Teams kick start What Matters To You?

Round of applause to our Occupational Therapy and Self Directed Support teams for helping us kick starting this years ‘What Matters To You?’ campaign in Fife.   What Matters To You? day is on 6 June 2018 but is more than just one day.    Will you join the ‘What matters to you?’ conversation?   Click here to register today.

Occupational Therapy Team


Self Directed Support Team


Partnership Board to consider ‘Joining Up Care’ Consultation proposal

On the 22 May 2018, Members of Fife’s Health and Social Care Partnership Board will be asked to consider and approve a proposal for consultation on the transformation of health and social care services.

Set out in 3 parts, the ‘Joining Up Care’ consultation is in response to the:

  • growing demand for services
  • increasing complex care needs
  • publics’ desire to live well at home for longer, and;
  • national recommendations

The 3 parts are as follows:

Part 1: Community and Wellbeing Hubs

Introduce more joined up ways of working between professionals to co-ordinate care and appointments, help reduce waiting times and improve the care experience through proactive intervention and working locally in communities.

Part 2: Re-designing Out of Hours Urgent Care

When the GP surgery is shut, these are the services that see members of the public who are looking for a GP or a nurse (advice, treatment centre care and home visits).  As well as minor injury services and the evening and night District Nursing service. It is important to state, that this is not Accident and Emergency at the hospital.

There are two options being proposed within this section. They will both have:

An Urgent Care Resource Hub

Will be an area where staff from a number of health and social care urgent services work together to coordinate service delivery. It will direct how services work in the out of hours period to make best use of resources and support so people access the right service as quickly as possible.

Urgent Care Centre(s)

This will deliver urgent care in a safe place that the public can go to. It will provide GP services, and minor injury services and can act as a base for a range of other urgent care services.

These changes are being proposed in response to the national and local challenges in regards to GP shortages, national recommendations in regards to Out of Hours and are to ensure the on-going clinical safety of patients.  The proposal does not relate to in-hours minor injuries service provision.

Part 3:   Bringing Care Closer to Home – Community Hospital bed based care

Once people no longer need hospital care, it is better for them to get home or continue their care journey in a homely setting as quickly as possible. We know our current model could be more efficient, as some people are staying in hospital for longer than their needs require. We need to move some of our resources from hospitals to community based teams and provide care at home or in homely settings.

The aim is to:

  • Support people to leave hospital earlier
  • Proactively support people at home or in a homely setting so they can regain skills and confidence and stay independent for longer
  • Make sure people have access to the right type of bed at the right time, wherever they live in Fife, and;
  • Focus the use of Community Hospital beds on people with complex health conditions who need round the clock nursing care.

The proposal is to seek the public’s thoughts on the Partnership’s initial thinking where they are seeking to redefine models of care, considering where care should be in a hospital bed and where else people could best be cared for to improve their experience.

The collective goal of the ‘Joining Up Care’ proposition is to establish a fully integrated 24 hours, 7 days a week community health and social care model that ensures sustainable, safe and more individual experience of care.  If approved, the proposals will go forward for a 14 week public consultation.

Michael Kellet, Director, Fife Health and Social Care Partnership explains:

“From the youngest to the oldest, the fittest to the frailest we want people to live well in Fife. Ensuring the right care, from the right person at the right time is vital, whether this is responding to a poorly child after the GP is shut, being more proactive to support independence and wellbeing or giving complex round the clock medical care to those with long term conditions.

We know people value their local services highly, but the challenges are such that leaving services as they are is not a safe, sustainable or responsible option.  To meet modern demands, we need to adapt systems and change ways of working that have been in place for many years. We need to join care across communities and hospital services so we can continue to respond to peoples’ physical, emotional and social needs.  This includes peoples’ desire to stay independent and at home for longer.    We must also think of frontline staff and the increasing pressures they face.

“The future of Fife’s integrated care services involves all of us all.  By bringing together the review of Urgent Care Out of Hours, development of community health and wellbeing hubs and community hospital re-design under one ‘Joining Up Care’ proposal, the aim is to create a comprehensive approach to evolving services, one which will involve full consultation with the public before any change is made.  We await the decision by Members on the 22 May.”

Full copies of the ‘Joining Up Care’ Consultation proposal papers are now available on Fife Direct.    A draft ‘Joining Up Care’ Consultation Summary document is included and you can find that here.   As part of our communication with colleagues, a Let’s Connect…with Joining Up Care newsletter has been cascaded to staff across the Partnership.

If you have any queries please talk to your service manager; if they cannot answer you they will get the answer for you. Alternatively pass your question to the project team.

Contact details: Project team: 01592 740189 or


‘What matters to you?’ day – Are you taking part?

Will you join the ‘What matters to you?’ conversation?   

Register today to take part in ‘What matters to you?’ day on 6 June 2018.

‘What matters to you?’ day aims to encourage and support more meaningful conversations between people who provide health and social care and the people, families and carers who receive health and social care.

The day also provides an opportunity to raise the profile of person-centred conversations. Or if you are already working in this way, an opportunity to celebrate the positive impact in the lives of the people we support and the staff who work with them.


Colleagues from Glenrothes Hospital take part in 2017

This worldwide approach which is all about connecting people and putting the focus on the things that really matter to the people you support.

It is one simple act of asking what matters most to people – this can make a big difference to their care experience.  Find some examples here, including one from our very own Glenrothes Hospital team who took part last year, along with many other colleagues from across the services.

Let’s get Fife on the map again this year:

Step 1: Register

To join in all you have to do is register and download resources as an individual or as a team. You can also order packs which include:

  • Badges
  • Stickers
  • Poster

These can help you involve the people you are supporting or caring for.

Step 2:  Examples of existing “What Matters To You?” work

You will already have some great examples in Fife. We want to showcase these pre-event, on the 6th June itself and beyond.    If you have examples we can use publicly (local media, social media) and internally, get in touch with me,  as soon as possible so we can plan these into our communications.

Step 3:  On the day – take part

On the 6 June we would like you, individuals and teams to take part by asking those you support and deliver care to three simple questions:

  • “What are the things that are important to you at the moment?”
  • “What are some of the things you would you like to achieve as a result of this support?”
  • “When you have a good day, what are the things that make it good?”

How you do this is up to you.  It could be an event, display or face to face.

If you would like a member of the ‘What matters to you?’ team to come along to your activities on or around 6 June, please contact the What Matters to you team by emailing  They will arrange this based on location and availability.

  • When using Twitter or Facebook to post about your activities use the following tags @WMTYScot #WMTY18
  • You can post your pics on their Facebook page at

Step 3:  Share your learning

Share your learning with your line manager.

Finally, let’s take part and have fun!



Challenges, celebrations and news


Some difficult decisions as well as opportunities to celebrate have been faced by Partnership colleagues.  The on-going challenge of clinical cover has meant we had to enact contingency measures in our Primary Care Emergency Services overnight. A tough decision to reach but one that ensures patient safety which is our first priority.  Thank you to everyone involved for the enormous on-going efforts during this time.

Across the Partnership there is much to acknowledge including the three Fife nurses who have been selected to become Queen’s nurses, our award winning Care At Home Team and most recently the announcement of a £10m care village in Methil.

I draw your attention to several important pieces of staff news:

imatter refresher training for Managers is taking place. All of NHS Fife and Fife Health & Social Care Partnership must complete their iMatter questionnaire between 11th June – 1st July 2018. Managers will be required to review and confirm their team membership on the iMatter system and so encourage you all to attend training sessions so you, and your teams, are supported.

The Organisational Duty of Candour underpins the Scottish Government’s commitment to openness and learning which is vital to the provision of safe, effective and person-centred health and social care.

It is a legal requirement for health, care and social work providers to inform people (and their families) when they have been harmed physically or psychologically as a result of the care or treatment they have received.

Organisations will also be required to review each incident and consider support available to those affected.  Check out more Duty of Candour resources here to make sure you and your teams are up to speed.

What Matter’s To You Day takes place on 6 June 2018.  Please encourage your colleagues and teams to get involved so we can have ever more meaningful conversations with the people, families and carers who receive our services. This will help to continually improve our service and the people’s experience of care. It also a great chance for your good news stories to shine.

Thank you.



Duty of Candour – Are you up to speed?

Dr Frances Elliot, Medical Director talks about Duty of Candour

As an organisation we constantly strive to deliver the highest quality care, with the best possible outcomes for all our patients and service users.

Despite this, sometimes things go wrong. When this happens it is important that we respond in the right way, ensuring that we are open and transparent with patients, carers, their family members and each other.

As from 1 April 2018, it is a legal requirement for health, care and social work providers to inform people (and their families) when they have been harmed physically or psychologically as a result of the care or treatment they have received.

Organisations will also be required to review each incident and consider support available to those affected.

The Duty of Candour sits alongside our Adverse Events Policy and is relevant to staff across the organisation – we should all know how to respond to, record and learn from incidents.

Duty of Candour e-Learning is now available as a LearnPro module and can be found within the ‘NES’ tab on the LearnPro home page, and provides a clear overview of requirements.

Duty of Candour Resources:

Organisational Duty of Candour

Factsheet 1

Factsheet 2

Factsheet 3






Reminder – iMatter refresher training for Managers

iMatter provides the opportunity for staff and managers to discuss and make positive changes that can improve their working environment for the benefit of all, including patients.

All of NHS Fife and Fife Health & Social Care Partnership will be completing their iMatter questionnaire between 11th June – 1st July 2018.

Managers will be required to review and confirm their team membership on the iMatter system, updating any changes e.g. leavers and new members. This will take place from 14th May – 11th June 2018.

For managers who are new to their role, new to NHS Fife / Fife Health & Social Care Partnership or those who would like a refresh training is available as detailed below.

Dates / locations for the training are as follows:

  • 26th April – 10am -12 noon – Board Room Stratheden Hospital
  • 30th April – 2-4pm – Board Room – Hayfield Clinic
  • 15th May – 2-4pm – Common Room – Education Centre QMH

To book a place, please email


Three Fifers selected to become Queen’s nurses

Three Fife nurses have been selected to take part in a special professional development programme that will earn them the right to use the coveted Queen’s Nurse title.

The Queen’s Nursing Institute Scotland (QNIS) was established by Queen Victoria in 1889 in honour of her Golden Jubilee. Historically, the Queen’s Nurse title was awarded to nurses who completed training that equipped them to work in the community. They provided healthcare and health promotion to people in their own homes, and were well respected in the communities in which they practised.

Pauline Buchanan, Community Dermatology Nurse Practitioner based in Dunfermline; Lyndsey Forsyth, ADHD Nurse Specialist based in Kirkcaldy; and Gerrard Hastie, Community Psychiatric Nurse based in Leven, make up three of the 21 community-based nurses from across the country selected by the QNIS to join this year’s Queen’s Nurses Development Programme.

This is the first time that Fife will have three nurses inducted into the programme in a single year.

All candidates were nominated having demonstrated their commitment to high quality, compassionate care. They then completed a written application and were chosen to go forward for the programme after attending a selection event where they impressed a panel of nursing leaders.

The new Queen’s Nurses will take part in a nine-month programme, developing and honing their existing skills and capabilities, culminating in an Awards Ceremony in December.

Once they have completed the QNIS development programme, the modern Queen’s Nurses will support new models of care to promote health improvement and local delivery of services.

On their selection to the QNIS development programme, NHS Fife Director of Nursing, Helen Wright, said:

“I am delighted to see three Fife nurses inducted into this year’s QNIS Development Programme.

“Our inductees have each been selected because they have demonstrated a real passion and commitment to continually improve the care and treatment offered to patients in Fife.

“With an ever increasing amount of care now able to be delivered safely in our communities, their participation in the programme is likely to positively influence the nursing care offered to patients across Fife in the years and decades to come.”

Reflecting on her induction to the QNIS development programme, Pauline Buchanan said:

“I am delighted and honored to have been selected for the Queen’s Nurse Programme.  It is a very exciting opportunity to make change happen in creating new ways of working.  Hopefully it will also provide the best possible care in the community for persons living with long term skin conditions.”

Upon her selection, Lyndsey Forsyth said:

“It is a real privilege to have been selected for the Queens Nurse Programme.

“The experience so far has been inspirational and I am excited about the journey ahead. I am especially looking forward to the opportunity to cascade my learning from the program into our service for the benefit not only of colleges but our patients and their families”

Lastly, Gerrard Hastie said:

“Undertaking this development programme is a great privilege and I feel genuinely humbled to be doing this.  The QNIS programme is an opportunity to build on my skills as a community nurse and ultimately this will benefit the people in my care.”

About QNIS:


  • QNIS was established in 1889 thanks to a donation from Queen Victoria on the occasion of her Golden Jubilee
  • QNIS originally trained nurses for community district work, with the last award made in January 1969. Since then, QNIS has become a charity, promoting excellence in community nursing to improve the health and wellbeing of the people of Scotland.
  • QNIS is based in the same building that training took place in, going all the way back to 1890.
  • To learn more about Queen’s Nurses in Scotland, visit their website.

Overnight Primary Care Emergency Services in Fife – Contingency Measures

Fife Health and Social Care Partnership is introducing from Monday 9 April contingency arrangements overnight in the Primary Care Emergency Services (PCES) in response to nursing and medical staffing difficulties.

The safety of every single patient is our number one priority.  As with most areas in Scotland, difficulties in recruiting GP and Primary Care medical staff continues to put pressure on service delivery.  In Fife, we have been able to maintain cover through daily monitoring and considerable efforts by all staff.   Unfortunately, we are currently in a position where we are unable to cover all the overnight shifts, meaning we have had to move to temporary contingency measures to ensure patient safety.

Patient safety is our primary concern and these arrangements have been put in place after much clinical consideration.  Taking this step will ensure services are being provided with safe levels of staffing.

The new arrangements will be put in place from 9 April 2018 for the next three months.

From Monday, 9 April, 2018, all PCES centres will continue to operate as normal from 6.00pm to midnight (Monday to Friday) and 8.00am to midnight (weekends & public holidays).  However, overnight, from midnight to 8am, no PCES services will be delivered at:

  • Queen Margaret Community Hospital, Dunfermline
  • Glenrothes Community Hospital, Glenrothes
  • St Andrews Community Hospital

Overnight (midnight to 8am) PCES services will be available at Victoria Hospital, Kirkcaldy only.  The choice of Victoria Hospital has been based on:

  • The central location for patients in Fife
  • Adjacency to Accident and Emergency
  • Adjacency to Specialist Services and Wards for admission
  • Single site for all paediatrics

There will be no changes to the operation of the Minor Injuries Unit at Queen Margaret Hospital, which will continue as normal.

Fife Health & Social Care Partnership continues to make every effort to resolve clinical staffing difficulties as quickly as possible.

Members of the PCES Management Team will be in touch with Managers in partner organisations and departments to discuss more fully.

Please share this communication within your Department or Organisation as appropriate.   Click here for the full media release and link to FAQs.






Care At Home Win Innovation Award

Huge congratulations to our Care At Home team who won the Success Through Innovation Award at this year’s Fife Business Awards.

Their submission told the story of the roll out of Totalmobile across Fife, where the use of cutting edge technology led to real improvements in the scheduling of home care appointments.

All 900 Home Carers have been issued with smart phones and can now see their daily rotas and respond to real time changes, all at the touch of a button.  The solution has been developed so that it is dynamic and flexible enough to respond to last minute rota changes.

Since its roll out just over a year ago, local teams are completing an average of 22,000 visits per week while the Service overall has generated more than 30% additional capacity to take on new service users through more efficient scheduling.

David Heaney, Divisional General Manager (East) with Fife’s Partnership said:  “I am delighted and extremely proud of everyone involved in bringing Totalmobile to Care At Home in Fife.   The Health and Social Care Partnership has worked alongside Fife Council’s Business Technology Solutions and Totalmobile, who provide the technical platform.  The knowledge, experience and creativity of staff has been key to developing this unique solution and the award is a testament to everyone’s hard work and resilience.  Everyone involved should be very proud of what they have achieved.”

Jim Darragh, CEO, Totalmobile stated: “We’re delighted that Fife Health and Social Care Partnership have won the Success Through Innovation award. They set out with a clear objective of transforming care at home through the effective use of mobile technology. This award, as well as the significant benefits they are experiencing, shows that they have achieved this.”

Charlie Anderson, Head of ICT, Fife Council added: “It’s fantastic to see a solution which so directly improves our service delivery and supports our staff delivering highly-valued care services throughout Fife. The Totalmobile solution is a great example of how technology can be applied innovatively to meet the challenges Councils and partners face in delivering better public services in 2018.”

Cllr David Graham, Fife Council’s Health and Social Care spokesperson recognised the Care At Home service’s achievement:  “Congratulations to everyone in the Care At Home service.  It is a fantastic achievement and the culmination of a lot of hard work, dedication and commitment, all of which they show each and every day not just when it comes to taking their service forward for the future.  Well done everyone.  You are a credit to the service and the people of Fife.”


Expert Users Sought for New Stores Management System for Fife Community Equipment

In the next couple of months Fife Community Equipment Store (FCES) will migrate from its current equipment stock management system CEquip to a new system, CES360. The new system has been named CES360 because it provides a 360 degree support to all aspects of the Community Equipment Service from guiding the specialist nurse on product choice, managing the Warehouse to ensure the Delivery of the chosen Equipment, providing the Managers with Key Performance Indicators  information and finally recovering the Equipment when it is no longer needed.

Compared with CEquip, CES360 promises the following benefits:-

– Intuitive user interface.

– Better Mobile working, for example has a smartphone app, and paperless.

– Better stock control, asset tracking, repairs & maintenance and recovery management.

– Better management reporting.

FCES managers and staff are currently testing the new system and preparing for launch. The go-live date has not been fixed yet but is likely to be sometime between late April and early May.

To help us provide a seamless transition to CES360, we need to identify a group of expert users in each of your services who will be trained to coach staff to order equipment for clients on the new system when it goes live. Can you please identify some members of staff in your teams who would be willing to be expert users and coach their team members and email their names to or