HC Deb 16 January 1990 vol 165 cc204-6W
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. 1. Increased medical and support staff in community care and special needs (children).
  2. 2. Employment of additional occupational therapist and chiropodist.
  3. 3. Increased staffing for accident and emergency.
  4. 4. Upgrading of pathology posts and enhancement of cervical cytology screening.

Ayrshire and Arran

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

Borders

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

Dumfries and Galloway

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

Fife

  1. 1. An extra clinical psychologist at the priority care unit.
  2. 2. Extra nursing staff at Cameron hospital.
  3. 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. 1. Appointment of additional 15 psycho-geriatric nurses.
  2. 2. Appointment of additional consultant histopathologist.
  3. 3. Provision of additional treatment facilities for geriatric patients at Falkirk and district royal infirmary.
  4. 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. 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. 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. 3. Additional nursing posts in the neuro-surgical, renal dialysis and vascular surgery areas.
  4. 4. Additional physiotherapists and occupational therapists.
  5. 5. The establishment of five new low technology delivery rooms and recovery facilities, allowing women in labour to be midwife managed.

Greater Glasgow

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

Highland

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

Lanarkshire

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

Lothian

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

Tayside

Developments in patient services in the following areas:-—

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