Skye, Lochalsh and South West Ross Health & Care Services:

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 Portree and MacKinnon Memorial Hospital buildings are outdated in modern healthcare terms NHSH report on state of premises identified costs to maintain buildings Infection Control Standards – HEI/HAI Decontamination for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 Scottish Government Project support agreed from April 13. Project Manager will support the delivery of the option appraisal and initial agreement.

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?