Skye, Lochalsh and South West Ross Major service re-design public - PowerPoint PPT Presentation

Skye, Lochalsh and South West Ross Major service re-design public consultation

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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 19 th May - 19 th 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 • 12 th Aug - Kilmuir, Uig and Staffin CC • 14 th Aug - Portree public meeting • 25 th Aug – District Partnership (Lochcarron)

Mail drop of consultation response form with freepost envelope Week beginning 11 th 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