FORT WILLIAM NEW BUILD STEERING GROUP INCLUDING WORKSHOP 3 DECEMBER 2015
West Highland College, Fort William
PRESENT : Tracy Ligema (TL) Deputy Director, North & West Operational Unit Paul Davidson (PD) Clinical Director, North & West Operational Unit Ross MacKenzie (RMacK) Area Manager West, North & West Operational Unit Eric Green (EG) Head of Estates Chris Evans (CE) HVG - Action for Mental Health John MacDonald (JM) Fire Scotland Brian Donald (BD) Spean Bridge, Roybridge & Achnacarry Community Council Kevin Smith (KS) Ballachulish Community Council James Douglas (JD) NHS Bren Gormley (BG) Highland Council Alan Knox (AK) Scottish Ambulance Service Lorraine MacKinnon (LM) Caol Community Council Emma Tayler (ET) Highland Council John Hutchison (JH) The Belford Appreciation Group Christine Hutchison (CH) Kilmallie Community Council Patricia Jordan (PJ) Fort William Community Council Andrew Bilton (AB) Police Allan Maquire (AM) Highland Council Transport Planning Team Fiona Nairn (FN) NHS Michael Foxley (MF) Board Non-executive member
APOLOGIES: Gill McVicar, Anne Boyd-MacKay, Maimie Thompson, Thomas MacLennan, Liz Featherstone, David Sedgwick, Mark Clough, Dot Ferguson, Maimie Thompson, Richard Gerring
ACTION 1. Welcome, introductions & background • Everyone was welcomed to the meeting, background to the group explained and apologies noted as above. 2. Presentation on Clinical Aspirations Dr Paul Davidson reported from the Clinical Workshop held on 21 st September2015. Issues noted include: • Demographics • Current Facilities • Regulatory requirements • Advances in clinical care • Quality • Clinical support • IT keeping people at home – whole team approach (Lochaber Team) • Conference centre – Hotel • Technology – smart boards etc, • SAS – short stay unit, waiting Area for transport
Following the presentation there was some discussion with the main issues being as follows: • Chris Evans – HUG – place of safety – don’t have fully functioning POS in Lochaber • Question asked regarding a restriction on ambulance for MH detentions was 2-10pm ? now 2-7pm. This was clarified by Alan Knox who noted that the SAS vehicle is available 24/7 but the availability of staff from New Craigs is only during certain times. • Dr Jim Douglas suggested Belford as a “Safe Place” – linked to a short stay ward. • Bed numbers – GPS feel currently too few and don’t want reduced further • Belford role within the wider NHS Highland need to be specified • Bren Gormley – Care at Home and Care In Community effect on hospital role • John Hutchison - training can be taken forward with WH College. Also accommodation requirements for Hospital and WH College could be considered jointly as both looking at new builds on same site. • Helipad – rooftop ? makes transfer to hospital easier Elective work – Belford – element of patient choice • Road Capacity - Eric • Fiona Nairn – HC – roads assessment need to be started at this stage, Parking, Cycling. • Transport consultant early in process • Public transport links - Eric Green noted this would be a standard part of the planning process • Chris Evans – Huge geographical area – transport critical element • Christine Hutchison – Kilmallie CC asked about Maternity and scans being done in Inverness. Paul Davidson noted the staffing difficulty re sonography 3. The Procurement Process Eric Green presented on the Procurement Process and the following was noted: • Project will be a traditional capital funded • Framework contract – companies pre-qualify as part of Framework • Plan 2019 – 2021 completion – although site purchased now • Now planning transport, catering, IT, Etc • Future proof for next 25 years – flexible building • Project board chaired by Chief Operating Officer or Director Of Finance to ensure Process is correct and quality is maintained. • Project Team – day to day work
Process: • Scottish Capital Investment Manual – business case, steering group, project board, NHSH, SG • Strategic Assessment of services is key. Building should be a result of the services that will be delivered. • Initial Agreement – focus on services and outcomes • Outline Business Case • Full Business Case • Scottish Government want to deliver improved outcomes for patients. • Dr Jim Douglas – Strategic vision needs to link to wider highland • Dr Paul Davidson – needs to meet needs of patients • JH noted that the services being discussed seemed similar to those of the Rural General Hospital pioneered at the Belford around 10 years ago • PD agreed but noted that the Rural General Hospital concept was a 2004 model and the concept had moved on since then. • Why are we calling this new “facility” and not “hospital” ? • PD “facility” was to widen the focus to include primary care etc • Was intended to be wider than just a “hospital” • EG – don’t want to narrow the focus
Additional points raised: • Name change? • Dr Jim Douglas – 150 years of Belford – social capital • Bren Gormley – need to ensure community does not get wrong message • Needs to link to WH College UHI project. • 2 steering groups need to link together • EG training, conferencing, accommodation etc • Maximise economies of scale • EG – already had meetings with WHC UHI • EG one energy centre for both buildings, car parking could be shared. • Bren Gormley - staff and visitor hotel – could trawl all public agencies to assess feasibility 4. Workshop Session to explore aspirations and possibilities The remainder of the meeting was devoted to group work around the following questions and the output from each group is attached separately.
• Group 1: Thinking about the current health and care system in Fort William p what do you value? What are the key assets in the locality? What are the important relationships? • Group 2: What are the key elements of success? Who are the key partners? Who needs to be involved? Any other considerations? • Group 3: What Next? 5. Next Steps It was agreed that the group would like to be involved in community engagement work to link with local communities to ensure that they are informed and involved in the development of the new facility. A community engagement programme is to be TL/RM scheduled.
The next meeting of the group should be used to set up the role of the Steering TL Group including Terms of Reference etc