University Hospital Monklands

University Hospital Monklands is a district general hospital in Airdrie, North Lanarkshire, Scotland.[1] It serves a population of approximately 260,000 people of North and South Lanarkshire council areas[2] and is managed by NHS Lanarkshire.[1]

University Hospital Monklands
NHS Lanarkshire
University Hospital Monklands showing the A+E unit.
Shown in North Lanarkshire
Geography
LocationAirdrie, North Lanarkshire, Scotland
Coordinates55°51′57″N 3°59′55″W
Organisation
Care systemNHS
TypeDistrict General
Services
Emergency departmentYes
Beds535
History
Opened1977
Links
Websitewww.nhslanarkshire.co.uk/Hospitals/Monklands/Pages/default.aspx
ListsHospitals in Scotland

History
Airdrie House, c.1900

Sir John Wilson, a businessman and local politician, bequeathed the land to the people of Airdrie and it became the local maternity hospital (Airdrie House Maternity Home Hospital) in 1919.[3] The facility closed as a maternity hospital in 1962 and was completely demolished in 1964.[4]

Originally planned as Airdrie District General Hospital, following a local council reorganisation, the new acute hospital on the site became known as Monklands District General Hospital. Although some hospital departments, including the College of Nursing were open by 1974, the hospital did not become fully operational until 1977.[5]

In April 2006 NHS Lanarkshire issued its 'Picture of Health' document suggested the downgrading to two consultant-led A&E departments, with a choice between Monklands Hospital and Hairmyres Hospital for downgrading. The level two hospital would have a nurse-led Minor Injuries Unit, along with planned surgery, full diagnostic/outpatient services and general medicine. Eventually, Monklands was earmarked for downgrading. This would have resulted in NHS Lanarkshire having consultant-led accident and emergency departments only at Wishaw General Hospital and Hairmyres Hospital in East Kilbride.[6]

The decision to downgrade was widely criticised, with the former Home Secretary, John Reid MP, voicing his disapproval of the plans.[7] In September 2006, the plan was approved by Lewis MacDonald, Deputy Health and Community Care minister.[8][9] In May 2007, the Labour administration lost out to the Scottish National Party in the 2007 Scottish Parliament election 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.[10] In 2009 NHS Lanarkshire developed seven possible combinations of keeping three A+E departments open; these were subsequently delivered for public scrutiny.[11]

In December 2013 it emerged that Healthcare Improvement Scotland figures showed the hospital had recorded a higher than predicted mortality rate in 18 of the previous 27 quarterly reports.[12] The Academy of Medical Royal Colleges and Faculties in Scotland produced a report entitled "Learning from serious failings in care" in July 2015. They found above-average mortality rates at the hospital and called on NHS Lanarkshire to make widespread improvements.[13]

In November 2017, NHS Lanarkshire renamed all three acute hospitals in the local area to reflect their new university teaching status.[14]

Facilities
Monklands Hospital aerial view circa 1980

Collectively, Airdrie, Coatbridge, and their surrounding villages were once referred to as Monklands. Monklands District Council was the 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.[15] The hospital is technically in Airdrie, however it straddles the border between Airdrie and the neighbouring town, Coatbridge.[16]

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 floors above that. The lower ground contains the canteen, the pharmacy and the mortuary. The wards, bed capacity and their specialities are:[17]

Ward/AreaSpecialityNumber of beds
Ward 1Renal17 inpatients + day case patients
Ward 2Infectious Diseases30
Ward 3Urology Day Suite
Ward 4/SRUGeneral Surgery and Surgical Receiving Unit34 (12 SRU + 22 Ward)
Ward 5Surgical High Dependency8
Ward 6Breast and General Surgery24
Ward 7Urology30
Ward 8 Medical Transitional Care
Ward 9ENT and Maxillo-facial Surgery28 + 2HDU beds
Ward 10Gastroenterology/Dermatology/Renal24
Ward 12Acute Elderly Medicine and Rehabilitation24
Ward 14Endocrinology & Nephrology24 (12 endocrinology + 12 renal)
Ward 16Haemato-oncology18 inpatient + day patient beds
Ward 17Respiratory24
Ward 18Medical High Dependency Unit, Coronary Care Unit and Cardiology4 HDU, 8 CCU + 10 Step-down
Ward 19Acute Medical Receiving Unit26
Ward 20Acute Elderly Medicine and Rehabilitation24
Ward 21Acute Stroke Unit20
Ward 22Acute Elderly Medicine and Rehabilitation26
Ward 24Psychiatric Unit24
Ward 26Intensive Care Unit10
MAUMedical Assessment Unit/Ambulatory Care Unit15

References
  1. "Monklands Hospital". NHS Lanarkshire. Retrieved 29 August 2009.
  2. "Monklands Hospital, Airdrie - General information". NHS Education for Scotland. Archived from the original on 30 December 2007. Retrieved 2009-08-29.
  3. "Archived copy". Archived from the original on 19 July 2011. Retrieved 15 December 2009.CS1 maint: archived copy as title (link)
  4. "Monklands - Brief History of the area". Monklands Online. Retrieved 29 August 2009.
  5. "HoC 11th Dec 1970". Hansard. Retrieved 29 August 2009.
  6. "A Picture of Health" (PDF). NHS Lanarkshire. Retrieved 20 January 2019.
  7. "Reid attacks A&E closure decision". BBC News. 29 June 2006. Retrieved 29 August 2009.
  8. "Lanarkshire loses A&E department". BBC News. 21 August 2006. Retrieved 29 August 2009.
  9. "Letter on NHS Lanarkshire proposals for the future". Scottish Government. 21 August 2006. Retrieved 29 August 2009.
  10. "A&E closure decisions overturned". BBC News. 6 June 2007. Retrieved 29 August 2009.
  11. Accident & Emergency Service Review, NHS Lanarkshire
  12. "Study reveals 538 'excess deaths' at Scotland's worst hospital". Scottish Express. 7 December 2013. Retrieved 8 December 2013.
  13. "NHS accused of 'systemic failings'". Edinburgh News. 10 July 2015. Retrieved 12 July 2015.
  14. Tennant, Niki (28 November 2017). "Wishaw General renamed by NHS Lanarkshire to reflect new university status". Daily Record. Retrieved 3 April 2018.
  15. "Timeline". Monklands Online. Archived from the original on 12 October 2007. Retrieved 29 August 2009.
  16. "Google map". Postcode of Monklands is 'ML6', hence in Airdrie
  17. "Ward information". NHS Lanarkshire. Retrieved 3 January 2017.
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