Jump to content

  • Log in with Facebook Log in with Twitter Log In with LinkedIn Log In with Google      Sign In   
  • Create Account

Photo

Knab Site


  • Please log in to reply
50 replies to this topic

#41 shetlander

shetlander

    Member

  • Members
  • PipPip
  • 315 posts

Posted 02 September 2017 - 08:20 AM

have you tried driving from the knab to the edge of town at 9 or 5 its impossible can you imagine the ambulances trying to get out


Ah, the thriving urban metropolis that is Lerwick with its rush hour ‘traffic problems’ and town centre ‘parking problems’.
  • Suffererof1crankymofo likes this

#42 suuusssiiieee

suuusssiiieee

    Member

  • Members
  • PipPip
  • 288 posts

Posted 02 September 2017 - 03:02 PM

This idea that Shetland health board is hard up and can't finance a new hospital make's me wonder why or indeed how other health boards miraculously come up with funds for new infrastructure?

 

NHS Orkney are soon to enjoy a brand new state of the art Balfour hospital, so why can't we?



#43 Ghostrider

Ghostrider

    1crankymofo

  • Members
  • PipPipPip
  • 8651 posts

Posted 02 September 2017 - 04:40 PM

^ Shetland NHS is only as skint as Holyrood decides they're going to be.

 

The problem with expecting Holyrood to finance any capital investment is that, as very ably demonstrated by the new AHS, is that we'll get exactly what they believe we should have, built by whoever they think fit. Not what we might want or need, or is the best fit for purpose. Apparently long gone are the days of us designing and pricing what we believe is best for the place and its needs, and then lobbying the Government to pay or part pay towards it, or of us having any real influence on how local public works whatsoever. Holyrood dictatorship or do without are the choices.

 

The SIC/SCT/SLAP allegely own most of the AHS site, Shetland NHS own the current GB site, plus others, how about they get their collective heads together and do a trade. SIC/SCT/SLAP take over ownership of the GB site plus others if desirable, in exchange for a chunk of the AHS site. If SLAP could build the White Elephant at the North Ness to lease back to the SIC, they're equally capable of building a new hospital and having some sort of part paid from the value of the acquired NHS sites and buildings/lease/mortgage/rent to buy arrangement with Shetland NHS.

 

Done right, it would free up both the GB and Montfield sites as everything NHS, including a chopper pad could go on the AHS site. The current GB could convert in to a block of flats if its still structurally sound enough for it, otherwise the site cleared and redeveloped as housing, the same for the Montfield site, and even if not, given the extent and longevity of the SIC's part occupancy of it for which they'd save having to pay Shetland NHS rent for if they owned it, they could just eave as is and saving that rent money would be worthwhile in itself.


  • suuusssiiieee likes this

#44 Frances144

Frances144

    Member

  • Members
  • PipPip
  • 3722 posts

Posted 02 September 2017 - 05:08 PM

GB would make a great SIC admin site since The White Elephant is now a no-go zone.



#45 Lerwick antiques

Lerwick antiques

    Member

  • Members
  • PipPip
  • 101 posts

Posted 03 September 2017 - 02:07 PM

Well said Ghostrider. I agree 100% also the GBH and Montfield sites would be better use for housing than the AHS site. With it being nearer the new school, etc.



#46 Ghostrider

Ghostrider

    1crankymofo

  • Members
  • PipPipPip
  • 8651 posts

Posted 06 September 2017 - 09:05 PM

Seriously?  A new hospital?

You chaps do not know you are born.

Go to any hospital in London and what you have here in Shetland is incredible.  Ok, so not brand new, but amazing by any UK standards and it works as a hospital.

 

In what context are you saying this? Regardless of how well or otherwise the hospital does what it does, the fact of the matter is, it does not a lot of very much of anything. Its a 'patch 'em up and pass 'em on' kinda place along with being a glorified hospice.

 

 

Forty years ago going off isle for medical care was the reserve of the unlucky few who required very specialised or complex treatment, and going off isle to see a specialist was unheard of, yet today both are daily routine and commonplace.

 

The patient travel budget is a millstone that continues to grow, and carting ill people around, especially for hundred of miles is a highly questionable exercise with regard to the health and well-being of patients. It is however unfortnately necessary as very, very little within our hospital has kept up with advances in medical treatments and procedures since the place opened, unless for one or two exceptions it has been treading water. Its no wonder some much has to be done elsewhere, and specialists refuse to visit, the facilities either aren't here to do it, or what is would be like trying to do the Tour de France on a penny farthing.

 

A new modern building equipped with as much modern equipment as is practical to invest in given our population would allow more procedures to once again be performed locally, and many of the specialists who at the moment refuse to come here to undertake consultations/examinations would no longer have the excuse they were refusing on the grounds there were no factilities here. Yes, of course, some unfortunate patients will always have to travel, its not realistic to expect everything to be done locally, but surely the humane and financially prudent way forward is to maximise as far as is practical what can be done locally.

 

It would be great, and much cheaper, if the current building could be modernised and upgraded back up to providing the level of service it did when it opened and for 20-25 years thereafter, but I don't believe thats either realistic or cost effective. The building has had water ingress issues sporadically from day 1, its nearly 60 years old, its too small for what it would need to contain these days, and its already on a heavily over-congested site which is hell on wheels to access/exit.

 

London, or most other places in the UK, even Orkney, have alternative, more modern and better equipped hospitals available that can be reached far more quickly and easily than we have, what we have locally has to reflect that reality, and it isn't, nor has it for the last 20+ years.


Edited by Ghostrider, 06 September 2017 - 09:08 PM.


#47 MuckleJoannie

MuckleJoannie

    Member

  • Members
  • PipPip
  • 3168 posts

Posted 06 September 2017 - 10:27 PM

Medicine has changed a lot over the past 40 years. My dad was still practising then. He qualified as a doctor in the era of Doctor Finlay's Casebook. Nowadays the treatments are a lot more complex and hospital doctors are more specialised. It is difficult to find a surgeon who is happy to fix a broken leg in the morning and take out an appendix in the afternoon. 



#48 Ghostrider

Ghostrider

    1crankymofo

  • Members
  • PipPipPip
  • 8651 posts

Posted 06 September 2017 - 11:09 PM

^ Maybe they need to offer better money to get the person they need.

 

When they're paying Loganair/Flybe/Northlink/whoever return fares daily day for folk to go to Aberdeen to have a two minute check over of something, and be told "Yea, you're coming on fine, come back and let me see you in 3/6/whatever months", and the only reason on the table is the "lack of proper facilities" for it not being done here, it shouldn't be rocket science to figure how to make the number work so that we're quids in on the deal.



#49 bug

bug

    Member

  • Members
  • PipPip
  • 422 posts

Posted 07 September 2017 - 01:22 AM

Litigation v ligetures. Janet will be spinning.



#50 MuckleJoannie

MuckleJoannie

    Member

  • Members
  • PipPip
  • 3168 posts

Posted 07 September 2017 - 09:22 PM

A lot of the two minute consultations could be done by a tele conference. The equipment is available in the Gilbert Bain and in Aberdeen but the consultants in Aberdeen refuse to use it.



#51 Ghostrider

Ghostrider

    1crankymofo

  • Members
  • PipPipPip
  • 8651 posts

Posted 07 September 2017 - 10:40 PM

^ Why. What's their problem? Complaints about the equipment either this end, or their end. Complaints about the quality of staff they have to engage with this end. Or just some whim on their part.

 

Surely, if NHS Grampian staff won't provide this service, NHS Shetland should be looking to contract the work out to someone else who will. Its not like they're compelled to use Aberdeen for everything, and epecially teleconferencing, which by its very nature could be done with a suitably qualified conultant in a rocket between here and Mars.