NHS Scotland

Our Developments

Achieving Excellence – A plan for person-centred, innovative healthcare to help Lanarkshire flourish

We have launched a consultation to hear your views on our new healthcare strategy. The strategy, called ‘Achieving Excellence’, sets out a number of proposals including:

  • Plans for a £400m project to replace or fully refurbish University Hospital Monklands
  • The delivery of high quality specialist services in centres of excellence
  • Increased use of technology to help patients manage their own conditions
  • The development of more community services
  • A long-term model for the provision of trauma and orthopaedic surgery in Lanarkshire.

The goal is to shift the balance away from treatment in hospitals. We want to prevent ill-health in the first instance and develop enhanced community services where people are looked after at home or in homely settings.  Hospital care would be organised into centres of excellence to provide specialised clinical services for patients

We have made a commitment that University Hospitals Hairmyres, Wishaw and Monklands will all continue to deliver emergency care with each hospital including

  • A consultant-led emergency department 
  • Acute medical and surgical services 
  • Diagnostics and imaging 
  • Operating theatres and critical care 
  • Outpatient services

University Hospital Monklands Replacement/Refurbishment Project  

NHS Lanarkshire has been given the go-ahead to develop an outline business case (OBC) to rebuild or refurbish Monklands Hospital and to seek a capital allocation for the project. A clinically-led programme is underway to develop the OBC.

The development of the OBC will be undertaken in the broader context of achieving the aims of the Health and Social Care Delivery Plan. In doing so, NHS Lanarkshire work collaboratively with other health boards in the region to ensure the benefit is maximised for the whole of the population it serves.

As part of the development of an OBC for the replacement or refurbishment of University Hospital Monklands, NHS Lanarkshire undertook an option appraisal process to assess the proposals.

Members of the public and NHS Lanarkshire staff worked together during two events this week to consider the non-financial benefits of four agreed proposals for the Monklands replacement/refurbishment project (MRRP):

Option A - Ongoing maintenance of the current hospital 
Option B - A refurbishment of the current hospital 
Option C - A new-build hospital at the current location
Option D - A new-build hospital at a different location

Option D was the highest scoring in the initial option appraisal event on Monday (4 June), leading to a second event today (8 June), to consider two alternative locations – Gartcosh and Glenmavis - that had been previously shortlisted from a long-list of 37 sites.

The location at Gartcosh, site of the former steelworks, emerged as the highest scoring at today’s event. However, before a preferred option for any future hospital can be identified further work will need to be completed.

The construction period for the new development will be dependent on the preferred option.

Further information can be found on University Hospital Monklands Consultation

Trauma and Orthopaedics

NHS Lanarkshire is improving patient safety and quality of care in a two phased restructuring of its trauma and orthopaedics service. Orthopaedic services were identified as an area requiring review following the recommendation of the Healthcare Improvement Scotland (HIS) rapid review of the safety and quality of care for acute adult patients in NHS Lanarkshire. The HIS review identified the need to review the distribution of orthopaedic services and develop a service model that meets patients’ needs. 

This review forms part of the overall consultation on the Lanarkshire Healthcare Strategy 'Achieving Excellence'.

Interim changes to trauma and orthopaedics have already been agreed after risks within the service which could compromise patient safety and quality of care were recognised following feedback from Healthcare Improvement Scotland (HIS), the Scottish Government Peer Review process Getting It Right First Time (GIRFT), the General Medical Council (GMC) and the NHS Education for Scotland (NES). Their advice led to NHS Lanarkshire carrying out a detailed review of our trauma and orthopaedic services from which these proposals have been developed.

New Health Centre’s

Across Lanarkshire investment has been made to complete new health centre's in Airdrie, Bellshill, East Kilbride, Kilsyth and Motherwell.

Critical Care Unit at University Hospital Monklands 

Construction of a new state-of-the-art 10-bed new critical care unit (CCU) at University Hospital Monklands was completed in early 2016.  The new CCU, which is linked to the hospital’s current operating theatres, is part of a £19m refurbishment and upgrade programme.


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01698 377 733


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