Moray CHSCP November 2011 RCOP in Moray APPENDIX 5: SERVICE MAPPING Service Mapping 2010-2011 This service mapping document seeks to identify and map provision within the Moray health and social care system, regardless of provider, which currently provides care and support services to older people. The aim of this mapping is to establish what activity is being carried out and by whom. It has been used as the basis for gaps analysis and service development SERVICE MAPPING Contents Appendix 5: service mapping .................................................................................... 1 SERVICE MAPPING ....................................................................................................... 2 Contents ..................................................................................................................... 2 Introduction ................................................................................................................ 6 A: Primary Healthcare................................................................................................. 10 1 GP Practices ......................................................................................................... 10 1.1 Overview ....................................................................................................... 10 1.2 Quality .......................................................................................................... 13 1.2.1 2009/10 Scottish GP Patient Experience Survey ............................................ 13 1.2.2 2011/12 Scottish GP Patient Experience Survey ............................................ 13 1.3 Demand ......................................................................................................... 15 1.4 Summary ....................................................................................................... 23 2 District/Community Health Nursing ......................................................................... 24 2.1 Overview ....................................................................................................... 24 2.2 Quality .......................................................................................................... 26 2.3 Demand ......................................................................................................... 27 2.4 Summary ....................................................................................................... 28 3 Allied Health Professionals ..................................................................................... 28 3.1 Overview ....................................................................................................... 28 3.2 Quality .......................................................................................................... 29 3.3 Demand ......................................................................................................... 29 3.3.1 Falls......................................................................................................... 29 3.3.2 Continence Advisory Service ....................................................................... 31 3.4 Summary ....................................................................................................... 32 4 Telehealth ........................................................................................................... 33 4.1 Overview ....................................................................................................... 33 4.1.1 Remote Video Conference Consultations: ...................................................... 33 4.1.2 Allied Health Professionals .......................................................................... 33 4.1.3 General Practice ........................................................................................ 33 4.1.4 Healthy Outlook Service ............................................................................. 34 4.2 Quality .......................................................................................................... 34 4.3 Demand ......................................................................................................... 34 4.4 Summary ....................................................................................................... 34 5 G-med ................................................................................................................ 34 5.1 Overview ....................................................................................................... 34 5.2 Quality .......................................................................................................... 35 5.3 Demand ......................................................................................................... 35 5.4 Summary ....................................................................................................... 42 6 Primary Healthcare Summary ................................................................................. 42 B: Community/Social Care .......................................................................................... 43 1 Over-arching themes of Community/Social Care ....................................................... 43 1.1 Balance of Care .............................................................................................. 43 1.2 Workforce ...................................................................................................... 45 1.3 Workload ....................................................................................................... 46 1.4 Moray Client and Fiscal Projections (from August 2009 – 2031) ............................ 47 1.4.1 Client Projections ...................................................................................... 47 1.4.2 Fiscal Projections ....................................................................................... 48 1.4.3 Long standing illness by age ....................................................................... 49 2 1.4.4 Adults claiming incapacity benefit ................................................................ 50 2 Care Homes ......................................................................................................... 51 2.1 Overview ....................................................................................................... 51 2.1.1 Care Homes Nationally ............................................................................... 51 2.1.2 Supply of Care homes in Moray ................................................................... 54 2.1.3 The Cost of Care homes ............................................................................. 59 2.1.4 Step up/step down beds ............................................................................. 60 2.2 Quality of service ............................................................................................ 61 2.2.1 SCSWIS Grades and NCHC Awards .............................................................. 62 2.2.2 Complaints and Incidents/Accidents ............................................................. 63 2.3 Demand ......................................................................................................... 64 2.3.1 Demand/need for Residential Places ............................................................ 64 2.3.2 Demand for Free Person/Nursing Care (FPC/FNC) in a Care Home ................... 68 2.4 Summary ....................................................................................................... 70 3 Home Care .......................................................................................................... 71 3.1 Overview of service ......................................................................................... 71 3.1.1 Home Care Nationally ................................................................................ 71 3.1.2 Cost of Home Care .................................................................................... 76 3.2 Quality of service ............................................................................................ 77 3.2.1 External Provision ...................................................................................... 77 3.2.2 Internal Provision ...................................................................................... 79 3.3 Demand ......................................................................................................... 81 3.3.1 Homecare - General ................................................................................... 81 3.3.2 Intensive needs care .................................................................................. 83 3.3.3 Free Personal Care .................................................................................... 85 3.3.4 Internal Homecare ..................................................................................... 86 3.3.5 External Homecare .................................................................................... 90 3.3.6 Moray Intermediate Care Services ............................................................... 94 3.4 Summary ....................................................................................................... 97 4 Day Care ............................................................................................................. 97 4.1 Overview ......................................................................................................