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Patient care at Aberdeen Royal Infirmary faces 'serious' impact Patient care at Aberdeen Royal Infirmary faces 'serious' impact
(about 1 hour later)
Patient care at Aberdeen Royal Infirmary faces a "serious impact" if problems are not "urgently addressed", a report has said.Patient care at Aberdeen Royal Infirmary faces a "serious impact" if problems are not "urgently addressed", a report has said.
The Healthcare Improvement Scotland (HIS) review made 13 recommendations for improvement for NHS Grampian.The Healthcare Improvement Scotland (HIS) review made 13 recommendations for improvement for NHS Grampian.
It identified concerns about leadership and culture which are impacting on the quality of care.It identified concerns about leadership and culture which are impacting on the quality of care.
Dr Angus Cameron, chairman of the review team, said: "The issues are serious." The review was one of three critical reports into health care in the north east of Scotland published on Tuesday,
The report said the potential for patient care and safety to be further compromised was overwhelmingly evident. HIS also released a report into the care of elderly people, while recommendations from a separate report by the Royal College of Surgeons said a number of consultants were unable to work productively together.
The Aberdeen Royal Infirmary (ARI) report said the potential for patient care and safety to be further compromised was overwhelmingly evident.
Findings of Healthcare Improvement Scotland reportsFindings of Healthcare Improvement Scotland reports
HIS also said the NHS Grampian board was insufficiently aware of problems facing ARI.HIS also said the NHS Grampian board was insufficiently aware of problems facing ARI.
It described one of the surgical units as significantly dysfunctional.It described one of the surgical units as significantly dysfunctional.
The HIS review was one of three reports released on Tuesday. HIS also released a critical report into the care of elderly people. Dr Angus Cameron, chairman of the review team, said: "The issues are serious."
Recommendations from a separate report by the Royal College of Surgeons said a number of consultants are unable to work productively together. NHS Grampian said it accepted all the recommendations in the three reports.
NHS Grampian said it accepted all the recommendations in the reports.
Interim chief executive Malcolm Wright said: "These reports highlight issues with leadership and management, culture and behaviour, accountability and governance within NHS Grampian.Interim chief executive Malcolm Wright said: "These reports highlight issues with leadership and management, culture and behaviour, accountability and governance within NHS Grampian.
"We take these reports extremely seriously and we accept the recommendations that the reports make.""We take these reports extremely seriously and we accept the recommendations that the reports make."
Mr Wright expressed disappointment at serious concerns raised in the older people's report, and apologised to patients and their families.Mr Wright expressed disappointment at serious concerns raised in the older people's report, and apologised to patients and their families.
He said: "This is undoubtedly a challenging time for NHS Grampian.He said: "This is undoubtedly a challenging time for NHS Grampian.
"These three reports have highlighted a range of issues requiring immediate attention."These three reports have highlighted a range of issues requiring immediate attention.
"I am confident in the ability of my colleagues throughout this organisation to address these issues and deliver a sustainable high quality health service for the future.""I am confident in the ability of my colleagues throughout this organisation to address these issues and deliver a sustainable high quality health service for the future."
'Failings of leadership''Failings of leadership'
Niall Dickson, chief executive of the General Medical Council (GMC), said: "This report raises very serious issues about aspects of medical care at Aberdeen Royal Infirmary.Niall Dickson, chief executive of the General Medical Council (GMC), said: "This report raises very serious issues about aspects of medical care at Aberdeen Royal Infirmary.
"In particular, those conducting the review found unprofessional conduct by senior doctors which had not been addressed, a significantly dysfunctional surgical unit, little evidence of effective performance management and a failure to follow up concerns raised by the GMC's survey of doctors in training at the hospital."In particular, those conducting the review found unprofessional conduct by senior doctors which had not been addressed, a significantly dysfunctional surgical unit, little evidence of effective performance management and a failure to follow up concerns raised by the GMC's survey of doctors in training at the hospital.
'We are also extremely concerned that large numbers of consultants had no job plans and there was minimal evidence that clinical governance structures were working effectively.'We are also extremely concerned that large numbers of consultants had no job plans and there was minimal evidence that clinical governance structures were working effectively.
"The individual behaviours and the systemic failures described in the report are completely unacceptable."The individual behaviours and the systemic failures described in the report are completely unacceptable.
"And while HIS found no direct evidence of patient harm, we agree with the authors when they conclude that 'the potential for patient care and safety to be further compromised is overwhelmingly evident in the findings of this report'.""And while HIS found no direct evidence of patient harm, we agree with the authors when they conclude that 'the potential for patient care and safety to be further compromised is overwhelmingly evident in the findings of this report'."
Royal College of Nursing (RCN) Scotland associate director Ellen Hudson said: "We have been raising serious concerns both locally and nationally about the situation at Aberdeen Royal Infirmary for quite some time.Royal College of Nursing (RCN) Scotland associate director Ellen Hudson said: "We have been raising serious concerns both locally and nationally about the situation at Aberdeen Royal Infirmary for quite some time.
"These have now been exposed with the publication of this report by HIS, which lays bare the failings of leadership and management at NHS Grampian.""These have now been exposed with the publication of this report by HIS, which lays bare the failings of leadership and management at NHS Grampian."
The health board's chief executive and medical director have left their posts in recent months as the row between management and senior consultants deepened.The health board's chief executive and medical director have left their posts in recent months as the row between management and senior consultants deepened.