Barra Integrated Community Study Scottish Futures Trust - - PowerPoint PPT Presentation

Barra Integrated Community Study Scottish Futures Trust Presentation 11 March 2019

Future Investment in Barra

C A S T L E B A Y

C a s t l e b a y C

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m u n i t y S c h

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S t . B r e n d a n ’ s H

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p i t a l

Are there benefj ts to Integration?

C A S T L E B A Y

Public Services on Barra Strategic Intent

Key drivers from workshop held in Stornoway October 2018

Drivers for Change In the Future Criteria for Success Planning Principles

‘As many services as possible delivered on the island without the need to travel’ ‘A beacon to attract people to Barra’ ‘Public accessibility to multiple services’ ‘Everyone needs to collaborate’

Integration - Aligning with Scottish Government Policy National Performance Framework Connected Scotland Islands bill Place principle 2020 Vision The Healthcare Quality Strategy for NHS Scotland £1bn investment in learning estate Climate change plan

“To focus government and public services on creating a more successful country...” “Young or old, loneliness doesn’t discriminate… it is something many of us could easily help with.” “...focuses on provisions designed to strengthen and protect Scotland’s island communities” “...provide a shared context for place-based work.” “By 2020, everyone is able to live longer healthier lives at home, or in a homely setting.” “Mutually benefjcial partnerships between patients, their families and those delivering healthcare services.” “Every pupil should have the best support throughout their education... that parents, staff and children can be proud of.” “A healthier society, an enhanced and protected natural environment and a diversifjed, resilient and sustainable economy”

Integration - Aligning with Scottish Government Policy National Performance Framework Connected Scotland Islands bill Place principle 2020 Vision The Healthcare Quality Strategy for NHS Scotland £1bn investment in learning estate Climate change plan

Examples of Integration Case Studies

Community Facilities Sports Customer Service Library Police Health Primary School Secondary School ELC Nursery

Waid Community Campus

“That sense of community within the school is defj nitely reinforced by the fact that we’re all together, all of the time.” “Local people are using it in ways that we never thought of in the fj rst place, so there are actually more things coming

• ut of the project than we

thought initially.”

Loanhead Centre

“These are well designed spaces to be enjoyed by our young people and the wider community.” “This is another example of an effective partnership approach, good for people and good for improving the health of those living in Midlothian.”

Connections

Business Higher Education

Benefjts of Integration

Examples of Integration Healthcare services and social care hub

Hospital GP Social Care

Health & Social Care Hub

Can We Go Further?

Hospital GP Social Care

Combined Community Hub

Education Sports

Community

Connected services Active, healthy lifestyles

Can We Go Further?

Hospital GP Social Care

Combined Community Hub

Education Sports

Community

Removing social stigma Sustainable delivery of public sector Working with patients as partners Removing barriers Seamless life transitions Active learning Lifelong learning Healthier community Community empowerment and participation True integration with the community Employment Opportunities

S O C I A L C O N N E C T E D N E S S W E L L B E I N G

Community Wellbeing

Social connectedness Encouraging creativity and continuous learning Active, healthy lifestyles Removing barriers Mental health benefj ts Accessible external environments

Lifelong Learning

Casual learning Seamless life transitions Enhanced prospective career

• pportunities

Empowering people Community integration Social connectedness

User Experience

True integration with social care Removing social stigma Working with patients as partners Multi skilled staff Accessible for the community Early intervention

• pportunities

Increased community participation

Economic Opportunities

Flexible work patterns Wider investment on the island Community empowerment and participation Employment Opportunities Promoting business ventures Accessible childcare

Sustainability

Sustainable delivery of public services Population retention Building for future generations Effj cient footprint and life cycle costs Employment and learning

• pportunities

Healthier community

Challenges

Privacy Issues Clinical risks Governance Safe-guarding

Decision Making

Collaborating

Helipad Mixing generations Patient privacy School privacy

Timescales

Barriers Infection control

Challenges

Privacy Issues Clinical risks Governance Safe-guarding

Decision Making

Collaborating

Helipad Mixing generations Patient privacy School privacy

Timescales

Barriers Infection control

Note: Faded circles denote challenges which can be designed out

Integration A Viable Proposal

Site Ownership and Constraints

Angus MacDonald Western Isles Council Angus MacDonald

P r

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e d A l l W e a t h e r F a c i l i t y

Proposed Housing Development Development Development Development Development Development Development Development Development Development Development Development Development Development

Unknown land ownership Angus MacDonald Western Isles Council Proposed all weather facility Proposed housing development Coastal fl

• od risk zone

Key

The Brief Original and Revised Areas

Primary school Primary school Secondary school Secondary school Shared education facilities Shared education facilities Health and Social Care Hub Health and Social Care Hub Sports centre Sports centre ELC ELC Dualchas Police Police Fire PO Fire CnES / UHI CnES / UHI Community Hall Community Hall UHI

Original Briefed Areas Revised Brief Areas

Dualchas

How Site Capacity | New Build Approach

H&SC Hub Sports centre Community Education Shared space Unknown land ownership

Key

S O C I A L C A R E H O S P I T A L G P S P O R T S C E N T R E

C O M M U N I T Y

E D U C A T I O N S H A R E D S P A C E

R A T H A D N A H O R G H

A 8 8 8

M U G A S P O R T S P I T C H E X I S T I N G S P O R T S P I T C H

One Combined Project vs Two Projects in Isolation Potential Cost Benefjts

POTENTIAL CAPITAL SAVINGS

£2.5million

(5-7%)

Economies of Scale

Prelims - reduced programme Procurement - enhanced buying gains Joint infrastructure - operational effjciencies Aligning with local energy plan

Design effjciencies

Elimination of medical operational risk Proportionately less site abnormals Envelope wall to fmoor area effjciencies Space rationalisation by sharing spaces

Governance and Management

Established single delivery team Holistic stakeholder relationship Pathfjnder

Capital Savings

Approximate savings £2.5m (5-7%) for combined facility

(excl. ongoing revenue savings)

Operational Savings

Potential 10% saving on operational costs

*Indicative fjgures using theoretical values of £40m for combined facility and two £20m projects delivered in isolation

One Combined Project vs Two Projects in Isolation Potential Programme Implications

Existing St Brendan’s Project Programme

Site start - May 2020 Completion date - November 2021

Proposed Combined Facility Programme

Site start - Summer 2020 Completion date - Summer 2022

May 2020 November 2021 Summer 2020 Summer 2022

Commence Construction Commence Construction Site Completion Site Completion Site Completion

Social Care and Health Centre Programme Integrated Programme

(H&SC, Community School & facilities)

Jan Feb Mar Apr Aug Sep Oct Nov Dec Jan Jan Feb Feb Mar Mar Apr Apr Aug Aug Sep Oct Nov Dec May Jun Jul May May Jun Jun Jul Jul

2020 2021 2022

72 weeks 100 weeks 72 weeks 72 weeks 100 weeks 100 weeks

Spring 2022

Adopting a phased approach could deliver health and social care facility earlier

Conclusions

Timms Community Centre HCMA Architects

Community benefjts to be gained from an integrated facility:

• Improved wellbeing
• Improved social connectedness
• Improved operational effjciencies
• Improved educational and economic opportunities

Next Steps

Agree to proceed with an integrated facility Agree to construct health and social care hub on the currently proposed site, potentially followed by new community school

• r