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Future Practice: A Review of the Scottish Medical Workforce
Footnotes
1 Our National Health: a plan for action, a plan for change, the Scottish Executive strategic plan for the modernisation of health services in Scotland, SEHD 2000.
2 Planning Together, the Report of the Scottish Integrated Workforce Planning Group, published together with the response of the Scottish Executive Health Department, SEHD 2002.
3 at
www.scotland.gov.uk/publications
4 The term
specialist is defined on page i. This definition is used throughout this Report.
5 When I'm Sixty-Four (Lennon/McCartney).
6 Quarterly Labour Force Survey, the Office of Population Censuses and Surveys.
7 Securing Our Future Health: Taking a Long-Term View, Final Report, Derek Wanless, April 2002, HM Treasury.
8 Patient Focus and Public Involvement, SEHD, December 2001.
9 Acute Services Report, Scottish Office Department of Health, May 1998 (pps 27 ff.) and Management Executive Letter MEL(1999) 10.
10 Strategy for Information 2001-2005, Scottish Executive. Published on SHOW (Scottish Health on the Web) at
www.show.scot.nhs.uk/imt/Nationalstrat.htm .
11 Certificate of Completion of Specialist Training which is a prerequisite for entry onto the Specialist Register.
12 Calman reforms.
Hospital Doctors: Training for the Future, The Report of the Working Group on Specialist Medical Training, Department of Health, 1993.
13 Solutions for the provision of healthcare in the remote and remote areas of Scotland in the 21st Century, January 2002.
14 Hospitals accepting acute admissions have for this purpose been defined as those with consultant physicians or surgeons based on-site, excluding day and community hospitals. Hospitals which provide the following services have been excluded - Care of the Elderly, Maternity Services, Psychiatric Care, Paediatric Care - unless the hospital is also thought to undertake general medicine or general surgery. The six 'remote and rural' hospitals at Oban, Fort William, Wick, Stornoway, Kirkwall and Lerwick are charted. This list is not definitive and should be viewed as a general indicator only.
15 Hospitals with a major Accident & Emergency Unit have for this purpose been defined as those which have full-time consultant staff in Accident and Emergency Medicine. Some units may have shared consultant cover, and cover in some units may also be provided by consultants from other specialities. Only acute hospitals which provide a major accident and emergency unit have been shown.
16 Telehealth is a term used to acknowledge a broader use of community technology than
Telemedicine (to support multi-professional work and the needs of all health professionals).
17 Medical Workforce includes GP Principals and Assistants, Consultants, Associate Specialists, Staff Grades, Registrar Grades (including GP Registrar), SHOs, PRHOs, Directors of Public Health, Medical Advisors, SCMOs, CMOs, Limited Specialists, Hospital Practitioners and a small number of other grades; GMP (para 94 appts.) are not included, as many of these will be counted under GP Principals. All information obtained from ISD Scotland Skipper database, except GP Registrars which is an estimate on the number of approved training places.
18 The Kennedy Report:
Learning from Bristol: the report of the public enquiry in to children's heart surgery at the Bristol Royal Infirmary 1984-95, Command Paper Cm5207, 2001.
19 Widening participation in higher education in England, National Audit Office, 2002.
20 SCPMDE: Scottish Council for Postgraduate Medical and Dental Education.
21 SNIP: Student Nurse Intake Programme
22 CSBS: Clinical Standards Board for Scotland
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