Annual Report and Accounts 2011-2012 - NHS Lanarkshire
Annual Report and Accounts 2011-2012 - NHS Lanarkshire
Annual Report and Accounts 2011-2012 - NHS Lanarkshire
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<strong>Annual</strong><br />
<strong>Report</strong><br />
<strong>2011</strong>/12<br />
<strong>2011</strong> - <strong>2012</strong>
Chair’s Foreword<br />
Contents<br />
Chair’s Foreword...................Pg 1<br />
<strong>Annual</strong> Review...................... Pg 2<br />
Public Health......................... Pg 3<br />
<strong>Annual</strong> <strong>Report</strong><br />
Service Developments....... Pg 4<br />
Improving Health.................Pg 8<br />
Our People............................Pg 12<br />
Comments on Services....Pg 15<br />
Looking Forward................Pg 16<br />
WELCOME to <strong>NHS</strong> <strong>Lanarkshire</strong>’s<br />
<strong>Annual</strong> <strong>Report</strong> for <strong>2011</strong>/12.<br />
The past year has seen great<br />
improvements in healthcare in<br />
<strong>Lanarkshire</strong> <strong>and</strong> I am pleased to<br />
report on the successes achieved<br />
during this 12 month period.<br />
I would like to thank all of our<br />
hard working staff who have<br />
made these achievements<br />
possible.<br />
In the past year, we have<br />
invested in providing new<br />
healthcare facilities <strong>and</strong> we have<br />
improved existing buildings to<br />
ensure that patients receive the<br />
best possible care. This includes<br />
the opening of Beckford Lodge,<br />
the Buchanan Centre <strong>and</strong><br />
Glencairn facility.<br />
<strong>NHS</strong> <strong>Lanarkshire</strong>’s<br />
performance against HEAT<br />
targets, has been very good . The<br />
majority of targets were acheived<br />
<strong>and</strong> a number were exceeded.<br />
This includes exceeding targets<br />
in alcohol brief interventions <strong>and</strong><br />
cardiovascular checks.<br />
We have increased our h<strong>and</strong><br />
hygience compliance to 95% <strong>and</strong><br />
reduced the level of C Difficile<br />
infections.<br />
We have also met our financial<br />
targets <strong>and</strong> invested over £1.7<br />
Neena Mahal, Interim Chair<br />
million in new medical<br />
equipment including a new MRI<br />
scanner.<br />
We are also keen to encourage<br />
more public involvement in the<br />
<strong>NHS</strong> whether it is through<br />
volunteering opportunities,<br />
through our public partnership<br />
forums or even by sharing your<br />
comments on our social media<br />
channels.<br />
Finally, I would like to take this<br />
opportunity to pay tribute to Ken<br />
Corsar, who chaired the board for<br />
the past seven years.<br />
Ken, who died suddenly aged<br />
65, held a number of positions<br />
within the education directorate<br />
before being appointed as<br />
Director of Education for<br />
Glasgow City Council in 1995.<br />
Ken joined the Board of <strong>NHS</strong><br />
<strong>Lanarkshire</strong> as a Non-Executive<br />
Director in 2003 <strong>and</strong> was<br />
appointed Chairman in 2005.<br />
He will not only be a huge loss<br />
locally in <strong>Lanarkshire</strong>, but also<br />
throughout the <strong>NHS</strong> in Scotl<strong>and</strong><br />
where his influence <strong>and</strong> passion<br />
for the <strong>NHS</strong> will be sorely missed.<br />
Financial Information.......Pg 17<br />
Ken Corsar<br />
1 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12<br />
2
<strong>Annual</strong> Review<br />
IMPROVEMENTS in the quality<br />
<strong>and</strong> safety of patient care were<br />
highlighted at the <strong>NHS</strong><br />
<strong>Lanarkshire</strong> <strong>Annual</strong> Review on<br />
Thursday 5 July <strong>2012</strong>.<br />
The annual review discussed<br />
the performance of <strong>NHS</strong><br />
<strong>Lanarkshire</strong> over the past year<br />
<strong>and</strong> gave members of the public<br />
opportunities to ask questions.<br />
The board was praised for the<br />
significant achievement in<br />
exceeding several targets. For<br />
example, <strong>NHS</strong> <strong>Lanarkshire</strong><br />
delivered 9,034 Alcohol Brief<br />
Interventions against a target of<br />
6,167. There were 5,132 smoking<br />
quits against a target of 3,295<br />
<strong>and</strong> 7,124 inequalities targeted<br />
cardiovascular health checks<br />
against a target of 4,965.<br />
Neena Mahal, Interim Chair<br />
for <strong>NHS</strong> <strong>Lanarkshire</strong>, said: “Over<br />
the past year we have developed<br />
a range of services <strong>and</strong> skills in<br />
the community such as those in<br />
community nursing, the diabetic<br />
service <strong>and</strong> community<br />
rehabilitation, which are all<br />
aimed at shifting the balance of<br />
care so that patients can be<br />
supported in the community<br />
rather than going to hospital.”<br />
The review also explained<br />
that <strong>NHS</strong> <strong>Lanarkshire</strong> intends to<br />
spend £8.5m over the next two<br />
years to refurbish <strong>and</strong> develop<br />
community facilities to ensure<br />
that older people can be treated<br />
in the community, where<br />
clinically appropriate.<br />
This type of investment has<br />
already seen the refurbishment<br />
of key local health facilities such<br />
as Carluke Community Centre<br />
<strong>and</strong> the Douglas Street Practice<br />
in Hamilton.<br />
The review confirmed that<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> met the main<br />
waiting times <strong>and</strong> other key<br />
targets in <strong>2011</strong>/12 including<br />
achieving <strong>and</strong> sustaining the<br />
18 weeks referral to treatment<br />
target. The board has also had an<br />
impressive performance against<br />
both the 31 day <strong>and</strong> 62 day<br />
cancer targets.<br />
Neena said: “I am pleased to<br />
report that we have achieved<br />
Action points from <strong>NHS</strong><br />
<strong>Lanarkshire</strong>’s annual review<br />
During the <strong>Annual</strong><br />
Review, a number of<br />
action points for <strong>NHS</strong><br />
<strong>Lanarkshire</strong> to<br />
focus on in <strong>2012</strong>/2013<br />
were highlighted.<br />
These points<br />
included:<br />
our access targets for cancer, 18<br />
weeks referral to treatment <strong>and</strong><br />
for stroke.<br />
“However, despite our efforts,<br />
we acknowledge that our<br />
performance in the four hours<br />
A&E target needs improvement.<br />
This will be a focus for us as we<br />
move forward.”<br />
Keep the health directorates informed of progress with<br />
the local implementation of the quality strategy <strong>and</strong><br />
Reshaping Care for Older People<br />
Keep the health directorates informed of the local<br />
health improvement <strong>and</strong> patient experience work<br />
Continue to review, update <strong>and</strong> maintain robust<br />
arrangements for clinical governance <strong>and</strong> patient<br />
safety<br />
Continue to maintain robust infection control<br />
arrangements<br />
Continue to promptly <strong>and</strong> effectively respond to the<br />
reports of the HEI<br />
Continue to ensure that local staff feel supported <strong>and</strong><br />
engaged <strong>and</strong> that there continues to be progress in<br />
addressing sickness absence<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 2
Public Health <strong>Report</strong><br />
INCREASING life expectancy,<br />
fewer deaths from coronary<br />
heart disease <strong>and</strong> a birth rate<br />
above the Scottish average are<br />
just some of the highlights from<br />
<strong>NHS</strong> <strong>Lanarkshire</strong>’s latest public<br />
health report.<br />
The <strong>2011</strong>-12 <strong>Annual</strong> <strong>Report</strong><br />
of the Director of Public Health,<br />
looks at the health of<br />
<strong>Lanarkshire</strong>’s population,<br />
important trends <strong>and</strong> the work<br />
being done to improve our<br />
wellbeing.<br />
Harpreet said: “I hope that the<br />
report will be of interest to the<br />
people of <strong>Lanarkshire</strong> as it not<br />
only shows areas where health is<br />
improving but also where action<br />
is needed.<br />
“There have been some key<br />
achievements in Public Health<br />
since the 2010-11 report,<br />
including raising awareness of<br />
the importance of early booking<br />
in pregnancy. The gender based<br />
violence action plan is now<br />
being implemented with routine<br />
enquiries being carried out in<br />
sexual health services.<br />
“The ‘Mouth Matters’<br />
programme was also<br />
established in many care homes<br />
to improve the oral health of<br />
older people.”<br />
Harpreet highlighted some<br />
of the key findings of this year’s<br />
report including the impact of<br />
alcohol in <strong>Lanarkshire</strong>.<br />
He said: “Alcohol misuse can<br />
lead to relationship breakdown,<br />
unemployment, poverty, mental<br />
ill health, physical health<br />
problems <strong>and</strong> social isolation.<br />
“In <strong>2011</strong>, there were 281<br />
alcohol related deaths in<br />
<strong>Lanarkshire</strong> <strong>and</strong> there were 3,695<br />
instances of people<br />
treated for an alcohol related<br />
condition.”<br />
The report also looks at oral<br />
health in homeless people.<br />
Harpreet said: “Many<br />
homeless people are<br />
coping with a variety of<br />
very urgent <strong>and</strong><br />
immediate issues. Dental<br />
care can slip down their<br />
list of priorities, only<br />
becoming important<br />
when the need for<br />
attention is urgent.<br />
“Dental examinations<br />
carried out on the<br />
homeless population in<br />
<strong>Lanarkshire</strong> indicated<br />
that they have poor oral<br />
health, with more than<br />
45% not having visited a<br />
dentist for more than two<br />
years.”<br />
The report also<br />
highlights the issue of<br />
Director of Public Health, Dr<br />
Harpreet Kohli<br />
tobacco, which remains a significant<br />
cause of ill health, disability<br />
<strong>and</strong> early death in Scotl<strong>and</strong>.<br />
Harpreet said: “The<br />
multi-agency <strong>Lanarkshire</strong><br />
tobacco control strategy <strong>and</strong><br />
action plan aims to reduce<br />
tobacco related morbidity <strong>and</strong><br />
mortality <strong>and</strong> reduce health<br />
inequalities.<br />
Progress to date includes: an<br />
online tobacco learning resource<br />
for primary <strong>and</strong> secondary<br />
schools; training for youth<br />
workers <strong>and</strong> dentists <strong>and</strong> the<br />
development of a smoke-free<br />
home programme.”<br />
Copies of the full report <strong>and</strong><br />
videos summarising the chapters<br />
are available at :<br />
www.nhslanarkshire.org.uk/Serv<br />
ices/PublicHealth/Pages/PublicHealth.aspx<br />
3 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Service Developments<br />
Glencairn<br />
opens for<br />
business<br />
IN MARCH <strong>2011</strong>, a new<br />
facility for adults with<br />
complex mental health needs<br />
opened at Coathill Hospital.<br />
The £4.89m development<br />
provides high-quality, modern<br />
accommodation including 12<br />
single-bedded rooms with<br />
en-suite bathrooms in<br />
surroundings specially<br />
designed to help promote<br />
recovery.<br />
Glencairn provides<br />
psychology <strong>and</strong> occupational<br />
therapy support.<br />
Colin Sloey director of <strong>NHS</strong><br />
<strong>Lanarkshire</strong>’s North<br />
Community Health<br />
Partnership, said: “A lot of<br />
thought has gone into the<br />
design of Glencairn so we<br />
can provide the best possible<br />
care to people with complex<br />
needs <strong>and</strong> help support their<br />
recovery <strong>and</strong> rehabilitation.<br />
“It is another important step<br />
forward with the<br />
continuing modernisation of<br />
mental health services in<br />
<strong>Lanarkshire</strong>.”<br />
(from left) Colin Sloey, Frank<br />
Fallan <strong>and</strong> John Anning<br />
L<strong>and</strong>mark build<br />
for<br />
for mental health<br />
IN <strong>2011</strong>/12, the new Beckford<br />
Lodge <strong>and</strong> refurbishment of<br />
Caird House were completed.<br />
Beckford Lodge <strong>and</strong> Caird<br />
House jointly provide a total of<br />
37 inpatient beds for people with<br />
mental health needs.<br />
The £8.14 million<br />
Beckford Lodge development<br />
includes 12 rehabilitation <strong>and</strong><br />
recovery beds <strong>and</strong> 15 secure care<br />
beds.<br />
Caird House provides 10<br />
continuing care beds.<br />
Both buildings offer high<br />
quality accommodation that<br />
has been designed to meet the<br />
needs of both the local<br />
community <strong>and</strong> patients.<br />
This development was the final<br />
step before closing Hartwoodhill<br />
Hospital on 28 February <strong>2011</strong>.<br />
Stopping spread of infection<br />
DURING <strong>2011</strong>/12, <strong>NHS</strong><br />
<strong>Lanarkshire</strong> introduced a new<br />
MRSA screening protocol.<br />
The MRSA screening<br />
programme now provides early<br />
identification of patients who are<br />
at the greatest risk from MRSA<br />
infections.<br />
MRSA screening allows staff<br />
to treat patients appropriately,<br />
reducing the risk of infection <strong>and</strong><br />
New BCG unit for newborns<br />
A NEW central neonatal BCG<br />
clinic opened at Douglas Street<br />
Health Clinic in Hamilton.<br />
In recent years, there has<br />
been a gradual increase in the<br />
number of cases in the UK with<br />
an overall rate of 15 cases per<br />
100,000 population reported<br />
for 2009.<br />
Neonatal BCG immunisations<br />
transmission to others.<br />
For the second year running,<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> has successfully<br />
exceeded the Scottish<br />
Government HEAT target for<br />
reducing Staphylococcus Aureus<br />
Bacteraemias, which includes<br />
MRSA. We are also above target<br />
for reducing Clostridium difficile<br />
infections.<br />
are recommended when there<br />
is a family history of TB.<br />
The centralised neonatal BCG<br />
clinic will improve the<br />
identification of high risk<br />
infants, provide training <strong>and</strong><br />
improve awareness among<br />
parents <strong>and</strong> health care<br />
providers.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 4<br />
4
Service Developments<br />
New cafe<br />
helps people<br />
with<br />
dementia<br />
A NEW cafe aimed at those with<br />
memory problems opened in<br />
Motherwell Football Club<br />
The living well with<br />
dementia cafe is aimed at those<br />
with dementia as well as those<br />
with memory concerns. It<br />
provides an informal <strong>and</strong><br />
relaxed environment where<br />
they can ask questions <strong>and</strong> get<br />
information <strong>and</strong> advice from<br />
health professionals about any<br />
memory issues they may have.<br />
One of the cafe organisers,<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> community<br />
nurse Hazel Boyle, said: “We<br />
want to reduce the stigma of a<br />
dementia diagnosis. The cafe<br />
will give those with dementia<br />
– <strong>and</strong> other memory problems<br />
– their families <strong>and</strong> informal<br />
carers, a place where they can<br />
gather, share their experiences<br />
<strong>and</strong> get some practical support<br />
in a friendly setting.<br />
New primary care<br />
facilities opened<br />
TWO br<strong>and</strong> new primary health<br />
care facilities were opened in<br />
<strong>2011</strong>/12 by <strong>NHS</strong><br />
<strong>Lanarkshire</strong>.<br />
The £18 million Buchanan<br />
Centre was closely followed by<br />
the opening of the new Carluke<br />
Community Health Centre which<br />
was opened by the Cabinet<br />
Secretary for Health <strong>and</strong><br />
Wellbeing Nicola Sturgeon.<br />
The Buchanan Centre houses<br />
health <strong>and</strong> council services in a<br />
four-storey, 8000 square<br />
metre building which includes a<br />
spectacular central atrium as its<br />
centrepiece.<br />
The building’s ground floor<br />
accommodates North<br />
<strong>Lanarkshire</strong> Council services<br />
while <strong>NHS</strong> <strong>Lanarkshire</strong><br />
accommodation utilises the<br />
remaining three floors hosting<br />
two general dental practices, an<br />
innovative dental training centre,<br />
two GP surgeries <strong>and</strong> a range of<br />
community health services.<br />
The new £13.6 million Carluke<br />
Community Health Centre is built<br />
over three levels <strong>and</strong> provides a<br />
wide range of general<br />
practitioner led services such<br />
as diabetes, electrocardiogram<br />
(ECG) <strong>and</strong> chronic disease<br />
management clinics as well as<br />
clinics covering coronary heart<br />
disease, asthma, stroke <strong>and</strong><br />
blood pressure.<br />
Other services include<br />
podiatry, speech <strong>and</strong> language<br />
therapy, child immunisation <strong>and</strong><br />
surveillance, district nursing<br />
services, physiotherapy,<br />
dietetics, community mental<br />
health (psychology, psychiatry),<br />
the community mental health<br />
team for older people <strong>and</strong> young<br />
onset dementia service, locality<br />
alcohol <strong>and</strong> drug services,<br />
smoking cessation, community<br />
dental service, a general<br />
dental practice, health visiting<br />
<strong>and</strong> parentcraft.<br />
Official opening of the Buchanan Centre<br />
5 5<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Service Developments<br />
Team of<br />
Midwives<br />
improve<br />
the health<br />
of pregnant<br />
women<br />
A MIDWIFE, nutritionist <strong>and</strong><br />
physiotherapist joined forces<br />
to form a new team which will<br />
improve the health of<br />
pregnant women <strong>and</strong> their<br />
children in <strong>Lanarkshire</strong>.<br />
Jacqui Holmes, specialist<br />
nutritionist midwife, Susan<br />
Short, specialist dietician, <strong>and</strong><br />
Heather Duncan, specialist<br />
physiotherapist, combined<br />
their skills <strong>and</strong> experience to<br />
tackle the growing problem of<br />
obesity in pregnancy.<br />
The team are running<br />
several projects to help reduce<br />
the problems of obesity in<br />
pregnancy including<br />
developing a resource pack<br />
which includes sections on<br />
maternal health, healthy<br />
eating, oral health, exercise in<br />
pregnancy, community based<br />
health initiatives <strong>and</strong> postnatal<br />
health <strong>and</strong> nutrition.<br />
They have also delivered<br />
information sessions to<br />
midwives <strong>and</strong> maternity care<br />
assistants to discuss the pack<br />
<strong>and</strong> updates on key issues<br />
surrounding maternal health.<br />
Colin Montgomerie buries<br />
time capsule at Monkl<strong>and</strong>s<br />
SCOTTISH golf star Colin<br />
Montgomerie attended a<br />
celebration at the site of the<br />
Elizabeth Montgomerie Building<br />
at Maggie’s <strong>Lanarkshire</strong>, to mark<br />
the progress of Monty’s Maggie’s<br />
Appeal.<br />
Colin was joined by dignitaries,<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> staff, Maggie’s<br />
centre users <strong>and</strong> supporters,<br />
<strong>and</strong> the architects involved<br />
in the project at the site of<br />
Monkl<strong>and</strong>s Hospital to bury a<br />
commemorative time capsule.<br />
Speaking at the event Colin<br />
said: “This is very emotional<br />
for me <strong>and</strong> for my family. The<br />
Elizabeth Montgomerie building<br />
will be lasting legacy to my<br />
mother. I am sure my mother<br />
would have been very proud.”<br />
Items included within the<br />
time capsule included signed<br />
golfing memorabilia from Colin;<br />
architects impressions of the<br />
centre’s design <strong>and</strong> personal<br />
items from Maggie’s <strong>Lanarkshire</strong>.<br />
Colin met with people affected<br />
by cancer, who will benefit from<br />
the new centre opening, as well<br />
as with Maggie’s staff to hear<br />
exactly what the new centre will<br />
bring to the region. Planning<br />
permission is granted for the<br />
centre, with architects plans<br />
approved.<br />
Tim Davison, chief executive<br />
of <strong>NHS</strong> <strong>Lanarkshire</strong> said: “We<br />
know how important the<br />
Maggie’s Centre is to the people<br />
of <strong>Lanarkshire</strong> <strong>and</strong> it is exciting<br />
to see the plans for a permanent<br />
centre coming together.<br />
“The new centre will be an<br />
invaluable resource for patients<br />
<strong>and</strong> their families over the<br />
coming years.”<br />
Colin was joined by <strong>NHS</strong> <strong>Lanarkshire</strong>’s chief executive Tim Davison<br />
<strong>and</strong> staff from <strong>NHS</strong> <strong>Lanarkshire</strong>’s cancer division<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 6
Service Developments<br />
New MRI scanner<br />
at Monkl<strong>and</strong>s<br />
PATIENTS are now<br />
benefiting from the most<br />
up-to-date imaging<br />
technology thanks to a<br />
new £1.2million MRI<br />
scanner which was<br />
installed at Monkl<strong>and</strong>s<br />
Hospital.<br />
The scanner provides<br />
routine <strong>and</strong> urgent<br />
diagnostic scans for<br />
orthopaedic, medical,<br />
surgical <strong>and</strong> neurological<br />
conditions.<br />
It is also being used for<br />
diagnosis of cancer,<br />
breast imaging <strong>and</strong><br />
non-invasive vascular<br />
imaging.<br />
The scanner enables<br />
the hospital to reduce<br />
waiting times <strong>and</strong> provide<br />
a local service for patients.<br />
Prison healthcare staff<br />
join the <strong>NHS</strong> team<br />
ON 1 November <strong>2011</strong><br />
responsibility for health care in<br />
Scottish prisons passed to local<br />
<strong>NHS</strong> Boards across Scotl<strong>and</strong>. In<br />
<strong>NHS</strong> <strong>Lanarkshire</strong>, the transfer<br />
involved 22 healthcare staff at<br />
Her Majesty’s Prison Shotts, who<br />
were formally employed by the<br />
Scottish Prison Service (SPS).<br />
James Duffy, healthcare<br />
manager at Shotts Prison, said:<br />
“The prison healthcare team,<br />
senior prison management <strong>and</strong><br />
(From left) Radiology staff Scott<br />
Robinson, Dr Julian Guse, Gillian Gray<br />
<strong>and</strong> Lesley McDonald with the scanner<br />
numerous stakeholders in <strong>NHS</strong><br />
<strong>Lanarkshire</strong> have worked hard<br />
for some time to ensure that<br />
all preparations were made. So<br />
that on the day of transfer, the<br />
delivery of service to our<br />
prisoner patients was as<br />
seamless as possible. “We now<br />
look forward to building on our<br />
already established partnership<br />
<strong>and</strong> developing more efficient<br />
<strong>and</strong> cohesive services with <strong>NHS</strong><br />
<strong>Lanarkshire</strong>”<br />
Making the<br />
most of<br />
monkl<strong>and</strong>s<br />
hospital<br />
A SERIES of refurbishment<br />
works began at Monkl<strong>and</strong>s<br />
Hospital. The 30-year-old<br />
hospital will benefit from<br />
significant investment over<br />
the next three years to<br />
provide the best quality care<br />
to patients.<br />
The work has led to the<br />
refurbishment of the<br />
haematology inpatient ward<br />
<strong>and</strong> the dermatology unit.<br />
Projects include:<br />
Repairs to the main<br />
drainage system<br />
Replacement<br />
programme for clinical<br />
h<strong>and</strong> basins<br />
Replacement<br />
programme for nurse<br />
call systems<br />
Initiate site traffic<br />
management strategy<br />
Increased hot water<br />
calorifier capacity in<br />
A&E<br />
Increased provision of<br />
emergency electrical<br />
lighting<br />
Replacement of<br />
theatre air h<strong>and</strong>ling<br />
controls<br />
Extension of mains<br />
water filtration<br />
External façade annual<br />
safety inspection/<br />
repairs.<br />
7 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Improving Health<br />
Classes For New<br />
Gr<strong>and</strong>parents<br />
BABIES in <strong>Lanarkshire</strong> are now<br />
benefiting from gr<strong>and</strong>parents<br />
with expert babysitting skills<br />
thanks to an innovative class at<br />
Wishaw General which was<br />
introduced in <strong>2011</strong>/12.<br />
A group of expectant<br />
gr<strong>and</strong>parents attended a support<br />
session which looked at various<br />
topics, such as how maternity<br />
services have changed over the<br />
PREGNANT women from across<br />
<strong>Lanarkshire</strong> are being given free<br />
vitamins thanks to a new<br />
initiative to give mums <strong>and</strong><br />
babies a healthy start.<br />
The Healthy Start scheme<br />
supports eligible families by<br />
providing them with<br />
vouchers to spend on milk,<br />
fruit <strong>and</strong> vegetables. Pregnant<br />
women can qualify if they are on<br />
certain benefits or are under the<br />
age of 18.<br />
Those who receive Healthy<br />
Start vouchers can also receive<br />
years, the use of baby products,<br />
breastfeeding, baby care <strong>and</strong><br />
how gr<strong>and</strong>parents can help.<br />
Gr<strong>and</strong>parents can be a huge help<br />
<strong>and</strong> support to new parents <strong>and</strong><br />
these classes help them<br />
underst<strong>and</strong> the information that<br />
will be given to their families <strong>and</strong><br />
the way in which maternity <strong>and</strong><br />
baby care is delivered now.<br />
Pregnant women get free<br />
vitamins for a healthy start<br />
the vitamins which contain the<br />
recommended A, C <strong>and</strong> D that<br />
all children under five should<br />
take.<br />
New mum Carrin Callaghan<br />
receives her vitamins from<br />
midwife Anna McGinley<br />
Child<br />
protection<br />
success<br />
CHILD protection services in<br />
North <strong>Lanarkshire</strong> received one<br />
of the best ratings in Scotl<strong>and</strong><br />
in a report published by Her<br />
Majesty’s Inspectorate of<br />
Education (HMIE) in March.<br />
Inspectors visited North<br />
<strong>Lanarkshire</strong> to review the child<br />
protection services provided by<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> <strong>and</strong> its<br />
partners, including North<br />
<strong>Lanarkshire</strong> Council,<br />
Strathclyde Police, <strong>and</strong> the<br />
Children’s <strong>Report</strong>er.<br />
They also spoke to children,<br />
parents <strong>and</strong> carers about the<br />
services they received.<br />
Child protection services in<br />
North <strong>Lanarkshire</strong> were<br />
evaluated at “very good” – the<br />
second highest level in each of<br />
the six areas of assessment.<br />
A copy of the HMIE report for<br />
North <strong>Lanarkshire</strong> is<br />
available at www.hmie.gov.uk<br />
New service<br />
THE DALZIEL Centre Day<br />
Hospice introduced free<br />
hypnotherapy to those people<br />
affected by cancer <strong>and</strong> other life<br />
limiting illnesses.<br />
Hypnotherapy sessions can<br />
benefit both patients <strong>and</strong> their<br />
carers to deal with a range of<br />
issues, from pain to diet <strong>and</strong><br />
smoking, anything which is<br />
affecting their health.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 8
Improving Health<br />
Infection<br />
inspections<br />
highlight<br />
progress at<br />
<strong>Lanarkshire</strong><br />
hospitals<br />
ON 13 April <strong>2011</strong>, the<br />
Healthcare Environment<br />
Inspectorate (HEI) made<br />
an unnanounced visit to<br />
Hairmyres Hospital.<br />
The inspectorate noted<br />
that progress has been made<br />
at the hospital since its last<br />
inspection; that patients with<br />
known infections were being<br />
risk assessed <strong>and</strong> cared for<br />
appropriately in dedicated<br />
isolation figures <strong>and</strong> that a<br />
new domestic cleaning<br />
schedule had been<br />
introduced.<br />
The inspection also<br />
highlighted areas that still<br />
require improvement<br />
including staff awareness of<br />
environmental audits <strong>and</strong><br />
out of date information in the<br />
infection control manual.<br />
On 16 January <strong>2012</strong>, the HEI<br />
made an unnanounced visit<br />
to Monkl<strong>and</strong>s Hospital.<br />
The inspectorate noted that<br />
staff have been complying<br />
with the <strong>NHS</strong> Scotl<strong>and</strong> dress<br />
code <strong>and</strong> that there had been<br />
improvements in the<br />
hospital’s reporting <strong>and</strong><br />
monitoring system.<br />
Song helps children<br />
to brush their teeth<br />
PUPILS in <strong>Lanarkshire</strong> are<br />
now learning to brush<br />
their teeth by singing<br />
along to a song produced<br />
by <strong>NHS</strong> <strong>Lanarkshire</strong>’s oral<br />
health team.<br />
Feedback from<br />
local nurseries<br />
suggested a song would<br />
be the best way for<br />
children to learn about<br />
looking after their teeth.<br />
The oral health<br />
educators brushed<br />
up on their song-writing<br />
skills to pen ‘Brush <strong>and</strong> Sing<br />
with <strong>Lanarkshire</strong>’, to the music of<br />
‘Old MacDonald had a farm’.<br />
Elaine Sharp, <strong>NHS</strong> <strong>Lanarkshire</strong>’s<br />
senior oral health educator, said:<br />
“The song sounds great <strong>and</strong> we<br />
think the nursery children will<br />
love using this to learn how to<br />
brush their teeth.<br />
“It lasts for two minutes, the<br />
length of time you should brush<br />
your teeth, <strong>and</strong> the lyrics tell<br />
the best techniques for kids to<br />
ensure their teeth are clean.<br />
‘Brush <strong>and</strong> Sing with<br />
<strong>Lanarkshire</strong>’ was distributed to<br />
nurseries in <strong>Lanarkshire</strong>.<br />
Programme helps stroke<br />
survivors’ recovery<br />
PEOPLE in <strong>Lanarkshire</strong> who<br />
have had a stroke are using<br />
their experiences to help others<br />
as part of an innovative<br />
programme.<br />
The Stroke Lifestyle<br />
Management Programme<br />
offers recovery support for<br />
people who have had a stroke<br />
Nursery school pupils with oral health<br />
educators Danielle Goldie, Louise<br />
Dillan, Elaine Sharp, Maureen McCall<br />
<strong>and</strong> Lorna Murray.<br />
<strong>and</strong> are living with the long<br />
term consequences of their<br />
condition.<br />
The course aims to build on<br />
participant’s own recovery<br />
strategies using a combination<br />
of discussions, safe <strong>and</strong><br />
appropriate exercise <strong>and</strong><br />
relaxation.<br />
9 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Improving Health<br />
Inspections on<br />
the acute care<br />
of older people<br />
IN MARCH <strong>2012</strong>, Healthcare<br />
Improvement Scotl<strong>and</strong> (HIS)<br />
visited Hairmyres Hospital to<br />
inspect the care <strong>NHS</strong> <strong>Lanarkshire</strong><br />
gives to older people.<br />
Rosemary Lyness, <strong>NHS</strong><br />
<strong>Lanarkshire</strong>’s Director of Acute<br />
Services, said: “The<br />
inspectors reported some of the<br />
real strengths we have in<br />
providing a high st<strong>and</strong>ard of care<br />
to older people. For example,<br />
we were pleased they noted the<br />
positive communication <strong>and</strong><br />
interactions between staff <strong>and</strong><br />
patients <strong>and</strong> that patients were<br />
being treated with compassion,<br />
dignity <strong>and</strong> respect.<br />
“While there were many<br />
positives in the report, we are<br />
also very aware of the need to<br />
develop our services to<br />
continuously improve the level<br />
of care provided to older people.<br />
The inspectors found some areas<br />
for improvement during the visit.<br />
We have put in place a detailed<br />
action plan <strong>and</strong> are already<br />
making progress in addressing<br />
these areas.”<br />
<strong>NHS</strong> <strong>Lanarkshire</strong>’s action plan<br />
includes the introduction of<br />
new nursing documentation to<br />
ensure that patients who are<br />
assessed as having cognitive<br />
impairment have an appropriate,<br />
individual care plan in place.<br />
This will build on Hairmyres<br />
Hospital’s existing strengths in<br />
dealing with dementia <strong>and</strong><br />
cognitive impairment.<br />
The inspectors also<br />
highlighted that there was an<br />
elderly care nurse specialist<br />
available in the accident <strong>and</strong><br />
emergency department <strong>and</strong><br />
that a dementia resource folder<br />
is availbale in all clincial areas<br />
within the hospital.<br />
Bone marrow<br />
appeal<br />
AN APPEAL for new bone<br />
marrow donors held in East<br />
Kilbride broke records for<br />
Anthony Nolan, with 1,074<br />
people coming forward to join<br />
the stem cell register in one day.<br />
The recruitment event was<br />
held to try <strong>and</strong> find a<br />
matching donor for three year<br />
old Ryan Ferguson, who was<br />
diagnosed with leukaemia. The<br />
appeal is currently ongoing.<br />
Stubbing it out<br />
AN INNOVATIVE new teaching<br />
tool was launched in<br />
<strong>Lanarkshire</strong> to help reduce the<br />
number of young smokers. In<br />
<strong>Lanarkshire</strong>, 20 per cent of 15-<br />
year-olds smoke.<br />
The new resource, ‘Smoke in<br />
your Eyes: A Teaching Resource<br />
Exploring Tobacco Issues’, is<br />
aimed at three to 18-year-olds.<br />
The resource uses a comic<br />
strip format <strong>and</strong> allows pupils to<br />
follow the stories of two<br />
characters who experience<br />
various situations where<br />
smoking is an issue – from a<br />
gr<strong>and</strong>parent who smokes<br />
coming to stay, to dealing with<br />
peer pressure as a teenager.<br />
<strong>Lanarkshire</strong> has the second<br />
highest smoking prevalence<br />
of all <strong>NHS</strong> boards, with 28% of<br />
adults estimated to smoke.<br />
From March to December<br />
<strong>2011</strong>, <strong>NHS</strong> <strong>Lanarkshire</strong> was the<br />
second highest number of quit<br />
attempts in Scotl<strong>and</strong>. A total<br />
of 13,768 people attempted to<br />
quit smoking during this period.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 10
Improving Health<br />
Alcohol brief<br />
intervention<br />
BY MARCH <strong>2012</strong>, 9,034<br />
interventions were<br />
completed. This exceeds<br />
the target of 6,167<br />
interventions.<br />
H<strong>and</strong><br />
hygiene<br />
BY FEBRUARY <strong>2012</strong>, 95%<br />
of staff were complying<br />
with the national audit<br />
into h<strong>and</strong> hygiene<br />
compliance.<br />
Sickness<br />
WORK is underway to<br />
reduce the sickness<br />
absence level of 4.2%. Staff<br />
<strong>and</strong> managers are being<br />
supported to address the<br />
effective managment of<br />
sickness as a priority.<br />
Screening<br />
<strong>NHS</strong> LANARKSHIRE<br />
continues to work towards<br />
80% of the eligible<br />
population being screened<br />
every five years.<br />
At March <strong>2012</strong>, 78.7% of<br />
those eligible accepted their<br />
invitation to be screened for<br />
cervical cancer.<br />
-facts <strong>and</strong> figures<br />
Appointments<br />
AT MARCH <strong>2012</strong>, 12.7% of<br />
outpatients failed to turn up<br />
fo their appointment. Clinics<br />
with high ‘did not attend’ rates<br />
are now phoning patients to<br />
remind them of their<br />
appointment time.<br />
Heart Checks<br />
AT THE end of March <strong>2012</strong>, <strong>NHS</strong><br />
<strong>Lanarkshire</strong> had completed 7,124<br />
targeted cardiovascular health<br />
checks as part of the ongoing<br />
work to improve health <strong>and</strong><br />
tackle inequalities.<br />
This was ahead of the March<br />
<strong>2012</strong> target of 4,965<br />
cardiovascular checks.<br />
Accident <strong>and</strong><br />
Emergency<br />
BY MARCH <strong>2012</strong>, 96% of<br />
patients at A&E waited less than<br />
four hours. Work is now<br />
continuing to allow us to achieve<br />
the Scottish Government target<br />
of 98% of patients waiting less<br />
than four hours.<br />
Hospital<br />
Accquired<br />
Infections<br />
<strong>NHS</strong> LANARKSHIRE remains<br />
on target to reduce levels of<br />
C. Difficile infections to 0.39 or<br />
less cases by 1000 occupied<br />
bed days in patients aged 65<br />
<strong>and</strong> over, by March 2013.<br />
11 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Our People<br />
Staff survey<br />
shows real<br />
improvement<br />
THE LATEST staff survey results<br />
for <strong>NHS</strong> <strong>Lanarkshire</strong> were<br />
published in <strong>2011</strong>/12.<br />
The results show<br />
improvements in key areas.<br />
2,494 <strong>Lanarkshire</strong> staff took<br />
part in the survey which aims<br />
to ensure that all employees<br />
are supported <strong>and</strong> their views<br />
taken into account.<br />
The survey showed that:<br />
91 per cent of staff had<br />
an agreed personal<br />
development plan – up<br />
by 22 percent from the<br />
2008 survey.<br />
65 per cent said they<br />
were kept well informed<br />
about what was<br />
happening in <strong>NHS</strong><br />
<strong>Lanarkshire</strong> – up by 14<br />
per cent<br />
<strong>Lanarkshire</strong> staff<br />
shine at Scottish<br />
Health Awards<br />
AN OUTSTANDING support<br />
worker <strong>and</strong> a top primary<br />
healthcare team from <strong>NHS</strong><br />
<strong>Lanarkshire</strong> were presented with<br />
national accolades at the<br />
Scottish Health Awards.<br />
Gordon Morrison, a support<br />
worker from Airbles Road<br />
Resource Centre, accepted the<br />
Support Workers Award while<br />
the primary care team at<br />
Douglasdale Medical Practice<br />
was selected as a winner for the<br />
Top Team Award.<br />
Jane Miller, a paediatric<br />
physiotherapist from the Red<br />
Deer Centre East Kilbride was<br />
also a finalist for the Therapists<br />
Award after a grateful mother<br />
nominated her for the<br />
outst<strong>and</strong>ing care she has given<br />
to her son.<br />
During his 20-year career,<br />
Gordon has strived to help men<br />
in <strong>Lanarkshire</strong> with<br />
mental health illnesses to<br />
improve their self esteem <strong>and</strong><br />
confidence through taking part<br />
in activities. The primary care<br />
team at Douglasdale Medical<br />
Practice were selected as a<br />
winner for the Top Team Award<br />
in recognition of their success in<br />
developing specialist skills that<br />
will benefit local patients.<br />
The Scottish Health Awards<br />
recognise <strong>and</strong> reward the<br />
commitment <strong>and</strong> hard work of<br />
those who work in, <strong>and</strong> with,<br />
<strong>NHS</strong> Scotl<strong>and</strong> to provide an<br />
outst<strong>and</strong>ing level of care to the<br />
public.<br />
69 per cent said their<br />
line manager<br />
communicated<br />
effectively with them –<br />
up by 35 per cent.<br />
62 per cent felt care of<br />
patients/service users<br />
was <strong>NHS</strong> <strong>Lanarkshire</strong>’s<br />
top priority – up by 19<br />
per cent.<br />
The primary care team at Douglasdale Medical Practice<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 12
Our People<br />
Dr Monica Canning from Hunter Health Centre collects her award<br />
<strong>NHS</strong> <strong>Lanarkshire</strong><br />
Doctor is GP of<br />
the year <strong>2011</strong><br />
DR MONICA Canning from<br />
Hunter Health Centre in East<br />
Kilbride was crowned GP of the<br />
Year.<br />
The <strong>Lanarkshire</strong> GP scooped<br />
the award at a prestigious Royal<br />
College of General Practioners<br />
Scotl<strong>and</strong> (RCGP) ceremony in<br />
Edinburgh.<br />
Monica said: “I was really<br />
shocked to win the award. I was<br />
actually on holiday when I got<br />
the call telling me I’d won <strong>and</strong> to<br />
say it was a surprise was an<br />
understatement as I didn’t even<br />
know I’d been nominated.<br />
“It’s a real privilege to win this<br />
award <strong>and</strong> I’d like to thank my<br />
patient Margaret Gardyne who<br />
nominated me.”<br />
The GP of the Year is a unique<br />
<strong>and</strong> extraordinary award because<br />
it is nominated by patients <strong>and</strong><br />
presented in their own words.<br />
Top award<br />
for Angela<br />
A NURSE was recognised as<br />
one of Scotl<strong>and</strong>’s top mental<br />
health nurses for care of the<br />
elderly.<br />
Angela Campbell (pictured<br />
below, centre) a care home<br />
liaison mental health nurse,<br />
based in the Clydesdale<br />
Locality, won the first category<br />
in the Mental Health Nursing<br />
Forum Scotl<strong>and</strong>, Practice<br />
Excellence Award for Older<br />
People's Mental Health.<br />
Angela received the award<br />
after she developed a model<br />
of care home liaison nursing<br />
which involves working<br />
alongside residents with<br />
dementia <strong>and</strong> their family<br />
members in relation to their<br />
care <strong>and</strong> support needs.<br />
Reservists receive honours from board<br />
FIVE <strong>NHS</strong> <strong>Lanarkshire</strong> staff who<br />
volunteer for the Territorial Army<br />
<strong>and</strong> Royal Auxiliary Air Force<br />
were honoured by the health<br />
board at a special event. David<br />
Clough, Jacqueline Templeton,<br />
Samantha Wadelik, Peter<br />
McKinlay <strong>and</strong> Jennifer Wyper<br />
have all been posted overseas<br />
– including in Afghanistan <strong>and</strong><br />
Iraq – over the past decade,<br />
caring for wounded servicemen<br />
<strong>and</strong> civilians.<br />
Reservists support the regular<br />
forces, as <strong>and</strong> when required.<br />
This can involve reservists taking<br />
part in operations in conflict<br />
zones such as Afghanistan,<br />
where they currently make up<br />
around nine percent of Britain’s<br />
forces in that country.<br />
13 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Our People<br />
West of Scotl<strong>and</strong> Laundry<br />
scoops golden award<br />
STAFF at <strong>NHS</strong> <strong>Lanarkshire</strong>’s West<br />
of Scotl<strong>and</strong> Laundry have won a<br />
gold award.<br />
The team won the award in<br />
the prestigious Royal Society<br />
for the Prevention of Accidents<br />
(RoSPA) Occupational Health <strong>and</strong><br />
Safety Awards <strong>2011</strong>. The award<br />
was given in recognition of their<br />
approach to the prevention of<br />
accidents <strong>and</strong> ill health.<br />
The laundry processes over<br />
230,000 items a week.<br />
Staff at the West of Scotl<strong>and</strong> Laundry celebrate their award<br />
Success at Healthy Working Lives awards<br />
<strong>NHS</strong> LANARKSHIRE swept the<br />
board at the Healthy Working<br />
Lives (HWL) annual award<br />
ceremony.<br />
The event saw Wishaw<br />
General <strong>and</strong> Hairmyres<br />
Hospitals collect gold awards<br />
while Camglen locality, Wishaw<br />
Staff collect their prizes at the Healthy Working Lives Awards<br />
locality, Bellshill locality, Salus<br />
<strong>and</strong> the Whitemoss Dental<br />
Practice all picked up silver<br />
awards – with the West of<br />
Scotl<strong>and</strong> Laundry getting a<br />
bronze <strong>and</strong> silver.<br />
The awards are given to<br />
organisations that encourage<br />
<strong>and</strong> promote healthy working<br />
environments to enable their<br />
staff to achieve their potential<br />
in terms of their health within<br />
their working <strong>and</strong> non-working<br />
lives.<br />
Bellshill achieved its silver<br />
after staff enjoyed a wide range<br />
of free fun activities <strong>and</strong> events,<br />
including a 12-week block of<br />
complementary therapies to<br />
improve their stress levels <strong>and</strong><br />
Zumba fitness sessions to<br />
increase physical activity.<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 14
Comments on Services<br />
<strong>NHS</strong> LANARKSHIRE welcomes<br />
feedback from patients, their<br />
relatives <strong>and</strong> visitors in order<br />
to improve our underst<strong>and</strong>ing<br />
of what we have done well <strong>and</strong><br />
where we could do better.<br />
The vast majority of patients<br />
have a positive experience.<br />
Regrettably, there are occasions<br />
where patients or carers are<br />
dissatisfied with the care <strong>and</strong><br />
treatment they receive.<br />
A total of 693 formal<br />
complaints were received<br />
regarding acute care.<br />
A total of 117 formal<br />
complaints were received about<br />
community health services.<br />
Every complaint received is<br />
fully investigated <strong>and</strong> we ensure<br />
that lessons are learned from any<br />
issues raised.<br />
The outcome of our<br />
investigations are discussed with<br />
the staff involved <strong>and</strong> shared<br />
with other staff where they can<br />
learn too.<br />
Here are just some of things<br />
that have changed in <strong>NHS</strong><br />
<strong>Lanarkshire</strong> in <strong>2011</strong>/12 as a result<br />
of the feedback, comments <strong>and</strong><br />
complaints we have received<br />
from patients <strong>and</strong> visitors.<br />
You said: the waiting time for<br />
test results was too long.<br />
- We changed our procedures to<br />
improve the turnaround time for<br />
results.<br />
You said: appointments in<br />
ophthalmology were cancelled too<br />
frequently.<br />
- We developed nurse<br />
specialists who would be able to<br />
review patients.<br />
You said: the public toilets at<br />
Monkl<strong>and</strong>s weren’t clean.<br />
- We introduced a checklist for<br />
staff to ensure consistent<br />
st<strong>and</strong>ards are applied.<br />
You said: it was difficult to find<br />
disabled parking spaces.<br />
- We are reviewing car parking<br />
across all <strong>NHS</strong> <strong>Lanarkshire</strong> sites.<br />
You said: one of our<br />
information leaflets was wrong<br />
- We amended the leaflet <strong>and</strong><br />
made sure staff knew the correct<br />
information.<br />
And here are some of the<br />
positive comments we received<br />
that year:<br />
I was a patient in your<br />
endoscopy unit. I would like to<br />
thank everyone for the kindness<br />
shown to me during my<br />
examination. The staff were every<br />
one, extremely informative, helpful<br />
<strong>and</strong> reassuring. (Wishaw)<br />
I’d just like to express my<br />
sincere thanks to the entire team<br />
who dealt with me. The team from<br />
admin/reception staff through<br />
to the nurses who prepared <strong>and</strong><br />
assisted, along with the Doctor<br />
who performed the procedure<br />
were nothing short of brilliant <strong>and</strong><br />
highly professional. Please convey<br />
my sincere & heartfelt thanks to an<br />
excellent team who deserve<br />
recognition & praise. (Hairmyres)<br />
I was an in patient for seven<br />
days <strong>and</strong> was treated with nothing<br />
but dignity <strong>and</strong> respect,the nursing<br />
staff were caring <strong>and</strong> supportive<br />
during my illness two of which<br />
really stood out for me<br />
(Monkl<strong>and</strong>s)<br />
My midwife was no1 for the job<br />
she did, I just want to say she was<br />
superb with me <strong>and</strong> was a great<br />
help to myself <strong>and</strong> my husb<strong>and</strong><br />
during my labour <strong>and</strong> birth of our<br />
baby (Wishaw)<br />
15 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Looking Forward<br />
Looking forward to <strong>2012</strong>/13<br />
Ian Ross, Acting Chief Executive<br />
THIS YEAR (<strong>2012</strong>/13) has already<br />
been a year of change for the<br />
<strong>NHS</strong><br />
<strong>Lanarkshire</strong> Board.<br />
Chief Executive Tim Davison<br />
left <strong>Lanarkshire</strong> in April to take<br />
up the Chief Executive’s role at<br />
<strong>NHS</strong> Lothian.<br />
Our new director of Nursing,<br />
Midwifery <strong>and</strong> Allied Health<br />
Professionals Rosemary Lyness<br />
took up her post following the<br />
retirement of Paul Wilson who<br />
had been with <strong>NHS</strong><br />
<strong>Lanarkshire</strong> for 13 years.<br />
And of course there was the<br />
sad news that our Chairman Ken<br />
Corsar had died in May.<br />
The way in which our services<br />
are delivered are changing too.<br />
One of the biggest challenges<br />
we face over the next few years<br />
will be reshaping services for<br />
older people.<br />
The Reshaping Care for Older<br />
People programme is being<br />
taken forward in partnership<br />
with our local authority<br />
colleagues in North <strong>and</strong> South<br />
<strong>Lanarkshire</strong> as well as with<br />
colleagues in the voluntary <strong>and</strong><br />
independent sectors.<br />
This is a national programme,<br />
which aims to improve<br />
independence for older people,<br />
providing more care at home or<br />
in homely settings <strong>and</strong><br />
preventing lengthy, unnecessary<br />
stays in hospital across Scotl<strong>and</strong>.<br />
In <strong>Lanarkshire</strong>, we have also<br />
developed “A Healthier Future”<br />
a strategy document which sets<br />
our vision for the future of health<br />
services in <strong>NHS</strong> <strong>Lanarkshire</strong>.<br />
We also want to help people<br />
to live longer, healthier lives <strong>and</strong><br />
part of achieving this will be<br />
through working closely with our<br />
partner services <strong>and</strong> reviewing<br />
<strong>and</strong><br />
delivering quality services that<br />
are safer, more person-centred<br />
Over the next year we will also<br />
continue to improve services <strong>and</strong><br />
waiting times for our patients<br />
<strong>and</strong> we will be progressing the<br />
plans to build new health<br />
centres in Wishaw, East Kilbride<br />
<strong>and</strong> Kilsyth.<br />
There is a lot to look forward<br />
to over the next year <strong>and</strong> I would<br />
like to thank our staff, volunteers<br />
<strong>and</strong> public partnership forum<br />
members for all their hard work<br />
<strong>and</strong> effort over the past year.<br />
I am confident that together we<br />
will continue to build on the<br />
successes of <strong>2011</strong>/12 that we<br />
have highlighted in this annual<br />
report.<br />
Ian Ross<br />
Acting Chief Executive<br />
Reshaping care for older people is one of our key priorities for next<br />
<strong>and</strong> year more effective.<br />
<strong>NHS</strong> <strong>Lanarkshire</strong><br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 16
Financial Information<br />
Laura Ace, Finance Director<br />
DURING <strong>2011</strong>/12, <strong>NHS</strong><br />
<strong>Lanarkshire</strong> met all its financial<br />
targets <strong>and</strong> continued to<br />
operate within a balanced<br />
financial position.<br />
Laura Ace, Director of Finance<br />
for <strong>NHS</strong> <strong>Lanarkshire</strong>, said: “We<br />
can be pleased with our financial<br />
performance in <strong>2011</strong>/12,<br />
especially within the current<br />
economic climate.”<br />
During <strong>2011</strong>/12, <strong>NHS</strong><br />
<strong>Lanarkshire</strong>’s capital programme<br />
continued to progress well.<br />
£5.0m was invested into<br />
improving Monkl<strong>and</strong>s Hospital,<br />
including developing the<br />
drainage, heating <strong>and</strong> electrical<br />
supply.<br />
Laura said: “This investment also<br />
led to the completion of a major<br />
refurbishment of the<br />
haematology inpatient ward<br />
<strong>and</strong> the dermatology unit <strong>and</strong><br />
provided a new car park with an<br />
additional 151 spaces.”<br />
By Easter <strong>2012</strong>, Larkhall Health<br />
Clinic had also underwent a<br />
£0.85m major refurbishment.<br />
This included rewiring work, two<br />
new clinical rooms, the<br />
installation of a new heating<br />
ystem <strong>and</strong> new lighting as well<br />
as internal decoration.<br />
During <strong>2011</strong>/12, £13.8m was<br />
invested into the development of<br />
the new Airdrie<br />
Community Health Centre. The<br />
centre opened in July <strong>2012</strong>.<br />
The development of the<br />
centralised headquarters at<br />
Kirkl<strong>and</strong>s Hospital was also<br />
completed in May <strong>2011</strong>. This<br />
involved the movement of staff<br />
from a number of sites including<br />
Strathclyde <strong>and</strong> Clel<strong>and</strong><br />
hospitals.<br />
Laura said: “<strong>NHS</strong> <strong>Lanarkshire</strong><br />
expects to achieve significant<br />
revenue savings of more than<br />
£2m within the first five years<br />
of the centralisation through<br />
improved working practices <strong>and</strong><br />
redesign of service provision. The<br />
Board also expects significant<br />
capital receipts from the sale of<br />
the vacant sites.”<br />
There was continued significant<br />
investment in medical<br />
equipment during <strong>2011</strong>/12. This<br />
included:<br />
£1.1m on new CT<br />
scanners at Monkl<strong>and</strong>s<br />
General Hospital <strong>and</strong><br />
Hairmyres Hospital<br />
£0.1m on birthing beds at<br />
Wishaw<br />
£0.3m on mammography<br />
units at Hairmyres <strong>and</strong><br />
Monkl<strong>and</strong>s<br />
£0.2m on operating<br />
tables<br />
Laura said: “All of these projects<br />
will assist <strong>NHS</strong> <strong>Lanarkshire</strong> to<br />
deliver services locally <strong>and</strong> will<br />
assist in addressing the health<br />
improvement challenges within<br />
each of the localities.”<br />
We will continue to improve<br />
efficiency to achieve financial<br />
savings in the coming year.<br />
Laura added: “Economic<br />
conditions will inevitably mean<br />
budgets will be tight in future<br />
years. During <strong>2011</strong>/12 the Board<br />
identified a further £17.475m of<br />
savings plans for the following<br />
year <strong>and</strong> is still working to<br />
identify £1.813m of recurring<br />
savings to balance its <strong>2012</strong>/13<br />
financial plan.”<br />
17 <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12
Financial Information<br />
<strong>NHS</strong> <strong>Lanarkshire</strong> board expenditure<br />
Treatments provided in <strong>NHS</strong> <strong>Lanarkshire</strong> - £613.812<br />
Treatments provided by other Scottish Health Boards - £97,545<br />
Treatments provided by private sector - £7,672<br />
Resource transfer to local authority <strong>and</strong> payments to voluntary<br />
bodies <strong>and</strong> charities - £50,910<br />
Primary Medical Services - £67,652<br />
Pharmaceutical Services -£142,630<br />
General Dental Services - £40,780<br />
General Opthalmic Services - £11,336<br />
Other costs (e.g. treatments provided by health bodies outisde<br />
Scotl<strong>and</strong>, by primary care bodes, <strong>and</strong> treatments of UK residents<br />
outside Scotl<strong>and</strong>) - £338<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong>/12 18