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Service Priority, Accessibility and Quality in Rural Scotland

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ANNEX 5H: SERVICE PRIORITIES IN RSPA AREAS

SERVICE ISSUES

WORKSHOP FINDINGS

Health Services

Angus

Argyll & Bute 1

Argyll & Bute 2

Dumfries & Galloway 1

Access

  • difficulty replacing retiring staff
  • long waiting times

Quality

  • practice nurse replaces GP

Access/quality

  • single elderly - lack of community spirit to help

Access

  • integration of services
  • hospice provision
  • range of services

Access/Quality

  • need for video conferencing facilities on mainland to use with island facilities
  • concern over GPs not being replaced or being replaced by nurse
  • access to district nurse
  • cost and time spent travelling to specialist services on mainland

Access

  • lack of dentists especially for emergencies
  • long hospital waiting lists

Dumfries & Galloway 2

East Ayrshire 1

East Ayrshire 2

Eilean Siar 1

Access

  • limited NHS dentists
  • lack of respite care facilities and home support

Access

  • lack of NHS dentists
  • withdrawal of school dentist
  • GP appointments
  • range of services available locally

Access

  • wait for GP appointments
  • wait for on-call doctors
  • limited ambulance services

Quality

  • old GP facilities

Access

  • more well clinics needed
  • poor hospital access
  • access to midwifery services
  • paid accommodation on mainland for visiting sick in hospital

Eilean Siar 2

Eilean Siar 3

Highland

Orkney

Access

  • out of hours GP

Access

  • lack of NHS dentists
  • difficulty replacing district nurse
  • siting of well clinics

Access

  • centralisation of services

Access

  • access to GP
  • lack of health centre

South Ayrshire

Access

  • out of hour services

no day time care for vulnerable members of the community

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Page updated: Wednesday, May 31, 2006