Item 17 - Chryston Community Health Clinic Update
North Lanarkshire Council · 22 March 2023
Back to Health and Social Care Integration Joint Board — 22 March 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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1 REPORT Item No: 17 SUBJECT: Progress Update: Development and Delivery of Chryston Community Health Clinic TO: IJB Lead Officer for Report: Ross McGuffie, Chief Officer Author(s) of Report Maggs Thomson, Head of Health DATE: 22nd February 2023 1. PURPOSE OF REPORT This paper is coming to the IJB to provide an update on the development and delivery of Chryston Community Health Clinic For approval For endorsement To note 2. ROUTE TO THE BOARD This paper has been: Prepared Reviewed Endorsed Prepared by Maggs Thomson, Head of Health in consultation with both Chryston Community Health Clinic Mobilisation Group and the Northern Corridor Service Repatriation Group. 3. RECOMMENDATIONS The IJB is asked to: 1) Note the active and ongoing progress with the delivery of this capital programme. 2) Note the progress with the repatriation of the clinical services from NHS Greater Glasgow & Clyde (NHSGG&C) and their associated Health and Social Care Partnerships (HSCP’s)
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2 3) Note the previously identified financial gap reported Feb 2022 and reflect on work to date to progress towards final conclusion. 4. VARIATIONS TO DIRECTIONS? 5. BACKGROUND/SUMMARY OF KEY ISSUES 5.1 Background 5.1.1 From 1st April 2014, Health Board boundaries were realigned with those of the Local Authorities across Scotland, with the aim of reducing administrative barriers and ensuring full alignment with the integration of health and social care services as set out in the Public Bodies (Joint Working) (Scotland) Act. 5.1.2 This boundary change aimed to facilitate the development of integrated services across all areas of Scotland. The change resulted in the Northern Corridor (covering the areas of Moodiesburn, Muirhead, Chryston, Stepps, Gartcosh and Auchinloch) being transferred into the NHS Lanarkshire (NHSL) boundary. 5.1.3 This geographical area has one health facility located within Muirhead (Muirhead Clinic), which is small and at the time of transfer, dilapidated and not fit for function. The facility required backlog maintenance and asbestos work to be undertaken which was completed. 5.1.4 Despite the upgrade and refurbishment which improved compliance with healthcare standards, the facility could still not support the provision of all services for the local population. 5.1.5 Consideration was given to providing a new build facility on the existing site, however the footprint and parking limitations would not allow for the size of centre required to meet the clinical ask. 5.1.6 Due to the limited capacity of this facility, NHSL was unable to fully repatriate services from NHSGG&C, resulting in northern corridor residents having to travel significant distances across Glasgow to access some health services, with teams and clinics based in a range of areas including Shettleston, Kirkintilloch, Easterhouse and Bridgeton. 5.1.7 The services identified below continue to be delivered via a Service Level Agreement (SLA) with NHSGG&C and the associated HSCP’s. • Community Diabetic Service • Community Mental Health Teams • Dietetics • Physiotherapy Yes No N/A
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3 • Sexual and Reproductive Health Services • Substance Misuse 5.1.8 An opportunity emerged with the development of North Lanarkshire Council’s (NLC) ‘The Plan for North Lanarkshire’ which set out an ambitious estates strategy that looked to develop Community Hubs / Campuses. Further to consideration of this approach, NHSL working in partnership with NLC, invited hub South West Scotland to deliver a single campus for the replacement of Muirhead Community Health Clinic and Chryston Primary School. 5.1.9 There was extensive engagement with all stakeholders including NLC and NHSL project teams which resulted in the optimum design being developed to the satisfaction of all the stakeholders. The agreed design went through wide- ranging routes of engagement with key stakeholders including NHSL staff, H&SCP staff, teachers, support staff and pupils at Chryston Primary School. This process also included joint engagement with representatives of the Parent Council and elected members, culminating in an online public consultation to inform residents of the design outcome. 5.1.10 The business case for the Development of Chryston Community Health Clinic was considered by the NHSL Board on December 2021 at a cost of £3.65M and signed off with all legal agreements completed in January 2022. 5.1.11 The build programme began on Monday 14th February 2022 with a completion date of early August 2023 identified. 5.1.12 In tandem with the facility development, a process was initiated with NHSGG&C (and associated H&SCP’s) to begin the process of repatriation of the identified clinical services. 5.1.13 A Service Level Agreement (SLA) continues to be in place and as of February 2022 this exposed H&SCNL to a £392k financial gap if services where to be delivered with the known funded establishment and skill mix of the NHS Lanarkshire service model. 5.1.14 It was also recognised in February 2022 that to support the smooth transition, clinical safety and continuity of care there would be an expectation of double running costs for a period of 3 months, equating to an increased cost of £212k for that quarter. 5.1.15 All work has progressed on the basis of the funding being agreed in February 2022 calculation. 5.2 Chryston Community Health Clinic 5.2.1 The build programme is currently on schedule for completion August 2023 (see Appendix 1 for visual update).
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4 5.2.2 H&SCNL mobilisation group is progressing well with all work streams and is currently on track to have all systems in place for operational delivery in August 2023. At the point of writing, all planned milestones have been met. 5.2.3 The next three months will require development around the operational plan for the clinic, communication plan for all stakeholders, procurement, staff engagement, system education and mobilisation plan. All milestones have been identified and the new work plan for the next 3 months will be in place by the end of February 2023. 5.2.4 The work plan is now being progressed in tandem with the repatriation programme and the next iteration will show a confluence of milestones as recruitment will be a key work stream and this is in development. 5.3 Repatriation of Services 5.3.1 The timeline for repatriation and local delivery of services continues to move toward completion that will coincide with the operational delivery of the new health clinic in August 2023. There is the comfort of double running agreed for 3 months to support smooth and safe transition of care. 5.3.2 Discussion between H&SCNL and NHSGG&C (and associated H&SCP’s) is ongoing and progressing to achieve a smooth and clinically safe transfer of services. This is being managed via two discrete working groups focussing on mental health services and physical health services. 5.3.3 There is currently work ongoing with finance colleagues from both NHSL and NHSGG&C to conclude financial agreements to provide certainty to allow recruitment to progress. 6. CONCLUSIONS 6.1 In conclusion, this paper confirms that Chryston Community Health Centre has been commissioned by NHSL in partnership with NLC and is on track to be operationally available for service delivery from August 2023. 6.2 In tandem with the build programme, work is ongoing to repatriate the identified services, with work ongoing with both finance and operational teams. 6.3 The IJB has already approved additional fundng to support double running costs for one quarter, as well as additional recurring funding to support the roll out of the NHS Lanarkshire service models in the area. Work continues between the two finance departments around the financial transfers and further updates will come to the IJB once finalised.
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5 7. IMPLICATIONS Noted within the content of the paper 7.1 NATIONAL OUTCOMES The repatriation of services will support improvements in a range of service performance measures, particularly around mental health and substance misuse. 7.2 ASSOCIATED MEASURE(S) None. 7.3 FINANCIAL Yes No N/A At this time (2022 calculation), it is known that there is a revenue gap of £392k per annum and a non-recurring cost of £212k to support double running of service for a 3-month period, as previously approved by the IJB and built into the IJB’s Medium Term Financial Plan. Finance teams are reviewing our known position and will provide contemporary costs by the end of March 2023. 7.4 RISK ASSESSMENT/RISK MANAGEMENT Risks around the repatriation of services, including the transfer of complex treatment packages, ongoing recruitment challenges and the funding gap already identified and will be built into the operational risk register. 7.5 PEOPLE A significant programme of engagement has taken place as part of the development of the business case. 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY Yes No N/A Developed as part of the business case. 8. BACKGROUND PAPERS NHS Lanarkshire Chryston Community Health Clinic Business Case
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6 https://www.nhslanarkshire.scot.nhs.uk/download/2021-december-20-board- papers/ 9. APPENDICES Appx 1 Artistic representation of Health Clinic and progress photograph date 22nd February 2023. . CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following; Maggs Thomson, maggs.thomson@lanarkshire.scot.nhs.uk
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7 Appendix 1 1: Artists Impression of main entrance with health clinic to the left of the picture 1: Work to date (22nd February) of health clinic