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35 Now that’s across the whole system and clearly there can be spikes in activity that individual institutions can be overwhelmed by and therefore we have a policy of cascading the patients into the next appropriate unit. I will look into this situation on the evening of the 30 th and to the 1 st of October, it’s not a date that rings any particular bells with me with regard to operational problems. You talked about the two and a half hour wait for the ambulance service and I’m sure Darren could pick up on that if necessary but clearly the ambulance service has to respond to moving patients against clinical need and criteria. HAI and the coronary care unit at the Vale, again you talk about that unit having, sorry my apologies, again I’ll look into that. The situation with hospital acquired infection is that after patients are diagnoses, whether a hospital acquired infection or an infection in a clinical area a series of protocols kick into place with regard to how these patients are barrier nursed, whether they are moved into appropriate alternative isolation accommodation and in certain situations where future admissions to that area are curtailed until the infection outbreak is controlled. There has been no cuts in the cleaning budget for the Royal Alexandria Hospital or indeed for any Greater Glasgow and Clyde Hospital. In fact we are one of the
36 first Boards that brought all cleaning and domestic and catering services back in-house, this is now provided by our own staff, so I’m concerned as to the inference that anybody may have given you that it was linked to changes to the domestic services and/or cuts in the budget. And the final issue you raised was car parking and the difficulty of car parking at the RAH. That is totally accepted by us. We as a Board have very significant proposals over the next 18 months to enhance the total car parking provision throughout all our campuses, align that predominantly to patients and visitors and we had put out a very comprehensive car parking policy allied to prohibitive charges against staff and other non essential people using the sites. We will be removing, as per the Government policy, our car parking charges arrangements from the 1 st of January but we will not be changing our approach to car park management in all of the sites and the RAH is the next site in which we will be rolling out changes to the car parking provision where the majority of the car parking on that site will be targeted towards patients and visitors and we would hope over the next six to nine months that that situation will dramatically improve in Paisley but we do wholeheartedly accept the view it’s currently unacceptable.
Page 1 and 2: 2 TRANSCRIPT: VISION FOR THE VALE O
Page 3 and 4: 4 process that we went through duri
Page 5 and 6: 6 Vale of Leven and what we plan is
Page 7 and 8: 8 time to go into the detail, to un
Page 9 and 10: 10 So based on that, I mean the hop
Page 11 and 12: 12 in the vision is that elderly me
Page 13 and 14: 14 Moving on to the new Alexandria
Page 15 and 16: 16 We have already had quite a lot
Page 17 and 18: 18 the reason for the change in tha
Page 19 and 20: 20 Vale. The reason we excluded neu
Page 21 and 22: 22 There’s a full range of that s
Page 23 and 24: 24 So you are right, for emergency
Page 25 and 26: what, about 10,000? 26 JOE HECTOR:
Page 27 and 28: 28 who can translate that into some
Page 29 and 30: 30 but the big one is why insist in
Page 31 and 32: 32 some elements of specialist surg
Page 33: 34 they couldn’t park their cars
Page 37 and 38: 38 PETER HAMILTON: Okay, thanks Dar
Page 39 and 40: 40 And finally the other test for m
Page 41 and 42: 42 Anaesthetic Directorate so the s
Page 43 and 44: 44 capacity into primary care and t
Page 45 and 46: 46 Were you asking a question about
Page 47 and 48: 48 outpatient provision and again s
Page 49 and 50: 50 revised scoring system which Doc
Page 51 and 52: 52 that we have insisted that we re
Page 53 and 54: 54 planned, as they are doing, that
Page 55 and 56: 56 public that they want the facili
Page 57 and 58: 58 hospital from what it was two ye
Page 59 and 60: 60 I actually think there are benef
Page 61 and 62: 62 concluded that it was a reasonab
Page 63 and 64: 64 JIM MOOHAN: Just a fact, see the
Page 65 and 66: 66 I know about the economics of sc
Page 67 and 68: 68 closed, Saturday morning, no cha
Page 69 and 70: 70 And I am genuinely concerned tha
Page 71 and 72: 72 because there is a sense that we
Page 73 and 74: 74 bringing them back here and we d
Page 75 and 76: 76 But that is if you like the hard

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