DOCSLIB.ORG

Review of the Advanced Interventions Service National Services Division September 2011

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Review of the Advanced Interventions Service National Services Division September 2011 Review of the Advanced Interventions Service National Services Division September 2011 - TABLE OF CONTENTS - Table of contents TABLE OF CONTENTS ........................................................................................................................... I TABLE OF TABLES ..............................................................................................................................IV TABLE OF FIGURES .............................................................................................................................V NATIONAL SERVICES ADVISORY GROUP RESPONSE TO THE RECOMMENDATIONS OF THE REVIEW OF ADVANCED INTERVENTIONS SERVICE ..............................................................................................VI EXECUTIVE SUMMARY ......................................................................................................................VI 1. INTRODUCTION ......................................................................................................................... 3 1.1. BACKGROUND TO THE REVIEW ........................................................................................................ 3 1.2. REVIEW AIM AND OBJECTIVE........................................................................................................... 3 1.3. REVIEW METHODOLOGY ................................................................................................................ 3 1.3.1. Review approach ............................................................................................................ 3 1.3.2. Service user engagement approach ............................................................................... 4 1.3.3. High-level mapping of services for people with the conditions covered by the Advanced Interventions Service ....................................................................................................... 4 2. OVERVIEW OF CONDITIONS COVERED AND TREATMENTS OFFERED BY THE ADVANCED INTERVENTIONS SERVICE ................................................................................................................... 5 2.1. CONDITIONS COVERED BY THE SERVICE ............................................................................................. 5 2.1.1. Treatment-refractory depression ................................................................................... 5 2.1.2. Obsessive Compulsive Disorder ...................................................................................... 6 2.2. SURGICAL PROCEDURES PROVIDED BY THE SERVICE .............................................................................. 7 2.2.1. Anterior cingulotomy ...................................................................................................... 7 2.2.2. Vagus nerve stimulation ................................................................................................. 8 3. CURRENT NATIONAL SERVICE FOR RESIDENTS OF SCOTLAND .................................................... 9 3.1. BACKGROUND ............................................................................................................................. 9 3.2. MENTAL HEALTH (CARE AND TREATMENT) (SCOTLAND) ACT 2003 REGULATORY FRAMEWORK ................ 10 3.2.1. Ablative neurosurgery .................................................................................................. 10 3.2.2. Non-ablative procedures .............................................................................................. 11 3.3. NATIONAL SERVICE DEFINITION ..................................................................................................... 11 3.3.1. Service objective ........................................................................................................... 11 3.3.2. Service specification ..................................................................................................... 11 3.4. SERVICE INCLUSION AND EXCLUSION CRITERIA FOR NEUROSURGICAL INTERVENTION ................................. 12 3.5. SERVICE STAFFING PROFILE ........................................................................................................... 12 3.6. CURRENT NATIONAL SERVICE FOR RESIDENTS OF SCOTLAND – CONCLUSIONS .......................................... 12 4. NATIONAL SERVICE ACTIVITY LEVELS ....................................................................................... 14 4.1. ACTIVITY SINCE NATIONAL DESIGNATION ......................................................................................... 14 4.2. AVERAGE ANNUAL ACTIVITY ......................................................................................................... 14 4.3. BREAKDOWN OF ANNUAL ACTIVITY SINCE NATIONAL DESIGNATION ....................................................... 15 4.4. NHS BOARD OF REFERRAL ........................................................................................................... 16 4.5. CONVERSION RATE TO SURGERY .................................................................................................... 17 4.6. ASSESSMENT PROCESS ................................................................................................................ 18 4.7. REFERRAL PATHWAYS BETWEEN NHS SCOTLAND AND THE REST OF THE UK ........................................... 19 4.8. NATIONAL SERVICE ACTIVITY LEVELS – CONCLUSIONS ......................................................................... 19 5. PATIENT ILLNESS CHARACTERISTICS ........................................................................................ 20 5.1. DEPRESSION CHARACTERISTICS...................................................................................................... 20 5.1.1. Depression characteristics of service users proceeding to anterior cingulotomy ......... 20 5.1.2. Depression characteristics of service users proceeding to vagus nerve stimulation .... 21 5.2. ILLNESS CHARACTERISTICS OF PATIENTS WITH OCD ........................................................................... 22 5.3. PATIENT ILLNESS CHARACTERISTICS – CONCLUSIONS .......................................................................... 24 i - TABLE OF CONTENTS - 6. QUALITY OF THE NATIONAL SERVICE ....................................................................................... 25 6.1. CLINICAL QUALITY - INTRODUCTION ............................................................................................... 25 6.1.1. Rating scales adopted by the service............................................................................ 25 6.1.2. Depression ratings used for the purposes of the review .............................................. 25 6.1.3. OCD ratings used for the purposes of the review ......................................................... 26 6.2. CLINICAL QUALITY – PATIENT OUTCOMES ........................................................................................ 26 6.2.1. Anterior cingulotomy outcomes - Change in depressive symptoms/OCD symptoms at follow-up appointment after anterior cingulotomy procedure ..................................................... 26 6.2.2. Vagus nerve stimulation outcomes .............................................................................. 29 6.2.3. Adverse effects of intervention ..................................................................................... 30 6.2.4. Critical incidents ........................................................................................................... 31 6.3. NON-CLINICAL QUALITY ............................................................................................................... 31 6.3.1. Initiatives to support service development ................................................................... 31 6.3.2. Patient feedback ........................................................................................................... 31 6.4. QUALITY OF THE NATIONAL SERVICE – CONCLUSIONS ......................................................................... 33 7. PERCEPTION AND ATTITUDES TOWARD NEUROSURGERY FOR MENTAL DISORDER AMONGST THE SCOTTISH PSYCHIATRIC COMMUNITY, AND THE COMMUNITY’S EXPERIENCES OF THE ADVANCED INTERVENTIONS SERVICE .............................................................................................. 34 7.1. RESPONSE RATE AND DEMOGRAPHICS ............................................................................................ 34 7.2. PERCEPTION OF NEUROSURGERY FOR MENTAL DISORDERS ................................................................ 35 7.2.1. Diagnostic categories perceived to be appropriate for various neurosurgical treatments ..................................................................................................................................... 36 7.2.2. Respondent’s perception of number of patients in their clinical practice who might have been suitable for assessment for a neurosurgical intervention ............................................ 37 7.3. AWARENESS OF THE ADVANCED INTERVENTIONS SERVICE .................................................................. 37 7.3.1. Perception of the Advanced Interventions Service ....................................................... 37 7.3.2. Awareness of the Advanced Interventions Service ....................................................... 38 7.3.3. Referrals into Advanced Interventions Service ............................................................. 38 7.3.4. Reasons preventing referral into Advanced Interventions
Load more

Recommended publications
  • Table 7: Deaths for Which Clostridium Difficile Was Mentioned on the Death
    Table 7: Deaths for which Clostridium difficile was mentioned on the death certificate (either as the underlying cause of death or as a contributory factor) Scotland 2000-2013 Year Place of death 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Ayrshire and Arran hospitals 13 20 13 14 18 13 19 36 63 35 22 12 12 16 Ayr Hospital 4 2 - - 1 4 4 13 22 9 8 3 6 6 Ayrshire Central Hospital - 1 - - - 1 3 5 2 2 2 1 - - Biggart Hospital - 2 1 2 2 - 1 2 2 5 1 - - - Community Hospital - - - - 1 - - - 2 1 1 - 1 - Crosshouse Hospital 7 13 12 9 13 7 10 16 31 17 9 8 5 9 Girvan Community Hospital - - - - - - - - - - - - - 1 Holmhead Hospital 1 2 - - 1 - - - - - - - - - Kirklandside Hospital 1 - - 2 - 1 1 - - - - - - - War Memorial Hospital - - - 1 - - - - 4 1 1 - - - Borders hospitals 1 0 1 0 1 4 7 4 17 17 2 3 7 4 Borders General Hospital 1 - 1 - 1 4 7 3 17 16 2 3 7 4 Haylodge Hospital - - - - - - - - - 1 - - - - Kelso Hospital - - - - - - - 1 - - - - - - Dumfries and Galloway hospitals 0 10 1 3 4 23 9 18 19 16 5 5 1 2 Annan Hospital - 1 - - - 1 1 - 1 - 1 - - - Cottage Hospital - - - - 1 2 - 1 2 - - - - - Dalrymple Hospital - - - - - 1 - - - - - - - - Dumfries and Galloway Royal Infirmary - 9 1 2 3 16 8 15 8 12 4 5 1 2 Galloway Community Hospital - - - - - - - - 4 1 - - - - Kirkcudbright Hospital - - - - - 1 - - - - - - - - Lochmaben Hospital - - - - - 1 - - 1 2 - - - - Moffat Hospital - - - - - - - 2 - - - - - - Newton Stewart Hospital - - - 1 - 1 - - 1 - - - - - Thomas Hope Hospital - - - - - - - - 2 1 - - - - Fife hospitals 5 8 10
    [Show full text]
  • LHB37 LOTHIAN HEALTH BOARD Introduction 1 Agenda of Meetings of Lothian Health Board, 1987-1995 2 Agenda of Meetings of Lothia
    LHB37 LOTHIAN HEALTH BOARD Introduction 1 Agenda of Meetings of Lothian Health Board, 1987-1995 2 Agenda of Meetings of Lothian Health Board Committees, 1987-1989 2A Minutes of Board, Standing Committees and Sub-Committees, 1973-1986 2B Draft Minutes of Board Meetings, 1991-2001 2C [not used] 2D Area Executive Group Minutes, 1973-1986 2E Area Executive Group Agendas and Papers, 1978-1985 2F Agenda Papers for Contracts Directorate Business Meetings, 1993-1994 2G Agenda Papers of Finance, Manpower and Establishment Committee, 1975-1979 2H Agenda papers of the Policy and Commissioning Team Finance and Corporate Services Sub- Group, 1994-1995 2I [not used] 2J Minutes and Papers of the Research Ethics Sub-Committees, 1993-1995 3 Annual Reports, 1975-2004 4 Annual Reports of Director of Public Health, 1989-2008 5 Year Books, 1977-1992 6 Internal Policy Documents and Reports, 1975-2005 7 Publications, 1960-2002 8 Administrative Papers, 1973-1994 8A Numbered Administrative Files, 1968-1993 8B Numbered Registry Files, 1970-1996 8C Unregistered Files, 1971-1997 8D Files of the Health Emergency Planning Officer, 1978-1993 9 Annual Financial Reviews, 1974-1987 10 Annual Accounts, 1976-1992 10A Requests for a major item of equipment, 1987-1990 LHB37 LOTHIAN HEALTH BOARD 11 Lothian Medical Audit Committee, 1988-1997 12 Records of the Finance Department, 1976-1997 13 Endowment Fund Accounts, 1972-2004 14 Statistical Papers, 1974-1990 15 Scottish Health Service Costs, 1975-1987 16 Focus on Health , 1982-1986 17 Lothian Health News , 1973-2001 18 Press
    [Show full text]
  • Mental Health Bed Census
    Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Data Collection Documentation Document Type: Guidance Notes Collections: 1. Mental Health and Learning Disability Bed Census: One Day Audit 2. Mental Health and Learning Disability Patients: Out of Scotland and Out of NHS Placements SG deadline: 30th November 2014 Coverage: Census date: Midnight, 29th Oct 2014 Page 1 – 10 Nov 2014 Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Document Details Issue History Version Status Authors Issue Date Issued To Comments / changes 1.0 Draft Moira Connolly, NHS Boards Beth Hamilton, Claire Gordon, Ellen Lynch 1.14 Draft Beth Hamilton, Ellen Lynch, John Mitchell, Moira Connolly, Claire Gordon, 2.0 Final Beth Hamilton, 19th Sept 2014 NHS Boards, Ellen Lynch, Scottish John Mitchell, Government Moira Connolly, website Claire Gordon, 2.1 Final Ellen Lynch 9th Oct 2014 NHS Boards, Further clarification included for the following data items:: Scottish Government Patient names (applicable for both censuses) website ProcXed.Net will convert to BLOCK CAPITALS, NHS Boards do not have to do this in advance. Other diagnosis (applicable for both censuses) If free text is being used then separate each health condition with a comma. Mental Health and Learning Disability Bed Census o Data item: Mental Health/Learning Disability diagnosis on admission Can use full description option or ICD10 code only option. o Data item: Last known Mental Health/Learning Disability diagnosis Can use full description option or ICD10 code only option.
    [Show full text]
  • The Council, 1949- 50
    THE COUNCIL, 1949- 50. O fficers. President.— J. IVISON RUSSELL, M.D., F.R.F.P.S., D.P.M. J. B. S. LEWIS, M.A., M.D., D.P.M. (South-Eastern). T. J. HENNELLY, M.D., D.P.M. (South-Western). Vice-Presidents and H. FREIZE STEPHENS, M.R.C.S., L.R.C.P. (Northern and Midland ) Divisional Chairmen ANGUS MacNIVEN, M.B., Cii.B., M.R.C.P.E., D.P.M. {Scottish). P. J. CASSIN, M.D., D.M.D. (Irish). President-Elect— K. K. DRURY, M.C., B.A., M.D., D.P.M. Ex-President.— W. REES-THOMAS, M.D., F.R.C.P., D.P.M., M.P.C. Treasurer.— THOMAS TENNENT, M.D., F.R.C.P., D.P.H., D.P.M. General Secretary— K. K. DRURY, M.C., B.A., M.D., D.P.M. R egistrar— J. IVISON RUSSELL, M.D., F.R.F.P.S., D.P.M. Editor-in-Chief.— G. W. T. H. FLEMING, M.R.C.S., L.R.C.P., D.P.M. Librarian.— ALEXANDER WALK, M.D., D.P.M. South.-Eastern.—T. P. REES, O.B.E., B.Sc., M.D., M.R.C.P., D.P.M. South-Western.— R. W. ARMSTRONG, B.Sc., M.D., D.P.M. D ivisional J Northern and Midland— G. M. WODDIS, M.R.C.S., L.R.C.P. Secretaries Scottish.— E. J. C. HEWITT, M.B., Ch.B., D.P.M. Irish.— ] . N. P. MOORE, B.A., M.D., F.R.C.P.I., D.P.M.
    [Show full text]
  • Job Title: Critical Care Medicine Fellowships (Locum Specialty Doctor) Royal Infirmary of Edinburgh Job Reference: Cg 1856
    JOB TITLE: CRITICAL CARE MEDICINE FELLOWSHIPS (LOCUM SPECIALTY DOCTOR) ROYAL INFIRMARY OF EDINBURGH JOB REFERENCE: CG 1856 JOBTRAIN REFERENCE: 017687 CLOSING DATE: 22ND MARCH 2020 http://careers.nhslothian.scot.nhs.uk Contents Section Section 1: Person Specification Section 2: Introduction to Appointment Section 3: Departmental and Directorate Information Section 4: Main Duties and Responsibilities Section 5: Job Plan Section 6: Contact Information Section 7: Working for NHS Lothian Section 8: Terms and Conditions of Employment Section 9: General Information for Candidates Unfortunately we cannot accept CV’s as a form of application and only application forms completed via the Jobtrain system will be accepted. Please visit https://apply.jobs.scot.nhs.uk for further details on how to apply. You will receive a response acknowledging receipt of your application. This post requires the post holder to have a PVG Scheme membership/record. If the successful applicant is not a current PVG member for the required regulatory group i.e. child and/or adult, then an application will need to be made to Disclosure Scotland and deemed satisfactory before the successful post holder can commence work. All NHS Scotland and NHS Lothian Medical vacancies are advertised on our medical jobs microsite: www.medicaljobs.scot.nhs.uk Please visit our Careers website for further information on what NHS Lothian has to offer http://careers.nhslothian.scot.nhs.uk http://careers.nhslothian.scot.nhs.uk Section 1: Person Specification ESSENTIAL WHEN DESIRABLE WHEN EVALUATED
    [Show full text]
  • THE EDINBURGH GAZETTE 2Nd NOVEMBER 1984 JAMES
    1602 THE EDINBURGH GAZETTE 2nd NOVEMBER 1984 JAMES PENTLAND WILSON late of 86 Kerrylamont Avenue, Roads (Scotland) Act 1984 (c.54) Glasgow who died there on 3.1.83. Building Act 1984 (c.55) MARY ANN BEST late of 19 Whifflet Court, Coatbridge Foster Children (Scotland) Act 1984 (c.56) who died at Monklands District Hospital, Airdrie on 25.11.83. Co-operative Development Agency and Industrial Development Act 1984 (c.57) MARGARET GRIBBEN HENDRIE late of Meadowside House, Rent (Scotland) Act 1984 (c.58) Forrest Street, Airdrie who died at Monklands District Hospital, Ordnance Factories and Military Airdrie on 15.1.84. Services Act 1984 (c.59) HELEN MILLER late of Jean Morris Hostel, 218 Bath Street, Police and Criminal Evidence Act 1984 (c.60) Glasgow who died there on 19.1.84. Norwich City Council Act 1984 (c.xxiii) ANNIE BOYLE WHALEN late of 18 Hardie Street, Alexandria Warwick District Council Act 1984 (c.xxiv) who died at Vale of Leven District Hospital, Alexandria London Transport Act 1984 (c.xxv) on 16.2.81. Kingston upon Hull Act 1984 (c.xxvi) Greater London Council ROBERT FRASER late of 14 Monteith Row, Glasgow (General Powers) Act 1984 (c.xxvii) who died at Gartloch Hospital, Glasgow on 21.7.69. JOHN WILLIAM MALLOCH late of Turriff House, Dundee J.E. Grey, who died at Whitehills Hospital, Dundee on 29.1.84. Clerk of Public Bills. WINIFRED HYSLOP GRANT late of 13 Tron Square, Edinburgh who died at Liberton Hospital, Edinburgh on 4.2.84. 31st October 1984. (58) JEANIE JAMIESON LINDSAY late of 1 Hood Street, Kilmarnock who died at Holmhead Hospital, Cumnock on 27.7.81.
    [Show full text]
  • Contract Between the Scottish Ministers and Reliance Secure
    Contract between The Scottish Ministers and Reliance Secure Task Management Ltd for the Provision of Prisoner Escort & Court Custody Services in Scotland Contract No. 00339 3 November 2003 Confidentiality No part of this document may be disclosed orally or in writing, including by reproduction, to any third party without the prior written consent of SPS. This document, its associated appendices and any attachments remain the property of the Authority and will be returned upon request. Scottish Prison Service Form Of Contract Contract No. 00339 Contract Between The Scottish Ministers, referred to in the Scotland Act 1998, represented by the Scottish Prison Service whose Headquarters are Calton House 5 Redheughs Rigg EDINBURGH EH12 9HW (hereinafter called “the Authority”), of the first part and Reliance Secure Task Management Ltd (Company number 2057887) whose Registered Office is Boundary House Cricketfield Road Uxbridge Middlesex UB8 1QL (hereinafter called “Service Provider”), of the second part The Authority hereby appoints the Service Provider and the Service Provider hereby agrees to provide for the Authority, the Services (as hereinafter defined) on the terms and conditions set out in this Contract. The Authority agrees to pay to the Service Provider the Charges due in terms of the Contract, in consideration of the due and proper performance by the Service Provider of its obligations under the Contract. The Service Provider agrees to look only to the Authority for the due performance of the Contract and the Authority will be entitled to enforce this Contract on behalf of the Scottish Ministers. The Contract shall consist of this Form of Contract (comprising this and the following page) and the six Schedules annexed hereto which shall be deemed to form, and to be read, and to be construed, as part of the Contract, declaring that references in the Contract to a Schedule shall, unless the context otherwise requires, be held to be references to the relevant Schedule forming part of this Contract.
    [Show full text]
  • Cabinet Secretary for Health and Wellbeing.Dot
    Scottish Government Draft Budget 2013-14 Thank you for letter of 2 November 2012 which included a request for further information, helpfully notified to us earlier in the week by your Committee Clerks, together with a range of additional questions of which there was not sufficient time to ask during the meeting on 30 October 2012. I have provided a detailed response to your request for additional information which is included within two annexes as follows:- Annex A: reply to the questions contained within your letter of 2 November 2012 advised previously by Committee Clerks on 31 October 2012; and Annex B: reply to the further questions suggested by members that are annexed in your letter of 2 November 2012 You will appreciate that this information has been drawn together at short notice so if there is anything more you need please do let me know. My officials and I are keen to support the Health and Sport Committee in providing the detailed information it requires in supporting the Scottish Parliament‟s essential scrutiny of the Government‟s Draft Budget plans for 2013-14. ALEX NEIL 1 ANNEX A i. Information on filling of nursing vacancies Statistics The last published figures reported on vacancies within NHS Scotland as at 30th June 2012 and formed part of ISD Workforce statistics released on 30th August. The statistics recorded 984 (wte) vacancies, against a total Nursing & Midwifery workforce of 56,183.7 (wte), representing 1.75% of the total. In relation to the 984 vacancies, 72.4% had been vacant for less then 3 months.
    [Show full text]
  • Library British Journal of Psychiatry (The Journal of Mental Science)
    B9XAL MEDIC0-P3YGH0L0G1CAL ASSOCIATION THE LIBRARY BRITISH JOURNAL OF PSYCHIATRY (THE JOURNAL OF MENTAL SCIENCE) [Published by Authority of the Royal Medico-Psychological Association] SUPPLEMENT, OCTOBER 1970 THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION WINTER QUARTERL Y MEETING THE WINTER QUARTERLY MEETING was held in Election of Ordinary Members London on 11 and 12 February 1970, under the The following were unanimously elected to Presidency of Dr. Martin Cuthbert. Ordinary Membership: ABDOU, ADLY FAHMY, M.B., Ch.B., D.P.M. & N., M.R.C.P.E., Head of Psychiatric Department, Ahmed Minutes Mahei General Hospital, Cairo. The Minutes of the Quarterly Meeting held in Proposed by Drs. W. D. Boyd, J. W. Affleck, R. I. London on 20 and 21 November 1969, having been Kennedy. published in the Supplement, were approved and ALDRIDOE, MICHAEL STAPLES, B.A., M.B., B.Ch., M.R.C.S. signed. L.R.C.P., D.P.M., Consultant Psychiatrist, West Sussex Child Guidance Service; 6 Southey Road, Worthing. Obituary Proposed by Drs. D. Rice, R. Maggs, J. A. Stewart. The President announced with regret the death ARIAS, CALIXTO, L.M.S. Diploma in Psychiatry (Barcelona), Senior House Officer, Littlemore Hospital, of the following members: Littlemore, Oxford. CHAPMAN, WILLIAM NOEL JAMES, 5 Highfield Road, Proposed by Drs. F.J.J. Letemendia, P.J. A. Willems, North Berwick, East Lothian. An Ordinary F. Arroyave-Portela. Member since 1932. ARIAS, MARIA CONCEPCION, L.M.S. Diploma in Psychiatry HARVEY, PETER, Medical Superintendent, Mean- (Barcelona), Littlemore Hospital, Littlemore, Oxford. wood Park Hospital, Leeds. An Ordinary Member Proposed by Drs.
    [Show full text]
  • Scottish ECT Accreditation Network Annual Report 2012
    National Services Scotland Scottish ECT Accreditation Network Annual Report 2012 A summary of ECT in Scotland for 2011 SD SC TLAND Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 © NHS National Services Scotland/Crown Copyright 2012 First published October 2009 Brief extracts from this publication may be reproduced provided the source is fully acknowledged. Proposals for reproduction of large extracts should be addressed to: ISD Scotland Publications Information Services Division NHS National Services Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Tel: +44 (0)131-275-6233 Email: [email protected] Designed and typeset by: ISD Scotland Publications Translation Service If you would like this leaflet in a different language, large print or Braille (English only), or would like information on how it can be translated into your community language, please phone 0131 275 6665. Scottish ECT Accreditation Network Annual Report 2012; A summary of ECT in Scotland for 2011 Summary Hospital Activity Table 20111 Median Median Treatments Stimulations Hospital Patients Episodes Treatments Stimulations per Episode per Episode Ailsa & Crosshouse 35 48 445 478 10.5 11.0 Argyll & Bute * * 27 29 6.0 7.0 Carseview 17 20 195 216 10.0 10.5 Dunnikier * * 68 82 9.0 10.0 Forth Valley Royal2 * * 39 45 4.0 5.0 Hairmyres3 13 15 111 136 8.0 9.0 Huntlyburn, Borders General * 12 144 164 10.5 12.0 Inverclyde 13 13 118 126 8.0 9.0 Leverndale4 25 32 257 289 8.5 10.0 Midpark Hospital5 17 20 151 193 7.0 8.5 Murray Royal 13 14 107 122 7.5 8.5 New Craigs * * 79 90 12.0 12.0 Queen Margaret6 14 17 189 215 10.0 10.0 Royal Cornhill 63 77 556 798 6.0 9.0 Royal Edinburgh7 50 64 773 938 8.0 11.5 St John’s 20 24 197 228 8.0 8.5 Stobhill8 36 41 298 349 7.0 8.0 Susan Carnegie9 * * 62 75 7.0 9.5 Wishaw10 17 19 151 182 7.0 10.0 Total 370 451 3,967 4,755 8.0 9.5 Notes: * Indicates values that have been suppressed because of the potential risk of disclosure.
    [Show full text]
  • National Mental Health Services Assessment: Locality Reports
    NATIONAL MENTAL HEALTH SERVICES ASSESSMENT Towards implementation of the Mental Health (Care and Treatment) (Scotland) Act 2003 Locality Reports Dr Sandra Grant, OBE March 2004 NATIONAL MENTAL HEALTH SERVICES ASSESSMENT – LOCALITY REPORTS Contents Introduction 1 Locality Reports: Argyll and Clyde 3 Ayrshire and Arran 12 Borders 19 Dumfries and Galloway 25 Fife 32 Forth Valley 40 Grampian 48 Greater Glasgow 57 Highland 68 Lanarkshire 78 Lothian 86 Orkney 96 Shetland 103 Tayside 106 Western Isles 115 Annex A 121 2 NATIONAL MENTAL HEALTH SERVICES ASSESSMENT – LOCALITY REPORTS Introduction The remit for the National Assessment means that the focus in the locality reports is on what needs to be done locally to deliver the new provisions of the Mental Health (Care and Treatment) (Scotland) Act 2003. With that in mind the many examples of good care seen across Scotland are not covered in the individual reports. This should not be taken as a negative. Every effort has been made to achieve consistency in each report. There are however variations in those cases where the local arrangements vary sufficiently to warrant some variety in the presentation of findings. For example not all information was available for or from each area in the same format or with the same coverage and where this is the case it is stated. The wide-ranging nature of the responsibilities that the Act places on local authorities means that it was virtually impossible to assess the services provided by them or the voluntary sector in a short timescale, although there are examples of services across Scotland in the Final Report.
    [Show full text]
  • Table 7: Deaths for Which Clostridium Difficile Was Mentioned on the Death
    Table 7: Deaths for which Clostridium difficile was mentioned on the death certificate (either as the underlying cause of death or as a contributory factor) Scotland 2000 to 2015 Year Place of death 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Ayrshire and Arran hospitals 13 20 13 14 18 13 19 36 63 35 22 12 12 16 10 13 Ayr Hospital 4 2 - - 1 4 4 13 22 9 8 3 6 6 5 3 Ayrshire Central Hospital - 1 - - - 1 3 5 2 2 2 1 - - - - Biggart Hospital - 2 1 2 2 - 1 2 2 5 1 - - - 2 2 Community Hospital - - - - 1 - - - 2 1 1 - 1 - - - Crosshouse Hospital 7 13 12 9 13 7 10 16 31 17 9 8 5 9 3 7 Girvan Community Hospital - - - - - - - - - - - - - 1 - 1 Holmhead Hospital 1 2 - - 1 - - - - - - - - - - - Kirklandside Hospital 1 - - 2 - 1 1 - - - - - - - - - War Memorial Hospital - - - 1 - - - - 4 1 1 - - - - - Borders hospitals 1 0 1 0 1 4 7 4 17 17 2 3 7 4 7 3 Borders General Hospital 1 - 1 - 1 4 7 3 17 16 2 3 7 4 7 2 Haylodge Hospital - - - - - - - - - 1 - - - - - - Kelso Hospital - - - - - - - 1 - - - - - - - 1 Dumfries and Galloway hospitals 0 10 1 3 4 23 9 18 19 16 5 5 1 2 4 3 Annan Hospital - 1 - - - 1 1 - 1 - 1 - - - - - Cottage Hospital - - - - 1 2 - 1 2 - - - - - - - Dalrymple Hospital - - - - - 1 - - - - - - - - - - Dumfries and Galloway Royal Infirmary - 9 1 2 3 16 8 15 8 12 4 5 1 2 4 2 Galloway Community Hospital - - - - - - - - 4 1 - - - - - 1 Kirkcudbright Hospital - - - - - 1 - - - - - - - - - - Lochmaben Hospital - - - - - 1 - - 1 2 - - - - - - Moffat Hospital - - - - - - - 2 - - - - - - - - Newton Stewart
    [Show full text]