Annual Report 2000 -2001
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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.