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.’’

New care home for Anstruther proposal

A new care home for Anstruther is being explored as part of Fife Council & Fife Health and Social Care Partnership’s continued commitment to high quality care for older people in Fife.


The new home will replace Ladywalk House in Anstruther, alongside proposals to replace Northeden care home, Cupar and Methilhaven care home, Buckhaven.

It comes as part of the second phase of the Partnership’s multi-million programme which has already seen new homes built in Kirkcaldy (Ostlers House), Glenrothes (Napier House) and Lumphinnans (Lindsay House).

At this stage, the preferred option for Anstruther is to relocate the new care home in Bankie Park adjacent to the existing care home site in Ladywalk.  This means that the playpark and other facilities would be undisturbed and the current site of Ladywalk House could be returned to park land on a like for like basis.

Louise Bell, Service Manager, Residential and Day Services with Fife Health and Social Care Partnership gives more details:

“Although we have identified a preferred site, plans are at a very early stage.  We have been proactive in contacting the Friends of Bankie Park, local councillors and community councillors as we start our approach to fully involve the community.  As with our other developments, we will undertake a very proactive programme of engagement with service users, families, staff, the local community and their representative as well as other Council services.

“We need to replace Ladywalk House due to its age and condition, and if we do nothing, the care home will need significant investments in mechanical and electrical works over the next few years.  In considering a new home we are taking into account the need for continuity of care for residents and the opportunity to return the existing site back into parkland for use by the community.     We want to hear the views of the community and so encourage people to get in touch by Friday 31 August.”

Cllr David Graham, Health and Social Care spokesperson stated:

“Having chatted with residents at the recent official opening of the new Lumphinnans Care Home, and many others across the Kingdom, having a home that is safe and comfortable is highly valued.  For Anstruther, we want to invest to ensure that a new care home remains at the heart of the community now and in the future for local people. It’s still early days and before any decisions are made, ensuring that the Anstruther community itself is fully involved is key and I encourage people to get in touch with Vivienne and the team so they can be part of the conversation.”

The deadline for comments is Friday 31 August 2018.  Consultation proposals can be found at:

  • Anstruther Town Hall and Library, 16 Cunzie Street, Anstruther, KY10 3DF
  • East Neuk Centre, Ladywalk, Anstruther, KY10 3EX
  • Waid Community Campus, 3GY, St Andrews Road, Anstruther, KY10 3HA
  • Dreel Halls, High Street West, Anstruther, KY10 3DJ, and,
  • Anstruther Post Office, 36 Shore Street, Anstruther, KY10 3AQ

Details can also be found on the Community Council website:

To find out more contact: Vivienne McBride, Change Manager – East Division, 5th Floor, Rothesay House, Glenrothes, KY7 5PQ;


Telephone: 03451 555 555, ext 456752




‘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:

Get the latest Adult Support & Protection news

The June edition of the Adult Support & Protection Committee newsletter gives information on:

New internet safety resources created in partnership with ‘Stop It Now! Scotland’

Keeping Safe places

Now Hear Me

Safe and healthy relationships

Elder Abuse Scotland Recovery Project

Dementia resources

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

All Adult Protection resources and information can be found online at:


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  . The Fife Framework can be viewed within the “Regional Frameworks” section of the site.



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.


Carers Week celebrations end with a thank you

Fife is stronger because unpaid carers take time to support their family, friends, loved-ones and neighbours on a daily and hourly basis.  This last week as been national carers’ week.

Michael Kellet

Michael Kellet, Director

An opportunity for us all to reflect on the exceptional work and commitment made by carers.  We have used this time to recognise carers, thank them for their hard work and dedication, and to let you know how we plan to support them in the future.

We can all play a role in caring for our carers.  A box of chocs or bouquet of flowers goes a long way but a simple ‘thank you’ is what carers say matters most.


In closing this week long celebration we highlight just a few short quotes from carers when we asked them what works well and gives them a sense of happiness and control, and what advice and support have they found to be of greatest value in their caring role:

  • “Crossroads, Broad Street, Leonard Cheshire Day service in Rosyth. If I know my son has access to quality care provision, this provides him with a good life and respite for me.”


  • “As a parent caring for two disabled children , Kindred has been a source of both practical and emotional help”


  • “Therapies offered by Fife Carers Centre. Friendships through Fife Carers Centre”. “The support offered by the Carers Centre staff in Kirkcaldy has been a ‘life-saver’.  They reassure and help with all manner of questions.”


  • “Outreach worker provided by Alzheimer’s Scotland.”


  • “The Dementia Café at Abbeyview has been a life line giving both of us the chance to make new friends in similar circumstances. The Carers Group at Abbeyview has been similarly very helpful.”


  • “ASIST have been brilliant they came and spoke to me, listened and made suggestions.”


  • “Information from Autism Rocks”. “Autism Rocks is great”.


  • “Support from Age Concern has been invaluable.”


  • “We use Crossroads and it has been a great service to us so I can spend time with my oldest son”. “Crossroad support/information is always good.”


  • “Support from Scottish Autism, Glamis House, Crossroads, and social work have been valuable and I wouldn’t be able to cope without any of them.”


On behalf of everyone at the Fife Health and Social Care Partnership, thank you.

If you are a carer or know someone who is a carer who might need help and support, click here for more information.


Carers needed to shape local services

It’s Day 3 of Carers Week:  If you have experience of being a carer, then Fife Health and Social Care Partnership want to hear from you.

Seven Health and Social Care Locality Planning Groups are being developed across the Kingdom.  These provide an opportunity for communities, professionals and individuals to come together to discuss the key health and social care issues affecting their community. The aim is to develop a local plan that has the voice and needs of the local community at the centre.

Scott Fissenden, Change and Improvement Manager is leading the work on developing a new Carers Strategy for Fife:

Involving carers at grassroots level is a key part as health and social care services plan service now and in the future.

Carers have told us that they feel they do not have a voice that is recognised and listened to as often as it should.

In the feedback to our recent carers strategy consultation earlier this year, one carer said that they want ‘the knowledge and skills they have acquired recognised and valued and to be treated as an equal partner in care.’  In short, they want to be involved in the way services are developed.

In response we are encouraging both paid and unpaid carers to come forward and join the local planning groups as a carer representative. It’s their opportunity to shape the future of services in their local area.”

Visit the Your Community section to find out more about the work going on across our seven locality areas.

If you are a carer and are interested in becoming a carer representative on our locality groups, please e-mail to register your interest.

Nurses to ‘Walk and Talk A Mile’ – 15 June 2018

A team from Queen Margaret Hospital’s Plastic Surgery Department are to Walk and Talk A Mile on the 15th June to raise awareness of the importance of positive mental health.

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.

Caroline Turnbull: Laura Reid: Pauline Macintosh: Lynn Coyne: Jo Koczubik: Deborah McCallum: Tanya Hardy

The team have direct experience of the devastating effects of not discussing and sharing mental health concerns.

Lynn Coyne, Plastic Surgery Specialist Nurse​, said: “It was so important that our team take part in Fife Health and Social Care Partnership and the See Me campaign’s Walk A Mile event.  Following our colleagues loss, not only has it been a tough time for the family and others, the whole team was affected, but we pulled together and supported each other and continue to do so. That’s why it’s really important that we take part as a team, raise awareness, keep the conversation going and keep supporting each other throughout.”

This year’s event takes place on Friday 15th June 2018 at 2pm. Start at either:

Silverburn Park, Largo Road, Leven


Playfield Institute, Stratheden Hospital, Cupar

If anyone wants to join the walk and talk they can register by signing up for a free ticket online (no need to print the ticket) at Eventbrite at