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45<br />

As far as the retrieval service is concerned,<br />

the pivotal part of this is to enhance substantially the provision<br />

of 24/7 ambulance cover <strong>and</strong> we are in the midst of debate with<br />

our colleagues in the Scottish Ambulance Service about what<br />

the financial cost of that will be, but that is part of the proposal<br />

that is involved here to provide additional dedicated provision.<br />

And our sense is that that will deal with the bulk of issues of<br />

retrieval.<br />

There is also a conversation though that is<br />

going on about the emergency medical retrieval service to see<br />

whether there are any specific circumstances in which<br />

resources might come into play.<br />

In terms of the levels of planned care going<br />

to the RAH, there is no proposition here other than for the<br />

small amount of haemato-oncology inpatient work that’s<br />

highlighted in the consultation paper for the transfer of any<br />

further planned care that currently is delivered at the Vale.<br />

The existing inpatient surgery continues as<br />

the consultation paper says we believe that that short stay<br />

surgery can be organised on the basis of a ward that is open for<br />

five <strong>and</strong> a half days, that means that there can still be operating<br />

sessions carried out on a Friday morning <strong>and</strong> afternoon, so that<br />

the ward will be open ‘til Saturday lunchtime so the only<br />

additional inpatient activity that is transferred under this model<br />

is the difference between the 70/80 <strong>and</strong> 100 percent.

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