EU Settlement 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. 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. Receipt or proof of payment should be provided to your line manager. 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 You can also ask a question using the online submissions form

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 –


Dr Frances Baty| Consultant Clinical Psychologist and Head of Adult Mental Health Psychology, Fife

Hazel Williamson| Communications Officer, Health & Social Care Partnership


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

iMatter – it really does matter! Message from Michael Kellet, Director, Health & Social Care Partnership

Thanks to everyone who took the time to complete this year’s iMatter survey. Your views really do matter – and by understanding how it feels to work here it helps us to focus on areas for development and improvement and to celebrate the areas where we excel.

The overall response rate for the Partnership was 53%, a little down on last year, but overall the results are really positive and in most areas we either stayed the same or improved – but there is more that we can do.

Individual teams who reached a response rate of 60% and over (or 100% for teams of 5 and smaller) should have now received their report. Unfortunately the teams with response rates less than this don’t receive a report. Regardless of this, I would like you all to work with your teams to produce an action plan.

As managers we all have a duty to improve on employee engagement – successful engagement has shown to improve staff morale, reduce stress and absenteeism, stronger financial management and greater efficiency, productivity and effectiveness. By having discussions in teams on what works well and what could be improved on helps to improve engagement and shows that ideas and suggestions are being acted on.

ACTION >>> All managers

  • Meet with your teams and develop an action plan – each plan to include one area where we do well and three areas we can improve on. If you haven’t already done so, please complete this by 12 November.
  • Consider how you will monitor these actions.
  • Share your stories – there are examples of good work going on all over the organisation and we need to acknowledge this. Contact Hazel Williamson, Communication Officer for the Partnership at who can help to develop case studies.
  • If you are having any problems with your action planning please contact Bruce Anderson, Head of Staff Governance at .

Resources available:

There are lots of tools available to aide discussions, presentations, support materials and FAQs – visit

Thanks for your continued support



The Flu Fighters are back! Have you been vaccinated?

As a health and social care worker you are more likely to be exposed to the flu virus. Getting vaccinated is the best means of helping to protect yourself against flu and it reduces the risk of spreading flu to your family, patients and colleagues.

Do the right thing …. and rock up to one of our clinics and get vaccinated. You can attend any of the clinics below.

Top tips:

  • Bring being along your ID badge.
  • Complete your consent form in advance and bring it with you.
  • The beginning and end of clinics are normally the busiest.
  • Due to the number of staff on hospital sites you may find it quicker to attend a care home venue, however all venues are available to health and social care staff.

Vaccination clinic dates:

27 September – Matthew House Care Home, Dunfermline, 9.00am – 3.00pm

28 September – Methilhaven House Care Home, Methil, 9.00am – 3.00pm

1 October – Napier House Care Home, Glenrothes, 9.00am – 3.00pm

2 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

2 October – Minor Injuries Unit, QMH, 7.30am – 7.00pm

2 October – Northeden House Care Home, Cupar, 9.00am – 3.00pm

3 October – Ostler House Care Home, Kirkcaldy, 9.00am – 3.00pm

3 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

3 October – Minor Injuries Unit, QMH, 7.30am – 7.00pm

4 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

4 October – Ladywalk House Care Home, Anstruther, 9.00am – 3.00pm

10 October – Phlebotomy Room, Stratheden Hospital, 9.00am – 4.00pm

11 October – Haig House, Cameron Hospital, 9.00am – 4.00pm

16 October – Outpatient Department, Adamson Hospital, 9.00am – 4.00pm

17 October – Glenrothes Hospital , 9.00am – 12.00pm

17 October – Dental Access Centre, Napier Road, Glenrothes , 1.00pm – 4.00pm

18 October – Health Promotion Room 2, St Andrews Hospital,9.00am – 4.00pm

23 October – Manual Handling Training Room, Lynebank Hospital, 9.00am – 4.00pm

29 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

29 October – Minor Injuries Unit, QMH, 7.30am – 7.00pm

30 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

30 October – Minor Injuries Unit, QMH, 7.30am – 7.00pm

31 October – Manual Handling Training Room, Level 8, VHK, 7.30am – 7.00pm

We would love to hear from you.

Do you have any feedback on the campaign? Or any selfies, thoughts or stories then please get in touch:

  • Email:
  • Text/ WhatsApp: 07805 142105
  • Facebook:
  • Twitter: @FifeHSCP

Common Ground – Developing plans for the East of Scotland

Find out what we are doing across the Borders, Fife and Lothian to meet the challenges we face now and into the future. Common Ground is a briefing about the development of our plans for Health and Social Care Delivery in the East of Scotland. It is for all NHS and HSCP staff in the Borders, Fife and Edinburgh and the Lothians.

Please read it to find out more about why we need to change the way we do things and what we are doing right now to try to meet some of the big challenges we face. It outlines some of the interesting work that is going on to explore how we can work better together, for example, by looking at our models of service delivery with the aim of improving them for patients and staff.  In a nutshell we want to develop plans that will help us respond to rising demand, shortages of staff in some key types of roles as well as financial challenges.

The solutions will need input from staff right across our organisations and will need to ensure we can continue to offer services that are safe, sustainable, and of high quality to everyone in our region, wherever they live.

We encourage you to read it and to discuss it with your colleagues and to feed back any questions or comments you may have to


Thank You

Michael Kellet, Director of Health and Social Care Partnership, Fife

Tim Davison , Implementation Lead , East Region and Chief Executive, NHS Lothian


‘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:


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

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 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 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.