2001
AR2000 Annual Report
Greater Glasgow Health Board cancer
children
drug misuse
heart disease
mental health
physical activity
stroke
smoking prevention
health at work Annual Report 2000 -2001
HEALTH BOARD AND NHS TRUST HEADQUARTERS (as at 31 March 2001)
Head Office NHS Trusts within the Dalian House Greater Glasgow Health Board area 350 St Vincent Street Glasgow G3 8YZ North Glasgow University Hospitals NHS Trust Tel: 0141-201 4444 300 Balgrayhill Road Fax: 0141-201 4401 Glasgow G21 3UR Textphone: 0141-201 4400 Tel: 0141-201 4200
Greater Glasgow Primary Care NHS Trust Non-Executive Members 1055 Great Western Road Glasgow G12 0XH Chairman Tel: 0141-211 3600 David Hamblen CBE PhD FRCS South Glasgow University Hospitals NHS Trust Vice Chairman 1345 Govan Road Gordon Dickson Mlitt PhD FCII FIRM Glasgow G51 4TF Tel: 0141-201 1100 Fiona Marshall MB ChB DCH DRCOG MRCGP Yorkhill NHS Trust John Gray Yorkhill Glasgow G3 8SJ Ronnie Cleland BA Tel: 0141-201 0000 Elinor Smith MCIBS
Andrew Robertson OBE LLB
Forrester Cockburn CBE FRSE MD FRCP (Edin & Glas) FRCS (Ed) Hon FRCPCH (Hon) DCH
Executive Members
Chief Executive Chris Spry BA MHSM
Director of Public Health Harry Burns MBChB MPH FRCS(Glasg) MFPHM
Director for Commissioning Catriona Renfrew MA MHSM
2001 Director of Finance (until February 2001) Scott Haldane BA CA
Director of Health Promotion (until June 2001) AR2000 Carol Tannahill BA (Hon) MFPHM (Hons) MPH PhD Annual Report All Board members can be contacted at the above address 2 C O N T E N T S
Chairman’s Foreword 4
Month by Month Progress Report 6
Waiting Lists 13
Outpatient appointments 14
Audit Committee 15
Greater Glasgow Health Council 15
Complaints 15
Openness 15
Board Members 16-17
Report by the Director of Finance 18
Length of Wait for GGHB Residents 31
Outpatients by Specialty Provider Unit (all patients) 32
Day Cases by Specialty and Provider Unit 34
Inpatients by Specialty and Provider Unit (GGHB Residents) 35 2001
AR2000 Annual Report 3 Chairman’s Foreword
This will be my last Report as Chairman of the Greater I made reference in last year’s Report Glasgow Health Board before it undergoes restructuring to the conduct of Phase 1 of this to become the new NHS Greater Glasgow on 30 September consultation process, which 2001. The changes form part of the programme to was not finally completed implement the policies that flowed from the Scottish Health until September 2000. Plan Our National Health: A plan for action, a plan for change Following consideration (Dec 2000). The proposal to create 15 new unified NHS of the responses by the Boards across Scotland, bringing together decision-making Board this was then revised of existing Health Boards and Trusts, will facilitate the planning and reissued as Phase 2 and delivery of local and regional services through the proposals for a further three development of a single Local Health Plan. This will replace months of consultation. The final the existing Health Improvement Programme and will plan version of the Plan that came service developments to deliver better, more responsive to the Board in December 2000, care through new governance arrangements. These will be left a number of issues unresolved; achieved by expanding the Board membership to include notably the siting of the new in-patient more Local Authority and staff input than at present with facility to serve the south of the City, the addition of Trust Chief Executives, as well as Chairs. and the pattern of in-patient services in the north and east The new Board is likely to have more than 20 members between Stobhill Hospital and Glasgow Royal Infirmary. and will be responsible for a challenging financial Following the acceptance of our Plan by the Scottish and clinical performance framework to ensure Executive an intensive programme of work commenced partnership and collaboration across the entire NHS system. to develop Option Appraisals on these outstanding issues. To ensure public accountability the Appraisal processes will be monitored by Reference Groups, which will include representation from MSPs, Local Authorities, and the Health Council. It is hoped that the results of these Appraisals will be available for the new Board later on in the year to allow the production of properly worked up Outline Business Cases. These would be forwarded to the The new logo for the unified Board in Scottish Executive. Greater Glasgow. Our partnership working in the broader aspects of health It therefore seems an appropriate time to look back over improvement for Glasgow has been just as intensive as the past four years, as well as the current year, to review the acute services strategy, though probably less obvious the Board’s performance during my term as Chairman. The to the public. Over the four years we have worked closely common theme that emerged from the new government with Local Authorities to develop Joint Community Care elected in 1997 and which has directed our activities Plans for the care of the elderly, children, and those with throughout the period is Partnership. The initial impact problems of mental health, learning disabilities, homelessness came from the 1998 White Paper, Design to Care, which led and drug addiction. These plans were first launched in to the creation of new Trusts (three Acute and one Primary 1997/98 in collaboration with all our six Local Authority Care) in place of the previous six. The new arrangements partners and are about to be updated and reissued. They have undoubtedly facilitated the co-ordination of service have led to a number of innovations in the delivery of
2001 delivery, but left a legacy of financial debt, which the Trusts services that have facilitated the shift to care in the are still addressing with recovery plans, that should achieve community and away from long stay institutional care. stability by the end of 2001/2002. Among these I would pick out Combined Assessments and Supported Discharge schemes for Care of the Elderly,
2000 On the positive side, the new Trust structures have made as well as the appointment of a joint General Manager for AR the challenging task of developing a plan to modernise the the Learning Disabilities strategy. There are many others Annual Report Acute Services for Glasgow marginally easier, though which have undoubtedly improved the health and quality it still required an enormous exercise in public consultation. of life for those who use the services. 4 Chairman’s Foreword continued
Our efforts in health promotion have been equally successful, in the future. We also lost another of our long serving with the introduction of a new Smoking Concerns tobacco Non-Executive members with the retiral of Professor Brian control policy, Fruit in Schools, Healthy Teeth for Life, Whiting, whose wise counsel and informed input at Board programmes to increase Physical Activity, and an expansion meetings will be missed. The Board were fortunate to of the Scotland’s Health at Work scheme. Here I must pay recruit Sue Plummer as our new Nursing Advisor and also tribute to our Director of Health Promotion, Carol Tannahill, look forward to welcoming Wendy Hull when she joins us who has worked tirelessly to achieve these results and is in July as the Director of Finance. about to leave the Board on a long-term secondment to the newly formed Public Health Institute of Scotland. Finally I wish to record my own thanks to the Directors and staff of the Board, who have provided me with such strong support during the past four years. They have been asked to deal with a large and challenging agenda flowing from the changes in UK government policy and the election of the Scottish Parliament with devolved powers for health. This was successfully achieved, despite a major overhaul of The Health Board has played an increasingly active role in the Board’s structure and the introduction of the Local the Glasgow Alliance since its inception in 1998 as the Partnership Forum to facilitate our Organisational successor to the old Glasgow Regeneration Alliance. The Development agenda, and their outstanding work deserves organisation promotes partnership working at both city recognition. I wish the new Board equal success when it and local level to change Glasgow for the better and we comes into being in October 2001 and look forward to contribute strategically through our membership of the their continued work to Get Glasgow’s Health Better. Management Committee and at a more local level by representation on the Boards of the Social Inclusion Partnerships. We are responsible for achieving the key health targets in the Alliance’s strategy, but also contribute added value to many of the targets of the other partners Professor David L. Hamblen CBE from our involvement in the broader health agenda to CHAIRMAN improve social inclusion.
Our collaborative working has also been strongly expressed through our membership of the Glasgow Healthy City Partnership. It was particularly appropriate that this body was selected to administer one of the four Demonstration Projects, which flowed from the Public Health White Paper, Towards a Healthier Scotland. The Starting Well project seeks to show that child health can be improved by providing dedicated Health Visitor and Lay Health Workers to support families in a community setting. It was launched by the Health Minister in November and will run for three years with a planned recruitment of 900 families in two communities in the East and South of the City. 2001 In February two of our senior executives, Sue Williams CBE, the Nursing Advisor, and Scott Haldane, the Director of Finance left the Board. I am very grateful to them both for their enormous contributions to our work during this period 2000 of great change in the Health Service and wish them well AR Annual Report 5 Annual Report 2000 -2001 MONTH BY MONTH PROGRESS REPORT
April 2000
April saw the launch of our largest consultation exercise agreed to close Cowglen and to provide new facilities for on modernising Glasgow’s hospital services. This resulted the frail elderly and the elderly mentally ill at Blawarthill. in much interest and debate. The scale of the task and the interlocking details involved resulted in a 2 phase consultation To provide early intervention in coronary heart disease on the proposals which ended in December. Encouragement care, Greater Glasgow has five rapid access clinics for chest for the public to feedback their views on the proposals was pain and to diagnose heart failure. These centres are based of a scale never seen before in the NHS in Scotland. Twenty- at the Royal, Western, Southern, Victoria, and Stobhill and two leaflets were produced on the proposals with a Summary offer a variety of services including giving patients individual Leaflet being delivered to all households in Greater Glasgow. support to stop smoking, eat more healthily and increase Over 45 public meetings were held across the area, a their physical activity in ways which are acceptable and Helpline was established, the Board’s website carried copies possible within their own circumstances. Approximately of all documentation and a supplement was delivered with 7000 patients were referred to the clinics throughout the the Herald, Sunday Herald and Evening Times to further year. explain the proposals and the progress to date as we moved into the 2nd phase in September. By December we had April also saw the launch of Smoking Concerns, the new received 3416 responses on the consultation and a process tobacco initiative for the Board, which replaces Glasgow to take the agenda forward was mapped out. Much work 2000. While continuing smoking prevention work (especially remains to be done over the coming months to finalise a with young people), there has been a major focus on modernisation programme. developing smoking cessation services within the city, funded by the Tobacco Tax money. Smoking Cessation services are When NHS Trusts across Scotland restructured in 1998, provided on a group basis. Within this first year 250 people there was recognition that the status of Yorkhill Trust participated. Initial evaluation results indicated that 38% should be reviewed within two years. In April the Board (range 18% – 75%) have been successful in “giving up”. consulted on whether Yorkhill should remain a separate Trust, or whether its services should be amalgamated into other Trusts across Glasgow. In August the Board decided that it would remain in the best interest of services for child and maternal health that Yorkhill remain a distinct Trust. This decision will be reviewed at a later stage as part of the modernisation programme across all acute hospital services in the city.
The Board and the Primary Care Trust continued to work towards the resettlement of patients from Lennox Castle Hospital into the community, resulting in the closure of Lennox Castle scheduled for April 2002. Over 500 patients have already been resettled and are adjusting well to their new individual care packages.
2001 Local people, staff and patients were consulted on the proposed closure of Blawarthill and Cowglen Hospitals and providing balanced care which meets the needs of the patients in either residential or nursing homes. The proposal
2000 to close Cowglen attracted some opposition and the Board AR listened to that debate and agreed to discuss the options Annual Report further with patients and relatives before any decision would be taken. This took place and in December 2000 the Board 6 Annual Report 2000 -2001 MONTH BY MONTH PROGRESS REPORT
May 2000
Glasgow’s programme to modernise mental health services Support among the business community continued to grow took a step forward when the Board agreed in principle to as organisations sign up to be involved in Scotland’s Health close Parkhead and Leverndale hospitals. This decision was at Work scheme. The scheme promotes the health and taken following consultation and reflected clinical opinion wellbeing of employees in the workplace. Nine organisations which does not favour single site psychiatric in-patient received bronze awards and McVities picked up a gold facilities. The acute in-patient beds will be reprovided at the award this year. new Southern General hospital. Following consultation proposing a reduction in the number of family planning and well women services to reflect the changing patterns of use in Glasgow, the Board agreed to relocate three centres into existing facilities. An international press conference held in Dalian House in May signalled the end of the mystery surrounding the unexplained deaths of Glasgow drug users when clostrydium novyii was identified as the bacteria causing the sometimes fatal reaction. Staff at the Victoria Infirmary first picked up this discrepancy, which affected injecting drug users. The Board’s addictions unit quickly put into place a wide ranging team to explore this outbreak and to prevent further deaths. The incident raised issues regarding the way in which drug abusers and the homeless are dealt with by the front line health services. Further work will continue on McVities staff receiving their Gold Award. improving health care for these groups.
A new drive was launched in May to help the Chinese community to recognise the benefits of talking to a counsellor when problems arise. A cassette tape, capturing the experiences of being counselled mirrors some of the problems facing new immigrants as well as first or second generation Chinese Scots.
May also saw a reported increase in the number of cases of the gastro-intestinal infection cryptosporidiosis. The infection causes abdominal pain, nausea, vomiting and diarrhoea and is commonly carried by animals.
Informative pocket-sized card produced for drug users. 2001
North Lanarkshire Joint Planning Forum approved the distribution and consultation on the draft North Lanarkshire
Community Care Plan 2001-2004. The plan details 2000 achievements made to date, proposed developments and spending priorities for community care groups over the AR coming three year period. Annual Report 7 Annual Report 2000 -2001 MONTH BY MONTH. . . .
June 2000 July 2000
The work on the Joint Strategy for People with Learning Consultation was undertaken on a draft alcohol strategy Disabilities required further input to take account of the to look at the prevention of alcohol related problems and impact of the national review on long-stay NHS patients. the treatment and care of people affected by alcohol related A consultation paper was widely distributed. illness. In Glasgow between 8% - 15% of all Accident and Emergency attendances are estimated to be alcohol related The Board welcomed the announcement by the Treasury and between 20% - 30% of all acute admissions drink that Tobacco Tax money would be redistributed back to excessively. The alcohol strategy was adopted in December the Health Service. As part of the Smoking Concerns 2000 and a multi-agency group has been set up to implement strategy, pilot schemes began in pharmacies to support its recommendations. people locally who wanted to give up smoking. In September the Board supported the prescription of Zyban to help Accident and Emergency services for children up to the people who had demonstrated a willingness to give up age of 13 came under the spotlight as a review group was smoking. set up to look at the options. The interim report recommended that these services should be centralised at Plans to build Glasgow’s Secure Care Centre at Stobhill Yorkhill. hospital continued to receive a great deal of attention. The Primary Care Trust arranged to meet with local The Sandyford Initiative opened in Sauchiehall Street in representatives to revisit the Option Appraisal process. This July 2000. The Initiative houses the Centre for Women’s was done over two days in January. However the revisiting Health, Family Planning & Reproductive Health and programme was not completed. A further two day event Genitourinary Medicine. took place in June.
In June Glasgow played host to the NHS Confederation Annual Conference. As part of the Conference The programme, visitors were offered a walking tour of the Gorbals focussing on the regeneration of the area plus the Sandyford social and health problems. Some toured the East End of the city, Eastbank Health Promotion Centre and Smoking Initiative Concerns to see how the centre and services operated. Sandyford Logo and A new pack to help teachers and pupils in Primary 7 to information leaflet. explore the issues around alcohol was made available free of charge to every primary school in Greater Glasgow. The Exploring Alcohol Pack contains a range of activities which are used to raise awareness of the main issues regarding alcohol and the effects it can have on their body and
2001 behaviour.
Pupils at St Jude’s Primary School exploring the AR2000 alcohol pack. Annual Report 8 Annual Report 2000 -2001 MONTH BY MONTH . . . .
August 2000 September 2000
The Joint Employment Unit, which aims to integrate A pilot scheme to offer Childcare Vouchers to eligible staff people with community care needs in mainstream learning was extended in September. Forty-five staff benefited from and employment opportunities reported on its first year the scheme within the year. This is one of a number of of existence. The Unit has developed a wide range of family friendly initiatives designed to improve the overall partnerships and forums across the city to continue its working arrangements for staff. work and raise awareness of the issues. Men & Health Week 2000 culminated in an Open Space The scale of homelessness across Glasgow was highlighted event held at Celtic Park. The event attracted 135 participants in August with a report on the extent of the problem, and providing the opportunity to discuss the issues that really its impact on health and local authority services. In Glasgow concern them, set priority issues and actions, and commit it is estimated that 6,500 people experience homelessness to working on those issues in partnership with others. each year. At any given time there are around 2,500 homeless, mostly staying in hostels, many with alcohol, drug Exercise Parallel Lines tested the responses of the and health problems. Better co-ordination of services and emergency services and hospital staff in dealing with the additional funding allocations have gone some way to aftermath of a train crash. This, the largest emergency support initiatives in place. planning scenario in Scotland, attracted observers from around the world. A report on the dental health of 5 year old children showed that while the rest of Scotland saw an improvement, the position in Glasgow has not worsened. More than a third of Glasgow 5 year olds have had some tooth decay. A preventative initiative piloted in pre-5 year olds in Possilpark has seen a significant reduction in the numbers of decayed, missing and filled teeth in that age group. This project is now being extended to nine local health care co-operatives.
Emergency Services gather to test their skills and expertise. 2001 2000
Some of the characters from AR the Healthy Teeth for Life pack. Annual Report 9 Annual Report 2000 -2001 MONTH BY MONTH. . . .
October 2000 Susan Deacon at the launch of the £3 million Starting Well Demonstration Project. The project aims to demonstrate Nursing Home Registration - During 2000/2001, we that child health can be improved by supporting families registered a total of:- locally and providing them with access to enhanced • 4473 beds within 79 nursing homes community-based resources. (including 6 new homes) • 85 beds within 3 hospices • 221 beds within 4 private hospitals • 4 clinics and 14 nursing agencies
During the period the Nursing Home Registration and Inspection Team undertook 288 inspections, investigated 92 complaints (and upheld 42) and facilitated an educational programme for trained staff on a variety of topics which were attended by 174 homes.
October also saw the launch of the Carers Forum to represent the voice of carers across East Renfrewshire.
November 2000
Professor Hamblen received his flu vaccination which was Susan Deacon at the launch of Starting Well. offered to all NHS staff across Greater Glasgow. A new Hepatitis C strategy was approved for publication in November. The strategy provides a coherent, rational and evidence-based plan for the prevention of Hepatitis C infection as well as diagnosis and treatment of those infected.
December 2000
December saw the start of the first phase of the Royal College of Nursing Clinical Leadership Programme. Across the four Trusts, 42 nurses, midwives and health visitors are taking part. Over the year, the programme will STAFF ALERT DON’T GO challenge participants to explore their leadership skills and OOOO CHOO patient care in their own areas. A South Lanarkshire launched their Community Plan Partnership to oversee the progress of ‘Stronger Together’. Flyer designed by GGHB This marked the move into the delivery phase of action Get the flu vaccine to encourage staff to protect you, your family & your patients. FACTS about the flu 2001 • Up to 25% of health care workers get the flu get vaccinated. and better services on the ground. every year.
prevent the flu • Some patients in hospital get the flu from you know what to do health care workers, and vice versa. If health care workers get the flu vaccine:
• the vaccine will be 70-90% effective in GET VACCINATED preventing them getting the flu. • health care worker sickness will be reduced, i.e. wards will be less short staffed.
• and most importantly their patients are less 2000 likely to suffer from flu as well.
The flu shot is not a live vaccine and will not give anyone the flu.
AR But don’t leave it too late. The vaccine will be t. effective two weeks after the injection. So the ep sooner you get vaccinated, the sooner you and D h t Annual Report your patients will be protected. l a e O H O l O a H Otion ur Occupa DON’T DELAY, Cyo e PHONE TODAY. n Ao h 10 P Annual Report 2000 -2001 MONTH BY MONTH . . . .
January 2001 February 2001
The Health Board and Glasgow City Council teamed up To address problems in the South of medical patients with Sainsbury’s to introduce fruit to all primary schools being placed into surgical wards, the Board consulted on across Glasgow. Primary 5 from St Cuthbert’s Primary proposals to implement early changes in advance of the sample the delights on offer. new in-patient hospital on the Southside. The proposals would ensure that patients were managed within their specialty.
In February Public Health officials wrote to over 4,000 patients of the former dentist William Duff. Mr Duff pled guilty to a fraud charge and to periodically using instruments on patients without sterilising them between patients. Public Health staff were concerned about the small risk of cross infection of the blood borne viruses Hepatitis B, Hepatitis C and HIV. Former patients were contacted and offered the services of a Helpline where they could arrange a blood test and counselling.
Health Minister Susan Deacon lends her support to the Kool Kids Health Club in Greater Pollok Children from St Cuthbert’s Primary.
A study to assess the needs of patients with Multiple Sclerosis (MS) in Glasgow was presented in January. The study was carried out in 1999 with over 169,000 people in three local health care co-operatives. It is estimated that 1321 people have MS in Glasgow with an anticipated 52 new cases each year. The needs are many and varied and reflect the range of disability experienced. Most of those surveyed expressed a desire to improve existing services to meet the needs of people with MS.
Professor Hamblen was awarded CBE in the New Year Honours and Dr Laurence Gruer, Consultant in Public Health Medicine was awarded the OBE. Congratulations to them both! Susan Deacon with children from the Kool Kids Club. 2001
AR2000 Annual Report 11 Annual Report 2000 -2001 MONTH BY MONTH . . . .
March 2001
Staff representatives of Ward 3, Leverndale Hospital receiving their Health Council Award 2001. Patients nominated the staff citing the care, kindness understanding and professionalism of the staff on the ward and recognised the team effort.
Throughout the year the Board considered the Community Plans for East Dunbartonshire and West Dunbartonshire which examines the interface between local authority and local health and seeks to improve the overall delivery of services in partnership.
Births and Deaths
In the Greater Glasgow Health Board area there were 9548 live births and 10763 deaths in the year to December 2000. 2001
AR2000 Annual Report 12 This will be my last Report as Chairman of the Greater Glasgow Health Board before it undergoes restructuring to become the new NHS Greater Glasgow on 30 September 2001. The changes form part of the programme to implement the policies that flowed from the Scottish Health Plan Our National Health: A plan for action, a plan for change (Dec 2000). The proposal to create 15 new unified NHS Boards across Scotland, bringing together decision-making of existing Health Boards and Trusts, will facilitate the planning and delivery of local and regional services through the development of a single Local Health Plan. This will replace the existing Health Improvement Programme and will plan service developments to deliver better, more responsive care through new governance arrangements. These will be achieved by expanding the Board membership to include more Local Authority and staff input than at present with the addition of Trust Chief Executives, as well as Chairs. The new Board is likely to have more than 20 members and will be responsible for a challenging financial and clinical performance framework to ensure partnership and collaboration across the entire NHS system.
It therefore seems an appropriate time to look back over the past four years, as well as the current year, to review the Board’s performance during my term as Chairman. The common theme that emerged from the new government elected in 1997 and which has directed our activities throughout the period is Partnership. The initial impact came from the 1998 White Paper, Design to Care, which led to the creation of new Trusts (three Acute and one Primary Care) in place of the previous six. The new arrangements have undoubtedly facilitated the co-ordination of service delivery, but left a legacy of financial debt, which the Trusts are still addressing with recovery plans, that should achieve stability by the end of 2001/2002.
On the positive side, the new Trust structures have made the challenging task of developing a plan to modernise the Acute Services for Glasgow marginally easier, though it still required an enormous exercise in public consultation.
Annual Report 2000 -2001 WAITING LISTS
WAITING LISTS The Board continues to work with Trusts to deliver specific waiting list targets for inpatient and day case treatment. The current focus remains the achievement of the targets determined at national level, these are set out below:
All Areas of Residence GGHB Residents Trust Mar 00 Mar 01 Target Mar 02 Mar 00 Mar 01 Target Mar 02 Yorkhill 1,509 1,695 1,600 886 900 900 North 10,912 11,075 11,000 7,729 7,860 7,700 South 5,243 5,633 5,300 4,107 4,440 4,000 Total 17,664 18,403 17,900 12,722 13,200 12,600
Plans will be worked through and implemented in 2001-02 to identify what measures are required to meet the target. We will identify what is required to: • Achieve inpatient and day case targets and • Implement new maximum waits for joint replacements and cataract surgery of 6 months; • Comply with the National Health Plan target of a 9 month maximum wait for all procedures in 2003. 2001
AR2000 Annual Report 13 Annual Report 2000 -2001 OUTPATIENT APPOINTMENTS
OUTPATIENT APPOINTMENTS Information about outpatients "currently" waiting for their first outpatient appointment is collected retrospectively . Details on how long patients actually waited for that appointment is as follows:
% Waiting Time Distribution in Weeks Trust 1999 2000 < 9 9 to 15 15+ < 9 9 to 15 15+ North 66 18 15 61 18 20 South 59 22 19 59 19 21 Yorkhill 58 21 21 61 14 25 All Trusts 63 20 17 61 18 21
Overall in Glasgow, the local target of 60% of patients being seen within 9 weeks has been achieved. However, the more ambitious target of no patient waiting longer than 15 weeks will require us to continue work with Trusts to make further improvements in the waiting times in Glasgow. 2001
AR2000 Annual Report 14 Annual Report 2000 -2001
AUDIT COMMITTEE COMPLAINTS
Responsibilities Between April 2000 and March 2001 we received two complaints. Unfortunately neither were dealt with within • Review and evaluation of the Board’s systems of internal the national timescale of 20 working days. One, due to its control and corporate governance; complex nature, was responded to after 23 working days. • ensuring the provision of an effective internal audit service; The other related to concerns about contract and referral • receiving external auditors reports and letters; and procedures for alcohol services, and ongoing correspondence • reviewing the Board’s annual accounts. and meetings are taking place in an effort to resolve the matter. However, in accordance with the NHS Complaints Membership Procedure, both complainants were advised that the Gordon Dickson (Chair) 20 working days target would not be achieved. Fiona Marshall Andrew Robertson There were no requests for an Independent Review. Elinor Smith
GREATER GLASGOW HEALTH COUNCIL OPENNESS 44 Florence Street Glasgow G5 0YZ We operate under the Code of Practice on Openness in Tel: 0141- 429 7698 the NHS in Scotland. The Code aims to ensure that Fax: 0141- 429 6367 information is publicly available on
Greater Glasgow Health Council is an independent consumer • waiting time guarantees organisation set up to represent the interests of the public • performance against set targets in the NHS. There are 20 voluntary members of the Council • NHS services and their cost supported by seven staff. The Council considers a variety • quality standards of issues that affect patients. The meetings, which are open • proposed service changes to the public to attend, are held on the first Tuesday of each month (except January and July) at 7pm in Glasgow’s City If you would like information about the Board please contact Chambers. Jim Whyteside, Communications Manager.
Convener Peter Hamilton If you have any complaints about a delay in dealing with Vice Convener Caroline McCalman your request for information, or a failure to supply information, Chief Officer Danny Crawford then please contact John C Hamilton, Head of Board Administration. (Contact details are on the back cover.) 2001
AR2000 Annual Report 15 Annual Report 2000 -2001 BOARD MEMBERS
Chris Spry was appointed Chief Executive in July 1996. Fiona Marshall was He had previously been the appointed Non-Executive NHS Executive’s Regional Catriona Renfrew joined Director in April 1995. Fiona Director for South Thames, the Board in February 1997. is a General Practitioner in based in London. Chris Catriona has worked in the the south side of the City and became the Chair of the Health Service since 1985. chairs the Maternity Services Greater Glasgow Drug She is responsible for Liaison Committee and the Action Team in January 1997. commissioning health Forum for AIDS and Blood He represents the Board on services, coordinating the Borne Viruses. She is a the Glasgow Alliance and also development of the Health member of the Consultative Chairs the National Services Improvement Programme, Panel on the Registration of Advisory Group. Chris is also and performance Nursing Homes and a member of the Scottish management. Catriona is a Independent Hospitals. Fiona Social Inclusion Network and member of the Woman’s is also a member of the Joint the Scottish NHS Partnership Counselling & Therapy Strategy Forum Sub-Group Forum. Service (Leeds). on Learning Disabilities.
David Hamblen CBE was Harry Burns was appointed Scott Haldane took up Brian Whiting was appointed Chairman in July Director of Public Health in post as Director of Finance appointed Non-Executive 1997. He retired as the 1993 having previously been in June 1997, having previously Director in September 1994. Professor of Orthopaedic the Deputy Director of been Director of Finance and Brian is the Dean of the Surgery at the University of Planning and Contracts since Information at West Lothian Faculty of Medicine at the Glasgow in September 1999. June 1992. Prior to that he NHS Trust. Prior to West University of Glasgow and is
2001 He is Chairman to the had been the Medical Lothian NHS Trust. Scott was the Statutory representative Council of the Management Executive at Glasgow Royal Director of Finance at on the Board representing and Editorial Board of the Infirmary and a Consultant Edinburgh Sick Children’s University interests. Brian British Volume of the Journal Surgeon and Senior Lecturer NHS Trust. Scott left the retired from the Board in of Bone and Joint Surgery, Board in February 2001. November 2000.
2000 in surgery. and a Visiting Professor at the AR University of Strathclyde Annual Report National Centre for Training and Education, Prosthetics 16 and Orthotics. Ronnie Cleland is Chairman of North Glasgow Carol Tannahill joined the University Hospitals NHS Health Board in 1990, and has Trust, Scotland’s largest acute held various posts within the hospitals Trust. He was Gordon Dickson was Health Promotion appointed on the appointed Non-Executive Department. She was establishment of the Trust in Director in April 1995. He appointed Director of Health April 1999. Prior to this is Pro Vice-Chancellor and Promotion in 1997 and Ronnie was Chairman of formally Dean of the Faculty became and executive board West Glasgow Hospitals Trust of Health at Glasgow member in May 2000. Carol from December 1997, and Caledonian University, where is closely involved in the work he had formerly been a non- he also Chairs the University’s of the Glasgow Alliance and executive director of Yorkhill Research Committee. the Glasgow Healthy City NHS Trust since 1993. Gordon is a Non-Executive Partnership, and is responsible Ronnie is a Partner in the Director of Commercial for the Board’s community recruitment consultancy, General Union Risk developments and health Thomson Partners Limited. Management PLC. He is promotion programmes. He was appointed a non- currently Vice Chairman of Carol was seconded to the executive director of Greater GGHB and Chair of the Audit Public Health Institute Glasgow Health Board in Committee. Scotland in June 2001. November 1999.
Forrester Cockburn CBE was appointed Non-executive director in April 2000. He is Chairman of Yorkhill NHS Trust and Emeritus Professor of Child Health at the University of Glasgow. Forrester is also Chairman of the Boards’ Clinical Governance Committee. Forrester retired from Yorkhill John Gray is a Labour Elinor Smith was Andrew Robertson OBE in July 2001. Councillor representing the appointed Chairman is senior Partner in the Keppochhill Ward on designate of the South Glasgow legal firm of Messrs Glasgow City Council. He is Glasgow University Hospitals TC Young & Son. His firm has Convenor of the Social Work NHS Trust in November been closely involved with the Services Committee and has 1998, and took up position Community Based Housing worked with the Health of Chairman in April 1999. Association movement in 2001 Board and Trusts on the Joint She is a former director of Glasgow since the early 1970s. Planning Forum and the Joint Business Banking in the Bank Andrew is Chairman of the Group on Learning of Scotland. Greater Glasgow Primary Care Disabilities. He previously NHS Trust. He is also Secretary 2000 worked as an electrician in of Erskine Hospital, Founding the shipbuilding engineering Secretary of the Princess Royal AR electricity supply, local Trust for Carers and Non Annual Report authority and health sectors. Executive Director of the Scottish Building Society. 17 Annual Report 2000 -2001 REPORT BY THE DIRECTOR OF FINANCE
The Board is required to submit Statutory Accounts to the Scottish Executive Health Department in a form laid down by Regulations. The financial commentary that follows is based upon data extracted from the Accounts. The Scottish Health Service Cost Book, published later in the year, will contain comprehensive costing data for all Health Boards and Trusts.
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 Accounts have been audited by PricewaterhouseCoopers and have received an unqualified Audit Certificate.
The following commentary highlights the main issues and details are provided in the attached tables 1 - 9.
A full set of accounts can be obtained from
Director of Finance Dalian House PO Box 15326 350 St Vincent Street GLASGOW G3 8YT
CASH LIMIT OUT-TURN
The financial out-turn for Hospital and Community Services and the Capital Programme as measured against the Cash Limited allocation issued by the Scottish Executive Health Department was as follows:
2000/01 £’000
Hospital and Community Revenue Cash Spend 856,975
Capital Programme Cash Spend -
Total Spend against Cash Limit 856,975
Cash Limit 864,158
2001 Total Cash Limit Underspending 7,183
AR2000 Annual Report 18 AnnualAnnual Report Report 2000 -20012000 -2001 REPORT BY MONTHTHE DIRECTOR BY MONTH OF FINANCE. . . . continued
REVENUE ACCOUNT
2000/01 1999/00 Movement £m £m £m %
Total Income 970.9 912.9 58.0 6.4
Expenditure
Health Care Purchases Hospital & Community 702.7 653.7 49.0 7.5 Family Health 253.0 244.1 8.9 3.6 Total 955.7 897.8 57.9 6.4
Management Costs 7.4 6.7 0.7 10.4 Other Board Services 7.3 11.7 (4.4) (37.6) Total Expenditure 970.4 916.2 54.2 5.9
In 2000/01 we spent the equivalent of £1,072 on health services for every person within our catchment population:
Revenue Expenditure (per head of population)
£776 (72%) on Hospital and Community Healthcare
£280 (26%) on Family Health Services
£8 (1%) on Other Board Services
£8 (!%) on Management Costs 2001
AR2000 Annual Report 19 Annual Report 2000 -2001
REPORT BY THE DIRECTOR OF FINANCE continued
HOSPITAL AND COMMUNITY HEALTHCARE Expenditure on Hospital and Community Healthcare wass £702.7m, an increase of £49.0m (7.5%) over 1999/00.
450.00 401.48 400.00 348.37 350.00
300.00
250.00 £m 200.00 166.43 141.12 150.00
100.00 49.80 27.61 62.80 35.00 31.40 40.72 50.00 24.78 25.77 34.87 11.51 12.93 15.53 0.00
Acute Maternity Mental Health Services Continuing Services Services Other Additional Care Community Research and Other Cost of Development Services Teaching Services
Hospital and Community Services represents 72% of all GGHB expenditure, with the equivalent of £776 spent per head of population. This can be analysed across service areas as:
FAMILY HEALTH SERVICES (FHS)
Hospital and Community Healthcare Expenditure (per head of population)
£401 on Acute
£166 on Mental Illness
£63 on Community
£41 on Continuing Care
2001 £35 on Other Services
£31 on Maternity
AR2000 £26 on Additional Cost of Teaching Annual Report £13 on Research & Development 20 Annual Report 2000 -2001
REPORT BY THE DIRECTOR OF FINANCE continued
The expenditure on Family Health Services can be analysed as follows: -
2000/01 1999/00 Movement £m £m £m %
Medical 71.6 67.4 4.2 6.2
Pharmaceutical 138.4 133.0 5.4 4.1
Dental 34.7 35.7 (1.0) (2.8)
Ophthalmic 8.3 8.0 0.3 3.8
Total Gross Expenditure 253.0 244.1 8.9 3.6
In 2000/01 we spent the equivalent of £280 on family health services for every person within our catchment population:
Family Health Services Expenditure (per head of population)
£154 (55%) on Pharmaceutical Services
£79 (28%) on General Medical Services
£38 (14%) on General Dental Services
£9 (3%) on General Ophthalmic Services 2001
AR2000 Annual Report 21 Annual Report 2000 -2001
REPORT BY THE DIRECTOR OF FINANCE continued
GP FUNDHOLDING
GP Fundholding came to an end on 31 March 1999. At that time there remained a balance of unspent savings of £4.5m. During 2000/01 £2.5m of these saving were spent by fundholders, which, together with expenditure in 1999/00 has now reduced the balance to £0.5m.
There are a small number of committed projects where expenditure has still to be incurred. This expenditure will continue to be reimbursed on submission of claims from Fundholders, however no new projects will be approved. Any resultant unspent balance will be made available to the Primary Care Trust to invest in Primary Care Services.
PUBLIC SECTOR PAYMENT POLICY
The Board endeavours to comply with the principles of the CBI prompt payment code by processing suppliers invoices for payment without unnecessary delay and by settling them in a timely manner. In 2000/01 average credit taken was 43 days. In 2000/01 the Board paid 64.5% by value and 40.9% by volume within 30 days. We recognise and aim to comply with the credit terms requested by suppliers. Where no terms are stated we apply our standard which is 20th of the month following invoice.
CONCLUSION
The Board achieved the main financial target and remained within the cash limit, reporting a carry forward of £7.2m. This cash is required to cover some specific projects carried forward into 2001/02.The financial out-turn for 2000/01 is therefore regarded as satisfactory.
The Income & Expenditure out-turn is in line with the financial plan as reported to the Board throughout the year. 2001 Thanks are due to all the staff involved in managing the Board’s finances, and in particular those who contribute to the financial planning and monitoring process and the
2000 preparation of the Board’s Statutory Annual Accounts. Their AR efforts and support make a major contribution to this Annual Report satisfactory outcome. 22 Annual Report 2000 -2001
REPORT BY THE DIRECTOR OF FINANCE continued
REVENUE INCOME AND EXPENDITURE ACCOUNT For the year to 31 March 2001
TABLE 1
1999/2000 2000/01 £000's £000's £000’s
Income
897,833 Allocations from Scottish Executive Health Department (SEHD) 956,554 15,101 Miscellaneous Income 14,340
912,934 Total Income 970,894
Expenditure
Health Care Purchased 653,720 Hospital and Community 702,712 244,096 Family Health 252,985
897,816 Total Health Care Purchased 955,697
6,665 Management Costs 7,379
Other Service Expenditure
198 Local Health Councils 200 11,494 Other Board Services 7,151
11,692 Total Other Service Expenditure 7,351
916,173 Total Revenue Expenditure 970,427
(3,239) Board Surplus/(Deficit) for Year 467
(3,239) Net Movement in Funding Balance - SEHD 467 2001
AR2000 Annual Report 23 Annual Report 2000 -2001
REPORT BY THE DIRECTOR OF FINANCE continued
BALANCE SHEET As at 31 March 2001
TABLE 2
2000 2001 £000's £000's £000's
Fixed Assets 1,060 Net Book Value 968
Current Assets 2,356 Stocks 2,130 33,436 Debtors 57,261 11 PGO Account Balance 49 1 Cash at Bank and in Hand 290 35,804 59,730
Current Liabilities (34,564) Creditors due within one year (54,385)
1,240 Net Current Assets/(Liabilities) 5,345
2,300 Total Assets less Current Liabilities 6,313
0 Creditors Due After More Than One Year 0
(12,372) Provisions for Liabilites and Charges (16,010)
(10,072) (9,697)
Financed by: (364) Revaluation Reserve (390) (686) Capital Reserve (568) (10) Donation Reserve (10)
Balance due to/(from) Management Executive 7,893 Brought Forward 11,132 3,239 Current Year Income & Expenditure A/C (467)
11,132 Carried Forward 10,665 2001 10,072 9,697
AR2000 Annual Report 24 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
CASHFLOW STATEMENT For the year to 31 March 2001
TABLE 3
1999/2000 2000/01 £000's £000's
Funds Received (896,108) Net Cash Received (960,014) (144) Capital Charges (80) (1,125) Hospital & Community Income (681) (12,429) Practitioner Services and Prescriptions (13,897)
(909,806) (974,672)
Funds Applied
Cash Limited 655,998 Healthcare Purchases 708,403 15,308 Purchaser and Other Costs 11,704 53 Capital Projects below £1m 128,540 Family Health Services 142,917 196 Associated Services 200
800,095 863,224
109,837 FHS Non Cash Limited 111,121
909,932 Total Funds Applied 974,345 (126) Bank Balances 327
909,806 974,672 2001
AR2000 Annual Report 25 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
PURCHASES OF HOSPITAL AND COMMUNITY HEALTHCARE For the year to 31 March 2001
TABLE 4
1999/2000 Purchases From: 2000/01 £000's £000's
553,611 NHS Trusts - Glasgow 589,606 32 Directly Managed Units - Scotland 19 16,446 NHS Trusts - Scotland 16,245 9,215 Direct Access Services 9,446 1 Ambulance Service 251 NHS Trusts - Outside Scotland 1,694 3,483 NHS Trusts - Expenditure on AIDS 3,700 176 Primary Care Bodies 159 12,754 Voluntary and Private Sector 12,948 3,558 Hospice and Elderly Care 3,517 4,064 Health Promotion 4,971 44,650 Support Finance & Resource Transfer 53,559 2,129 Drugs Misuse & AIDS 2,820 1,822 HIV & AIDS Board 1,850 1,528 Care in the Community - Other Agencies 2,178
653,720 702,712
MANAGEMENT COSTS For the year to 31 March 2001
TABLE 5
1999/2000 2000/01 £000's £000’s
388 Board Members Remuneration 471 3,512 Other Salaries & Wages 3,553 303 Supplies and Services 260 485 Office Expenses 455 142 Transport and Staff Travel 154
2001 1,264 Premises and Fixed Plant 1,552 372 Agency Services 759 82 Audit Fee 76 117 Others 99 2000 AR 6,665 7,379 Annual Report 26 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
PURCHASE OF HOSPITAL AND COMMUNITY SERVICES For the year to 31 March 2001
TABLE 6 Resource Inpatients Daycases Outpatients A&E Community Transfer Other Total Total £000’s £000’s £000’s £000’s £000’s £000’s £000’s £000’s %
Acute 229,944 20,336 63,709 15,075 329,064 46.83 Maternity 22,532 1,745 3,147 996 ...28,420 4.04 Geriatric Assessment 30,339 2,138 1,836 .. 34,313 4.88 Mental Illness 57,384 4,313 3,235 19,925 18,788 103,645 14.75 Learning Difficulties 20,127 4,221 22,643 ...46,991 6.69 Geriatric (Continuing Care) 24,652 8,215 ...32,867 4.68 Young Physically Disabled 1,109 2882 ..... 3,991 0.57 Community 56,837 ... 56,837 8.09 Health Promotion 4,971. 4,971 0.71 Additional Cost of Teaching 23,323. 23,232 3.32 Research & Development 11,700 ... 11,700. 1.66 Direct Access Services 9,367 9,367 1.33 Services for Residents Based Outside Scotland 1,313 1,313 0.19 Other 15,910 15,910 2.26
Total 386,087 28,532 71,927 15,075 81,979 52,528 66,584 702,712 100 54.97 4.06 10.24 2.15 11.76 7.48 9.48 100 % 2001
AR2000 Annual Report 27 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
FAMILY HEALTH SERVICES For the year to 31 March 2001
TABLE 7
1999/2000 2000/01 £000's £000's £000's
General Medical Services 46,428 Non-Cash Limited 51,172 20,995 Unified Budget 20,307
67,423 71,479
Pharmaceutical Services 132,950 Supply and Dispensing of Drugs & Appliances 138,530 (4,265) Pharmaceutical Charges (5,303)
128,685 133,227
General Dental Services 35,732 Cost of Treatment and Dentures 34,721 (8,164) Dental Charges (8,149)
27,568 26,572
General Ophthalmic Services 7,991 8,255
231,667 239,533 2001
AR2000 Annual Report 28 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
OTHER BOARD SERVICES For the year to 31 March 2001
TABLE 8
1999/2000 2000/01 £000's £000's £000's
416 Closed Hospital Charges 210 4,456 Compensation Payments Clinical & Medical Negligence 895 731 Compensation Payments Others (95) 631 Pension Enhancement & Redundancy - Provider 587 1,777 Pension Enhancement & Redundancy - Purchaser 1,931
246 Patients' Travelling Expenses 239
221 Clinical Audit 227
Other Services 375 Public Health Medicine Trainees 386 29 Emergency Planning 21 2,503 Other 2,750 109 Movement in GPFH Savings 0
3,016 3157
11,494 7,151 2001
AR2000 Annual Report 29 Annual Report 2000 -2001
REPORT FROM THE DIRECTOR OF FINANCE continued
BOARD MEMBERS AND SENIOR STAFF EMOLUMENTS For the year to 31 March 2001
TABLE 9
1999/2000 Salary/Fee Pension Employers Expenses & Benefits 2000/01 Share Total £ £ 26,981 The Chairman 28,302 28,302 108,357 Chief Executive 104,963 4,171 2,446 111,580
Other Board Members whose remuneration fell within the following ranges: 9 £0 - £5,000 8 0 £5,001 - £10,000 2 1 £60,001 - £65,000 1 1 £65,001 - £70,000 1 0 £70,001 - £75,000 1 1 £100,001 - £105,000 1
Senior employees whose remuneration fell within the following ranges:
11 £40,001 - £45,000 9 2 £45,001 - £50,000 5 4 £50,001 - £55,000 1 3 £55,001 - £60,000 2 3 £60,001 - £65,000 3 3 £65,001 - £70,000 3 1 £70,001 - £80,000 3 1 £80,001 - £90,000 1 1 £90,001 - £100,000 2 1 £100,001 - £110,000 0 0 £130,001 - £140,000 1 30 30
2001
AR2000 Annual Report 30 Annual Report 2000 -2001 LENGTH OF WAIT FOR GGHB RESIDENTS MARCH 2000-MARCH 2001
0 to 3 months 3 to 12 months 12-18 months Total* Total* Mar-00 Mar-01 Mar-00 Mar-01 Mar-00 Mar-01 Mar-00 Mar-01 CORE SPECIALTIES General Surgery 1759 1871 1137 1166 3 2897 2986 Orthopaedics 1168 1137 1436 1743 11 31 2615 2918 ENT 714 796 849 989 4 22 1568 1807 Ophthalmology 902 1118 692 676 1594 1794 Urology 973 1035 314 492 1287 1527 Gynaecology 609 517 54 26 663 543
Sub total 6125 6420 4482 5092 15 56 10624 11575
OTHERS Neurosurgery 40 36 9 14 49 50 Cardiothoracic 70 54 84 29 5 159 83 Plastic Surgery 445 269 561 397 42 1006 708 Dental Surgery 163 131 63 60 4 226 195 Cardiology 237 228 67 40 304 268 Neurology 78 76 2 10 80 86 Dermatology Nephrology 4 4 Respiratory 5 6 27 2 32 8 Rheumatology 18 8 7 3 25 11 Radiotherapy Medical Oncology Homoeopathy 16 16 4 20 16 Endocrinology 2 2 Geriatric Long Stay Gastroenterology 91 58 10 5 101 63 General Medicine 26 22 1 26 23 Pain Relief 1 1 Psychogeriatric Paediatric Dentistry 47 40 12 1 59 41 Medical Paediatrics 14 4 21 6 35 10
Sub total 1251 948 869 572 5 46 2125 1566
Total All Specialties 7376 7368 5351 5664 20 102 12749 13141
* Includes the following data:- In the over 18 months band there were 7 patients in orthopaedics (2 last year in General Surgery and ENT). 2001
AR2000 Annual Report 31 Annual Report 2000 -2001
OUTPATIENTS BY SPECIALTY AND PROVIDER UNIT (ALL PATIENTS) year ending 31 March, 2001
Comm/ Total Total GRI WES VIC STOB RHSC S GEN Ment DENT Mar - 01 Mar - 00
ACUTE SPECIALTIES General Surgery 23,776 30,521 16,179 11,651 9,068 91,195 90,556 Orthopaedic Surgery 24,504 23,643 23,267 8,119 11,451 18,126 109,110 110,723 ENT Surgery 10,023 6,353 12,227 6,621 4,867 4,247 44,338 42,882 Ophthalmology 8,396 39,905 12,179 9,785 3,616 11,368 85,249 86,381 Urology 9,635 8,792 4,407 8,013 5,241 36,088 39,558 Oral Surgery & Medicine 6,802 859 3,008 3,193 2,854 615 96,603 113,934 123,368 General Medicine 92,778 112,491 39,089 59,192 37,603 341,153 338,358 Dermatology 15,962 14,329 10,329 4,913 5,183 6,551 57,267 61,231 Surgical Paeds 10,313 10,313 10,630 Medical Paeds 1,536 35,859 774 38,169 39,667 Gynaecology 15,306 9,580 9,371 12,931 48 8,594 55,830 56,080
Sub Total 208,718 246,473 130,056 124,418 74,191 102,187 96,603 982,646 999,434
Obstetrics 21,773 17,264 12,124 51,161 51,741
SUPRA AREA Neurosurgery 3,680 3,680 3,742 Cardiothoracic Surgery 2,792 3,136 5,928 6,383 Plastic Surgery 26,086 851 915 27,852 29,691 Neurology 1,216 2,941 12,011 16,168 16,150 Radiotherapy 536 23,165 2,836 1,366 27,903 27,565 Spinal Paralysis 7,189 7,189 6,811
Sub Total 30,630 26,301 3,687 915 2,941 24,246 88,720 90,342
OTHERS Communicable Disease 6,778 6,778 6,396 A & E 73,862 72,105 73,523 54,668 37,678 45,188 19,933 376,957 376,876
Sub Total 73,862 78,883 73,523 54,668 37,678 45,188 19,933 383,735 383,272 2001
AR2000 Annual Report 32 Annual Report 2000 -2001
OUTPATIENTS BY SPECIALTY AND PROVIDER UNIT (ALL PATIENTS) year ending 31 March, 2001
Comm/ Total Total GRI WES VIC STOB RHSC SGEN Ment DENT Mar - 01 Mar - 00
LONG STAY SPECIALTIES
Geriatric Assessment 1,668 2,023 2,530 834 596 7,651 8,810
Sub Total 1,668 2,023 2,530 834 596 7,651 8,810
PSYCHIATRY
Mental Illness 37,514 37,514 37,793 Geriatric Psychiatry 7,809 7,809 5,815 Child Psychiatry 5,251 5,251 6,206 Adolescent Psychiatry 141 3,963 4,104 3,618
Sub Total 5,392 49,286 54,678 53,432
LEARNING DISABILITIES 37 37 162
OTHER
Diagnostic Radiology 60,087 79,342 74,082 49,270 27,123 62,038 17,440 369,382 385,195 Physiotherapy 54,243 58,309 27,167 19,063 14,500 41,061 655 214,998 222,258 Radiotherapy (Treatment) 64,084 64,084 64,756 Electrocardiography 19,601 17,920 7,370 16,623 3,998 10,030 75,542 77,668 Speech Therapy 2,975 2,788 1,778 1,692 830 1,295 755 12,113 13,036 Occupational Therapy 1,169 2,191 2,549 2,155 5,092 10,327 4,583 28,066 39,901 Chiropody 4,720 1,656 1,192 5,667 352 24,797 124 38,508 42,080 Audiometry 4,956 10,621 4,675 2,857 4,180 1,820 29,109 31,987 Others 62,733 88,161 24,358 24,676 47,110 45,973 32,103 7,698 332,812 319,418
Sub Total 210,484 325,072 143,171 122,003 103,185 197,341 37,465 25,893 1,164,614 1,196,299
DAY HOSPITAL ATTENDANCES 28,885 45,285 9,619 27,868 1,613 5,502 68,592 187,364 186,953
TOTAL 576,020 724,037 362,586 330,706 242,264 387,184 155,380 142,429 2,920,606 2,970,445 2001
AR2000 Annual Report 33 Annual Report 2000 -2001
DAY CASES BY SPECIALTY AND PROVIDER UNIT (GGHB RESIDENTS) for the year ending 31 March, 2001
Dent Total Total GRI WES VIC STOB RHSC S GEN Hosp Mar - 01 Mar - 00
ACUTE SPECIALTIES General Surgery 2,971 4,288 564 2,425 1,207 11,455 11,016 Orthopaedic Surgery 311 663 368 171 91 619 2,223 1,841 ENT Surgery 145 3 233 138 428 947 1,114 Ophthalmology 1,391 1,349 234 988 3,962 3,591 Urology 469 1,766 2 2,097 1 2,848 7,182 7,358 Oral Surgery & Medicine 202 118 207 51 2,248 2,827 3,817 General Medicine 7,951 6,848 5,524 4,464 2,085 26,872 25,696 Dermatology 11 11 15 Surgical Paeds 884 884 880 Medical Paeds 1,206 1,206 1,288 Gynaecology 1,368 1,042 1,104 1,408 580 5,502 5,458
Sub Total 13,417 16,012 7,913 12,259 2,844 8,378 2,248 63,071 62,101
Obstetrics 1,479 3,066 1,757 6,302 3,946 SUPRA AREA Neurosurgery 39 39 26 Cardiothoracic Surgery 32 32 29 Plastic Surgery 3,412 3,412 3,382 Neurology 47 92 139 81 Oncology 5,582 5,582 4,407 Spinal Paralysis 153 153 233
Sub Total 3,444 5,582 47 284 9,357 8,158 OTHERS Communicable Disease 208 208 88 ITU & CCU 54 94 148 125 A & E 1 1 1
Sub Total 54 208 95 357 214
TOTAL 18,394 21,802 8,008 12,259 5,957 10,419 2,248 79,087 74,419 2001
AR2000 Annual Report 34 Annual Report 2000 -2001
INPATIENTS BY SPECIALTY AND PROVIDER UNIT (GGHB RESIDENTS) for the year ending 31 March, 2001
Comm/ Total Total GRI WES VIC STOB RHSC S GEN Ment Mar - 01 Mar - 00 ACUTE SPECIALTIES General Surgery 6,507 7,361 5,956 4,602 2,645 27,071 23,926 Orthopaedic Surgery 2,556 2,743 3,136 474 938 1,783 11,630 11,749 ENT Surgery 100 1,626 1,898 953 579 5,156 5,262 Ophthalmology 766 197 49 626 1,638 2,033 Urology 1,608 1,399 1,349 2,159 6,515 6,731 Oral Surgery & Medicine 338 9 277 411 109 19 1,163 938 General Medicine 13,444 13,942 12,008 10,063 7,843 57,300 54,338 Dermatology 252 310 562 532 Surgical Paeds 2,530 2,530 2,343 Medical Paeds 3,977 3,977 4,551 Gynaecology 991 1,354 2,027 1,016 1,203 6,591 6,842
Sub Total 25,544 29,452 25,302 19,065 8,182 16,588 124,133 119.245
Obstetrics 5,951 4,951 4,360 15,262 10,971
SUPRA AREA Neurosurgery 971 971 949 Cardiothoracic Surgery 704 615 71 1,390 1,448 Plastic Surgery 2,550 2,550 2,220 Neurology 196 785 981 986 Radiotherapy 3,298 3,298 2,536 Spinal Paralysis 64 64 65
Sub Total 3,254 3,913 267 1,820 9,254 8,204
OTHERS Communicable Disease 1,086 1,086 1,014 Spec/Intens Baby Care 490 750 307 1,547 2,013 ITU & CCU 886 1,024 1,191 1,209 217 839 5,366 4,790 A & E 1,611 2 50 1,663 2,208
Sub Total 2,987 2,110 1,191 1,209 969 1,196 9,662 10,025
LONG STAY SPECIALTIES Geriatric Assessment 2,463 1,865 3,686 2,145 1,393 11,552 10,299 Geriatric Long Stay 274 237 245 264 136 1,156 1,348 Young Phys Disabled 203 203 140
Sub Total 2,737 2,102 3,931 2,409 1,732 12,911 11,787
PSYCHIATRY Mental Illness 4,366 4,366 4,980 Geriatric Psychiatry 1,248 1,248 1,484 Child Psychiatry 22 22 28 Adolescent Psychiatry 8 8 28 2001 Sub Total 22 5,622 5,644 6,520
LEARNING DISABILITIES 283 283 306 TOTAL 40,473 37,577 30,424 22,683 14,391 25,696 5,905 177,149 167,058 AR2000 Annual Report 35 Greater Glasgow Health Board Dalian House 350 St Vincent Street Glasgow
Designed by Inez Gribben GGHB /printedDesigned by M&M Press Ltd by G3 8YZ
Telephone 0141 201 4444 Fax 0141 201 4401 Textphone 0141 201 4400 Website www.show.scot.nhs.uk/gghb e-mail [email protected]