Date lodged: 14 June 2017
To ask the Scottish Government when the temporary removal of orthopaedic services at Monklands General Hospital will come to an end, and when trauma and elective services will be restored.
Answered by: Shona Robison 21 June 2017
It is incorrect to suggest that all orthopaedic services have been removed from Monklands Hospital. Around 85% of all orthopaedic patient contacts are outpatients and these have continued to be seen at Monklands Hospital.
NHS Lanarkshire’s interim model on trauma and orthopaedics, in place since last November, was about building necessary service resilience; not about removing services. It was put in place to ensure clinical safety and the quality of care, and the Board was supported in this position by the Academy of Royal Colleges and Faculties in Scotland. Since the interim model was introduced the length of time trauma patients spend in hospital has reduced.
NHS Lanarkshire’s longer term plan for orthopaedics, as informed by the views of the Academy, is to move to two local sites of clinical excellence, comprising a single trauma site and a single elective site. This is consistent with the national strategy of developing major trauma networks, and has been the subject of public consultation as part of NHS Lanarkshire’s approved health care strategy 'Achieving Excellence'.
Wishaw Hospital will be the trauma site in Lanarkshire and an options appraisal will be undertaken to identify whether Hairmyres or Monklands Hospital should be the elective orthopaedic centre of excellence. The Board are confident such plans will enable them to develop a complementary network of centres of excellence across the key three hospital sites, with core A&E Departments remaining on each.