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

July 1, 2025 Integration Joint Board (Committee) Awaiting outcome View on council website
Full council record
Content

(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.

Supporting Documents

HSCP.25.054 Cover Shifting Bal Care.pdf
HSCP.25.054 - Appendix 1 - FINAL IIA.pdf
HSCP.25.054 App 2 - FINAL Dir NHSG ACC.pdf

Details

OutcomeFor Determination
Decision date1 Jul 2025