Issue - meetings

(i)            to endorse the approach for modernising service delivery and shifting the balance of care from in-patient, bed-based settings, by investing in services provided within the community at the person’s home in line with local and national strategy, as outlined in this report;

(ii)          to agree to a gradual, phased reduction in bed capacity at the intermediate facility at Rosewell House resulting in the eventual withdrawal of services provided by ACHSCP from the facility by 31 March 2026, in support of the Discharge without Delay commitments, reporting back to the IJB with sufficient assurance in respect of the mitigation plan;

(iii)         to instruct the Chief Officer to implement the withdrawal of in-house services at Rosewell House accordingly, ensuring each reduction in bed capacity at Rosewell House is monitored to ensure no significant impact on flow within hospital setting;

(iv)         to instruct the Chief Officer to make and implement any necessary and reasonable arrangements in furtherance of the decision at (iii) above;

(v)          to make the Direction, as at Appendix 2 of the report, and instruct the Chief Officer to issue the Direction to NHS Grampian and Aberdeen City Council;

(vi)         to note that Acute sector and Aberdeenshire colleagues would be invited to  join the Chief Nurse at the meeting with NHS Tayside to discuss their approach to the intermediate care facility; and

(vii)        to agree that a further mitigation plan would be shared with colleagues.

The Board had before it a report prepared by the Programme Manager, ACHSCP providing an overview of interrelated projects relating to the ‘Discharge Without Delay’ national programme, highlighting the implications for rebalancing the provision of care from inpatient settings to support within the patient’s home where possible.  The Chief Nurse and Lead for Frailty and Specialist Rehabilitation introduced the report and responded to questions from Members.

The report recommended:-

that the Board:

(a)          endorse the approach for modernising service delivery and shifting the balance of care from in-patient, bed-based settings, by investing in services provided within the community at the person’s home in line with local and national strategy, as outlined in the report;

(b)          agree to a gradual, phased reduction in bed capacity at the intermediate facility at Rosewell House resulting in the eventual withdrawal of services provided by ACHSCP from the facility by 31 March 2026, in support of the Discharge without Delay commitments;

(c)          instruct the Chief Officer to implement the withdrawal of in-house services at Rosewell House accordingly, ensuring each reduction in bed capacity at Rosewell House is monitored to ensure no significant impact on flow within hospital setting;

(d)          instruct the Chief Officer to make and implement any necessary and reasonable arrangements in furtherance of the decision at (c) above;

(e)          make the Direction, as at Appendix 2, and instruct the Chief Officer to issue the Direction to NHS Grampian; and

(f)           instruct the Chief Officer to bring back a future report demonstrating the progress and impact of the Discharge without Delay programme of work and shifting the balance of care.

The Board resolved:-

(i)            to agree to a gradual, phased reduction in bed capacity at the intermediate facility at Rosewell House resulting in the eventual withdrawal of services provided by ACHSCP from the facility by 31 March 2026, in support of the Discharge without Delay commitments, reporting back to the IJB with sufficient assurance in respect of the mitigation plan;

(ii)          to make the Direction, as at Appendix 2 of the report, and instruct the Chief Officer to issue the Direction to NHS Grampian and Aberdeen City Council;

(iii)         to note that Acute sector and Aberdeenshire colleagues would be invited to  join the Chief Nurse at the meeting with NHS Tayside to discuss their approach to the intermediate care facility;

(iv)         to agree that a further mitigation plan would be shared with colleagues; and

(v)          to otherwise agree the recommendations..