Monklands Hospital
Encyclopedia
Monklands District General Hospital, is a district general hospital in Airdrie
, North Lanarkshire
, Scotland. Administered by NHS Lanarkshire
, it serves a population of approximately 260,000 people of North and South Lanarkshire
council areas. The hospital has recently been in the Scottish
media
due to the decision to downgrade the accident and emergency
A&E department and subsequent reversal of this decision by the newly elected Scottish Government.
Bt
JP - a late 19th century businessman and local politician
- bought the Airdrie House estate. Upon his death, he bequeathed
the land to the people of Airdrie and it became the local maternity
hospital (Airdrie House Maternity Home Hospital) in 1919. This closed in 1962 and was demolished in 1964 to make way for the current Monklands District General Hospital. Monklands was the first new hospital, that is, one which did not provide new accommodation for an existing hospital to be built in Scotland in the post World War II
era. Planned to be known as 'Airdrie District General Hospital', it was renamed with the introduction of local council
reorganisation, to Monklands District General Hospital. The first patients were admitted in 1977, however, some hospital departments were open in 1974 including the College of Nursing.
of more than 553,000 people living within the North and South Lanarkshire
local authority areas. There are three district general hospitals in the area - Hairmyres Hospital
, Monklands and Wishaw General Hospital
. Each of these hospitals has an accident and emergency department
and provides a range of specialist medical and surgical services. Primary health care is provided in the community and includes general practitioners (GPs), dentists, pharmacists, health visitor
s and a wide range of health professionals. NHS Lanarkshire's primary care facilities include health centres and seventeen community and day hospitals.
. Monklands District Council was the local government district
until the abolition of the two-tier local government system and creation of unitary authorities in 1996 with the passing of the Local Government (Scotland) Act 1973
. The hospital is technically in Airdrie, however it straddles the border between Airdrie and the neighbouring town, Coatbridge
.
Monklands Hospital serves approximately 260,000 people in the North Lanarkshire
catchment area, including the major towns of Airdrie, Coatbridge, Cumbernauld
, Bellshill
, Viewpark
, Newhouse
. It forms one of three acute hospitals in NHS Lanarkshire
.
and the mortuary.
The wards, bed capacity and their specialities are:
Along with these areas, the hospital also has an A&E
department and a day surgery unit. Wards 24 and 25 as Mental Health areas are under the authority of the primary Care Division of NHS Lanarkshire and are independent of the hospital. Prior to the refurbishment of the A&E department and the building of the ERU, ward 23 was an A&E short-stay ward. Ward 8 became ward 7a urology, this closed April 2010. Ward 11a was previously called ward 12; and there has never been a ward 13, for superstitious reasons. Similarly some hospital wards and departments do not have rooms numbered 13.
The centralised services for NHS Lanarkshire at Monklands Hospital are:
, along with planned surgery
, full diagnostic
/outpatient services and general medicine
. Eventually, Monklands was earmarked for downgrading. This would result in NHS Lanarkshire
having consultant-led accident and emergency departments at Wishaw General Hospital
and Hairmyres Hospital
in East Kilbride
The decision was widely criticised, including the former Home Secretary
, John Reid MP
, voicing his disapproval of the plans. In September 2006, the plan was approved by Lewis MacDonald
, Deputy Health and Community Care minister. In May 2007, the Labour
administration lost out to the Scottish National Party
in the Scottish Parliament Elections 2007 and the decision was overturned by the new Cabinet Secretary for Health and Wellbeing
, Nicola Sturgeon
. She demanded that NHS Lanarkshire find a way of keeping three fully functioning consultant-led A+E departments in Lanarkshire. NHS Lanarkshire have since developed seven possible combinations of keeping three A+E departments open, which have now been delivered for public scrutiny
.
Airdrie, North Lanarkshire
Airdrie is a town within North Lanarkshire, Scotland. It lies on a plateau roughly 400 ft above sea level, and is approximately 12 miles east of Glasgow city centre. Airdrie forms part of a conurbation with its neighbour Coatbridge, in the former district known as the Monklands. As of 2006,...
, North Lanarkshire
North Lanarkshire
North Lanarkshire is one of 32 council areas in Scotland. It borders onto the northeast of the City of Glasgow and contains much of Glasgow's suburbs and commuter towns and villages. It also borders Stirling, Falkirk, East Dunbartonshire, West Lothian and South Lanarkshire...
, Scotland. Administered by NHS Lanarkshire
NHS Lanarkshire
NHS Lanarkshire is responsible for improving the health of more than 553,000 people living within the council areas of North Lanarkshire and South Lanarkshire in Scotland. NHS Lanarkshire employs approximately 12,000 staff...
, it serves a population of approximately 260,000 people of North and South Lanarkshire
South Lanarkshire
South Lanarkshire is one of 32 unitary council areas of Scotland, covering the southern part of the former county of Lanarkshire. It borders the south-east of the city of Glasgow and contains many of Glasgow's suburbs, commuter towns and smaller villages....
council areas. The hospital has recently been in the Scottish
Scotland
Scotland is a country that is part of the United Kingdom. Occupying the northern third of the island of Great Britain, it shares a border with England to the south and is bounded by the North Sea to the east, the Atlantic Ocean to the north and west, and the North Channel and Irish Sea to the...
media
Mass media
Mass media refers collectively to all media technologies which are intended to reach a large audience via mass communication. Broadcast media transmit their information electronically and comprise of television, film and radio, movies, CDs, DVDs and some other gadgets like cameras or video consoles...
due to the decision to downgrade the accident and emergency
Emergency department
An emergency department , also known as accident & emergency , emergency room , emergency ward , or casualty department is a medical treatment facility specialising in acute care of patients who present without prior appointment, either by their own means or by ambulance...
A&E department and subsequent reversal of this decision by the newly elected Scottish Government.
History
In 1887 Sir John WilsonWilson Baronets
There have been eight Baronetcies created for persons with the surname Wilson, one in the Baronetage of Ireland and six in the Baronetage of the United Kingdom.-Wilsons Baronets, of Killenure :...
Bt
Baronet
A baronet or the rare female equivalent, a baronetess , is the holder of a hereditary baronetcy awarded by the British Crown...
JP - a late 19th century businessman and local politician
Politician
A politician, political leader, or political figure is an individual who is involved in influencing public policy and decision making...
- bought the Airdrie House estate. Upon his death, he bequeathed
Bequest
A bequest is the act of giving property by will. Strictly, "bequest" is used of personal property, and "devise" of real property. In legal terminology, "bequeath" is a verb form meaning "to make a bequest."...
the land to the people of Airdrie and it became the local maternity
Maternity
Maternity or motherhood is the social and legal acknowledgment of the parental relationship between a mother and her child.It is specially related with the protection of the baby and the mother within and after the childbirth.-See also:...
hospital (Airdrie House Maternity Home Hospital) in 1919. This closed in 1962 and was demolished in 1964 to make way for the current Monklands District General Hospital. Monklands was the first new hospital, that is, one which did not provide new accommodation for an existing hospital to be built in Scotland in the post World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...
era. Planned to be known as 'Airdrie District General Hospital', it was renamed with the introduction of local council
Subdivisions of Scotland
For local government purposes, Scotland is divided into 32 areas designated as "council areas" which are all governed by unitary authorities designated as "councils"...
reorganisation, to Monklands District General Hospital. The first patients were admitted in 1977, however, some hospital departments were open in 1974 including the College of Nursing.
NHS Lanarkshire and the Monklands catchment
NHS Lanarkshire is responsible for the healthHealth
Health is the level of functional or metabolic efficiency of a living being. In humans, it is the general condition of a person's mind, body and spirit, usually meaning to be free from illness, injury or pain...
of more than 553,000 people living within the North and South Lanarkshire
South Lanarkshire
South Lanarkshire is one of 32 unitary council areas of Scotland, covering the southern part of the former county of Lanarkshire. It borders the south-east of the city of Glasgow and contains many of Glasgow's suburbs, commuter towns and smaller villages....
local authority areas. There are three district general hospitals in the area - Hairmyres Hospital
Hairmyres Hospital
Hairmyres Hospital is a busy district general hospital in East Kilbride, South Lanarkshire, Scotland. The hospital serves one of the largest elderly populations in Scotland.-The Hospital:...
, Monklands and Wishaw General Hospital
Wishaw General Hospital
Wishaw General Hospital is a district general hospital in the Craigneuk area of Wishaw, North Lanarkshire.-The Hospital:Wishaw General Hospital opened on 29 May 2001. It is a 633-bedded hospital, with the second-largest maternity unit in Scotland, delivering 5500 babies each year...
. Each of these hospitals has an accident and emergency department
Emergency department
An emergency department , also known as accident & emergency , emergency room , emergency ward , or casualty department is a medical treatment facility specialising in acute care of patients who present without prior appointment, either by their own means or by ambulance...
and provides a range of specialist medical and surgical services. Primary health care is provided in the community and includes general practitioners (GPs), dentists, pharmacists, health visitor
Health visitor
Health visitors are UK community health nurses who have undertaken further training to work as part of a primary health care team. As their name suggests, their role is to promote mental, physical and social well-being in the community by giving advice and support to families in all age groups...
s and a wide range of health professionals. NHS Lanarkshire's primary care facilities include health centres and seventeen community and day hospitals.
Population
Collectively, Airdrie, Coatbridge, and their surrounding villages were once referred to as MonklandsMonklands
Monklands may refer to:*Monklands was formerly a local government district in the Strathclyde region of Scotland*Monklands Hospital in the area...
. Monklands District Council was the local government district
Subdivisions of Scotland
For local government purposes, Scotland is divided into 32 areas designated as "council areas" which are all governed by unitary authorities designated as "councils"...
until the abolition of the two-tier local government system and creation of unitary authorities in 1996 with the passing of the Local Government (Scotland) Act 1973
Local Government (Scotland) Act 1973
The Local Government Act 1973 is an Act of the Parliament of the United Kingdom, that reformed local government in Scotland, on May 16, 1975....
. The hospital is technically in Airdrie, however it straddles the border between Airdrie and the neighbouring town, Coatbridge
Coatbridge
Coatbridge is a town in North Lanarkshire, Scotland, about east of Glasgow city centre, set in the central Lowlands. The town, with neighbouring Airdrie, is part of the Greater Glasgow urban area. The first settlement of the area stretches back to the Stone Age era...
.
Monklands Hospital serves approximately 260,000 people in the North Lanarkshire
North Lanarkshire
North Lanarkshire is one of 32 council areas in Scotland. It borders onto the northeast of the City of Glasgow and contains much of Glasgow's suburbs and commuter towns and villages. It also borders Stirling, Falkirk, East Dunbartonshire, West Lothian and South Lanarkshire...
catchment area, including the major towns of Airdrie, Coatbridge, Cumbernauld
Cumbernauld
Cumbernauld is a Scottish new town in North Lanarkshire. It was created in 1956 as a population overspill for Glasgow City. It is the eighth most populous settlement in Scotland and the largest in North Lanarkshire...
, Bellshill
Bellshill
Bellshill is a town in North Lanarkshire, Scotland, 10 miles south east of Glasgow city centre and 37 miles west of Edinburgh. Other nearby towns are Motherwell , Hamilton and Coatbridge . Since 1996, it has been situated in the Greater Glasgow metropolitan area...
, Viewpark
Uddingston
Uddingston is a small town in South Lanarkshire, Scotland. It is on the north side of the River Clyde, about seven miles south-east of Glasgow...
, Newhouse
Newhouse, North Lanarkshire
Newhouse is a hamlet and major road interchange located in North Lanarkshire, Scotland. Sited 2 miles from the village of Salsburgh, from nearby Holytown and about north east of Motherwell....
. It forms one of three acute hospitals in NHS Lanarkshire
NHS Lanarkshire
NHS Lanarkshire is responsible for improving the health of more than 553,000 people living within the council areas of North Lanarkshire and South Lanarkshire in Scotland. NHS Lanarkshire employs approximately 12,000 staff...
.
The Monklands
Monklands hospital can be described as a medium-sized general hospital, apart from wards 1 and 2, all the hospital wards and departments are 'under one roof'. Wards 1 and 2 are reached through a glass tunnel. The hospital is distinctive in that it has two towers, one predominantly medical wards, the other surgical. The towers are six floors each, with a lower ground level, a ground and four floors above that. The lower ground contains the canteen, the pharmacyPharmacy
Pharmacy is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs...
and the mortuary.
| Ward/Area | Speciality | Number of beds |
|---|---|---|
| Ward 1 | Renal | 17 inpatients + day case patients |
| Ward 2 | Communicable Diseases | 30 |
| Ward 3 | Urology clinic (Formerly Paediatrics) | |
| Ward 4/SRU | General Surgery and Surgical Receiving Unit | 34 (12 SRU + 22 Ward) |
| Ward 5 | Surgical High Dependency | 8 |
| Ward 6 | Breast and General Surgery | 24 |
| Ward 7 | Urology | 30 |
| Ward 9 | ENT and Maxillo-facial Surgery | 28 + 2HDU beds |
| Ward 10 | Orthopaedics | 24 |
| Ward 11 | Orthopaedics | 20 |
| Ward 12 | Geriatric Orthopaedic Rehab. Unit (GORU)and Slow Stream Elderly Rehabilitation | 24 |
| Ward 14 | Endocrinology & Nephrology | 24 (12 endocrinology + 12 renal) |
| Ward 15 | Haemato-oncology | 10 + day patient beds |
| Ward 16 | Dermatology | 18 inpatient + day patient beds |
| Ward 17 | Respiratory | 24 |
| Ward 18 | Medical High Dependency Unit, Coronary Care Unit and CCU Stepdown | 4 HDU, 8 CCU + 10 Step-down |
| Ward 19 | Gastroenterology/stable Cardiology patients | 22 |
| Ward 20 | Acute Elderly Medicine and Rehabilitation | 24 |
| Ward 21 | Acute Stroke Unit | 20 |
| Ward 22 | Acute Elderly Medicine and Rehabilitation | 26 |
| Ward 24 | Psychiatric Unit | 24 |
| Ward 25 | Psychiatric Unit | 24 |
| Ward 26 | Intensive Care Unit | 6 |
| ERU | Emergency Receiving Unit | 36 |
Along with these areas, the hospital also has an A&E
Emergency department
An emergency department , also known as accident & emergency , emergency room , emergency ward , or casualty department is a medical treatment facility specialising in acute care of patients who present without prior appointment, either by their own means or by ambulance...
department and a day surgery unit. Wards 24 and 25 as Mental Health areas are under the authority of the primary Care Division of NHS Lanarkshire and are independent of the hospital. Prior to the refurbishment of the A&E department and the building of the ERU, ward 23 was an A&E short-stay ward. Ward 8 became ward 7a urology, this closed April 2010. Ward 11a was previously called ward 12; and there has never been a ward 13, for superstitious reasons. Similarly some hospital wards and departments do not have rooms numbered 13.
Centralised Services
As part of NHS Lanarkshire's A Picture of Health consultation on the future of service provision within Lanarkshire, the centralisation of specialist services at the most appropriate site is an ongoing process. The centralisation of services to Wishaw General and Hairmyres has been discussed.The centralised services for NHS Lanarkshire at Monklands Hospital are:
- Ear Nose and ThroatOtolaryngologyOtolaryngology or ENT is the branch of medicine and surgery that specializes in the diagnosis and treatment of ear, nose, throat, and head and neck disorders....
Surgery - DermatologyDermatologyDermatology is the branch of medicine dealing with the skin and its diseases, a unique specialty with both medical and surgical aspects. A dermatologist takes care of diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails....
- Renal
- Infectious and communicable diseases
- UrologyUrologyUrology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professionals specializing in the field of urology are called urologists and are trained to diagnose, treat, and manage patients with urological...
[as of February 2006]
Acute Services Review
NHS Lanarkshire's 'Picture of Health' document suggested the downgrading to two consultant-led A&E departments, with a choice between Monklands and Hairmyres for downgrading. The level two hospital will have a nurse-led Minor Injuries UnitMinor Injuries Unit
A minor injuries unit is a hospital department in the United Kingdom largely staffed by emergency nurse practitioners working autonomously who look after minor injuries such as lacerations and fractures, and have access to X-ray facilities. There is some consultant input in training and supervision...
, along with planned surgery
Surgery
Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...
, full diagnostic
Medical diagnosis
Medical diagnosis refers both to the process of attempting to determine or identify a possible disease or disorder , and to the opinion reached by this process...
/outpatient services and general medicine
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....
. Eventually, Monklands was earmarked for downgrading. This would result in NHS Lanarkshire
NHS Lanarkshire
NHS Lanarkshire is responsible for improving the health of more than 553,000 people living within the council areas of North Lanarkshire and South Lanarkshire in Scotland. NHS Lanarkshire employs approximately 12,000 staff...
having consultant-led accident and emergency departments at Wishaw General Hospital
Wishaw General Hospital
Wishaw General Hospital is a district general hospital in the Craigneuk area of Wishaw, North Lanarkshire.-The Hospital:Wishaw General Hospital opened on 29 May 2001. It is a 633-bedded hospital, with the second-largest maternity unit in Scotland, delivering 5500 babies each year...
and Hairmyres Hospital
Hairmyres Hospital
Hairmyres Hospital is a busy district general hospital in East Kilbride, South Lanarkshire, Scotland. The hospital serves one of the largest elderly populations in Scotland.-The Hospital:...
in East Kilbride
East Kilbride
East Kilbride is a large suburban town in the South Lanarkshire council area, in the West Central Lowlands of Scotland. Designated as Scotland's first new town in 1947, it forms part of the Greater Glasgow conurbation...
The decision was widely criticised, including the former Home Secretary
Home Secretary
The Secretary of State for the Home Department, commonly known as the Home Secretary, is the minister in charge of the Home Office of the United Kingdom, and one of the country's four Great Offices of State...
, John Reid MP
John Reid (politician)
John Reid, Baron Reid of Cardowan, PC is a British politician, who served as a Labour Party Member of Parliament and cabinet minister under Tony Blair, most notably as Defence Secretary and then Home Secretary...
, voicing his disapproval of the plans. In September 2006, the plan was approved by Lewis MacDonald
Lewis Macdonald
Lewis Macdonald is a Scottish Labour regional list Member of the Scottish Parliament for North East Scotland, from 2011. He was MSP for the Aberdeen Central constituency from 1999 until 2011.-Background:...
, Deputy Health and Community Care minister. In May 2007, the Labour
Scottish Labour Party
The Scottish Labour Party is the section of the British Labour Party which operates in Scotland....
administration lost out to the Scottish National Party
Scottish National Party
The Scottish National Party is a social-democratic political party in Scotland which campaigns for Scottish independence from the United Kingdom....
in the Scottish Parliament Elections 2007 and the decision was overturned by the new Cabinet Secretary for Health and Wellbeing
Cabinet Secretary for Health and Wellbeing
The Cabinet Secretary for Health, Wellbeing and Cities Strategy, commonly referred to as the Health Secretary, is a cabinet position in the Scottish Government...
, Nicola Sturgeon
Nicola Sturgeon
Nicola Sturgeon is the Deputy First Minister of Scotland, Cabinet Secretary for Health, Wellbeing and Cities Strategy, Deputy Leader of the Scottish National Party and Member for Glasgow Southside....
. She demanded that NHS Lanarkshire find a way of keeping three fully functioning consultant-led A+E departments in Lanarkshire. NHS Lanarkshire have since developed seven possible combinations of keeping three A+E departments open, which have now been delivered for public scrutiny
Public consultation
Public consultation, or simply consultation, is a regulatory process by which the public's input on matters affecting them is sought. Its main goals are in improving the efficiency, transparency and public involvement in large-scale projects or laws and policies...
.