ANNUAL REVIEW ACTIONS 2007/08 Andrew Robertson OBE LLB Chairman NHS Greater Glasgow & Clyde

2. ANNUAL REVIEW ACTIONS 2007/08 Andrew Robertson OBE LLB Chairman NHS Greater Glasgow & Clyde

3. General Overview of all Actions

4. General Overview of all Actions

5. Reducing Alcohol Misuse • Development and implementation of Joint Alcohol Policies • planning a summit on alcohol with our four Local Authorities with the highest death rates from alcohol related harm • Alcohol has been agreed as a priority for community planning and within the SOA with Glasgow City.  • Finalising planning on training and implementation of brief interventions to make best use of new funding. • The NHS Board, with the city of Glasgow is also investing heavily in the provision of alcohol support services, alcohol rehabilitation services and services for individuals with an Alcohol Related Brain Damage

6. Access Targets • Achieved 98% national guarantee in A&E in December 2007, and sustained this position for 7 months • Achieved maximum waiting times target in inpatients and day cases • Achieved maximum waiting times targets in outpatients • Waiting time targets delivered in Cataracts, Hip surgery following fracture, Angiography, Angioplasty, diagnostic scans and endoscopies • 48 HOUR access to Primary Care – achieved

7. Unscheduled Care Collaborative A&E HEAT Target Aim: to support achievement of 98% A&E Waiting Time Target through re-design of patient pathway • Developments within A&E • Assessment/Receiving/Admission • Bed Management/Discharge Planning • Out of Hospital – Supporting early discharge/prevention of attendance

8. Financial Management • In 2007/08, the Board remained within its resource limits for both revenue and capital expenditure, and achieved its targeted level of cost savings. • This includes £7m of cost savings within Clyde, leaving a residual funding gap of £19m to be tackled in 2008/09 and 2009/10 – on target to achieve further £9m of savings in 08/09 • Progress of Acute Service Review and Outline Business Case for the South Glasgow Hospital and the new Children’s Hospital

9. Progress with Patient Focus Public Involvement in 2007/08 • Public Partnership Forums   • Patient Information Points • NHSGGC Website • Maternity Services • New Children’s Hospital • New South Glasgow Hospital • West of Scotland Regional Heart and Lung Centre • Clyde Services Modernisation • ‘Our Health’ events • Patient Befriending Volunteers • Health News • NHS 60 Celebrations

11. Vale of Leven Hospital Retention of services and Provision of new services Tom Divers Chief Executive

12. Current Service Provision

13. Community Maternity Unit • Consultation period completed • Recommendation to NHSGGC Board on 19th August to sustain birthing services at Inverclyde and Vale of Leven for 3 years supported by communications campaign to increase utilisation • Full range of post and ante-natal services will continue to be delivered

14. Clyde Wide Mental Health • Consultation period completed: paper to Board on 19th August on Clyde Mental Health • Bulk of strategy is non-contentious • Clear way forward accepted for South Clyde • Major debate has centred on Christie and Fruin wards

15. Frail Elderly / Elderly Mental Health • Examining option to separate 'Elderly' 'functional' beds from 'Adult' beds in current Christie ward • Looking at potential relationship, including all staffing and cover issues, with beds currently provided in Fruin Ward • Potential to use spare accommodation attached to Fruin with minor works to separate patient groups • Examine potential for linkages with frail elderly and rehabilitation services in next stage

16. Unscheduled Medical Care • Report of external experts recommends that:– significant proportion of ‘selected’ GP assessed admissions should continue – significant proportion of admissions from ‘self-presenting’ cases can continue – Anaesthetics is not sustainable • Detailed work on protocols and staffing model to be taken forward during consultation period

17. Alexandria Medical Centre • In addition to care home development, plans have also been developed for a new Alexandria Medical Centre • Estimated capital cost of circa £17m – draft OBC now ready for submission • Full planning permission granted to develop on the Vale of Leven site • Can become part of overall Vale campus and increase integration of primary and secondary care.

18. Opportunities for brining additional services to the site • Regional specialist services – Oral\dental health • Additional dialysis capacity • Medical and surgical specialties– Urology– Rheumatology– Gastroenterology

19. Engagement and Consultation Arrangements • NHS Board formally receives responses to maternity and mental health consultations on Tuesday 19th August • Engage Scottish Health Council in discussion about timetable for final stage of consultation on future vision • Recognising pre-engagement on mental health and unscheduled medical care already carried out • Bring forward in September, 2008 final set of proposals covering all future aspects of service sustainability for the Vale of Leven site, including unscheduled medical care

20. The New Southern General Hospital Robert Calderwood Chief Operating Officer

21. New Southern General Hospital Development • Main Entrance – AdultViewed from Govan Road and Fastlink will stop outside • Adult UnitThis building will have 1109 beds, all in single rooms with views • Accident & EmergencyBoth Adult and Children’s – adjacent but distinct • Children’s HospitalThis facility will provide 240 beds, linked to maternity • 5. Main Entrance – Children’s • Maternity UnitThis will have 78 beds, 60 cots and be linked to the adult and child unit • Helicopter padPatients arriving have a designated lift to access the appropriate unit • NeurosciencesThe building will be linked to the new facility • Laboratory BuildTo house Haematology, Biochemistry and Mortuary • Langlands BuildingRehabilitation Services 10 6 8 7 4 3 5 2 1 9

22. Current Maternity New Build Integrated Neonatal Unit llnking Maternity and Children’s Hospitals

24. 78 Obstetric Beds 36 Gynaecology Beds 2 Gynaecology Theatres Emergency Gynaecology Early Pregnancy Assessment Day Care Ultrasound Out Patients Department 12 delivery rooms en-suite, one with a birthing pool 2 new state of the art obstetric theatres 60 cots for neonatal intensive care and special care A Fetal Medicine Department Counselling facilities Mother and baby facilities Link into the children’s hospital providing excellent clinical adjacencies including theatres and PICU Maternity Refurbished Maternity Building New Maternity Building

25. Children’s Hospital

26. Children’s Hospital

27. CHILDREN’S HOSPITAL • 240 beds (57% single rooms) • Every bed has space for parent overnight stay • 7 state of the art theatres • Dedicated Adolescent Facilities • Critical Care adjacent to Neonatal Unit • Integrated Therapy Suite • Ronald McDonald House rebuilt on SGH site • Diagnostics – 1 + 1 shared Gamma Cameras 2 MRI 1 CT • Share Helipad with adult hospital • Link with Neurosciences

28. Adult Hospital

29. New Adult Acute Hospital

30. NEW ADULT ACUTE HOSPITAL • 1,109 single patient bedrooms with en-suite facilities • Emergency Department 110,000 attendances per annum • Helipad located on roof, designated route to A&E • 20 high technology theatres • State of the art diagnostic facilities with MRI – 2 CT – 3Gamma Camera – 1 + 1 shared • Workspace areas with IT facilities for all clinicians • Education and training facilities

31. ` Langlands Building Neurosciences Building

32. Retained Facilities • Langlands Building – 210 beds • Neurosciences, Regional Maxillofacial and National Spinal Injures Unit – 215 beds • Theatres – 7 • Diagnostics – MRI 2 – CT 2

33. Future Southern General Campus Adult Hospital Children’s Hospital Maternity Neurosciences, RegionalMaxillofacial & National Spinal Injuries Unit Rehabilitation Adult Beds 1670 Children’s Beds 240 Theatres 38 Diagnostics MRI 6 CT 6 Gamma 3 10 6 8 7 4 3 5 2 1 9