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View - NHS Greater Glasgow and Clyde

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43<br />

The Southern General largely will look<br />

after the emergency care, trauma <strong>and</strong> other needs of the north<br />

west, west <strong>and</strong> south <strong>and</strong> south west of the city <strong>and</strong> parts of the<br />

south east <strong>and</strong> the Royal Infirmary will look after most of<br />

central north, north east, east <strong>and</strong> just a bit of south east.<br />

Now that’s the pattern of provision in half<br />

a dozen years from now <strong>and</strong> to have looked at disrupting all of<br />

this, all of these established relationships for the sake of what is<br />

annually several thous<strong>and</strong>s of, several thous<strong>and</strong>s, not tens of<br />

thous<strong>and</strong>s, hundreds of thous<strong>and</strong>s of episodes of care just did<br />

not seem to represent a change that was worth making when in<br />

not many years in the west end of the city there wasn’t gonna<br />

be an acute hospital with an A&E Department.<br />

So I recognise the disappointment, I have<br />

heard about it often enough but I think the down sides of trying<br />

to make that set of changes would have been enormous in<br />

terms of the consequences <strong>and</strong> we couldn’t have delivered on<br />

the inpatient changes in the west of the city probably much<br />

before two years from now.<br />

You have spoken about GP’s <strong>and</strong> their<br />

work <strong>and</strong> Nick will speak more about that but what he had<br />

described previously was the enthusiasm of existing GP’s, our<br />

need to enhance the capacity of primary care support <strong>and</strong> the<br />

model that we want to take forward is to build the extra

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