Temporary relocation of services from Knoll Hospital site in Duns due to RAAC
Why is Knoll Community Hospital and Health Centre closing?
The building requires urgent remedial works due to the presence of Reinforced Autoclaved Aerated Concrete (RAAC) in the roof structure. Structural engineers have identified that while the concrete is not currently failing, there are areas where the installation does not meet technical standards, posing a potential risk.
Is this just an excuse to close the Community Hospital?
No. NHS Borders is fully committed to restoring services at Knoll Community Hospital and Health Centre as soon as the required works are complete. The decision to close temporarily is purely based on safety concerns and the need to carry out urgent structural repairs.
If this is so serious, why are we only finding out now?
Initial RAAC surveys in 2023 found no immediate risk. However, as part of ongoing assessments, detailed structural investigations in 2024 identified weaknesses in the roof installation. The latest report, received on 24 January 2025, advised that remedial works should be implemented as soon as possible, which is why we are taking immediate action.
Have we been in danger for the past year and a half?
No. Initial assessments did not identify immediate risk. NHS Borders is taking a precautionary approach to prioritise patient and staff safety because the latest assessment recommended urgent action to prevent future risks.
Will you use this as an opportunity to upgrade the facilities?
The immediate priority is to carry out the essential remedial works required to ensure the building is safe to reopen. Any potential improvements beyond this will be explored in due course, but the focus right now is on addressing the structural integrity of the roof.
How much will this cost, and where is the money coming from?
The cost of the works is still being assessed. Funding will come from NHS Scotland capital allocations for essential infrastructure and remediation projects.
Impact on Services
Where will patient services be relocated?
Plans are being developed to relocate services, and NHS Borders is working to identify suitable alternative locations. Further updates will be provided as soon as alternative arrangements are confirmed.
Will I get a choice or have any influence on where I / my family member goes?
Every effort will be made to ensure that relocation decisions arepatient-centred. NHS Borders will work with patients and families to provide appropriate solutions, but capacity and clinical needs will be key factors in determining placement.
How many patients are affected as community hospital inpatients?
Exact numbers vary, but all inpatients at Knoll Community Hospital will need to be relocated. NHS Borders is working to ensure appropriate alternative placements are arranged.
Where will my family member go?
We are working to ensure that all current inpatients are transferred to appropriate alternative facilities. We will work with patients and families to provide appropriate solutions, but capacity and clinical needs will be key factors in determining placement. Patients and families will be kept informed throughout the process.
Can you use the Chirnside branch surgery that you closed?
All available options for relocating services are being considered, including previously closed facilities where practical. However, each potential site must be assessed to ensure it is fit for purpose.
What about GP services at Duns Medical Group and Merse Medical Practice?
GP services will continue from an alternative location. Patients will be notified as soon as a site is confirmed.
What will the GPs do?
GPs will continue to provide care for their patients but will be temporarily relocated to an alternative site while the necessary works take place.
What about prescriptions and medication collection?
Patients should continue to collect prescriptions from their usual pharmacy unless advised otherwise. If any changes are required, affected patients will be contacted.
Which services will be impacted?
The following services will be impacted by the temporary closure of The Knoll and may need to be relocated while remedial works are carried out:
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Dietetics
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Pharmacotherapy
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First contact Physiotherapy
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Home First
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Treatment Rooms
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Orthotics
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District Nursing and Evening Services
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MSK Physiotherapy
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Physiotherapy and Occupational Therapy
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Duns Medical Group
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Merse Medical Practice
What does this mean for my job?
Every effort will be made to minimise the impact on staff and to attempt to keep alternative working arrangements as close to their current terms and conditions as possible. All staff will have the opportunity to discuss individual arrangements with their line manager as soon as possible.
Will I still be expected to report to work at my usual location in the meantime?
Yes. Staff should continue to report for work until they are informed of their temporary work locations and alternative arrangements.
Will I be redeployed?
Yes. Staff based at Knoll Community Hospital and Health Centre will be temporarily deployed elsewhere.
What support is available for staff during this transition?
NHS Borders is committed to ensuring that all staff are supported through this transition. HR and management are providing ongoing support to all affected staff. If you have specific concerns, please speak to your line manager for guidance.
Building and Safety Concerns
What is RAAC?
RAAC stands for Reinforced Autoclaved Aerated Concrete and is a lightweight form of concrete used primarily in roof construction in the UK from the mid-1950s to the mid-1980s.
Have other NHS Borders sites been affected?
Yes, RAAC has been identified in four NHS Borders buildings:
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Knoll Community Hospital
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Knoll Health Centre
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Jedburgh Health Centre
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Kelso Hospital
A similar survey of Kelso Hospital is currently being finalised and there is no indication of these issues with respect to that site. The phase two survey of Jedburgh Health Centre has not yet commenced.
Patient and Public Information
How can I stay informed?
Updates will be provided via:
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Here on the NHS Borders website
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Social media platforms (Facebook and X - formely Twitter)
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Direct communication with affected staff and patients
Who can I contact if I have questions?
If you have concerns or need further information, please contact NHS Borders through the appropriate internal or external communication channels.