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4.10 CEO Report 17 Nov 2016

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4.10 CEO Report 17 Nov 2016 NHS Highland Board 29 November 2016 Item 5.10 Chief Executive and Directors Report – Emerging Issues and Updates Report by Elaine Mead (Chief Executive) • Skye, Lochalsh and South West Ross Initial Agreement • North Coast (Sutherland) Re-design – Update on Public Consultation • Hosted Study Tours • Scottish Health Awards 2016 Skye, Lochalsh and South West Ross Initial Agreement and New Project Request Plans to redesign services in Skye, Lochalsh and South West Ross took a further step forward earlier this month when the Scottish Capital Investment Group approved the Initial Agreement. Last year the Initial Agreement for the redesign of services in Badenoch and Strathspey was approved. With approval for both projects now in place NHS Highland will submit a New Project Request (NPR) to Hub North Scotland. This will set out all the supporting information and ask them to commence the design of two new community hospitals as part of a single ‘bundle’. The redesign of services will see a new, modern integrated health and social care ‘hub’ built in Broadford and a ‘spoke’ facility in Portree, while a new community hospital for Badenoch and Strathspey will be located in Aviemore. The hospitals are part of a much wider health and social care redesigns of services and are two of the most significant that NHS Highland has undertaken in recent times. The NPR will be considered by NHS Highland Asset Management Group at the end of November. North coast (Sutherland) Redesign - Update on Public Consultation A three month public consultation on a proposed redesign of health and social care services along the north coast of Sutherland closed on 25th October. Since July, some 1,200 consultation document and feedback forms were distributed throughout the area with a total of 263 responses. A number of responses were also received from community groups, voluntary organisations and community councils. During the consultation process, NHS Highland organised a series of public meetings about the redesign, including with families and staff at both homes, and all the community councils were contacted and invited to attend meetings about the redesign. Updates were also provided to the Sutherland District Partnership as well as business/council partnerships in the area. The Board’s strategic partners (SAS, Scottish Fire & Rescue, Highland Council, Highland Hospice, Highlands and Islands Enterprise) were also sent consultation materials and were invited to formally respond. Some responses from partner agencies are still awaited, and this has been followed up as we believe it is important to have the views of all the relevant community planning partners represented in the deliberations. Once these have been received, all the responses, along with and any other feed- back, will then be analysed. Further work to look at any staffing challenges in relation to the choice of location may be required and would form part of the analysis. It is planned to bring a paper with recommendations on the service model and location to the next Health and Social Care Committee in January and onward to the Board meeting of NHS Highland. A parallel process of approvals from the Highland Council will also be required. The options appraisal and consultation process is being independently assured by the Scottish Health Council and they have endorsed the process to date. They did not consider the proposal to represent major service change. Hosted Study Tour In October NHS Highland was pleased to host a study tour for nine senior clinical and operational staff from Bodo in northern Norway, which has similar geographical challenges to those in Highland. Coming from acute settings, the team were keen to hear how we were managing pressures on hospitals in rural areas with an emphasis on supporting people at risk of hospital admission and early supported discharge. During their trip, the visitors received presentations on the Highland Quality Approach, Technology Enabled Care, Transforming Urgent Care, Rural Support Team, and Pharmacy Developments in Primary Care, Community Enterprises, My Home Life and Being Here. They also visited Migdale Hospital in Bonar Bridge where they heard about Scottish Patient Safety Programme, in particular work on Falls Prevention, Integrated Teams and Dementia Friendly approaches. Other visits included Fit Homes factory, Brora Village Hub, Caithness General Hospital and Riverside Medical Practice in Wick where they heard about Advanced Practitioners in Primary Care and saw a ‘Virtual Ward’ meeting in action. Feedback from the visit was very positive and there is a strong desire to maintain contact and to continue to learn from each other. Scottish Health Awards 2016 An individual and a team from Highland received awards at the Scottish Health Awards 2016 in recognition of their invaluable contribution to Scottish healthcare. John Webb, First Responder and Heartstart trainer with Garelochead and Rosneath Peninsula Community First Responders won the Volunteer Award. John has attended many medical incidents for the Scottish Ambulance Service over the years, and has made a great difference to each of the patients he has helped. The Audiology Team at Lorn & Islands Hospital in Oban took home the coveted Top Team Award. The team has been thoroughly praised throughout the UK for the unique practices and services they provide to children and adults. The implementation of new facilities and equipment unique to Scotland by the team has meant that all patients have been seen locally and looked after extremely well. The Audiology team has already secured its status as one of the very best in the UK. .
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