DDDrrraaafffttt ––– vvveeerrrsssiioioonnn 666 Forth Valley Community Health Partnerships Scheme of Establishment ‘Working Together For Healthier Communities’ 1 222333 DDDeeeccceeemmmbbbeeerrr 222000000444 DDDrrraaafffttt ––– vvveeerrrsssiioioonnn 666 Contents 1. INTRODUCTION.........................................................................................................................5 1.1 OUR VISION .....................................................................................................................................6 1.2 BACKGROUND..................................................................................................................................6 1.3 OUR APPROACH IN FORTH VALLEY .................................................................................................8 1.4 PRINCIPLES ......................................................................................................................................9 1.5 OBJECTIVES ...................................................................................................................................10 2. IMPROVING SERVICES..........................................................................................................12 2.1 OUTCOMES.....................................................................................................................................12 2.1.1 Shift locus of care to local communities........................................................................................12 2.1.2 Closing the Inequality Gap – Mainstreaming Equality.................................................................13 2.1.3 Improved Access to Services .........................................................................................................14 2.1.4 Reduction in unnecessary admissions and providing alternatives to hospital admission .............14 2.1.5 Increased integration of services between primary, secondary, community and social care services ..........................................................................................................................................15 2.2 RANGE OF SERVICES.......................................................................................................................16 2.2.1 Falkirk CHP ..................................................................................................................................17 2.2.2 Clackmannanshire CHP................................................................................................................17 2.2.3 Stirling CHP..................................................................................................................................18 2.3 STRATEGIC PLANNING & SERVICE REDESIGN ................................................................................18 2.3.1 Supporting Service Redesign and opportunities to develop new models of care...........................21 2.3.1.1 Implementing our Healthcare Strategy......................................................................................................21 2.3.1.2 Transitional Arrangements........................................................................................................................21 2.3.1.3 Organisational Development.....................................................................................................................21 2.4 JOINT FUTURE ARRANGEMENTS.....................................................................................................22 2.5 CHILDREN AND YOUNG PEOPLE SERVICES.....................................................................................24 2.5.1 Child Protection ............................................................................................................................25 2.5.2 Clackmannanshire.........................................................................................................................25 2.5.3 Stirling...........................................................................................................................................26 2.5.4 Falkirk...........................................................................................................................................28 3. IMPROVING HEALTH.............................................................................................................30 3.1 COMMUNITY PLANNING.................................................................................................................31 3.1.1 Clackmannanshire.........................................................................................................................31 3.1.2 Falkirk...........................................................................................................................................32 3.1.3 Stirling...........................................................................................................................................33 3.2 JOINT HEALTH IMPROVEMENT PLANS / LOCAL HEALTH PLANS.....................................................35 3.3 THE ROLE OF PUBLIC HEALTH IN SUPPORTING CHPS.....................................................................38 3.4 THE ROLE OF CHPS IN HEALTH IMPROVEMENT AND REDUCING HEALTH INEQUALITIES .................39 3.4.1 Joint Planning ...............................................................................................................................40 3.4.2 Staffing ..........................................................................................................................................40 3.4.3 Training.........................................................................................................................................40 4. ORGANISATIONAL ARRANGEMENTS...............................................................................42 4.1 GEOGRAPHICAL BOUNDARIES........................................................................................................42 4.2 CHPS & THE FORTH VALLEY NHS BOARD....................................................................................42 4.3 GOVERNANCE AND ACCOUNTABILITY ARRANGEMENTS................................................................43 4.3.1 Falkirk...........................................................................................................................................44 4.3.2 Clackmannanshire.........................................................................................................................45 4.3.3 Stirling...........................................................................................................................................46 4.4 CHP COMMITTEES .........................................................................................................................47 4.4.1 Membership...................................................................................................................................48 4.4.2 Role & Remit of the CHP Committee ............................................................................................48 4.4.3 Frequency of Meetings..................................................................................................................49 4.4.4 Role of Management Team............................................................................................................49 4.5 LEADERSHIP ARRANGEMENTS ........................................................................................................49 2 222333 DDDeeeccceeemmmbbbeeerrr 222000000444 DDDrrraaafffttt ––– vvveeerrrsssiioioonnn 666 4.5.1 Clinical Lead.................................................................................................................................50 4.5.2 Leadership Structure .....................................................................................................................50 4.5.3 Locality Arrangements ..................................................................................................................51 4.5.4 LHCC Professional Committee .....................................................................................................51 4.6 SUPPORT SERVICES ........................................................................................................................52 4.7 PERFORMANCE MANAGEMENT ......................................................................................................53 5. WORKING IN PARTNERSHIP ...............................................................................................54 5.1 INVOLVING STAKEHOLDERS...........................................................................................................54 5.2 ENGAGING LOCAL COMMUNITIES..................................................................................................54 5.3 PUBLIC PARTNERSHIP FORUM........................................................................................................55 5.3.1 Stirling CHP..................................................................................................................................55 5.3.2 Falkirk...........................................................................................................................................56 5.3.3 Clackmannanshire.........................................................................................................................57 5.3.3.1 Clackmannanshire-Wide Community Engagement ..................................................................................57