A rural general hospital is a small

hospital A hospital is a healthcare institution providing patient treatment with specialized Medical Science, health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically ...

, similar to a

district general hospital A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency ...

, but is specifically trained and staffed to provide healthcare services in remote and rural areas. The concept was pioneered by

NHS Scotland NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland ...

Access to services

The rural general hospitals are all to be found in the Scottish

Highlands and Islands The Highlands and Islands is an area of Scotland broadly covering the Scottish Highlands, plus Orkney, Shetland, and the Outer Hebrides (Western Isles). The Highlands and Islands are sometimes defined as the area to which the Crofters' Act o ...

in areas which generally have a small or scattered populations who would otherwise face a long or difficult journey to get to larger settlements. The rural general hospital model aims to overcome some of the practical difficulties associated with delivering services to the people living in these areas.

Framework

Rural general hospitals provide

consultant A consultant (from "to deliberate") is a professional (also known as ''expert'', ''specialist'', see variations of meaning below) who provides advice or services in an area of specialization (generally to medium or large-size corporations). Cons ...

-led general surgical services and examples of the type of planned operations that patients can have include gall bladder surgery and endoscopy. Certain specialist procedures can be performed at rural general hospitals by visiting surgeons. Some specialist staff may travel between rural general hospitals. Rural general hospitals are equipped and staffed to be able to resuscitate, stabilise and prepare patients who might require emergency surgery. Some emergency surgery can be carried out in the rural general hospital- surgery to remove an appendix or resolve an abdominal problem, for example. Many have consultant-led general medical services also. A few hospitals have medical services provided by ''hospital practitioners'', who are

general practitioner A general practitioner (GP) is a doctor who is a Consultant (medicine), consultant in general practice. GPs have distinct expertise and experience in providing whole person medical care, whilst managing the complexity, uncertainty and risk ass ...

s with extra training. All the rural general hospitals have

maternity A mother is the female parent of a child. A woman may be considered a mother by virtue of having given birth, by raising a child who may or may not be her biological offspring, or by supplying her ovum for fertilisation in the case of gestatio ...

services, generally provided by general practitioners and

midwives A midwife (: midwives) is a health professional who cares for mothers and newborns around childbirth, a specialisation known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughout their ...

, although some have Consultant-led services. Rural general hospitals that are located on islands are also equipped and staffed to be able to carry out caesarean sections.

Recognition and support

The Scottish Government accepted the recommendations of the Remote and Rural Steering Group's report and since 2008 have recognised 6 rural general hospitals: * Balfour Hospital,

Kirkwall Kirkwall (, , or ; ) is the largest town in Orkney, an archipelago to the north of mainland Scotland. First mentioned in the ''Orkneyinga saga'', it is today the location of the headquarters of the Orkney Islands Council and a transport hub wi ...

Orkney Orkney (), also known as the Orkney Islands, is an archipelago off the north coast of mainland Scotland. The plural name the Orkneys is also sometimes used, but locals now consider it outdated. Part of the Northern Isles along with Shetland, ...

- run by NHS Orkney *

Belford Hospital Belford Hospital, locally known as The Belford, is a rural general hospital in Fort William, Lochaber, Scotland. It is managed by NHS Highland. History The original hospital, which was financed by a legacy from Andrew Belford and designed b ...

, Fort William,

Lochaber Lochaber ( ; ) is a name applied to a part of the Scottish Highlands. Historically, it was a provincial lordship consisting of the parishes of Kilmallie and Kilmonivaig. Lochaber once extended from the Northern shore of Loch Leven, a distric ...

- run by

NHS Highland NHS Highland () is one of the fourteen regions of NHS Scotland. Geographically, it is the largest Health Board, covering an area of from Kintyre in the south-west to Caithness in the north-east, serving a population of 320,000 people. In 2016 ...

* Caithness General Hospital,

Wick Wick most often refers to: * Capillary action ("wicking") ** Candle wick, the cord used in a candle or oil lamp ** Solder wick, a copper-braided wire used to desolder electronic contacts Wick or WICK may also refer to: Places and placenames ...

Caithness Caithness (; ; ) is a Shires of Scotland, historic county, registration county and Lieutenancy areas of Scotland, lieutenancy area of Scotland. There are two towns, being Wick, Caithness, Wick, which was the county town, and Thurso. The count ...

- run by NHS Highland * Gilbert Bain Hospital,

Lerwick Lerwick ( or ; ; ) is the main town and port of the Shetland archipelago, Scotland. Shetland's only burgh, Lerwick had a population of about 7,000 residents in 2010. It is the northernmost major settlement within the United Kingdom. Centred ...

Shetland Shetland (until 1975 spelled Zetland), also called the Shetland Islands, is an archipelago in Scotland lying between Orkney, the Faroe Islands, and Norway, marking the northernmost region of the United Kingdom. The islands lie about to the ...

- run by NHS Shetland *

Western Isles Hospital The Western Isles Hospital () is a rural general hospital in Stornoway on Lewis in the Western Isles of Scotland. It is managed by NHS Western Isles. History The hospital was built at a cost of £32 million and was officially opened by Prince Ch ...

Stornoway Stornoway (; ) is the main town, and by far the largest, of the Outer Hebrides (or Western Isles), and the capital of Lewis and Harris in Scotland. The town's population is around 6,953, making it the third-largest island town in Scotlan ...

Isle of Lewis The Isle of Lewis () or simply Lewis () is the northern part of Lewis and Harris, the largest island of the Western Isles or Outer Hebrides archipelago in Scotland. The two parts are frequently referred to as if they were separate islands. The t ...

- run by

NHS Western Isles NHS Western Isles () is an NHS board serving the Outer Hebrides (Western Isles) of Scotland. It is one of the fourteen regions of NHS Scotland. NHS Western Isles is responsible for providing primary and secondary healthcare to the 26,000 people ...

Lorn and Islands Hospital Lorn & Islands Hospital is a rural general hospital on the southern outskirts of Oban in Argyll, Scotland. It is managed by NHS Highland. History The hospital was designed by Reiach & Hall using a design solution that has been recognised as ...

Oban Oban ( ; meaning ''The Little Bay'') is a resort town within the Argyll and Bute council area of Scotland. Despite its small size, it is the largest town between Helensburgh and Fort William, Highland, Fort William. During the tourist seaso ...

Argyll Argyll (; archaically Argyle; , ), sometimes called Argyllshire, is a Shires of Scotland, historic county and registration county of western Scotland. The county ceased to be used for local government purposes in 1975 and most of the area ...

Originally about £1.5 million of funding was allocated to support this framework.

Other rural hospital models of care

There are some other hospitals that face similar challenges, but that have employed different models to deliver care to rural communities: *

Dr Gray's Hospital Dr. Gray's Hospital is a district general hospital in Elgin, Moray, Scotland. It is managed by NHS Grampian. History The hospital was founded as a result of a bequest by Alexander Gray (d. 1807), who was born in Elgin but worked as a surgeon f ...

Elgin Elgin may refer to: Places Canada * Elgin County, Ontario * Elgin Settlement, a 19th-century community for freed slaves located in present-day North Buxton and South Buxton, Ontario * Elgin, a village in Rideau Lakes, Ontario * Elgin, Manit ...

Moray Moray ( ; or ) is one of the 32 council areas of Scotland. It lies in the north-east of the country, with a coastline on the Moray Firth, and borders the council areas of Aberdeenshire and Highland. Its council is based in Elgin, the area' ...

* Mackinnon Memorial Hospital, Broadford,

Isle of Skye The Isle of Skye, or simply Skye, is the largest and northernmost of the major islands in the Inner Hebrides of Scotland. The island's peninsulas radiate from a mountainous hub dominated by the Cuillin, the rocky slopes of which provide some of ...

- run by NHS Highland

References

{{Reflist, 2 NHS Scotland Rural Scotland