The following information has been supplied by Independent Facilitator, Miles Mack and is in relation to a meeting which took place on Tuesday 31st July 2018 at The Ceilidh House, Arnisdale.
This was the first meeting that I had been asked to facilitate between the community of Glenelg and Arnisdale and NHS Highland as part of the recommendations of the Ritchie Report into out of hours health services in Skye, Lochalsh and South West Ross. I was very glad to have had meetings with the community and to have had discussions with NHS Highland representatives to better understand the situation in the preceding weeks. It is important to me that these meetings not only agree a way forward to delivering healthcare to the community but also lead to closer relationships and cooperation in the future.
In the course of this meeting we agreed our terms of reference, taking them directly from the Ritchie Report. We had the chance to clarify who we are and what issues were of prime importance. There were opportunities to discuss, with great frankness, the effects the uncertainty over healthcare provision over the last 7 years have had on individuals and the community.
Our next meeting will be on Wednesday 29th August and we expect it to be just as challenging as we will seek to agree what the model of health care should be.
I am extremely grateful to all the participants for contributing in such a positive manner. I would also like to thank the community for having made us so welcome.
Facilitator: - Miles Mack, GP, Dingwall Medical Group
Sarah Cameron, Peter Jones, Jenny Munro; Glenelg & Arnisdale Patient Group
Kathryn Macrae, Salaried GP, Glenelg
Kate Earnshaw, District Manager Skye and Lochalsh
Wil Nel, Rural Practitioner & District Medical Lead
Ross Mackenzie, Area Manager, Skye Lochalsh and Lochaber
Hugo Van Woerden, Director of Public Health, NHS Highland
Terms of Reference
“NHS Highland should continue to work with the Glenelg and Arnisdale community to agree jointly and rapidly a solution which is not only desirable, but feasible and sustainable. Independent external third party facilitation should be considered to help achieve this.” (Recommendation 12a)
The group will ensure that it also covers these recommendations: -
12b) The present GP led service at Glenelg should continue to be underpinned by adequate multidisciplinary support via the Rural Support Team and SAS, on a 24/7 basis.
12c) Air and sea evacuation procedures for Glenelg and Arnisdale should be kept under review on a multi-agency basis, given the vagaries of road access in adverse weather conditions -see recommendation 10.
12d) The Scottish Fire and Rescue Service (SFRS) have a unit based at Glenelg. Statutory first responder status should be pursued, in concert with the additional potential of a voluntary first responder scheme -see Recommendation 6.
12e) The imminent availability of superfast broadband should be exploited for the succour of the Glenelg & Arnisdale community. This community should be considered as a potential development site for digital innovation -see Recommendation 11.
The groups wider discussions will reference the other 14 recommendations of the independent external review of Skye, Lochalsh and South West Ross Out of Hours Service.
The representative functions of all the parties were discussed.
Agreement of common ground
All parties are committed to the creation of a safe and sustainable health service model
We are agreed to the necessity of the continuation of day time non-urgent appointments in the Glenelg peninsular
The NHS should ensure care from cradle to grave
Defining ongoing issues
We agreed that the difficulties arise from delivering urgent and emergency care over the 168 hours of each week 52 weeks a year.