GREATER HEALTH BOARD

ANNUAL REPORT & STATEMENT OF ACCOUNTS

FOR YEAR ENDED 31st MARCH 1987 GENERAL MANAGER'S REVIEW OF THE YEAR

1. Financial Problems In early 1986 the Board was in considerable financial difficulties. Revenue expenditure was running well ahead of budget and the Capital programme had been held back to help contain this overrun. The Board has a duty under Section 85(A) of the NHS (Scotland) Act 1978 as amended by Section 6 of the Health Services Act 1980 to keep within its financial allocations in anyone year. Revenue budgets in the year 1985/ 86 had been overspent by £6.7m; this was offset by transfers from revenue reserves of £3.9m and an underspend on Capital of £2 .1 m, leaving a net overspend of £0.7m for the year. To remedy the position efficiency savings programme were urgently started in all ancillary areas such as catering, laundry and linen, cleaning, energy, transport, medical records, general services, purchasing, rent and rates and professional fees. Project Leaders were appointed and targets set.

The results achieved to date are as follows:

Latest 1984/85 Savings Forecast Project Expenditure Target achieved Savings Total Subject Leader Level Saving to 31.3.87 to come Savings £m p.a. £m p.a. £m £m £m p.a. Catering A. K. Bowie 16.00 1.20 0.80 0.62 1.42

Laundry/ J. Park 8.50 0.80 0.65 0.48 1.13 Linen

Cleaning/ Mrs G. Pain 17.00 1.60 1.00 1.65 2.65 Portering Energy W.E. Paterson 12.00 1.20 0.65 0.78 1.43

Medical T.D. Divers 7.60 1.00 0.27 0.73 1.00 Records Transport H.L.MD. Grant 1.60 0.25 0.1 5 0.34 0.49

General Miss L. Gray 21.90 1.75 0.87 0.95 1.82 Services Purchasing J.M. Moorhouse 58.00 3.00 0.44 2.56 3.00 G.T. Craig Rent/Rates M. Cleary 13.40 0.25 0.09 0.16 0.25

£ 156.00 £ 11.05 £ 4.92 £ 8.27 £ 13.19

The objectives were to eliminate the overspend on revenue account; restore the capital fund, restore funds for medical equipment and create funds for urgently needed developments at the same time as maintaining satisfactory standards of patient care. The results for the year indicate that these objectives have broadly been achieved.

2. Results for the Year 1986/87

On recurrent revenue expenditure the Board was underspent by £2.2m and because of the difficulties in getting the capital programme fully restarted capital expenditure was underspent by £1.4m. This gives a combined revenue and ordinary capital underspending of £3.6m. Details of the underspending on a cash basis are given in the Acting Treasurer's report which shows that the Board will carry forward the 1 % maximum cash underspending of £3.9m into 1987/88. This underspend in 1986/87 has allowed the Board to create: (i) a contingency fund for 1987/88 which has proved essential to finance the costs of the emergency evacuation of the Central Block at Woodilee ; (ii) a development fund for investment in the improved services referred to below.

2 3. Capital Account The original ordinary capital allocation of £6.89m was increased by capital receipts from the sale of property of £0.526m making a total of £7.416m available. (1985/86 £8.911 m). In setting revenue budgets for the year it was necessry to transfer £3.4m from capital to revenue and as a result new investment proposals could not proceed. With the easing of the financial position in the second half of the financial year it became possible to recommence investment and expenditure for the year on ordinary capital schemes amounted to £6m. Expenditure on schemes under the national capital programme amounted to £5.3m. On the special Estate Maintenance programme expenditure amounted to £5.0m which is £4.0m less than last year. There was a reduction of £2.15m in the allocation granted. Since the special allocation is subject to cash limit it was overspent on a cash basis by £230,000.

4. Development Funds The Greater Glasgow Health Board already receives in annual funding a sum which is above the level of entitlement under the SHARE formula. It is not therefore in receipt of any development funds for new or improved services and progress can only. be made if we make our own development funds from money saved by our efficieny savings. The savings achieved In 1986/87 are now available for re-Investment Into Improved patient care and the Greater Glasgow Health Board has recently authorised new developments costing £1 .79m in the fields of Mental Handicap, Mental Illness, Cervical Cytology, extra nursing staff and Oncology.

In addition the Board's contingency fund, again financed by efficiency savings, has provided £2.9m for the emergency evacuation of the Woodilee Psychiatric Hospital Central Block, and for accommodation and other improvements for patients. Development funds are being invested in SHAPE (Scottish Health Authorities Priorities for the Eighties) priority areas such as Mental Handicap, Psychiatric Care, Mental Illness and Prevention (including screening).

5. Development of General Management

General management was first introduced into the Scottish Health Service in the autumn of 1985 following the Government's adoption of the recommendations made by Sir Roy Griffiths. In January 19861 took up the position of the first General Manager of the Greater Glasgow Health Board.

In August 1986 the Scottish Home and Health Department published a circular on the introduction of Units and Unit General Management and in September 1986 the Greater Glasgow Health Board agreed my proposals to adopt a new organisation structure and replace the previous eleven geographical Units by six new Units. They are:

Unit Annual General Manager Revenue Spend Beds £m / Mr D. Mackay 101 .8 3017 Stobhill General Hospital Western Infirmary/Gartnavel Mr T.A. Divers 69.8 2132 General Hospital Victoria Infirmary/Southern Mr J.G. Connaghan 71.6 2636 General Hospital Mental Health Mr P. Wilson 59.4 4997 Maternity/Paediatrics To be appointed 37.1 1113 Community/Primary Care Mr J. Laing 64.2

Unit General Managers have been in post for five of the six Units since June 1987; two have been promoted from within Greater Glasgow Health Board, one is a former Chief Nursing Officer and Director of Planning of Maidstone District Health Authority, and two have senior experience in industry.

General management is bringing into the Greater Glasgow Health Board a clear decision making structure, much improved financial and personnel controls, rational analysis of properly costed alternative courses of action, and strategic reviews of all services on a Glasgow wide basis.

3 6. Strategy Reviews A series of strategy reviews for each medical specialty is under way.

Those completed to date are: Oncology Maternity Mental Handicap

Those in hand are: Mental Illness Care of the Elderly Community Care

The objective is to measure and project the demand for a particular specialty until the end of the century, measure the current levels of resources devoted to it, assess whether resources are too few, too much or about right, and to recommend a plan with financial resources identified to implement it.

These reviews consider catchment areas, number of in and out patient locations, changes in medical and nursing techniques, age of buildings, and all other relevant matters.

7. Assets During the year the first steps were taken to collect the data needed to show the Board's total holdings of land and property, expensive medical equipment and plant and vehicles. This is essential to enable effective management investment decisions on replacements and additions. A review of surplus properties led to disposals of £801 ,000. A major survey of the total estate will be completed in July 1987. Further disposal of surplus property will continue into 1987/88; increased expenditure on the proper maintenance of the Board's estate is likely to be a major priority.

8. Patients During the year the number of patients treated was:

TABLE 1 IN-PATIENTS TREATED 1985/86 1986/87 (a) Acute DGH Specialties 140,151 141,209 (b) Supra-Area Acute Specialties 15,015 14,442 (c) Obstetrics 22,740 22,966 (d) Long-Stay Specialties 6,774 6,939 (e) Psychiatry 6,810 6,961 (f) Mental Handicap 368 547 (9) Other i.e. , Communicable Diseases, SCBU, ITU, A & E 19,414 19,115 TOTAL - ALL SPECIALTIES 211,272 212,179

4 TABLE 2 OUT-PATIENTS TREATED 1985/86 1986/8 7 (a) Acute DGH Specialties 1,001,934 1,016,921 (b) Supra-Area Acute Specialties 89,170 84,925 (c) Obstetrics 100,244 88,978 (d) Long-Stay Specialties 4,539 4,261 (e) Psychiatry 73,410 71,875 (f) Mental Handicap 283 (g) Other i.e ., Communicable Diseases, SCBU, ITU, A & E 350,115 352,131 TOTAL - ALL SPECIALTIES 1,619,686 1,619,091

TABLE 3 ST AFFED BEDS 1985/86 1986/87 Acute Specialties 4,051 3.957 General Surgery 766 767 Orthopaedic 667 658 ENT 138 129 Ophthalmology 182 178 Urology 177 172 Oral Surgery 18 18 General Medicine 1,240 1,221 Dermatology 103 96 Respiratory Medicine 212 206 Paediatric Surgery 105 104 Paediatric Medicine 142 136 Gynaecology 279 250 GP Acute 12 12 Acute Mixed 10 10 Other

Supra-Area Specialties 542 528 Neurosurgery 102 103 Cardiac Surgery 88 89 Plastic Surgery 127 113 Neurology 50 50 Radiotherapy 151 149 Spinal Paralysis 24 24 Obstetrics 518 494 Long-Stay Specialties 2,401 2,422 Geriatric Assessment 698 707 Geriatric Long-Stay 1,510 1,522 Young Chronic Sick 193 192 Psychiatry 3,642 3,550

Mental Handicap 1,208 1,192 Other 394 390 Communicable Diseases 84 84 Accident & Emergency 102 100 Special Care Baby Unit 127 126 ITU 81 80

TOTAL - ALL SPECIAL TIES 12,756 12,350

5 9. Medical Developments Developments in communicable disease prevention and control have been required to combat 'new' organisms. The importance of intravenous drug misuse as leading to AIDS infection has required an increased emphasis on means of drug stopping and on the availability of clean needles for addicts. Prevention of Legionella infection, especially in hospital inpatients, has required extra environmental measures to be taken to the water supply. The closer association of medical specialties concerned with the drug, radiotherapy and surgical treatment of cancer is being brought about by a major scheme at the Western Infirmary.

10. Kitchens The has been properly criticised for unsatisfactory kitchens and complaints were also received by the Greater Glasgow Health Board over the state of its kitchens at Woodilee Psychiatric Hospital. £77,000 and much effort has been spent on kitchen improvements. Environmental Health Officers are now visiting all our kitchens once a quarter and are reporting favourably on the improvements.

11. Major New Buildings During the year the following major new buildings and major refurbishments were completed:

£ Lennox Castle 4 x 30 beds 2,600,000 Mental Handicap Leverndale 2 x 120 beds 4,890,000 Psychiatric Care Leverndale Support Services 4, 900,000 Psychiatric Care Thornliebank Health Centre 680,000 Community/Primary Care Stobhill Upgrading, Block 42 248,000 General Medical Lenzie 30 Bed Unit 65 1,000 Geriatric Care Southern General Maternity Upgrading 260,000 Maternity Southern General Dermatology Upgrading 290,000 General Medical Duntocher Upgrading, Ward 1 221,000 G P Ward Stobhill Northern College of Nursing 1,400,000 Education

£16,140,000

6 1 2. Health Promotion and Education

The Board's Health Education Department is strongly committed to health promotion strategies in areas of the poorest health. A multi-disciplinary team of Health Education Officers in Greater Glasgow communities is working to create a health problem awareness and to encourage a change at both personal and social health levels through community development and health promotion, education and advocacy. Specific support includes a Cardio-vascular Disease Prevention Programme, the Glasgow 2000 anti-smoking initiative and the Scot-Rail health promotion project.

The Cardio-vascular Disease Prevention Campaign this year celebrated its first anniversary. The Programme's aim is to reduce the incidence and effects of coronary disease by 10% during the next decade. A Baseline Survey shows that Glaswegians know the risk factors associated with heart disease but are not doing enough to reduce them. A screening programme revealed that of those with high cholesterolleve!s 84% achieved a reduction, showing clearly that with appropriate education Glaswegians can help to promote their health.

7 13. Shops and Income Generation The Board achieved a first in Scotland in developing major retail units in . The shops are not only a considerable benefit to patients, visitors and staff but will also create a valuable source of income for the Board. The retail development atthe Glasgow Royal Infirmary was officially opened in June 1987 when a florist, a hairdresser, and an optician joined the existing premises of a chemist, a mini-market and a cafe.

Further retail units are planned for all major hospitals and rental incomes will be reinvested in patient benefits at each location.

I would like to thank all staff for their devotion to duty during a difficult year.

L E PETERKEN General Manager

8 A PICTORIAL ASSESSMENT OF 1986/87

The opening of the £700,000 Thornliebank Health Centre expanded and improved primary health care facilities in South Glasgow.

The £1 .3m Northern CXlllege of Nursing and Midwifery commissioned recently at Stobhill has much improved training facilities for 750 learners.

9 At phase two of a scheme to build two new ward units was completed at a cost of almost £5m.

The new accommodation at Leverndale Hospital contrasts sharply with some of the older style wards.

10 Lennox Castle Hospital has also been remarkably transformed. A £2.5m 120 bed unit will replace some of the unsatisfactory hutted wards.

Lenzie Hospital has a new 30 bed geriatric wing costing more than £600,000.

11 GREATER GLASGOW HEALTH BOARD TREASURER'S REPORT FOR 1986/87

1. Introduction The Board is required to submit Statutory Accounts to the Scottish Home and Health Department in a form laid down by Regulations. The financial statements that follow this report are an extract from these accounts and are accompanied by certain related cost and statistical information. The Scottish Health Services Cost Book, published later in the year, will contain comprehensive costing data for all Health Boards.

The Statutory Accounts have been prepared on an income and expenditure basis in accordance with the Standard Accounting Practices prescribed for the National Health Service. The exception to this practice is that the Board's funding through cash advanced from Central Government has been recorded on a receipts basis.

2. Cash Limit Out-Turn The financial out-turn in respect of Hospital and Community Services and the Ordinary Capital Programme as measured against the cash limited allocation issued by the Scottish Hom8 and Health Department was as follows: £000 Hospital and Community Revenue 378,766 Ordinary Capital Programme 6,682 Total Charge against Cash Limit 385,448 Cash Limited Allocation 389,659 Underspending on a Cash Basis £ 4,211

The underspending shown requires to be adjusted by £230,000 being the overspending against the allocation for the Estate Maintenance Programme. This results in a net underspending of £3,981,000 for 1986/87 and allows the Board the maximum carry forward to 1987/88 of £3.9m. These figures are however still subject to audit.

3. Financial Summary Increase/ 1985/86 1986/87 Decrease Change % Revenue Account £m £m £m +/( -) Hospital and Community Services - Cash Limited 363.0 380.7 17.7 4.9 Primary Care Services - Non Cash Limited* 71 .3 76.9 5.6 7.8 Associated Services - Non Cash Limited* 4.6 5.2 0.6 14.2

Capital Account National Programme 7.4 5.3 (2.1 ) (28.6) Ordinary Capital Programme 6.8 6.0 (0.8) (11.6) Estate Maintenance Programme 9.0 5.0 (4.0) (44.4)

*The notes on the Financial Summary identify changes in accounting practice during 1987/88. Since the change affects the annual comparison for Primary Care Services the figures shown above are expressed on a cash basis.

4. Endowment Funds An abstract of the accounts of the Board's Endowment Funds for the year ended 31 March 1987 is provided for information.

CHRISTOPHER M. GORDON Acting Treasurer

12 FINANCIAL SUMMARY FOR THE YEAR ENDED 31 MARCH 1987

Table Expenditure 1985/86 Expenditure 1986/87 Reference % £ % £ REVENUE ACCOUNT 65.4 287,541,552 Hospital Expenditure 63.8 301,083,756 1 8.6 37,708,370 Hospital Ancillary Services 8.4 39,709,461 2 2.8 12,395,243 Administration 2.7 12,657,394 3 76.8 337,645,165 TOT AL HOSPITAL SERVICES 74.9 353,450,611 5.8 25,328,006 Community Services 5.8 27,209,649 4 82.6 362,973,171 TOTAL EXPENDITURE ON HOSPITALS 80.7 380,660,260 & COMMUNITY

5.4 23,563,356 General Medical Service 5.3 24,894,908 5 7.9 34,943,543 Pharmaceutical Service 9.4 44,196,025 5 2.3 9,991,701 General Dental Service 2.7 12,818,430 5 0.8 3,358,201 General Ophthalmic Service 0.8 3,691,924 5 16.4 71 ,856,801 * TOTAL PRIMARY CARE SERVICES 18.2 85,601,287

1.0 4,561,173 * ASSOCIATED SERVICES 1.1 5,210,993 6 100.0 439,391,145 TOTAL REVENUE ACCOUNT 100.0 471,472,540

CAPITAL ACCOUNT 7,432,148 National Programme 5,308,032 7 6,789,627 Ordinary Capital Programme 6,004,603 8 8,977,640 Estate Maintenance Programme 4,994,368 8 23,199,415 TOT AL CAPITAL ACCOUNT 16,307,003 462,590,560 TOTAL EXPENDITURE 487,779,543

INCOME 433,404,244 Advances from SHHD 457,119,340 15,493,754 Employers - Superannuation Contributions 16,441,572 12,661,551 Employees - Superannuation Contributions 13,262,498 1,031,011 Miscellaneous Income 956,133 462,590,560 TOTAL INCOME 487,779,543

*There have been changes in accounting practice during 1986/87:

1. The introduction of the NHS Spectacle Voucher Scheme and the change from cash to an income and expenditure basis of accounting for Primary Care Services affects the comparison with 1985/86 and this is highlighted in the Primary Care statement.

2. The increase in Associated Services is due to the transfer on 1 April 1986 of the cost of midwifery training to the National Board for Nursing and Midwifery for Scotland.

13 HOSPITAL RUNNING COSTS - DEPARTMENTAL TABLE 1

Expenditure 1985/86 Expenditure 1986/87 % £ % £ DIRECT TREATMENT AND ANCILLARY DEPARTMENTS 10.4 29,764,008 Senior Medical and Dental Staff 10.6 31,976,943 35.7 102,702,218 Wards, Theatres and Out-patient Departments 36.3 109,275,045 9.4 26,906,529 Pharmacy 9.2 27,611,824 3.5 10,078,830 Ancillary Departments 3.6 10,786,910 1.0 2,784,447 Physiotherapy 1.0 2,992,410 1.6 4,744,644 X-Ray Diagnostic 1.7 5,038,183 1,212,865 Surgical Appliances 0.4 1,433,476 --0.4 62.0 1 78,1 93,541 TOTAL DIRECT TREATMENT & ANCILLARY DEPTS 62.8 189,114,791

SERVICE DEPARTMENTS 5.7 16,206,797 Catering 5.3 16,058,475 1.4 4,126,464 Laundry 1.3 4,008,187 0.3 993,883 Uniforms 0.3 799,586 1.3 3,753,270 Bedding and Linen 1.4 4,276,003 4.6 13,233,995 Cleaning 4.2 12,794,221 2.6 7,452,072 Admin: General 2.5 7,604,120 2.7 7,649,505 Medical 2.6 7,718,062 1.7 5,052,220 Nursing 1.9 5,592,869 0.2 688,706 Staff Residences 0.3 766,552 2.7 7,794,742 Heating 1.9 5,813,412 1.3 3,646,727 Power and Light 1.2 3,502,484 2.4 6,838,663 Engineering 2.3 6,912,131 2.1 6,144,810 Building 2.0 6,045,017 0.3 809,451 Maintenance of Grounds 0.3 756,799 0.1 313,052 Mental Patients Allowances 0.1 318,758 1.8 5,313,422 Portering 1.8 5,502,553 2.1 6,111,225 General Services 2.1 6,287,164 1.5 4,135,650 Equipment 2.6 7,829,665 4.0 11,353,392 Rates etc 3.9 11,727,740 0.7 2,098,611 Transport 0.6 1,957,178 39.5 113,716,657 TOTAL SERVICE DEPARTMENTS 38.6 116,270,976 101.5 291,910,198 GROSS HOSPITAL COSTS 101.4 305,385,767

LESS: RECOVERIES AND OTHER DEDUCTIONS: 1.1 3,160,537 Staff Board and Lodgings 1.0 3,109,252 0.1 185,679 Staff Rents 0.1 202,622 183,827 Income from Occupational & Industrial Therapy 0.1 192,322 15,425 X-Ray Fees 10,373 0.3 823,178 Miscellaneous 0.2 787,442 1.5 4,368,646 TOTAL RECOVERIES AND OTHER DEDUCTIONS 1.4 4,302,011 -- -- 100.0 287,541,552 NET HOSPITAL RUNNING COSTS 100.0 301,083,756

14 HOSPITAL ANCILLARY SERVICES TABLE 2

Expenditure 1985/86 Expenditure 1986/87 % £ % £ 3.8 1,449,143 TREATMENT OF PATIENTS IN OUTSIDE HOSPITALS 3.9 1,543,492

55.7 20,991 ,586 LABORATORY SERVICES 55.4 21,984,844

SPECIALISTS 0.2 65,428 Supra Area Sessions Outwith Parent Board 0.2 71,084 Sessions Outwith Parent Board where no 0.1 39,926 Specific Recharge is made 0.1 33,006 0.3 105,354 TOTAL SPECIALISTS 0.3 104,090

OTHER ANCILLARY SERVICES 0.9 350,775 Occupational Health Service 1.4 575,234 0.2 77,304 Dental and OrthoptiC Service 0.2 73,370 1.0 369,786 Expenditure on Para-Medical Schools 1.0 399,566 1.7 631,242 *Medical Physics 1. 1 438,947 -- 3.8 1,429,107 TOT AL OTHER ANCILLARY SERVICES 3.7 1,487,117

MISCELLANEOUS EXPENDITURE 1.4 524,133 Property Expenditure 1.8 722,676 1,885 Computer Operational Research Unit 13,192 0.4 150,667 Orthopaedic Workshop & Services 0.4 147,879 1.3 487,963 Computer Application Unit 1.1 438,930 10,000 Support Finance 1.2 472,447 0.8 282,811 Drug Abuse 0.6 259,343 32.8 12,383,997 Nurse Teaching 31.4 12,455,595 (0.3) (108,276) Other 0.2 79,856 36.4 13,733,180 TOTAL MISCELLANEOUS EXPENDITURE 36.7 14,589,918 100.0 37,708,370 TOTAL HOSPITAL ANCILLARY SERVICES 100.0 39,709,461

*1986/87 Accounting Change

The method of charging user institutions was revised during the year. The full cost of services provided by Medical Physics is now charged to the receiving laboratory.

15 CENTRAL ADMINISTRATION COSTS TABLE 3

Expenditure 1985/86 Expenditure 1986/87 % £ % £ CENTRAL ADMINISTRATION 71.4 8,851,498 Salaries and Wages 72.1 9,122,408 3.6 451,223 Rates, Taxes and Feu Duties 2.3 288,422 0.8 99,537 Fuel and Light 0.6 88,379 0.7 91,773 Cleaning 0.6 70,168 0.8 95,829 Maintenance of Building and Grounds 0.4 52,443 1.7 210,340 Furniture, Furnishings and Equipment 2.6 329,273 4.6 572,393 Printing, Stationery, Telephones & Postages 4.0 501,966 0.8 93,414 Advertising 0.6 81,158 Travelling and Subistence: 0.4 48,137 Board and Committee Members 0.4 48,964 1 .1 136,548 Staff 1.3 164,064 0.2 27,925 Candidates for Appointment 0.2 20,958 0.4 48,306 Board Transport 0.2 23,595 3.1 379,780 Removal Expenses 2.4 300,980 0.7 86,906 Training 0.7 84,785 0.6 77,362 Legal and Compensation Payments 1.9 238,547 0.4 45,389 Security of Cash in Transit 0.4 50,091 0.4 50,610 Sundries 0.3 41,880 6.2 774,199 Computer Department 7.1 902,125 2.1 254,074 1.9 247,188 -- Work Study Charges -- 100.0 12,395,243 TOTAL CENTRAL ADMINISTRATION 100.0 12,657,394

NOTE: The management cost percentage for 1986/87 is 3.93% as compared with 4.20% for 1985/86 and the Scottish Home and Health Department guideline of 4.44%.

The reduction in management costs is a reflection of the small increase in salary expenditure incurred on Central Administration during the year. The reported increase in salary expenditure is only 3.1 %. This position has arisen through action taken to hold posts vacant in anticipation of the change in structure and accordingly has had an impact upon the management cost percentage which must be regarded as temporary. The true management cost percentage will become apparent once the new structure is complete.

16 COMMUNITY SERVICES TABLE 4

Expenditure 1985/86 Expenditure 1986/87 % £ % £ DIRECT PATIENT CARE AND SERVICES 8.1 2,060,824 Medical (incl. Domiciliary Fees) 7.9 2,150,782 3.0 752,526 Dental 2.7 739,173 10.8 2,724,977 Nursing - Health Visitor 11.4 3,107,094 12.4 3,153,215 District Nurse 13.2 3,589,063 2.5 622,873 Midwife 2.6 698,924 Combined Duties 12.8 3,260,942 Other 13.1 3,558,479 3.4 850,488 Paramedical - Chiropody 3.4 934,785 2.1 520,942 Physiotherapy 2.2 591,712 1.3 330,590 Speech Therapy 1.3 339,610 2.0 510,143 Dental 1.8 498,009 0.8 208,121 Other 1 .1 300,200 0.3 69,255 Medical/ Dental /Paramedical Equipment 0.3 88,221 9.2 2,328,480 Pharmacy 8.7 2,365,185 1.0 250,955 Family Planning 1.1 284,753 1 .1 281,577 Health Education 1.0 282,765 0.5 133,758 Linen Services 0.5 145,870 0.6 143,399 Others 0.9 235,618 71 .9 18,203,065 TOTAL DIRECT PATIENT CARE AND SERVICES 73.2 19,910,243

OVERHEADS 9.9 2,512,042 Administration 10.2 2,765,400 9.9 2,512,042 TOTAL OVERHEADS 10.2 2,765,400

ACCOMMODATION 1.8 460,765 Maintenance 1.7 460,466 1.9 487,324 Cleaning 1.7 469,997 1.9 468,129 Furniture, Fitting, Equipment 1.4 385,003 1.9 472,900 Heat, Light and Power 1.6 430,747 2.9 743,180 Rates 2.9 785,128 10.4 2,632,298 TOTAL ACCOMMODATION 9.3 2,531,341

OTHER EXPENSES 6.0 1,517,173 Transport and Staff Travelling 5.7 1,565,680 1.8 469,770 Nurse Teaching 1.7 451,889 (6,342) Other (0.1 ) (14,904) 7.8 1,980,601 TOTAL OTHER EXPENSES 7.3 2,002,665 100.0 25,328,006 TOTAL COMMUNITY SERVICES EXPENDITURE 100.0 27,209,649 --

17 PRIMARY CARE SERVICES TABLE 5

Expenditure 1985/86 Expenditure 1986/87 % £ % £ GENERAL MEDICAL SERVICES 18.5 4,370,318 Basic Practice Allowance 18.2 4,543,078 0.1 28,725 Designated District Allowance 2.7 630,941 Group Practice Allowance 2.7 662,523 6.1 1,437,871 Seniority Allowance 5.9 1,460,524 32.7 7,709,424 Standard Capitation Fees for Patients 31 .8 7,917,768 3.7 869,359 Supplementary Practice Allowance 3.6 902,159 2.7 626,547 Supplementary Capitation Fees 2.6 636,853 1.7 397,782 Night Visit Fees 2.0 504,237 1.0 248,391 Item of Service Payments 1.1 273,204 1.8 415,201 Contraceptive Service Fees 1.8 447,543 3.4 808,017 Maternity Medical Service Fees 4.2 1,040,496 0.5 113,171 Temporary Resident Fees 0.5 116,924 3.9 908,065 Trainee Practitioner Scheme 3.6 909,165 5.2 1,217,807 Direct Payments for Practice Accommodation 5.4 1,346,205 10.6 2,500,909 Direct Payments for Ancillary Staff 10.9 2,707,014 3.8 906,833 Superannuation Contributions (Employers Share) 3.8 939,334 1.6 373,995 Other Fees, Allowances and Charges 1.9 487,881 100.0 23,563,356 TOT AL GENERAL MEDICAL SERVICE 100.0 24,894,908

PHARMACEUTICAL SERVICE 106.7 37,288,128 Supply and Dispensing of Drugs and Appliances 106.4 47,037,152

106.7 37,288,128 Total Payments 106.4 47,037,152 6.7 2,344,585 Less: Charges to Patients 6.4 2,841,127 100.0 34,943,543 TOTAL PHARMACEUTICAL SERVICE 100.0 44,196,025

GENERAL DENTAL SERVICE 126.6 12,643,252 Cost of Treatment and Dentures 127.3 16,320,682 3.8 384,458 Superannuati"on (Employers Share) 3.4 436,905 130.4 13,027,710 T.otal Payments 130.7 16,757,587 30.4 3,036,009 Less: Charges to Patients 30.7 3,939,157 100.0 9,991,701 TOTAL GENERAL DENTAL SERVICE 100.0 12,818,430

GENERAL OPHTHALMIC SERVICE 53.6 1,801,799 Sight Test Fees 51.1 1,885,358 55.3 1,857,022 Supply and Repair of Glasses 17.7 654,640 *Cost of Redeeming Vouchers 31.9 1,176,642 108.9 3,658,821 Total Payments 100.7 3,716,640 8.9 300,620 Less: Charges to Patients 0.7 24,716 100.0 3,358,201 TOTAL GENERAL OPHTHALMIC SERVICE 100.0 3,691,924 71,856,801 *TOTAL COST OF PRIMARY CARE SERVICES 85,601,287

18 ASSOCIATED SERVICES TABLE 6

Expenditure 1985/86 Expenditure 1986/87 % £ % £ ASSOCIATED SERVICES 2.6 120,880 Local Health Councils 2.3 118,087 Travelling Expenses of: 5.0 238,998 Patients in Highlands & Islands Scheme 2.6 136,981 2.4 107,660 All other Patients 2.3 117,967 77.7 3,542,036 *Area Nurse Training Committee 82.7 4,311,218 11.6 527,452 Post Graduate Medical Education 9.8 510,040 Superannuation Schemes other than NHS Scheme: 2,647 Other 0.5 21,500 Home Defence 0.3 16,700 100.0 4,561,173 TOTAL ASSOCIATED SERVICES 100.0 5,210,993

*1986/87 Accounting Change

During 1986/87 the cost of Midwifery Training transferred to the National Board for Nursing and Midwifery and is now a charge against the Area Nurse Training Committee.

NOTE ON PRIMARY CARE SERVICES (SEE FACING PAGE) *1986/87 Accounting Change The costs of Primary Care Services are recorded on an income and expenditure basis for 1986/87 while a cash basis was used for 1985/86. This change and the introduction of the spectacle voucher scheme in 1986/87 affects the comparison with 1985/86.

19 CAPITAL ACCOUNT TABLE 7

NATIONAL PROGRAMME

Expenditure Cumulative Estimated y.e. 31 .3.87 Expenditure Total Cost Institution/Schemes £ £ £ Glasgow Royal Infirmary Phase 1 Development 11 ,667 42,940,133 42,950,000

Gartloch Hospital 120 Bed Unit 3,116 2,208,016 2,370,000

Parkhead Geriatric Day Unit 120 Bed Geriatric Day Unit 1,140,822 2,008,656 4,980,000

Lennox Castle Hospital 4 x 30 Bed Units 1,378,888 2,434,177 2,600,000 2 x 12 Bed Intensive Care Unit 104,695 104,695 750,000

Leverndale Hospital 2 x 120 Bed Units 314,400 4,761,142 4,890,000 Pharmacy 15,378 282,675 330,000 Kitchen etc 845,428 2,080,463 2,270,000 Redev. Support Services 50,372 154,812 2,300,000

Rutherglen Maternity Hospital New Hospital 7,282 3,643,855 3,650,000 240 Bed Geriatric Unit 304,184 609,296

Western Infirmary Upper C Block Lift 5,148 433,150 440,000

RHSC Yo rkh ill Arbitration 20,422 310,838 1,500,000 Remedial Works 154,458 10,007,371 10,200,000 Cardiology X-Ray 3,700 656,829 700,000

Area Eastern College of Nursing 913,889 1,204,546 2,800,000

Health Centres Baillieston 2,726 740,981 750,000 Bridgeton 5,698 1,726,435 1,740,000 Parkhead 3,279 1,054,172 1,060,000 Shettleston 428 1,348,531 1,370,000 Possilpark 2,499 1,003,796 1,004,000 Thornliebank 14,687 625,352 680,000 Castlemilk 4,866 6,011 1,400,000 TOTAL NATIONAL PROGRAMME EXPENDITURE 5,308,032

*NOTE: Project Design Fees Only

20 CAPITAL ACCOUNT TABLE 8

Programme Expenditure y.e. 31.3.87

Ordinary Capital Estate Cumulative Estimated Programme Maintenance Expenditure Total Cost Institution £ £ £ £ Glasgow Royal Infirmary 944,749 167,644 2,166,422 2,770,000 Glasgow Dental Hospital 23,978 1,027,078 1,050,000 Glasgow Royal Maternity 22,998 22,998 65,000 Duke Street 62,008 62,008 65,000 Belvidere 237,102 591 ,390 600,000 Lightburn 16,099 85,405 101,504 110,000 Gartloch 44,025 60,646 463,950 490,000 Stobhill 349,716 208,871 4,816,167 4,910,000 Ruchill 99,904 97,997 728,487 760,000 Lenzie 282,575 66,517 675,581 731,000 Lennox Castle 532,764 685,257 3,851,767 4,850,000 Woodilee 219,646 289,086 2,538,759 2,920,000 Stoneyetts 47,435 15,617 63,052 66,000 Broomhill and Lanfine 60,813 206,688 411,484 485,000 Birdston 54,018 54,018 55,000 Southern General 502,144 308,260 2,269,508 2,500,000 Leverndale 107,623 314,971 3,221,892 3,400,000 Cowglen 10,081 286,046 2,124,383 2,412,000 Victoria Infirmary 106,218 232,334 572,225 510,000 Victoria Geriatric 10,420 10,420 12,000 Royal Samaritan 11,418 167,450 911,898 1,105,000 Mearnskirk 27,324 36,637 63,961 65,000 Rutherglen Maternity 13,560 13,560 15,000 Western Infirmary 640,283 419,752 2,558,081 4,050,000 Gartnavel General 134,894 89,316 675,348 690,000 Canniesburn 185,967 942,096 1,065,000 Gartnavel Royal 98,920 50,672 805,589 830,000 Blawarthill 6,841 99,169 100,000 Duntocher 134,121 200,258 220,000 Knightswood 61,423 55,347 1,221,093 1,350,000 RHSC Yorkhill 44,663 229,482 2,419,554 2,425,000 Queen Mother's 280,316 198,669 583,496 650,000 Drumchapel Geriatric 57,140 57,140 60,000 Children 's Home Strathblane 6,266 78,451 85,000 Community Health 457,199 912,250 980,000 Northern College of Nursing 469,707 1,290,600 1,400,000 Area 198,997 2,407,891 2,450,000 Small Schemes 73,588 89,364 428,103 430,000 TOTAL PROGRAMME EXPENOITURE £ 6,004,603 £ 4,994,368

21 SPECIALIST SERVICE TABLE 9

Expenditure 1985/86 Expenditure 1986/87 % £ % £ SPECIALISTS 48.3 15,865,620 Consultants' Remuneration 49.7 17,515,160 8.5 2,779,046 Consultants' Distinction Awards 8.7 3,082,797 4.2 1,394,893 SHMO & Medical Assistants' Remuneration 3.8 1,331,148 (incl. Limited Specialists grades) 61.0 20,039,559 TOTAL SPECIALISTS 62.2 21,929,105

REGISTRARS 9.8 3,214,041 Senior Registrars' Remuneration 9.2 3,243,676 24.6 8,109,400 24.2 8,533,770 Registrars' Remuneration -- 34.4 11,323,441 TOT AL REGISTRARS 33.4 11,777,446 1 .1 355,751 FAMIL Y PLANNING FEES 1.0 347,117

EXPENSES 3.0 976,473 Travelling Expenses 2.5 884,485 0.4 153,932 Training Expenses 0.8 313,320 0.1 26,665 0.1 18,800 -- Other Expenses 3.5 1,157,070 TOTAL EXPENSES 3.4 1,216,605 -- 100.0 32,875,821 TOTAL SPECIALIST SERVICE COSTS 100.0 35,270,273

NOTE: The above costs are apportioned for Annual Accounts purposes to other voteheads detailed in Tables 1, 2 and 4. They are shown here in memorandum form for information.

22 STAFF STATISTICS AS AT 31 MARCH TABLE 10

Contracted Hours Whole Time Equivalent 1987 1986 WTE WTE HOSPITAL STAFF Specialist Service Consultants 485 501 SHMOs 3 3 Associate Specialists 38 43 Hospital Practitioners 7 7 Registrars 547 588 TOTAL SPECIALISTS 1,080 1,142

DENTAL AND JUNIOR MEDICAL 526 505

Nurses Registered Nurses 4,475 4,461 Enrolled Nurses 2,102 2,179 Student Nurses 3,093 3,219 Pupil Nurses 135 229 Other Nurses 3,897 3,869 TOTAL NURSES 13,702 13,957

Other Hospital Staff Hospital Professional & Technical 1,587 1,671 Hospital Admin & Clerical 1,891 1,932 Domestic and Ancillary 5,250 5,372 Tradesmen 83 97 Other Grades 125 134 Laundry/CSSD 480 512 Maintenance 827 848 Other Service 166 134 Laboratory Staff 1,327 1,372 TOTAL OTHER HOSPITAL STAFF 11,736 12,072

TOTAL HOSPITAL STAFF 27,044 27,676

COMMUNITY SERVICES Medical 69 68 Dental 38 46 Nursing 1,129 1,145 Administration 253 * 456 Others 382 426 TOTAL COMMUNITY SERVICE STAFF 1,871 2,141

ADMINISTRATION 1,000 1,036

TOTAL HOSPITAL & COMMUNITY STAFF 29,915 30,853

PRIMARY CARE SERVICES General Medical Practitioners 637 632 General Dental Practitioners 317 290 Pharmaceutical Business 231 231 Ophthalmic Business 142 118 TOTAL PRIMARY CARE SERVICES 1,327 1,271

ASSOCIATED SERVICES 319 274

NOTES: 1. The above staff statistics do not include the whole time equivalent effect of overtime and agency staff. 2. The proportion of staff chargeable to Primary Care are now shown in debtor accounts.

23 HOSPITAL COST STATISTICS TABLE 11

OUT-PATIENTS HOSPITAL COST COST RUNNING COSTS PER PATIENT WEEK PER ATTENDANCE Year ended Year ended Year ended Year ended Year ended Year ended 31.3.87 31.3.86 31.3.87 31.3.86 31.3.87 31 .3.86

£ £ £ £ £ £

Glasgow Royal Infirmary 39,373,681 37,4 12,389 871 839 13 13 Western Infirmary 28,273,166 25,937,222 1,016 925 17 16 Stobhill 26,624,107 25,479,706 653 636 9 7 Southern General 31 ,662,381 29,720,532 635 572 14 13 Victoria Infirmary 16,556,295 15,715,768 683 616 11 12 Gartnavel General 15,442,138 15,000,366 585 563 15 13 RHSC Yorkhill 14,234,603 13,377,110 996 931 21 19 Belvidere 7,138,706 6,929,229 503 450 15 17 Mearnskirk 5,547,468 5,717,909 357 304 19 21 Canniesburn 6,764,981 6,161 ,976 500 552 16 15 Philipshill 2,282,635 2,351 ,885 529 485 29 24 Lightburn 2,044,310 1,966,327 332 316 41 4 Lenzie 859,391 682,180 339 345 Victoria Geriatric 3,961,301 3,608,352 287 280 Duke Street 3,112,033 3,240,224 372 381 21 27 Broomhill and Lanfine 1,669,292 1,731,545 332 287 Birdston 680,833 670,576 318 305 15 Darnley 711,964 683,334 287 268 Cowglen 3,020,966 2,993,670 293 290 ., Schaw Auxiliary' 123,816 782,019 152 208 Blawarthill 1,603,548 1,685,080 240 246 Drumchapel Geriatric 2,389,803 2,370,556 334 305 Knightswood 3,801,740 3,702,934 416 399 18 21 Glasgow Royal Maternity 5,539,202 5,337,951 921 817 13 11 Queen Mothers 4,512,007 4,254,929 755 711 10 9 Rutherglen Maternity 3,690,630 3,357,263 719 653 14 12 •. David Elder 258,445 436,166 344 472 Royal Samaritan 2,355,3.63 2,438,726 984 932 20 21 Ruchill 6,085,341 6,221,414 561 540 8 9 Duntocher 495,488 481 ,214 510 411 , Elder Cottage 345,241 341 ,904 494 407 13 Children's Home Strathblane 316,534 316,681 441 397 Gartnavel Royal 7,886,985 7,652,674 246 230 19 Gartloch 8,361 ,869 7,824,601 259 241 18 16 Woodilee 9,933,208 9,464,048 231 213 Stoneyetts 1,949,092 1,910,617 188 178 Leverndale 10,676,136 9,995,630 247 229 19 Lennox Castle 11 ,198,108 10,240,005 215 185 Waverley Park 874,400 797,635 222 167 General Homoeopathic 495,076 520,127 601 601 28 47 • Royal Beatson Memorial 1,025,419 1,012,474 667 625 Glasgow Dental Hospital 3,886,431 3,717,404 23 20 .. Centre for Rheumatic Diseases' 9,414 39,605 Other Non Costed Hospitals 3,310,209 3,259,595 £301 ,083,756 £287,541,552

24 ' NOTE: Institutions now closed GREATER GLASGOW HEALTH BOARD ABSTRACT OF ENDOWMENT FUNDS FOR THE YEAR ENDED 31 MARCH 1987 TABLE 12

1986 1987 £ INCOME AND EXPENDITURE £ GENERAL FUNDS 587,279 Income 628,980 412,766 Expenditure 316,517 174,513 Surplus Income for Year 312,463

SPECIFIC FUNDS 1,370,118 Income 2,169,510 860,218 Expenditure 1,624,596 509,900 Surplus Income for Year 544,914

RESTRICTED FUNDS 45,742 Income 44,430 31,533 Expenditure 35,368 14,209 Surplus Income for Year 9,062

698,622 ALL FUNDS SURPLUS INCOME FOR YEAR 866,439

BALANCE SHEET

6,937,731 VALUE OF FUNDS AT 31 MARCH 1986 7,891 ,287 698,622 Add: Surplus Income for Year 866,439 Custodian Funds Transfer 963,085 25,259 Restricted Funds - Capital Receipts 160,800 229,675 Gain on Realisation of Investments 536,370 7,891 ,287 VALUE OF FUNDS AT 31 MARCH 1987 10,417,981

REPRESENTED BY: 3,224,833 Investments - Narrower Range 4,733,203 4,072,976 - Wider Range 4,988,202 550,000 - Short Term Deposits 600,000 7,847,809 10,321,405

175,266 Land and Building 170,381 46,298 Cash at Bank 46,141 19,151 Income Tax Recoverable 125,355 14,105 Sundry Debtors 16,713 8,102,629 10,679,995 211 ,342 Less: Sundry Creditors 262,014 7,891,287 10,417,981

NOTE: THE MARKET VALUE OF INVESTMENTS AT 31 MARCH 1987 WAS: 4,140,715 Narrower Range Securities 5,648,251 8,305,519 Wider Range Securities 11,047,519 550,000 Short Term Deposits 600,000 12,996,234 TOTAL MARKET VALUE 17,295,770

NOTE: In the course of the year approximately 150 funds amounting to over £1 million, and previously administered at a local level by the Board's Eastern Units were incorporated within the centralised endowment funds accounting system. 25 26 BOARD MEMBERS 1986 1987 CHAIRMAN CHAIRMAN * Mr Donald F Macquaker MA LLB Dr Thomas J Thomson CBE FRCP FACP VICE-CHAIRMAN VICE-CHAIRMAN Dr John MacKay OBE MB ChB FRCGP Mr Paul W Holst

* Miss Eleanor Donachie RGN SCM Mr F S Berkley LLB * Mr James F Dunnachie JP Mrs J E Cameron JP * Mr Andrew D Garland FRICS JP Miss Eleanor Donachie RGN SCM Lady Goold BL CA Mr James F Dunnachie JP (resigned June 1987) * Mr J Ross Harper MA LLB Professor Alexander T Florence PhD DSc FRSE * Mr Paul W Holst Mr Andrew D Garland FRICS JP * Mr John Jackson FOC Mrs A Gilchrist Mrs Anne Jarvis * Lady Goold BL CA Professor Arthur C Kennedy MD FRCP FACP FRSE * Mr John Jackson FOC * Mrs Isabel D Kerr * Mrs Anne Jarvis Rev John T Lang MA * Professor Arthur C Kennedy MD FRCP FACP FRSE * Professor I M Ledingham MD FRCP{Glasg) * Rev John T Lang MA FRCS{Edin) FRSE * Mr Bashir A Maan JP DL Mr Bashir A Maan JP DL Mr Alistair J Mack MB ChB MSC FRCS{Edin Glasg) * Mrs Margaret McGarry MA JP Mrs Margaret McGarry MA JP * Mr James A Peel FIMLS * Dr John MacKay OBE MB ChB FRCGP * Miss Dorothy Rigg DSR{R) Professor Rona M MacKie MD FRCP FRC Path FRSE Mr Harry Sherriff Mr James A Peel FIMLS * Mr David S Sinnott * Mr Harry Sherriff (resigned June 1987) Dr Thomas J Thomson CBE FRCP FACP * Mr Leonard Turpie JP Mr Leonard Turpie JP * Mr Colin Williams Mr Colin Williams

* Appointed to 31 March 1987 * Appointed to 31 March 1989 Others to 31 March 1989 Others to 31 March 1991

Chief Officers

Board General Manager : Mr L E Peterken MA Director of Administration and Secretary : Mr MCleary BA{Hons) FHSM Director of Personnel : Mr S C Hinshelwood ACIS MIPM Acting Treasurer : Mr C M Gordon CA Chief Administrative Medical Officer : Dr G D Forwell PhD FRCP{Edin, Glasg, Lond) FFCM DPH DIH Chief Area Nursing Officer : Miss M W Aitken RGN SCM MTD N.Admin{Hosp)Cert Chief Administrative Dental Officer : Mr R McKechnie LOS DDO RFPS{Glasg) Chief Administrative Pharmaceutical Officer : Miss E A Meikle OBE BPharm FPS MCPP

Unit General Managers

Glasgow Royallnfirmary/Stobhill : Mr D Mackay DMS FilM General Hospital Unit Western Infirmary/Gartnavel General : Mr T A Divers MA{Hons) BA{Hons) AHSM Hospital Unit Victoria Infirmary/Southern General : Mr J Connaghan BA DMS MBA MIMH FBIM MIIM Hospital Unit Community/Primary Care Unit : Mr J Laing ACIS Mental Health Unit : Mr P Wilson RMN RGN DMS MBA Diploma in Nursing Maternity/Paediatric Unit : To be appointed

2 7 John McCormick & Co. Ltd. 28 Glasgow