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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

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