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Issue - decisions

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03/07/2025 - Shifting the Balance of Care - A Community-Focused Approach to Delivery of Frailty and Specialist Rehabilitation Services within ACHSCP - HSCP.25.054

(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.