1. North of Scotland Custody Healthcare and Forensic Services Project
North of Scotland Planning Group
Not all data is “Data”
Informing change when there is limited data
Sally Patrick
North of Scotland Custody Healthcare and Forensic Services Project
31st August 2016

2. SCOPE CONSIDERATIONS 15 Custody Suites 6 Health Boards
13,000 referrals1
86% of referrals in three cities
Inverness
Aberdeen
CONSIDERATIONS
61%
of Scotland’s land mass
Few Forensic Physicians
Police Adastra not everywhere
Dundee
Uneven use of custody nurses
Infrequent exposure to procedures
Inconsistent or little data
1 Estimated extrapolation

3. FACT FINDING Q: Who, does what, where?
Lerwick
Kirkwall
Q: Who, does what, where?
Wick
Stornoway
Elgin
Who can undertake the procedure?
Benbecula
Fraserburgh
Inverness
Portree
Aberdeen
Barra
What procedure can they undertake?
Fort William
Arbroath
Dundee
Perth
Where can these procedures be undertaken?

4. FACT FINDING
22 Procedures
In and out of hours
Where is it done?
Who does it?
If not here, where?
How far to travel?

5. Visual representation of current provision
FACT FINDING
Visual representation of current provision
Recognises single-handed hotspots
Identifies hubs and centres
Highlights travel distances
Confirms board, regional and national relationships
Distance as “the crow flies”

6. Information Sharing & Clinical Governance
ANALYSIS
Format & Criteria
R.A.G. Style
Distance
Time
Access
Sustainability
Information Sharing & Clinical Governance

7. ANALYSIS 5 Criteria 22 Procedures 15 Custody Suites 1, 2, or 3 Score
Scoring
5 Criteria
22 Procedures
15 Custody Suites
1, 2, or 3 Score

8. Inherent & Residual Scores
ANALYSIS
Mitigation
Inherent & Residual Scores
Avoid, Reduce & Accept
Cause, Event & Effect
Risk Register Format
Custody Suite Reports
Recommendations

9. OBSERVATIONS Effective analytical exercise Engaged stakeholders
Lerwick
OBSERVATIONS
Effective analytical exercise
Kirkwall
Wick
Engaged stakeholders
Stornoway
Provided opportunity to express informed opinion
Elgin
Benbecula
Fraserburgh
Inverness
Portree
Aberdeen
Standardised enquiry and highlighted local situation
Barra
Fort William
Arbroath
Contextualised and depersonalised
Dundee
Perth
Extended our definition of “data”