At its meeting today (Wednesday 2nd November) the Argyll and Bute Integration Joint Board has agreed to pause the Struan Lodge and Thomson Court redesign work for a period of 6 months. This will allow for a facilitated engagement and involvement process with communities and a period of staff consultation.
The IJB has also agreed to consider the outcomes from this exercise to inform its decision on the redesign and transformation of services in Cowal and Bute as part of its Quality and Finance Plan for 2017/18 and 2018/19.
The decision taken today to pause the redesign work follows on from representation from the public and politicians with regard to the limited opportunity for local communities to be involved in the redesign process prior to and following the decision made at the IJB meeting on the 22 June 2016.
Since June there have also been meetings between senior managers from the Health and Social Care Partnership and representatives from the Scottish Government and Argyll and Bute Council. These were held to clarify the context in which the decision was made, the timeline, objectives, service and financial position and implications for the HSCP. This has also allowed an opportunity to explore other support (engagement and financial) which could be provided to the IJB to allow it to pause the process.
Kieron Green, Chair of the Integration Joint Board, said:
“The Integration Joint Board has today taken the welcome decision to pause the service redesign work in Struan Lodge and Thomson Court. This will allow us to significantly improve on our engagement and involvement processes with the communities concerned.”
Notes for Editors: At the Integration Joint Board meeting on the 22nd June 2016 it was agreed to bring forward the service redesigns in Struan Lodge and Thomson Court to meet the service objectives in its Strategic Plan and to contribute to the additional cost saving that financial due diligence had identified. In addition, there is also a fundamental transformational required in shifting the focus of services and resources from acute care and transferring these resources to prevention and anticipatory care services in the community.
Struan Lodge - The redesign of the service model at Struan Lodge was to cease residential care at the site and transfer the residents to other care providers in Dunoon where there is capacity. This would help support the viability of Dunoon residential care services by enhancing capability and utilisation of the rest of the local providers and free up resources to support and build on other services such as reablement, Home from Hospital, improved transport and addresses remote and rural issues of hard to reach communities by in-reach and outreach.
Thomson Court - The redesign of the service at Thomson Court relates to the existing small dementia day service and move towards provision of a wider range of community based services to frail/elderly people within the community through a new more accessible, person centred model. The Thomson Court redesign proposals were intended to offer access to support a greater number of vulnerable people who require varying levels of support, with a focus on individualised outcomes such as increased independence and increased social contact.