EAHSCP Developing Cumnock Hub Event on 25 October 2019 Report:Dec 2019
Collaborators On The Day Experience Knowledge Locality Planning Group Vibrant Communities Third sector Homecare Management Community Hub DNs Independent Housing CPN AHPs Clinical Director Person-centred Care Members of the public Economic Development Contracts / Commissioning Specialist Nurses Charge Nurse (EACH) Smart Supports Public Health I.T Security GP Practice Manager Social Care Managers Early Years Digital Services Public Intermediate Care Team Transformation Team ANPs Acute Service Manager Dental Services Independent sector Community Workers Diabetes Specialist Nurse Respiratory Nurse Specialist Nursing Assistant Neighbourhood Coach (Housing) Carers Homecare Support Sensory Impairment Team Children and Families Skills Views
Models of f Care Health & Wellbeing Acute Hospital Home MDT Health & Wellbeing Hub Centre Virtual Patient Engagement making best use of technology
Current Services Composition Home Care Homes Rothesay House Ochiltree Community Hub Netherthird Clinic Ballochmyle Medical Practice Addiction Services AUCS Addiction Services Health and Wellbeing Addiction Services Addiction Services AUCS Carers' Support Carers' Support SAS CAMHS Carers' Support Befriending Dietician Digital Services SW C&F Digital services CLDMH Carers' Support District Nursing Equipment & Adaptations SW CLDMH Learning Disability Digital services Community Alarm GPs ICT SW Front Door Mental Health Services District Nursing Dentist Inpatient beds Learning Disability SW Locality Services SALT GPs Dietician Mobile and Screening Services Mental Health Services Third Sector SAS Health Visitors Digital Services Optometry Occupational Therapy Visiting Services MH Services District Nursing OT PEOLC Mobile and Screening Services Equipment & Adaptations PEOLC Pharmacy PEOLC GPs Pharmacy Physiotherapy Pharmacy Health Visitors Physiotherapy SALT Physiotherapy ICT Podiatry SDS Podiatry Learning Disability Respite Smart Supports SAS Mental Health Services SALT SW C&F TEC Optometry SAS SW Care at Home Visiting service OT SW Locality Service SW CLDMH PEOLC Third Sector SW FDS Pharmacy Reviews Visiting Services SW Justice Service Physiotherapy SW Locality Service Podiatry Visiting Services Rehab Facilities Respite SALT SAS SDS Smart Supports SW C&F SW Care at Home SW CLDMH SW FDS SW Justice Service SW Locality Service Visiting Services
Current Services Composition (cont’d) Catrine Health Auchinleck Health Tanyard Medical Practice Valley Medical Practice Centre Centre Boswell Centre Ellisland Court Day Centre Addiction Services Addiction Services Addiction Services Addiction Services Carers' Support AUCS Carers' Support Digital Services Digital Services Carers' Support Day Services Care at Home CLDMH District Nursing District Nursing Dentist Digital Services Community Rehab Dentist GPs GPs Digital Services Justice Services Day Services Dietician Health Visitors Health Visitors District Nursing Learning Disability District Nursing Digital Services MH Services MH Services GPs Respite GPs District Nursing Mobile & Screening Services PEOLC Health Visitors SAS Health & Wellbeing GPs PEOLC Pharmacy MH Pracitioner Mobile & Screening Services Health Visitors Pharmacy Podiatry MH Services OT MH Pracitioner Physiotherapy PEOLC Podiatry Mobile and Screening Services Podiatry Pharmacy Respite MSK Service SAS Podiatry SAS Optometry Pre-School SW CLDMH SALT SW Locality PEOLC Visiting Services SAS Visiting Services Pharmacy SW CLDMH Physiotherapy Visiting Dietetic Service Podiatry Visiting Services Respiratory Nurse Specialist SALT SAS Third Sector Visiting Service
Current Services Composition ( cont’d) Afton Court Day Centre East Ayrshire Community Hospital (EACH) Other (specify) AUCS AUCS Mobile & Screening Service Addiction Services Care at Home Carers' Support OPD Podiatry Community Rehab Community Alarm OT Day Services Cumnock Breath Easy Group Outpatients District Nursing Day Services PEOLC GPs Dementia Services Pharmacy Health & Wellbeing Dental Physiotherapy Older Peoples Services Diabetes Specialist Nurse Podiatry Optometry Diabetes Support Group Pulmonary Rehab Podiatry Dietician Rehab Respite Digital Services Respiratory Consultant SAS District Nurse Evening Service Respite SW Locality Service District Nursing SALT Visiting Services GPs SAS & Bariatric Ambulance Health & Wellbeing Hub Social Work Health Visitors Stroke Specialist Nurse ICT SW Care at Home Inpatient beds SW Justice Unpaid Work Mental Health Services Visiting Services
What is working well? MDT working - MH, Pharmacy, Physio easing GP "Ask my GP" Online Resource Digital & TEC workload Communication at cluster mtgs Clinical and Outpatients 7 day ICT DN admitting access to pal care bed Mental Health discussions/counselling Community Connectors District Nursing Advanced Nurse Practitioners in GP Community led centres practices EACH cafe accessible to all No delayed discharges e.g. Ochiltree hub Falls Work Alzheimer Scotland presence/dementia groups within EACH EACH good links for discharge planning OPD Community run MDT Alzheimers ’ support delivered Early Intervention and Prevention PEOLC at home and in EACH District Nursing Care MH Services for Elderly Education programme for Type 2 Befriending service Diabetes Prompt access to Xray Doctors know patients/families Rehab Getting people home from SALT with Schools/Early Broad range of services at home Engagement events Re-introduction of patient focus groups hospital Years CAPA Good location Respite in care homes Medical care at all practices MH, Pharmacists, Physio Care at Home staff keeping people at home Good standard of medical care Rothesay House MDT working coming into practices Carers' support worker GP with special interest in diabetes School links with day services in EACH Minor ailments service Co-location of DNs with GPs Greater range of technologies Self management Nursing care at EACH Community Connectors HEPMA Smart Supports Open to services utilising space Home visiting from dentists, opticians, Community Engagement in EACH dementia advisor Some Smart/IT Tech works well Optician - Eyecare Ayrshire Community Hub ICT Sufficient DN and good joint working Pharmacy First Social activities run by local Day care for elderly Integrated working Third Sector groups Day hospital hub Marchburn Ward is effective Vibrant Communities Volunteers at community hubs Day services MDT attendance at Hub meetings Well used by community members
What’s not working well? Accommodation/property (GP & EACH) doesn't match service Access to MH Services for children & pressure or ambition Lack of GPs in rural communities Clinic in New Cumnock not fit for purpose adults Lack of support for people with young on dementia & Dementia activities in Kilmarnock - no equality Awareness of the financial inclusion team stroke ot south Empty ward could be utilised Care homes could be closer Lack of telecare GP appt allocation Layout of wards/showers/toilets Community Pharmacy meds not always ready Medical cover not available after 5pm at EACH GP waiting times No storage space No visible awareness of addiction Communication and information Missed appointments - needs to be tackled Level of Home Care time - quality services in the area Pharmacy waiting times at Cumnock Community alarms can't always respond quickly Morale of staff Local CAMHS are overwhelmed Surgery Contract disputes between PC & Health Board More capacity for befriending service MH service provision Seeing people in isolation Don't address social isolation work well enough More engagement with communities No peri natal MH services Duplication More MDT Staff recruitment delays Dynamics of workforce and flexible working Not all residents can access EACH Support for dependency issues Not consistent with access to local services e.g. Early supportive discharge form hospital Phlebotomy Transition between adult/child services Transport - real issue and affects whole Equipment delays or access to adaptations Not enough private home care providers community Filling consultant posts for specialist services OPD services limited GP availability Palliative care bed Home care resource and not enough staff PFI is expensive/ownership of building ICT not 24hrs PFI lack of flexibility to adapt building Info online not helpful for elderly Physio only 3 days per week IT issues Respite availability Rural areas - transport issue for appts resulting in Joint working DNA Lack of consultant Signposting to other services Lack of counselling services for young people Under utilised (2 closed wards)
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