Skye, Lochalsh and

South West Ross

Major service re-design

public consultation

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@NHSHighland

#skyechat

Contact details

Maimie Thompson

Head of Public Relations & Engagement

NHS Highland

Assynt House, Inverness IV2 3BW

Direct 01463 70 4722

maimie.thompson@nhs.net

www.twitter.com/nhshmt

•

Agenda

• Introductions

• Major service change process and public

consultation

• Local context and process

• Discussion

• Next steps

Observed and expected bed days by type of admission and day case numbers; NHS Highland residents by financial year end period 2000 -2013*

Data source: SMR01 (Acute and General Hospital activity for inpatients and day cases) and NRS Mid-year population

estimates, 2000 -2012 (revised series) * Expected activity calculated by applying age specific rates of bed day use and day

case attendance of NHS Highland residents in 1999-2000 to mid-year population estimates

Is there a case for change?

Strong concensus

YES

Five key stages

1. Agree case for change

2. Options appraisal on models of service

– Short-list of 3 possible models

3. Options appraisal on locations

4. Options appraisal on sites

5. Are changes proposed ‘major’

Public consultation

3 months

19th May - 19th August 2014

Accept responses up until end of August

Local involvement • Local steering group established following

significant early work led by a Reference

Group

• 7 Workshops (June 13 to April 14)

– Case for change

– to develop and appraise options

– Short list of three options

– Preferred service model option proposed

– Identify possible location in Skye

– Identify site appraisal criteria

Activities so far ….

• Media, social media & adverts etc

• Drop-in events

• Community Council meetings

• Various other groups

• Elected members

• District Partnership

• Walk about to check awareness

• 1x public meeting so far (Broadford)

• Lots of 1:1 discussions and meetings

Mail drop

Values based exercise

Portree High School

Responsive process

• Extra meetings

• Respond to requests for information

• Additional mail drop etc

Consulting on the

preferred option

BUT

Purpose of consultation People should be encouraged to express

their views on all of the options that have

been considered to date, or to make

suggestions for alternative approaches

Scottish Health Council Guidance

NHS Highland board will

consider all views and

be able to explain why

any widely held views

discounted

Ongoing work

• Transport survey

• Set up access and transport group

• Equality and Impact Assessment

(ongoing)

• Clinical specification

• Collaboration with Raigmore, Hospice,

Scottish Ambulance, Council etc

The future

3 to 5 years before preferred

model would be implemented

Some things that won’t change

• Care homes will remain in existing

locations

• Dental unit remain in Portree, Dunvegan

and Kyle

• GP Practices, Dental and pharmacy will

remain in same areas

• Excellent culture of care provided by

staff

Challenges

• Modernise to reflect changing times

• Address resources split across two

centres

• Increase capacity of care-at-

home/community service

• Reduce delays for out-of-hours medical

cover for in-patients

• Improve co-location/ joint working

• Buildings cant be modernised

Long list of options

Ranged from having NO

hospitals in the area to

having TWO NEW

hospitals in the area;

and various scenarios

in between

Why have any hospitals?

Why not build 2 new hospitals ?

• Affordability

• Clinical pathways

• Sustainability

Short list of three possible

models of service

1. Do minimum

2. Community resource centre and hospital -

Hub-in one village (Portree or Broadford)

and scaled-down services in other –

Spoke- (eg no in-patient beds)

3. Community resource centre, single

campus in one village and significant

rationalisation of all other health and care

facilities

Scoring (out of 1,000)

• Option 1 – 400

• Option 2 – 800

• Option 3 – 788

Steering group preferred model

of service

Option 2

3

Location of Hub and Spoke

• Option 2 (a) - Hospital ‘Hub’ new build in

Broadford, with ‘spoke’ in Portree

Score = 766

• Option 2 (b) Hospital ‘Hub’ new build in

Portree, with ‘spoke’ in Broadford

Score = 702

Benefit criteria for location

What could change

• Development of new community hospital

with in-patient beds and resource centre in

Broadford

• Improved out-of-hours cover for in-patients

• Develop care-at-home and care homes

• Mackinnon Memorial Hospital to close

• Portree Hospital redesigned once new

hospital built

• Plus other detail to be confirmed

Questions & Discussion

Further local meetings

• 12th Aug - Kilmuir, Uig and Staffin CC

• 14th Aug - Portree public meeting

• 25th Aug – District Partnership (Lochcarron)

Mail drop of consultation

response form with freepost

envelope

Week beginning 11th August

Tell us what you think

• Make sure you complete a consultation

response form (on line or hard copy)

• Complete Scottish Health Council

Evaluation

• Write or email NHS Highland views

• Accept responses up until end of August

Decision making

• Public acceptability

– Need to able to explain how any widely held

views discounted

• Clinical arguments

• Technical considerations

• Affordability

Next Steps

• Responses will be considered

• Director of operations will prepare a report

for board of NHS Highland to consider

• Board recommendation

• Any final decision will be made by Cabinet

Secretary

• Thank you