Published: Thursday, May 30th, 2013

Providing even more high quality services for NHSScotland


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This week we announced that we are expanding our specialist orthopaedic and ophthalmology services to treat more Scottish patients than ever before.


Our orthopaedic service, which is currently undertaking 15% of all hip and knee replacements in Scotland, will now be carrying out the equivalent of a further 300 hip and knee replacements every year.


Our Ophthalmology team currently perform 1400 operations (mostly cataracts) a year to support NHSScotland. This year, due to demand across the country, we will be doubling that commitment, meaning we will be undertaking approximately 10% of all cataract operations inScotland. 


Using the latest research and techniques, our highly skilled teams have an innovative and focussed approach that makes their high quality services really work. There is clearly a demand for more orthopaedic and ophthalmology operations across the country, and as a national resource for NHSScotland, we are delighted to be able to provide these additional services.


Cardiac Surgical Outcomes


Providing safe, effective and individual care is our top priority and we work extremely hard to ensure that we provide first class care and treatment to our patients. It is therefore disappointing when statistics appear to show that we are not performing as well as we expect to.


Earlier this year, the Society for Cardiothoracic Surgeons (SCTS) published data on our cardiac surgical outcomes which show we had a historic mortality rate of 4.1 percent in 2008.


But when we looked closely at the information, this data was found to contain emergency procedures which should have been excluded, so our adjusted mortality for this period was 3.9 percent. This is within the spread of other UKunits and not higher than expected byUK standards.


We conducted an internal review at the time, which resulted in improvements in a number of areas and, as a result, mortality fell steadily between 2008 and 2012 and is continuing to do so.


Figures show that our unit is performing well as a specialised regional and national heart centre. We are currently the busiest thoracic (lung) unit in theUKand our overall mortality rate for cardiac surgery at just over 2% (April-December 2012).


We intend our performance to keep improving, and going forward, we aim to be consistently amongst the best performing heart and lung units in theUK.


Report into management of adverse events


This week also saw Healthcare Improvement Scotland publish their report into our management of adverse events and we were delighted that several areas of good practice have been highlighted in the report.


We always aim to continually improve our services, so we will not become complacent, and that is why we have already identified improvement actions to address the small number of recommendations set out in the report and anticipate these will delivered by the autumn of 2013.

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