View - NHS Greater Glasgow and Clyde

More documents

Recommendations

Info

9 suspected stroke and that’s about best practice, about getting patients into a stroke unit where they can get the most appropriate care, drugs overdose, patients with gastrointestinal bleeds, that’s GI bleeds, inpatient haemato-oncology care, neutropenic septis and epileptic seizures. So the agreement is that patients with these conditions will bypass the Vale of Leven to go to the Royal Alexandria. Patients with chest pain will be seen but transferred to a cardiology unit if confirmed with a heart attack and as we set out in the document the Golden Jubilee service set up for the west of Scotland will also see a number of patients, up to 50 go straight to the Golden Jubilee if they have a particular type of heart attack. The detailed analysis that we have undertaken leads us to the conclusion that the model we propose is clinically appropriate. As unscheduled care remains on the site there will be some patients who present inappropriately or who deteriorate following admission, arrangements will be in place to transfer these patients to another hospital and that is an issue that you have raised with us during the consultation, the engagement period, that those arrangements need to be in place.
10 So based on that, I mean the hope is that the vast majority of people will be identified by the scoring system and transferred directly to another hospital, to the Royal Alexandria, but there will be some patients who are admitted who need to transfer and based on that our analysis suggests that maintaining 70 to 80 percent of existing activity is the level that strikes the optimal balance between safe local access to care and the requirement for those potentially higher dependency or specialist cases to transfer to a unit that has more specialist services available. So we have tried very hard to keep the maximum amount of activity local at the Vale of Leven Hospital but we acknowledged that it is not safe to keep all the patients who are currently treated there in a model that is GP led supported by consultants where there won’t be anaesthetics. Moving on then to rehabilitation, the rehabilitation service will be provided for orthopaedic patients, stroke patients, patients admitted to medicine at the RAH or at the Vale of Leven who need rehabilitation following their admission and the day hospital will continue to be provided on the Vale of Leven site. Moving on to the new hospital services and this represents the 18,350 patient appointments. It is intended that these will be undertaken locally instead of either in Glasgow or in the Royal Alexandria as they are at the moment.
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: 8 time to go into the detail, to un
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 and 34: 34 they couldn’t park their cars
Page 35 and 36: 36 first Boards that brought all cl
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
show all

View - NHS Greater Glasgow and Clyde

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?