Improving health and social care service resilience over public holidays: report
Report from a review of the resilience of health and social care services over public holidays and in particular, the Christmas and Easter festive periods.
2 Remit and Process of the Review
2.1 Remit of the Public Holiday Review
The Review was established to: [1] examine the way by which health and social care services across Scotland are currently provided over public holiday periods; [2] make recommendations/identify actions for establishing greater resilience of health and social care service over these periods; [3] take into account the needs and expectations of those who receive and those who deliver services.
2.2 Review Group Structure and Process
A programme management structure was put in place at the outset of the Review to underpin an open, inclusive and interactive process. A range of stakeholders were identified and kindly participated in the Review. They are listed in Appendix 1. A Project Initiation Document was developed and agreed ( Appendix 3).
Figure 1: Review Group structure and relationships
The Review structure and relationships are shown in Figure 1. The parent Review Group included a wide range of service providers and public representation, including Chief Officer input from Integration Authorities.
Three working groups were established to provide good practice recommendations for: Acute/Hospital; Primary/Community and Social Care.
Information Services Division, NHS National Services Scotland ( ISD, NSS) was commissioned to support the Review (see Section 3).
Each of the working groups met on a regular basis throughout the Review. The parent Review Group met on five occasions.
All groups adopted the guiding principles used for the Primary Care Out of Hours Review: [11]
- Person-centred - for those who receive and those who deliver services
- Intelligence-led - making the most of what we know about our people and their needs
- Assets-optimised – making the most of all available assets and resources
- Outcomes-focused - making the best decisions for safe and high quality patient care and wellbeing [12]
In addition services should be:
- Desirable - high quality, safe and effective
- Sustainable - resilient on a continuous basis
- Equitable - fair and accessible to all, according to individual need
- Affordable - making best use of public funds
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