Barra Integrated Community Study Scottish Futures Trust Presentation 11 March 2019
Future Investment in Barra l o o h c S C y a t s i n t l e u b m a y m C o C A S T L E B A Y l a t i p S s t o . B H r e s n d n ’ a
Are there benefj ts to Integration? C A S T L E B A Y
Public Services on Barra delivered on the ‘Everyone needs services’ to multiple accessibility ‘Public to Barra’ attract people ‘A beacon to travel’ the need to island without possible Strategic Intent services as ‘As many Principles Planning Success Criteria for Future In the Change Drivers for Key drivers from workshop held in Stornoway October 2018 to collaborate’
Integration - Aligning with Scottish Government Policy National Performance Framework Connected Scotland Islands bill Place principle 2020 Vision The Healthcare Quality Strategy for NHS Scotland £1bn investment in learning estate Climate change plan
“To focus government and public services on creating a “A healthier society, an enhanced and protected natural £1bn investment in learning estate Scotland The Healthcare Quality Strategy for NHS 2020 Vision Place principle Islands bill Connected Scotland National Performance Framework Integration - Aligning with Scottish Government Policy economy” environment and a diversifjed, resilient and sustainable proud of.” more successful country...” their education... that parents, staff and children can be “Every pupil should have the best support throughout their families and those delivering healthcare services.” “Mutually benefjcial partnerships between patients, at home, or in a homely setting.” “By 2020, everyone is able to live longer healthier lives “...provide a shared context for place-based work.” protect Scotland’s island communities” “...focuses on provisions designed to strengthen and something many of us could easily help with.” “Young or old, loneliness doesn’t discriminate… it is Climate change plan
Examples of Integration young people and the wider in the fj rst place, so there are actually more things coming out of the project than we thought initially .” Loanhead Centre “ These are well designed spaces to be enjoyed by our community.” “Local people are using it in “ This is another example of an effective partnership approach, good for people and good for improving the health of those living in Midlothian. ” Connections Business Higher ways that we never thought of time. ” Case Studies Primary Community Facilities Sports Customer Service Library Police Health School we’re all together , all of the Secondary School ELC Nursery Waid Community Campus “ That sense of community within the school is defj nitely reinforced by the fact that Education
Benefjts of Integration
Examples of Integration Healthcare services and social care hub Hospital GP Social Care Health & Social Care Hub
Can We Go Further? Hospital GP Social Care Combined Community Hub Education Sports Community
Combined Community Can We Go Further? Hospital GP Social Care Community Hub Education Sports O C I A L S E C T E D N E S S C O N N Employment Opportunities Seamless life Removing transitions social stigma Active Sustainable learning delivery of public sector Active, Connected healthy services lifestyles Working with Lifelong patients as learning partners Healthier community Community empowerment Removing and participation barriers True integration with the community W E L L B E I N G
Community Removing external Accessible ts benefj Mental health barriers lifestyles Wellbeing Active, healthy learning continuous creativity and Encouraging connectedness Social environments
Lifelong Learning Casual learning Seamless life transitions Enhanced prospective career opportunities Empowering people Community integration Social connectedness
User staff community Increased opportunities intervention Early community Accessible for the Multi skilled Experience partners patients as Working with social stigma Removing with social care True integration participation
Economic and participation Accessible ventures business Promoting Opportunities Employment empowerment Opportunities Community the island investment on Wider patterns Flexible work childcare
Sustainability cient Healthier opportunities and learning Employment life cycle costs footprint and Effj Sustainable generations for future Building retention Population services delivery of public community
Challenges generations Infection Barriers Timescales privacy School privacy Patient Mixing Privacy Issues Helipad Collaborating Making Decision Safe-guarding Governance Clinical risks control
Challenges Patient Note: Faded circles denote challenges control Infection Barriers Timescales privacy School privacy generations Privacy Issues Mixing Helipad Collaborating Making Decision Safe-guarding Governance Clinical risks which can be designed out
Integration A Viable Proposal
Site Ownership and Constraints Key Angus MacDonald Angus MacDonald Western Isles Council l l A d e o s p o P r t y i l i a c F r e t h a W e Proposed Housing Development Development Development Development Development Development Development Development Development Development Development Development Development Development Unknown land ownership Angus MacDonald Western Isles Council Proposed all weather facility Proposed housing development Coastal fl ood risk zone
The Brief CnES / Police Police Fire PO Fire CnES / UHI UHI ELC Community Hall Community Hall UHI Original Briefed Areas Revised Brief Areas Dualchas ELC Original and Revised Areas Shared Primary school Primary school Secondary school Secondary school education Sports centre facilities Shared education facilities Health and Social Care Hub Health and Social Care Hub Sports centre Dualchas
How Site Capacity | New Build Approach Key H O S P I T A L S P O R T S C E N T R E S O C I A L C A R E A 8 8 8 E D U C A T S I O H N A R E D G P S P A C D R O P O F F E C O M M U N I T Y S T R O P S H C T P I M U G A H&SC Hub H R G O Sports centre N A H D H A Community R A T Education E X I S T I N G S P O R T S P I T C H Shared space Unknown land ownership
One Combined Project vs Two Projects in Isolation Envelope wall to fmoor area effjciencies Potential 10% saving on operational costs Operational Savings (excl. ongoing revenue savings) Approximate savings £2.5m (5-7%) for combined facility Capital Savings Pathfjnder Holistic stakeholder relationship Established single delivery team Governance and Management Space rationalisation by sharing spaces Proportionately less site abnormals Potential Cost Benefjts Elimination of medical operational risk Design effjciencies Aligning with local energy plan Joint infrastructure - operational effjciencies Procurement - enhanced buying gains Prelims - reduced programme Economies of Scale (5-7%) £2.5million CAPITAL SAVINGS POTENTIAL *Indicative fjgures using theoretical values of £40m for combined facility and two £20m projects delivered in isolation
One Combined Project vs Two Projects in Isolation Commence Construction deliver health and social care facility Adopting a phased approach could Spring 2022 2022 2021 2020 Potential Programme Implications Site Completion Site Completion Site Completion earlier Commence Construction Proposed Combined Facility Programme May 2020 Summer 2022 Site start - Summer 2020 Completion date - Summer 2022 Completion date - November 2021 Site start - May 2020 Existing St Brendan’s Project Programme November 2021 Summer 2020 May May May Mar Aug Sep Nov Dec Mar Aug Sep Nov Dec Mar Aug Feb Jun Feb Jun Feb Jun Jan Apr Oct Jan Apr Oct Jan Apr Jul Jul Jul 72 weeks 72 weeks 72 weeks 100 weeks 100 weeks 100 weeks Social Care and Health Centre Programme Integrated Programme (H&SC, Community School & facilities)
Conclusions Timms Community Centre HCMA Architects Community benefjts to be gained from an integrated facility: • Improved wellbeing • Improved social connectedness • Improved operational effjciencies • Improved educational and economic opportunities
Next Steps Agree to proceed with an integrated facility Agree to construct health and social care hub on the currently proposed site, potentially followed by new community school or
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