Need for Change. The drivers for change were explored at a community workshop in March 2018, which focussed on making and explaining the case for change including an overview on demography, deprivation, workforce and finance. The briefing notes and output notes for that workshop are attached at Appendix SC06 and Appendix SC07 respectively. A more recent refresh of some of the supporting data has been carried out for this Initial Agreement and the pressures and resultant challenges on health and deprivation across Caithness are set out in Appendix SC08.
Need for Change. 3.5.1. This proposal should be progressed for two reasons: • The service is faced with an immediate pressure as the OAA environment is not fit for purpose to accommodate the patient flows in a safe and efficient way meaning that action is required now. • It is expected that oncology demand and activity will continue to rise meaning which will increase patient volume through OAA. This means that the issues that are already described will become more pronounced as demand and activity increase.
3.5.2. The current accommodation is not fit for purpose now and the risks associated with the issues described will increase over the next 9-10 years while the service waits for a new ECC. Progressing this proposal will improve the environment for patients, enable effective patient flows through the department and address the safety concerns that have been highlighted.
Need for Change. 62 Transforming Mentoring Practices for Principals......................................... 64 A New Role................................................................................................... 67 Conclusion .................................................................................................... 69 The Relationship Between Trust and Successful Mentoring That Promotes Principals as Learning Leaders....................................................................................................... 69
Need for Change. East Calder Health Centre is situated in Main Street, East Calder, West Lothian. The Health Centre is owned by NHS Lothian and was originally built in the 1970s to accommodate a GP Practice and community health services for a population of circa 7000. Service Change Planning Strategic Assessment Initial Agreement Outline Business Case Final BusinessCase Implementation Phase East Calder Medical Practice operates as an independent contractor providing health care to the local populations of East Calder, Mid Calder, Kirknewton, Wilkieston and surrounding areas under the terms of the General Medical Services Contract. East Calder Medical Practice is the only GP Practice serving this geographic area. The nearest neighbouring practices are in Craigshill, Dedridge and Murieston in Livingston, there are no direct public transport routes to these practices and in any event, they have limited capacity to increase their list size. In accordance with NHS Lothian’s statutory obligation to provide access to Primary Medical Services there is a requirement to continue provision of health care services within this geographic area. Projections for future demand for primary care and community services with East Calder are driven by the core development at Calderwood. It is estimated that the planned population growth will result in a 52% increase in new registrations which will impact demand for all primary care and community services. The current consultation rate is estimated at 10% of practice population per week therefore could potentially rise to circa 1,800 consultations per week from current level of 1,100 per week. The GP Practice and community service provision have expanded with the population which has necessitated internal accommodation to be reconfigured to create additional clinical capacity and a porta cabin extension to be added to the east of the building which provides three additional consulting rooms for community health clinics and visiting clinicians. The resulting clinical space is suboptimal with seven consulting rooms under the minimum 14m2 and four of these less than 10.4m2 placing significant limitations on their use and poor disabled access. There is limited disabled parking (2 spaces) at the front of the building and no lift access to the first-floor accommodation. The office accommodation available for the administrative functions is well below the minimum standards and staff facilities are insufficient for the 41 staff working in the building d...
Need for Change. 3.1 Problems with Existing Arrangements
Need for Change
