post

Joining Up Care Consultation is now live (2 July to 8 Oct 2018)

Our  ‘Joining Up Care’ Consultation is now live and we want you to take part.

Running from 2 July to 8 October 2018, the aim is to join care across communities and hospital services. This will allow the Partnership to continue to respond to people’s health and social care needs and support people to stay well, independent and at home for as long as they can.

Michael Kellet, Director, Fife Health and Social Care Partnership said: “Through the consultation we want to hear the widest range of voices possible from right across Fife.  From the North East to the South West and everywhere in-between, we are open to hearing ideas and suggestions as to how sustainable services can be developed at a local and Fife wide level.

To make sure that care remains safe and sustainable now and in the future, all three parts of the Joining Up Care proposal will be progressed together.  I encourage as many people as possible to take part so that we ensure people get the right care, at the right time, in the right place – day or night.”

The full consultation proposal is set out in 3 parts:

Part 1: Community Health and Wellbeing Hubs

A more joined up approach to your care.

The proposal is to:

  • Set up seven Community Health and Wellbeing Hubs, one for each of the following areas:  Dunfermline, Cowdenbeath/Lochgelly, Kirkcaldy, Glenrothes, Levenmouth, North East Fife and South and West Fife Villages
  • Community Health and Wellbeing teams will work within these Hubs.  These are health and social care staff who will work together to co-ordinate care and arrange appointments, all in one place wherever possible.
  • For the South West and North East Fife areas, teams will respond to rural and local needs by travelling around to work from different places on different days.

Due to the aging population, the Hub teams will initially focus on supporting people who are frail or have age-related problems. This will help identify people earlier and steps can be taken to improve their health and wellbeing so they can stay well and independent for longer.

Part 2: Out of Hours Urgent Care Redesign

A more sustainable way of responding out of hours.

Out of Hours Urgent Care services, means care for people who need a GP or a nurse when their GP surgery is closed. It is not Accident and Emergency (A&E) at the hospital.

The Partnership is proposing two new options, alongside a description of the challenges around the current way of working. These two new options take account of the clinical safety, transport and workforce problems in the current system.  The options being consulted on are:

  • Do nothing Option  (staying the same)
  • Option 1 – two centres (Dunfermline and Kirkcaldy), with only Kirkcaldy open overnight
  • Option 2 – two centres (Dunfermline and Kirkcaldy), both open overnight.

Options 1 and 2 both deliver urgent care centres within a one-hour drive for everyone in Fife.  The changes being proposed are in response to the national and local challenges in regards to GP shortages, national recommendations in regards to Out of Hours and will ensure the on-going clinical safety of patients.

Part 3: Community Hospital and Intermediate Care Bed Redesign

Helping people stay independent for longer and avoiding hospital admissions.

At this stage, people are being asked for their views on developing more ‘intermediate’ care beds across Fife and the balance between those beds and beds in our community hospitals.   Intermediate care beds are based within a care home setting.  They are used to support older or frail people who have had a stay in hospital but who often need a bit more support to regain skills, confidence and physical strength before returning home.

Fife teams have already started to develop this intermediate care bed approach and now want to grow the service across Fife.  Known as Short Term Assessment and Review Team (START) it has been proved to successfully shorten the time that people spend in a community hospital, freeing the bed up for those patients who have complex, medical care needs.

Equally START beds could be used more proactively to keep people out of hospital all together where appropriate.  Public feedback at this stage will help the Partnership develop more detailed proposals around intermediate care and our community hospital provision for public consultation later this year.

To find out more and to take part visit www.fifehealthandsocialcare.org/joiningupcare where you will find a range of animations and videos as well as the Joining Up Care Consultation Summary, full consultation document and the link to the questionnaire.

To request hard copies of the full Joining Up Consultation pack, which includes a freepost envelope:

post

Out of Hours Contingency Measures To Continue

Contingency measures for the overnight Primary Care Emergency Services (PCES) in Fife are to continue.

NOTE:  From 6.00pm to midnight (Monday to Friday) and 8.00am to midnight (weekends & public holidays) PCES will continue to be delivered as normal from:

  • Queen Margaret Community Hospital, Dunfermline
  • Glenrothes Community Hospital, Glenrothes
  • St Andrews Community Hospital
  • Victoria Hospital, Kirkcaldy

There will continue to be no changes to the operation of the Minor Injuries Unit at Queen Margaret Hospital.

The contingency measures apply between midnight to 8am, where Primary Care Emergency Services (commonly known as Out of Hours) will be only be available at the Victoria Hospital, Kirkcaldy. The contingency measures were put in place on 9 April for a period of 3 months.   They will be extended for a period of a further six months with a full review to take place at the end of January 2019.

The move is a result of on-going nursing and medical staffing difficulties and has been taken to ensure patient safety.

Michael Kellet, Director, Fife Health and Social Care Partnership states: “The on-going challenges we face have left us with no other option but to extend the contingency measures to ensure patient safety.  We have taken and will continue to take every step available to us to try and resume services. This includes advertising to recruit Nursing and GP staff and working with GP leads to encourage our existing workforce to support the service wherever possible.”

Over the contingency period out of hours service activity has seen continued to see an average of 11 people attend the Victoria Hospital overnight an average of 8 home visits.

Michael continued:  “Fife like many other areas of Scotland is experiencing the impact of national shortages of key staff in this area.  In response we have put in place the contingency measures to ensure a safe and reliable service.  In addition, we must look at solutions to secure safe and sustainable services in the immediate and long term.  This requires transformation of traditional health and social care ways of working and service models.

“We will launch the Joining Up Care consultation on the 2 July 2018 to that end.   Through the consultation we want to hear the widest range of voices possible from right across Fife.  From the North East to the South West and everywhere in-between, we are open to hearing ideas and suggestions as to how sustainable services can be developed at a local and Fife wide level. This includes the re-design of Out of Hours as one of three main programmes of change. The consultation will last 14 weeks and the re-design of Out of Hours care is one of three main programmes of change.  I would like to pay tribute to staff in PCES for the on-going commitment to the people of Fife during this period of uncertainty and change.”

Find out what this means for you in the Primary Care Emergency Service Frequently Asked Questions.

 

 

Scottish Government announce £632k Health & Work Support pilot

To increase health and employability support for people living with disabilities and health conditions, a pilot Health & Work Support service has been launched across Fife and Dundee.

Health & Work Support will streamline existing health and employability services by providing a single point of contact for those at risk of falling out of work or who have recently left due to ill health. The service will help more people stay at work, get back into work and tackle inequalities in the labour market by providing advice and support to employers on health, disability and work issues.

The Scottish Government will invest £632,000 in the service with additional funding coming from the UK Government.

Launching the service, Employability Minister Jamie Hepburn said:

“Every year, thousands of people in Scotland leave their jobs as a result of a health condition or disability. We want to provide early support to enable more people to stay in employment before they reach this point.

“Health & Work Support will act as a single point of contact for health and work support for people in Fife and Dundee, as well as employers, and will allow them to get fast access to the help they need.

“This new service integrates healthcare and employability support so that individuals with disabilities or health conditions can benefit from a service that more closely matches their needs.”

Michael Kellet, Director, Fife Health and Social Care Partnership said:

‘‘Fife Health and Social Care Partnership recognises the importance of employment in maintaining health and well-being and is delighted to be able to host this innovative pilot project here in Fife. We recognise the work that has gone into making this happen and wish the project every success.’’

Chairman of the Integration Joint Board, Dundee Health and Social Care Partnership, Councillor Ken Lynn said:

‘‘This is an extremely important development and I am pleased that Dundee is helping to trial the project along with Fife. We are working hard to make Dundee a better place for everyone, and that means not leaving anyone behind. We want to help all those who wish to get back into work, or remain in work. I will be very interested to see the progress this scheme will make for people in the months ahead.’’

post

‘Joining Up Care’ Consultation:  2 July – 8 October 2018

Members of Fife Health and Social Care Partnership Board have approved consultation materials to support the Joining Up Care community transformation programme for health and social care services in Fife.  This marks the start of a public consultation which will run from 2 July – 8 October 2018.

The overall aim of the Joining Up Care programme is to establish a fully integrated 24/7community health and social care system that ensures sustainable, safe, person centred care.  The full consultation proposal is set out in 3 parts:

Part 1: Community Health and Wellbeing Hubs

A more joined up approach to your care.

The proposal is to:

Set up seven Community Health and Wellbeing Hubs, one for each of the following areas: Dunfermline, Cowdenbeath/Lochgelly, Kirkcaldy, Glenrothes, Levenmouth, North East Fife and South and West Fife Villages.

 

 

  • A Hub could be the use of a local community centre or a local hospital depending on the type of care and support needed.
  • Community Health and Wellbeing teams will work within these Hubs. These are health and social care staff who will work together to co-ordinate care and arrange appointments, all in one place wherever possible.
  • For the South West and North East Fife areas, teams will respond to rural and local needs by travelling around to work from different places on different days.

Due to the aging population, the Hub teams will initially focus on supporting people who are frail or have age-related problems. This will help identify people earlier and steps can be taken to improve their health and wellbeing so they can stay independent for longer.

Part 2: Out of Hours Urgent Care Redesign

A more sustainable way of responding out of hours.

out of hours urgent care

out of hours urgent care

Out of Hours Urgent Care services, means care for people who need a GP or a nurse when their GP surgery is closed. It is not Accident and Emergency (A&E) at the hospital.

The Partnership is proposing two new options, alongside the current way of working. These two new options take account of the clinical safety, transport and workforce problems in the current system.  The options being consulted on are:

  • Option 1 (stay the same).
  • Option 2 – two centres (Dunfermline and Kirkcaldy), with only Kirkcaldy open overnight.
  • Option 3 – two centres (Dunfermline and Kirkcaldy), both open overnight.

Options 2 and 3 both are both within a one-hour drive for everyone in Fife.  The changes being proposed are in response to the national and local challenges in regards to GP shortages, national recommendations in regards to Out of Hours and are to ensure the on-going clinical safety of patients.

Part 3: Community Hospital and Intermediate Care Bed Redesign

Helping people stay independent for longer and avoiding hospital admissions.

At this stage, people are being asked for their views on developing more ‘intermediate’ care beds across Fife.   These are beds based within a care home setting.  They are used to support older or frail people who have had a stay in hospital but who often need a bit more support to regain skills, confidence and physical strength before returning home.

Fife teams have already started to develop this intermediate care bed approach and now want to grow the service across Fife.  Known as Short Term Assessment and Review Team (START) it has been proved to successfully shorten the time that people spend in a community hospital, freeing the bed up for those patients who have complex, medical care needs.

Equally START beds could be used more proactively to keep people out of hospital all together where appropriate.  Public feedback at this stage will help the Partnership develop more detailed proposal for public consultation later this year.

Michael Kellet, Director, Fife Health and Social Care Partnership said: “To make sure that care remains safe and sustainable now and in the future, all three parts of the Joining Up Care proposal must work together.   Working as a team across health and social care, professionals can act together to help people get the right care, at the right time, in the right place – day or night.

From the 2 July we will be rolling out a full consultation and engagement programme which will include drop in sessions, meetings with community groups and much more.  I encourage as many people as possible to take part.”

Copies of the full Joining Up Care Consultation, Consultation Summary and Easy Read version and response sheet will be available online from the 2 July.  To request hard copies of the Joining Up Consultation pack or to find out more:

post

Groundbreaking care framework for Huntington’s Disease

Local staff and families at forefront of work to help people with degenerative neurological condition

One of the world’s first local Care Frameworks for Huntington’s Disease (HD) has been launched in Fife.

Back row L-R: Pete Carruthers, Specialist HD Youth Adviser; Nicky Connor, Associate Director of Nursing, Fife Health & Social Care Partnership; Cllr Tim Brett, Chair, Fife HSCP Health & Clinical Care Governance Committee; Dr Michael Armanyous, Consultant Psychiatrist & Lead HD Clinician for NHS Fife; John Eden, CEO, Scottish Huntington’s Association Front row L-R: Debbie Pitcaithly, Clinical Psychologist; Jillian Foster, Senior HD Specialist; Sue Gray, HD family member; Brian Gray, HD family member; Nicola Johns, HD Specialist; Norma Henderson, HD Resource Worker; Jo Baldock, Senior Financial Wellbeing Officer

The launch at Victoria Hospital saw families affected by HD join health and social care staff to welcome Fife becoming one of the first areas in the country to roll out its own localised version of the internationally acclaimed Scottish National Care Framework for HD.  The Framework seeks to help ensure families affected by the complex neurological condition are given the best possible care, information and support regardless of where they live throughout the country.

Chief Executive of the Scottish Huntington’s Association, John Eden, said:

“Scottish Huntington’s Association owes an enormous debt of gratitude to everyone who participated in the development of the Fife Framework. Today’s launch is a huge vote of confidence in their work. Together they have added to a momentum that will lead this project to success the length and breadth of Scotland and, hopefully, beyond.”

Consultant Psychiatrist and Huntington’s Disease Lead Clinician for NHS Fife, Dr Michael Armanyous, said:

“It has been a great pleasure to work with local health and social care staff and families to develop one of Scotland’s first local Care Frameworks for HD. The Framework is designed to guide health and social care staff and empower families.  It is an extremely comprehensive and easy to use tool that I am confident will help to further improve care and support provided to HD families over time.”

Associate Director of Nursing for Fife Health & Social Care Partnership, Nicky Connor, said:

“In Fife we are very fortunate to have a Lead Clinician for HD, dedicated HD Specialists, HD Youth Workers and Specialist Financial Advisers plus a whole team working round about them to deliver the care and support that people with Huntington’s Disease and their families require. In launching the Framework we hope to kick start further improvements to our services and lead the way for providers throughout Scotland to follow. I am delighted to formally launch the HD Care Framework for Fife.”

Shona Robison MSP, Cabinet Secretary for Health & Sport, has said of the Framework:

“I congratulate the Scottish Huntington’s Association for their hard work in developing the National Care Framework. One of the reasons we were keen to fund and support this work was the potential applicability across other conditions. I commend the Scottish Huntington’s Association on the way they have approached this project, collaborating widely across the health and social care landscape. The framework has the potential to transform care for people with Huntington’s disease.”

The HD Care Framework has been supported by the Scottish Government, all parties in the Scottish Parliament, the National Advisory Committee for Neurological Conditions, NHS Boards, Health & Social Care Partnerships, health & social care staff, professional bodies, HD family members, academics and national and international third sector partners. The National Framework can be viewed at care.hdscotland.org  . The Fife Framework can be viewed within the “Regional Frameworks” section of the site.

 

post

Lumphinnans Care Village now open

 

The new Lumphinnans Care Village is now open with Fife Council co-leaders, residents and tenants joining in the celebrations. The Care Village incorporates a 60 bed purpose built care home for older people, and 30 self-contained extra care flats within a managed complex.

It is the third to open in Fife as part of a programme to replace and improve care facilities for older people. Fife’s Care Villages have proved very successful in setting a new standard in care allowing integrated working between colleagues in Health and Social Care and Housing.

Cllr David Alexander co-leader of Fife Council who gave the opening speech said: “It was a great privilege to be part of the opening celebration of this fantastic state -of-the-art facility. The care home combined with the extra care housing will provide the highest standard of care and a sense of community for residents, tenants and staff. The successful completion of the Kirkcaldy and Lumphinnans Care Villages and Glenrothes Care Village due for completion in early 2019, will bring many positive benefits to residents, tenants, and their communities.”

Cllr David Ross co-leader of Fife Council said: “The residents of Valley House and Jenny Gray House received excellent care and both had a good reputation. Lindsay House will build on this as the new facilities will provide an environment which will enhance the level of support already provided for the residents.

Specially designed and adapted houses extend the time people can live independently and the latest Care Home facilities will allow integrated models of care to be developed. Located alongside each other, staff are on hand to respond to residents and tenants and provide care appropriate to their needs.

Fife Day Services have relocated to Lindsay House and the extra care housing complex has drop in café facilities.”

Residents and tenants moved into the £10.5m Care Village earlier this year.

May Somerville tenant in the extra care flats said: “I love living in the flat and couldn’t have picked a better place. Everyone is so friendly and helpful.”

Jack Mollison also a tenant said: “The flat is perfect – there’s not a fault to be found. I’m much happier and love the company.”

Lindsay House care home has 48 permanent beds and 12 Short Term Assessment and Review (STAR) beds which support and enable people to return home after a period in hospital or to prevent admission to hospital.  Fife Health and Social Care Partnership provides day services within Lindsay House and the care home facilities include a cinema room for resident use and enclosed garden space with a Sensory Garden. The Extra Care Housing complex has two very sheltered housing officers onsite to provide housing advice and support to help tenants to live and remain independent.

post

Internet Safety guidance for adults with autism or learning disability first of its kind in Scotland

Staying safe online has never been more important.  For some adults who have autism or a learning disability navigating the internet safely and legally can be complex.

To support them, carers and family members, Fife Adult Support and Protection Committee and child protection charity, Stop It Now! Scotland, have produced a resource pack, the first resource of its kind in Scotland, which provides vital guidance and advice. Just as importantly, the pack also educates in an easy read format. (Stop it Now! Scotland is a child sexual abuse prevention campaign run by child protection charity, The Lucy Faithfull Foundation).

Alan Small, Chair of the Fife’s Adult Support and Protection Committee, talks about the process and engagement that went into developing the materials:

“Internet safety, accessing inappropriate child imagery and the risk of grooming is a very sensitive subject.   It is important that we educate and guide all adults on this topic. In particular ensuring that those who may be more at risk or susceptible to the misuse of the internet because of an additional vulnerability are given guidance and advice how to keep themselves and others safe. This includes providing guidance around the inappropriate and unlawful sharing or use of child images.

The resource is a suite of documents which uses direct and simple language supported by photographs and simple line drawings, so they are very accessible and easy to read.  These are the tools we will use to help develop awareness and importantly a full understanding of what is the right and wrong use of the internet: what is inappropriate and unlawful: how to keep safe: and the actions and behaviours that can have serious consequences. All in a simple and easy to understand format.  This is the result of many months of hard work and many conversations and we would wish to thank everyone involved, particularly people we worked with how may use the resource and their families.”

To keep people safe and reduce and prevent offending in this way, the project involved working very closely with Stop It Now! Scotland, Police Scotland, Scottish Autism, Autism Rocks and other relevant organisations. Consulting widely over the course of a year ensured the views of a range of people including professionals such as adult and child protection practitioners as well as members of the public with an interest in the subject.

National Manager for Stop it Now! Scotland, Stuart Allardyce, said:

“Our focus has always been to prevent children from being sexually abused, both online and offline. That’s why we work tirelessly to make people aware that accessing sexual images of anyone under 18 online is both illegal and harmful to the children in the images. But until now, there has been no resource specifically for adults in Scotland with learning disabilities. So we were delighted to work with colleagues on the Fife Adult Support and Protection Committee to produce this resource that fills a real gap in child safeguarding. The resource pack will play a vital role in keeping children in Scotland safe from online abuse. And just as importantly, it will help keep vulnerable adults in Scotland safe from getting into trouble online.”

Resources available are:

Copies of the new resources are available online at: https://www.stopitnow.org.uk/easy-read-resources.htm and at www.fifedirect.org.uk/adultprotectioneasyread on the ‘Internet Safety’ section.

Paper copies for Fife organisations can be requested by emailing: shona.mcewan@fife.gov.uk or call 03451 55 55 55 ext 442134.

Partnership Board to consider ‘Joining Up Care’ consultation proposal

On the 22 May 2018, Members of Fife’s Health and Social Care Partnership Board will be asked to consider and approve a proposal for consultation on the transformation of health and social care services.

Set out in 3 parts, the ‘Joining Up Care’ consultation is in response to the:

  • growing demand for services
  • increasing complex care needs
  • publics’ desire to live well at home for longer, and;
  • national recommendations

The 3 parts are as follows:

Part 1: Community and Wellbeing Hubs

Introduce more joined up ways of working between professionals to co-ordinate care and appointments, help reduce waiting times and improve the care experience through proactive intervention and working locally in communities.

Part 2: Re-designing Out of Hours Urgent Care

When the GP surgery is shut, these are the services that see members of the public who are looking for a GP or a nurse (advice, treatment centre care and home visits).  As well as minor injury services and the evening and night District Nursing service. It is important to state, that this is not Accident and Emergency at the hospital.

There are two options being proposed within this section. They will both have:

An Urgent Care Resource Hub

Will be an area where staff from a number of health and social care urgent services work together to coordinate service delivery. It will direct how services work in the out of hours period to make best use of resources and support so people access the right service as quickly as possible.

Urgent Care Centre(s)

This will deliver urgent care in a safe place that the public can go to. It will provide GP services, and minor injury services and can act as a base for a range of other urgent care services.

These changes are being proposed in response to the national and local challenges in regards to GP shortages, national recommendations in regards to Out of Hours and are to ensure the on-going clinical safety of patients.  The proposal does not relate to in-hours minor injuries service provision.

Part 3:   Bringing Care Closer to Home – Community Hospital bed based care

Once people no longer need hospital care, it is better for them to get home or continue their care journey in a homely setting as quickly as possible. We know our current model could be more efficient, as some people are staying in hospital for longer than their needs require. We need to move some of our resources from hospitals to community based teams and provide care at home or in homely settings.

The aim is to:

  • Support people to leave hospital earlier
  • Proactively support people at home or in a homely setting so they can regain skills and confidence and stay independent for longer
  • Make sure people have access to the right type of bed at the right time, wherever they live in Fife, and;
  • Focus the use of Community Hospital beds on people with complex health conditions who need round the clock nursing care.

The proposal is to seek the public’s thoughts on the Partnership’s initial thinking where they are seeking to redefine models of care, considering where care should be in a hospital bed and where else people could best be cared for to improve their experience.

The collective goal of the ‘Joining Up Care’ proposition is to establish a fully integrated 24 hours, 7 days a week community health and social care model that ensures sustainable, safe and more individual experience of care.  If approved, the proposals will go forward for a 14 week public consultation.

Michael Kellet, Director, Fife Health and Social Care Partnership explains:

“From the youngest to the oldest, the fittest to the frailest we want people to live well in Fife. Ensuring the right care, from the right person at the right time is vital, whether this is responding to a poorly child after the GP is shut, being more proactive to support independence and wellbeing or giving complex round the clock medical care to those with long term conditions.

We know people value their local services highly, but the challenges are such that leaving services as they are is not a safe, sustainable or responsible option.  To meet modern demands, we need to adapt systems and change ways of working that have been in place for many years. We need to join care across communities and hospital services so we can continue to respond to peoples’ physical, emotional and social needs.  This includes peoples’ desire to stay independent and at home for longer.    We must also think of frontline staff and the increasing pressures they face.

“The future of Fife’s integrated care services involves all of us all.  By bringing together the review of Urgent Care Out of Hours, development of community health and wellbeing hubs and community hospital re-design under one ‘Joining Up Care’ proposal, the aim is to create a comprehensive approach to evolving services, one which will involve full consultation with the public before any change is made.  We await the decision by Members on the 22 May.”

Full copies of the ‘Joining Up Care’ Consultation proposal papers are now available on Fife Direct.    A draft ‘Joining Up Care’ Consultation Summary document is included and you can find that here.

 

post

Walk a Mile Event – 15 June 2018

Fife Health and Social Care Partnership in conjunction with See Me are holding a Walk a Mile event at 2pm on Friday June 15th 2018  in Silverburn Park and Stratheden Hospital grounds.

Walk a Mile 2017

Walk a Mile brings people together to speak about mental health and ‘walk a mile in each other’s shoes’. There are no uniforms, no barriers and everyone is on a level playing field; it’s about breaking down stigma and seeing how fabulous people are.

If anyone wants to join us to walk and talk they can register by signing up for a free ticket online (no need to print the ticket) at Eventbrite at www.bit.ly/2w7Kwn3

 

 

post

Work with patients proving to be best medicine

Fife Health and Social Care Partnership Board Members have heard how work with patients is helping to improve wellbeing through management of medicines.

Fiona Allan, Senior Clinical Pharmacist in Polypharmacy, gave a presentation which outlined the work that NHS Fife and Fife Health and Social Care Partnership are wanting to replicate across the Kingdom as part of the approach to get the best for patients and their medicines.

 

 

Fiona stated:  “Polypharmacy just means ‘lots of medicines’. We know that the more medicines patients have to take on a daily basis, the more they are at risk of possible side effects. This is particularly true for frail elderly patients.  My role involves meeting with patients, generally over the age of 65, on more than 5 regular medicines (often more than ten), to check how they are managing with their medicines. 

 

We work together to ensure there is a clear need for every tablet they are on, that all their medicines are working well, that there are no side effects or problems and, most importantly, that the patient is willing and able to manage their overall list of pills. My patients have described it as their ‘medicines MOT’.  This is not about stopping medicines. It is about getting the best possible combination of medicines for you.”

 

Fiona told the story of one patient, who she worked with over a period of 2 months to optimise her medicines.  Linda from Kirkcaldy, was initially on 11 meds and through working with Fiona this reduced to six.  By working together, they succeeded in reducing her risk of falling and stomach problems and most importantly Linda said she felt better and had an improved quality of life. 

 

Fiona added: “Pharmacists are ideally placed to help with this type of review and it would be great to roll this service out further to more patients.  Making a difference to patients is what it is all about.”