Here are just a few examples of the work underway to help deliver the priorities outlined in our Healthcare Strategy.
A new Dementia Outreach Team has been introduced to support patients with dementia at home and prevent unnecessary hospital admissions.
Local facilities are being refurbished which will enable women with mental illness who require specialist treatment and support in a more secure environment to be cared for closer to their own homes and families.
Work is underway to prepare a directory of services to help increase awareness and improve access to a wide range of services and support.
A new pilot is being tested in the Emergency Department to reduce waiting times and test new approaches to treating people with mental illness who require care or assessment out-of-hours. This includes looking at how other staff, such as Advanced Nurse Practitioners, can work alongside GPs to provide additional support.
A number of developments are underway to improve outpatient services and, where possible, reduce the need for people to travel to hospitals for repeat or return appointments. This includes work to optimise the use of GP and other health professionals to free up consultant time to focus on patients with more complex health problems. More telephone clinics have been introduced to enable patients to receive advice and support over the phone without having to attend a clinic.
GP and Primary Care Services
Work is underway to develop multidisciplinary primary care teams, building on the approach taken in Kersiebank and Bannockburn Medical Practices where mental health nurses, pharmacists and physiotherapists work alongside GPs.
Hospital admissions and discharges
A number of initiatives are underway to reduce demand on the Emergency Department, avoid hospital admissions and reduce delayed discharges.
This includes the introduction of GP fellows, recently qualified GPs who work with community teams to help avoid the need for older people to be admitted to hospital, a new pilot which provides additional home care support to enable people to be discharged from hospital as soon as they well enough and have their longer term care needs assessed in their own home rather than in hospital.
New outreach services are being developed which will enable people with more complex learning disabilities to be cared for in the community rather than in hospitals.
Alcohol and Drug Services
A new Nurse-Led service is being developed to help improve access and reduce waiting times for local people with addictions.
Additional training and support is being provided to school nurses to help improve the mental health of children and young people.
Psychological therapy services are being redesigned to reduce waiting times for assessment and treatment. Patients and referrers will have a single point of contact to improve access and provide a more streamlined, consistent service.
New resources have been developed to help staff discuss with patients and their families how they would like their care to be provided now and in the future, particularly if their health changes or deteriorates. This is recorded in what is known as an Anticipatory Care Plan (ACP) and any people with long term conditions or chronic health problems can benefit from having this type of plan. Work is underway to identify and target specific groups of people who could benefit from an ACP, improve the quality of the information recorded and evaluate the impact of these plans, particularly in helping to reduce emergency hospital admissions.