OUTPUT FROM COMMUNICATION SESSIONS
Clinical support services are not organised to meet the requirements of emergency care.
Imaging is a significant bottleneck on all sites except Stobhill.
Significant workforce pressures, experienced nursing, radiographers, pharmacy, labs and paramedics.
Liaison with mental health and dementia services is not as effective as it could be.
Range of views on medical leadership of acute receiving and the balance between that and specialist medicine. Is acute medicine an attractive career path?
Assessment and discharge units perceived to be critical although difference in perceptions of model and staffing.
Significant variations in consultant input, availability and practise.
Medical investigation and day care are not coherent and accessible.
Chest pain assessment not in place.
Urgent out-patients and opinions are difficult to access – admission becomes only viable default.
Organisation and pace of social care responses.
Support and services for people with drug and alcohol problems.
Inappropriate nursing home and terminal care admissions.
A focus on regularly admitted patients would help.
Hospital/community interfaces are problematic.
Is 5 sites, organised and resourced properly, clinically sustainable even in the short term?
Mixed care of the elderly/acute medicine relationships – is there a right model?
Rehabilitation is poorly resourced and not aggressive enough.
Early discharge services are mixed across Glasgow and there are a number of issues about IRIS services, including how should be accessed by GPs.
IT is not helping – booking, investigation requests etc
Victoria and Southern General
Major imbalances in medical staffing between North and South Glasgow.
Physical relationship to A&E a major issue.
Complexity and readmissions are bigger issues than volume.
Image, morale and physical fabric are major issues.
Hospital should be closed earlier than last bed. Should be bed management across Glasgow.
Nurse staffing levels are inadequate.
Should we look at more radical options given working hours pressure?
Pre-assessment worked well but has stopped.
Specialties off site not systematically available for opinion.
Surgical pre-assessment pressurises labs.
Western/GGH transfers are a bottleneck.
BOC policy changes have increased pressure.
Emergency medical clinics concept would help, as would phone access to advice for GPs.
We should target services at hostel dwellers.
GP out-patient referrals are not triaged into specialist care – builds in delays.
Fairness of bed management across the City.
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|Last edited by||Brian McMullan|