NHS Lanarkshire review

Robbie Pearson 

“In reaching its conclusions the review team heard the experiences of over 300 patients and carers, listened to over 200 members of staff; visited over 40 clinical areas and reviewed 152 records of patients. The patient and carer voice has been central to the conclusions the review team have reached.

Although the review team found a service where clinicians and managers are working hard to do the right thing, sometimes in a difficult environment, the team concluded that a broad range of improvements are necessary for NHS Lanarkshire to continue its commitment to delivering deliver safe and effective patient care. This includes the need for stronger focus and leadership in implementing robust patient safety interventions and in the redesign of services.”

Robbie Pearson, Director of Scrutiny and Assurance at Healthcare Improvement Scotland and Chair of the review team

Rapid Review of the Safety and Quality of Care for Acute Adult Patients in NHS Lanarkshire

In August 2013, the Cabinet Secretary for Health and Wellbeing commissioned Healthcare Improvement Scotland to undertake a Rapid Review of the safety and quality of care for acute adult patients in NHS Lanarkshire.

The terms of reference for the review were to:

  • provide an independent expert diagnosis of the factors which may underlie the Hospital Standardised Mortality Ratio figures, including a Rapid Review assessment of any systemic factors which may be impacting on the safety and quality of care and treatment being provided to patients in NHS Lanarkshire’s acute hospitals
  • consider whether the existing action by NHS Lanarkshire to address any key issues, identified in the diagnostic phase is adequate and whether any additional steps should be taken
  • advise if any additional support should be made available to NHS Lanarkshire to help strengthen and accelerate their improvement programme, and
  • advise on any areas that may require further action.

Healthcare Improvement Scotland has undertaken an extensive, independent review of the factors influencing the quality and safety of care in NHS Lanarkshire’s acute hospitals (Wishaw Hospital, Hairmyres Hospital and Monklands Hospital). The review team included a range of experienced healthcare professionals from across NHSScotland and members of the public. It was supported by an expert advisory group.

This report and its appendices set out the principal findings from this review and the recommendations that NHS Lanarkshire should undertake in response to these findings.

Published Date: 17 December 2013


"Although the review was triggered by concerns about mortality rates, it has entailed a detailed and broader assessment of the key factors relating to the quality and safety of care in the three acute hospitals. The findings and recommendations offer NHS Lanarkshire guidance on a way forward having used the expertise and knowledge of senior clinicians from across Scotland, experts in healthcare, NHS leaders, junior staff and, importantly, the patients and staff, including the leadership team, in NHS Lanarkshire.”

Dr Simon Mackenzie, Medical Director for Quality Improvement, NHS Lothian and Clinical Lead for the review team