1 / 23

NORTH OF SCOTLAND PLANNING GROUP

NORTH OF SCOTLAND PLANNING GROUP. CARDIAC PLANNING EVENT 24 th February 2010 Aberdeen. Cardiac Activity NOS. Start 1975 Last 15 years Range = 540-675 Average : 600 cases/Year All types of Adult Cardiac Surgery, except cardiac transplantation

uri
Download Presentation

NORTH OF SCOTLAND PLANNING GROUP

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NORTH OF SCOTLAND PLANNING GROUP CARDIAC PLANNING EVENT 24th February 2010 Aberdeen

  2. Cardiac Activity NOS • Start 1975 • Last 15 years Range = 540-675 • Average : 600 cases/Year • All types of Adult Cardiac Surgery, except cardiac transplantation • All types of Adult Thoracic Surgery , except transplantation

  3. For every 1 million population 400-500 CABGs are required... NOS 1.2 million = Approx. 500-600 CABGs

  4. CABG and the Age Trends Over the last 4 years 1791 cabg cases were performed in NOS: • Grampian= 1009 • Highlands = 323 • Tayside = 352 • Orkney = 41 • Shetland = 28 • Fife = 23 • England =7 • Western Isles = 4 • Wales / Forth Valley =1 > 70 Year old = 39 % > 80 Year old = 5 % Can we deny treatment on basis of age?

  5. North of Scotland CT Surgery Unit • 2 Dedicated Operating Theatres • 6 Bed Cardiac ITU (5 Staffed beds 24x7) (CITU) • 6 Bed High Dependency Unit (W51) • 32 Bed WARD (W50)

  6. NOS –CTH Surgery Unit Staffing • 5 CONSULTANTS SURGEONS • 5 WTE CONSULTANTS ANAESTHETISTS • 2 SPECIALITY DOCTOR (STAFF GRADE) • 7 SpR/ CLINICAL FELLOW/ STA • 3 FY2 • 5 MEDICAL SUPPORT NURSES • 3 SURGICAL SUPPORT PRACTITIONER (TRAINEE) • 4 PERFUSIONISTS/ +1 TRAINEE

  7. The Scottish Coronary Revascularization Register 2008-2009

  8. The Scottish Coronary Revascularization Register 2008-2009Observed and predicted in-hospital mortality (CABG)

  9. The Scottish Coronary Revascularization Register 2008-2009Observed and predicted in-hospital mortality (CABG) (Elective)

  10. The Scottish Coronary Revascularization Register 2008-2009Observed and predicted in-hospital mortality (CABG) (Urgent)

  11. Keeping up with New Techniques • As a whole: Sensible open-minded approach to new techniques and treatments - Off-pump Revascularization -AF Ablation -Minimally Invasive MV Surgery (2 patients from Highlands and Tayside) -Antegrade Cerebral Perfusion for aortic surgery

  12. ECMO AND VAD • Only Scottish Centre which has experience in Extra Corporeal Membrane Oxygenator in Adults • Ahead in experience with Ventricular Assist Devices • Most of the complex aortic surgery including aortic arch are performed in Aberdeen

  13. Full compliance with WTG

  14. Recruitment Pressures • Medical Middle Grade Staff : Training/Non training (SpR –STA-Core Trainee- Clinical Fellow –Research Fellow –Trust Doctors).. EWHD –Immigration restrictions.. Image of bleak future. • Anaesthetic Medical Staffing... Improvement • Nursing.. Specialist training, turn over, retention etc. Most of the above are problems at NATIONAL LEVEL

  15. Solutions • Non training :Speciality Doctors “Staff Grade/Associate Specialist” (2WT) • MMC: Medical Support Nurses (5 WT) along with 3 FYD2 (FY2 cover only 30% of rota requirements) • Surgical Practitioners (3 Trainees) graduating Aug 2011

  16. Sustainability • Expanding the non-training grade (SpD) • Replacement of some medical middle-grade posts with Surgical Practitioners posts. • Redesign rota structures and roles taking into accounts the limitations imposed by CC - AFC-EWHD- Professional bodies –Unions...etc A transitional period of higher PayRoll during training and replacement ( About 3 Years)

  17. Plans/Future • Using telemedicine (PACS already)- SCI.. Extending clinical database to region • MD Meeting revival with Raigmore and Ninewells using technology • Promotion of managerial and administrative collaboration to achieve clinical effectiveness. This event today is another step in the efforts to support regional integration... Best wishes!

More Related