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Footnotes
1. © Photograph courtesy of Jim Douglas
2. (2005) "Clinical Peripherality Index" August 2004, Centre for Rural Health
3. (2000) " Treating Patients with Colorectal Cancer in rural and urban areas: a qualitative study of the patients' perspective" 2000, Family Practice
4. Paykel ES et al (2000) "Urban-rural Mental Health Differences in Great Britain: Findings from the National Morbidity Survey" Psychological Medicine 30; 2 269-280.
5. (2003) "Organisation of Cancer Services in Wigtownshire, South West Scotland: Threat or Opportunity", 2003 RARARI Project 124, Baird, Dr AG, Donnelly, DR CM, Wemyss, HD
6. (2005) "Delivering for Health" October 2005, Scottish Executive Health Department
7. (2005) "The National Workload Planning Framework" 2005 Scottish Executive Health Department
8. (2005) "Workforce Challenges" 2005 Data Presented at Stakeholder Event by the Northern Territories Group
9. (2006) "Portfolio of Evidence for the Virtual School of Rural Health" 2006 Swann, G obo NES
10. (2002) "Priority Based Dispatch: Full Business Case" Scottish Ambulance Service Publication
11. (2006) "The Review of Nursing in the Community in Scotland" November 2006 Scottish Executive Health Department
12. (2005) "A Snapshot Audit of Admissions to Community Hospitals in Argyll and Bute" 2005 Champion, Tim (Unpublished)
13. (2006) "The system of unscheduled care in Scotland: Variation in the level of admission by GP Practice" Delivering for Health Information Programme Dec 2006 ISD
14. (2003) "Increasing emergency admissions among older people in Scotland: a whole system account" 2003 3:69 Kendrick, M and Conway, M
15. (2004) "Better Health in Old Age" November 2004, Department of Health
16. (2005) 'Pathfinder Project' 2005, Scottish Ambulance Service Publication
17. (2006) "The Road Less Travelled: providing home care in rural communities" Caring 2006 25(11), Brown, D
18. (2006) "Developing community Hospitals: a strategy for Scotland" Dec 2006 SEHD
19. (2007) "Shifting the Balance of Care" Tierney F and Grant F, Unpublished Audit by Remote and Rural Project
20. Details of this activity are contained within the Technical Annex of this document.
21. (2007) "Rural General Hospital Needs Assessment" 2007 March, North of Scotland Public Health Network (Unpublished)
22. Evidence is graded by SIGN on the basis of the quality of the evidence presented.
23. 2++ High quality systematic reviews of case control/cohort studies or high quality case or cohort studies with very low risk of confounding, bias or chance; 2+ Well conducted case control or cohort studies with low risk of confounding, bias or chance; 2- Case control or cohort studies with high risk of confounding, bias or chance; 3 Non-analytic studies e.g. case reports, case series
24. The definition of total intervention rate is: the sum of hospital activity taken up by a catchment population in any hospital within Scotland.
25. Ibid
26. Nationally agreed coding methodology for all surgical procedures.
27. The full Action Team Report, supporting the NFSC "Rural Access Action Team: Final Report" can be accessed at ( www.show.scot.nhs.uk/SEHD/NationalFramework)
28. (2005) "The National Framework for Service Change in NHS Scotland" Vol.2, page 97-103, Scottish Executive, www.show.scot.nhs/sehd/nationalframework
29. (2006) "Delivering for Mental Health" SEHD
30. (2006) "Delivering for Mental Health National Crisis Standards" Nov 2006 SEHD
31. (2005) "National Framework for Service Change" May 2005, Scottish Executive
32. (2005) "Delivering for Health" November 2005, Scottish Executive
33. (2006) "Remote and Rural Paediatric Project" December 2006 Scottish Executive
34. (2007) "Delivering a Healthy Future: An Action Framework for Children and Young People's Health in Scotland" April 2007, Scottish Executive
35. 2006 Visible, Accessible and Integrated Care: A Review of Nursing in the Community in Scotland Aug 2006 Scottish Executive Health Department
36. Ibid
37. 2006 Framework for Nursing and AHPs in Scotland: Delivering Care, Enabling Health Nov 2006, Scottish Executive Health Department
38. (2007) Figure 2 "Remote and Rural Staffing Model" p 8
39. This is defined by the RCGP as the level 3 Double Badged specialists. " Rural Training Pathways Report" 2007 Academy of Royal Colleges, unpublished
40. (2007) "Rural General Hospital Needs Assessment: a Report by the North of Scotland Public Health Network" 2007 Oct North of Scotland Public Health Network, unpublished.
41. ( 2007) " Rural Training Pathways Report" 2007 Academy of Royal Colleges, unpublished
42. (2006) "Career Framework for Health" Scottish Executive. www.skilsforhealth.org.uk
43. The role of the diagnostic radiographer is discussed in greater detail below.
44. State of Victoria in Australia
45. (2006) "Portfolio of Evidence for the Virtual School of Rural Health" 2006 Swann, G obo NES
46. http://www.elib.scot.nhs.uk/portal/rural/pages/index.aspx
47. (2001) "Cancer Care in Orkney" January 2001 Remote and Rural Areas Resource Initiative
48. (2007) "Connected care in a fragmented world: lessons from rural healthcare", Mar 2007 Farmer, J, British Journal of General Practice
49. (2007) "Shifting the Balance of Care" Tierney F and Grant F , Unpublished Audit by Remote and Rural Project
50. (2006) "Effect of Telemedicine and Telecare on Patients' Diagnosis and Treatment" Journal of Telemedicine and Telecare 2006 (12)1
51. (2005) "Pathfinder Project" Scottish Ambulance Service
52. Tasmania and Queensland in Australia and Northern Norway
53. (2005) "National Framework For Service Change: Building A Health Service Fit For The Future" May 2005, Scottish Executive. ( NFSC) p165
54. A Corfield et al (2004) "Argyll and Clyde Air Transfer Study" Unpublished data
55. A EMRS trial in Argyll and Bute has been in place for 3 years.
56. Equality and Diversity Impact Assessment: Draft Report to the Remote and Rural Steering Group August 2007 (unpublished)
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