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 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

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

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)

Today is World Mental Health day – how are you doing?

Today is World Mental Health Day, which aims to promote greater public awareness and understanding of mental health and mental illness. 1 in 4 of us will suffer from a mental health difficulty in our lifetime so this is a great opportunity to take some time out to look after our own mental health – and that of our loved ones.

Here are some great suggestions of how to mark World Mental Health Day:

  • Buy yourself something nice, like some flowers. You spend a lot of time and effort managing your mental health. Everyone deserves a reward every once in a while!
  • Cook a meal that nourishes your mind. Visit for recipe ideas that include ingredients essential for good mental health.   https://www.mindcharity.co.uk/…/uploads/2016/03/mhf-recipes.pdf
  • Ring a friend you’ve not spoken to in a while. The support of friends and family are vital in maintaining a healthy mind and reducing anxiety.
  • Write yourself a letter, highlighting your good points to remind yourself about what an exceptional person you are. Then, actually post or email it.  Try using www.futureme.org to send yourself a message in the future.
  • Watch a funny film. Laughter IS the best medicine!
  • Go for a walk in the country side. Nature and fresh air can be very soothing and relaxing.

Happy World Mental Health Day from the Health, Safety & Wellbeing Team

Check out your mental health score by completing this Quiz: https://www.mentalhealth.org.uk/your-mental-health/good-mental-health-survey

Why not listen to one of these podcasts for information about mental health and wellbeing including 3 min and 10 min mindfulness sessions on relaxation: https://www.mentalhealth.org.uk/podcasts-and-videos?field_focus_section_target_id=342