Proposals to Redesign Health and Social Care Services in Caithness

Total Page:16

File Type:pdf, Size:1020Kb

Proposals to Redesign Health and Social Care Services in Caithness 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,
Recommended publications
  • Highlands and Islands Patients' Travel Expenses Claim Form
    FOR ADMIN USE – TRAVEL WARRANT YES / NO NHS HIGHLAND HIGHLANDS AND ISLANDS PATIENTS’ TRAVEL EXPENSES CLAIM FORM SECTION 1: TO BE COMPLETED BY WARD OR RECEPTION STAFF – PLEASE PRINT PATIENT’S NAME: ………………………………………………………………... CHI NUMBER: .................................................... OR DATE OF BIRTH ADDRESS: ………………………………………………………………………………………. ……………………………………………………………………………………….. …………………………………………………………………………………........ POSTCODE …………................................. DAYTIME CONTACT NO: ................................................. NAME & ADDRESS OF YOUR GP PRACTICE : ……………………………………………………………………………............…… SECTION 2: TO BE COMPLETED BY (OR ON BEHALF OF) PATIENT HOSPITAL ATTENDED: ………………………………………………………………………………………………….. WARD NUMBER/NAME: ………………………............... HOSPITAL CONSULTANT: …………………….........………… INPATIENTS: DATE OF ADMISSION: ….....…/….....…/….....… TIME OF ADMISSION: ……........……….. DATE OF DISCHARGE: .……../……...../……...... TIME OF DISCHARGE: ……........………. OUTPATIENTS AND DAYCASE PATIENTS: DATES AND TIMES OF APPOINTMENTS: 1. ...…../……../…….. …...... : …….. 3. ……../… …../…... …..... : …….. 2. …../… …../… ….. …….. : …….. 4. ……../……../…….. …….. : …….. SECTION 3: TO BE COMPLETED BY HOSPITAL STAFF I confirm that the patient named above attended this hospital on the dates stated: HOSPITAL STAMP Signature: ……………………………………………………...................................... Print Name : .......................................................................................................... Designation: …………......................................………………………………………
    [Show full text]
  • NHS Highland Board November 2019 Item 6 CHIEF EXECUTIVE AND
    NHS Highland Board November 2019 Item 6 CHIEF EXECUTIVE AND DIRECTORS REPORT – EMERGING ISSUES AND UPDATES Report by Iain Stewart, Chief Executive The Board is asked to: • Note the updates provided in the report. Introduction from CEO The engagement strategy which is helping to shape the ‘Culture Fit for the Future’ has been moving ahead. Fiona Hogg will be giving a detailed update on our progress with our Culture Programme later in the agenda. I am pleased with the progress which is being made, it’s a long-term piece of work which needs careful research and planning to make sure we understand the problems we need to address. There are some key milestones being achieved and presented at this Board meeting. A governance structure is in place and our revised plans are ready to be agreed and rolled out. Many of the actions planned have been shaped by our ongoing engagement with the Board and with our colleagues across North Highland and Argyll & Bute and I’m delighted that our impending review in Argyll & Bute is going to provide further valuable insights and information. In terms of the cost improvement programme, we continue to make good progress, with the current level of identified opportunities valued at £29M which when adjusted for the likelihood of delivery reduces to £22M. Of particular note is that 80% of the forecast savings are recurrent so the savings gain will benefit future financial years. Workstreams are ensuring the remaining plans in this financial year are approved, that ideas are progressed to plans and that changes already implemented go on to deliver the expected savings.
    [Show full text]
  • (Public Pack)Agenda Document for Integration Joint Board (IJB), 27/05/2020 13:00
    Public Document Pack 20 May 2020 NOTICE OF MEETING A meeting of the INTEGRATION JOINT BOARD (IJB) will be held VIA SKYPE on WEDNESDAY, 27 MAY 2020 at 1:00 PM, which you are requested to attend. BUSINESS 1. APOLOGIES FOR ABSENCE 2. DECLARATIONS OF INTEREST 3. MINUTES (Pages 3 - 12) Integration Joint Board held on 25 March 2020 4. MINUTES OF COMMITTEES (a) Clinical and Care Governance Committee held on 23 January 2020 (to follow) (b) Finance and Policy Committee held on 6 March 2020 (Pages 13 - 16) (c) Clinical and Care Governance Committee held on 26 March 2020 (to follow) (d) Finance and Policy Committee held on 27 March 2020 (Pages 17 - 20) 5. CHIEF OFFICER'S REPORT (Pages 21 - 24) Report by Chief Officer 6. COVID-19 MOBILISATION READINESS UPDATE AND LOOK FORWARD TO LIVING AND OPERATING WITH COVID-19 (Pages 25 - 36) Report by Head of Strategic Planning and Performance 7. THE ROLE OF PUBLIC HEALTH TO DATE IN THE COVID -19 RESPONSE (Pages 37 - 54) Report by Associate Director of Public Health 8. UPDATE ON PROGRESS WITH THE STURROCK REVIEW ACTIONS INCLUDING A REPORT ON THE ARGYLL & BUTE CULTURE SURVEY AND PLANS FOR THE LAUNCH OF THE HEALING PROCESS (Pages 55 - 118) Report by Chief Officer and Director of Human Resources and Organisational Development NHS Highland 9. STAFF HEALTH AND WELLBEING (a) Employee / Staff Wellbeing and Resilience / COVID-19 (Pages 119 - 144) Report by Head of Customer Support Services (b) HR Resourcing (Pages 145 - 156) Report by Head of Customer Support Services 10. ENHANCED CARE HOME ASSURANCE (Pages 157 - 168) Report by Head of Adult Care 11.
    [Show full text]
  • NHS Highland Gaelic Language Plan 2012
    NHS Highland Gaelic Language Plan 2012 – 2017 This plan has been prepared under section 3 of the Gaelic Language (Scotland) Act 2005 and was approved by Bòrd na Gàidhlig on 18th September 2012 Authority contacts: Moira Paton, Head of Community and Health Improvement Planning, 01463 704920 Caroline Tolan, Policy Development Manager, Community and Health Improvement Planning, 01463 704863 Callum Macdonald, Language Planning Consultant, 01471 822137 1 Foreword from the Chair of NHS Highland, Garry Coutts I am pleased to support this NHS Highland Gaelic Language Plan which has been produced under the terms of the Gaelic Language (Scotland) Act 2005. We recognise that we have significant numbers of Gaelic speakers in the communities we serve and intend to better meet their needs. This Plan covers the main functions of NHS Highland, under the headings of Identity, Communications, Publications and Staffing. This Gaelic Language Plan outlines the measures which we plan to put in place to support the promotion of Gaelic through our existing activity and resources. These measures are aimed at raising the status, promoting the use, and encouraging the learning of Gaelic. Gaelic is a key part of the identity of Highland and Argyll & Bute. We must ensure we take the necessary steps in our sphere of influence to secure its future. Our Gaelic Language Plan should also support the Scottish Government in realising their ambitions in relation to Gaelic development. I commend to you our draft Gaelic Language Plan and thank you for the input we have had
    [Show full text]
  • Mid Argyll, Kintyre and Islay Geography
    Geography Population size Deprivation Long term conditions Mid Argyll, Kintyre and Islay Geography •Population size: 20,053 people (23% of A&B population) •7 settlements: •Ardrishaig (1290) •Bowmore (720) •Campbeltown (4,670) •Inverarary (560) •Lochgilphead (2,300) •Port Ellen (810) •Tarbert (1,130) •All areas are considered ‘remote’ or ‘very remote’ •51% live in areas in the 20% most deprived for geographic access to services (derived from travel times) •8% of dwellings are second homes (compared to 1% nationally). •6% of dwellings are vacant (compared to 3% nationally) •17% live on an island - 2011 census populations: Islay (3,228), Jura (196) and Gigha (163). •4% decrease in population between 2011 and 2018 Sources: Scottish Government UR 2016, SIMD 2016, NRS 2018 population and household estimates, 2016 settlement estimates and 2011 census Based on a best fit of 2011 datzones to LPG areas. MAKI LPG Profile April 2019 Male Female 90+ 85-89 •There is a ‘bulge’ of adults aged 80-84 from 45 to 74 and lower numbers 75-79 70-74 of adults aged under 45. 65-69 •The age band with the highest 60-64 55-59 number of people is those aged 50-54 50-54. 45-49 •There is a narrowing of the 40-44 Age Age Band 35-39 pyramid around the younger 30-34 adults. 25-29 •There are a lower number of 20-24 15-19 females aged 15-29 than males. 10-14 05-09 00-04 1,000 500 0 500 1,000 Population Sources: Scottish Government UR 2016, SIMD 2016, NRS 2018 population , 2017 household estimates and 2016 settlement estimates MAKI LPG Profile Based on a best fit of 2011 datazones to LPG areas.
    [Show full text]
  • Highland Sexual Health
    Highland Sexual Health Referral for Partner Notification to Community Sexual Health Adviser Patient details – use sticky label Name Address Town Post Code D.O.B A urine/self taken swab/endo cervical swab test (please delete appropriately) has been taken for Chlamydia testing from you today. If the result is positive we would like to contact the Health Advisor, as you will require discussion regarding your treatment and further advice. The Health Adviser will contact you by whichever way is most convenient for you (Mobile telephone contact is preferred for confidentiality reasons) I also agree to the Health Adviser entering this information onto Highland Sexual Health’s confidential computer database. My contact telephone number are: Mobile Tel. no…………………………………… Home Tel. no……………………………………. I consent to the above Patient signature………………………………………………… Date..………………… Staff signature/Print name ………………………………………… Date............................. CLINICIAN REFERRING – PLEASE COMPLETE ALL INFORMATION BELOW Date diagnosis given ……. / ……. /…….. Pregnant Yes No Any treatment given Yes No (Remember to screen & treat if the person is a contact of chlamydia) Date treated ……. /…… / …… (It is the Clinicians’ responsibiltity to ensure treatment has been prescribed, this is not the responsibility of the Health Adviser) If yes what medication and dose ………………………………………………………………………… Additional info: Send this completed form with a copy of the positive Chlamydia result if available to West, South and Mid Operational Units - Fiona MacKinnon - Community Specialist Sexual Health Nurse Adviser, NHS Highland, Dr MacKinnon Memorial Hospital, Broadford, Isle of Skye, IV49 9AA. Tel. 01471 820340 or mobile no 07776160480 Email - [email protected] North Operational Unit - Louise Paterson, Community Specialist Sexual Health Nurse Adviser, NHS Highland, Caithness General Hospital, Wick, KW1 5NS.
    [Show full text]
  • Kintyre Community Services
    visibility A guide to accessible resources for those living with sight loss in Campbeltown Kindly supported by the Agnes Hunter Trust About Visibility Visibility is a charity supporting children, adults and their carers in Argyll & Bute and the West of Scotland who are living with visual impairment. For people, we can provide information and advice on services in the area, aids and equipment that may help in their day to day lives. We provide also peer support groups in some areas, hints and tips from other visually impaired people on a wide range of topics, and we are happy to listen and chat through difficulties that people may be facing. For professionals, we provide information and advice on a range of topics for example visual impairment and falls, neurological sight loss and low vision. We can also provide training sessions designed to meet your needs. We help people to make choices and live their lives fully confidently and independently. For more information about our work visit our website at www.visibility.org.uk or phone us on 0141 332 . 4632 Who this guide is for This guide has been produced by Visibility to assist people with a visual impairment, their families, carers and professionals by giving an overview of local services and support available in the Campbeltown area. This includes healthcare, community services, transport, special education needs, post school and employment support, and benefits that people may qualify for. Information held within this guide was correct at time of going to print in July 2015. We wish to acknowledge the generous supp ort of the Agnes Hunter Trust, which enabled the development and production of this guide.
    [Show full text]
  • Vaccinations Programme COVID-19 Service Delivery Framework Wave One
    Vaccinations Programme COVID-19 Service Delivery Framework Wave One 09 December 2020 DRAFT | OFFICIAL - SENSITIVE Purpose To provide an overview of the national Covid-19 vaccination plan Policy Objectives: comprising the development of a Prioritisation Policy (based on JCVI advice), National Delivery Framework, and a Service • The most vulnerable people are protected by a vaccination Delivery Manual for SARS-CoV-2 Vaccination, specifically: programme that prevents transmission to them and/or minimises severity of illness. • To set out the priorities for Wave One • People would be able to resume and continue as close to • To set out the plans for Wave One normal life as possible. • To indicate planning assumptions for Waves Two & 3 • To outline the key elements of the National Delivery Framework to support successful delivery; National Delivery Service Delivery Model Prioritisation Policy Local Planning Framework Guide DRAFT | OFFICIAL - SENSITIVE Key Planning Assumptions for Wave 1, Week 1 (w/c 7th December) Rest of December (w/c 14th December onwards) Total Programme Current vaccine available to NHS Scotland as at 8/12 Awaiting confirmation of supply to end of December 65,500 doses available Additional doses to Scotland 4.45m Target Citizens Subject to advice on 16- 17 year olds 1 2 3 4 5 Care home workers Vaccinators, and Long term in-patients Residents in a care Vaccinators, and frontline healthcare who are over 80 home for older adults frontline healthcare workers prioritised by and their carers workers prioritised by risk (eg working
    [Show full text]
  • NHS Highland CONSULTANT ANAESTHETIST
    NHS Highland CONSULTANT ANAESTHETIST Lorn & Islands Hospital VACANCY Consultant in Anaesthesia Lorn & Islands Hospital 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent Applications are invited to join our Anaesthetics team at Lorn & Islands Hospital, Oban on the beautiful West Coast of Scotland. This vacancy is offered on the basis of 10 Programmed Activities per week. The department of Anaesthetics is based at Lorn & Islands Hospital, Oban. The Hospital is located on the southern outskirts of Oban and forms a hub for both acute and community services within the area. Purpose built in 1995, the Hospital houses a full range of facilities expected in a rural general hospital including a full 24 hour medical, surgical and anaesthetic service. Duties are based at Lorn and the Islands Hospital with some sessions at the Argyll and Bute Mental Health Hospital in Lochgilphead. There is the possibility of further clinic sessions at community hospitals throughout Argyll. The area is of one of outstanding natural beauty, the town of Oban is a tourist and commercial centre for the West of Scotland and the Isles. The port town has ferry links to the islands of Mull, Iona, Islay, Coll, Tiree, Colonsay and Lismore. There is plenty of opportunity for enjoying leisure pursuits including yachting, canoeing, walking, climbing, cycling and fishing. It’s a great place to bring up a family with good local schools and reasonable property prices. Oban provides the advantage of a high quality of life in a rural setting with access to the main centres of Glasgow, Stirling and Perth all within 2½ hours travel time.
    [Show full text]
  • NHS Highland
    NHS Highland Meeting: NHS Highland Board Meeting date: 26th January 2021 Title: Culture Progress Update Responsible Executive/Non-Executive: Fiona Hogg, Director of HR & OD Report Author: Emma Pickard, External Culture Advisor 1 Purpose This is presented to the Board for: Discussion This report relates to a: Board strategy / plan This aligns to the following NHS Scotland quality ambition(s): Safe Effective Person Centred 2 Report summary 2.1 Situation Work on the Culture Programme progresses under the guidance of the Culture Oversight Group. Prior to the Christmas break, the six Culture priority leaders met to discuss the programme plan for 2021. This included any requirement for adjustments to respond to the recent increase in COVID transmission and impact on the system across NHS Highland. Progress will continue across all six priorities, but activities requiring significant front-line engagement (for example, the roll-out of the NHS Highland vision and values) may need to be adapted or amended to ensure that elements requiring broader organisational engagement are scheduled when there is capacity to do this effectively. There is also progress being made outside the formal programme plan, including the Healing Process, Guardian Service and Employee Assistance Programme and preparation for the launch of the national Whistleblowing Standards in April 2021. Page 1 of 11 2.2 Background The reformed Culture Oversight Group has now met three times (October, November and January) and is operating well; with good organisational representation and delivery accountability embedded across operational units. The purpose of this paper is to provide an update on the overall status of the Culture programme; each of the Culture programme priorities and the key risks related to delivery.
    [Show full text]
  • Highland Health Board
    NHS Highland Board 31 May 2016 Item 4.9 UPDATE ON MAJOR SERVICE REDESIGN PROJECTS Report by Gill McVicar, Director of Operations (North and West), Georgia Haire, Deputy Director of Operations (South and Mid) and Maimie Thompson (Head of PR and Engagement) on behalf of Deborah Jones, Director of Strategic Commissioning, Planning and Performance The NHS Highland Board is asked to: • Consider the proposals to redesign services for the North Coast (Sutherland), approve that the changes constitute major service change; endorse the pre- consultation work and options appraisal process and approve the draft consultation materials; • Note the update on progress with developing the business case for major redesign of services for Badenoch and Strathspey 1. Background and summary Services provided by the NHS need to change to ensure they meet the future needs of the changing population, particularly the increasing ageing population of Scotland and the number of people with long-term health conditions. There are additional challenges facing NHS Highland linked to geography, recruitment, staff retention and in some cases history. In addition there is a pressing need to develop more community services, facilitate greater community resilience and modernise and rationalise our estate. Notably at the time the major service change projects got underway in 2012/13 the backlog maintenance was some £70million. As set out in NHS Highland’s 10 year operational strategy, work is ongoing to transform models of care and services. The transformations of services
    [Show full text]
  • Caithness General Hospital Unannounced Inspection Report Oct 2015
    Unannounced Inspection Report – Care for Older People in Acute Hospitals Caithness General Hospital | NHS Highland 25–27 August 2015 Healthcare Improvement Scotland is committed to equality. We have assessed the inspection function for likely impact on equality protected characteristics as defined by age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation (Equality Act 2010). You can request a copy of the equality impact assessment report from the Healthcare Improvement Scotland Equality and Diversity Officer on 0141 225 6999 or email [email protected] © Healthcare Improvement Scotland 2015 First published October 2015 The publication is copyright to Healthcare Improvement Scotland. All or part of this publication may be reproduced, free of charge in any format or medium provided it is not for commercial gain. The text may not be changed and must be acknowledged as Healthcare Improvement Scotland copyright with the document’s date and title specified. Photographic images contained within this report cannot be reproduced without the permission of Healthcare Improvement Scotland. www.healthcareimprovementscotland.org Healthcare Improvement Scotland Unannounced Inspection Report (Caithness General Hospital, NHS Highland): 25-27 August 2015 2 Contents 1 Background 4 2 A summary of our inspection 6 3 What we found during this inspection 8 Appendix 1 – Areas for improvement 24 Appendix 2 – Details of inspection 27 Appendix 3 – List of national guidance 28 Appendix 4 – Inspection process flow chart 30 Appendix 5 – Terms we use in this report 31 Healthcare Improvement Scotland Unannounced Inspection Report (Caithness General Hospital, NHS Highland): 25-27 August 2015 3 1 Background In June 2011, the Cabinet Secretary for Health, Wellbeing and Cities Strategy announced that Healthcare Improvement Scotland would carry out a new programme of inspections.
    [Show full text]