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
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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)
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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
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Community Nursing
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District Nursing
Midwifery
Health Visiting
School Health Nursing
Family Health Nursing
Macmillan Nursing
Learning Disability
Nursing
Marie Curie
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Psychiatric Nursing
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Older Adults
Severe & Enduring
Addictions
Social Care Services
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Social Workers
Care @ Home
Care Homes
Day Care Services
Tele- care services
Community Services (2)
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Allied Health Professionals
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Physiotherapy
Dietetics
Occupational Therapy
Speech & Language Therapy
Podiatry
Radiology
Sonography
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Re-ablement
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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
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Child & Adult Psychiatry
Mental Health & LD
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Child & Adult Psychology
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CBT, Mental Health & LD
COPD
Cardiac Rehabilitation
ENT
Renal
Orthopaedics
Care of the Elderly
Sexual Health
Opthalmics
Occupational Health
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Medical
Surgical
Retrieval Service
Urology
Aneurysm Screening
Paediatrics
Orthotics
Audiology
Ultra-Sound
Chest
Rehabilitation
Stoma
Oncology
Not Fit for Purpose!
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Portree and MacKinnon Memorial Hospital buildings are outdated in modern
healthcare terms
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NHSH report on state of premises identified costs to maintain buildings
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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…
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Ensuite rooms
Totally cleanable
Layout to allow staff to do their jobs
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Work and Rest facilities
Improved Communications
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Telehealthcare
Improved diagnostics
Video Consultations
Wifi
Sound Proofing
Hearing
DDA compliant
Modern Health Care (2)
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Access
DDA compliant
 Car Parking
 Transport Links
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Fire Safety & Evacuation
Energy Efficiency
Where are we now?
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Steering Group established
Programme for community engagement –
31.3.13
Agreeing the vision
Developing the case for change
Scottish Government Process
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Scottish Government Investment Manual
Option Appraisal
 Initial Agreement
 Outline Business Case
 Full Business Case
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Project support agreed from April 13.
Project Manager will support the delivery of the
option appraisal and initial agreement.
Our Vision Statement!
The Principles!
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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?
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We would like you to help us develop the
options?
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Current Services – Skye & Lochalsh