DOCSLIB.ORG

Equality Impact Assessment (EQIA)

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Equality Impact Assessment (EQIA) EQUALITY IMPACT ASSESSMENT When completed, a copy of this EQIA form should be emailed to [email protected] Name of Strategy West of Scotland Cancer Network Systemic Anti-Cancer Therapy Future Service Delivery Plan Name of Division Acute Services Names and role of First face to face meeting Date(s) of 16 April 2019 and ongoing Review Team: Nicky Batty, MacMillan Practice Development Facilitator assessment: virtual engagement. The EQIA is updated on an Acute Cancer ongoing basis and shared Sharon Bleakley, Scottish Health Council fortnightly with the full Gillian Carle, Staff Nurse Chemotherapy Programme Amanda Lindsay, Patient Representative Board for comments/updates. Peter MacLean, Clinical Director – Cancer Services / A list of programme board Consultant Haematologist members is included at Sandra McCall, Ayrshire Cancer Support Appendix 1. Caroline Rennie, Macmillan Nurse Consultant Elaine Savory, Equality and Diversity Adviser Emma Smith, Senior Charge Nurse Second face to face meeting 8 August 2019 Patient Representatives: Shoana Connell, Josephine Cosgrove, Ian Dalgleish, Carol-Anne Garven, John Jackson, Shona Kinniburgh, James McBroom, Sinclair Molloy, Anne Riddell, Shirley Risden, Annie Small, William Steele, Alan Tattersfield Nicky Batty, MacMillan Practice Development Facilitator Acute Cancer Sandra McCall, Ayrshire Cancer Support Caroline Rennie, Macmillan Nurse Consultant Elaine Savory, Equality and Diversity Adviser 1 Wendy Short, Senior Charge Nurse PART ONE: RAPID IMPACT ASSESSMENT (INITIAL SCREENING PROCESS) SECTION ONE AIMS OF THE PROGRAMME 1.1. Is this a new or existing Policy : New regional policy for local implementation 1.2. What is the aim or purpose of the Strategy: Definition of Terms SACT (Systemic Anti-Cancer Therapy) - this includes traditional Cytotoxic chemotherapy as well as the full range of newer biological and immunological therapies used as treatment for cancer. For the purposes of this paper it is simpler to refer to these all together as Chemotherapy. NHS AA (NHS Ayrshire & Arran) NHS GGC (NHS Greater Glasgow and Clyde) BWoSCC (Beatson West of Scotland Cancer Centre) WoSCAN (West of Scotland Cancer Network) – this is one of three cancer networks in Scotland comprising 4 Health Boards (NHSAA, NHSGGC, NHS Lanarkshire and NHS Forth Valley). To maintain and develop a safe service for the delivery of chemotherapy within NHS Ayrshire & Arran in conjunction with Boards within WoSCAN. There are significant pressures in relation to chemotherapy delivery due to a gradual increase in new presentations of cancer but more due to a rapid increase in the treatment options available. This means that chemotherapy is available for some patients where it would not have been in the past, and that for many patients additional chemotherapy options are available beyond those previously available. The current model of care: Cancer Centre • Treatment for all Cancers • Routine and complex SACT • Chemoradiotherapy • Broad trial portfolio (phase 1,2 and 3) • Physical capacity significantly challenged by demand Cancer Units • Treatment for 5 main tumour types • Variable trial access (phase 3) 2 • Dispersed workforce • Imbalanced staffing and physical capacity The emerging service model: Cancer Centre (Tier 1) • Complex treatments • Treatment for rare cancers Population 2.7 million • Chemoradiotherapy One for WoS • Phase 1 and 2 clinical trials Cancer Units (Tier 2) • Multidisciplinary teams (consultant and NMP) • Treatment for main tumour types and some less common Population 300,000 to cancers 600,000 • Long infusions (more than 4 hours) 4 or 5 for WoS • Phase 3 clinical trials Outreach (Tier 3) • Nurse led service • Simple short infusions Population 150,000 to • Subcutaneous treatments 300,000 • Supportive medicines (for example, bisphosphonates) 10 to 15 for WoS Community • Dispensing of selected oral SACT • Primary care shared care • Delivery of supportive medicines • Community staff delivery 3 The increased volume and complexity of available chemotherapy, as shown in the following table, puts pressure on the clinical teams assessing patients and prescribing treatment, and on the clinical pharmacy teams providing the validation safety checks. Summary Table of Activity by Year Year Regimen added Current 3 yr total 3 year overall as % of all Tumour Group 2017 2018 2019 Total total regs Haem-onc 18 21 32 71 208 34.1% Breast 6 7 16 29 75 38.7% Lung 3 9 15 27 59 45.8% Colorectal 5 0 0 5 41 12.2% Urological 2 0 2 4 26 15.4% Grand Total 34 37 65 136 409 33.3% NOTE: all totals exclude trials There are also physical accommodation and workforce pressures in aseptic pharmacy and on the daycase units where the chemotherapy is delivered by specialist nursing teams. These pressures are not unique to NHS A&A and we have been active participants in the work which has led to a regional approach to service improvement. The WoSCAN SACT future service delivery plan has been endorsed by the Boards with the network including NHS A&A. Our local strategy is therefore to implement this plan within Ayrshire to support safe and effective care delivery for patients and staff. The plan is based upon a tiered model of care with one Tier 1 centre for the whole of WoS region , currently Beatson WoSCC, with one Tier 2 site for Ayrshire and as many Tier 3 sites as needed. The Tier 1 site will offer specialist care for less common cancers, for the purposes of this review this will include the clinical assessment and chemotherapy prescribing for these cancers. The one Tier 2 site for Ayrshire will be situated within one of the two existing University Hospital sites and will provide a base for prescribing and clinical pharmacy validation for the majority of chemotherapy given locally. Tier 2 will also be the site for high risk daycase, and all inpatient chemotherapy delivery. Tier 3 will offer a safe, local environment for low risk daycase chemotherapy delivery. Tier 3 will be delivered by chemotherapy trained nursing staff but will generally not be supported by medical or clinical pharmacy teams. The best sites for Tier 3 will be determined by patient demographic and availability of appropriate accommodation. This means that patients will travel to the cancer unit for assessment, unless telephone or online assessment is appropriate, and that the majority of patients will get treatment either at their local hospital or outreach centre. 4 Less common cancers will be assessed and prescribed at the Tier 1 site but treatment may be delivered within a Tier 2 or 3 site depending on the level of risk. Implementation of a model of central assessment at the cancer centre with delivery of treatment at local cancer unit or outreach centres, for some patients groups, would allow for care of patients to remain under the appropriate specialist team whilst receiving treatment closer to home thus reducing travel for patients and carers. For example, patients with melanoma are currently treated at BWoSCC however, the majority of treatments delivered for this patient group are suitable for local delivery, as these treatments are already being provided at local units for other patient groups. By repatriating relevant service users the service hopes to: • Move care closer to home, where feasible and safe to do so, to improve the patient experience whilst maintaining high quality outcomes • Optimise the use of the existing BWoSCC • Release capacity in the BWoSCC to focus on more complex treatments and clinical trials Telephone assessment and online electronic assessment (My Clinical Outcomes) are currently being used where appropriate to minimise travel for assessment. It is anticipated that the use of these methods will expand and Attend Anywhere, which is a web-based platform that allows health care providers to offer video call access to their services, may be implemented. However, we are mindful that across Ayrshire wifi connection is variable and therefore, this service may not be available for all. The Scottish Government’s digital ambition for Scotland is for Next Generation Broadband to be available to all by 2020. The graphics below show the ongoing work to improve this across the 3 localities. East Ayrshire North Ayrshire South Ayrshire 5 1.3. Who is this strategy intended to benefit or affect? In what way? Who are the stakeholders? Patients and Carers Staff (Medical, Nursing, Pharmacy) Laboratory Services Supporting clinical services (Radiology, Cardiology, Renal, etc) GPs Scottish Ambulance Service External providers e.g. Beatson based Specialist Oncology Service Voluntary/ Charity Sector including MacMillan, Ayrshire Cancer Support, Troon and Irvine Cancer Care, North Ayrshire Cancer Care, CAN Scottish Health Council – the SCH representative is involved via the Programme Board and the Working Group Local Authority partners The process will ensure all groups are informed using verbal and written communication. All groups will be able to engage in the process either via the questionnaire or face to face meetings. The key stakeholders are all included in the Chemotherapy Programme Board and will receive regular communication regarding the review process. 1.4. What is the socio-economic impact of this policy / service change? (The Fairer Scotland Duty places responsibility on Health Boards to actively consider how they can reduce inequalities of outcomes cause by socio-economic disadvantage when making strategic decisions) 6 The Scottish Index of Multiple Deprivation (SIMD) identifies small area concentrations of multiple deprivation across Scotland. It is made up of seven domains constructed from 38 indicators that are used to measure multiple aspects of deprivation. The domains and their weighting are income; employment; health; education, skills and training; geographic access to services; crime and housing. The SIMD ranges from SIMD1 being the most deprived to SIMD 5 being the least deprived area. SIMD identifies deprived areas, not deprived individuals. It is the most accessible and consistent measure available for targeting resources to those communities experiencing the most multiple deprivation. Many programmes of work within NHS Ayrshire and Arran utilise SIMD with the overarching aim of reducing inequalities in health.
Load more

Recommended publications
  • East Ayrshire Local Development Plan Non-Statutory Planning Guidance
    East Ayrshire Council East Ayrshire Local Development Plan Non-statutory Planning Guidance Bank Street and John Finnie Street Conservation Area Appraisal and Management Plan 2007 Austin-Smith:Lord LLP East Ayrshire Council 5th December 2007 Kilmarnock John Finnie Street and Page 1 of 135 207068 Bank Street Conservation Area Conservation Area Appraisal and Management Plan CONTENTS 1.0 Introduction 2.0 Statutory Designations 3.0 Planning and Other Policies 4.0 History and Context 5.0 Architectural Appraisal 6.0 Townscape and Urban Realm Appraisal 7.0 Archaeological Assessment 8.0 Assessment of Significance 9.0 Vulnerability and Related issues 10.0 Conservation and Management Guidelines 11.0 Implementation and Review APPENDICES Appendix One - Outstanding Conservation Area Boundaries and Properties Appendix Two - Statutory Designations Appendix Three - Buildings Gazetteer Appendix Four - Archaeological Gazetteer Appendix Five - Definitions Austin-Smith: Lord LLP 296 St. Vincent Street, Glasgow. G2 5RU t. 0141 223 8500 f. 0141 223 8501 e: [email protected] June 2007 Austin-Smith:Lord LLP is a limited liability partnership registered in England and Wales with registered number OC315362. Austin-Smith:Lord LLP East Ayrshire Council 5th December 2007 Kilmarnock John Finnie Street and Page 2 of 135 207068 Bank Street Conservation Area Conservation Area Appraisal and Management Plan Austin-Smith:Lord LLP East Ayrshire Council 5th December 2007 Kilmarnock John Finnie Street and Page 3 of 135 207068 Bank Street Conservation Area Conservation Area Appraisal and Management Plan 1.0 INTRODUCTION th Figure 1: John Finnie Street from Station Brae and the North, Early 20 Century (author’s collection) 1.1 The character of Kilmarnock is shaped by the quality and diversity of its historic buildings and streetscape.
    [Show full text]
  • Redirecting to East Ayrshire Council
    EAST AYRSHIRE COUNCIL CABINET REPORT – 3RD OCTOBER 2007 ADDITIONAL STREETSPORT CAGES Report by Executive Director of Neighbourhood Services 1. PURPOSE OF REPORT 1.1 To request that the Cabinet approve the installation of two new StreetSport Cages in Crosshouse and Newmilns, and agree the proposed site for the similar facility in Darvel subject to the satisfactory outcome of consultation exercises. 2. BACKGROUND 2.1 Following the success of existing Multi-use Games Areas in Shortlees and North West Kilmarnock, Leisure Services have worked in partnership with East Ayrshire Sports Council to develop a network of these facilities across East Ayrshire. These new facilities now known as StreetSport Cages, compliment and extend the range of play facilities being made available through the Council’s Playpark Improvement Programme. 2.2 Further to Committee approval at Community Services Committee on 8th November 2006, a network of facilities was developed via a range of external and internal funding allocations. The development and subsequent installation of this network demonstrated East Ayrshire’s forward thinking approach to the development of Community Sport and its commitment to providing young people with positive alternatives to Youth Crime. This was highlighted nationally with the Council being featured on BBC Radio Scotland’s Good Morning Scotland Show and on BBC TV’s Reporting Scotland. 2.3 A subsequent report to Community Services Committee on 31st January 2007 approved the allocation of an additional StreetSport Cage to Darvel. Final implementation, however, was to be subject to a community consultation process. 2.4 The original proposal for the Darvel StreetSport Cage was to site it within the boundaries of Morton Park as the majority of youth disorder complaints being received from Darvel focused on this area.
    [Show full text]
  • Residential Development Opportunity with Planning Permission in Principle
    Residential Development Opportunity with Planning A DEVELOPMENT BY Permission in Principle LAND AT FARDALEHILL, B7081/IRVINE ROAD, KILMARNOCK, EAST AYRSHIRE, KA1 2LA Location The site is located in Kilmarnock, a popular commuter town which is situated 22 miles to the south west of Glasgow City Centre and lies 17 miles to the north of Ayrshire’s principal town of Ayr. Kilmarnock is Ayrshire’s second largest town, with a population of circa 46,000 residents and forms the western section of Scotland’s ‘Central Belt.’ The site is located on the western edge of Kilmarnock, accessed off the B7081/Irvine Road and is well placed for connections to Scotland’s motorway network, with junction 8 of the M77 lying 5 miles to the north east of the site. The nearest train station is situated in the Town Centre, 1.5 miles to the east and provides regular services to Glasgow Central, Carlisle and Newcastle. Regular bus services are also provided on Irvine Road. Kilmarnock Town Centre provides a wide range of community amenities to include supermarkets, retail and leisure uses and Queens Drive Retail Park lies a to the south of the town centre. The nearest schools include Annanhill Primary School and Grange Academy Secondary School which are located approximately 1 mile from the site. Kilmarnock is also home to Rugby Park, the home of Kilmarnock Football Club and Dean Castle Country Park is located nearby. The park extends over 200 acres and provides recreational facilities for community use. Crosshouse Hospital is one of the major employers in the area and lies immediately to the west of the site.
    [Show full text]
  • Malcolms Yard, Crosshouse Road, Kilmaurs by Jim Scott Homes
    EAST AYRSHIRE COUNCIL NORTHERN AREA LOCAL PLANNING COMMITTEE: 7 MARCH 2003 03/0092/FL: PROPOSED RESIDENTIAL DEVELOPMENT AT MALCOLMS YARD, CROSSHOUSE ROAD, KILMAURS BY JIM SCOTT HOMES EXECUTIVE SUMMARY SHEET 1. DEVELOPMENT DESCRIPTION 1.1 It is proposed to develop the site for 10 detached, 3 bedroom bungalows which will be accessed through the existing residential estate at Towerhill, off Braehead Terrace. The proposed new access road is located through the area of open space at the south east corner of the site. The existing path through this area of open space linking Braehead Terrace to Catherine Place will remain, as will the trees and the majority of the grass. Each house is provided with 2 parking spaces with an additional 3 visitor parking spaces located within the site. The proposed new road is to be surfaced to adoptable standards and will be for shared pedestrian/vehicle use. 2. RECOMMENDATION 2.1 It is recommended that the application be approved, subject to the conditions listed on the attached sheet. 3. CONCLUSIONS 3.1 As is indicated in Section 5 of the report, the application is considered to be in accordance with the development plan. Therefore, given the terms of Section 25 and Section 37(2) of the Town and Country Planning (Scotland) Act 1997, the application should be approved unless material considerations indicate otherwise. As indicated in Section 6 of the report, there are material considerations relevant to this application which are supportive of the application. 3.2 It is considered that the objections relating to traffic, access, amenity, environment and local infrastructure have been addressed in Section 4 and are not of sufficient weight as to merit refusal of the application.
    [Show full text]
  • Newmilns & Greenholm Community Action Plan 2021-2026 Profile
    Newmilns & Greenholm Community Action Plan 2021-2026 Profile 1. Brief Description and History 1.1 Early History Evidence of early habitation can be found across The Valley, with the earliest sites dating from around 2000 BC. To the east of Loudoun Gowf Course, evidence has been found of the existence of a Neolithic stone circle and a Neolithic burial mound lies underneath the approach to the seventh green. A site in Henryton uncovered a Neolith barrow containing stone axes (c. 1500 BC) and a Bronze Age cairn dating from about 1000 BC (the cairn itself contains cists which are thought to have been made by bronze weapons or tools). Following this early period, from around AD 200 evidence exists of not only a Roman camp at Loudoun Hill, but also a Roman road running through The Valley to the coast at Ayr. The camp was uncovered through quarry work taking place south of Loudoun Hill but tragically much of this evidence has been lost. According to local workmen, many of the uncovered remains & artefacts were taken with the rest of the quarried materials to be used in road construction projects. Typically, little is known of The Valley's history during the Dark Ages, but it seems likely that an important battle was fought around AD 575 at the Glen Water. In addition, given the strong strategic importance of Newmilns' position as a suitable fording place and a bottleneck on one of Scotland's main east-west trade routes, it is not unlikely that other battles and skirmishes occurred during this period.
    [Show full text]
  • United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines-Upon-Thames, TW18 3HR, UK
    Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK NHS Ayrshire and Arran Issue No: 002 Issue date: 10 May 2019 Department of Biochemistry Contact: Gordon Taylor NHS Ayrshire and Arran Tel: +44 (0)1563 827449 9786 University Hospital Crosshouse E-Mail: [email protected] Kilmarnock Accredited to KA2 0BE ISO 15189:2012 Testing performed by the Organisation at the locations specified below Locations covered by the organisation and their relevant activities Laboratory locations: Location details Activity Location code Address Local contact A Department of Biochemistry Gordon Taylor Clinical Biochemistry University Hospital Crosshouse Kilmarnock KA2 0BE Address Local Contact Department of Biochemistry Gordon Taylor Clinical Biochemistry B University Hospital Ayr Dalmellington Road Ayr Ayrshire KA6 6DX Assessment Manager: KS Page 1 of 8 Schedule of Accreditation issued by United Kingdom Accreditation Service 2 Pine Trees, Chertsey Lane, Staines -u po n - Thames, TW18 3HR, UK NHS Ayrshire and Arran 9786 Issue No: 002 Issue date: 10 May 2019 Accredited to ISO 15189:2012 Testing performed by the Organisation at the locations specified DETAIL OF ACCREDITATION Materials/Products tested Type of test/Properties Standard specifications/ Location measured/Range of Equipment/Techniques used Code measurement HUMAN BODY FLUIDS Biochemistry examination Documented in house methods and activities for the purposes of manufacturers instructions for : clinical
    [Show full text]
  • Sheriffdom of Sheriff Court
    SHERIFFDOM OF NORTH STRATHCLYDE AT KILMARNOCK [2021] FAI 44 KIL-B138-21 DETERMINATION BY SHERIFF GEORGE JAMIESON UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC (SCOTLAND) ACT 2016 into the death of SAMUEL THOMSON Kilmarnock, 26 July 2021 Determination The sheriff having considered the information presented at the inquiry, Determines in terms of section 26 of the Act that: Samuel Thomson, born 12 October 1948, died in an accident at work at Mid Tulloch Farm on 1 April 2020 between 15:00 hours and 16:50 hours. In terms of section 26(2)(a), the death occurred on 1 April 2020 between 15:00 hours and 16:50 hours at Mid Tulloch Farm, Darvel, East Ayrshire. In terms of section 26(2)(b), the accident which resulted in the death occurred on 1 April 2020 between 15:00 hours and 16:50 hours at Mid Tulloch Farm, Darvel, East Ayrshire. In terms of section 26(2)(c), the cause of the death was 1a. Combined compressional and positional asphyxia and 1b. Quad bike accident. 2 In terms of section 26(2)(d), the cause of the accident resulting in the deceased’s death was a quad bike accident in which the deceased’s quad bike overturned over a small burn on Mid Tulloch Farm, Darvel, East Ayrshire causing the deceased to lie underneath the quad bike, facing upwards. In terms of section 26(2) (e), no precautions could reasonably have been taken which might realistically have resulted in the death being avoided. In terms of section 26(2) (f), there were no defects in any system of working which contributed to the death.
    [Show full text]
  • Situation of Polling Stations East Ayrshire Council
    Scottish council elections Situation of polling stations East Ayrshire Council Date of election: Thursday 4 May 2017 Ward: 1 - Annick Polling District Polling station and address Station Description of voters entitled to vote at the polling station No E101- Dunlop Dunlop Public Hall, Main Street, Dunlop 1 Aiket, Dunlop to South Pollick, Uplawmoor E102 - Bowes Rigg & Stewarton Landward Nether Robertland Primary School, Pokelly Place, 1 Barnahill, Cunninghamhead to Woodside Cottage Stewarton E103 - Nether Robertland 2 Albert Avenue to Wylie Place E104 - Rigghead & Cocklebie Lainshaw Primary School, Kilwinning Road, Stewarton 1 Alder Street to Muir Close E104 - Rigghead & Cocklebie; and E106 - 2 Nairn Close to Willow Court; and Crusader Crescent to Thomson Lainshaw Terrace E107 - South Landward Stewarton 3 Balgraymill Farm, Fenwick to West Pokelly, Stewarton E105 - East Central Stewarton John Knox Church Hall, High Street, Stewarton 1 Annick Crescent to Vennel Street E108 - Kilmaurs Kilmaurs Primary School, Sunnyside, Kilmaurs 1 High Todhill, Fenwick to High Langmuir, Kilmaurs E108 - Kilmaurs 2 Hill Moss, Kilmaurs to Kilmaurs Road, Knockentiber E109 - Fenwick and Waterside John Fulton Hall, Fenwick 1 Aitkenhead to Windyhill, Waterside E110 - Kilmarnock North East & Moscow Galston Community Education Centre, 34 Orchard Street, 1 Hillhouse Lodge, Fenwick to Nether Newton, Newmilns Galston Ward: 2 - Kilmarnock North Polling District Polling station and address Station Description of voters entitled to vote at the polling station No E201 - North
    [Show full text]
  • Site Code Site Name Address Address2 Town Post Code Tenure
    Site Code Site Name Address Address2 Town Post Code Tenure Organisation A210H Ayr Hospital Dalmellington Road Ayr KA7 3UB Owned NHS Ayrshire & Arran A103H Ayrshire Central Hospital Ayrshire Central Hospital Kilwinning Road Irvine KA12 8TJ Owned NHS Ayrshire & Arran A111H Crosshouse Hospital 59A Kilmarnock Road Crosshouse Kilmarnock KA2 0BD Owned NHS Ayrshire & Arran A211B Drongan Resource Centre 21A Mill Of Shield Road Drongan KA6 7BA Owned NHS Ayrshire & Arran A204B Girvan Health Centre 109A Henrietta Street Girvan KA26 9AN Owned NHS Ayrshire & Arran A206H Holmhead Hospital Holmhead Cumnock KA18 1RR Owned NHS Ayrshire & Arran A110H Lady Margaret Hospital College Street Millport KA28 0HF Owned NHS Ayrshire & Arran A218C Muirkirk Clinic Glasgow Road Muirkirk KA18 3RQ Owned NHS Ayrshire & Arran A278B Patna Health Centre Doonside Avenue Patna KA6 7LX Owned NHS Ayrshire & Arran A201H Ailsa Hospital Dalmellington Road Ayr KA6 6AB Owned NHS Ayrshire & Arran A024B Dailly Surgery Owned NHS Ayrshire & Arran A026B Lochranza Newton Road Lochranza KA27 8HQ Owned NHS Ayrshire & Arran A101H Arran War Memorial Margnaheglish Road Lamlash KA27 8LF Owned NHS Ayrshire & Arran A104B Stewarton Health Centre 46 High Street Stewarton KA3 5BP Owned NHS Ayrshire & Arran A105B Townhead Surgery, Irvine Owned NHS Ayrshire & Arran A105H Kirklandside Hospital Kirklandside Kilmarnock KA1 5LH Owned NHS Ayrshire & Arran A106B Stevenston Health Centre Main Street Stevenston KA20 3AB Owned NHS Ayrshire & Arran A107B Saltcoats Health Centre 19 Raise Street Saltcoats KA21
    [Show full text]
  • The Jamesons of Maine
    This Photo by Unknown Author is licensed under CC BY-NC-ND & modified by smj-2018 for this article. THE JAMESONS OF MAINE s. m. jameson | november 01, 2018 INTRODUCTION The purpose of this report is to lay out my opinion based on my research of the Jamesons who arrived in New England in 1718, settling into Milton, Massachusetts and in Falmouth, Maine. By doing so, I am laying the foundation of a family thoroughly integrated with the Scots who arrived upon the colonial shores of North America with the thought that religious and personal freedoms were at the apex for emigration. DNA makes a strong case toward establishing their origins and toward straightening out the fabric of their history, a tapestry rich in heroism and suffering that can be applied to nearly all the Scot’s families that sought release from the political ineptitude of the European crowns, their repressive role in limiting intelligent thinking by others beneath the grand scale of royal self-opinionated and self-appointed elitism. As political systems fade, new ideas breached the old-world habits of the oligarchy1 and autocratic2 excesses to foment and spear-head progression toward new forms of governing. How many times do we as a people struggle with conservative liberalism3, possibly the first sign of innovative expressions; results which modestly attack the conservative idealisms of a changing nation. The Scot’s rejected the abusive, authoritative role of the current monarchy and forged ahead to build a political system that included their own doctrine. That movement fostered a “more perfect union” one which greatly influenced the thinking of former colonials into a nation greater than the sum of their parts.
    [Show full text]
  • 9 Kilmaurs Road, Crosshouse 9 Kilmaurs Road, Crosshouse KA2 0HL
    FOR SALE 9 Kilmaurs Road, Crosshouse 9 Kilmaurs Road, Crosshouse KA2 0HL Other for sale, 603 sq ft, £20,000 Sorcha Johnstone [email protected] For more information visit https://www.realla.co.uk/m/45715-9-kilmaurs-road-crosshouse-9-kilmaurs-road Fraser Lang [email protected] 9 Kilmaurs Road, Crosshouse 9 Kilmaurs Road, Crosshouse KA2 0HL Commercial Premises For Sale More information Crosshouse is situated within East Ayrshire and has a resident population of approximately 2,816 persons (Census 2011), located approximately 2 miles Visit microsite west of Kilmarnock, 4 miles east of Irvine and 22 miles south west of Glasgow. Crosshouse is home to Crosshouse Hospital, the largest University Hospital in https://www.realla.co.uk/m/45715-9-kilmaurs-road-crosshouse-9- Scotland south of Glasgow and centrally connected by road rail, sea and air. kilmaurs-road The subjects are prominently situated on the west side of Kilmaurs Road on the B751 close to the junction with Irvine Road and Kilmarnock Road to the south. Contact us The subjects comprise a single storey detached building of brick construction Graham + Sibbald rendered in part externally beneath a pitched and slated roof. The subject is www.g-s.co.uk accessed via a stepped entrance to the front elevation and ramped access to the rear elevation. There is a small outbuilding/shed to the rear which also linkedin.com/company/graham-&-sibbald/ comprises part of the subject property. @graham_sibbald1 Internally, the subjects comprise an open plan hall with kitchen, ladies and gents WC facilities.
    [Show full text]
  • University Hospital Crosshouse & University Hospital
    NHSSCOTLAND PROJECT FACT FILE Health Facility Building for Better Care Project Name Location University Hospital Crosshouse Crosshouse Kilmarnock KA2 0BE University Hospital Ayr Dalmellington Road AYR KA6 6DX Population served 366,860 Type of healthcare Acute University Teaching Hospitals facility Type of construction New Build/Extension/Refurbishment Construction start April 2014 (estimated) date (estimated or actual) Construction October 2015 (estimated) completion date Gross floor area (m2) UH Ayr 1740 sq.m. UH Crosshouse 2,124 sq.m. TOTAL for both sites 3,864 sq.m. Project, design and construction cost Works Costs………………...£15,136,813.33 Fees………………………..….£2,850,900.00 Equipment Costs………..……..£456,480.00 Contingency…………………….£764,290.90 Optimism Bias………..………£1,774,423.03 Total………………………….£20,982,907.26 Inflation Adjustments….……….£644,921.38 TOTALS………………….….£21,627,828.64 Cost per m2 £3,917.39 (construction cost) Total bed numbers UH Ayr – New Emergency Department with embedded Imaging providing 14 Assessment/Treatment cubicles and a 4-bay Resuscitation Bay. UH Crosshouse – New Combined Assessment Unit with 11 Ambulatory Care Cubicles, 3 Assessment Cubicles, 2 Examination Rooms and 42 Single Bedrooms with En-Suite facilities. Departmental UH Ayr – New Emergency Department with embedded Imaging information providing 14 Assessment/Treatment cubicles and a 4-bay Resuscitation Bay. UH Crosshouse – New Combined Assessment Unit with 11 Ambulatory Care Cubicles, 3 Assessment Cubicles, 2 Examination Rooms and 42 Single Bedrooms with En-Suite facilities. Client/owner NHS Ayrshire and Arran Eglinton House Ailsa Hospital Dalmellington Road Ayr KA6 6AB www.nhsaaa.net Project Manager/Key SRO Liz Moore contact(s) Director of Integrated Care & Emergency Services NHS Ayrshire and Arran 1st Floor University Hospital Ayr Dalmellington Road Ayr KA6 6DX T: 01292 614629 email: [email protected] Project Director Andrew W.W.
    [Show full text]