Do Nothing / Do Minimum Options Sample Clauses

Do Nothing / Do Minimum Options. The current arrangements and their challenges were described in detail in section 2 and are summarised in table EC01. Service provision: • 24/7 care across five sites; increasingly difficult to sustain due to staffing challenges: o One Rural General Acute Hospital; Caithness General Hospital in Wick o Two Community Hospitals; ▇▇▇▇▇▇ Hospital, Thurso and Town & County Hospital, Wick o Two NHS-run Care Homes; Pulteney House, Wick and Bayview, Thurso • Community integrated teams dispersed across multiple sites, not strategically located. • Primary care delivered from GP practices in multiple sites Service arrangements: • NHS Highland lead agency for health and social care services. • Gaps in community service provision out of hours, putting pressure on hospital services. • Inpatient, Emergency Department, and some community services are stretched, evidenced by waiting times, waiting lists, bed occupancy and length of stay data. This has been exacerbated by COVID-19. • Over a third of Caithness residents are travelling long distances to access outpatient services Service provider and workforce arrangements: • 600 NHS Highland staff, half are over 50 years old • Difficulties in recruiting nurses and social care staff • Medical cover provided by Consultants, Rural Practitioners and GPs • Heavy reliance on locum and agency staff • Day services by NHS Highland and third sector • Contracts with third sector to support and deliver health and care services