On 22 May,  Members of Fife Health and Social Care Partnership Board discussed and supported the broad direction of the ‘Joining Up Care’ consultation proposals presented but supported an amendment to delay going to consultation for one month. A revised public facing consultation paper is to be brought to the Partnership’s next Board meeting on 21 June 2018 for approval.

The full consultation proposal is set out in 3 parts:

  • 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 collective goal of the ‘Joining Up Care’ consultation 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.

Full copies of the papers presented to go out to consultation are available on Fife Direct.

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 fife-uhb.joiningupcare@nhs.net