Monklands Hospital
3569359
221165029
2008-06-23T09:23:54Z
Kilnburn
6479417
{{Infobox Hospital
| Name = {{PAGENAME}}
| Org/Group = NHS Lanarkshire
| Image = <!-- optional -->
| Caption = <!-- optional -->
| Logo = <!-- optional -->
| Location = [[Airdrie]]
| Region = North Lanarkshire
| State = Scotland
| Country = UK
| HealthCare = NHS
| Type = District General
| Speciality = <!-- Only if especially notable -->
| Emergency = Yes
| Affiliation= <!-- University or Medical School -->
| Beds = 535
| Founded = 1977
| Closed = <!-- optional -->
| Website = http://www.nhslanarkshire.co.uk/Hospitals/Monklands+Hospital.htm
| Wiki-Links = <!-- optional -->
|}}
'''Monklands District General Hospital''', is a [[district general hospital]] in [[Airdrie, North Lanarkshire|Airdrie]] <ref>{{cite web | title = Google Maps showing position in Airdrie | url = http://maps.google.co.uk/maps?amp%3Bhl=en&hl=en&q=ml6+0js&um=1&ie=UTF-8&sa=N&tab=wl}}</ref>, [[North Lanarkshire]], [[Scotland]] <ref>{{cite web | title = Official NHS Lanarkshire Monklands Hospital page | url = http://www.nhslanarkshire.co.uk/Hospitals/Monklands+Hospital.htm}}</ref>. Administered by [[NHS Lanarkshire]]<ref>{{cite web | title = Official NHS Lanarkshire Monklands Hospital page | url = http://www.nhslanarkshire.co.uk/Hospitals/Monklands+Hospital.htm}}</ref>; it serves a population of approximately 260,000 people of North and [[South Lanarkshire]] council areas <ref>{{ cite web | title = NHS Education for Scotland | url = http://www.nes.scot.nhs.uk/SFAS/Prog_by_Region/West/hospitals/monklands/}}</ref>. The hospital has recently been in the [[Scotland|Scottish]] [[Mass media|media]]<ref>{{ cite web | title = News stories re: potential downgrading | url = http://news.google.co.uk/archivesearch?q=monklands+hospital+cut&hl=en&um=1}]</ref> due to the decision to downgrade the [[Emergency department|accident and emergency]] A&E department and subsequent reversal of this decision by the [[Scottish Parliament Elections 2007|newly elected]] [[Scottish Government]].
==History==
In [[1887]] [[Wilson Baronets|Sir John Wilson]] [[Baronet|Bt]] [[Justice of the Peace#Scotland|JP]] - a late 19th century businessman and local [[politician]] - bought the Airdrie House estate. Upon his death, he [[bequest|bequeathed]] the land to the people of Airdrie and became the local [[maternity]] hospital ([[Coatbridge]] and [[Airdrie]] [[maternity]] hospital) in [[1919]]. This closed in [[1962]] and was demolished in [[1964]] to make way for the current Monklands District General Hospital <ref>{{cite web | title = The Monklands from Monklands Online | url = http://www.monklands.co.uk/monklands/index.htm}}</ref>.
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'<ref> {{cite web | title = Hansard from HoC 11th Dec 1970 | url = http://hansard.millbanksystems.com/commons/1970/nov/11/airdrie-general-hospital}}</ref>, 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]]. [[Image:Monkhouse2.jpg|right|thumb|Airdrie House, c.1900]]
==NHS Lanarkshire and the Monklands catchment==
{{main|NHS Lanarkshire}}
NHS Lanarkshire is responsible for the [[health]] 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 [[emergency department|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 centre]]s and seventeen community and day hospitals <ref>{{cite web | title = NHS Lanarkshire | url = http://www.nhslanarkshire.co.uk}}</ref>.
===Population===
Collectively, Airdrie, Coatbridge, and their surrounding villages are called ''[[Monklands]]''. [[Monklands District Council]] was the [[Subdivisions of Scotland|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]] <ref>[http://www.monklands.co.uk/monklands/timeline.htm Monklands Online - Timeline<!-- Bot generated title -->]</ref>. The hospital entrance is technically in Airdrie, however the hospital itself straddles the border between Airdrie and her neighbouring town, [[Coatbridge]] <ref>http://maps.google.co.uk/maps?hl=en&tab=wl&q=monklands%20hospital Postcode of Monklands is 'ML6', hence in Airdrie</ref>.
Monklands Hospital serves approximately 260,000 people in the [[North Lanarkshire]] catchment area, including the major towns of Airdrie, Coatbridge, [[Cumbernauld]], [[Bellshill]], [[Uddingston|Viewpark]], [[Newhouse, North Lanarkshire|Newhouse]]. It forms one of three acute hospitals in [[NHS Lanarkshire]]. The others being [[NHS Lanarkshire|Wishaw General Hospital]] in [[Wishaw]] and [[Hairmyres Hospital]] in [[East Kilbride]] <ref>[http://www.nhslanarkshire.co.uk/Hospitals/Introduction.htm Introduction<!-- Bot generated title -->]</ref> <ref>http://www.nhslanarkshire.org.uk/NR/rdonlyres/6C72A413-6E44-4E70-9047-245524D398B0/0/InpatientMonklands.pdf</ref>.
===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 floorsabove that. The lower ground contains the [[canteen]], the [[pharmacy]] and the [[mortuary]].[[Image:Monklandsdgh.jpg|thumb|300px|right|Monklands Hospital showing A&E]]
[[Image:Monkaerial.png|thumb|300px|right|Monklands Hospital aerial shot]]
The wards, bed capacity and their specialities are:
{| class="wikitable"
!Ward/Area
!Speciality
!Number of Beds
|-
|Ward 1|| Renal || 12 inpatients + day case patients
|-
|Ward 2|| Communicable Diseases|| 30
|-
|Ward 3||Formerly Paediatrics||CLOSED
|-
|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|| 34||
|-
|Ward 9|| ENT|| 28 + 2HDU beds
|-
|Ward 10|| Orthopaedics||24
|-
|Ward 11||Orthopaedics|| 20
|-
|Ward 11a|| Geriatric Orthopaedic Rehab. Unit (GORU)||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|| Coronary Care Unit and CCU Stepdown||8 CCU + 14 Step-down
|-
|Ward 19|| General Medicine/Gastroenterology || 22
|-
|Ward 20|| Acute Elderly Medicine and Rehabilitation|| 24
|-
|Ward 21|| Acute Elderly Medicine and Rehabilitation|| 20
|-
|Ward 22|| Acute Stroke Unit|| 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 [[Emergency department|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 is now ward 7a which is the urology day patient's unit. 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 [http://www.a-picture-of-health.org 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:
*[[Otolaryngology|Ear Nose and Throat]] Surgery
*[[Dermatology]]
*[[Renal]]
*Infectious and [[Communicable Diseases]]
*[[Urology]] [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 Monklands and Hairmyres the choice for downgrading. The level two hospital will have a [[nurse]]-led minor [[injuries]] unit, along with performing planned [[surgery]], full [[diagnostic]]/[[outpatient]] services and general [[medicine]]. Eventually, Monklands was earmarked for downgrading. This would result in [[NHS Lanarkshire]] having two consultant-led accident and emergency departments at [[NHS Lanarkshire|Wishaw General Hospital]] and [[Hairmyres Hospital]] in [[East Kilbride]] <ref>http://www.a-picture-of-health.org/Acute+Hospital+Developments/Monklands/Monklands+Hospital+Developments.htm</ref>
The decision was widely criticised, including the former [[Home Secretary]], [[John Reid (politician)|John Reid MP]], voicing his disapproval of the plans <ref>[http://news.bbc.co.uk/1/hi/scotland/glasgow_and_west/5128214.stm BBC NEWS | Scotland | Glasgow and West | Reid attacks A&E closure decision<!-- Bot generated title -->]</ref>. In September 2006, the plan was approved by [[Lewis MacDonald]], Deputy Health and Community Care minister <ref>[http://news.bbc.co.uk/1/hi/scotland/glasgow_and_west/5270736.stm BBC NEWS | Scotland | Glasgow and West | Lanarkshire loses A&E department<!-- Bot generated title -->]</ref> <ref>http://www.scotland.gov.uk/News/News-Extras/nhslanarkshire</ref>. In May 2007, the [[Scottish_Labour_Party|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 <ref>[http://news.bbc.co.uk/1/hi/scotland/6724087.stm BBC NEWS | Scotland | A&E closure decisions overturned<!-- Bot generated title -->]</ref>. NHS Lanarkshire have since developed seven possible combinations of keeping three A+E departments open, which have now been delivered for [[public consultation|public scrutiny]] <ref>[http://www.nhslanarkshire.co.uk/NR/rdonlyres/4491982E-5774-458B-A881-C75EBCF6FD23/0/MAINPAPERNHSLAEServiceReview.pdf NHS Lanarkshire<!-- Bot generated title -->]</ref>
==References==
{{reflist|2}}
[[Category:NHS hospitals]]
[[Category:North Lanarkshire]]
[[Category:Hospitals in Scotland]]
[[Category:NHS Lanarkshire]]