ACUTE SERVICES REVIEW IMPLEMENTATION BULLETIN 1 APRIL 2000
INTRODUCTION
The Acute Services Group is aware that many of those working in the NHS in Scotland are interested in having information about the implementation of the programme set out in the report of the Acute Services Review, which was published in June 1998.
ACUTE SERVICES GROUP
The Acute Services Group, chaired by the Chief Medical Officer, has overall responsibility for leading the implementation of the report of the Acute Services Review. Its membership is:
|
Sir David Carter |
Chief Medical Officer (Chairman) |
|
Professor I Bone |
Consultant Neurologist, Institute of Neurological Sciences, Glasgow |
|
Dr G Buckley |
Executive Director, SCPMDE |
|
Mr R Calderwood |
Chief Executive, South Glasgow University Hospitals NHS Trust |
|
Mrs T Chapman |
Head Occupational Therapist, Queen Margaret Hospital, Dunfermline |
|
Mr T Divers |
General Manager, Lanarkshire Health Board |
|
Dr J Garner |
General Practitioner, Edinburgh |
|
Mrs H Grieve |
Chairman, Dumfries and Galloway Acute NHS Trust |
|
Ms I McCallum |
Acting Director of Nursing, Lothian University Hospitals NHS Trust |
|
Dr D Maclean |
Medical Director, Tayside University Hospitals NHS Trust |
|
Dr J Reid |
Consultant Radiologist, Borders General Hospital NHS Trust |
|
Professor V Ruckley |
Emeritus Professor of Vascular Surgery, Royal Infirmary of Edinburgh |
|
Dr T Turner |
Consultant Paediatrician, Royal Hospital for Sick Children, Glasgow |
|
Dr K Walker |
Chief Officer, Grampian Local Health Council |
|
Professor G Youngson |
Professor of Paediatric Surgery, Royal Aberdeen Children's Hospital |
|
Dr K Woods |
Scottish Executive Health Department |
|
Mr W S Scott |
Scottish Executive Health Department (Secretary) |
MANAGED CLINICAL NETWORKS
The concept of Managed Clinical Networks has been given priority by the Acute Services Group. The Group's first task was to draw up the core principles which should underpin all Managed Clinical Network development, and these were set out in MEL(1999)10. MEL(1999)53 invited bids for demonstration projects, either related to a regional vascular Managed Clinical Network or a Managed Clinical Network in neurology with particular reference to stroke. A vascular demonstration project is already under development in Lanarkshire, and the neurology MCN demonstration project involves a collaborative effort between Law Hospital and the Institute of Neurological Sciences at the Southern General Hospital, Glasgow. It is anticipated that further vascular networks will be proposed to the Acute Services Group as the year unfolds.
A national seminar on Managed Clinical Networks was held in Dundee in October 1999 and a written report will shortly be circulated to participants. Copies will be available from the Secretariat to the Acute Services Group and the text will also be available on the Internet. Contact details are given at the end of the Bulletin.
CORONARY HEART DISEASE TASK FORCE
The overall aim of the Task Force is to develop a clinical network of cardiac services in Scotland. In order to achieve this objective, the Task Force has been assigned the following remit:
Membership
|
Professor R Lorimer |
Task Force Chairman |
|
Dr C D Baker |
General Practitioner, Canonbie |
|
Dr J Chalmers |
Consultant in Public Health Medicine, ISD |
|
Mr A Redpath |
Principal Statistician, ISD |
|
Dr K Smith |
Clinical Research Fellow in Cardiac Nursing, Ninewells Hospital, Dundee |
|
Mr A Todd |
Service User, Edinburgh |
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Dr A Keel |
Scottish Executive Health Department |
|
Mr A Munro |
Scottish Executive Health Department |
|
Mr W S Scott |
Scottish Executive Health Department |
The Task Force found that there was additional capacity in the 4 existing cardiac surgery centres which would allow them to undertake almost another 500 CABGs a year. Health Boards have therefore been encouraged to move to a target of 600 CABGs per million population by 31 March 2000, in line with the target set by the British Cardiac Society.
DATABASE SUB-GROUP
Remit: To develop a national database based on routine patient management data in primary care, drawing on existing datasets and work currently in progress on CHD data collection as appropriate.
Membership
|
Dr A Keel |
Chairman |
|
Dr C D Baker |
General Practitioner, Canonbie |
|
Professor S Capewell |
Chair of Clinical Epidemiology, University of Liverpool |
|
Dr J Chalmers |
Consultant in Public Health Medicine, ISD |
|
Mr M Irvine |
GPASS Development Director |
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Dr C Isles |
Consultant Physician, Dumfries and Galloway Royal Infirmary |
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Dr M Lough |
General Practitioner, Airdrie Health Centre |
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Dr J Pell |
Consultant in Public Health Medicine, Greater Glasgow Health Board |
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Dr S Pringle |
Consultant Cardiologist, Ninewells Hospital, Dundee |
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Mr A Walker |
Health Economist, Greater Glasgow Health Board |
|
Mr W S Scott |
Scottish Executive Health Department |
The sub-group has concluded that more information is needed about the incidence and prevalence of CHD in the community, and that the database should be founded in primary care, with electronic links to the range of existing CHD databases, including those held by ISD. Primary care data would be collected routinely, based on a minimum dataset. This dataset has been designed to provide demonstrable benefits to GPs in terms of patient management and advantage is being taken of the development of the new GPASS system to take the database proposals forward.
NEEDS ASSESSMENT SUB-GROUP
Remit:
To identify the burden of CHD in the community in light of the recommendations in the SIGN Guideline on Coronary Revascularisation in the Management of Stable Angina Pectoris in order to:
Membership
|
Professor R Lorimer, |
Chairman |
|
Dr N A Boon, |
Clinical Director of Cardiology, Edinburgh Royal Infirmary |
|
Dr A Findlay, |
Consultant in Public Health Medicine, Fife Health Board |
|
Dr C Morrison, |
Consultant in Public Health Medicine, Greater Glasgow Health Board |
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Dr K Jennings, |
Consultant Cardiologist, Aberdeen Royal Infirmary |
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Dr M Taylor, |
Director of Postgraduate General Practice Education, University of Aberdeen |
|
Dr A Keel, |
Scottish Executive Health Department |
|
Mr W S Scott, |
Scottish Executive Health Department |
WAITING LIST SUB-GROUP
Remit:
Membership
|
Professor R Lorimer |
Chairman |
|
Dr N A Boon |
Clinical Director of Cardiology, Edinburgh Royal Infirmary |
|
Mr K Davidson |
Consultant Cardiac Surgeon, Glasgow Royal Infirmary |
|
Mr A Faichney |
Consultant Cardiac Surgeon, Western Infirmary, Glasgow |
|
Dr I Hutton |
Consultant Cardiologist, Glasgow Royal Infirmary |
|
Mr R Jeffrey |
Consultant Cardiothoracic Surgeon, Aberdeen Royal Infirmary |
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Dr K Jennings |
Consultant Cardiologist, Aberdeen Royal Infirmary |
|
Mr J D McArthur |
Consultant Cardiologist, Western Infirmary, Glasgow |
|
Mr P Mankaad |
Consultant Cardiac Surgeon, Royal Hospital for Sick Children, Edinburgh |
|
Dr I Starkey |
Clinical Director of Cardiology, Western General Hospital, Edinburgh |
|
Professor D Wheatley |
Professor of Cardiac Surgery, Glasgow Royal Infirmary |
The Sub Group has devised a standard form of categorisation of patients on the waiting list for cardiac surgery in Scotland, based on their clinical condition, and is currently finalising a standard referral letter.
ACCREDITATION SUB-GROUP
Remit:
The Sub Groups are being kept closely informed of progress in relation to the development of the template so that their work conforms to the emerging approach for all CSBS projects. At the same time they are being encouraged to contribute to this process generally and specifically through the experience gained from the pilots. The Sub Group is serviced by CSBS staff.
Membership
|
Professor R Lorimer |
Chairman |
|
Dr M Barlow |
Staff Cardiologist, Western Infirmary, Glasgow |
|
Ms J Bennett |
Director of Advice and Support, Chest Heart & Stroke Scotland |
|
Mrs M Bennie |
Head of Training, Research and Development, Western General Hospital, Edinburgh |
|
Dr J Chalmers |
Consultant in Public Health Medicine, ISD |
|
Ms M Durie |
Member, Clinical Standards Board for Scotland |
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Mr A Faichney |
Consultant Cardiac Surgeon, Western Infirmary, Glasgow |
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Dr C Isles |
Consultant Physician, Dumfries and Galloway Royal Infirmary |
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Dr A Keel |
Scottish Executive Health Department |
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Dr S Lynch |
General Practitioner, Calsayseat Practice, Aberdeen |
|
Mr T Reilly |
Member, Lanarkshire Health Council |
|
Mr W S Scott |
Scottish Executive Health Department |
|
Ms M Thow |
Lecturer, Division of Physiotherapy, Glasgow Caledonian University |
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Mr A Todd |
Service User, Edinburgh |
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Professor D Wheatley |
Professor of Cardiac Surgery, Glasgow Royal Infirmary |
|
Sister M White |
Cardiac Rehabilitation Unit, Royal Alexandra Hospital, Paisley |
CHILDREN'S ISSUES
The Report of the Review (paragraph 294) encouraged all those working with children to develop further a multi-professional Forum in which strategic, organisational and clinical issues could be discussed. [The next meeting of the Forum will take place at Stirling Royal Infirmary on Monday 26 June 2000.]
TRANSPORT OF CRITICALLY ILL AND INJURED CHILDREN WORKING GROUP
Remit:
Membership:
|
Dr P Booth |
Consultant Neonatologist, Aberdeen Royal Infirmary (Chairman) |
|
Dr J Beattie |
Consultant Paediatrician, Yorkhill Hospital, Glasgow |
|
Ms H Blyth |
Charge Nurse, Royal Hospital for Sick Children, Edinburgh |
|
Mr G Dickson |
Scottish Ambulance Service |
|
Dr F Drimmie |
Consultant Paediatrician, Ninewells Hospital, Dundee |
|
Dr G Farmer |
Consultant Paediatrician, Raigmore Hospital, Inverness |
|
Mr A Marsden |
Medical Director, Scottish Ambulance Service |
|
Dr N Morton |
Paediatric Anaesthetist, Yorkhill Hospital, Glasgow |
|
Ms P Newmarch |
Nursing Manager, Simpsons Maternity Hospital, Edinburgh |
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Dr C Rae |
General Practitioner, Stromness, Orkney |
|
Dr D Simpson |
Director of PICU, Royal Hospital for Sick Children, Edinburgh |
|
Dr R Simpson |
Consultant Paediatrician, Dumfries Royal Infirmary |
|
Dr C Skeoch |
Consultant Paediatrician, Yorkhill Hospital, Glasgow |
|
Ms L Wiggin |
Senior Nurse, Ninewells Hospital, Dundee |
|
Dr I Bashford |
Scottish Executive Health Department (Observer) |
|
Mr W S Scott |
Scottish Executive Health Department (Observer) |
It is also the Acute Services Group's intention to give further consideration to the overall pattern of paediatric tertiary services in Scotland. It will also consider the recommendations stemming from the work of Scottish Colleges' Committee on Children's Surgical Services, which is looking at low volume, highly complex paediatric surgical procedures. The Acute Services Group is also considering the desirability of issuing guidance on children's surgical services.
SCOTTISH MEDICAL AND SCIENTIFIC ADVISORY COMMITTEE (SMASAC) WORKING GROUPS
SMASAC is itself a creation of the Acute Services Review, and is proving to be an extremely useful forum for taking forward various pieces of work from the Review, as follows:
WORKING GROUP ON CAPITAL INVESTMENT PROGRAMMES
Remit:
Membership:
|
Professor J Smyth |
Professor of Medical Oncology, Western General Hospital, Edinburgh (Chairman) |
|
Mr G F Brunton |
Consultant Physicist / Deputy Head Radiotherapy Physics Division, Department of Clinical Physics, Beatson Oncology Centre, Glasgow |
|
Dr H Burns |
Director of Public Health, Greater Glasgow Health Board |
|
Mr R M Carey |
Chief Executive, Highland Acute Hospitals NHS Trust |
|
Dr J Davis |
Consultant Gynaecological Oncologist, Stobhill General Hospital |
|
Mr J Harper |
Imaging Product Specialist, Scottish Healthcare Supplies, Common Services Agency |
|
Dr R A Lerski |
Director of Medical Physics, Ninewells Hospital, Dundee |
|
Dr R H MacDougall |
Clinical Director, Directorate of Clinical Oncology & Haematology, Western General Hospital, Edinburgh |
|
Professor J H McKillop |
Muirhead Professor of Medicine, Glasgow Royal Infirmary |
|
Dr D Millar |
General Practitioner, Aberdeen |
|
Mr M Moorhouse |
Assistant Director, Scottish Healthcare Supplies, Common Services Agency |
|
Dr J Reid |
Consultant Radiologist, Borders General Hospital |
|
Mr A Thompson |
Senior Lecturer/Consultant Surgeon, Department of Surgery and Molecular Oncology, Ninewells Hospital, Dundee |
|
Dr H Wallace |
Consultant Paediatric Oncologist, Royal Hospital for Sick Children, Edinburgh |
|
Professor J Weir |
Professor of Radiology, Aberdeen Royal Infirmary |
WORKING GROUP ON THE DEVELOPMENT OF A MANAGED CLINICAL NETWORK FOR LABORATORY AND SUPPORT SERVICES
Remit:
Membership:
|
Professor D Levison |
(Chairman), Professor of Pathology, Ninewells Hospital, Dundee |
|
Dr T J Anderson |
Consultant Histopathologist, University of Edinburgh Medical School |
|
Mr N Campbell |
General Manager, Dumfries & Galloway Health Board |
|
Ms J Cooper |
Superintendent Radiographer, Breast Screening Centre, Ardmillan House, Edinburgh |
|
Dr R Davidson |
Consultant Clinical Geneticist, Duncan Guthrie Institute of Medical, Genetics, Glasgow |
|
Professor F G Gilbert |
Professor of Radiology, Aberdeen Royal Infirmary |
|
Professor W D George |
Professor of Surgery, Western Infirmary, Glasgow |
|
Dr R Grant |
General Practitioner, Markinch |
|
Ms F MacDowall |
(until December 1999) Scottish Services Manager, Breast Cancer Care |
|
Ms G McPhail |
Macmillan Lecturer/Practitioner in Cancer Nursing, University of Glasgow |
|
Dr E Rogers |
(from January 2000) Lecturer in Biological Sciences, University of Edinburgh |
|
Mr P White |
Chief Executive, Tayside University Hospitals NHS Trust |
|
Ms P Whitford |
Consultant Surgeon, Crosshouse Hospital, Kilmarnock |
|
Dr L Wilkie |
Director of Public Health, Argyll & Clyde Health Board |
WORKING GROUP ON THE RECRUITMENT, TRAINING AND RETENTION OF MEDICAL LABORATORY SCIENTIFIC OFFICERS
Remit:
Membership:
|
Mr T Cavanagh |
(Chairman) Laboratory Manager /Senior Chief MLSO, Western Infirmary, Glasgow. |
|
Ms M Allardyce |
Senior Chief MLSO (Haematology), Aberdeen Royal Infirmary. |
|
Dr E G Buckley |
Executive Director, Scottish Council for Postgraduate Medical and Dental Education |
|
Dr R A Burnett |
Consultant Pathologist, Western Infirmary, Glasgow. |
|
Mr J Deans |
MLSO 4 (Haematology), Falkirk & District Royal Infirmary |
|
Mr R Fleet |
Pathology Laboratory Manager, Borders General Hospital |
|
Mr M Fuller |
Regional Officer, MSF. |
|
Mr E Galloway |
MLSO 3 (Immunology), Western Infirmary, Glasgow. |
|
Mr S Greep |
Chief Executive, Ayrshire & Arran Acute Hospitals NHS Trust. |
|
Mr R A McCartney |
Head MLSO (Regional Virus Laboratory), Gartnavel General Hospital, Glasgow. |
|
Mr G D Milne |
MLSO 4 (Pathology), Aberdeen Royal Infirmary. |
|
Dr D C Old |
Reader in Medical Microbiology, Ninewells Hospital, Dundee. |
|
Mr J T Scott |
Laboratory Manager, Edinburgh and S E Scotland Blood Transfusion Service. |
|
Mr R Singer |
Business Manager/Laboratory Manager, Ninewells Hospital, Dundee. |
|
Mr D Swan |
Senior Chief MLSO (Clinical Microbiology), Western Infirmary, Glasgow. |
AMBULATORY CARE CENTRES
The recommendation in the report of the Acute Services Review that there should be a major demonstration pilot of the concept has been given added impetus by the inclusion of the Scottish Executive's commitment in its Programme for Government for the launch in 2002 of a new generation of Walk-in/Walk-out Hospitals. A major conference on the subject was held last November and a Working Group of the Acute Services Group is being set up to produce general guidance. This will complement the range of local initiatives being undertaken in areas such as Greater Glasgow, Grampian, Forth Valley and Fife. The Group will wish to explore the development of concepts such as the ambulatory care nurse and the generic therapist.
CLINICAL STANDARDS BOARD FOR SCOTLAND
The creation of the Clinical Standards Board for Scotland as a Special Health Board from 1 April 1999 fulfilled the recommendation in Chapter 8 of the report of the Acute Services Review for the introduction of what the report called a National Standards Group to take responsibility for the process of reviewing and accrediting the services provided by the NHS in Scotland. The Board's work is well in hand, and it is concentrating on standards of services provided in relation to the 3 clinical priorities of the NHS in Scotland.
REMOTE AND RURAL AREAS RESOURCE CENTRE
Health Board Chairmen and others in the NHS with responsibility for serving rural communities have, since publication of the report of the Acute Services Review, developed proposals for the Remote and Rural Areas Resource Centre, which will be based in Inverness. Its overall aim is to sustain and develop health services for all of Scotland's remote and rural communities, and it is underpinned by £2m a year. Particular issues receiving attention will include:-
The Steering Committee is led by Steuart Whiteford, Chairman of Highland Acute Hospitals NHS Trust. Dr Jim Douglas, a GP from Fort William, has recently been appointed to the key post of Director of the Centre.
OTHER WORK
NEUROSURGERY WORKING GROUP
Remit:
Membership:
|
Sir David Carter |
Chief Medical Officer (Chairman) |
|
Dr A Bryson |
Medical Director, National Services Division |
|
Mr D Currie |
Consultant Neurosurgeon, Aberdeen Royal Infirmary |
|
Dr D Hadley |
Honorary Consultant Neuroradiologist, Southern General Hospital, Glasgow |
|
Mr R Hide |
Consultant Neurosurgeon, Southern General Hospital, Glasgow |
|
Dr M Kirkpatrick |
Consultant Paediatric Neurologist, Ninewells Hospital, Dundee |
|
Dr B Klaassen |
Consultant in Accident and Emergency, Perth Royal Infirmary |
|
Dr A Marsden |
Medical Director, Scottish Ambulance Service |
|
Dr D McKeown |
Consultant Anaesthetist, Edinburgh Royal Infirmary |
|
Dr D Maclean |
Medical Director, Tayside University Hospitals NHS Trust |
|
Mr W S Scott |
Health Care Policy Division, Scottish Executive Health Department |
|
Mr J Steers |
Consultant Neurosurgeon, Western General Hospital, Edinburgh |
|
Mr M Wright |
Chief Executive, Dumfries and Galloway Acute NHS Trust |
WORKING GROUP ON MODERNISATION OF A & E SERVICES
Remit:
Membership:
|
Sir David Carter |
Chief Medical Officer (Chairman) |
|
Dr C Barret |
Medical Director, Glasgow Emergency Medical Service |
|
Dr D Bell |
Clinical Director, Medical Associated Services, Royal Infirmary of Edinburgh |
|
Dr A Dorward |
Consultant Physician, Royal Alexandra Hospital, Paisley |
|
Mr P Grant |
A&E Consultant, Western Infirmary, Glasgow |
|
Miss A Jarvie |
Chief Nursing Officer |
|
Ms E Ritchie |
A&E Manager, Monklands General Hospital |
|
Miss T Teale |
Health Care Policy Division, Scottish Executive Health Department |
Further copies of this Bulletin are available from the Secretariat, 0131 244 2946. It is also available on SHOW (Scottish Health on the Web) at
www.show.scot.nhs.uk. Any comments on content should be sent to Ms Jan McIntosh, Scottish Executive Health Department, Health Care Policy Division, 2nd Floor East(N), St Andrew's House, Regent Road, Edinburgh EH1 3DG, Tel: 0131 244 2573, Email: Jan.Mcintosh@scotland.gov.uk.