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lothian NHS  p i Off ice of the Chair and Chief Executive Wav erl ey Gat e 2-4 Waterloo Place Edinburgh EH13EG Lothian NHS Board www.nhslolhian.scol.nhs.uk Kezia Dugdale MSP The Scottish Parliament Edinburgh EH991SP Date Our Ref Enquiries to Direc t Line 11 Oc tob er 11, 2011 16435 Complaints Tea m 0131 53633 70 De ar Ms D ugd ale Th an k yo u for yo ur lett er of 14 Se pte mb er 20 11, rec eiv ed in my off ice on 20 Se pte mb er 201 1, in wh ich you outlined con cerns rega rding W ard 6 at the Wes tern Ge ner al Ho spital. I passed yo ur letter to our Chief Ope ra tin g Of fic er, Mrs Ja ck ie Sansbu ry , as she has ope ra ti onal mana gement re sp on si bi lit y fo r th e Cancer Ser vi ces an d as ke d he r to inve stigat e this ma tter and provide me with a detailed report. Mrs Sa ns bu ry ad vis ed th at fo llo wi ng an ev alu at io n fro m a 10 mon th Be d Occ up an cy Analysis Study a proposal ha s been discussed to rev iew the be d co mp lime nt in Ward 6 at the Western General Hospital through service redesign. Mr s Sa nsb ury co nfir ms tha t the bre ast se rvic e will co ntin ue to offe r an d pro vid e sp ec ialis t care for pa tien ts with breast disease. This ca re provision will co ntinue to be available 7 day s per week maintaining our high standard s. At pre sent Ward 6 ha s a bed ca pa city for ele ve n in-p atients and also pro vides a da y ca re fac ility with 6 av aila ble trolle ys. Ward 6 will not be relo ca ting from its pres en t site . Mr s Sa ns bu ry ad vise s tha t du ring the stu dy pe riod War d 6 be d oc cup an cy tot ale d 83.9% and only 44.2 % of this tota l wa s occupied by patients wit h bre as t dis ea se . There were on ly 3 day s where pa tien ts wit h breast disease oc cup ied all 11 bed s. Th e av era ge len gth of st ay for in- pa tie nts fo llo wi ng br east su rg er y is 2. 4 da ys an d 7. 5 ho urs fo r pa tie nts att en din g the day bed fac ility. Cu rre ntly at wee k-e nd s the bed occ up an cy wit hin War d 6 of patient shaving undergone breast surgery is minimal. Mr s Sa ns bu ry ad vis ed th at it wou ld be an tic ip at ed th at pa tie nts wh o ha ve un de rg one bre ast surgery who require to remain in hospital ov er a Sa tur day/Sunday would be cared for in Wa rd 6 ov er Sa tur da y mo rnin g wh ere their care wou ld co ntin ue to be pro vid ed by nurs es fro m War d 6 ov er the weekend period from Sa turday afternoon un til Monday mo rnin g. At pre se nt surg ica l pro ced ure s pe rfor me d on Frid ay 's are gen era lly da y ca se proc edu res where patie nt are dischar ged hom e later the same day . Headquarters Wav erl ey Gate, 2-4 Wat erl oo Pla ce, Edinburgh EH13EG Chair Dr Charles J Win stanley Chief Exec utive Profe ssor J ames J Bar bour O.B.E . Lothi an NHSBoard is the common name of Lothi an Heal th 

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"lothian

NHS p i

Office of the Chair and Chief

Executive

Waverley Gate

2-4 Waterloo Place

Edinburgh

EH13EG

Lothian NHS Board

www.nhslolhian.scol.nhs.uk

Kezia Dugdale MSPThe Scottish Parliament

Edinburgh

EH991SP

DateOur Ref

Enquiries to

Direct Line

11 October 11, 201116435

Complaints Team

0131 5363370

Dear Ms Dugdale

Thank you for your letter of 14 September 2011, received in my office on 20 September

2011, in which you outlined concerns regarding Ward 6 at the Western General Hospital.

I passed your letter to our Chief Operating Officer, Mrs Jackie Sansbury, as she hasoperational management responsibility for the Cancer Services and asked her to

investigate this matter and provide me with a detailed report.

Mrs Sansbury advised that following an evaluation from a 10 month Bed Occupancy

Analysis Study a proposal has been discussed to review the bed compliment in Ward 6 atthe Western General Hospital through service redesign.

Mrs Sansbury confirms that the breast service will continue to offer and provide specialist

care for patients with breast disease. This care provision will continue to be available 7days per week maintaining our high standards.

At present Ward 6 has a bed capacity for eleven in-patients and also provides a day care

facility with 6 available trolleys. Ward 6 will not be relocating from its present site.

Mrs Sansbury advises that during the study period Ward 6 bed occupancy totaled 83.9%

and only 44.2 % of this total was occupied by patients with breast disease. There were

only 3 days where patients with breast disease occupied all 11 beds. The average length

of stay for in-patients following breast surgery is 2.4 days and 7.5 hours for patients

attending the day bed facility. Currently at week-ends the bed occupancy within Ward 6 ofpatient shaving undergone breast surgery is minimal.

Mrs Sansbury advised that it would be anticipated that patients who have undergonebreast surgery who require to remain in hospital over a Saturday/Sunday would be cared

for in Ward 6 over Saturday morning where their care would continue to be provided by

nurses from Ward 6 over the weekend period from Saturday afternoon until Monday

morning. At present surgical procedures performed on Friday's are generally day caseprocedures where patient are discharged home later the same day.

Headquarters

Waverley Gate, 2-4 Waterloo Place, Edinburgh EH13EG

Chair Dr Charles J WinstanleyChief Executive Professor James J Barbour O.B.E.Lothian NHSBoard  is the  common name  of Lothian Health 

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NHS" .-.J'r-Lothian

Mrs Sansbury confirms that all patients are offered an extremely comprehensive 16 page

information booklet on discharge from Ward 6. This care pathway would continue and the

booklet provides information regarding postoperative wound care, exercises and general

information with a range of helpful contact numbers for patients and carers.

Mrs Sansbury also confirms that there will be no job losses through the proposed breast

service redesign.

, trust that you find this information of help in regard to your: enquiry -

y o u r s ~ e : t ~ W~JAMES BARBOUR t\jv(se. Y \ lC . c .1 - o r· 

Chief Executive

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