Chamber and committees

NHS greater Glasgow and Clyde are undertaking a study of the patient flow for emergency services at hospitals across all sites. This work will consider attendances for one full year from June 2015 through May 2016 so as to take account of the seasonality in emergency services. NHS greater Glasgow and Clyde will continue to pursue improvement in unscheduled care and engage in national improvement programmes. The Scottish Government and local boards are engaged in a range of programmes and initiatives to improve patient flow across Scotland in order to provide the best possible care across Scotland.

NHS greater Glasgow and Clyde are undertaking a study of the patient flow for emergency services at hospitals across all sites. This work will consider attendances for one full year from June 2015 through May 2016 so as to take account of the seasonality in emergency services. NHS greater Glasgow and Clyde will continue to pursue improvement in unscheduled care and engage in national improvement programmes. The Scottish Government and local boards are engaged in a range of programmes and initiatives to improve patient flow across Scotland in order to provide the best possible care across Scotland.

The following tables show the average number of available staffed beds in maternity specialties by NHS board of treatment (table 1) and the average number of available staffed beds in maternity specialties by hospital (table 2) from financial year 2007-08 to 2014-15.

The provision of beds is for each NHS board to determine as part of their management planning of all healthcare services in their area. This should take account of demographics such as birth rates and the clinical need of women and families. The length of stay in hospital for mothers and babies has decreased by about one day, on average, over the last ten years. However all women have postnatal care by midwives in their community setting when they return home, as required until the baby is at least 10 days old.

The expectation is that postnatal discharge planning processes and mechanisms are person centred, safe and effective. The Scottish Government expects NHS boards to have integrated discharge planning processes and pathways of care in place tailored to individual need.

In February 2015 the Scottish Government announced plans to review NHSScotland maternity and neonatal services to make sure that Scotland has the right services in place to continue to deliver, and enhance, the excellent care provided. As part of this process the Scottish Government will be engaging with maternity staff and service users about what matters to them.

Table 1: Average number of available staffed beds in maternity specialties by NHS board of treatment from 2007-08 to 2014-15.

Financial Year

NHS Board	2007-08	2008-09	2009-10	2010-11	2011-12	2012-13	2013-14	2014-15
NHS Ayrshire and Arran	70	68	61	56	53	54	38	36
NHS Borders	19	19	19	18	22	22	22	22
NHS Dumfries and Galloway	25	30	34	29	32	31	30	31
NHS Fife	55	49	44	37	38	57	57	53
NHS Forth Valley	45	45	35	34	33	28	27	28
NHS Grampian	130	130	109	97	101	101	101	100
NHS Greater Glasgow and Clyde	256	249	244	216	216	199	184	174
NHS Highland	71	69	60	55	54	46	48	47
NHS Lanarkshire	78	74	74	77	93	89	74	61
NHS Lothian	82	83	114	121	122	120	120	120
NHS Orkney	6	6	6	6	6	6	6	6
NHS Shetland	6	6	5	4	4	5	5	5
NHS Tayside	*	*	*	69	70	73	73	60
NHS Western Isles	12	12	9	4	8	8	8	8
Scotland	*	*	*	823	853	839	793	750

* figures unavailable

Source: ISD(S)1

Ref: S4W-27651

Date: 23-07-15

 

Table 2 Average number of available staffed beds in maternity specialities by hospital from 2007-08 to 2014-15

Financial Year

Hospital	2007-08	2008-09	2009-10	2010-11	2011-12	2012-13	2013-14	2014-15
Arran War Memorial Hospital	2	2	2	2	0	0	0	0
University Hospital Crosshouse	68	66	59	54	53	54	38	36
Borders General Hospital	19	19	19	18	22	22	22	22
Cowal Community Hospital	3	2	1	1	1	1	2	1
Islay Hospital	1	1	1	1	1	0	1	1
Victoria Hospital	3	3	1	1	1	0	1	1
Lorn and Islands Hospital	4	4	3	2	1	1	2	2
Campbeltown Hospital	1	1	1	1	1	1	1	1
Vale of Leven General Hospital	3	3	3	2	2	2	2	2
Inverclyde Royal Hospital	4	4	4	2	2	2	2	2
Royal Alexandra Hospital	58	51	50	47	51	40	38	38
Victoria Hospital	-	-	-	-	-	5	0	-
Victoria Maternity Unit	55	49	44	37	38	53	57	53
Glasgow Royal Infirmary	-	-	-	-	0	0	0	0
The Princess Royal Maternity Unit	82	82	86	81	80	77	72	69
Queen Elizabeth University Hospital 1	57	58	67	83	81	78	71	63
Royal Hospital for Children	-	-	-	-	-	-	0	-
Queen Mother’s Hospital	52	52	33	-	-	-	-	-
Caithness General Hospital	9	9	8	7	6	6	6	6
Raigmore Hospital	44	44	41	38	38	32	31	29
Belford Hospital	4	3	3	3	3	3	3	3
Mackinnon Memorial Hospital	1	1	1	1	1	1	1	1
Mid-Argyll Community Hospital and Integrated Care Centre	2	2	1	1	1	1	1	2
Mull and Iona Community Hospital	-	-	-	-	-	-	0	-
Wishaw General Hospital	78	74	74	77	93	89	74	61
Aberdeen Royal Infirmary	-	-	-	-	-	-	-	0
Aboyne Hospital	3	1	1	1	1	1	1	0
Aberdeen Maternity Hospital	96	97	80	69	72	71	71	76
Peterhead Community Hospital	6	6	6	6	6	6	6	2
Fraserburgh Hospital	6	6	1	1	1	1	1	0
Chalmers Hospital	6	6	2	1	1	1	1	0
Dr Gray’s Hospital	13	14	20	19	20	20	20	21
Balfour Hospital	6	6	6	6	6	6	6	6
St John’s Hospital	36	30	42	44	41	39	39	39
Royal Infirmary of Edinburgh at Little France	46	52	73	77	82	81	81	81
Ninewells Hospital	*	*	*	55	56	59	59	47
Perth Royal Infirmary	6	6	6	6	6	6	6	6
Arbroath Infirmary	-	-	1	4	4	4	4	4
Montrose Royal Infirmary	-	-	1	4	4	4	4	3
Stirling Community Hospital	45	45	35	34	10	-	-	-
Forth Valley Royal Hospital	-	-	-	-	23	28	27	28
Western Isles Hospital	10	10	7	2	6	6	6	6
Uist and Barra Hospital	2	2	2	2	2	2	2	2
Dumfries and Galloway Royal Infirmary	18	24	26	21	28	29	28	29
Galloway Community Hospital	7	6	8	8	4	2	2	2
Gilbert Bain Hospital	6	6	5	4	4	5	5	5

* figures unavailable

- No available beds

0 = Representive of very small average number (i.e 0.003)

Source: ISD(S)1

Ref: S4W-27651

Date: 23-07-15

1. Known as the Southern General Hospital prior to 2014-15

The following initial funding has been allocated to the seven local authorities identified as first to benefit from the Attainment Scotland Fund:

Glasgow – £3,030,000

North Lanarkshire – £2,241,000

Inverclyde – £592,000

Clackmannanshire – £718,109

West Dunbartonshire – £1,024,000

North Ayrshire – £1,965,000

Dundee – £2,145,000

These authorities have developed improvement plans to narrow the attainment gap, with a specific focus on literacy, numeracy and health and wellbeing.

The scope of the review is currently being considered but it is likely to include development planning and housing delivery. The details of how the review will be carried out, the evidence base and opportunities for stakeholder involvement will all be confirmed in due course.

NHS Ayrshire and Arran

Consultant Led	Midwife Led
Ayrshire Maternity Unit Crosshouse	Arran War Memorial
	Midwifery Led Unit Crosshouse

NHS Borders

Consultant Led

Borders General Melrose

NHS Dumfries and Galloway

Consultant Led	Midwife Led
Cresswell Maternity Wing, Dumfries and Galloway Royal Infirmary, Dumfries	Clenoch Birthing Centre, Galloway Community Hospital, Stranraer

NHS Greater Glasgow and Clyde

Consultant Led	Midwife Led
Princess Royal	Royal Alexandra Paisley Community Unit
Southern General	Inverclyde Royal Greenock
Royal Alexandra Paisley	Vale of Leven Alexandria

NHS Lanarkshire

Consultant Led

Wishaw General

NHS Lothian

Consultant Led	Midwife Led
Simpson Centre, Royal Infirmary of Edinburgh	Simpson Centre Birthing Centre
St John’s Hospital Livingston

NHS Fife

Consultant Led	Midwife Led
Victoria Hospital Kirkcaldy	Victoria Hospital Kirkcaldy

NHS Forth Valley

Consultant Led

Forth Valley Royal Hospital

NHS Tayside

Consultant Led	Midwifery Unit
Ninewells, Dundee	Perth Community Maternity Unit (CMU)
	Montrose Infirmary CMU
	Arbroath Infirmary CMU
	Dundee Midwifery Unit (alongside)

NHS Grampian

Consultant Led	Midwifery Unit
Aberdeen Royal Maternity	Peterhead Community Hospital
Dr Gray’s Elgin

NHS Highland

Consultant Led	Midwifery Unit
Raigmore Inverness	Dunoon and District Hospitals
Caithness General Wick	Victoria Hospital Rothesay
	Mid Argyll Hospital Lochgilphead
	Belford Hospital Fort William
	Campbeltown Hospital
	Lorn and Islands Hospital, Oban
	Islay Hospital
	Dr MacKinnon Memorial Hospital Skye

NHS Orkney

Midwife Led Unit

Balfour Hospital Orkney

NHS Shetland

GP/Midwife Led

Shetland Maternity Unit

NHS Western Isles

Consultant Led	Midwife Led
Western Isles Hospital, Stornoway	Uist and Barra Benbecula
	Barra Community Hospital

This information is not held by the Scottish Government, however some of this data can be found on the NHS National Services Scotland – Information Services Division Scotland website which can be viewed by following the attached link: http://www.isdscotland.org/

I refer the member to the answer to question S4W-26455 on 31 July 2015. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at:

www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

The eight projects listed on 2 February 2015 (S4W-24246) were those projects due to reach financial close in the financial year 2014-15.

All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at:

http://www.scottish.parliament.uk/parliamentarybusiness/28877.aspx.

Any cost to projects of delay associated with changes to Eurostat guidance has yet to be agreed. To date the Scottish Government has allocated a total of £4.5 million of capital funding through the Scottish Futures Trust to the six local authorities with the most imminent projects to enable them to continue to progress their projects.