Rural general hospital explained

A rural general hospital is a small hospital, similar to a district general hospital, but is specifically trained and staffed to provide healthcare services in remote and rural areas. The concept was pioneered by NHS Scotland.

Access to services

The rural general hospitals are all to be found in the Scottish Highlands and Islands in areas which generally have a small or scattered populations who would otherwise face a long or difficult journey to get to larger settlements.[1]

The rural general hospital model aims to overcome some of the practical difficulties associated with delivering services to the people living in these areas.[2]

Framework

Rural general hospitals provide consultant-led general surgical services and examples of the type of planned operations that patients can have include gall bladder surgery and endoscopy. Certain specialist procedures can be performed at rural general hospitals by visiting surgeons. Some specialist staff may travel between rural general hospitals. Rural general hospitals are equipped and staffed to be able to resuscitate, stabilise and prepare patients who might require emergency surgery. Some emergency surgery can be carried out in the rural general hospital- surgery to remove an appendix or resolve an abdominal problem, for example.[3]

Many have consultant-led general medical services also. A few hospitals have medical services provided by hospital practitioners, who are general practitioners with extra training.

All the rural general hospitals have maternity services, generally provided by general practitioners and midwives, although some have Consultant-led services.[4] Rural general hospitals that are located on islands are also equipped and staffed to be able to carry out caesarean sections.

Recognition and support

The Scottish Government accepted the recommendations of the Remote and Rural Steering Group's report and since 2008 have recognised 6 rural general hospitals:[5]

Originally about £1.5 million of funding was allocated to support this framework.[11]

Other rural hospital models of care

There are some other hospitals that face similar challenges, but that have employed different models to deliver care to rural communities:

Notes and References

  1. Web site: The National Framework for Service Change in NHS Scotland. Rural Access Action Team. Final Report . The Scottish Executive Health Directorate . 2005.
  2. News: Rural hospitals future 'secure' . . 13 May 2008. 10 June 2014.
  3. Web site: Delivering for Remote And Rural Healthcare: What It Means For You . The Scottish Government . 2008.
  4. Douglas JDM. Remote and Rural Healthcare in Scotland. Royal College of Physicians of Edinburgh. September 2005. dead. https://web.archive.org/web/20140527215036/http://old.rcpe.ac.uk/publications/rarm/douglas.pdf. 2014-05-27.
  5. Web site: Secure future for rural hospitals . The Scottish Government . 13 May 2008.
  6. Web site: Balfour Hospital. NHS Orkney. 2014-05-03. dead. https://web.archive.org/web/20150103191857/http://www.ohb.scot.nhs.uk/article.asp?page=3&parent=3. 2015-01-03.
  7. Web site: Belford Hospital, Fort William . NHS Highland. 29 November 2007 . https://web.archive.org/web/20070429024119/http://www.nhshighland.scot.nhs.uk/health%20services/Hospitals/Belford/index.htm . 29 April 2007.
  8. Web site: Caithness General Hospital, Wick. NHS Highland. 2007-11-29 . https://web.archive.org/web/20070808092408/http://www.nhshighland.scot.nhs.uk/Health%20Services/Hospitals/Caithness/index.htm . 2007-08-08.
  9. Web site: Gilbert Bain Hospital . NHS Shetland. 2014-05-03.
  10. Web site: Western Isles Hospital. NHS Western Isles. 2007-11-29 . https://web.archive.org/web/20070704040053/http://www.wihb.scot.nhs.uk/Hospitals/WIH.htm . 2007-07-04.
  11. News: Hospitals to expand services and cut travelling burden for rural patients . The Scotsman . 13 May 2008. 1 June 2014.
  12. Web site: Dr MacKinnon Memorial Hospital / Broadford Hospital. NHS Highland. 2007-11-29.

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