77-514: Ayrshire Central Hospital , also known as Irvine Central Hospital , is an NHS hospital in Irvine , North Ayrshire , Scotland . It is managed by NHS Ayrshire and Arran . The hospital is constructed on land which was formerly part of the southern portions of the Eglinton Castle Estate . The hospital, which was designed by William Reid and commissioned by the now defunct Ayr County Council ,
154-583: A private finance initiative scheme: Prescription charges were abolished in Scotland in 2011. Alex Neil defended the abolition in 2017 saying that restoring the charge would be a false economy , "Given that it costs on average £4,500 per week to keep patients in an acute hospital in Scotland, it's actually cheaper to keep them at home and give them the drugs to prevent them going into hospital." The National Health Service and Community Care Act 1990 introduced GP fundholding for certain elective procedures on
231-423: A comprehensive medical record, usually affording some continuity of care. There is no option to self-refer to specialists in Scotland unlike many European countries. GP surgeries consist of partner GPs who are responsible for running the practice, and may include GPs employed by the practice and paid a salary, but who do not have any responsibility in running the surgery. In some instances, GPs are directly employed by
308-449: A deficiency in the panel system , which required workers who earned less than £160 per year to pay 4d per week. Fourpence per week was beyond the means of most crofters at the time, who were subsistence farmers but often provided many troops for British armed forces. Average crofting families' income in some areas could be as low as £26 per annum (10/- or 120d per week) or even lower. The additional challenges of delivering medical care in
385-815: A detailed plan for the future of health provision based on the Cathcart report. Following the publication of the Beveridge Report in 1942, the UK Government responded with a white paper , A National Health Service ( Cmd. 6502) in 1944 led by the Conservative MP and Minister for Health Henry Willink . In its introduction, the white paper laid out the Government's intention to have the new health service operate in Scotland-- The UK Parliament passed
462-611: A larger population than Wark, the Coldstream men always defeated the Wark men at the game, and so the land became a permanent part of Scotland. It is a common misconception that Hadrian's Wall marks the Anglo-Scottish border. The wall lies entirely within England and has never formed this boundary. While in the west, at Bowness-on-Solway, it is less than 0.6 mi (1.0 km) south of
539-518: A new national Centre for Sustainable Delivery was established to bring together national programmes for scheduled and unscheduled care, waiting times and best practice – and ensure health boards are implementing them. There are 14 health boards (HBs) which are the upper tier of the Scottish health care system, reporting directly to the Scottish Government. They were created in 1974 as a result of
616-681: A number of assessment beds for the Elderly Mental Health Service. NHS Scotland NHS Scotland , sometimes styled NHSScotland , is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, supported by seven special non-geographic health boards, and Public Health Scotland . At
693-535: A plan for improving oral health and modernising dental practices was put into place, known as 'Childsmile', which provides preventive care such as proper brushing technique, tooth varnish and dietary advice. This has resulted in 60% of children in Scotland having no obvious signs of tooth decay. An incentive programme for GPs was established in 2004, known as the Quality and Outcomes Framework (QOF) were introduced in order to reward and incentivize good practice and provided
770-422: A prescription at very low prices in most chemists and supermarkets. Most optometrists in Scotland also provide NHS services, and provide eye examinations , which includes retinal health checks and other eye screening services in addition to sight tests. Entitlements are mainly for corrective lenses and a predetermined set of frames - which were once known as 'NHS glasses' which attracted some social stigma until
847-669: A region on the border between England and Scotland. It was known as the Debatable Lands and neither monarch's writ was heeded. Following the 1603 Union of the Crowns , King James VI & I decreed that the Borders should be renamed 'the Middle Shires'. In the same year the King placed George Home, 1st Earl of Dunbar in charge of the pacification of the borders. Courts were set up in the towns of
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#1733093206640924-460: A ten-digit number known as the CHI Number . These are used to uniquely identify individuals, avoiding problems such as where health records of people with similar birth dates and names may be confused, or where ambiguously spelled or abbreviated names may lead to one patient having several different health records. In addition, CHI numbers are quoted in all clinical correspondence to ensure that there
1001-442: A voluntary basis. Fundholding gave GPs significant influence over Trusts' decision making as a significant source of funding. GP Fundholding was subsequently abolished with the function transferring to Primary Care Trusts in 1998. In 2001, NHS 24 , was established to provide advice and triage services for patients outside of the 'core hours' of 08:00–18:30 on any working day. They can also advise of pharmacy opening hours. In 2002,
1078-600: A way for GP surgeries to increase their income. This was abolished in Scotland in 2015 as QOF compliance was a significant administrative burden for GPs. The Scottish Government and the British Medical Association agreed the 2018 Scottish General Medical Services Contract that came in to force 1 April 2018. In 2008, the Scottish Government introduced the Scottish Patient Safety Programme, which aimed to reduced iatrogenic illness by changing
1155-449: A way that might improve public representation. This plan was abandoned in 2013 after trials in Fife and Dumfries and Galloway resulted in low voter turnout . Local health boards are supported by seven national special health boards providing national services, some of which have further publicised subdivisions, including: The seven boards are supported by Public Health Scotland , which
1232-458: Is a substantial effort to develop a drone delivery service. The University of Strathclyde , NHS Grampian , NATS Holdings , AGS Airports and other partners form a consortium, Care and Equity – Healthcare Logistics UAS Scotland known as 'CAELUS' which has designed drone landing stations for NHS sites across Scotland and developed a virtual model of the proposed delivery network. It is testing whether drones will improve logistics services, including
1309-515: Is an estimate that helps to take account of full and part-time work patterns. Scotland's healthcare workforce includes: Prior to the creation of NHS in Scotland in 1948, the state was involved with the provision of healthcare, though it was not universal. Half of Scotland's landmass was already covered by the Highlands and Islands Medical Service , a state-funded health system run directly from Edinburgh, which had been set up 35 years earlier to address
1386-634: Is an internal border of the United Kingdom separating Scotland and England which runs for 96 miles (154 km) between Marshall Meadows Bay on the east coast and the Solway Firth in the west. The Firth of Forth was the border between the Picto - Gaelic Kingdom of Alba and the Anglian Kingdom of Northumbria in the early 10th century . It became the first Anglo-Scottish border with
1463-597: Is anachronistic; such nations had no meaningful existence during the period of Roman rule. "Hadrian's Wall" is nonetheless often used as an informal reference to the modern border, often semi-humorously. Cumbria and Northumberland have amongst the largest Scottish-born communities in the world outside Scotland. 16,628 Scottish-born people were residing in Cumbria in 2001 (3.41% of the county's population) and 11,435 Scottish-born people were residing in Northumberland (3.72% of
1540-626: Is no uncertainty over the patient in question. A similar system of NHS reference numbers has since been instituted by NHS England and Wales. In 2000, the NHS boards were starting to help out researchers with their studies. The Scottish Dental Practice Board , for example, was helping out a study which looked at the significance of orthodontic treatment with fixed appliances. The SDPB shared 128 subjects with these researchers for analysis. The SNP led Scottish Government, elected in May 2007, made it clear that it opposed
1617-639: Is responsible for public health, including national health protection, and health education from April 2020) NHS Health Scotland , Health Protection Scotland and Information Services Division were succeeded by Public Health Scotland in April 2020. This new agency is a collaborative approach by both the Scottish Government and COSLA as a result of the Public Health Reform Programme. The NHS in Scotland does have some services provided by
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#17330932066401694-596: The Battle of Carham in 1018 and the River Tweed became the de facto Anglo-Scottish border. The Solway–Tweed line was legally established in 1237 by the Treaty of York between England and Scotland. It remains the border today, with the exception of the Debatable Lands , north of Carlisle , and a small area around Berwick-upon-Tweed , which was taken by England in 1482. Berwick was not fully annexed into England until 1746, by
1771-603: The British Medical Association , attacked the decision to release weekly reports on the Accident and Emergency 4-hour wait target in June 2015. In June 2015, 92.2% of patients were admitted or discharged within 4 hours against a target of 95%. He said, "The publication of these weekly statistics completely misses the point and diverts attention from the real issues in our health service." Anglo-Scottish border The Anglo-Scottish border ( Scottish Gaelic : Crìochan Anglo-Albannach )
1848-532: The Early Middle Ages . The town changed hands more than a dozen times before being finally taken by the English in 1482, though confusion continued for centuries. The Wales and Berwick Act 1746 clarified the status of Berwick as an English town. In the 1950s the artist Wendy Wood moved the border signs south to the middle of the River Tweed as a protest. In 2008 SNP MSP Christine Grahame made calls in
1925-758: The General Dental Council , optometrists by the General Optical Council , pharmacists by the General Pharmaceutical Council , and allied health professionals by the Health and Care Professions Council . Inspection of premises is undertaken by Healthcare Environment Inspectorate and the Care Inspectorate . There are separate institutions, independent of government such as Academy of Medical Royal Colleges and Faculties in Scotland ,
2002-612: The Hospital for Tropical Diseases in London. These trusts also treat patients from healthcare systems outside the UK. The Mental Welfare Commission for Scotland is an independent statutory body which protects people with a psychological disorder who are not able to look after their own interests. It is funded through the Scottish Government Health & Social Care Directorate, and follows
2079-428: The National Health Service (Scotland) Act 1947 , which came into effect on 5 July 1948. This foundational legislation has since been superseded. This Act provided a uniform national structure for services which had previously been provided by a combination of the Highlands and Islands Medical Service , local government, charities and private organisations which in general was only free for emergency use. The new system
2156-609: The National Health Service (Scotland) Act 1972 and are based on groups of the local government districts that existed between 1975 and 1996. There were initially 15 HBs in 1974 but the Argyll and Clyde HB was abolished and its area absorbed into the Highland and Greater Glasgow HBs on 1 April 2006, with the latter renamed to NHS Greater Glasgow and Clyde. The part of the NHS Argyll and Clyde area which transferred to NHS Highland corresponds to
2233-579: The National Waiting Times centre to address waiting lists and limit use of the private sector. To have access to NHS services, patients should register with a General Practice . Most often this will be an independent contractor who has agreed to provide general medical services to patients, funded on a capitation basis, with weighting given for the age distribution, poverty, and rurality. Various services are provided free of charge by General Practitioners (GPs), who are responsible for maintaining
2310-569: The Norman conquest of England until the reign of James VI of Scotland, who in the course of his reign became James I of England while retaining the more northerly realm, border clashes were common and the monarchs of both countries relied on Scottish Earls of March and Lord Warden of the Marches to defend and control the frontier region. In 1333, during the Second War of Scottish Independence , Scotland
2387-734: The Nuffield Trust and the Health Foundation produced a report comparing the performance of the NHS in the four countries of the UK since devolution in 1999. They included data for the North East of England as an area more similar to the devolved areas than the rest of England. They found that there was little evidence that any one country was moving ahead of the others consistently across the available indicators of performance. There had been improvements in all four countries in life expectancy and in rates of mortality amenable to health care. Despite
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2464-560: The Royal College of Physicians of Edinburgh , the Royal College of Surgeons of Edinburgh , and the Royal College of Physicians and Surgeons of Glasgow which are distinct from their counterparts elsewhere in the United Kingdom which support professionals in Scotland. Other subdivisions of the Scottish NHS include: During the COVID-19 pandemic , NHS Scotland established Test and Protect as
2541-698: The Scottish Marches , is the area on either side of the Anglo-Scottish border including parts of the modern council areas of Dumfries and Galloway and the Scottish Borders , and parts of the English counties of Cumbria and Northumberland . It is a hilly area, with the Scottish Southern Uplands to the north, and the Cheviot Hills forming the border between the two countries to the south. From
2618-591: The Scottish Parliament for Berwick to become part of Scotland again. Berwick's MP Anne-Marie Trevelyan has resisted any change, arguing that: "Voters in Berwick-upon-Tweed do not believe it is whether they are in England or Scotland that is important." At the River Tweed the border runs down the middle of the river, however between the villages of Wark and Cornhill the Scottish border comes south of
2695-700: The Wales and Berwick Act 1746 . For centuries until the Union of the Crowns , the region on either side of the boundary was a lawless territory suffering from the repeated raids in each direction of the Border Reivers . Following the Treaty of Union 1706 , ratified by the Acts of Union 1707 , which united Scotland with England and Wales to form the Kingdom of Great Britain , the Border forms
2772-558: The annexation of Northumbria by Anglo-Saxon England in the mid-10th century. In 973, the Scottish king Kenneth II attended the English king Edgar the Peaceful at Edgar's council in Chester . After Kenneth had reportedly done homage, Edgar rewarded Kenneth by granting him Lothian . Despite this transaction, the control of Lothian was not finally settled and the region was taken by the Scots at
2849-671: The 1970's uncomplicated births were usually at home or at the nearby Buckredden Maternity Home in Kilwinning while births at the hospital were often those that could involve complications. Subsequently most local births took place in the hospital. However Ayrshire paediatric services were centralised at Crosshouse in July 2006 while maternity services moved to the new Ayrshire Maternity Unit at Crosshouse Hospital in August 2006. The hospital provides young disabled services and rehabilitation services, and has
2926-548: The Argyll and Bute council area. According to Public Health Scotland data, the 2019 population sizes of the regional health boards were estimated to be: In January 2008, the Scottish Government announced plans for legislation to bring in direct elections as a way to select people for non-executive positions on health boards. The Health Committee of the Scottish Parliament had supported plans for directly elected members as
3003-520: The English; the French ambassador acting as umpire. The Scots' Dike was built as the new frontier, with stones set up bearing the arms of England and of Scotland. Berwick is famous for its hesitation over whether it is part of Scotland or England. Berwickshire is in Scotland while the town is in England, although both Berwick and the lands up to the Firth of Forth belonged to the Kingdom of Northumbria in
3080-527: The Middle Shires and known reivers were arrested. The more troublesome and lower classes were executed without trial; known as " Jeddart justice " (after the town of Jedburgh in Roxburghshire ). Mass hanging soon became a common occurrence. In 1605 he established a joint commission of ten members, drawn equally from Scotland and England, to bring law and order to the region. This was aided by statutes in 1606 and 1609, first to repeal hostile laws on both sides of
3157-565: The Middle Shires had been brought under central law and order. By the early 1620s the Borders were so peaceful that the Crown was able to scale down its operations. Despite these improvements, the Joint Commission continued its work, and as late as 25 September 1641 under King Charles I , Sir Richard Graham , a local laird and English MP, was petitioning the Parliament of Scotland "for regulating
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3234-436: The NHS in England – such as NHS Business Services Authority , which processes the payment of dental, optical and pharmacy vouchers and negotiates with pharmaceutical suppliers to negotiate prices per-item down. The costs for the medicines consumed is borne by the health board that patient's GP surgery is based in. Some very complex, low volume, highly-specialist hospital services are also provided by NHS trusts in England, such as
3311-490: The NHS treatment and pays for the composite restoration as temporary private patient, but remains an NHS patient for future checkups. Community pharmacies in Scotland also provide prescribed medicines free of charge, where the patient is registered with a GP Surgery based in Scotland, and where the appropriate prescription-voucher is given. Like GPs, they are private providers who deliver NHS services under contract. Pharmacists are increasingly delivering services which were once
3388-670: The Scottish Parliament Acted to introduce free personal care for patients aged over 65 in Community Care and Health (Scotland) Act 2002. The Scottish Parliament abolished Primary Care Trusts in the National Health Service Reform (Scotland) Act 2004, which abolished the internal market in Scotland and replaced NHS Trusts with 15 territorial health boards. In 2004, GPs were no longer required to provide out of hours services unless they opted into doing so. In 2005,
3465-413: The border with Scotland, in the east it is as much as 68 miles (109 km) away. For centuries the wall was the boundary between the Roman province of Britannia (to the south) and the Celtic lands of Caledonia (to the north). However Britannia occasionally extended as far north as the later Antonine Wall . Furthermore, to speak of England and Scotland at any time prior to the ninth century
3542-511: The border, and then to more easily prosecute cross-border raiders. Reivers could no longer escape justice by crossing from England to Scotland or vice versa. The rough-and-ready Border Laws were abolished and the folk of the middle shires found they had to obey the law of the land like all other subjects. In 1607 James felt he could boast that "the Middle Shires" had "become the navel or umbilic of both kingdoms, planted and peopled with civility and riches". After ten years King James had succeeded;
3619-471: The boundary of the two legal systems as the treaty between Scotland and England guaranteed the continued separation of English law and Scots law . The age of marriage under Scots law is 16, while it is 18 under English law . The border settlements of Gretna Green to the west, and Coldstream and Lamberton to the east, were convenient for elopers from England who wanted to marry under Scottish laws, and marry without publicity. The marine boundary
3696-467: The disorders in the borders". Conditions along the border generally deteriorated during the Commonwealth and Protectorate periods, with the development of Moss-trooper raiders. Following the Restoration , ongoing border lawlessness was dealt with by reviving former legislation, renewed continually in eleven subsequent acts, for periods ranging from five to eleven years, up until the late 1750s. The Debatable Lands lay between Scotland and England to
3773-467: The founding of the National Health Service in the United Kingdom, three separate institutions were created in Scotland, England and Wales and Northern Ireland . The NHS in Scotland was accountable to the Secretary of State for Scotland rather than the Secretary of State for Health as in England and Wales. Prior to 1948, a publicly funded healthcare system, the Highlands and Islands Medical Service , had been established in Scotland in 1913, recognising
3850-408: The geographical and demographic challenges of delivering healthcare in that region. Following Scottish devolution in 1999, health and social care policy and funding became devolved to the Scottish Parliament . It is currently administered through the Health and Social Care Directorates of the Scottish Government . The current Cabinet Secretary for Health and Social Care is Neil Gray , and
3927-423: The head of staff is the director-general health and social care and chief executive of NHS Scotland, Caroline Lamb. NHS Scotland had an operating budget of £ 15.3 billion in 2020/21. Health and social care are devolved issues in the United Kingdom and the separate public healthcare bodies of Scotland, England and Wales are each commonly referred to as " National Health Service ". The NHS in Scotland
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#17330932066404004-423: The hotly contested policy differences between the four countries there was little evidence, where there was comparable data, of any significant differences in outcomes. The authors also complained about the increasingly limited set of comparable data on the four health systems of the UK. In 2014–2015 more than 7,500 NHS patients were treated in private hospitals to meet waiting times targets. Dr. Peter Bennie, of
4081-406: The late 13th century, with the creation by Edward I of England of the first Lord Warden of the Marches to the early 17th century and the creation of the Middle Shires, promulgated after the personal union of England and Scotland under James VI of Scotland (James I of England)—the area around the border was known as the Scottish Marches . For centuries the Marches on either side of the boundary
4158-410: The local health board, such as in parts of the Highlands and Islands. The NHS in Scotland also covers dentistry for patients who have registered with a dentist who has agreed to provide services to NHS patients. Most dentists in Scotland have a mixture of NHS patients and private patients . Check-ups are free, however dentists charge patients a regulated fee. Patients in Scotland must pay up to 80% of
4235-412: The management of NHS boards. Local authority nominees were added to board membership to improve co-ordination of health and social care . The remaining 16 Trusts were dissolved from 1 April 2004. Hospitals are now managed by the acute division of the NHS board. Primary care services such as GPs and pharmacies would continue to be contracted through the NHS board, but from 2004 were considered part of
4312-472: The national contact tracing service to minimise the spread of the virus within Scotland. The Central Register keeps records of patients resident in Scotland who have been registered with any of the health systems of the United Kingdom. It is maintained by the Registrar General . Its purposes include keeping GPs' patient lists up to date, the control of new NHS numbers issued in Scotland and assisting with medical research. Scottish patients are identified using
4389-408: The north of Carlisle , the largest population centre being Canonbie . For over three hundred years the area was effectively controlled by local clans , such as the Armstrongs , who successfully resisted any attempt by the Scottish or English governments to impose their authority. In 1552 commissioners met to divide the land in two: Douglas of Drumlanrigg leading the Scots; Lord Wharton leading
4466-452: The range of frames was extended. Hospital services are delivered directly by the National Health Service in Scotland. Since devolution, Scottish healthcare policy has been to move away from market-based solutions and towards direct delivery, rather than using the private or voluntary sectors. Proposals for the establishment of fifteen NHS boards were announced by the Scottish Executive Health Department in December 2000. Further details about
4543-465: The remit of Community Health Partnerships (CHPs), structures based largely on local authority boundaries and including local authority membership of their boards. By April 2014, there were new joint working arrangements in place between the NHS boards and local authorities came into effect that also included responsibility for social care. Their new organisations, which took over from CHPs are called Health and Social Care Partnerships (HSCPs). In 2021
4620-450: The responsibilities of GPs, such as flu vaccinations as well as offering advice on skin problems, gastrointestinal problems and other minor illnesses. Pharmacies in Scotland are frequently located inside Chemists' shops and supermarkets. While there are no prescription charges in Scotland, prescription-vouchers are not ordinarily given in Scotland for certain medicines - such as acetominophen and ibuprofen - as these are available without
4697-402: The river to enclose a small riverside meadow of approximately 2 to 3 acres (about a hectare). This piece of land is known as the Ba Green. It is said locally that every year the men of Coldstream (to the North of the river) would play mob football with the men of Wark (to the South of the river) at Ba , and the winning side would claim the Ba Green for their country. As Coldstream grew to have
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#17330932066404774-415: The role and function of the unified NHS health boards were provided in May 2001. From 1 October 2001 each geographical health board area had a single NHS board that was responsible for improving health and health services across their local area, replacing the previous decision-making structures of 43 separate boards and trusts. In April 2004, Scotland's health care system became an integrated service under
4851-458: The safety culture to be more in line with the aviation industry, by providing clinicians with skills in improvement methodology and root cause analysis. In 2022 an extra £82.6 million was announced to bolster pharmacy support for repeat prescriptions and medication reviews in GP practices. The same year, NHS Scotland recruited 191 nurses from overseas. The nurses were recruited from several countries, including India and Philippines. A plan
4928-419: The same financial framework as the NHS in Scotland. The Scottish Health Council took over from local Health Councils on 31 March 2005. Regulation of most medical practitioners is a reserved matter, with doctors regulated by the General Medical Council of the United Kingdom, nurses by the Nursing and Midwifery Council , dentists, dental therapists, dental hygienists, dental technicians and dental nurses by
5005-561: The sparsely populated highlands and islands with poor infrastructure were also funded by the Highlands and Islands Medical Service. During the Second World War, the Emergency Hospital Service (Scotland) built many hospitals intended to treat wartime casualties and injuries. These hospitals initially lay idle and so the Scottish Secretary at the time decided to use the hospital capacity to reduce long waiting lists for treatment. Scotland also had its own distinctive medical tradition, centred on its medical schools rather than private practice, and
5082-416: The supposed treaty. Edward would continue the war but would be unable to restore the puppet ruler Balliol to the throne and with the Treaty of Berwick (1357) Scottish independence was once again acknowledged with any pretence to territorial annexations dropped. A 16th-century Act of the Scottish Parliament talks about the chiefs of the border clans, and a late 17th-century statement by the Lord Advocate uses
5159-635: The terms "clan" and "family" interchangeably. Although Lowland aristocrats may have increasingly liked to refer to themselves as "families", the idea that the term "clan" should be used for Highland families alone is a 19th-century convention. Historic Border clans include the following: Armstrong , Beattie, Bannatyne, Bell, Briar, Carruthers , Douglas , Elliot , Graham , Hedley of Redesdale, Henderson, Hall , Home or Hume , Irvine , Jardine , Johnstone , Kerr , Little , Moffat , Nesbitt , Ogilvy , Porteous , Robson, Routledge, Scott , Thompson , Tweedie . During late medieval and early modern eras—from
5236-430: The total cost of the treatment unless they qualify for free treatment or help with costs. Dentists are remunerated through a voucher towards treatment and patients can choose to have more expensive treatments if they are willing and able to do so. This is mostly commonly seen with dental amalgam restorations on molars, which are available on the NHS, whereas composite resin restorations are not. The patient 'opts-out' of
5313-405: The transport of laboratory samples, blood products, chemotherapy and medicines. It is hoped that this will provide equity of care between urban and remote rural communities. At present patients in remote areas may have to travel for hours to reach a hospital able to provide specialised treatment. Skyports , a drone operator, is running flight trials and live flights should start in 2023. In 2014
5390-430: The use of partnerships between the NHS and the private sector. Health Secretary Nicola Sturgeon voiced opposition to what she termed the "creeping privatisation" of the NHS, and called an end to the use of public money to help the private sector "compete" with the NHS. In September 2008, the Scottish Government announced that parking charges at hospitals were to be abolished except 3 where the car parks were managed under
5467-441: Was adjusted by the Scottish Adjacent Waters Boundaries Order 1999 so that the boundary within the territorial waters (up to the 12-mile (19 km) limit) is 90 metres (300 ft) north of the boundary for oil installations established by the Civil Jurisdiction (Offshore Activities) Order 1987. The land border is near and roughly parallel to the 420 million-year-old Iapetus Suture . The border country, historically known as
5544-426: Was an area of mixed allegiances, where families or clans switched which country or side they supported as suited their family interests at that time, and lawlessness abounded. Before the personal union of the two kingdoms under James, the border clans would switch allegiance between the Scottish and English crowns depending on what was most favourable for the members of the clan. For a time a powerful local clan dominated
5621-425: Was built from 1936 and was opened in stages from 1941 and became fully operational by 1944. The hospital was constructed as a series of pavilions. It joined the National Health Service in 1948. On 1 December 2005 the maternity building was flooded by a burst water tank. The flooding threatened the special care baby unit and took fire crews from Dreghorn , Kilwinning and Kilmarnock 3 hours to control. Until
5698-717: Was created as an administratively separate organisation in 1948 under the ministerial oversight of the Scottish Office , before being politically devolved in 1999. This separation of powers and financing is not always apparent to the general public due to the co-ordination and co-operation where cross-border emergency care is involved. Approximately 160,000 staff work across 14 regional NHS Boards, seven Special NHS Boards and one public health body, More than 12,000 of these healthcare staff are engaged under independent contractor arrangements. Descriptions of staff numbers can be expressed as headcount and by Whole-Time Equivalent (WTE) which
5775-464: Was defeated at the Battle of Halidon Hill and Edward III occupied much of the borderlands. Edward declared Edward Balliol the new King of Scots, in exchange for much of southern Scotland and absolute supplication, but this was not recognised by the majority of the Scottish nobility who remained loyal to David II and conflict continued. By 1341, Perth and Edinburgh had been retaken by the Scots and Edward Balliol fled to England, effectively nullifying
5852-640: Was funded from central taxation and did not generally involve a charge at the time of use for services concerned with existing medical conditions or vaccinations carried out as a matter of general public health requirements; prescription charges were a later introduction in 1951. Current provision of healthcare is the responsibility of 14 geographically based local NHS boards, seven national special health boards, supported by Public Health Scotland , plus many small contractors for primary care services. Hospitals, district nursing services and healthcare planning are managed by health boards. Government policy has been to use
5929-485: Was made to hire another 203 foreign nurses through recruitment agencies. A contract was awarded to Inhealthcare for remote monitoring services across Scotland. This will enable patients to record relevant information at home and relay the readings to NHS teams for analysis using a mobile app or landline telephone. It will be used to manage hypertension, chronic obstructive pulmonary disease, asthma, heart disease, diabetes, depression, malnutrition, cancer and COVID. There
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