MSPs

Chris Spry/Prof. Hamblen

 

17.5.00

Greater Glasgow Health Council

Chris Spry

 

22.5.00

MSPs

Chris Spry

*

30.5.00

Executive Directors, Ayrshire & Arran Health Board

Chris Spry

 

1.6.00

Greater Glasgow Primary Care Trust

Chris Spry

 

9.6.00

GP/Consultants, Royal Alexandria, Paisley

Chris Spry

 

21.6.00

GP/Consultants, Vale of Leven

Chris Spry

 

22.6.00

East Dunbartonshire Council

Chris Spry

 

23.6.00

Scottish Ambulance Service

Chris Spry

 

23.6.00

Glasgow City Council

Chris Spry

 

3.7.00

Stakeholders – Paisley

Chris Spry

 

14.8.00

Stakeholders – Dumbarton

Chris Spry

 

28.8.00

Deaf Connections

Chris Spry

25

*cancelled due to lack of interest

North Glasgow University Hospitals NHS Trust Meetings

Date

Invited to Attend or Venue

Introductions

Nos.

11.4.00

Lenzie Public Hall

Maggie Boyle

20

12.4.00

Woodside Hall

Margaret Smith

3*

13.4.00

Bellrock Community Centre

Maggie Boyle

3*

17.4.00

Partick Burgh Hall

Alan Boyter

39

18.4.00

Kirkintilloch Town Hall

Maggie Boyle

47

19.4.00

Ruchazie Community Centre

Maggie Boyle

3*

20.4.00

Milngavie Town Hall

Maggie Boyle

43

25.4.00

Clydebank Town Hall

Maggie Boyle

37

26.4.00

Westerton Hall

Maggie Boyle

38

27.4.00

Provanhill Neighbourhood Centre

Maggie Boyle

3*

2.5.00

Campsie Memorial Hall

Alan Boyter

9

3.5.00

Springfield Centre

Bill Anderson

2

4.5.00

Auchinairn Public Hall

Brian Steven

14

8.5.00

Broomhill

Maggie Boyle

???

9.5.00

Shettleston Hall

Brian Steven

4

10.5.00

Bishopbriggs War Memorial Hall

Maggie Boyle

22

11.5.00

Roystonhill Recreation Centre

Maggie Boyle

1*

16.5.00

Brunswick Centre, Springburn

Maggie Boyle

22

17.5.00

Drumchapel Community Centre

Maggie Boyle

5

18.5.00

Scotstoun Primary School

Brian Steven

100

22.5.00

Edinbarnet Primary School

Maggie Boyle

2*

24.5.00

Blue Vale Community Centre

Maggie Boyle

4

25.5.00

Dental Hospital

Alan Boyter

0*

30.5.00

Blairdrum Community Centre

Brian Steven

 

31.5.00

Garrowhill Primary School

Alan Boyter

 

1.6.00

Dalmuir Community Education Centre

Maggie Boyle

 

12.6.00

Faifley Regeneration Centre

   

15.6.00

Cranhill Parish Church

Maggie Boyle

 

South Glasgow University Hospitals NHS Trust Meetings

Date

Invited to Attend or Venue

Introductions

Nos.

2.5.00

Bellarmine High School

   

5.5.00

Langside Hall

   

12.5.00

Cooper Institute

   

17.5.00

Clarkston Hall

   

22.5.00

McLeod Hall

   

24.5.00

Trinity High School

   

12.6.00

Castlemilk Community Centre

   

19.6.00

Mosspark Labour Hall

   

Yorkhill NHS Trust Meetings

Date

Venue

Introductions

No.s

17.4.00

Shettleston Hall

Jonathan Best

 

26.4.00

Possilpark Health Centre

   

27.4.00

Partick Burgh Hall

   

2.5.00

Langside Hall

   

3.5.00

Family Support Groups

   

10.5.00

Family Support Groups

   

11.5.00

Local Councillors

   

12.5.00

MSPs/MPs

   

13.5.00

MSPs/MPs

   
       
       
       

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