1. “Mental Health and Learning Disability Service Redesign Consultation”

2. Key Messages
Safety
Sustainability
Clinical Viability
Workforce Availability
Improved Environments
Most Efficient and Effective use of Resources

3. Reasons for Review Future safety and sustainability of services
Workforce – recruitment and retention
Use of supplementary staffing
Medical Workforce/Rotas
Age profile of workforce
Workforce issues referred throughout document – section 11
Benchmarking data section 2.1 and Appendix ten
Finance section – section 12 and appendix seven and eight

4. Reasons for Review

5. Reasons for Review Age Profile at May 2017 20 - 24 25 - 29 30 - 34
60+
Total
Over 50
Learning Disabilities Nursing 5 4 10 12 30 11 7 88
54.55%
Mental Health Nursing 39 40 53 72 79
124
154 56 14
631
35.50%
Nursing Bands 5-7*** 44 63 76 84
136
184 67 21
719
37.83%
***Excluding Older People Services

6. Training and Development HCSW and Return to Nursing Programmes
Reasons for Review
​Future Recruitment Opportunities
Undergraduate Mental Health and Learning Disability Undergraduate Programmes
Training and Development
HCSW and Return to Nursing Programmes
Patterns of NQP Recruitment

7. Reasons for Review Benchmarking data Accommodation review
Murray Royal utilisation
Carseview utilisation/refurbishment
Strathmartine site
NHST Financial position

8. Process Followed Work to date : Option Appraisal Option Modelling
Community Modelling
Workforce Appraisal
Financial Appraisal

9. STAKEHOLDERS Who’s been involved? Service Users
Scottish Health Council
Carers
Finance Leads
Third Sector Organisations
Communications Manager
Voluntary Organisations
NHST Board Secretary
Clinical Leads
Public Involvement Manager
STAKEHOLDERS
Heads of Service
Equality & Diversity Lead
Staff side representatives
Project Management Leads
Charge Nurses
Service Improvement Leads
Team Leaders
Support Services Leads
Full stakeholder lists part of the option review and option modelling information in appendix four and six respectively
Psychology leads
Human resource Leads
Allied Health Professional Leads
Property Service Leads
Admin & clerical Leads
Pharmacy Leads
Local Authority Leads
Police/Scottish Ambulance

10. Option Modelling
Two facilitated Option modelling events held in September and December 2016
Detailed information gathered for each of Top Four options
Further stakeholder involvement in development of top four options
Scoping of community and day
treatment remodelling

11. Option comparison Each of Four options considered in respect of :
Safety & Sustainability
Clinical Viability
Workforce Availability
Financial Affordability

12. Preferred Option 3A Murray Royal Carseview Strathmartine Stracathro
Functional Day Hosp
Low Secure
Medium Secure
Combined LD ward (Moredun)
Complex Care & Rehabilitation
Complex care Females
SMS
Dementia Assessment
Functional Elderly
(Amulree)
(Rannoch)
(Kinclaven)
Dementia Day Hosp 10
6 (8) 12 14
Low Secure Day Hosp
to 8 beds LD 32
BSI, 8 to 10 LDAU
26 (10 vacant beds currently)
Locked Forensic
6 Open Forensic
Carseview
Strathmartine
Acute beds
Acute Ward One
Acute (decant)
Ward Two Acute
IPCU
Bridgefoot Flat 1
Bridgefoot Flat 3
Includes 4 AIS beds 8
10 (12)
Bridgefoot Flat 2
Craigowl Centre 22
Stracathro
TAYSIDE WIDE SERVICES :
POA Day Hosp
LOW SECURE
MEDIUM SECURE (REGIONAL NOSPG)
COMPLEX CARE & REHABILITATION
SMS (Substance Misuse Services) 25 15
COMPLEX CARE FEMALES
LEARNING DISABILITY

13. Preferred Option Option Supports:
Centres of “Excellence” for GAP in Dundee and Tayside wide specialist services in Perth
Consistency of Approach/Reduction in variation of practice
Improved patient safety
Creation of shared learning and supports teaching environments
Enhances provision of cross cover across specialties and sites
Improved physical environments
Adjacencies with A&E services on Ninewells site
Proximity of future service specialties to catchment areas for NQPs
Concerns/Areas to be addressed :
Access – importance of family and carer support
Ensure robust links with community/day treatment services

14. Community
Your View

15. Your View How do you get involved? Website – materials Staff Sessions
Focus Groups
Public events
Meetings
Feedback survey
/telephone/
freepost comments

16. Your views ? Do you understand the reasons for the review?
What are your views of the preferred option?
What other suggestions do you have for how we could improve services?
What community models do we require to support the option?
What day service/treatment models are required to support the option?
What do you believe are main issues/challenges of the option?
How can you support the remodelling of current services?

17. Forthcoming events/presentations
What happens next?
Formal Consultation Period 3rd July to 3rd October 17
Scottish Health Council Mid Point review August 17
Full Consultation Report presented to Boards and Committees in December 17 and January 18 to seek final approval of preferred option
Subsequent formal business case approval process to secure funding of required refurbishment programme through Scottish Government SCIM guidance.