Recruitment and Retention of Health Care Providers in Remote Rural areas
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| Mid Highland CHP (Ross & Cromarty, Skye & Lochalsh, and Lochaber) South East Highland CHP (Inverness, Nairn, Badenoch & Strathspey) Argyll & Bute CHP Community Health Partnerships are responsible for: Supporting the improvement of the health of local communities. Providing health services for local people. Involving local people, health and social care professionals, voluntary and independent organisations, in decisions that affect the planning and delivery of health care and health services for their communities. Co-ordination of the planning, development and provision of health services. The Community Health Partnerships are directly responsible for providing a wide range of local and community based services including local hospitals, community mental health teams, community nurses, midwives and health visitors, therapy teams such as physiotherapy, speech and language therapy, occupational therapy, nutrition and dietetics, podiatry/chiropody, and a range of specialist practitioners such as Macmillan nurses. Some specialist services are hosted by the CHPs and include NHS Dental Services, Acute Mental health and Learning Disability Services and the Out of Hours service. Raigmore Hospital is the district general hospital based in Inverness and is an acute general hospital and has existed on the site since 1941. The hospital has a total of 577 beds and employs approximately 3200 staff and consists of 5 directorates; medical, surgical, woman and child, clinical services and facilities. There are 3 rural general hospitals based in Wick, Fort William and Oban and a further 21 community hospitals across the region. The rural general hospitals undertake management of acute medical and surgical emergencies and are the emergency centre for the community, including the place of safety for mental health emergencies. It provides more advanced levels of diagnostic services than a community hospital and will provide a range of outpatient, day-case, inpatient and rehabilitation services. Secondary psychiatric care is based in New Craigs in Inverness. There are 102 general practices across the region with 409 general practitioners. Dental service Dental Services in the Highlands are managed by NHS Highland, and are made up of the General Dental Services, with independent practices working in either the NHS, private practice or a mixture of both, and the Salaried Dental Service. Secondary care is delivered in Raigmore Hospital, Inverness, Caithness General Hospital, Wick, Lorn and the Isles Hospital, Oban, Lochgilphead Community Hospital and smaller units in community facilities. There are 67 dental practices in total, supporting 128 practitioners and salaried service health centres situated in all the Health Boards, with 110 dental practitioners employed. Salaried Dental Service Centres
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Staff group |
WTE Estimate 2009 |
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GPs |
295 |
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Practice Nurses |
87 |
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Healthcare Assistants and Phlebotomists |
25 |
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Healthcare Staff Group |
Staff in Post at Sept 2011 (wte) |
|
Medical (not including GPs) |
470.5 |
|
Dental |
79.7 |
|
Medical & Dental Support |
225.1 |
|
Med & Dental Total |
775.3 |
|
Nursing & Midwifery (Band 1 -4) |
759.6 |
|
Nursing & Midwifery (Band 5+) |
2324.5 |
|
Nursing & Midwifery Total (wte) |
3084.1 |
|
AHP (Band 1-4) |
108 |
|
AHP (Band 5+) |
429.9 |
|
AHP Total |
537.9 |
|
Other Therapeutic Service |
172.5 |
|
Personal & Social Care |
29.2 |
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Health Science Services |
246.8 |
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Support Services |
811.9 |
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Admin Services |
1243.2 |
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Management (Non AFC) |
67.9 |
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Other Total |
2571.5 |
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TOTAL |
6968.8 |
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