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 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: