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Doctors in the city chance places with [link widoczny dla zalogowanych] rural doctors to address Rural Scotland's ongoing medical recruitment crisis. One way that island based doctors get to practice more is by working in the city and improving their skills. In return, the city consultant learns about the unique problems of rural medicine.

This, of course, also aims to encourage more medics to work in the rural areas. The project is being piloted by the Western Isles Hospital in Stornoway and Yorkhill in Glasgow. [link widoczny dla zalogowanych] One locum pediatrician in Stornoway is presently spending a week in Yorkhill so that he can look into the many problems in the area.

The move is set to be repeated every eight weeks and could also involve consultants in other specialties in the future. Most consultants and other senior staff do not like working for [link widoczny dla zalogowanych] rural areas as they feel they are isolated from their peers. In this project the rural doctors will get the chance to rest from a pressured schedule from the communities by working less in the city.

[link widoczny dla zalogowanych] With the hardships of rural recruitment this is threatening the future of many specialist services. In Western Isles Hospital about half are said to be locums, some short term ones have earned over GBP11,000 a week. The locum bill could reach to about GBP1.5 million a year.

One time this pediatrician decided to work after 20 years at Great Ormond Street Hospital in London, Britain's [link widoczny dla zalogowanych] largest children's hospital He worked until the new system is in place. According to him he is not convinced that people are prepared to accept that any longer. More consultant services will disappear if this project was not made.

There is a lack of balance still with children and doctors. In the Western Isles there are only about 5,000 children [link widoczny dla zalogowanych] that one doctor cannot look after. Each year 200 emergency admissions to the children's ward happened. Comparing that Yorkhill will deal with that in a week.

In reality the hospital has six children's beds and the number of births is also expected to drop from [link widoczny dla zalogowanych] around 200 a year now to 150 over the next decade. The future of [link widoczny dla zalogowanych] the rural area is in the hands of the managed clinical network with a mainland center.

Based on what the doctor said they have started negotiations with Yorkhill and would hope the system will be in place by the end of the year. The doctor will be able to improve his skills, the patient will benefit from that and will keep the consultants in remote areas. Specialist medicine in remote and rural areas can see this as a way of growing.

In the opinion of the doctor she does not believe that [link widoczny dla zalogowanych] such jobs [link widoczny dla zalogowanych] will be viable without the new system in place. Chances are advertisements for recruitments [link widoczny dla zalogowanych] will not help unless the systems [link widoczny dla zalogowanych] are in place she claimed. Furthermore she said than if they do not go ahead with the new system they will be sending three times as many children to the mainland for treatment, a move that has big cost implications.
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