Monklands Hospital showing A&E
|Location||Airdrie, North Lanarkshire, Scotland|
|Hospital type||District General|
|Lists||Hospitals in Scotland|
Monklands District General Hospital, is a district general hospital in Airdrie, North Lanarkshire, Scotland. Administered by NHS Lanarkshire, it serves a population of approximately 260,000 people of North and South Lanarkshire council areas. The hospital has recently been in the Scottish media due to the decision to downgrade the accident and emergency A&E department and subsequent reversal of this decision by the newly elected Scottish Government.
In 1887 Sir John Wilson Bt JP - a late 19th-century businessman and local politician - bought the Airdrie House estate. Upon his death, he bequeathed the land to the people of Airdrie and it became the local maternity hospital (Coatbridge and Airdrie Maternity Hospital) in 1919. This closed in 1962 and was demolished in 1964 to make way for the current Monklands District General Hospital. Monklands was the first new hospital, that is, one which did not provide new accommodation for an existing hospital to be built in Scotland in the post World War II era. Planned to be known as 'Airdrie District General Hospital', it was renamed with the introduction of local council reorganisation, to Monklands District General Hospital. The first patients were admitted in 1977, however, some hospital departments were open in 1974 including the College of Nursing.
NHS Lanarkshire and the Monklands catchment
NHS Lanarkshire is responsible for the health of more than 553,000 people living within the North and South Lanarkshire local authority areas. There are three district general hospitals in the area - Hairmyres Hospital, Monklands and Wishaw General Hospital. Each of these hospitals has an accident and emergency department and provides a range of specialist medical and surgical services. Primary health care is provided in the community and includes general practitioners (GPs), dentists, pharmacists, health visitors and a wide range of health professionals. NHS Lanarkshire's primary care facilities include health centres and seventeen community and day hospitals.
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. The hospital is technically in Airdrie, however it straddles the border between Airdrie and the neighbouring town, Coatbridge.
Monklands Hospital serves approximately 260,000 people in the North Lanarkshire catchment area, including the major towns of Airdrie, Coatbridge, Cumbernauld, Bellshill, Viewpark, Newhouse. It forms one of three acute hospitals in NHS Lanarkshire.
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:
|Ward/Area||Speciality||Number of beds|
|Ward 1||Renal||17 inpatients + day case patients|
|Ward 2||Communicable Diseases||30|
|Ward 3||Urology clinic (Formerly Paediatrics)|
|Ward 4/SRU||General Surgery and Surgical Receiving Unit||34 (12 SRU + 22 Ward)|
|Ward 5||Surgical High Dependency||8|
|Ward 6||Breast and General Surgery||24|
|Ward 9||ENT and Maxillo-facial Surgery||28 + 2HDU beds|
|Ward 12||Geriatric Orthopaedic Rehab. Unit (GORU)and Slow Stream Elderly Rehabilitation||24|
|Ward 14||Endocrinology & Nephrology||24 (12 endocrinology + 12 renal)|
|Ward 15||Haemato-oncology||10 + day patient beds|
|Ward 16||Dermatology||18 inpatient + day patient beds|
|Ward 18||Medical High Dependency Unit, Coronary Care Unit and CCU Stepdown||4 HDU, 8 CCU + 10 Step-down|
|Ward 19||General medicine||26|
|Ward 20||Acute Elderly Medicine and Rehabilitation||24|
|Ward 21||Acute Stroke Unit||20|
|Ward 22||Acute Elderly Medicine and Rehabilitation||26|
|Ward 24||Psychiatric Unit||24|
|Ward 25||Psychiatric Unit||24|
|Ward 26||Intensive Care Unit||6|
|ERU||Emergency Receiving Unit||36|
Along with these areas, the hospital also has an A&E department and a day surgery unit. Wards 24 and 25 as Mental Health areas are under the authority of the primary Care Division of NHS Lanarkshire and are independent of the hospital. Prior to the refurbishment of the A&E department and the building of the ERU, ward 23 was an A&E short-stay ward. Ward 8 became ward 7a urology, this closed April 2010. Ward 11a was previously called ward 12; and there has never been a ward 13, for superstitious reasons. Similarly some hospital wards and departments do not have rooms numbered 13.
As part of NHS Lanarkshire's A Picture of Health consultation on the future of service provision within Lanarkshire, the centralisation of specialist services at the most appropriate site is an ongoing process. The centralisation of services to Wishaw General and Hairmyres has been discussed.
The centralised services for NHS Lanarkshire at Monklands Hospital are:
- Ear Nose and Throat Surgery
- Infectious and communicable diseases
- Urology [as of February 2006]
Acute Services Review
NHS Lanarkshire's 'Picture of Health' document suggested the downgrading to two consultant-led A&E departments, with a choice between Monklands and Hairmyres for downgrading. The level two hospital will 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 result in NHS Lanarkshire having consultant-led accident and emergency departments at Wishaw General Hospital and Hairmyres Hospital in East Kilbride 
The decision was widely criticised, including the former Home Secretary, John Reid MP, voicing his disapproval of the plans. In September 2006, the plan was approved by Lewis MacDonald, Deputy Health and Community Care minister. In May 2007, the Labour administration lost out to the Scottish National Party in the Scottish Parliament Elections 2007 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. NHS Lanarkshire have since developed seven possible combinations of keeping three A+E departments open, which have now been delivered for public scrutiny.
- "Monklands Hospital". NHS Lanarkshire. Retrieved 2009-08-29.
- "Monklands Hospital, Airdrie - General information". NHS Education for Scotland. Retrieved 2009-08-29.[dead link]
- "News stories re: potential downgrading". Retrieved 2009-08-29.
- "Monklands - Brief History of the area". Monklands Online. Retrieved 2009-08-29.
- "HoC 11th Dec 1970". Hansard. Retrieved 2009-08-29.
- "Hospitals". Retrieved 2009-08-29.
- NHS Lanarkshire: Inpatient Information[dead link]
- "NHS Lanarkshire". NHS Lanarkshire. Retrieved 2009-08-29.
- "Timeline". Monklands Online. Retrieved 2009-08-29.
- "Google map". Postcode of Monklands is 'ML6', hence in Airdrie
- NHS Lanarkshire: Monklands Hospital Developments[dead link]
- "Reid attacks A&E closure decision". BBC News. June 2006. Retrieved 2009-08-29.
- "Lanarkshire loses A&E department". BBC News. 21 August 2006. Retrieved 2009-08-29.
- "Letter on NHS Lanarkshire proposals for the future". Scottish Government. 21 August 2006. Retrieved 2009-08-29.
- "A&E closure decisions overturned". BBC News. 6 June 2007. Retrieved 2009-08-29.
- NHS Lanarkshire[dead link]
- "Study reveals 538 'excess deaths' at Scotland's worst hospital". Scottish Express. 7 December 2013. Retrieved 8 December 2013.