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Accident and emergency and trauma medicine have improved massively in the past five years, but there is no way we can retain such skills in every location.
Johann Lamont made that point.In the Highlands, as in the rest of Scotland, there is a distinct skills deficit in occupational areas such as medicine and teaching, which are vital to the whole community.
We are moving away from the regulations, but a useful announcement was made yesterday about how the Scottish medicines consortium will work in future with regard to unique drugs.
I will learn about the difficulties for nurses, doctors and those in professions allied to medicine—such as physiotherapists, occupational therapists and podiatrists.
The formula operated by the SMPC is laid down in health executive guidelines and does not take into account such important factors as the lack of ancillary nursing cover; inadequate ambulance cover; the distance to the nearest hospitals; night call-outs; the accident and emergency role of GPs in rural practices; the increasing frailty and number of coach party visitors—over 750,000 in our area; increasing numbers of visitors involved in dangerous sports; increasing expectations of patients; increasing requirements for preventive medicine...
We have evidence that they use our Sandyford initiative, which brings together family planning, the genito-urinary medicine service and our centre for women's health.
The University of Strathclyde, the Institute of Occupational Medicine and the London school of hygiene and tropical medicine are all doing research on particulates.