ITEM 6 Chryston Update March 2025
North Lanarkshire Council · 21 May 2025
Back to IJB Performance, Finance and Audit Committee — 21 May 2025 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: 6 SUBJECT: Progress Update: Development and Delivery of Chryston Community Health Clinic TO: IJB Performance, Finance & Audit Committee Lead Officer for Report: Maggs Thomson, Head of Health Author(s) of Report Maggs Thomson, Head of Health DATE: 21st May 2025 1. PURPOSE OF REPORT This paper is coming to the IJB PFA 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 progress and current position of the repatriation of the clinical services from NHS Greater Glasgow & Clyde (NHSGG&C) and the associated Health and Social Care Partnerships (HSCP’s) 2) Note the change in provision for Mental Health and Substance Misuse Services
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2 3) Note the change in the financial position 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 The Service Level Agreement (SLA) continued to be in place and as of 31st of July 2024 a notice of cessation was formally lodged with NHSGG&C. This exposed UH&SCNL to a £52.5k 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 This financial gap has been reducing over time as more certainty of funded establishment and service models developed. Update 5.2 Chryston Community Health Clinic 5.2.1 The clinic has now been open and receiving patients for 15 months.
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4 5.2.2 Over this timeframe all building snagging and revision has been completed 5.2.3 The operational policy has now been embedded and has had its first revision. 5.3 Repatriation of Services 5.3.1 This process proved challenging due initially to build delays, however agreements with NHSGG&C to repatriate services became the area of postponement which was in the main around safe transfer of care for mental health and substance misuse services. 5.3.2 All physical health services have now been repatriated and are being delivered in Chryston Community Health Clinic. This component of the SLA was signed off on 31st January 2025. 5.3.3 In relation mental health and substance misuse care our NHSGG&C and their H&SCP colleagues raised concerns regarding the clinical safety of separating component parts of both the Community Mental Health and the Substance Misuse teams. 5.3.4 The SLA for both service areas did not include medical staffing and over the timeframe of the SLA and Chryston development this workforce has become more scarce both locally and nationally. 5.3.5 The model of having psychiatry medics work across two CMHT’s, 2 health board areas and multiple sites was deemed too challenging in the current workforce climate. 5.3.6 At time of reporting it has been agreed not to repatriate mental health and substance misuse services from NHSGG&C. 5.3.7 The SLA for this component of service will remain with Glasgow and its associated H&SCP’s 5.3.8 There is ongoing discussion with NHSGG&C to consider the possibility of delivering some of the community mental health services as satellite clinics within Chryston. At time of reporting a date is being canvassed to facilitate a site visit for medical colleagues. 5.3.9 It is recognised that this proposed change in direction will need communicated with the local population and once final Glasgow position is known an engagement plan will be enacted.
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5 6. CONCLUSIONS 6.1.1 In conclusion, this paper confirms that Chryston Community Health Clinic was delivered for service provision from 18th December 2023. 6.1.2 All services have transferred from Muirhead Clinic and are being delivered in Chryston Community Health Clinic with the addition of Midwifery and CAMHS 6.1.3 All physical health services have been repatriated from NHSGG&C and are being delivered in Chryston Community Health Clinic. 6.1.4 Mental Health and Substance Misuse services will now not be repatriated and that component part of the SLA will remain in place. 6.1.5 Ongoing discussion regarding ability to deliver some elements of mental health and substance misuse services as outreach from Glasgow services 6.1.6 The revision of the arrangements with the SLA has resulted in a cost neutral position with no funding gap evident. 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 X N/A 7.4 RISK ASSESSMENT/RISK MANAGEMENT Risks now shift from service delivery to community engagement in relation to the change in previously agreed service provision. 7.5 PEOPLE A significant programme of engagement has taken place as part of the development of the business case. This will need revisited in light the change in provision identified within the report. 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY
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6 Yes No N/A Developed as part of the business case. 8. BACKGROUND PAPERS NHS Lanarkshire Chryston Community Health Clinic Business Case https://www.nhslanarkshire.scot.nhs.uk/download/2021-december-20-board- papers/ Maggs Thomson Head of Health 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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