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.