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Members of Fife Health and Social Care Partnership Board have approved consultation materials to support the Joining Up Care community transformation programme for health and social care services in Fife.  This marks the start of a public consultation which will run from 2 July – 8 October 2018.

The overall aim of the Joining Up Care programme is to establish a fully integrated 24/7community health and social care system that ensures sustainable, safe, person centred care.  The full consultation proposal is set out in 3 parts:

Part 1: Community Health and Wellbeing Hubs

A more joined up approach to your care.

The proposal is to:

  • Set up seven Community Health and Wellbeing Hubs, one for each of the following areas: Dunfermline, Cowdenbeath/Lochgelly, Kirkcaldy, Glenrothes, Levenmouth, North East Fife and South and West Fife Villages.
  • A Hub could be the use of a local community centre or a local hospital depending on the type of care and support needed.
  • Community Health and Wellbeing teams will work within these Hubs. These are health and social care staff who will work together to co-ordinate care and arrange appointments, all in one place wherever possible.
  • For the South West and North East Fife areas, teams will respond to rural and local needs by travelling around to work from different places on different days.

Due to the aging population, the Hub teams will initially focus on supporting people who are frail or have age-related problems. This will help identify people earlier and steps can be taken to improve their health and wellbeing so they can stay independent for longer.

Part 2: Out of Hours Urgent Care Redesign

A more sustainable way of responding out of hours.

out of hours urgent care

out of hours urgent care

Out of Hours Urgent Care services, means care for people who need a GP or a nurse when their GP surgery is closed. It is not Accident and Emergency (A&E) at the hospital.

The Partnership is proposing two new options, alongside the current way of working. These two new options take account of the clinical safety, transport and workforce problems in the current system.  The options being consulted on are:

  • Option 1 (stay the same).
  • Option 2 – two centres (Dunfermline and Kirkcaldy), with only Kirkcaldy open overnight.
  • Option 3 – two centres (Dunfermline and Kirkcaldy), both open overnight.

Options 2 and 3 both are both within a one-hour drive for everyone in Fife.  The changes being proposed are 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.

Part 3: Community Hospital and Intermediate Care Bed Redesign

Helping people stay independent for longer and avoiding hospital admissions.

At this stage, people are being asked for their views on developing more ‘intermediate’ care beds across Fife.   These are beds based within a care home setting.  They are used to support older or frail people who have had a stay in hospital but who often need a bit more support to regain skills, confidence and physical strength before returning home.

Fife teams have already started to develop this intermediate care bed approach and now want to grow the service across Fife.  Known as Short Term Assessment and Review Team (START) it has been proved to successfully shorten the time that people spend in a community hospital, freeing the bed up for those patients who have complex, medical care needs.

Equally START beds could be used more proactively to keep people out of hospital all together where appropriate.  Public feedback at this stage will help the Partnership develop more detailed proposal for public consultation later this year.

Michael Kellet, Director, Fife Health and Social Care Partnership states: “To make sure that care remains safe and sustainable now and in the future, all three parts of the Joining Up Care proposal must work together.   Working as a team across health and social care, professionals can act together to help people get the right care, at the right time, in the right place – day or night.  From the 2 July we will be rolling out a full consultation and engagement programme which will include drop in sessions, meetings with community groups, staff group and forums and much more.  I encourage as many staff as well as members of the public as possible to take part.”

Copies of the full Joining Up Care Consultation, Consultation Summary and Easy Read version and response sheet will be available online from the 2 July.  To request hard copies of the Joining Up Consultation pack or to find out more contact Roz Barclay and Karen Gibb: