NHS Orkney

Orkney Health and Care - CHSCP

Orkney Health and Care
Working together to make a real difference

What is Orkney Health and Care?

Orkney Health and Care is a partnership between Orkney Islands Council and NHS Orkney. Working together, we aim to improve and develop social care, community health and wellbeing. We want to provide the best possible care for people in Orkney, wherever they live and whatever their circumstances.

What does it do? 

The full range of social services previously provided by Orkney Islands Council, and a number of services previously provided by NHS Orkney are now under the joint management of a single director, Cathie Cowan, Chief Executive of NHS Orkney, accountable to the Council and NHS Orkney through the Board of Orkney Health and Care.

Both Cathie Cowan and Albert Tait, the Chief Executive of Orkney Islands Council, have been working closely together to give strategic direction and leadership to Orkney Health and Care since the summer of 2010 and this will continue over the next few months.

What services does Orkney Health and Care provide?
·         Social work and social care services for children and families
·         Social work and social care services for adults
·         Home care, home support, telecare, residential care and short breaks for all care groups
·         Social work services to the criminal justice system
·         Services to support carers
·         General practitioners and general medical services
·         Dental health services (excluding oral surgery)
·         Community pharmacy services
·         General ophthalmic services
·         Community nursing including district nurses and health visitors
·         Mental health services
·         Child & adolescent mental health services
·         Community allied health professionals Services
·         School health services
·         Health services for children with complexneeds
·         Community child health
·         Maternity services
·         Drug and alcohol services - community psychiatric nursing and social work and social care
·         Learning disability services
·         Services for people with sensory and/or physical disabilities
·         Health and social work services for older people
·         Community assessment, rehabilitation, enablement and palliative care
·         Community access to outpatient and diagnostic services
·         Sexual and reproductive health services
Orkney Health and Care is not responsible for acute hospital services including acute medical and surgical services although it works very closely with these services to avoid delayed discharges, reduce unplanned admissions and to promote a joined up approach to health and care.
The Orkney Health and Care Partnership Board  click link to papers
The Board is made up of four elected members (Cllr Russ Madge Chair; Cllr Graham Sinclair, Cllr Mike Drever and Cllr Roderick McLeod) and four NHS Board members (Mairhi Trickett, Vice Chair; Suzanne Lawrence, Liz Middleton and Andy Trevett). The Board’s role is to oversee and scrutinise the work and ongoing development of the partnership.
The Orkney Health and Care Committee
Chaired by Cllr Russ Madge, the Orkney Health and Care Committee meets to secure involvement of staff, service users and carers in governance and decision making for Orkney Health and Care. This operates alongside the wide range of planning and working groups which involve professional staff. The Orkney Health and Care Committee has clear responsibilities to advise on areas such as service redesign, planning, prioritisation and performance. Its members include all of the professions covered by Orkney Health and Care, clinical input from acute services, child health and mental health, a carer representative and a representative from the public partnership forum to ensure that its advice is grounded in practice.
Public Partnership Forum
The Public Partnership Forum also meets regularly and provides a formal focus for third sector and community engagement. This underlines Orkney Health and Care’s commitment to patient and service user focused public involvement and community engagement. The Public Partnership Forum provides an advisory role which is complemented by specific broader consultation and engagement processes on any service or policy changes.  
So what’s different about Orkney Health and Care?
Orkney Health and Care has a central role to play in the partnership planning of shared services in Orkney. This new integrated team is the only way forward if we are to develop and provide services tailored to our community’s needs. It makes sense to have one service deliver joined up health and care for our community rather than the two separate services we had before. The staff are contributing to the development of the partnership on an ongoing basis and their input is very welcome and helpful.
How are we doing this?
It’s all about tackling the fragmentation of health and care services – the things that get in the way of providing the best possible service for the people of Orkney.
Integrated care is when both health and social care services work together to ensure people get the right treatment and care at the right time and in the right place. We also work together to ensure children and adults are protected, and communities feel safe.
The aim is ensure that our two organisations deliver joined-up services across Orkney – helping people to live better and more independent lives.
For frontline staff it means using their combined professional judgement to work with patients, service users and carers to address their needs. That means working with individuals to identify the whole range of their needs – knowing what else is available in the system and who else can help.
Orkney Health and Care strives to bring health and social care services ever closer together – because the two are and should be inextricably linked.
Good social care reduces the time patients stay in hospital and the need for re-admission for further treatment.
An integrated delivery of health and social care services will create efficiencies in a number of different ways. Improving the co-ordination of services and information reduces duplication of effort for staff, increases job satisfaction – and improves the service we provide for the people we help.