Skye, Lochalsh and Skye, Lochalsh and South West RossSouth West Ross

Health & Care Health & Care Services: planning for Services: planning for

the futurethe future

How Many Services are How Many Services are provided in Skye and provided in Skye and

Lochalsh and South West Lochalsh and South West Ross?Ross? Can you guess?Can you guess?

Hospital Services = ?Hospital Services = ? Community Services =?Community Services =? Visiting Services = ?Visiting Services = ?

Total = ?Total = ?

AnswersAnswers

Hospital Services = 31Hospital Services = 31Community Services = 46Community Services = 46Visiting Services/Clinics Visiting Services/Clinics = 28= 28

Total = 105Total = 105

Hospital ServicesHospital Services Acute MedicalAcute Medical Acute surgicalAcute surgical Acute Medical - NursingAcute Medical - Nursing RehabilitationRehabilitation Terminal CareTerminal Care GP-led bedsGP-led beds Day CasesDay Cases Medical InvestigationsMedical Investigations Midwifery/obstetric careMidwifery/obstetric care OutpatientsOutpatients Primary Care Emergency Centre/Out of HoursPrimary Care Emergency Centre/Out of Hours A & E Department A & E Department Blood TransfusionBlood Transfusion Detoxification Service for Alcohol Dependant PatientsDetoxification Service for Alcohol Dependant Patients Re-ablement servicesRe-ablement services Occupational therapy servicesOccupational therapy services

Hospital Services (2)Hospital Services (2) PodiatryPodiatry OrthoticsOrthotics ChemotherapyChemotherapy Recognised site for Management and Treatment of Major Recognised site for Management and Treatment of Major

IncidentsIncidents Temporary place of safety for patients detained under the mental Temporary place of safety for patients detained under the mental

health acthealth act Community Treatment OrdersCommunity Treatment Orders X-RayX-Ray PhysiotherapyPhysiotherapy Occupational TherapyOccupational Therapy DieteticsDietetics Care of the ElderlyCare of the Elderly Colo-rectal serviceColo-rectal service Tele-care training facilityTele-care training facility Telehealth Clinics e.g. neurology, oncology and diabetesTelehealth Clinics e.g. neurology, oncology and diabetes Hospice link nurseHospice link nurse

Community ServicesCommunity Services Community NursingCommunity Nursing

District NursingDistrict Nursing MidwiferyMidwifery Health VisitingHealth Visiting School Health School Health

NursingNursing Family Health Family Health

NursingNursing Macmillan NursingMacmillan Nursing Learning Disability Learning Disability

NursingNursing Marie CurieMarie Curie

Psychiatric NursingPsychiatric Nursing Older AdultsOlder Adults Severe & EnduringSevere & Enduring AddictionsAddictions

Social Care Social Care ServicesServices Social WorkersSocial Workers Care @ HomeCare @ Home Care HomesCare Homes Day Care ServicesDay Care Services Tele- care servicesTele- care services

Community Services (2)Community Services (2) Allied Health Allied Health

ProfessionalsProfessionals PhysiotherapyPhysiotherapy Dietetics Dietetics Occupational TherapyOccupational Therapy Speech & Language Speech & Language

TherapyTherapy PodiatryPodiatry RadiologyRadiology SonographySonography

Re-ablementRe-ablement

Lymphoedema ClinicLymphoedema Clinic Breast Prothesis ClinicBreast Prothesis Clinic General Practitioners x General Practitioners x

7 Practices S & L7 Practices S & L General Practitioners x General Practitioners x

5 West Ross5 West Ross Dental ServicesDental Services Public Health Public Health Primary Mental HealthPrimary Mental Health Guided Self HelpGuided Self Help Smoking CessationSmoking Cessation

Visiting Services/ClinicsVisiting Services/Clinics Child & Adult PsychiatryChild & Adult Psychiatry

Mental Health & LDMental Health & LD Child & Adult PsychologyChild & Adult Psychology

CBT, Mental Health & LDCBT, Mental Health & LD COPDCOPD Cardiac RehabilitationCardiac Rehabilitation ENTENT RenalRenal OrthopaedicsOrthopaedics Care of the ElderlyCare of the Elderly Sexual HealthSexual Health OpthalmicsOpthalmics Occupational HealthOccupational Health

Medical Medical SurgicalSurgical Retrieval ServiceRetrieval Service UrologyUrology Aneurysm ScreeningAneurysm Screening PaediatricsPaediatrics OrthoticsOrthotics AudiologyAudiology Ultra-SoundUltra-Sound ChestChest Rehabilitation Rehabilitation StomaStoma OncologyOncology

Not Fit for Purpose!Not Fit for Purpose! Portree and MacKinnon Memorial Hospital buildings are Portree and MacKinnon Memorial Hospital buildings are

outdated in modern healthcare termsoutdated in modern healthcare terms Infection Control Standards – HEI/HAIInfection Control Standards – HEI/HAI Decontamination for Theatre and DiagnosticsDecontamination for Theatre and Diagnostics Fire SafetyFire Safety Patient SafetyPatient Safety Site ConstraintsSite Constraints Public ExpectationsPublic Expectations Financial constraintsFinancial constraints

NHSH report on state of premises identified costs to NHSH report on state of premises identified costs to maintain buildingsmaintain buildings Portree = £100,000.00Portree = £100,000.00 MMH - £500,000.00MMH - £500,000.00

Approx £3million spent in recent years to improve fabric of Approx £3million spent in recent years to improve fabric of buildingsbuildings

High risk that we may lose services!High risk that we may lose services!

Modern Healthcare Modern Healthcare means…means…

Ensuite roomsEnsuite rooms Totally cleanableTotally cleanable Layout to allow staff to do their jobsLayout to allow staff to do their jobs

Work and Rest facilitiesWork and Rest facilities Improved CommunicationsImproved Communications

Telehealthcare Telehealthcare Improved diagnosticsImproved diagnostics Video ConsultationsVideo Consultations WifiWifi Sound ProofingSound Proofing Hearing Hearing DDA compliantDDA compliant

Modern Health Care (2)Modern Health Care (2)

AccessAccess DDA compliantDDA compliant Car ParkingCar Parking Transport LinksTransport Links

Fire Safety & EvacuationFire Safety & Evacuation Energy EfficiencyEnergy Efficiency

Where are we now?Where are we now?

Steering Group establishedSteering Group established Programme for community Programme for community

engagement – 31.3.13engagement – 31.3.13 Agreeing the visionAgreeing the vision Developing the case for changeDeveloping the case for change

Scottish Government Scottish Government ProcessProcess

Scottish Government Investment Manual Scottish Government Investment Manual Option AppraisalOption Appraisal Initial AgreementInitial Agreement Outline Business CaseOutline Business Case Full Business CaseFull Business Case

Scottish Government Project support Scottish Government Project support agreed from April 13. agreed from April 13.

Project Manager will support the Project Manager will support the delivery of the option appraisal and delivery of the option appraisal and initial agreement.initial agreement.

The Principles!The Principles!

Realistic and AchievableRealistic and Achievable Ambitious and CreativeAmbitious and Creative Consistent with national and local policyConsistent with national and local policy Presumption:- that we are clinically safe Presumption:- that we are clinically safe

and cost effective – services will be and cost effective – services will be delivered within S&L and SWRdelivered within S&L and SWR

Financially realistic and deliverableFinancially realistic and deliverable Supported by a broad consensus of Supported by a broad consensus of

stakeholdersstakeholders

What are the Alternative What are the Alternative Options?Options?

We would like you to help us develop We would like you to help us develop the options?the options?