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The Glasgow Safe Haven has worked on hundreds of innovative, data-driven research projects since it was created over nearly a decade.

Ranging from large-scale partnerships between NHS, academia and industry partners to supporting students at the earliest stage of their research career, our NHS datasets foster better care for patients in Glasgow and beyond.

Projects

Through our delegated ethics approval routes, anonymisation methods, and secure analytics platform provided in partnership with the Robertson Centre for Biostatistics, the Safe Haven provides a trusted research environment to let researchers link their datasets to the health histories of NHS GGC patient populations.

If you have questions about our data services, see the Glasgow Safe Haven FAQ.

Datasets

Safe Haven data staff facilitate the import, description and secure re-use of novel NHS and research datasets from a wide-range of sources.

Datasets are tiered according to re-use permissions, with Tier 1 for general research use, Tier 2 for research use only with specific permissions from data owners, and Tier 3 for restricted or no re-use.

Our governance and security standards create a safe method to create new value from existing data sources.

If you have a Glasgow-centric dataset you may like to add to the Safe Haven’s collection, contact the Safe Haven team.

Learn more about the data services the West of Scotland Safe Haven provides by checking out our Glasgow Safe Haven User Guide and Safe Haven FAQ.

Data Linkage

The West of Scotland Safe Haven can help you safely link your existing studies to rich NHS datasets held in our secure environment.

By data linkage, you can interrogate large, diverse, de-identified datasets to test hypotheses and create longitudinal cohorts.

Feasibility Studies

Interested in developing a study using West of Scotland Safe Haven datasets? Not sure if the data is there to secure the funding you need? The West of Scotland Safe Haven can scope concepts and provide feasibility reports to support your next research project.

Patient Recruitment

For clinical trials in the Glasgow and West of Scotland region, the Safe Haven can create cohort reports to your own specifications and provide patient group output to support your next CTIMP and more.

Innovation Support

The West of Scotland Safe Haven works closely with the West of Scotland Innovation Hub to provide professional support for exciting, novel NHS projects. Whether it’s Big Data machine learning, designing new patient support algorithms, or brand new service improvement initiatives, our NHS datasets and experienced data analysts help bring NHS GGC innovation projects to life.

If you have more questions before contacting us, see the Glasgow Safe Haven FAQ.

The West of Scotland Safe Haven, like the other Safe Havens in Scotland, provides an approved governance route and secure environment for trusted research partners to access and link to our anonymised NHS datasets.

Learn more by reading the Safe Haven User Guide

Research Affiliations

Researchers must be employed by, or have some professional affiliation with, an approved public sector institution, whilst industry partners are bound by data sharing agreements that stipulate the strict terms under which we may confer access to Safe Haven datasets.

Anyone accessing Safe Haven data will have completed an approved information governance course, will agree to follow the strict rules for using the Safe Haven datasets, and are bound by both their professional and ethical standards, and by existing UK and EU data protection laws.

Local Privacy and Advisory Committee

Routes to gain access to Safe Haven datasets are accredited by the Scottish Government. The West of Scotland Safe Haven has a Local Privacy and Advisory Committee (LPAC) of experienced NHS, academic and public stakeholders who scrutinise applications and offer guidance on data protection.

Datasets held by Safe Haven, depending on their origin, may have additional data controller safeguards in place, that will require further permissions to be sought before they can be linked and re-used.

Security

Safe Haven datasets and linked extracts are all secured according to NHS and University of Glasgow IT security standards. Data may not be removed or copied from the Safe Haven environments, and strict controls prevent unauthorised access to anyone other than approved Safe Haven users.

All data extracts are quality checked, and researchers may only ever remove limited and approved aggregated tabular data or charts from the Safe Haven to support publications.

Address

The West of Scotland Safe Haven is based at the Queen Elizabeth University Hospital in the Imaging Centre of Excellence (ICE) Building (2nd Floor).

Email Us

To email the Safe Haven team use safehaven@ggc.scot.nhs.uk

Our Team

The Safe Haven Team includes:

Charlie Mayor – Safe Haven Manager
Alison Hamilton – Safe Haven Project Manager
Imran Sadat – Data Manager
Laura Stirling – Data Analyst

The Glasgow Safe Haven has close links with the West of Scotland Innovation Hub.

The Glasgow Safe Haven is part of the Research and Development division of NHSGGC.

Note that the Safe Haven safe room and terminals are available at the Robertson Centre for Biostatistics at the University of Glasgow.

Use this form to book resources.

Please note: resources must be collected and returned to our office in West House, Gartnaval Hospital. We will be in touch to arrange suitable times for this.

By signing this declaration form, I agree to the following: I will report any damages / losses directly to Healthy Working Lives Greater Glasgow and Clyde on tel: 0141 201 4860. If I leave this organisation, I will inform Healthy Working Lives Greater Glasgow and Clyde of new responsible contact. The resources will only be used within the Greater Glasgow and Clyde area

Being referred to orthopaedics

You may be referred into Orthopaedics by your GP or another specialist service or following attendance at the Emergency Department.

If you have been referred by your GP or another service with an ongoing issue, a clinician in the Orthopaedic Department will look at your referral letter and make a decision about the appropriate clinic for you to attend. This is called vetting.

If you have been referred by Emergency Department following an injury, you will receive a phone call the following day from a member of our specialist nursing staff who will either give you medical advice or ask you to attend an appointment at our Fracture Clinic.

Arranging your appointment

Once your referral has been vetted, your name will be added to the outpatient waiting list under the care of a consultant or extended scope physiotherapy practitioner (ESP).

You will be sent a letter inviting you to call the booking office within 7 days to arrange a clinic appointment. If you fail to call the booking office within 7 days, a reminder letter will be sent to you. If you fail to call the booking office after a further 7 days, your name will be removed from the waiting list and your GP will be informed. If you still wish an appointment after this, you will have to contact your GP to be re-referred.

If appropriate, you may receive a phone call to arrange a telephone or video appointment instead.

To facilitate this process please ensure that your contact information is up-to-date.

If you wish to reschedule your appointment, please call the booking office on 0141 201 3114 or 0141 201 3105. You can also email us at GRI.OrthopaedicOutpatients@ggc.scot.nhs.uk.

If you are asked to attend an orthopaedic appointment

If you have been asked to attend the orthopaedic outpatient clinic. There are a number of specialist clinicians in the department who could see you. This will depend on the type of injury/complaint you have.

If you require transport for the upcoming appointment, please arrange this one week in advance, by calling: 0300 123 1236. You will be asked a series of questions about your mobility, this is to assess if you are eligible for ambulance transport.

Outpatient clinics are located in Glasgow Royal Infirmary and Stobhill Hospital.

Following your appointment

The clinician will discuss the best course of action for you. There are a number of possible outcomes of this:

  • You may be sent for an investigation (e.g. MRI scan)
  • You may be sent for a second opinion
  • You may be given a return appointment to our orthopaedic outpatient clinic
  • You may be added to the waiting list for surgery
  • You may be discharged

Inpatient Waiting List

At your appointment, the clinician may have a discussion with you about adding you to the waiting list for surgery. If you agree, your name will then be added to the list.

You will receive a letter informing you of this, along with a Patient’s Right Act leaflet

As an patient you have a responsibility to:

  • Keep your agreed hospital appointments and attend for admissions
  • Let us know if you need to cancel an appointment or admission
  • Let us know if you are going to be unavailable for a period of time
  • Let us know if you change your name, address or telephone detail

Reasonable Offer

We will offer all patients two reasonable offers of an appointment for treatment. If you do not accept either of these offers we may remove you from our waiting list and return you back to the care of your GP.

A reasonable offer includes an offer, either written or verbal, of treatment in any NHS Greater Glasgow or Clyde (NHSGGC) hospital. We will give you a minimum of 7 days’ notice of this appointment.

Contact Information

Speech and Language Therapy talk on Dysphagia and IDDSI of video
Food, Fluid and Nutrition Nurse Talk on IDDSI Levels 1-4 and Hydration
Dietitian Talk on IDDSI Levels 5-7 and Food Fortification
Meet the Chef
IDDSI Thickening Instructions and Testing Methods for IDDSI Levels 1-4
Peaches Flow Test IDDSI Levels 0-4
IDDSI Level 3 Peaches
IDDSI Level 4 Peaches
IDDSI Level 5 Peaches
IDDSI Level 6 Peaches
IDDSI Level 6 Peaches Fork Pressure Test
IDDSI Level 7 Peaches
Comparison of Peaches Level 3-7
IDDSI Level 4 Salad
IDDSI Level 5 Salad
IDDSI Level 6 Salad
IDDSI Level 4 Chilli
IDDSI Level 5 Chilli
IDDSI Level 6 Chilli
IDDSI Level 4 Rice
IIDDSI Level 5 (and 6) Rice
Plating Up a Texture Modified Meal

Glasgow Clinical Gait Analysis Service

The Glasgow Clinical Gait Analysis Laboratory assesses children and young people with complex gait problems. Gait analysis equipment is used to measure how the person walks and using this information a multidisciplinary team compiles a set of treatment recommendations, which can include medical, physiotherapy and orthotic interventions.

Our Team

  • Dr Bruce Carse, Clinical Scientist
  • Mr Andrew Dunne, Clinical Scientist
  • Miss Heather Read, Orthopaedic Consultant
  • Mrs Laura Wiggins, Principal Physiotherapist
  • Miss Donna McHugh, Specialist Orthotist

What is Gait analysis?

Gait analysis is a way of analysing how a person walks and helps clinicians to understand their difficulties. This information is then used to develop a treatment plan to help them walk better.

In the laboratory, we place some skin markers on the legs and trunk using sticky tape and then use 3D motion capture technology to give more information than is possible by simply observing a person walking.

We also use Video Vector Analysis which assists in identifying the forces acting on the legs and help identify how to improve the gait, possibly using an orthosis.

There is also detailed clinical examination which looks at:

  • The movement at joints
  • Muscle power
  • Bone alignment
  • The ability to control movement
  • Muscle tone
  • Balance

Walking is a complex activity involving biomechanical and neurological factors. Biomechanics relates to the movement of the joints and segments of the legs and the forces acting upon them. The neurological aspects involve the control of the muscles by the brain and the nervous system to produce forces. In particular the reactivity of muscles to stretch is of importance. We call this approach to gait analysis ‘Neurobiomechanics’.

Who do we see?

Children and young people with a physical disability which causes complex walking problems. Issues cannot be identified with simple procedures such as observational analysis or routine clinical examination.

Conditions we see include Cerebral Palsy, traumatic brain injuries and other neurological conditions, Myelomeningocele, Muscular Dystrophy, lower limb and foot deformity.

In addition the patient should be:

  • At least 4 years old
  • Able to cope with a session which can take up to two hours, although the pace of assessment can be tailored to the child
  • Able to walk at least 15 metres, independently or using assistive devices or orthoses if appropriate. The use of walking aids is acceptable (e.g. sticks, crutches, rear and forward-facing walkers), however we are not able to assess patients using aids that support the trunk during walking

Gait analysis for adults and children with amputation is arranged by Prosthetics Service staff within WestMARC, primarily as part of the Scottish Specialist Prosthetics Service.

Please refer to the ‘Patient Information Sheet’ links below for more detailed information.

Who can refer?

Orthopaedic Consultants, Paediatricians, Neurologists, Physiotherapists, Prosthetists and Orthotists
Children and families must be aware of the referral and it is helpful where appropriate for the referrer to inform the child’s wider multi-disciplinary team.

Referral Information

This must include the reason for referral, for example:
Considering an intervention and would like information to assist decision making (e.g. surgery, SDR, botulinum toxin)
Deterioration in gait is suspected and objective assessment would assist in identifying management strategies
Information to support appropriate orthotic alignment or management

Referrals should also include a clear clinical question, or information you would like the report to include. This will assist in tailoring the assessment and report to answer the clinical question.

Useful links:

Referral form:

Information about gait assessments:

IPEM: Improving mobility with gait analysis

Other:

Who We Are

The NHS Greater Glasgow and Clyde Psychological Trauma Service (GPTS) is a tertiary level specialist mental health service which offers multi disciplinary, psychologically informed interventions to clients who present with Complex Post Traumatic Stress Disorder (CPTSD) following experiences of complex trauma. This is a multidisciplinary service including Clinical Psychology, Occupational Therapy and Art Psychotherapy and a Mental Health Practitioner.  The GPTS is led by Dr Lisa Reynolds, Consultant Clinical Psychologist.

How to Contact Us

Post

The Anchor
Festival Business Centre
150 Brand Street
Glasgow
G51 1DH

Referral Criteria and How to Refer

People aged 16 and over (and unaccompanied asylum seeking children who are under 16 years) and:

  • Who live in Greater Glasgow and Clyde;
  • Who have a history of complex trauma (that is repeated interpersonal trauma, including  violence, abuse or neglect); 
  • That has led to CPTSD including symptoms of Post Traumatic Stress Disorder (PTSD), mood and emotion regulation difficulties and changes to people’s beliefs about themselves and the world. PTSD symptoms include: re-experiencing the traumatic event(s); avoidance of trauma related stimuli; trauma related arousal and reactivity; negative thoughts and feelings; or,
  • Other mental health difficulties that are severe and disabling responses to trauma (e.g. complicated dissociative disorders, mutism, enduring personality change after catastrophic events etc.).

The service prioritises people who experience additional social inequalities or barriers to accessing health care such as those who are homeless or leaving care; asylum seekers and refugees who are victims of torture and organised violence; trafficking victims for all forms of exploitation; vulnerable female offenders.

Please note, the GPTS is not an emergency service (open Monday to Friday 9.00am to 5.00pm), therefore cannot accept urgent referrals. If the individual requires more urgent input, please refer to the person’s local CMHT/Crisis service. If unsure, we have a duty system which operates daily.  Please feel free to discuss any queries or concerns with us.

The service prioritises people who experience additional social inequalities or barriers to accessing health care:

  • people who have experienced, or are at risk of, homelessness and those leaving care;
  • asylum seekers and refugees who are victims of torture and organised violence;
  • trafficking victims for all forms of exploitation;
  • unaccompanied asylum seeking children and trafficked children who are under 16;
  • vulnerable female offenders, with a history of complex trauma; and
  • survivors of child sexual abuse and sexual assault who present with CPTSD and have additional levels of complexity e.g. severe dissociation, complex co- morbid difficulties etc.

At the Glasgow Psychological Trauma Service we consider the difficulties a person is presenting with now to be more important than details of the trauma a person has experienced in the past when we are making decisions about who is suitable for our service.

More Information

How Can I Refer to the Service?

The Glasgow Psychological Trauma Service accepts referrals from GPs, Mental Health Teams, Social Workers, Community Addiction Teams and Third Sector Organisations.

If you would like to refer to the service, or are considering doing so, you are welcome to telephone us to discuss this. There is always a Duty Worker available for consultation. Should you wish to be referred to the service please discuss this with you GP or other services you are involved with.

Following Referral

Following referral, there will be a team discussion to ensure the client meets our criteria and that it appears the right time for the client to engage in assessment and potential intervention. The client will then be invited for assessment which will take place over one or more sessions.

Following assessment it may be that the client will be found to be not suitable for our service at this time. It may be that another service will be more suitable or that it is simply not the best time for the client to be starting trauma focused psychological therapy. The reasons for this decision will be explained and advice about other options given.

If we decide that the client is suitable for our service, we will explain what the treatment plan will be and what the client can expect from our service. We make every effort to see people as quickly as possible but please note that there is likely to be another wait before starting treatment.

Further Information

What is Complex Trauma?

A trauma can be an event or experience that is deeply distressing to someone. Often this can affect the way someone thinks, feels and behaves. It can also cause bodily reactions such as insomnia and tension. In many cases, traumatic events can impact on relationships with others.

Examples of traumatic events are below:

  • Death
  • Road traffic accident
  • Fire
  • Rape
  • Sexual assault
  • Physical assault
  • Loss
  • Witnessing a traumatic event
  • Natural disaster

The types of trauma listed above are single, discrete events that can occur suddenly and without warning. If it is a single, one-off, unexpected event, it is called at Type 1 Trauma.

Some types of trauma can occur on multiple occasions and over a longer period of time. The person may anticipate what is going to happen but be unable to do anything about it. If the trauma happens on multiple occasions, it is called Type 2 Trauma. Many Type 2 Traumas can involve people known to us, family members and people who we love.

Below are some examples of Type 2 Trauma:

  • Domestic violence
  • Childhood abuse (sexual, physical, emotional, neglect)
  • Torture

Complex trauma can be defined as long-term, interpersonal abuse, occurring on multiple occasions and often beginning early in life (Herman, 1997).

What are PTSD and Complex PTSD?

Post Traumatic Stress Disorder (PTSD)

Many people can develop PTSD after a traumatic experience. Some of the symptoms include the person having dreams or unwanted pictures or images of the trauma coming into their mind (often called flashbacks). They may feel like the trauma is happening again and experience the same sensations and distress. They may find that they try to avoid all things that are related to the trauma. This may include not talking about the trauma or avoiding people or places that remind them of the trauma. Other symptoms include jumpiness, feeling irritable and difficulties sleeping. Many people also experience mood difficulties such as anxiety, depression or anger.

Complex Post Traumatic Stress Disorder (CPTSD)

CPTSD can develop after multiple experiences of trauma. A person with CPTSD has many of the symptoms of PTSD. They also have the following difficulties:

  • Finding it hard to understand or manage emotions which can be overwhelming and frightening at times;
  • Finding relationships difficult to manage and feeling that other people can be difficult, hurtful or dangerous; and
  • Feeling bad about themselves often feeling ashamed or to blame for what has happened.

Traumatic events may produce feelings of fear, loss, abandonment and isolation. These feelings can affect mood. Because trauma is often associated with danger and vulnerability, some people may experience symptoms of anxiety (e.g. shakiness, trembling, tension, palpitations, and dizziness).

Complex Trauma often produces feelings of fear, sadness and despair that can be difficult to manage and control. Often these feelings start suddenly and become very powerful, often overwhelming. Sometimes people report that the only way they can cope or find any relief is through drugs and alcohol or other forms of self harm.

Our early experiences of care can often affect how we feel about ourselves and impact on the relationships we form with other people. People who experience abuse in what is meant to be a caring relationship can often feel that it is their fault and think badly about themselves. They may also believe that all relationships will be similar and accept this or believe that it is better to be alone. Some people report that experiencing one traumatic event after another can make them feel powerless and helpless and there is no point trying to get help because there is nothing they can do.

Complex trauma can affect people physically. This is because traumatic events normally trigger biological reactions. Symptoms may include insomnia, concentration difficulties, muscular aches and pain, tiredness, palpitations, headaches and stomach problems. In some cases people may be diagnosed with physical difficulties, such as Irritable Bowel Syndrome, migraines or pain.

Who Works at the Glasgow Psychological Trauma Service?

The Glasgow Psychological Trauma Service has a range of different health professionals who work together to contribute their different skills and experience. We offer a range of different assessment and treatment options for complex trauma.  Treatment can be individually or in groups and service user preferences and needs are taken into account when planning treatment.

 Treatments offered will vary but they include:

  • Trauma Focused-Cognitive Behavioural Therapy (TF-CBT);
  • Eye Movement Desensitisation Therapy (EMDR);
  • Narrative Exposure Therapist (NET);
  • Compassion Focused Therapy (CFT);
  • Art Psychotherapy;
  • Occupational Therapy;
  • Safety and Stabilisation groups; and,
  • Activity Based groups.

Allied Health Professionals at GPTS:

Clinical Psychologists

Are trained to help people to understand and cope with difficult emotions, thoughts and behaviours. They talk with people about their lives and help them find a way to move forward with their difficulties. Clinical Psychologists do not prescribe medication but they focus on helping people look at the reasons behind the way they are feeling. The Clinical Psychologists in this team have particular knowledge and experience of working with difficulties relating to complex trauma.

Art Psychotherapists

Offers the opportunity to express and explore difficult feelings through the use of art materials and art making. Art psychotherapy can be particularly helpful to people who find it hard to express their thoughts and feelings in words or for those who find relationships difficult.

Occupational Therapist

Works with service users to help them identify and engage in valued and meaningful activity in order to enhance health and well being.

Mental Health Practitioner

Have a background in nursing or occupational therapy and are trained to help people understand and deal with their mental health. Mental Health Practitioners will work with individuals to help them see links between their thoughts, feelings and behaviour and explore ways to make helpful changes.

Medical Secretaries/Receptionist

Answer the telephone, take messages if a staff member is out of the office, type letters and keep all of our paperwork up to date. They will be who you will most likely speak to first if/when you phone our team.

Consultations and Visits

We offer regular Consultation Meetings which workers can book into to discuss complex cases. 

We also offer Open Afternoons where workers can come to the service to find out more about what we offer.

Diabetes in Hospital: Carbohydrate Counting During Your Hospital Stay.

This booklet provides carbohydrate values for the food and drinks available during your hospital stay.  It has been produced for both people living with diabetes and their healthcare professionals, and can assist with identifying carbohydrate sources, carbohydrate counting and insulin dose adjustment (if applicable)

Gestational Diabetes

Gestational Diabetes (or GDM) is a type of diabetes which develops during pregnancy. Blood glucose levels can become too high, and it is important to control these to minimise health risks for both you and your baby.

The main treatment is to make any necessary changes to your diet. Some people may also require medication but following dietary recommendations remains just as important, and is the best way to help achieve successful management of the condition.

These patient education videos were created by NHSGGC Diabetes Dietitians, and focus on healthy eating with Gestational Diabetes. Patients can contact or be referred to the Diabetes Dietitians for more detailed advice, if required.

Video 1: What is Gestational Diabetes?

In this video, we will answer some important questions about gestational diabetes; discussing what it is, the symptoms it can cause, how it can affect you and your baby, and the ways in which it can be treated. www.diabetes.org.uk

Video 2: Healthy Eating, and an overview of the food groups

n this video, we will be discussing healthy eating, the Eat Well guide, an overview of the food groups and providing a detailed overview of carbohydrates.

Video 3: Portion sizes, smart swaps and meal patterns

During this video we will be discussing portion sizes, smart swaps, snack ideas, meal patterns and foods to include or avoid during pregnancy

Video 4: Breastfeeding, post-birth and lifestyle

In this video, we will be discussing breastfeeding, the benefits of breastfeeding, what will happen after your baby is born and general lifestyle changes.

Video 5: Frequently asked questions, links and contacts

In this video, we will answer some frequently asked questions, share useful links to access further information, and provide the best contact details for the NHSGGC Diabetes Dietitians.

Information in other languages

The Gestational diabetes patient education videos were created by NHSGGC Diabetes Dietitians and have been translated into 5 languages. They focus on healthy eating with Gestational Diabetes. Patients can contact or be referred to the Diabetes Dietitians for more detailed advice, if required.