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North Coast Sutherland Redesign Full Public Consultation

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North Coast Sutherland Redesign Full Public Consultation North Coast (Sutherland) Redesign Full public consultation document This document covers proposals to modernise health and social care services including residential care. You are invited to respond with your views This three month public consultation will run from 25th July 2016 to 25th October 2016 YOUR CHANCE TO COMMENT Please submit your views no later than 25th October 2016 If you would like this information in large print or audio form, or require any assistance with responding to the consultation or would like to request a meeting please get in touch. Contact details are available on the back page. Contents 1. Executive summary 2. Scene setting: why services need to change 3. Working with local people to develop proposals 4. Developing possible service models and appraisal of options 5. Options appraisal to determine the location of any “Hub” facility 6. Addressing potential impacts and other considerations 7. Public consultation and decision making process All of the information about the consultation is also available on the NHS Highland website which you can access via the home page. www.nhshighland.scot.nhs.uk North Sutherland Coast Redesign Full Public Consultation Document 1 1. Executive Summary Overview Changes to health and social care services are being considered for local communities across the North Coast of Sutherland. NHS Highland is proposing to run residential care services in a new purpose built residential care ‘Hub’ facility in the Kyle of Tongue area. It comes as part of a wider re-design. However, it would also see NHS Highland withdraw from the residential care services which are currently provided by NHS Highland in Caladh Sona and Melvich Community Care Unit. This three month consultation is an opportunity for local people, families and partner agencies to comment. Summary 1. The north coast of Sutherland is one of the most sparsely populated areas in Highland and when combined with its ageing population the area faces some unique challenges to deliver and sustain services. 2. The scope of this redesign covers the communities between Scourie and Kinlochbervie in the West across to Melvich in the East, covering a resident population of around 2,250 3. In terms of primary care health services there are four GP Practices: Scourie/Kinlochbervie, Durness, Tongue and Armadale. Armadale has branch surgeries in Bettyhill and Melvich. Under the proposed new arrangements these services would still be provided from the same locations. 4. There is no community hospital on the north coast but there are two six-bedded residential care homes (Caladh Sona in Talmine and Melvich). Both are converted sheltered homes and are 29 miles apart (travel time approx 45 to 50 mins). The homes are owned by the Highland Council, but since April 2012, the services are managed by NHS Highland. 5. The three key reasons why the proposed re-design is required: . The general challenges in recruiting to health and social care staff in the north. The current location of both facilities do not lend themselves to greater co- location with other services . The care homes are not purpose built and are not in good condition: Caladh Sona does not meet Care Inspectorate Standards and the Melvich Community Care Unit, while in better condition is also not ideal. 6. In April and May 2015 a series of informal meetings took place with local community councils, local groups, councillors, Sutherland District Partnership, GPs and staff in North, West and Central Sutherland. Emerging from these discussions there was a good understanding around the issues being faced and the need to consider some changes. North Sutherland Coast Redesign Full Public Consultation Document 2 7. During the summer of 2015 a local Steering Group, drawn from representatives from the various communities, staff and partner agencies was established. Representatives from all the communities in scope were invited to participate. 8. The first step was to more formally explore the reasons why changes are required. This was carried out over a series of workshops with local stakeholders. This was followed up with several more events to develop possible future models of service and criteria against which option could be scored. 9. A long list of possible service model options was developed. These were then whittled down to a short list of three options which participants scored: . Option A – status quo/minimal change . Option B – build a new care home ‘Hub’ facility in one location and replace existing facilities (Caladh Sona and Melvich Community Care Unit) . Option C – build a new care home facility in one location and maintain a second facility (either Caladh Sona or Melvich) The preferred model of service which scored the highest was Option B. 10. The preferred service model option is to build a new modern residential care home ‘Hub’ facility: . A purpose-built facility to be developed . Dual registration of nursing and residential care which is currently not possible and in doing so improve local access . Development of a ‘Hub’ to support greater co-location of health and social care services in the area None of these developments would be possible under the current arrangements. 11. The new arrangement would also provide a much more sustainable model by reducing some of the challenges currently required to staff and maintain two small units. It would also allow for a wider re-design of services by investing in community services and new approaches to provide more care-at-home. 12. The proposal, if implemented, would mean NHS Highland would no longer provide residential care home services from Caladh Sona and Melvich. However, there could be possibilities for consideration around how local communities might use any properties freed up. 13. An options appraisal event was also held to consider the location for the proposed new care home ‘hub’ facility. The group agreed six broad areas for consideration: Scourie/Kinlochbervie, Durness, Kyle of Tongue, Bettyhill, Strathy/Armadale and Melvich. The area which scored highest was Kyle of Tongue. North Sutherland Coast Redesign Full Public Consultation Document 3 14. Further work would be required to identify possible sites and any consideration would also be subject to technical and financial considerations. 15. The steering group also agreed that the ‘outlook’ of any new facility would also be of significance and this should be considered as pat of the final site selection. 16. The next part of the process is to carry out a public consultation on the recommended future model of service including the proposed location. 17. The board of NHS Highland would consider the proposals including the feed- back received from the public consultation and independent report on the consultation process via the Scottish Health Council 18. This consultation document sets out in more detail: a) The reasons why some changes to services are required and some of the problems with current local services (Section 2, page 6); b) How local people, service users, families, visitors and staff have been involved in the process and the role of the steering group (Section 3, page 18); c) What options were considered and the process through which a preferred service model option was identified (Section 4, page 20); d) What locations were considered for the proposed new facility (Section 5 page 26) and how a recommendation was arrived at; e) How potential impacts of any of the proposed changes (such as access and transport) would be addressed (Section 6, page 29); f) Any other considerations such as what would happen to facilities (Caladh Sona and Melvich Community Care Unit) if no longer required (Section 6.5, page 32), and finally: g) Why a formal public consultation is being carried and how people can make their views known. This section also covers how a final decision will be made (Section 7, page 33). The board of NHS Highland and the Scottish Health Council has endorsed the engagement process to date. North Sutherland Coast Redesign Full Public Consultation Document 4 Overview of what would be provided from the proposed new residential care ‘Hub’ facility Box 1 Summary of what would be included in a “Hub” facility . 24/7 function . A shared space o Residential & Nursing Care Beds o Care at Home o Telecare o GP o Community Nursing o Physiotherapy, Occupational Therapy, Speech & Language Therapy and Podiatry o Dental Services o Social Work Services o Scottish Ambulance Service (SAS) o Scottish Fire & Rescue Service Also Provides: . A base for third sector partners . A space for training and development . An equipment store Box 2 Summary of services currently available in Kyle of Tongue area . Caladh Sona o Six beds in total comprising five permanent beds, one respite/bluebell bed . GP practice (based Tongue) . Kyle Centre (based Tongue, Operated by North Coast Connections) Box 3 Summary of services currently available in Melvich area . Melvich Community Care Unit o Six beds in total comprising five permanent beds, one respite/bluebell bed o Registered Day Care for up to eight per day . GP Practice (based Armadale) North Sutherland Coast Redesign Full Public Consultation Document 5 2. Setting the Scene: why services need to change Main points covered in this section: . Some of the reasons why service need to change are described . Current arrangements for local health and social care services are summarised . Existing problems with some local services are reviewed Ambition “Everyone is able to live longer at home or in a homely setting” NHS Scotland 2020 Vision 2.1 Setting the scene for change nationally Future health and social care services in Scotland are shaped by national strategy and policy and is set out in some key publications: Building a Health Service Fit for the Future (2011)1, Commission on the Future Delivery of Public Services (Christie Report, 2005)2, Route Map for 2020 Vision for Health and Social Care3 and most recently in the National Clinical Strategy published in February 20164 .
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