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‘Joining Up Care’ Consultation – 2 July -8 October 2018

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:

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What Matters To You? Day – Thank you for taking part!

What a day it has been.  Hundreds of staff across Fife Health and Social Care Partnership took part to mark What Matters To You?  Day 2018.

A lot of personal messages about family, friends and your own wellbeing came through alongside the deep caring and professional part you and others play to look after the people of Fife 24 hours a day, 365 days a week.  Topics such as loneliness, staying well physically as we age  and staying well mentally by talking about mental health and seeking help have all been areas for good conversation today.  These stories are being shared across Twitter, Facebook and many other social media platforms as well as good ol’ fashioned word of mouth.

Well done everyone, and remember, it is about more than just one day.

Keep your #wmty18 selfies coming in and we’ll keep posting them.

Here are just some of the photos from today:

Self Directed Support Team

 

 

Whitefield’s OTs and physios

Immunisation Team

Michael Kellet, Director, Fife Health and Social Care Partnership

Community Children’s Health Service

Partnership Board – 22 May 2018

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

BSL National Plan – Consultation event 28 June

Deaf Communication Service would like to invite you to attend a consultation meeting about the BSL National Plan 2017-23.

The Health and Social Care Partnership are presently working on a BSL Local Plan.  Come along and find out more.  We would like to hear from you and tell us what you think of this.  We want to add what you say to the local plan

Three sessions have been booked on the same day (you do not need to come to all them)

Date:

Thursday 28th June

Where:

Town House, Wemyssfield, Kirkcaldy, KY1 1XW

Times:

10 – 12 noon

2 – 4 pm

5.30pm – 7.30pm

Interpreters have been booked for each meeting.

If you want to attend the meeting contact Deaf Communication Service by email swinfo.deafcommunications@fife.gov.uk or SMS 07984 356580

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

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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 fife-uhb.joiningupcare@nhs.net

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‘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, connie.flint@fife.gov.uk  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 personcentredscot@nhs.net  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 www.facebook.com/whatmatters2you.

Step 3:  Share your learning

Share your learning with your line manager.

Finally, let’s take part and have fun!

 

Appointment of NHS Fife Non-Executive Board Member

NHS Fife is looking for a new Non-Executive member to join its Board.

Non-Executive members play an important role in shaping healthcare, guiding the strategies which address health priorities, the needs of the local population, and the delivery of services.

The NHS Fife Board, as a board of governance, has responsibility for a wide range of issues such as strategic planning, resource allocation and health improvement.

Chair of NHS Fife, Tricia Marwick, said: “I am keen to build on the existing strong and focused team of Non-Executives on the NHS Fife Board with an individual who can contribute from a broadly-based background.

“While everyone has some knowledge of the NHS, many people will have specialist skills or talents or knowledge of the local community which could make a valuable contribution to the overall aims of the Board.

“I am particularly keen to hear from individuals who have an understanding of the issues that can impact on the health and social care experience of young people.

“You do not need to be a health expert or have experience of senior management or service on other Boards to apply, and if appointed you will receive support to develop your skills and to learn any new skills you may require.”

Anyone with the essential knowledge, personal qualities and skills to make a contribution to the Board and who is interested in a role which is challenging, rewarding and has a lasting impact on the delivery of healthcare to the people served by NHS Fife, is encouraged to apply.

The Non-Executive member will be recruited for a period of four years. Time commitments vary week-to-week, but on average the role will take up around eight hours per week and will include activities such as Board meetings, committee meetings, background reading and attending stakeholder events.

For further details and an application pack visit the Public Appointments website www.appointed-for-scotland.org or call (freephone) 0300 244 1898.

If you experience difficulties accessing the website, please contact the Public Appointments Team on (freephone) 0300 244 1898, email PA_Applications_Mailbox@gov.scot or write to the Public Appointments Team, Scottish Government, Area 3F North, Victoria Quay, Edinburgh, EH6 6QQ.

Completed applications should be returned on or before Friday, 4th May, 2018.

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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.

Michael

Director