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Emergency Department Activity
NHS Scotland - Emergency Department Activity Attendances and Performance against the 4-hour Waiting Time Standard This is an ISD Scotland National Statistics release. The Scottish Government waiting time standard for emergency departments is that 98 % of all attendances should be seen within 4 hours. The figures presented in these tables detail the performance of each individual site and NHS board against the standard. Time Period: Apr-10 to Mar-11 Source: A&E data mart, ISD Scotland Date: 07 May 2012 List of Tables Table 1: Attendances and performance against 4-hour standard, Apr-10 to Mar-11 Total attendances, number of attendances breaching standard and attendances meeting standard (number and percentage). Figures are given at site and NHS Board level. Table 2: Attendances, Apr-10 to Mar-11 Summary table of attendances only. Figures are given at site and NHS Board level. Table 3: Performance against 4-hour standard, Apr-10 to Mar-11 Summary table of percentage of attendances meeting standard. Figures are given at site and NHS Board level. Notes: 1) The waiting time is defined as the time of arrival until the time of discharge, admission or transfer. 2) New presentations only; excludes planned return and recall attendances. 3) There are two types of site that provide emergency care; • ED - Emergency Departments; sites that provide a 24 hour emergency medicine consultant led service • MIU/Other - sites including minor injuries units (MIU), small hospitals and health centres in rural areas that carry out emergency department related activity and are GP or Nurse led. They may or may not be open 24 hours. -
Contract Between Scottish Ministers
CONTRACT BETWEEN SCOTTISH MINISTERS AND GEOAMEY PECS LTD FOR THE SCOTTISH COURT CUSTODY AND PRISONER ESCORT SERVICE (SCCPES) REFERENCE: 01500 MARCH 2018 Official 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 SPS and will be returned upon request. 1 | P a g e 01500 Scottish Court Custody and Prisoner Escort Service (SCCPES) FORM OF CONTRACT CONTRACT No. 01500 This Contract is entered in to between: The Scottish Ministers, referred to in the Scotland Act 1998, represented by the Scottish Prison Service at the: Scottish Prison Service Calton House 5 Redheughs Rigg Edinburgh EH12 9HW (hereinafter called the “Purchaser”) OF THE FIRST PART And GEOAmey PECS Ltd (07556404) The Sherard Building, Edmund Halley Road Oxford OX4 4DQ (hereinafter called the “Service Provider”) OF THE SECOND PART The Purchaser hereby appoints the Service Provider and the Service Provider hereby agrees to provide for the Purchaser, the Services (as hereinafter defined) on the Conditions of Contract set out in this Contract. The Purchaser agrees to pay to the Service Provider the relevant sums specified in Schedule C and 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 Purchaser for the due performance of the Contract and the Purchaser will be entitled to enforce this Contract on behalf of the Scottish Ministers. -
Accident and Emergency: Performance Update
Accident and Emergency Performance update Prepared by Audit Scotland May 2014 Auditor General for Scotland The Auditor General’s role is to: • appoint auditors to Scotland’s central government and NHS bodies • examine how public bodies spend public money • help them to manage their finances to the highest standards • check whether they achieve value for money. The Auditor General is independent and reports to the Scottish Parliament on the performance of: • directorates of the Scottish Government • government agencies, eg the Scottish Prison Service, Historic Scotland • NHS bodies • further education colleges • Scottish Water • NDPBs and others, eg Scottish Police Authority, Scottish Fire and Rescue Service. You can find out more about the work of the Auditor General on our website: www.audit-scotland.gov.uk/about/ags Audit Scotland is a statutory body set up in April 2000 under the Public Finance and Accountability (Scotland) Act 2000. We help the Auditor General for Scotland and the Accounts Commission check that organisations spending public money use it properly, efficiently and effectively. Accident and Emergency | 3 Contents Summary 4 Key messages 7 Part 1. A&E waiting times 9 Part 2. Reasons for delays in A&E 20 Part 3. Action by the Scottish Government 37 Endnotes 41 Appendix 1. NHS Scotland A&E departments and minor injury units 43 Appendix 2. National context for A&E and unscheduled care, 2004 to 2014 45 Exhibit data When viewing this report online, you can access background data by clicking on the graph icon. The data file will -
Gestational Diabetes
Scan with your smartphone to get an e-version of this leaflet. You might need an app to scan this code. Gestational diabetes Information for women Department of Diabetes Aberdeen Royal Infirmary What is gestational diabetes? Some women develop diabetes during pregnancy. This is called gestational diabetes. Gestational diabetes usually starts in the later stages of pregnancy. It happens when the body can’t control its own blood glucose level (sometimes called the “blood sugar level”). The hormone insulin is responsible for controlling blood glucose levels. The hormones produced during pregnancy block the action of insulin in the body. In women who develop gestational diabetes, there is not enough extra insulin produced to overcome the blocking effect. Gestational diabetes can usually be controlled by changes to your diet but some women may need to take tablets or insulin therapy as well. Why do I need to keep my blood glucose down? It’s important to control the level of glucose in your blood during pregnancy and keep it within the normal range. Normal ranges in pregnancy are: • Fasting - less than 5.5mmol/l • 2 hours after food - less than 7.0mmol/l (up to 35 weeks) • 2 hours after food - less than 8.0mmol/l (over 35 weeks). 1 If there’s too much glucose in your blood, your baby’s body may start to make extra insulin to try to cope with it. This extra insulin can make the baby grow larger, making delivery more difficult and so could cause injury to you and your baby. Also a baby who is making extra insulin may have low blood glucose after they are born, which can affect them in the first few hours of life. -
Aberdeen Royal Infirmary, Aberdeen, Scotland, United Kingdom
Aberdeen Royal Infirmary, Aberdeen, Scotland, United Kingdom Aberdeen Royal Infirmary opened its doors to its first 4 patients in August 1742, and admitted 21 patients in its first year, tak- ing in people from the Northeast region of Scotland and beyond. The early 1800s saw huge changes take place, including the opening of a dedicated mental health hospital. In 1830, increasing demand on the Infirmary resulted in the construction of the Simpson Pavilion at the Woolmanhill site (top left), accommodating 230 patients. Early cardiology records from 1890 show an unidentified physician diagnosing mitral and aortic stenosis. Aberdeen graduate Augustus Désiré Waller conceptualized and recorded the world’s first ECG in 1887, and the first ECG machine was introduced at Woolmanhill in 1920. The New Aberdeen Royal Infirmary at Foresterhill opened in 1936 (aerial photo, top right), expanding over the last century to become one of the largest hospital complexes in Europe (bottom right). As the main teaching hospital of the University of Aberdeen (world’s fifth-oldest English-speaking University, established 1495), doctors and scientists work closely together in shared facilities. Aberdeen Royal Infirmary is home to many medical discoveries and innovations. In the early 1970s, John Mallard andJim Hutchinson pioneered the design and construction of the world’s first whole body magnetic resonance imaging scanner for clinical use (bottom left). Development of the next generation of the technology (fast field cycling magnetic reso- nance imaging) continues here today. In collaboration with general practitioners, Aberdeen cardiologists pioneered prehospital thrombolysis for acute myocardial infarction in the prepercutaneous intervention era. Dana Dawson, DM, DPhil University of Aberdeen and Aberdeen Royal Infirmary, Scotland Euan Wemyss, BSc (Hons) University of Aberdeen, Scotland. -
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. -
NHS Grampian CONSULTANT PSYCHIATRIST
NHS Grampian CONSULTANT PSYCHIATRIST Old Age Psychiatry (sub-specialty: Liaison Psychiatry) VACANCY Consultant in Old Age Psychiatry (sub-specialty: Liaison Psychiatry) Royal Cornhill Hospital, Aberdeen 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent This post is based at Royal Cornhill Hospital, Aberdeen and applications will be welcomed from people wishing to work full-time or part-time and from established Consultants who are considering a new work commitment. The Old Age Liaison Psychiatry Team provides clinical and educational support to both Aberdeen Royal Infirmary and Woodend Hospital and is seen nationally as an exemplar in service delivery. The team benefits from close working relationships with the 7 General Practices aligned Older Adult Community Mental Health Teams in Aberdeen and Aberdeenshire and senior colleagues in the Department of Geriatric Medicine. The appointees are likely to be involved in undergraduate and post graduate teaching and will be registered with the continuing professional development programme of the Royal College of Psychiatrists. They will also contribute to audit, appraisal, governance and participate in annual job planning. There are excellent opportunities for research. Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT in Old Age Psychiatry or eligibility for specialist registration (CESR) or be within -
Support Directory for Families, Authority Staff and Partner Agencies
1 From mountain to sea Aberdeenshirep Support Directory for Families, Authority Staff and Partner Agencies December 2017 2 | Contents 1 BENEFITS 3 2 CHILDCARE AND RESPITE 23 3 COMMUNITY ACTION 43 4 COMPLAINTS 50 5 EDUCATION AND LEARNING 63 6 Careers 81 7 FINANCIAL HELP 83 8 GENERAL SUPPORT 103 9 HEALTH 180 10 HOLIDAYS 194 11 HOUSING 202 12 LEGAL ASSISTANCE AND ADVICE 218 13 NATIONAL AND LOCAL SUPPORT GROUPS (SPECIFIC CONDITIONS) 223 14 SOCIAL AND LEISURE OPPORTUNITIES 405 15 SOCIAL WORK 453 16 TRANSPORT 458 SEARCH INSTRUCTIONS 1. Right click on the document and select the word ‘Find’ (using a left click) 2. A dialogue box will appear at the top right hand side of the page 3. Enter the search word to the dialogue box and press the return key 4. The first reference will be highlighted for you to select 5. If the first reference is not required, return to the dialogue box and click below it on ‘Next’ to move through the document, or ‘previous’ to return 1 BENEFITS 1.1 Advice for Scotland (Citizens Advice Bureau) Information on benefits and tax credits for different groups of people including: Unemployed, sick or disabled people; help with council tax and housing costs; national insurance; payment of benefits; problems with benefits. http://www.adviceguide.org.uk 1.2 Attendance Allowance Eligibility You can get Attendance Allowance if you’re 65 or over and the following apply: you have a physical disability (including sensory disability, e.g. blindness), a mental disability (including learning difficulties), or both your disability is severe enough for you to need help caring for yourself or someone to supervise you, for your own or someone else’s safety Use the benefits adviser online to check your eligibility. -
Post-Exposure Prophylaxis (PEP) for Human Immunodeficiency Virus (HIV) and Guidance for Staff on the Management of Community Exposure
Post-Exposure Prophylaxis (PEP) for Human Immunodeficiency Virus (HIV) and Guidance for Staff on the Management of Community Exposure to Blood Borne Viruses Dr Emmanuel Okpo, Lead Author/ Consultant in Public Health Coordinator: Medicine Reviewers: Dr Daniela Brawley, Consultant in Sexual Health & HIV, HIV Lead for SH/BBV MCN Dr Ambreen Butt, Consultant Sexual Health and HIV Medicine, Service Lead Sexual and Reproductive Health Susan Webb, Director of Approver: Public Health Unique Identifier NHSG/SHS/GUI/003 Approval Date: October 2017 Review Date: October 2019 Version: Version 3 New/Replacement Replacement Document Executive Sign-Off This document has been endorsed by the Medical Director Signature Uncontrolled When Printed This document is also available in large print and other formats and languages, upon request. Please call NHS Grampian Corporate Communications on (01224) 551116 or (01224) 552245. This controlled document shall not be copied in part or whole without the express permission of the author or the author’s representative. Version History Previous Summary of Changes Changes Marked* Revision Revision (Descriptive summary (Identify page numbers Date Date of the changes made) and section heading ) August N/A Document title amended Cover page 2017 Previously reviewed by Dr Ivan Cover page Tonna. Previously approved by Sir Lewis Ritchie Changes to PEP regime and Page 8, Information for testing medical staff regarding PEP and Page 12,Table 3 Added “To assist staff to Page 5, 3.2 Risk communicate with non-English Assessment speaking patients, parents, relatives or friends, a “face to face” interpreter or the “Language Line” telephone interpretation service can be made available when consultation or care is provided. -
Emergency Departments
ED Site List 220711 v2.xls NHS Scotland - Emergency Departments Table 1: NHS Scotland - list of sites providing emergency care File NHS Board Site Type Location Name Location Address Comments Type Ayrshire & Arran ED Ayr Hospital DALMELLINGTON ROAD, AYR, KA6 6DX E Crosshouse Hospital KILMARNOCK ROAD, KILMARNOCK, AYRSHIRE, KA2 0BE E MIU/Other Arran War Memorial Hospital LAMLASH, ISLE OF ARRAN, KA27 8LF A Davidson Cottage Hospital THE AVENUE, GIRVAN, KA26 9DS A Closed from May-10 Girvan Community Hospital BRIDGEMILL, GIRVAN, AYRSHIRE, KA26 9HQ A Opened from May-10 Lady Margaret Hospital COLLEGE ST, MILLPORT, ISLE OF CUMBRAE, KA28 0HF A Opened from Oct-07 Borders ED Borders General Hospital MELROSE, TD6 9BS E MIU/Other Hawick Cottage Hospital VICTORIA ROAD, HAWICK, TD9 7AH A Hay Lodge Hospital NEIDPATH ROAD, PEEBLES, EH45 8JG A Kelso Hospital INCH ROAD, KELSO, TD5 7JP A Knoll Hospital STATION ROAD, DUNS, TD11 3EL A Dumfries & Galloway ED Dumfries & Galloway Royal Infirmary BANKEND ROAD, DUMFRIES, DG1 4AP E Galloway Community Hospital DALRYMPLE STREET, STRANRAER, DG9 7DQ E MIU/Other Castle Douglas Hospital ACADEMY STREET, CASTLE DOUGLAS, DG7 1EE A Kirkcudbright Hospital TOWNEND, KIRKCUDBRIGHT, DG6 4BE A Moffat Hospital HOLMEND, MOFFAT, DG10 9JY A Newton Stewart Hospital NEWTON STEWART, DG8 6LZ A Fife ED Victoria Hospital HAYFIELD ROAD, KIRKCALDY, KY2 5AH E MIU/Other Adamson Hospital BANK STREET, CUPAR, KY15 4JG A Queen Margaret Hospital WHITEFIELD ROAD, DUNFERMLINE, KY12 0SU E St Andrews Memorial Hospital ABBEY WALK, ST ANDREWS, KY16 9LG -
Treatment of Sepsis in an Intensive Care Unit
Intensive Care Med (1990) 16 [Suppl 3]:$243-$247 Intensive Care Medicine Springer-Verlag 1990 Treatment of sepsis in an intensive care unit C.C. Smith Department of Medicine, Aberdeen Royal Infirmaryand The InfectionUnit, City Hospital, Aberdeen, Scotland Abstract. The management of severe bacterial sepsis is an have a significantly higher mortality than do younger pa- integral part of intensive care medicine. Early and appro- tients [1]. This largely reflects an increased incidence of priate treatment with antimicrobials positively affects cardiovascular or pulmonary disease and major nutri- mortality and significantly reduces the time spent in both tional problems. The condition of the patient prior to ad- intensive care and the hospital. Drug choice is usually mission greatly influences the outcome following inten- made on a "best guess" basis and instituted prior to re- sive care management. Protracted shock with disseminat- ceipt of appropriate blood, sputum, urine or drainage ed intravascular coagulation (DIC) and renal failure with culture results. Bactericidal drugs should be given in com- acidaemia and hypoxaemia are associated with a high bination, delivered by intravenous bolus and directed to- mortality or protracted stay in ITU if they survive. Early wards broad cover of all likely pathogens. Aminoglyco- intervention is accompanied by an improved prognosis side/ureidopenicillin combinations are synergistic and [2, 3]. widely used - often combined with metronidazole. Once the patient is admitted to intensive care the risk Aminoglycoside toxicity can be reduced by giving the of developing nosocomial infection there will progressive- drug once daily (OD) rather than by traditional multiple ly increase the longer the patient remains in that environ- daily dosing (MDD) and by measuring peak and trough ment [4]. -
Specialist Radiographer MRI Band 6 £30,401 - £38,046 Per Annum, Full-Time 37.5 Hours Per Week
Aberdeen Royal Infirmary and Woodend Hospital, Aberdeen Specialist Radiographer MRI Band 6 £30,401 - £38,046 per annum, Full-time 37.5 hours per week NHS Grampian are seeking an enthusiastic, flexible and motivated Aberdeenshire boasts many picturesque towns and villages within Radiographer to come and join our friendly MRI team, working across easy commuting distance and provides access to a large range of both Aberdeen Royal Infirmary and Woodend Hospital in Aberdeen. outdoor pursuits including skiing. MRI experience is essential, although full training will be given. There are excellent transport links with Glasgow and Edinburgh CPD is actively encouraged and supported. easily accessed by train and Aberdeen airport has multiple flights to The MRI service currently has 2 Siemens Avanto 1.5T scanners and London daily and other destinations across Europe. Assistance with a GE 450 widebore scanner, with further MRI scanners planned for relocation may be available. the Elective Care Centre and Baird Women’s and Children Hospital in Informal enquiries to Rachel Watt, Lead MRI Superintendent on the future. The NHS also has access to a 3T Philips Achieva research 01224 556881. scanner. Apply by visiting: https://apply.jobs.scot.nhs.uk and search for Both sites are very busy and offer an interesting case mix. Ref No BC012032. Closing date 26th February 2020. We currently operate an extended working day, including evening and weekend shifts and have an MRI On-Call service, which may develop to 24/7 cover. Participation in these is essential. NHS Grampian provides healthcare for a population of 540,000 with around 40% living within Aberdeen and the remaining 60% in Aberdeenshire and Moray.