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Skye, Lochalsh and South West Ross Health & Care Services: planning for the future. How Many Services are provided in Skye and Lochalsh and South West Ross?. Can you guess? Hospital Services = ? Community Services =? Visiting Services = ? Total = ?. Answers. Hospital Services = 31
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Skye, Lochalsh and South West RossHealth & Care Services: planning for the future
How Many Services are provided in Skye and Lochalsh and South West Ross? • Can you guess? • Hospital Services = ? • Community Services =? • Visiting Services = ? • Total = ?
Answers • Hospital Services = 31 • Community Services = 46 • Visiting Services/Clinics = 28 • Total = 105
Hospital Services • Acute Medical • Acute surgical • Acute Medical - Nursing • Rehabilitation • Terminal Care • GP-led beds • Day Cases • Medical Investigations • Midwifery/obstetric care • Outpatients • Primary Care Emergency Centre/Out of Hours • A & E Department • Blood Transfusion • Detoxification Service for Alcohol Dependant Patients • Re-ablement services • Occupational therapy services
Hospital Services (2) • Podiatry • Orthotics • Chemotherapy • Recognised site for Management and Treatment of Major Incidents • Temporary place of safety for patients detained under the mental health act • Community Treatment Orders • X-Ray • Physiotherapy • Occupational Therapy • Dietetics • Care of the Elderly • Colo-rectal service • Tele-care training facility • Telehealth Clinics e.g. neurology, oncology and diabetes • Hospice link nurse
Community Nursing District Nursing Midwifery Health Visiting School Health Nursing Family Health Nursing Macmillan Nursing Learning Disability Nursing Marie Curie Psychiatric Nursing Older Adults Severe & Enduring Addictions Social Care Services Social Workers Care @ Home Care Homes Day Care Services Tele- care services Community Services
Allied Health Professionals Physiotherapy Dietetics Occupational Therapy Speech & Language Therapy Podiatry Radiology Sonography Re-ablement Lymphoedema Clinic Breast Prothesis Clinic General Practitioners x 7 Practices S & L General Practitioners x 5 West Ross Dental Services Public Health Primary Mental Health Guided Self Help Smoking Cessation Community Services (2)
Child & Adult Psychiatry Mental Health & LD Child & Adult Psychology CBT, Mental Health & LD COPD Cardiac Rehabilitation ENT Renal Orthopaedics Care of the Elderly Sexual Health Opthalmics Occupational Health Medical Surgical Retrieval Service Urology Aneurysm Screening Paediatrics Orthotics Audiology Ultra-Sound Chest Rehabilitation Stoma Oncology Visiting Services/Clinics
Not Fit for Purpose! • Portree and MacKinnon Memorial Hospital buildings are outdated in modern healthcare terms • Infection Control Standards – HEI/HAI • Decontamination for Theatre and Diagnostics • Fire Safety • Patient Safety • Site Constraints • Public Expectations • Financial constraints • NHSH report on state of premises identified costs to maintain buildings • Portree = £100,000.00 • MMH - £500,000.00 • Approx £3million spent in recent years to improve fabric of buildings • High risk that we may lose services!
Modern Healthcare means… • Ensuite rooms • Totally cleanable • Layout to allow staff to do their jobs • Work and Rest facilities • Improved Communications • Telehealthcare • Improved diagnostics • Video Consultations • Wifi • Sound Proofing • Hearing • DDA compliant
Modern Health Care (2) • Access • DDA compliant • Car Parking • Transport Links • Fire Safety & Evacuation • Energy Efficiency
Where are we now? • Steering Group established • Programme for community engagement – 31.3.13 • Agreeing the vision • Developing the case for change
Scottish Government Process • Scottish Government Investment Manual • Option Appraisal • Initial Agreement • Outline Business Case • Full Business Case • Scottish Government Project support agreed from April 13. • Project Manager will support the delivery of the option appraisal and initial agreement.
The Principles! • Realistic and Achievable • Ambitious and Creative • Consistent with national and local policy • Presumption:- that we are clinically safe and cost effective – services will be delivered within S&L and SWR • Financially realistic and deliverable • Supported by a broad consensus of stakeholders
What are the Alternative Options? • We would like you to help us develop the options?