Hansard

Competitive Tendering

Volume 165: debated on Tuesday 16 January 1990

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Mr. Allan Stewart

To ask the Secretary of State for Scotland what uses are being made by health boards of the moneys released from competitive tendering initiatives; and if he will make a statement.

Mr. Michael Forsyth

Boards have been using the moneys released in a variety of ways and examples of the projects funded or partially funded by them are as follows:

Argyll and Clyde

  • 1. Increased medical and support staff in community care and special needs (children).
  • 2. Employment of additional occupational therapist and chiropodist.
  • 3. Increased staffing for accident and emergency.
  • 4. Upgrading of pathology posts and enhancement of cervical cytology screening.

    • Ayrshire and Arran

  • 1. Provision (including nurse staffing) of self-contained paediatric out-patient clinic at Crosshouse hospital.
  • 2. Part funding of gynaecology day unit at Crosshouse hospital.
  • 3. Increase in medical staffing (including three registrars in anaesthetics, one ophthalmist and increased GP sessions).
  • 4. Additional community nurses.

    • Borders

  • 1. Advancement of opening dates of Innerleithen and Hawick health centres.
  • 2. Assistance with development costs of the Borders general hospital.

    • Dumfries and Galloway

  • 1. Provision of new 30-bed geriatric unit at Annan and additional beds at Lockmaben.
  • 2. Development of mental handicap services.
  • 3. Appointment of additional consultant medical staff in ophthalmology.

    • Fife

  • 1. An extra clinical psychologist at the priority care unit.
  • 2. Extra nursing staff at Cameron hospital.
  • 3. Options under consideration at Dunfermline are development of medical photography services, recruitment of more trained operating theatre staff or extra nurses to allow psycho-geriatric day hospital services to be made available for longer periods of time.

    • Forth Valley

  • 1. Appointment of additional 15 psycho-geriatric nurses.
  • 2. Appointment of additional consultant histopathologist.
  • 3. Provision of additional treatment facilities for geriatric patients at Falkirk and district royal infirmary.
  • 4. Provision of funds to enable the devolution of psychiatric care from Bellsdyke hospital to the community and establishment of a community care team.

    • Grampian

  • 1. Part funding of a joint venture project with voluntary organisations and social work departments to meet the running costs of five houses to accommodate 20 mentally handicapped patients being transferred back into the community.
  • 2. The establishment of a number of additional posts, primarily in nursing and paramedical services, in the board's geriatric and specialist services unit.
  • 3. Additional nursing posts in the neuro-surgical, renal dialysis and vascular surgery areas.
  • 4. Additional physiotherapists and occupational therapists.
  • 5. The establishment of five new low technology delivery rooms and recovery facilities, allowing women in labour to be midwife managed.

    • Greater Glasgow

  • 1. Additional 44 nurses for mental illness.
  • 2. Additional 17 paramedicals and 13 staff of other kinds for mental handicap.
  • 3. Additional 16 paramedicals and 11 district nurses to reduce waiting lists in the community.
  • 4. Additional 15 nurses and four other staff for improvements in service for cancer treatment.
  • 5. Additional 10 staff to improve and develop cervical cytology services.
  • 6. Additional 14 staff to meet increasing demand on renal services.
  • 7. Additional six staff for improvements in accident and emergency services at Glasgow royal infirmary.

    • Highland

  • 1. Additional paramedical posts in geriatric services at Sutherland.
  • 2. Creation of waiting list team assisting medical staff at Raigmore hospital.
  • 3. Creation of "travelling day hospital" for psychiatric patients who live some distance from Inverness.

    • Lanarkshire

  • 1. Additional community nursing posts in Mental Handicap Services Unit.
  • 2. Additional speech therapy posts in the community.
  • 3. Additional occupational therapy posts.
  • 4. Additional paramedical posts (physiotherapy, chiropody etc).

    • Lothian

  • 1. Increased renal dialysis sessions.
  • 2. Increased support funding for joint working with local authorities.
  • 3. Increased nurse staffing for mental handicap and psychiatric services.

    • Tayside

    Developments in patient services in the following areas:-—

  • 1. Mumps, measles and rubella vaccinations;
  • 2. Blood products;
  • 3. Resource management;
  • 4. Support finance;
  • 5. Accident and emergency-consultant support staff
  • 6. A senior physicist;
  • 7. Community nursing.