What’s new in Adult Support & Protection?

Find out what’s new in Adult Support & Protection by downloading the October newsletter of the Adult Support & Protection Committee here.

This edition gives details of:

  • SMS emergency service
  • Contact Scotland BSL service
  • Hate Crime
  • Ill treatment & wilful neglect
  • Carers Rights Day
  • Surviving Christmas

Seen Something?  Say Something.  If you or someone you know is at risk of harm or neglect, call the Adult Protection Phone Line on 01383 602200.

Shona McEwan, Engagement & Participation Co-ordinator 
Tel: 03451 55 55 55 + Ext 44 21 34 Contact Shona McEwan online
By Post: Fife Safety Camera Partnership Police Scotland Detroit Road Glenrothes Fife KY6 2RJ


Improving Lung Cancer Care

An innovative approach to supporting patients in Fife with incurable lung cancer is providing comprehensive and individualised care whilst allowing patients to spend significantly less time in hospital and more time at home.

The project, which was developed in partnership with NHS Fife, Fife Health and Social Care Partnership and Macmillan Cancer Support Scotland, has proved so successful that this new model of care for people with advanced lung cancer is now part of normal practice.

In Fife around 40% of patients diagnosed with lung cancer are unfit to receive anti-cancer treatments such as surgery, radiotherapy or chemotherapy, either because they are too unwell or treatment is no longer working and may reduce quality of life.

These patients receive what is known as Best Supportive Care – where the focus is on supporting patients and their families when anti-cancer treatment is not possible.

A reliable and consistent model of Best Supportive Care was developed, one which could be delivered to all patients who needed it.

As a result, patients with advanced lung cancer are identified at the earliest stage and referred for comprehensive assessment and personalised care planning.

Assessments are carried out promptly at home, in an outpatient clinic or within hospital, depending on patient need and preference, with families and carers given the opportunity to discuss the illness in more detail. Physical symptoms, emotional, spiritual and practical needs are assessed and plans are made to address anything of concern, from medication issues to issues around financial support.

Follow-up is based wherever the patient is, normally within their own home, and patients are able to access ongoing support and advice – giving them as much control and choice as possible.

The service has been positively received by patients and their families who have said that they feel well informed and actively involved in their care planning.

Dr Steinunn Boyce, Consultant in Palliative Care Medicine, said: “We set out to improve patient care and patient experience, not only for the patient but for their families and the important people around them who are also affected by the diagnosis.

“Being in hospital is sometimes unavoidable and it’s sometimes the right place to be, but through this project we have been able to reduce the length of time that people spend in hospital – making sure that we are addressing their needs and supporting them so that they can be at home.”

‘On Your Doorstep Fife’

‘On Your Doorstep Fife’, Fife Health and Social Care Partnership’s community website holds information about care providers, clubs, places, organisations, groups and activities that are locally available in Fife. It’s aimed at individuals who require care and support, family carers, practitioners, care providers, support workers and health staff as well as members of the public.  The website is a useful source of contact details, information and how you can get involved.

So what has been happening since the suite was launched? 

An awareness raising campaign has been underway with brightly coloured posters being displayed in many GP surgeries, pharmacies and community centres. In many communities the posters are displayed on notice boards, in churches, local offices, schools and other public places. Radio advertising on Kingdom FM to publicise the website has been broadcast on a daily basis up until June of this year. The training team at NHS Fife are now putting promotional cards in all of their course training packs

To make the website as relevant and as current as possible, local groups, clubs and organisations are invited to register on the website and keep their own information up to date. Letters have gone out to parent councils in all primary schools in Fife asking them to tell parents about the website and to register their community organisations.

How has the website been performing?

Our analysis of the website usage is showing us that the website has been viewed by 13,070 people since its launch in February 2016 of which 28% are return visitors and 72% new visitors.  The most popular searches on the website include lunch clubs, children’s activities and mental health.

There are 1578 organisations and groups listed on the website and the diversity of the information makes it appealing to people of all ages and interests across Fife.  Recently registered organisations include Songburds Vocal Harmony Group, Gowrie Care Drama Group, Fife Migrants Forum, ENABLE Scotland ACE Youth Group, Connect Group, Fife Bipolar Group, Mini French, Auld Kirk Players, Carnegie Judo Club, Time for Life Project and The Dad and Bairns Group.

What are people saying?

Michael Kavanagh Sports Development Officer says “On Your Doorstep Fife is an excellent way to find information on sports clubs and physical activity opportunities in your area.  We encourage all groups to sign up to the website to promote the fantastic opportunities available for people to be more physically active.”

Vivienne McNiven co-ordinator of the Bums Off Seats Programme says “this site is a great way to find out about walking and walking groups in Fife.  It’s so easy to use and we can tell people with confidence that they will find what they are looking for here.”

Hazell Ness Social Worker told us “I spoke with a lady who accessed the website to find activities for her daughter. She identified several activities and said the website was very helpful and she will pass the website address on to her friends.”

How do groups or organisations register their information?

Groups and organisations can register themselves on the website simply by clicking on the ‘Register Organisation’ button on the homepage of the website.  An update email is sent out twice per year to organisations asking them to update their information. All registration requests are vetted before being approved.

We are keen to hear your experiences of using the website or ideas for further improvements also if you think of other opportunities to market the website please let us know.   You can do this by using the online feedback form at the bottom of the homepage or by emailing onyourdoorstep.fife@fife.gov.uk

Partnership takes up Flu Campaign

It’s fighting talk as social care teams across the Partnership roll up their sleeves and join the campaign – the Flu Fighters campaign that is.

Every Winter staff across NHS Fife and social care services are encouraged to do their bit and get themselves vaccinated so they can, in turn, protect those they care for.   This year, the Health and Social Care Partnership is seeing hundreds of colleagues across care homes, home care and supporting teams get their jag and get protected.  Even survival expert Ray Mears has joined the movement!

Team at Jenny Gray Care Home

David Heaney, Divisional General Manager (East) gives more info:  “Teams working in the home environment, whether it be someone’s own home or one of the Partnership’s care homes, are just as likely to be exposed to the flu virus, so we really need everyone to be our flu champions, acting as ambassadors for flu vaccination and to go and get vaccinated themselves.  The teams are taking up the cause to protect themselves and those they deliver care to.”



Director’s Blog: Winter is coming!

As winter makes its presence felt, here in Fife being ready for the growing number of people accessing our services is well underway.  Indeed our winter planning starts as soon as one winter ends. Most recently Fife welcomed Cabinet Secretary Shona Robison as she announced an additional £5m for Scotland’s winter resilience, of which Fife received just over £340,000.

Taking a more dynamic approach to improve people’s experience of care is not constrained to just one season or always about money.  Over the last year members of the public and their representatives have been working with front line staff across Fife.  Our Participation and Engagement Network (P&EN) members have been pivotal in influencing peers and using their skills and experience to inform thinking about how we can keep people safely out of hospital and independent in their own homes.  Check out some examples in our Change Projects section.

Flu season is also foremost in our minds and we are playing our part in protecting the most vulnerable members of Fife’s communities by getting our flu jags as part of an innovative Flu Fighters campaign.

When it comes to dealing with coughs, colds and minor ailments over the chilly season, check out the Know Who To Turn section of NHS Fife’s website so you can get the right care, by the right health care professional, at the right time.

Finally, with November being National Lung Cancer Awareness Month, a short video on improving lung care brings a spotlight to the innovative approach now supporting patients in Fife with incurable lung cancer.

The project, which was developed in partnership with NHS Fife, Fife Health and Social Care Partnership and Macmillan Cancer Support Scotland, has proved so successful that this new model of care for people with advanced lung cancer is now part of normal practice.  A poignant example of how powerful partnership working can be.


Mind your “P’s” and dot your “I’s” – Ian Dall

The “P” word is very important.   As Chair of Fife Health and Social Care Partnership’s Participation and Engagement Network

Ian Dall

Ian Dall

(P&EN), bringing the public closer, as equal partners to the conversation with health and social professionals about services locally and nationally, has never been more in the spotlight.

We hear in the news every other day about how, through the benefits of modern medicine, our ability to live longer is putting the strain on the care system and the public purse.  Centenarians are certainly more common than they used to be and this is a cause for celebration but it is also an issue that raises a serious point of debate.

Increasingly, the thought on how care for, not just the elderly, but people of all ages – those with disabilities, mental health conditions and complex care needs has never been more in the spotlight, but are the public really talking about it?

Where do we fit in the goliath world of NHS and social care?  Where do we start and what can we do about it anyway?

Are you sitting comfortably?  Then I’ll begin.   It was October 2012, when NHS Fife and Fife Council’s social work teams formed what was then, the first public engagement reference group, in which I was a member.   A proactive and welcome move as everyone started to get their heads around this new “I” word – Integration and I would like to take the opportunity to thank the many members, past and present, whose commitment and contribution has been invaluable to the progress we have made so far.

The first few years saw us inform, shape and help deliver three key consultations; the strategy for Fife, the localities across which services will work and the legal scheme against which the new Fife Health and Social Care Partnership must operate.  When it came to participation and engagement we held large scale workshops across the Kingdom to develop our Participation and Engagement Strategy (2016-19).

Now known as the P&EN our network continues to include a range of Fife residents and individuals as well as representatives from existing community organisations such as the Fife Forum, Alzheimer’s Scotland, Age Scotland and the People’s Panel.   We are involved in around 40 programmes of service change where we are able to have our say.

This month I am looking forward to attending a national public representatives workshop being held by the Scottish Government to meet and find out what others are doing across Scotland when it comes to public participation and involvement.

But, there is still a long way to go.   I understand that those leading Partnerships across Scotland are currently having to manage conflicting demands and work pressures, and also deliver to incredibly tight deadlines.  Networks such as the P&EN are the eyes and ears of the public and must be able to challenge.  I will be asking if there is a danger that under this pressure people retreat into their professional and organisational silos and adopt practices that maintain control, rather than work towards change for the better.  Are people prepared to challenge their assumptions around how patients and the public might react to changing the how and where we deliver health care to fit the modern day?

What might happen if a different conversation was initiated, involving local communities coming together with the leaders of local health and care services to engage in a dialogue about opportunities?

Well, in Fife we have already started. It is early days but new Locality Planning Groups are being set up across the Kingdom.  A huge programme of work, phase one brings together all the agencies and organisations that work to deliver services across the 7 localities of Fife, with public representation included.  Moving forward there needs to be more civic voice, and although this is frustrating now, it is a matter of time.

Having meaningful involvement will certainly confront existing assumptions held by all groups about how others might react when they come together. It will also generate different ways of looking at our current dilemmas, potentially enabling us to see new ways forward.

I am certain there are readers of this blog who will have their own examples of local initiatives where citizens, patients, voluntary/third sector organisations and statutory providers have come together in different and innovative ways to find a solution for a local health and care issue.

Trust and relationships are key, and many would argue will be the making or breaking of integration in the years ahead.  By continuing to listen and share experiences, the P&EN will ensure that the people of Fife continue to actively inform and shape the future of services for Fife.

Ian Dall,
Chair of the PEN

Would you like to get involved in the Participation & Engagement Network?  Contact:  Theresa Rodigan
Patient Relations Department & Participation & Engagement Network
1st Floor, Hayfield House

Direct Line: 01592-643355 x 28154
Email: Fife-UHB.ParticipationAndEngagements@nhs.net 


Mental Health – Calum Irving

Calum Irving, Director with See Me puts the spotlight on the importance of joint working to tackle the stigma that surrounds mental health.

Calum Irving

See Me and Fife Health and Social Care Partnership have been working together over this last year to tackle mental health stigma across various aspects of people’s lives.

The chance for See Me to work with the Partnership was great for us, as we are strengthening our focus on changing negative attitudes and behaviours towards mental health, within health and social care.

To really make a change, we need to work with organisations who have the greatest potential to enhance our reach and impact. Any change we make needs to be sustainable so we can work together effectively in communities facing the greatest inequalities.

The biggest event we have worked on with the Partnership this year is the simultaneous Walk a Mile events in March at Stratheden Hospital and in Silverburn Park.

The idea of Walk a Mile started with health care. Working with activist Chris McCullough Young we wanted to create a campaign which would bring people in health care together, to Walk a Mile in each other’s shoes, where people using the services and those working in them, could see each other as the people they really are, not the labels they have.

So it was fantastic to have the two walks in Fife, which aimed to do exactly that, and spread the vital message, that it is okay not to be okay, and mental health can be a topic of everyday conversation.

This message was also heard at our Pass the Badge event, where conversations on mental health were had and encouraged others to keep the conversation going.

We all have a role in tackling stigma and discrimination and together we can improve the culture around mental health, so its impact on every aspect of our lives, including where we live, learn, work and receive care isn’t ignored.

World Mental Health Day

It’s World Mental Health Day today (Tuesday 10 October) and Fife’s Health and Social Care Partnership are putting a spotlight on the activities going on over October to raise awareness of the importance of good mental health and hear from some of those who have lived experience.

SAMH Football teams stop to celebrate positive mental health

Check out the blog from See Me’s Director,Calum Irving about how we are working together to tackle the stigma of mental health.  Congratulations and well done go to all the teams that took part in the Scottish Association for Mental Health (SAMH) football match which we helped support, with trophies presented by Michael Kellet, Fife Partnership’s Director.  Teams from the Partnership, the police, fire service, colleagues in the voluntary sector and many more all took part to raise awareness, improve understanding and break down barriers about mental health, particularly in the workplace, which is this year’s theme for World Mental Health Day.

Julie Paterson, Divisional General Manager (Fife Wide) adds:  “We all have mental health and the aim is to show that mental health can be a topic of everyday conversations, including in the workplace. We will be encouraging staff to take part in See Me’s campaign to ‘Pass the Badge’, where people wear the See Me pin badge for a couple of days then pass to a colleague.  The purpose is to get the message across that we are all responsible for creating positive attitudes and good mental health and good physical health is vital for all employees so they can stay fit and well as a person.”

Look out for more mental health stories as the week goes on and how you can take part to raise awareness.

For mental health support and advice visit:


Breathing Space 

See Me


Scottish Recovery Network

Scottish Association for Mental Health

Health Secretary meets NHS and Partnership staff as extra winter resilience funding announced

Health Secretary, Shona Robison visited the Hub at the Victoria Hospital in Kirkcaldy today to announce an additional £5

Cabinet Secretary meeting staff in the Discharge Hub

million which is being given to NHS boards to support winter resilience across health and social care.

The additional‎ funding is to support winter planning and enhance resilience across the services, will make sure patients are seen quickly, efficiently and without delay. It will also be used to maximise additional staffing to help with weekend discharges in the face of an anticipated rise in attendances during the busy winter months.

Meeting staff Ms Robison heard directly how health and social care teams are working more closely together to deliver care to people both in hospital and in the community so they are able to live as safe and independently as possible.

Amongst those welcoming Ms Robison to the Hub were Director of Fife’s Health and Social Care Partnership, Michael Kellet, alongside the Chief Executive and Chair of NHS Fife.

Read the full news story here.