IJB budget savings for 2019/20 update from Michael Kellet

As you are aware it was our IJB meeting last Thursday to discuss and approve the savings budget for 2019/20.

The proposals put forward, equating to a saving on £8.1m were approved by the Board. These included:

  • an increase in the cost of community alarms
  • an increase in the cost of meals on wheels

These increases are below the average that other organisations charge

  • the re-provision of day care services at two centres (Leng in Newport and St David’s in St Andrews)

Service users will continue to receive the day service but not from these two buildings, which are under-utilised and in need of an upgrade

For full details of the proposals click here.

Making savings is difficult, especially when faced with the added challenges of increasing demand in services, a growing and ageing population, shortages in some staff groups and the uncertainty of Brexit (latest update). The Partnership, like other public services, is facing considerable financial pressures, and we have to set a budget accordingly.

We have achieved a lot over the last three years, which is down to you, patients and their families, carers, colleagues from the voluntary and independent sectors and our funding partners working together. Here’s just a few highlights:

  • delivered essential services to thousands of people every day in every setting from home to hospital
  • improved mental health services to support those who need help earlier
  • improved how we support our most vulnerable individuals by coordinating all the care they receive across services so their needs and wishes are met – the person centred approach
  • worked with NHS colleagues, pharmacies and GPs on a medicines efficiency programme and war on waste
  • brought a local focus to health and social care support with the introduction of Wells throughout the Kingdom
  • made progress in joining up care
  • currently implementing a new GP contract – we’re investing in multi-disciplinary teams to support GP practices so people see the right professional first time

But there’s more to be done …
We also need to deal with the outstanding budget gap of £6.5m,which is due to legacy and the increasing demand on services such as home care. To get back in the black we need to look at different ways of working. Changing what we do and how we do it can be a worrying time but be rest assured that any impacts will be carefully considered. We can’t do this without your input and support.

What’s next?
We continue to build on our successes. We also have a three year financial recovery plan in place with our funding partners to close the budget gap.

What does this mean for us and the people of Fife?
Focussing our resources to reach those who need it, in the right place at the right time and getting involved earlier to try and prevent more serious care needs developing. Our strategic plan 2019-2022 is being developed – this is the plan we use to focus our priorities, look at ways to transform what we do and how we do it and how we use the resources available to us to get the best value. Over the past few months discussions have been taking place with colleagues, partners and communities to understand what matters to them. We will share this feedback with you soon as your input into this plan is essential – you see day to day the difference we make to the people of Fife’s lives and what matters to them and you.

I’m reminded constantly of the wealth of knowledge and experience that staff in the Partnership have – hearing from colleagues, partners, patients and their families on the value you add every day.


Chair of the IJB, Cllr Rosemary Liewald also commented:
“Budget saving is always a challenge and when it involves health and social care services it can be very emotive. I’m mindful of the impact change has not only on the people of Fife but on you. We couldn’t deliver the excellent services we do without you. But we don’t have an endless pot of money and we do need to look at different ways to deliver services to ensure we balance the books, whilst keeping care and safety at the forefront. A big task, and I know that by working together we can make this happen.

Thank you for your continued support and commitment, and your passion, as to work in a health and social care environment it’s your passion to help people that makes the difference.”

Fife Health & Social Care Partnership – health and safety vision update from Michael Kellet

Why we’ve produced this Vision
I and my Management Team take health and safety very seriously. I demonstrate my full support to this Vision and the implementation and maintenance of the highest standards of occupational health, safety and welfare across Health and Social Care Partnership. The Partnership exists to provide care services as far as possible, free from risks to the health safety and welfare of employees and patients, clients and visitors affected by our work activities. It is not the intention for this document to replace the health and safety policies of each parent organisation but to reflect their requirements, objectives and organisational arrangements.

What is our Health and Safety Vision?
Our vision is to provide our high-quality care services to the people of Fife in such a way as to keep each other, those who work with us and the public safe from harm.

To make our vision work, we need the involvement and commitment from all parent organisation employees, along with positive leadership from all managers. We also need the support of trade unions, employee representatives and our contractors, suppliers and partners.

What will we do to discharge our health and safety responsibilities?

• We will ensure that our respective statutory health and safety commitments are discharged across parent organisations;
• Ensure that all employees working in our respective buildings/organisations are aware of the requirement to take reasonable care of their own health and safety as well as that of others who may be affected by their acts or omissions.
• Streamline assessments and the co-ordination of the provision of care without compromising the health safety and wellbeing of our patients or clients;
• Improve efficiency of care and removing duplication of health and safety processes;
• Share good practice and lessons learned across the parent organisations;
• Establish joint Trade Union consultation through the Health & Safety Forum;
• Share accident statistics and establish areas of joint working;
• Demonstrate a clear and visible commitment to improving health and safety performance;
• Provide opportunities for participation and involvement in health and safety activities e.g. working parties, health and safety forums, risk assessment groups etc.
• Ensure that all employees are aware of how to report an accident, incident, near miss or a workplace concern: and
• Encourage employees to give constructive suggestions to improve health and safety standards.

Health and Safety Forum Structure

How we’ll measure our performance
Health and safety targets will be included as part of a range of performance measures for the Partnership. These will be monitored and discussed at all relevant H & S Committees/ Forums as outlined above.
I believe successful implementation of our health and safety commitments will:
• protect the health, safety and welfare of all employees and others affected by our work activities
• deliver continuous improvement in health and safety performance
• allow employees to work more efficiently and therefore improve the quality of services provided and
• help to maintain or improve the quality of life of people who use those services.
We all have our parts to play in making the Partnership a safe and healthy place to work. With your support, we will achieve our aim.

Review and Communication
Our vision, document modifications and special arrangements will be brought to the attention of all employees within the Fife Health and Social Care Partnership.

Michael Kellet
Director of Health and Social Care Partnership

Fife Mental Health Strategy review – your views matter

Dear Colleagues

Due to the rapidly changing landscape in mental health services both locally and nationally, Fife Health and Social Care Partnership is reviewing its current Fife Mental Health Strategy “What Matters to You?” 2013-2020.  It is proposed that the new Mental Health Strategy for Fife will be implemented from April 2019 to 2023.

Fife Health and Social Care Partnership is seeking views from a variety of stakeholders, which will inform the Strategy and shape the future for mental health related support services in Fife.

To assist in the consultation process, we are asking senior managers within Health and Social Care to take responsibility for cascading information and seeking feedback from their teams for submission to us for consideration.  If you have any team/management meetings during January can you please discuss the review with your staff.  Please circulate this information to your team managers for discussion at their own team meetings.  This should ensure we undertake as wide a consultation as possible, in the short timescale, and capture the views of as many staff members as we can.

In addition to feedback from staff, a survey link has been circulated to the public for feedback via online and social media channels.

The review consultation document below provides an overview of the process.  This contains the link to the online survey.  We have also included a separate feedback form which will allow staff to provide some additional information about their experiences of mental health services in general – either from an internal or external point of view if they wish.  Finally, we have attached a register of attendance form which should be completed by all teams being consulted with.  Please return all the forms to Jo-Anne Carstairs, Health and Social Care, 5th Floor (North), Rothesay House or by e-mail Jo-Anne.Carstairs@fife.gov.uk.

If you have any staff who do not have access to e-mail or internet we can provide a hard copy of all of the attached and the survey.  This can be requested by e-mailing Jo-Anne.Carstairs@fife.gov.uk.

Thanking you in advance of your assistance.

Supporting documentation

Alison Morrison, Change Manager – Fife wide, Health and Social Care, 5th Floor North, Rothesay House, Glenrothes,
Tel: 03451 55 55 55  ext 445976
Email: Alison.Morrison@fife.gov.uk

Julie O’Neill, HSCP Fife-wide Division Business Manager, 5th Floor North, Rothesay House, Glenrothes
Tel: 03451 555555 ext 461257
Email:  julieoneill@nhs.net

New year, new challenge?

Looking for a new challenge in the New Year? Do you have experience of Children and Families Service, Criminal Justice or Adults and Older People social care? If so, this could be for you.

Children and Families, Criminal Justice and Health & Social Care are embarking on an exciting new project to replace our social care case management system SWIFT and we are now recruiting four lead officers to take this project forward.

The SWIFT replacement system will be a modern system led by social care practitioners to deliver a system that focuses on our service users and their outcomes and we are looking for enthusiastic, forward thinking individuals who can bring significant subject matter experience to help drive the project.

  • Role:                                                      SWIFT Replacement Project Team lead officer x 4 – secondment opportunity
  • Contract:                                              Temporary for 18 months to 2 years
  • Job description:                                   Details of the job description and terms and conditions visit MyJobScotland
  • Closing date for applications:           8 January 2019
  • Interview date:                                    Monday 21 January

For more information, please contact ShirleyAnne Miller, Service Manager – SWIFT Replacement
Tel.         03451 55 55 55 ext. 470114
email:    shirleyanne.miller@fife.gov.uk

EU Settlement Pilot Scheme now open

 I am writing to inform you that you can now take part in the EU Settlement Scheme pilot. This pilot applies to EU citizens and non-EU family members of EU citizens working in the health and social care sector. By taking part, you will be able to make an early application for your new UK immigration status so you can continue to live and work in the UK after the end of the planned implementation period on 31 December 2020.

Your participation in this pilot allows you to apply early to the EU Settlement Scheme and gives the Home Office an opportunity to test the application process. Successful applicants will not need to apply again for the same status once the scheme opens fully next year.

Please note that making an application in this pilot is entirely voluntary. There will be no change to your current rights under EU law until the end of the planned implementation period on 31 December 2020. If you choose not to apply during this phase you will be able to apply once the scheme is fully open by 30 March 2019 and at any time up until 30 June 2021.

Irish citizens enjoy a right of residence in the UK that is not reliant on the UK’s membership of the EU. They will not e required to apply for status under the EU Settlement Scheme, but may do so if they wish.

What you need to do: 

If you would like to participate in the pilot of the EU Settlement Scheme, you need to complete the online application form by 22 December 2018 by accessing the following link:

Apply to stay in the UK after it leaves the EU.

Please do not forward this link as it is important that only those eligible to apply in this pilot do so now.

You will only be able to take part in the pilot if you are working in the health and social care sector, and you are:

  • an EU citizen and have a valid biometric passport (this is an e-passport which has a digital chip); or
  • a non-EU family member of an EU citizen and have a biometric residence card with ‘EU Right to Reside’ on the back, which you applied for on or after 6 April 2015

For more information on who can apply to this pilot, visit GOV.UK.

Application process during the pilot:

 To apply for status under the EU Settlement Scheme you will need to complete an online application:

  • Provide your email address – Provide your email address – Consider whether a personal or work email address (if you have one) is more suitable as you will need access to this email account when making your application.
  • Verify your identity – You will need to have a valid biometric passport or biometric residence card (issued by the Home Office) to apply in this pilot. All applicants must use the EU Exit: ID Document Check app to verify their identity. A guide to using the app can be found on GOV.UK, please also see below for more information. After using the app to verify your identity, you can complete the rest of the application either on that device or on any smartphone, laptop or computer. The application process during the pilot scheme is fully digital.
  • Criminality check – You will need to complete the criminality check by declaring any criminal convictions. Only serious or persistent criminality will affect your application. This should not affect the vast majority of EU citizens and their family members.
  • Verify your residence in the UK – You will need to provide evidence of your residence in the UK. There are a number of ways you can do this. The easiest is to provide your National Insurance number. The Home Office will then check UK tax and certain benefits data, and use those records to help work out how long you have been resident in the UK. You’ll get a result of this check straightaway. If you agree with the result, you can accept it and complete your application. If you disagree, this is not a problem, as you will be able to upload additional evidence of your residence. Information on the other types of evidence you can upload can be found on GOV.UK. If you have a valid permanent residence document or valid indefinite leave to enter or remain, you will just need to provide proof of that status.
  • Pay any application fee – NHS Fife will reimburse directly employed staff for the costs of making an application. All qualifying Fife Council employees should provide their receipt electronically to their manager. The manager will then email this to transactions.payroll@fife.gov.uk and the Payroll team will input the data. This reimbursement will not be extended to family members. The cost of an application is £65 for those aged 16 or over and a receipt or other proof of payment will be required when reclaiming these costs. Please note application is free if you have a valid permanent residence document or valid indefinite leave to enter of remain.

EU Exit: ID Document Check app:

To apply during this pilot you will need to use the EU Exit: ID Document Check app, which will verify your identity. The app is being tested in this pilot and it will be the only way to verify your identity in the pilot application process. You can download this app on an Android device – an easy way to check if your device can use this app, is if your device has the technology to make contactless payments. Information on how to access the app will be included in the application process.

If you do not have an Android device, you will be able to use a family member/friend’s device to verify your identity and then complete the application on any device you choose. There are no security risks in doing this and your data is not stored on the device. More information on how to use the app can be found on GOV.UK. If you cannot get access to this app you will not be able to apply in this pilot, but there will be alternative ways for you to verify your identity once the scheme is fully open by 30 March 2019.


For any questions about an application made during the pilot, contact the EU Settlement Scheme Resolution Centre by calling 0300 123 7379 (inside the UK) or +44 (0) 203 080 0010 (outside the UK). Find out about call charges on www.gov.uk/call-charges. You can also ask a question using the online submissions form eu-settled-status-enquiries.service.gov.uk.

An assisted digital service is available for those who do not have the appropriate access, skills or confidence to complete the online application form. If you require such support with your application, please contact We Are Digital by calling 03333 445675 (Mon-Fri 9am-5pm). Further information on this service can be found on GOV.UK.

For more information about the EU Settlement Scheme visit GOV.UK.

Michael Kellet, Director, Health and Social Care Partnership

Access Therapies Fife – launch of new mental health website

One in four of us in the UK will experience a mental health problem each year – and the most common mental health difficulties are stress, anxiety and depression. To make it easier for adults in Fife to obtain psychological help for common emotional problems we’ve launched a new website, Access Therapies Fife.

Research has shown that people can really benefit from attending courses and working with groups to learn new skills to manage stress, anxiety, low moods or how to become more confident and assertive – these changes and skills can lead to improvements in mental health. Taking this first step by using the help and advice tools available may also avoid the waits sometimes associated with going through your GP or another health professional.

What does the website offer:

  • Courses – Step on Stress, Back on Trac, Assertiveness and Improving Well-being – these courses help to focus on the relationships between thoughts, behaviours and feelings and how to deal with these.
  • Change Up – a weekly therapy group which helps people overcome a range of emotional problems.
  • Self-help options.
  • Information on local support and resources.

All courses and groups are held across Fife and run regularly throughout the year.

This new website will make it easier and quicker for adults across Fife to access high quality psychological help – the options available are important additions to the psychological services provided in Fife,” said Dr Frances Baty, Consultant Clinical Psychologist and Head of Adult Health Psychology, Fife Health & Social Care Partnership

At the launch of the new website at Lynebank Hospital, Julie Paterson, Divisional General Manager (Fife-wide), Fife Health & Social Care Partnership added, “Within the mental health service we hope to help people achieve their aspirations, while offering help when they need it. This website is a significant development in psychological therapies through self-referral and builds on our ambition to remove barriers that deter people from seeking help”.

For info:
Access Therapies website – https://www.accesstherapiesfife.scot.nhs.uk/


Dr Frances Baty| Consultant Clinical Psychologist and Head of Adult Mental Health Psychology, Fife
Email| frances.baty@nhs.net

Hazel Williamson| Communications Officer, Health & Social Care Partnership
Email| hazel.williamson@fife.gov.uk

Getting it right for young carers in Fife

The ‘Getting it Right for Young Carers in Fife’ strategy reflects the partnership work of all Children’s Services, working together to support young carers in Fife.

On 1 April 2018 the Carers (Scotland) Act 2016 (the ‘2016 Act’) was enacted. This updated version of the 2015 Fife strategy for young carers aligns itself directly with the Act and is also aligned to the carer’s strategy for unpaid adult carers in Fife.

The most important aspect of this strategy is that it reflects the views, hopes and aspirations of young carers in Fife and gives them an opportunity to shape and influence how they are supported and how services are delivered to them.

Getting it right for young carers in Fife (2018-2021)


Carers Strategy for Fife 2018-2021 – check out the improvements to support carers in Fife

The Carers (Scotland) Act 2016 came into effect on 1 April 2018.  The Act places new duties to identify and support carers.

The duties include:

  • offering an Adult Carers Support Plan or Young Carers Statement;
  • supporting carers of people who are being discharged from hospital to become involved in pre-discharge decisions, and
  • provide universal information, advice, guidance and advocacy support to carers.

Fife’s Health and Social Care partnership has consulted with carers and developed and published a Carers Strategy for Fife 2018 – 2021.  It demonstrates the commitments we will make in Fife to improve support for carers as well as helping carers to become more self-sufficient in helping themselves.

For more information about the improvements being made to support Fife’s carers, contact Scott Fissenden by e-mailing CarersActSurvey@fife.gov.uk.