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Strathchat Issue 2 STRATHchat ISSUE NO. 2 : JUNE 2016 NHS Highland’s major service change project in Badenoch & Strathspey Latest plans In this issue... for redesign Latest updates New service model proposals announced Academic study IN February 2015, Shona Robison, cated to the new facility but the other the Cabinet Secretary for Health and health centres will remain at their exist- planned Wellbeing, approved NHS Highland’s ing locations. proposals for the modernisation of The redesign will also mean the services in Badenoch and Strath- eventual closure of the Ian Charles Community spey. Hospital in Grantown-on-Spey and the Empowerment The redesign will include the devel- St Vincent’s Hospital in Kingussie once opment of community and adult social the new arrangements are in place. Act considera- care services as well as the construc- Further updates on all aspects of tions tion of a new community hospital and the work to redesign health and social resource centre in Aviemore. care services are set out in this news- Aviemore Health Centre will be relo- letter. Update on project team Transport and New model of service access THE details of the proposed new Community hospital and resource cen- model of service and workforce plan tre in Aviemore for Badenoch and Strathspey are An external academic and inde- Key dates being finalised. pendent review of demographic projec- They will be considered by the pro- tions and how they relate to health ject board in July. needs is now under way. How to find out The following specific areas are cur- This builds on internal projections more rently under consideration: and will provide greater information on (Continued on next page) Produced by NHS Highland STRATHchat New model of service proposals (Continued from front page ) future requirements for both in- hospital and community services in the Badenoch and Strathspey area. The accommodation schedule is also being completed for the new hospital and work is ongoing on options for hotel services in- cluding catering. Actions have been ongoing for some time to procure a site in Aviemore for the proposed new facility. Health centres Both the Grantown and Kingus- sie health centres will need to be upgraded. The next steps are be- ing developed as part of the over- all redesign. In Grantown, the plans include An artist’s impression of the new Aviemore facility improving the entrance to the health centre. velop a care academy which will Patients will get a special as- This will require Scottish Gov- support staff recruitment and train- sessment and initial treatment but ernment funding and bids are cur- ing. will generally be supported to return rently being prepared. to their local community quickly. Older adult mental health services: in-patient care Care homes Community mental health services The seven older adult specialist Work is already under way on There will also be investment in mental health beds currently pro- changes to both NHS Highland community mental health and com- vided at St Vincent’s Hospital in managed care homes in the area: munity care services in the local Kingussie will transfer to the acute Grant House in Grantown-on Spey area. mental health specialist unit at New and the Wade Centre in Kingus- This is to ensure that there is Craigs Psychiatric Hospital in Inver- sie. This is to allow them to pro- extra capacity to manage patients ness. vide more flexible use including with increased complexity and This is planned to occur in ad- emergency respite, palliative and avoid admission to hospital where vance of the new hospital being end-of-life care. possible. It will also generally help opened in Aviemore. to improve access to mental health The beds in St Vincent’s are not Care at home services. exclusively for the use of people Significant steps to transform living in Badenoch and Strathspey. the delivery of care at home ser- Audits have shown that around Providing choice for end-of-life care vices is happening across all parts half of the patients in these beds do A local multi-agency group has of Highland including in Badenoch not live locally and overall the trans- been set up to look at enhancing and Strathspey. This will see more fer to Inverness will improve access end-of-life care to improve choice care at home being commissioned for more people. for patients about where they wish through independent providers In addition, under the current to die. and support greater independence arrangements visiting consultant through an approach called en- psychiatrists provide a weekly ser- Transport and access ablement. This will necessitate vice. The transport assessment car- the appointment of more occupa- Once the new arrangements are ried out by Aberdeen University and tional therapists which is already in place, there will be improved ac- commissioned by the Badenoch happening. cess to on-site psychiatrists, with and Strathspey Transport Company NHS Highland is also pro- 24 hours a day, seven days a week has been ratified by the transport gressing work with partners to de- availability at New Craigs. and access sub-group. STRATHchat Page 3 Community Act Research planned considered in redesign plans THE Community Empowerment will need to have processes in DR Ellen Stewart, a researcher Act 2015 has been considered place to assess requests, deter- from Edinburgh University, is as part of the B&S redesign pro- mine if a group meets the require- looking at a number of case posals. ments of the act, and to implement studies across Scotland in- The Act has 12 parts and covers the necessary outcome improve- volving the redesign of health a wide range of issues. Most of the ment process. services, including any areas Act is not yet in force as the Scot- Notably, these participation re- where there are proposals to tish Government is in the process quests are to supplement and not close hospitals. of consultation on some of the draft replace consultation and engage- Her research questions will regulations. ment processes that public bodies include: Two key elements of the Act are already legally required to un- are: dertake. What types of knowledge and evidence inform deci- Participation requests Asset transfer requests sions to propose hospital A new way for communities to A process to allow a community closures in the NHS in Scotland? enter into dialogue with public bod- organisation to apply to buy, lease, ies on their own terms. Community manage or use publicly-owned What information do mem- bodies might use the act to discuss buildings or land. On receipt of a bers of the public draw on with service providers how they request, the public authority must when responding to a pro- could better meet the needs of us- assess the request’s economic, posed hospital closure? ers, to offer volunteers to support a social and environmental benefits How does the NHS involve service, or even propose to take- and whether it contributes to reduc- the public in decisions? over delivery of the service them- ing inequalities. selves. All community bodies making an Anyone interested in finding If a community body identifies asset transfer request must have a out more or participating in an issue, need or opportunity constitution. If a community body the research should contact where it believes it could help to wishes to buy rather than lease, Ellen: improve outcomes, it can then manage or use an asset, it must Ellen Stewart | Chief Scientist make a request to a public body to meet additional requirements. Office Postdoctoral Fellow take part in an outcome improve- Requests must be granted Centre for Population Health ment process. unless the public authority has rea- Sciences | University of Edin- Requests must be agreed sonable grounds to refuse. The burgh unless there are reasonable public body must have processes in [email protected] grounds for refusal. Public bodies place to handle such requests. STRATHchat Page 3 Who’s who on Recent community NHS Highland and staff updates project team REPRESENTATIVES on-Spey & Vicinity Com- from NHS Highland at- munity Council and NHS Key dates tended the Grantown- Highland websites. on-Spey and Vicinity At the meeting it was 31st May: Update Community Council on also agreed to hold some to board of NHS Tuesday 24th May. follow-up sessions later Highland Following a brief in the year specifically on presentation there was a how NHS Highland is series of question and delivering changes to 6th July: Project answers. care at home service to board The questions and increase capacity and discussion focused on: improve quality. Georgia Haire, 6th September: the need for flexible use NHS Highland will be project director beds in care homes; in- in contact with all com- Highland Council creased capacity for care munity councils in the area committee at home; clarification that area in due course to location of health centres offer to meet and provide 19th September: won’t be changing and an update on the redes- Transport and that there will be no ign. change to Scottish Am- There will also be an Access Group bulance Service’s ar- update to the Highland rangements in Grantown; Council Area Committee. 5th October: Pro- and the impact and op- The project board ject board portunities relating to the meets quarterly and in- Community Empower- cludes three public mem- ment Act (see previous bers: Alex Murray 29th November: page). (Grantown-on-Spey), Update to board The questions and Mairi Palmer of NHS Highland responses will be pub- (Newtonmore) and Coun- lished on the Grantown- cillor Jaci Douglas. Rhiannon Pitt, area manager How to find out more... FOR further updates on Alternatively, contact 01463 706712 the progress of the re- any of the following: [email protected] design work, there is a Boyd Peters dedicated section on the Maimie Thompson associate medical direc- NHS Highland website: head of PR and engage- tor /clinical lead http:// ment 079 767 105 69 www.nhshighland.scot.n 01463 704722 [email protected] hs.uk/News/ maimie.thompson@nhs.
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