Challenges and opportunities

Some difficult decisions as well as opportunities to celebrate have been faced by the Partnership.  The on-going challenge of clinical cover has meant we had to enact contingency measures in our Primary Care Emergency Services overnight. A tough decision to reach but one that ensures patient safety which is our first priority.  We thank the public for their patience and understanding.

Across the Partnership there is much to acknowledge including the three Fife nurses who have been selected to become Queen’s nurses, our award winning Care At Home Team and most recently the announcement of a £10m care village in Methil.

Ahead of the new Carer’s Act going live on 1 April, we conducted a consultation to develop a Carer’s Strategy for Fife. Over 250 unpaid carers took part. Check out our Guest Blog by Scott Fissenden, Change Manager and Carer’s Strategy lead.

What Matter’s To You Day takes place on 6 June and staff and users of services are being asked to share their stories on how we can encourage ever more meaningful conversations between people who provide health and the people, families and carers who receive services. This will help to continually improve our service and the people’s experience of care.

We are also supporting Save a Life for Scotland’s ‘I would press 500 times..’ campaign which is asking everyone in Scotland to get ready to do cardiopulmonary resuscitation (CPR).





Director’s Blog: Reaching into communities

Our drive to develop services which reach into communities and connect people with support continues.

We are delighted to announce a £1m investment by Macmillan who are working with the Partnership and closely with the public to introduce an innovative community support programme for people affected by cancer. The voice of those affected by cancer is vital in shaping the new service and so we are hosting engagement events over February and March.

Our On Your Doorstep community website is growing with over 1700 organisations and groups with information about what services, resources, activities and groups are available within your local community.

As winter weather continues to hold, health and social care teams continue to work round the clock and services such as our START initiative continues to safely support people to return home from hospital sooner and is proving its worth.  Meet the stars of our START video where local teams talk about their work.

Over the coming months, budget will be the topic of much discussion.  We must be open and transparent about the challenge, where over the coming financial year our net budget gap even after implementation of the financial recovery plan from 2017-18 is still significant.

New medicines pressures along with increased demand for our services are just some of the reasons that define the pressure.  The Senior Leadership Team are working collectively with you, your colleagues and partners to develop a financial strategy for 2018/19 which will support the continued delivery of services to the most vulnerable whilst make every pound we spend work harder. Budget proposals will be taken to the Partnership Board on 20 March 2018 for approval.  Look out for more information over the coming weeks.

Meanwhile, we must keep in mind that we still have a budget of around £490m to invest.  Our grassroots up approach activity continues on many levels. This month has seen the first Dunfermline Localities Planning Meeting take place with over 40 people in attendance.  South West area will be the last in our rolling programme, completing all 7 for Fife.   Keep up to date by visiting the Your Community pages.

In the coming months ahead will be starting to talk a lot more about community re-design.  To meet modern demands, Fife needs a more joined up care system.  We need to join care across communities and hospital services so we can respond better to peoples’ needs.

We must arrange services around the needs and assets of local communities and not around organisations.  We need to adapt systems and ways of working that have been in place for decades.   We must work together, to design and build a holistic care approach and we will be seeking views from you, and from people across Fife to help shape the future for Fife.


Director’s Blog: Countdown to Christmas

The countdown to Christmas and New Year is in full swing and we end the year on a high note. I am delighted to announce that the Care At Home team has been shortlisted as finalists in the Fife Business Awards 2018 for the successful roll out of Total Mobile.  Congratulations.  This fantastic achievement epitomises the resilience, compassion and hard work of colleagues across the Partnership.  Despite the complexity and challenges we face, teams across Fife are achieving great things and making a difference to peoples’ lives each and every day.  Check out the lovely letter from a service user following support from Older People team colleagues.

I wish you all a very Merry Christmas and best wishes for 2018.



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.