Proposals to Redesign Health and Social Care Services in Caithness
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www.nhshighland.scot.nhs.uk CAITHNESS Summary Document - Public Consultation Proposals to redesign health and social care services in Caithness Changes to NHS Highland health and social care services are being proposed for Caithness. It offers the potential to attract up to £30m of investment to enhance and improve local services. This public consultation will run from Monday 20th August to Friday 23rd November 2018 YOUR CHANCE TO COMMENT Please submit your views no later than 23rd November 2018 This document summarises some of the exciting proposals developed with local people, explains why changes are felt necessary, and encourages you to respond with your views. If you would like this information in large print, audio form, another language, or require any assistance with responding to the consultation please get in touch. You can find out how to make your views known including contact details on the back page. www.nhshighland.scot.nhs.uk www.nhshighland.scot.nhs.uk “It was good to take part in something that will be great for the future of Health Care Care in Caithness” Village – Feed-back from local person, June 2018 Assisted Community Housing Pharmacy All this would be brought together in a Care Introduction business case where NHS Highland would look to secure an additional investment of GP Hub NHS Highland is proposing to develop two around £30m for Caithness from Scottish GP/Primary Community Beds Care Hub/ Care Villages: one in Thurso Care Services Transport Services Government and other funders. (located on Dunbar Hospital site, Page 6) Health & Wellbeing Hubs and one in Wick (located at Pulteney House 24/7 These exciting proposals have been or Town and County, Pages 8 & 10), as part Adult Day Palliative developed after lengthy discussions with Care Care of a number of improvements to local Outpatients local people who took part in developing services. future solutions. Co-locate Mobile Library Community Ambulance + Fire Rapid In Summary Garden Response Modern Apprenticeship The Care Hubs/ Care Village would support more services to be moved beside each “It’s been a really other, across fewer sites and in improved Befrienders h Hairdresser/ facilities. thorough and fair process c a Beautician e r where everyone has had a t Services provided from GP Practices would u O Training & - stay in their current towns and villages. In chance to have their say. I Development h Wick and Thurso, however, some would c a e move into the Care Hubs. feel together we have a r n shaped our future services I Palliative care would continue to be delivered in Caithness across a range of and have arrived at a settings including at home and in community beds. good outcome. Everyone recognises there is a long The plans would also include: a multi-million pound upgrade for way to go but we are on Caithness General Hospital the right road now” investment in community services, and funding to improve a number of our Thurso GP Dr Alison Brooks, who health and care facilities which are not fit for purpose. attended all of the workshops Caithness General Hospital 1 2 www.nhshighland.scot.nhs.uk www.nhshighland.scot.nhs.uk Summary of short list of options Need to know The three short-listed options being considered and how they scored are shown below. There are no plans to change any GP services as part of this consultation. Options which will be considered as part of public consultation Option Description Score (out of 1000) Current and future locations of GP Practices 1 No change – current arrangements continue 277 (baseline) GP Practice Current Future 2 Care Hub/Village located at Dunbar Hospital site 683 (alternative) (Thurso) and Town & County Hospital site (Wick) Castletown and Canisbay Practice Canisbay Canisbay 3 Care Hub/Village located at Dunbar Hospital site 783 (preferred) Castletown and Canisbay Practice Castletown Castletown (Thurso) and Pulteney House Care Home site (Wick) Dunbeath Health Centre Dunbeath Dunbeath Thurso & Halkirk Medical Practice Halkirk Halkirk Lybster Medical Practice Lybster Lybster Care Hub / Care Village Riverbank Medical Practice Thurso Thurso Care Hub, (Dunbar Hospital site) Janet Street Dunbar Thurso & Halkirk Medical Practice Thurso Thurso Care Hub, Princes Street Dunbar (Potential) Pearson Practice Wick Medical Centre, Practice decision Care Hub / Care Village Martha Terrace (Pulteney House or Wick Riverview Practice Wick Medical Centre, Wick Care Hub THURSO Town and County). Martha Terrace Upgrade to Caithness General WICK “The independent facilitator was excellent and included everyone who wanted to be involved. He got engagement in a respectful manner from all.” – Feed-back from local person, June 2018 3 4 www.nhshighland.scot.nhs.uk www.nhshighland.scot.nhs.uk Thurso | West Caithness Care Hub / Care Village Thurso | Summary of current versus proposed future service provision The proposed location for the Care Hub/ Need to know Village in Thurso would be on the Dunbar Services (*) Current Future Hospital site (the only site considered in Bayview House is on three floors Thurso). and is not ideal for people with A&E • Caithness General Hospital, • Caithness General Hospital Emergency Department Emergency Department walking difficulties. Owned by the An expanded range of services currently Assisted Living • No adapted housing • Housing to be developed as delivered from a number of sites in Thurso Highland Council it would be freed part of Dunbar Care Hub/Village would all move to the Care Hub (see the up for future use Caithness General • 42 inpatient beds, three high • Same range of services but Box ‘On the move’). dependency proposed multi-million pound • Two theatres, endoscopy, refurbishment to achieve 50% This would include building a new care outpatient, day-case, rehabilitation single rooms and expand home in the Hub. It would be dual services and renal Emergency Department , On the move Outpatients and day-case registered to provide nursing and surgery residential care with 24/7 community beds, The following services would all move Care at Home • Provided by NHS Highland and • Additional Investment palliative, end-of-life, respite and day care to be part of the Care Hub Independent sector providers services. Care Home • Bayview (23 beds) • Dual Registration as part of • GPs, Nurses, staff, clinics and services Care Hub/ Village (from Riverbank Medical Practice and Another positive development would be to Community • Dunbar Hospital, mostly long stay • As part of Care Hub/Village possibly Thurso & Halkirk Princes build a new Health Centre to provide Beds (**) patients (six beds) including palliative end of life Street) • One palliative room care beds Primary Care including GP services. • Integrated team (from Community Community • Dunbar, old outpatient department • As part of Care Hub/Village Mental Health Out-patients, NHS Near Me, X-ray, Health Centre, Davidson’s Lane) Community • Thurso Community Health Centre, • As part of Care Hub/Village physiotherapy, dental services, Minor Injury • Learning disabilities and day services nursing Davidson’s Lane, Thurso and Out of Hours, and base for the (from Thor House) Day Services • Bayview • As part of Care Hub /Village integrated team (community nurses, mental • Thor House, Learning Disabilities • Stepping Stones health and social workers etc) would all be • Residential, day and respite care • Stepping Stones located in the Care Hub. (from Bayview care Home) Medical Practices • Riverbank Medical Practice • As part of a Care Hub/Village • Thurso & Halkirk • Potential for Care Hub/Village As part of the Care Village some Assisted Minor Injuries • Dunbar Hospital • As part of Care Hub/Village Living Units would be built. These are Out of Hours • Dunbar Hospital • As part of Care Hub/Village houses or flats designed to help people live Need to know Outpatients • Dunbar Hospital • Dunbar Hospital independently for longer and with support. (Caithness) • Caithness General • Caithness General All three hospital inpatient facilities • NHS Near Me (at Caithness • NHS Near Me as part of Care General Hospital) Hub/Village A more detailed appraisal of the site and in Caithness don’t meet modern Palliative and End • At home and in Care Homes, • At home, community beds buildings would determine exactly where clinical standards. of Life Care Dunbar, Wick Town & County and and Caithness General each service would be located in the future. Caithness General Respite Care • Bayview Care Home • As part of Care Hub/Village For a summary of current versus proposed (*) – For further details and descriptions see the Full Consultation Document future services see page 7. (**) – The number of community beds has still to be calculated. 5 6 www.nhshighland.scot.nhs.uk www.nhshighland.scot.nhs.uk Wick | East Caithness Care Hub / Care Village Wick | Summary of current versus proposed future service provision In Wick three possible locations for the On the move Care Hub/ Care Village were considered: Services (*) Current Future The following services would all move • Pulteney House Care Home (preferred to be part of the Care Hub A&E • Caithness General Hospital, • Caithness General Hospital option) Emergency Department Emergency Department • Town and County Hospital (alternative • GPs, Nurses, staff, clinics and services Assisted Living • No adapted housing • Caberfeidh Court Housing as option) (from Riverview Medical Practice) part of Pulteney House Care Hub/Village • Caithness General Hospital (rejected as a • Integrated team (from Old Wick Caithness General • 42 inpatient beds,