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Skye, Lochalsh and
South West Ross
Major service re-design
public consultation
Follow on twitter
@NHSHighland
#skyechat
Contact details
Maimie Thompson
Head of Public Relations & Engagement
NHS Highland
Assynt House, Inverness IV2 3BW
Direct 01463 70 4722
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
19th May - 19th 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
• 12th Aug - Kilmuir, Uig and Staffin CC
• 14th Aug - Portree public meeting
• 25th Aug – District Partnership (Lochcarron)
Mail drop of consultation
response form with freepost
envelope
Week beginning 11th 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