DOCSLIB.ORG

MND Scotland Integrated Care Pathway – Mobility

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
MND Scotland Integrated Care Pathway – Mobility MND Scotland Integrated Care Pathway The Scottish MND Clinical Specialist Team Helen Lennox Dumfries & Galloway North, South & East Ayrshire Laura Cunningham Glasgow City (North, East, West) Cumbernauld North Lanarkshire (ML Postcodes) South Lanarkshire (ML Postcodes) Ann Silver Western Isles Glasgow City (South) North Lanarkshire (G Postcodes) South Lanarkshire (G Postcodes) Renfrewshire Janice Hatrick East Dunbartonshire West Dunbartonshire Inverclyde East Renfrewshire Renfrewshire Dianne Fraser Aberdeen City Susan Stewart Aberdeenshire Moray Moira Flett Orkney Dorothy Storey Shetland Andrew Bethell Highland Jacqui McMillan Argyll & Bute Carolyn Webber Dundee City Dee McAleer Angus Gill Craig Perth & Kinross North East Fife Gill Stott Edinburgh City Alison McEleney Borders East, West & Mid Lothian Laura Marshall Stirlingshire Falkirk Clackmannanshire Loch Lomond & Trossachs Dunfermline & West Fife Kirkcaldy & Levenmouth Glenrothes NATIONAL NURSING LEAD FOR MOTOR NEURONE DISEASE/ CONSULTANT NURSE Judith Newton, RGN MSc(R) University of Edinburgh, Centre of Clinical Brain Sciences, Chancellors Building, Little France, Edinburgh EH16 4SB Mobile: 07702858820 Email:[email protected] [email protected] MND CARE CENTRE - WEST MND CARE CENTRE – MND CARE CENTRE – TAYSIDE Helen Lennox ORKNEY Carolyn Webber Regional Care Specialist for MND Moira Flett Nurse Specialist - MND Room L2/70, 2nd Floor MND Care Advisor Department of Neurology Dept Neurosurgery, Institute of Balfour Hospital South Block Level 6 Neurological Sciences New Scapa Road Ninewells Hospital The Queen Elizabeth University Kirkwall Dundee, DD1 9SY Hospital Glasgow Orkney 1345 Govan Road KW15 1BH Tel: 01382 425726 Glasgow, G51 4TF Mobile: 07814285893 Tel: 01856 888032 Email: [email protected] Tel: 0141 201 2380 Email: [email protected] Mobile: 07973929371 Dee McAleer Email: [email protected] MND CARE CENTRE – Nurse Specialist - MND Department of Neurology Laura Cunningham NORTH South Block Level 6 Regional Care Specialist for MND Dianne Fraser Ninewells Hospital Room L2/70 ,2nd Floor Clinical Specialist for Motor Dundee, DD1 9SY Dept Neurosurgery, Institute of Neurone Disease Tel: 01382 425726 Neurological Sciences Room 4.26 Mobile: 0773051435 The Queen Elizabeth University 4th Floor Email: [email protected] Hospital Glasgow Ashgrove House Gill Craig 1345 Govan Road Aberdeen Royal Infirmary Specialist Nurse MND Glasgow, G51 4TF Foresterhill Department of Neurology Tel: 0141 201 2381 Aberdeen AB25 2ZN South Block - Level 6 Mobile: 07972624586 Tel: 01224 554388 Ninewell Hospital Email: Mobile: 07980924476 Dundee, DD1 9SY [email protected] Email: [email protected] Tel: - 01382 425726 Ann Silver Susan Stewart Mobile - 07976648176 Regional Care Specialist for MND Clinical Specialist for MND Email: [email protected] Room L2/70, 2nd Floor Room 4.26 Dept Neurosurgery, Institute of 4th Floor Neurological Sciences MND CARE CENTRE – EAST Ashgrove House The Queen Elizabeth University Aberdeen Royal Infirmary Gill Stott Hospital Glasgow Foresterhill MND Clinical Specialist 1345 Govan Road Aberdeen AB25 2ZN Department of Clinical Neuroscience Glasgow, G51 4TF Western General Hospital Tel: 01224 554388 Tel: 0141 201 2380 Crewe Road Mobile: 07976 557934 Edinburgh, EH4 2XU Mobile: 07971368780 Email: [email protected] Email: [email protected] Tel: 0131 5372131 Mobile: 07711386201 Janice Hatrick Email: [email protected] Regional Care Specialist for MND Room L2/70, 2nd Floor MND CARE CENTRE – Alison McEleney Dept Neurosurgery, Institute of HIGHLAND MND Clinical Specialist Neurological Sciences Department of Clinical Neuroscience Andrew Bethell The Queen Elizabeth University Western General Hospital MND Clinical Specialist Hospital Glasgow Crewe Road Nairn Town & County Hospital 1345 Govan Road Edinburgh, EH4 2XU Cawdor Road Glasgow, G51 4TF Tel: 0131 5372131 Nairn, IV12 5EE Tel: 0141 201 2380 Mobile: 07711386202 Mobile: 07971368793 Mobile: 07815507942 Email: Email: Email: [email protected] [email protected] [email protected] Jacqui MacMillan MND CARE CENTRE – CENTRAL MND CARE CENTRE – MND Advanced Nurse BELT SHETLAND NHS Highland, Argyll & Bute Laura Marshall Lorn and Islands Hospital MND Specialist Nurse Dorothy Storey Glengallan Road Forth Valley Royal Hospital MND Care Advisor Oban, PA34 4HH Office J, Desk 10 Neurology Department The Gilbert Bain Hospital Stirling Road Mobile: 07557 256690 South Road Larbert, FK5 4WR Email: [email protected] Shetland Direct Dial: 01324 566870 ZE1 0TB Tuesday - Wednesday NHS Forth Valley Tel: 01595 743000 Ext 3197 Email: [email protected] Victoria Hospital’ Ward 6, Hayfield House, Kirkcaldy, KY2 5AH Telephone: 07973739795 Thursday & Friday NHS Fife Acknowledgements MND Scotland acknowledges the debt it owes to the original contributors to the Champlain Integrated Care Plan on which this Scottish version is modelled. We also acknowledge the work done by the working group of the United Kingdom Royal College of Nurses who developed the document “A Pathway for the Management of Pain in Motor Neurone Disease,” which is now out of print, but has been incorporated and updated within this booklet. We also wish to draw attention to the excellent resources provided by MND Australia at www.mndcare.net.au for both professionals and those living with the condition, which are referenced within this booklet.. A Message to the Primary Carer When a member of the family is diagnosed with MND, it can be an overwhelming time. It is therefore necessary that a family member, a relative or a friend understands the prognosis of MND and who to contact for advice and support during this time of great distress. It is hoped that this booklet will provide you with a fuller understanding of MND and offer you guidance and support to help with decision making. As soon as a diagnosis is confirmed, families should be put in contact with a member of the MND Scotland Care Team by their Neurologist. The care team is there to identify and source additional support as required for the particular stage of the disease. The course of MND is variable, so the symptoms experienced and the order in which they appear will vary from individual to individual and not everyone affected will necessarily experience all of the possible symptoms. You are not alone; although most health care professionals will have little to do after their initial visit early in the disease, they will, however, come to your aid as things change and more input is required – even if they haven’t been in touch for several months. All it takes is a phone call from you advising them of how things have changed. Taking care of your own health and wellbeing is rarely a primary carer’s priority and, therefore, the carer’s own health is often not given the attention it deserves. However, it is imperative that family carers monitor their own health with the supervision of their GP and think about compassionate leave or a change to working hours if the health of the primary carer is at risk or might become an issue. Please ensure that this document is made known to the various care professionals who are involved with you and your family so they can order a copy for themselves from MND Scotland. TABLE OF CONTENTS Page Introduction 1 What is an Integrated Care Pathway? Why have an Integrated Care Pathway for MND? Who is the Target Audience for the Integrated Care Pathway? How should the Integrated Care Pathway be used? Key Considerations in MND Disease Management 2 Rate of Disease Progression Variable Symptomologies Energy Conservation Emotional Impact of MND Making Best Use of Knowledgeable Professionals Energy Conservation Techniques 4 Advance Care Planning and MND 5 Revised ALS Functional Rating Scale (ALSFRS-R) 6 Health Improvement Scotland’s Clinical Standards for Neurological Services 7 The Integrated Care Pathways. 11 Mobility Pathway 11 Eating, Drinking and Swallowing Pathway 15 Communication Pathway 18 Respiratory Pathway 20 Cognitive and Behavioural Changes 22 Sexuality 23 Physical Pain 24 Psychological Pain 25 Spiritual Pain 26 Clinical Standards specific to Motor Neurone Disease 31 Appendices A, Key Service Resources in Scotland for information and MND Management 33 B, Palliative Care Resources 37 C, Respite Care Services 42 D, MND Books, DVDs and Videos 43 INTRODUCTION What is an Integrated Care Pathway? An integrated care pathway (ICP) is a description of a person’s anticipated care needs that should be addressed by the multidisciplinary team. It summarises an overview of disease progression under different headings and identifies potential problems that might arise for the client and carer as the illness advances. It also offers a list of resources which should be accessed as required to support clients with MND at different stages of the disease. In most cases access to these specialist services or the suggested resources will require referral from a member of the multidisciplinary team. This anticipatory approach to addressing care needs can benefit clients and families by helping members of the multidisciplinary team identify solutions to potential needs before they arise. Why have an Integrated Care Pathway for MND? The goal of an ICP is to promote and support the development of care partnerships and to provide information to empower clients and their carers. Due to the relatively small number of people affected by MND, only a few staff within the NHS or social work departments will have the necessary training and experience to develop a high level of expertise in the management of this disease. This integrated care pathway has been developed to assist carers in understanding the disease process of MND from diagnosis to end of life and to suggest appropriate resources and interventions for different stages of the condition. Who is the Target Audience for the Integrated Care Pathway? The ICP is intended to empower both professional and non-professional care providers. Experience of other care plans, for example the Champlain Care Plan developed in Ontario, Canada, on which this ICP draws heavily, has demonstrated, that both people with MND and their families can benefit from an ICP like this.
Load more

Recommended publications
  • North East Scotland Roads Hierarchy Study
    North East Scotland Roads Hierarchy Study ...Making best use of the city's road network Nestrans and Aberdeen City Council Project number: 60583665 May 2019 Image © Norman Adams - Aberdeen City Council North East Scotland Roads Hierarchy Study Project number: 60583665 Quality information Prepared by Checked by Approved by Jo Duck Andrew Robb Emma Gilmour Consultant Senior Consultant Regional Director Revision History Revision Revision date Details Authorized Name Position 0 11 January 2019 Working Draft EG Emma Gilmour Project Director 1 21 February 2019 Draft EG Emma Gilmour Project Director 2 12 April 2019 Final EG Emma Gilmour Project Director 3 22 May 2019 Final following EG Emma Gilmour Project Director further client comments Distribution List # Hard Copies PDF Required Association / Company Name Prepared for: Nestrans and Aberdeen City Council AECOM North East Scotland Roads Hierarchy Study Project number: 60583665 Prepared for: Nestrans Archibald Simpson House 27-29 King Street Aberdeen AB24 5AA Prepared by: Jo Duck Consultant T: 07384 813498 E: [email protected] AECOM 1 Marischal Square Aberdeen AB10 1BL United Kingdom T: +44(0)1224 843759 aecom.com © 2019 AECOM Limited. All Rights Reserved. This document has been prepared by AECOM Limited (“AECOM”) for sole use of our client (the “Client”) in accordance with generally accepted consultancy principles, the budget for fees and the terms of reference agreed between AECOM and the Client. Any information provided by third parties and referred to herein has not been checked or verified by AECOM, unless otherwise expressly stated in the document. No third party may rely upon this document without the prior and express written agreement of AECOM.
    [Show full text]
  • 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.
    [Show full text]
  • Making Connections
    Making connections Evaluation Report on the Suttie Arts Space 2014 -2016 Basia McDougall BH McDougall CPsychol. AFBPSs, FHEA MPhil. MSc. Occ. Psych. BSc.(Hons) Chartered Psychologist Independent Research Evaluator Acknowledgments I would like to acknowledge the help and co-operation of all those who took the time to meet with me or discuss with me, by telephone or e-mail, issues relevant to this evaluation. Their honest thoughts, comments and pointers to contacts and further sources of information have been invaluable in shaping the content of this report. Thank you to: The Paul Hamlyn Foundation, who provided funding for this evaluation project (July 2016) Creative Scotland and Aberdeen City Council who supported the programme of commissioned exhibitions PAGE 2 Executive Summary Introduction GHAT commissioned an evaluation study of The Suttie Arts Space and requested that stories of venue use should form the central focus of the evaluation. The evaluation plan assumed three areas of broad interest: a. venue use b. perceptions of venue and c. perceptions of art exhibited within the venue. Method The primary research tool was the narrative interview. Twelve participants were self-selected and represented three groups: stakeholders, artists and visitors (inpatient and outpatient). In-depth narrative interviews were conducted, transcribed and analysed. Additional sources of evidence, gathered over the 10 months, supplemented the findings of interviews. These sources included over 250 invigilator entries and visitor comment sheets. In addition, email correspondence took place with those who chose not to be interviewed but wanted to share their views. Finally, attendance at monthly GHAT meetings, alongside regular visits by the researcher to The Suttie Arts Space, ensured context for the findings.
    [Show full text]
  • 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
    [Show full text]
  • COVID-19 Staff Brief
    can Here is the brief for Wednesday 16 December 2020. COVID-19 vaccine update • If you have applied online or through the phone booking number, please be reassured that you will be on the waiting list for an appointment. Over 6,000 staff across Grampian have already applied for the vaccine. Organising these clinics to match with vaccine supply and vaccinators is extremely challenging. The clinics in ARI & the 3 H&SCPs are now up and running. If you have not heard from the booking team, please don't worry - we will get to you. Many areas are also running Peer-Peer sessions, over 600 vaccinations were given to staff yesterday, an amazing achievement! Thank you for your patience. • If you are at all unwell, please do not attend work, even if you have a vaccine appointment scheduled. Peer and clinic vaccinators have the authorisation to make a clinical judgement and will not immunise staff members if they are unfit to receive the jab. Please respect this decision. In the event of anyone becoming unwell immediately after receiving their immunisation, staff should contact 2222 and follow the usual process. Extension of asymptomatic staff testing As highlighted in Monday’s brief, we will shortly be extending the asymptomatic staff testing programme, using Lateral Flow Devices. This will be rolled out in a phased manner, as follows: • Patient facing staff who are already receiving PCR tests (oncology, Medicine for the Elderly long stay, MH&LD long stay). NOTE this will NOT replace the PCR test but is in addition to it. • Out-patient patient facing staff • Dr Gray’s Hospital patient facing staff Over the next few days we will advise patient facing staff (in the above groups) how to pre-populate their details on a web-form.
    [Show full text]
  • Emergency Departments
    ED-site-list NHS Scotland - Emergency Departments Table 1: NHS Scotland - list of sites providing emergency care NHS Board Site Type Location Name Location Address File Type Comments 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 Queen Margaret Hospital WHITEFIELD ROAD, DUNFERMLINE, KY12 0SU E Victoria Hospital HAYFIELD ROAD, KIRKCALDY, KY2 5AH E MIU/Other Adamson Hospital BANK STREET, CUPAR, KY15 4JG A St Andrews Memorial Hospital ABBEY WALK, ST ANDREWS, KY16 9LG A Forth Valley
    [Show full text]
  • Service Mapping
    Moray CHSCP November 2011 RCOP in Moray APPENDIX 5: SERVICE MAPPING Service Mapping 2010-2011 This service mapping document seeks to identify and map provision within the Moray health and social care system, regardless of provider, which currently provides care and support services to older people. The aim of this mapping is to establish what activity is being carried out and by whom. It has been used as the basis for gaps analysis and service development SERVICE MAPPING Contents Appendix 5: service mapping .................................................................................... 1 SERVICE MAPPING ....................................................................................................... 2 Contents ..................................................................................................................... 2 Introduction ................................................................................................................ 6 A: Primary Healthcare................................................................................................. 10 1 GP Practices ......................................................................................................... 10 1.1 Overview ....................................................................................................... 10 1.2 Quality .......................................................................................................... 13 1.2.1 2009/10 Scottish GP Patient Experience Survey ...........................................
    [Show full text]
  • Local Report ~ January 2007
    NHS Argyll & Clyde Local Report ~ January 2007 Maternity Services içÅ~ä=oÉéçêí=ú=g~åì~êó=OMMT= j~íÉêåáíó=pÉêîáÅÉë== qÜÉ=ã~íÉêåáíó=ëÉêîáÅÉë=ëí~åÇ~êÇë=~ééäó=íç=ëéÉÅáÑáÅ=~êÉ~ë=çÑ=íÜÉ=ëÉêîáÅÉK=qÜÉ= ÅäáåáÅ~ä=ëí~åÇ~êÇë=ÅçîÉê=íÜÉ=éÉêáçÇ=çÑ=íáãÉ=ÄÉíïÉÉå=ÅçåÑáêã~íáçå=çÑ= éêÉÖå~åÅóI=íÜêçìÖÜ=ìåíáä=íÜÉ=Ä~Äó=áë=SÓU=ïÉÉâë=çäÇK=qÜÉ=éêçàÉÅí=Öêçìé= ÇÉîÉäçéÉÇ=ÑáîÉ=ëí~åÇ~êÇëI=ÅçîÉêáåÖW=ÅçêÉ=éêáåÅáéäÉëX=éêÉJÅçåÅÉéíáçå=~åÇ= îÉêó=É~êäó=éêÉÖå~åÅóX=éêÉÖå~åÅóX=ÅÜáäÇÄáêíÜX=~åÇ=éçëíå~í~ä=~åÇ= é~êÉåíÜççÇK=qÜáë=êÉéçêí=éêÉëÉåíë=íÜÉ=ÑáåÇáåÖë=Ñêçã=íÜÉ=éÉÉê=êÉîáÉï=çÑ= éÉêÑçêã~åÅÉ=~Ö~áåëí=íÜÉ=ëí~åÇ~êÇëK= = = «=kep=nì~äáíó=fãéêçîÉãÉåí=pÅçíä~åÇ=OMMT= = fp_k=NJUQQMQJPUUJS= = cáêëí=éìÄäáëÜÉÇ=g~åì~êó=OMMT= = vçì=Å~å=Åçéó=çê=êÉéêçÇìÅÉ=íÜÉ=áåÑçêã~íáçå=áå=íÜáë=ÇçÅìãÉåí=Ñçê=ìëÉ=ïáíÜáå=keppÅçíä~åÇ= ~åÇ=Ñçê=ÉÇìÅ~íáçå~ä=éìêéçëÉëK=vçì=ãìëí=åçí=ã~âÉ=~=éêçÑáí=ìëáåÖ=áåÑçêã~íáçå=áå=íÜáë= ÇçÅìãÉåíK=`çããÉêÅá~ä=çêÖ~åáë~íáçåë=ãìëí=ÖÉí=çìê=ïêáííÉå=éÉêãáëëáçå=ÄÉÑçêÉ= êÉéêçÇìÅáåÖ=íÜáë=ÇçÅìãÉåíK= = fåÑçêã~íáçå=Åçåí~áåÉÇ=áå=íÜáë=êÉéçêí=Ü~ë=ÄÉÉå=ëìééäáÉÇ=Äó=kep=Äç~êÇëI=çê=í~âÉå=Ñêçã= ÅìêêÉåí=kep=Äç~êÇ=ëçìêÅÉëI=ìåäÉëë=çíÜÉêïáëÉ=ëí~íÉÇI=~åÇ=áë=ÄÉäáÉîÉÇ=íç=ÄÉ=êÉäá~ÄäÉ=çå= éìÄäáÅ~íáçåK= = ïïïKåÜëÜÉ~äíÜèì~äáíóKçêÖ= içÅ~ä=oÉéçêí=Ekep=^êÖóää=C=`äóÇÉFW=j~íÉêåáíó=pÉêîáÅÉë=Ó=g~åì~êó=OMMT 2 `çåíÉåíë= N pÉííáåÖ=íÜÉ=ëÅÉåÉ= R NKN eçï=íÜÉ=ëí~åÇ~êÇë=ïÉêÉ=ÇÉîÉäçéÉÇ= S NKO eçï=íÜÉ=êÉîáÉï=éêçÅÉëë=ïçêâë= S NKP oÉéçêíë= U O pìãã~êó=çÑ=ÑáåÇáåÖë= NM OKN lîÉêîáÉï=çÑ=äçÅ~ä=ëÉêîáÅÉ=éêçîáëáçå= NM OKO pìãã~êó=çÑ=ÑáåÇáåÖë=~Ö~áåëí=íÜÉ=ëí~åÇ~êÇë= NO P aÉí~áäÉÇ=ÑáåÇáåÖë=~Ö~áåëí=íÜÉ=ëí~åÇ~êÇë= NS ^ééÉåÇáñ=N=Ó=däçëë~êó=çÑ=~ÄÄêÉîá~íáçåë= RM ^ééÉåÇáñ=O=Ó=aÉí~áäë=çÑ=êÉîáÉï=îáëáí= RO ^ééÉåÇáñ=P=Ó=j~íÉêåáíó=ëÉêîáÅÉë=éêçàÉÅí=Öêçìé=ãÉãÄÉêë= RP ^ééÉåÇáñ=Q=Ó=qáãÉí~ÄäÉ=çÑ=êÉîáÉï=îáëáíë= RR içÅ~ä=oÉéçêí=Ekep=^êÖóää=C=`äóÇÉFW=j~íÉêåáíó=pÉêîáÅÉë=Ó=g~åì~êó=OMMT 3 içÅ~ä=oÉéçêí=Ekep=^êÖóää=C=`äóÇÉFW=j~íÉêåáíó=pÉêîáÅÉë=Ó=g~åì~êó=OMMT 4 N=pÉííáåÖ=íÜÉ=ëÅÉåÉ= NHS Quality Improvement Scotland (NHS QIS) was set up by the Scottish Parliament in 2003 to take the lead in improving the quality of care and treatment delivered by NHSScotland.
    [Show full text]
  • NHS Grampian Consultant Anaesthetist (Interest in General Anaesthesia)
    NHS Grampian CONSULTANT ANAESTHETIST (Interest in General Anaesthesia) Aberdeen Royal Infirmary VACANCY Consultant Anaesthetist (Interest in General Anaesthesia) Aberdeen Royal Infirmary 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent NHS Grampian Facilities NHS Grampian’s Acute Sector comprises, Aberdeen Royal Infirmary (ARI), Royal Aberdeen Children’s Hospital (RACH), Aberdeen Maternity Hospital (AMH), Woodend Hospital, Cornhill Hospital, and Roxburgh House, all in Aberdeen and Dr Gray’s Hospital, Elgin. Aberdeen Royal Infirmary (ARI) The ARI is the principal adult acute teaching hospital for the Grampian area. It has a complement of approximately 800 beds and houses all major surgical and medical specialties. Most surgical specialties along with the main theatre suite, surgical HDU, and ICU are located within the pink zone of the ARI. The new Emergency Care Centre (see below) is part of ARI and is located centrally within the site. Emergency Care Centre (ECC) The ECC building was opened in December 2012 and houses the Emergency Department (ED), Acute Medical Initial Assessment (AMIA) unit, primary care out-of- hours service (GMED), NHS24, and most medical specialties of the Foresterhill site. The medical HDU (10 beds), Coronary Care Unit, and the GI bleeding unit are also located in the same building. Intensive Care Medicine and Surgical HDU The adult Intensive Care Unit has 16 beds and caters for approximately 700 admissions a year of which, less than 10 per cent are elective and 14 per cent are transfers from other hospitals. The new 18 bedded surgical HDU together with ICU and medical HDU have recently merged under one critical care directorate.
    [Show full text]
  • NHS Highland CONSULTANT ANAESTHETIST
    NHS Highland CONSULTANT ANAESTHETIST Lorn & Islands Hospital VACANCY Consultant in Anaesthesia Lorn & Islands Hospital 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent Applications are invited to join our Anaesthetics team at Lorn & Islands Hospital, Oban on the beautiful West Coast of Scotland. This vacancy is offered on the basis of 10 Programmed Activities per week. The department of Anaesthetics is based at Lorn & Islands Hospital, Oban. The Hospital is located on the southern outskirts of Oban and forms a hub for both acute and community services within the area. Purpose built in 1995, the Hospital houses a full range of facilities expected in a rural general hospital including a full 24 hour medical, surgical and anaesthetic service. Duties are based at Lorn and the Islands Hospital with some sessions at the Argyll and Bute Mental Health Hospital in Lochgilphead. There is the possibility of further clinic sessions at community hospitals throughout Argyll. The area is of one of outstanding natural beauty, the town of Oban is a tourist and commercial centre for the West of Scotland and the Isles. The port town has ferry links to the islands of Mull, Iona, Islay, Coll, Tiree, Colonsay and Lismore. There is plenty of opportunity for enjoying leisure pursuits including yachting, canoeing, walking, climbing, cycling and fishing. It’s a great place to bring up a family with good local schools and reasonable property prices. Oban provides the advantage of a high quality of life in a rural setting with access to the main centres of Glasgow, Stirling and Perth all within 2½ hours travel time.
    [Show full text]
  • Public Document Pack Argyll and Bute Council Comhairle Earra Ghaidheal Agus Bhoid
    Public Document Pack Argyll and Bute Council Comhairle Earra Ghaidheal agus Bhoid Corporate Services Director: Nigel Stewart Kilmory, Lochgilphead, PA31 8RT Tel: 01546 602127 Fax: 01546 604444 DX 599700 LOCHGILPHEAD e.mail –[email protected] 16 June 2004 NOTICE OF MEETING A meeting of ARGYLL AND BUTE COUNCIL will be held in the COUNCIL CHAMBER, KILMORY, LOCHGILPHEAD on WEDNESDAY, 23 JUNE 2004 at 11:00 AM, which you are requested to attend. Nigel Stewart Director of Corporate Services BUSINESS 1. APOLOGIES FOR ABSENCE 2. DECLARATIONS OF INTEREST (IF ANY) 3. NHS ARGYLL AND CLYDE CLINICAL STRATEGY (a) PRESENTATION AND DISCUSSION OF CONSULTATION DOCUMENT (Pages 1 - 60) (b) NOTICE OF MOTION UNDER STANDING ORDER 13 By Councillor Macaskill, seconded by Councillor Walsh “That the Council appoint a short life Policy Development Group of five Members with at least one Member from each of the Council’s four sub- areas to formulate a draft response to the Consultation document after consultation with Area Committees and other stakeholders as appropriate – the draft response to come to the Council meeting on 15 September 2004.” (c) MATERNITY SERVICES Report by Director of Community Services (Pages 61 - 86) 4. MINUTES Argyll and Bute Council 12 May 2004 (Pages 87 - 92) 5. MINUTES OF COMMITTEES (a) Helensburgh and Lomond Area Committee 4 May 2004 (Pages 93 - 102) (b) Bute and Cowal Area Committee 4 May 2004 (Pages 103 - 106) (c) Mid Argyll, Kintyre and Islay Area Committee 5 May 2004 (Pages 107 - 112) (d) Oban, Lorn and the Isles Area
    [Show full text]
  • Subject: FOI-18-1038
    From: Foi Enquiries Sent: 08 August 2018 14:50 To: ' Subject: FOI-18-1038 - Age Policies Attachments: V2 - Further Information - Right to Review & Appeal.pdf; FOI-18-1038 - aberdeen-city-hscp- strategic-plan-2016-19.pdf; FOI-18-1038 - JCS_FINAL_April_2013_with_web_links.pdf Dear Thank you for your information request of 10 July 2018. Aberdeen City Council (ACC) has completed the necessary search for the information requested. 1. Does the council have a strategic plan or policy in place for making their local authority area: i: age-friendly (such as an Older Person’s strategy) ii: dementia-friendly (such as a Dementia strategy) Please see response below. 2. If so, what work has been done to implement these policies? Please see response below. 3. Is this strategy, or policy document, publicly available, and if so where? Please see response below. 4. We would also be grateful if the local authority could send us a copy of any such strategy or policy document if possible. Aberdeen City Health & Social Care Partnership has a strategic plan which is available on the website at: https://www.aberdeencityhscp.scot/globalassets/strategic-plan.pdf. The Strategic plan covers all services. Dementia is mentioned within the strategy but it is not a strategy specifically about making the City age or dementia friendly. Provided is the latest document in relation to this strategic plan: please see attached FOI-18-1038 – Aberdeen City HSCP Strategic Plan 2016-19. Aberdeen City Health & Social Care Partnership also has an Ageing wi Opportunity in Aberdeen City Strategy – A consultation document on the future Joint Commissioning Strategy for Older People 2013-2023 which has been provided for reference.
    [Show full text]