Current Services – Skye & Lochalsh
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Transcript Current Services – Skye & Lochalsh
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
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 Services
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 (2)
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
Visiting Services/Clinics
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
Not Fit for Purpose!
Portree and MacKinnon Memorial Hospital buildings are outdated in modern
healthcare terms
NHSH report on state of premises identified costs to maintain buildings
Infection Control Standards – HEI/HAI
Decontamination for Theatre and Diagnostics
Fire Safety
Patient Safety
Site Constraints
Public Expectations
Financial constraints
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
Project support agreed from April 13.
Project Manager will support the delivery of the
option appraisal and initial agreement.
Our Vision Statement!
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?