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Barra and Vatersay Integrated Service Delivery Model and Community Campus: Feasibility StudyNHS Eileanan Siar and Comhairle nan Eilean Siar
Presentation 30 May 2019
Welcome
Introductions
Gordon JamiesonChief Executive, NHS Eileanan Siar
Moira AndersonProject Director, St Brendan’s Health and Social Care Project
Iain MackinnonDirector for Investment Delivery, Comhairle nan Eilean Siar
Emma MacsweenHead of Partnership Services, Health and Social Care
Partnership
Chris MalcolmDirector, Ryder Architecture
Progress UpdateSt Brendan’s Health and Social Care Project
St Brendan’s Health and Social Care Hub
H E A L T H A N DS O C I A L
C A R E H U B
Social CareBedrooms
ED andAmbulance
service
Ambulatorycare
Inpatients
Clinicalsupport
Non clinicalsupport
GeneralPractice
Dental Practice
Social CareServices
Social CareCommunal
Decont.room
Lab
Stores
Treatmentroom
Acc.WC
Livingarea
Bedrooms
Privategarden
Staffspaces
Resus.
Dutyroom
Consultationroom
Rehabroom
Treatmentroom
MortuaryPharmacy
LabUtility
Kitchenlaundrystores
Consultationrooms
Pharmacy
Adminareas
Meetingspaces
Staff rest /trainingspaces
Adminareas
Quietspace
Laundry
Office
Service
Stores
Patientrooms
Progress UpdateLearning and Community Facilities Project
Background
Significant investment in Schools Estate by Comhairle nan Eilean Siar last ten years (circa £73m)
Castlebay School now identified as current investment priority
Initial allocation of £7m made in Capital Programme 2018-2023
Discussions ongoing with Scottish Government and Scottish Futures Trust for funding support
Development and implementation of “whole-life” learning agendaearly years, primary, secondary, higher / further education, lifelong learning and community development
Inclusion of “community services”CnES Offices, Police Scotland
Visioning and Space-Planning ExerciseSPACE strategies Ltd, complete by end May 2019
Challenge : Focus on an affordable pot of space
EfÞciency
min
imis
ing
co
stExpression
The messages the environment conveys & reinforces : ethos, culture, behaviours
add
ing
val
ue
Fitness for modern learning modes & learners needs / preferences
Widening learner opportunity : 12 - 25 and pathways beyond
A rich variety of resources (human, physical & virtual - wider geography & access) ensuring
personalised choices are available
Focus on quality rather than quantity
Long term sustainability: Lifecycle & demand focus, capital investments in balance with operating & revenue costs
Holistic approach : Shared approaches through new management and operating models
EfÞciencyEffectiveness
Space StrategiesFocus on Metric: Starting Point
4. Eoligarry
5. College
6. Council ofÞces
1. CB : Secondary & Public Library
2. Shared spacesEXCL POOL
7. Early Years
1 Castlebay Secondary excluding shared spaces (assembly, PE & Dining) & excluding pool 1459 sq.m2 School shared spaces (assembly, PE & Dining) 1848 sq.m3 Castle bay Primary excluding shared spaces (assembly, PE & Dining) 717 sq.m
Total Castle bay 4023 sq.mNotional area based on reported capacity (229 + 125) & SFT metrics (N/A) 4498 sq.m
4 Eoligarry 239 sq.m5 College 242 sq.m6 Council ofÞces 123 sq.m7 Existing early years (notional based footprint understood to be rented) 182 sq.m
Total current footprint (ecxluding community cafe, toddler space etc which could move)
4809 sq.m
3. Primary
Space StrategiesThe Status Quo: the Current Footprint
Community Signature & Service Re-Design
Access to affordable
housing
Employment Young people
remaining locally
Transport Ability to move
around communityAssets
High quantity, often of poor
quality and not Þt for purpose
resulting in low use
Growing old Intergenerational
opportunity fending off old age
& avoiding isolation
Limited reserves
Social & Economic
survival Economic Climate
Transformational Change &Joined up
working More than a School
Contributing to regeneration
Decisions led by function, demand,
Pedagogy
Priorities balanced : Academic achievement versus positive
destinations which are sustained
Delivering on equity : Personalisation & Choice
Utilisation of digital learning channels Charter based Co-Productions
Parity of professionals
Decentralisation : Location neutral working
Smarter Working & Learning Creating opportunity, Building careers, Stemming “brain and
youth drain”
Managed change: Training & cultural support
Not “what has always been” Shared approaches (human and
physical resources) Leadership
Space StrategiesScene Setting: CnES Priorities and Drivers
Promoting & Supporting Enterprise
Opportunity to retain &
encouraging return
A place with a
social contribution
Matching Island skills demand :
with Island skills supply
DEMAND : Community
driven
DON’T CALL IT A SCHOOL :
A Community hub
New approaches :Public sector
Service access
Parents as a resource : meeting their wider
needs
Connected professional community under one roof
: SHARED aims & approaches
Learning at the heart but
looking wider
Retainment & talent growth
National interest (BBC Alba working on site)
CAFE & COMMUNITY
LOUNGE : RELAX & LEARN
GATEWAY TO EVERYTHING ON OFFER &
PROMOTING THAT
INTER- GENERATIONAL
ACTIVITY : Pre early years through to
LLLA modern
LRC
More ßuidity : Spaces to support teaching across stages (equity & joint planning)
Meeting learner demand Cradle to
grave : Place based approaches
New deÞnitions for 21C learning (in 2nd quintile) … young people have changed … learning environments have not …
Sustainability
Centre of excellence in performing arts, creative arts, digital media
Go to Place : Gaelic
language & Culture
Agency ßuid workforce & De-centralised approach
Meeting the needs of the few who don’t engage
Social enterprise & 3rd sector partnerships … enhanced opportunity to do things differently
Greater congruence : the physical & virtual teaching platform : E-Sgoil evolution
LEARNING CENTRE
GIRFEC APPROACHES
Learning for sustainability : Tomorrows world focus
Space StrategiesAmbition Focus: Wider Access
Cu
rric
ulu
m &
life
lon
g
lear
nin
g g
rou
pin
gs
Language & Humanities
STEM Learning
Expressive & Performing arts
Early Learning stages
Health & Wellbeing
Environment &
Sustainability (outdoor learning)
LEARNING RESOURCE CENTRE : Books Research & Information Access Study On line learning Early learning & wider literacy building A place to relax and enjoy a paper, a book & a coffee On line service access Digital support Signposting for tourists?
THE LEARNING exchange : Shared space to deliver : Family learning, Seniors Tutorials, Social work delivery, Meetings, Emerging business support …
BIG WELCOME ENTRANCE EXPERIENCE
& ACCESS TO: Library Services … Youth,
College & Lifelong Learning ÉLocal OfÞce É
Emerging Business Support … A coffee and a chat … Leisure Facilities …
(Tourist signposting )
SHARED professionals
work hub
A place of life long learning & Centre of excellence for Gaelic culture & language
Space StrategiesCommunity Hub: Organisational Model
Key Themes informing SPACE planning IMPLICATIONS FOR SPACE
Flexible opportunities (at all learning levels) : Bringing subjects together, Skills based & Interdisciplinary Learning, Independent Learning breaking out of the classroom, Supporting the development of softer skills and recognising challenges learners may face (social & emotional support : resilience) Rethinking pedagogy : Many modes of learning possible to suit the task in hand (opportunity of specialism learning in primary) 2 - 18 focus : Blurred boundaries /seamless approaches across learning levels & transitions (space use & staff deployment) 3 - 7 Immersive Gaelic Learning
Agile working : Spaces to suit cohort numbers and activities (Flexibility in use & utilisation focus) A richer mix of space typologies & a focus on the learning settings available to suit tasks in hand, about more than the traditional classroom, choice and variety Shared space Cognisance of the needs of immersive learning : Acoustic shelter (you can achieve “privacy” without “secrecy & closed” doors)
Flexibility is about janitors moving furniture, agility is about how you do things …
Space StrategiesPedagogical Approach Informing Spatial Approach
ZONE SPACE Taxonomy / Organisational Grouping Total Sq. m (NEA)
Plant uplift Partition uplift
Circulation Uplift
Total Sq. m (GIA)
A The big welcome 179.00 4.48 7.16 35.80 226.44
B Front of house life long learning 195.00 4.88 7.80 39.00 246.68
CCurriculum & Life long learning Neighbourhood :STEM
340.81 8.52 13.63 68.16 431.12
DCurriculum & Life long learning Neighbourhood : Languages and Humanities
209.43 5.24 8.38 41.89 264.93
ECurriculum & Life long learning Neighbourhood : Expressive & Performing arts
1021.27 25.53 40.85 204.25 1291.91
FCurriculum & Life long learning Neighbourhood :Health & Well Being
383.24 9.58 15.33 76.65 484.80
GCurriculum & Life long learning Neighbourhood :Early learning stage
142.05 3.55 5.68 28.41 179.69
HCurriculum & Life long learning Neighbourhood :Levels 1 & 2
423.75 10.59 16.95 84.75 536.04
I Professionals work hub 99.00 2.48 3.96 19.80 125.24
J Infrastructure 251.40 6.29 10.06 50.28 318.02
3244.95 81.12 129.80 648.99
TOTAL GIFA 4104.86
Space StrategiesInitial Space Budget Subject to Further Development
Masterplanning Study
Future Investment in Barra
C A S T L E B A Y
Castlebay Community School
St.Brendan’s Hospital
Are there benefits to Integration?
C A S T L E B A Y
Public Services on BarraStrategic Intent
Key drivers from workshop held in Stornoway October 2018
Drivers for Change
In the Future
Criteria for Success
Planning Principles
‘As many services as
possible delivered on the island without
the need to travel’
‘A beacon to attract people
to Barra’
‘Public accessibility to multiple services’
‘Everyone needs to collaborate’
Integration - Aligning with Scottish Government Policy
National Performance Framework
Connected Scotland
Islands bill
Place principle
2020 Vision
The Healthcare Quality Strategy for NHS Scotland
£1bn investment in learning estate
Climate change plan
“To focus government and public services on creating a more successful country...”
“Young or old, loneliness doesn’t discriminate… it is something many of us could easily help with.”
“...focuses on provisions designed to strengthen and protect Scotland’s island communities”
“...provide a shared context for place-based work.”
“By 2020, everyone is able to live longer healthier lives at home, or in a homely setting.”
“Mutually beneficial partnerships between patients, their families and those delivering healthcare services.”
“Every pupil should have the best support throughout their education... that parents, staff and children can be proud of.”
“A healthier society, an enhanced and protected natural environment and a diversified, resilient and sustainable economy”
Integration - Aligning with Scottish Government Policy
National Performance Framework
Connected Scotland
Islands bill
Place principle
2020 Vision
The Healthcare Quality Strategy for NHS Scotland
£1bn investment in learning estate
Climate change plan
Examples of IntegrationCase Studies
Community Facilities
Sports
CustomerService
Library
Police Health
Primary School
Secondary School
ELC Nursery
Waid Community Campus
“That sense of community within the school is definitely reinforced by the fact that we’re all together, all of the time.”
“Local people are using it in ways that we never thought of in the first place, so there are actually more things coming out of the project than we thought initially.”
Loanhead Centre
“These are well designed spaces to be enjoyed by our young people and the wider community.”
“This is another example of an effective partnership approach, good for people and good for improving the health of those living in Midlothian.”
Connections
Business
Higher Education
Benefits of Integration
Examples of IntegrationHealthcare services and social care hub
Hospital
GP
Social Care
Health & Social Care
Hub
Can We Go Further?
Hospital
GP
Social Care
Combined Community
Hub
Education
Sports
Community
Connected services
Active, healthy lifestyles
Can We Go Further?
Hospital
GP
Social Care
Combined Community
Hub
Education
Sports
Community
Removing social stigma
Sustainable delivery of
public sector
Working with patients as
partners
Removing barriers
Seamless life transitions
Active learning
Lifelong learning
Healthier community
Community empowerment
and participation
True integration with the community
Employment Opportunities
S O C I A L C O N N E C T E D N E S S
W E L L B E I N G
Community Wellbeing
Social connectedness
Encouraging creativity and continuous
learning
Active, healthy lifestyles
Removing barriers
Mental health benefits
Accessible external
environments
Lifelong Learning
Casuallearning
Seamless life transitions
Enhanced prospective
career opportunities
Empowering people
Community integration
Social connectedness
User Experience
True integration with social care
Removing social stigma
Working with patients as
partners
Multi skilled staff
Accessible for the community
Early intervention
opportunities
Increased community
participation
EconomicOpportunities
Flexible work patterns
Wider investment on
the island
Community empowerment
and participation
Employment Opportunities
Promoting business ventures
Accessible childcare
Sustainability
Sustainable delivery of public
services
Population retention
Building for future
generations
Efficient footprint and
life cycle costs
Employment and learning opportunities
Healthier community
Challenges
Privacy Issues
Clinical risks
Governance
Safe-guarding
Decision Making
Collaborating
Helipad
Mixinggenerations
Patient privacy
School privacy
Timescales
Barriers
Infection control
Conclusions
Timms Community CentreHCMA Architects
Community benefits to be gained from an integrated facility:
• Improved wellbeing
• Improved social connectedness
• Improved operational efficiencies
• Improved educational and economic opportunities
Next Steps
Agree to proceed with an integrated facility
Agree to construct health and social care hub on the currently proposed site, potentially followed by
new community school
or
Feasibility Study
Feasibility StudyBackground
Service Redesign and Community Conversations
Increased collaboration and integration of service deliv-ery by public sector partners
Single Island Partnership
Effective and efficient coordination and delivery of public service: financial benefits
Community Empowerment and Local Area Governance
Facilitate decentralisation of public sector functionsimprove sustainability of rural communities
Current infrastructure projectspotential for integrating health, social care, learning and community services and facilities on Barra and Vatersay and the provision of a single combined campus in Castlebay
The Heart in IkastC.F. Møller Architects
Feasibility StudyAims and Objectives
To assess the feasibility of four options associated with the development and delivery of the St Brendan’s Health and Social Care Project, currently being led by NHS Western Isles, and the Barra and Vatersay Learning and Community Facilities Project, currently being led by Comhairle nan Eilean Siar.
The outcomes of the exercise shall provide NHSWI and the Comhairle with a clearer picture of the potential for efficiencies that could be realised through greater levels of collaboration and integration in terms of both infrastructure provision but also for service users and service providers in the islands.
Further Education
Secondary
Early Years
Primary
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage / Community
Centre
E-Learning
Study Zone
Teaching
Auditorium
Teaching
SportsCentre
Outdoor Play
IT Access
Dining Hall
Library
Social Spaces
Research &Training
SharedLearningSpaces
AfterSchoolClubs
Community
Teaching
E-Sgoil
Indoor Setting
Quiet Space
Staffspaces
OutdoorLearning
Admin
Life Skills
IT Access
CommunityClubs
Games Hall
E-Learning
Art Exhibitions
School Drama
Cinema/Film Club
BookClub
Cafe
Cookery Classes
Swimming Pool
Mummy babySwim Class
Swimming Lessons
EventCatering
School Learning
Studio Space
Inter-island event hosting
Fitness clubs
BusinessOpportunities
Digital Connectivity
School Learning
Primary School
Secondary School
UHI
Tourism
Health
SportsDevelopment
CareerOpportunities
E D U C A T I O NC O M M U N I T Y H U B
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage Centre
Education hub
H E A L T H A N DS O C I A L
C A R E H U B
Social CareBedrooms
ED andAmbulance
service
Ambulatorycare
Inpatients
Clinicalsupport
Non clinicalsupport
GeneralPractice
Dental Practice
Social CareServices
Social CareCommunal
Decont.room
Lab
Stores
Treatmentroom
Acc.WC
Livingarea
Bedrooms
Privategarden
Staffspaces
Resus.
Dutyroom
Consultationroom
Rehabroom
Treatmentroom
Patientrooms Relatives
room
Pharmacy
Lab
Utility
Kitchen
Consultationrooms
Pharmacy
Adminareas
Meetingspaces
Staff rest /trainingspaces
Adminareas
Quietspace
Laundry
Office
Service
Stores
Further Education
Secondary
Early Years
Primary
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage / Community
Centre
E-Learning
Study Zone
Teaching
Auditorium
Teaching
SportsCentre
Outdoor Play
IT Access
Dining Hall
Library
Social Spaces
Research &Training
SharedLearningSpaces
AfterSchoolClubs
Community
Teaching
E-Sgoil
Indoor Setting
Quiet Space
Staffspaces
OutdoorLearning
Admin
Life Skills
IT Access
CommunityClubs
Games Hall
E-Learning
Art Exhibitions
School Drama
Cinema/Film Club
BookClub
Cafe
Cookery Classes
Swimming Pool
Mummy babySwim Class
Swimming Lessons
EventCatering
School Learning
Studio Space
Inter-island event hosting
Fitness clubs
BusinessOpportunities
Digital Connectivity
School Learning
Primary School
Secondary School
UHI
Tourism
Health
SportsDevelopment
CareerOpportunities
E D U C A T I O NC O M M U N I T Y H U B
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage Centre
Education hub
H E A L T H A N DS O C I A L
C A R E H U B
Social CareBedrooms
ED andAmbulance
service
Ambulatorycare
Inpatients
Clinicalsupport
Non clinicalsupport
GeneralPractice
Dental Practice
Social CareServices
Social CareCommunal
Decont.room
Lab
Stores
Treatmentroom
Acc.WC
Livingarea
Bedrooms
Privategarden
Staffspaces
Resus.
Dutyroom
Consultationroom
Rehabroom
Treatmentroom
Patientrooms Relatives
room
Pharmacy
Lab
Utility
Kitchen
Consultationrooms
Pharmacy
Adminareas
Meetingspaces
Staff rest /trainingspaces
Adminareas
Quietspace
Laundry
Office
Service
Stores
Further Education
Secondary
Early Years
Primary
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage / Community
Centre
E-Learning
Study Zone
Teaching
Auditorium
Teaching
SportsCentre
Outdoor Play
IT Access
Dining Hall
Library
Social Spaces
Research &Training
SharedLearningSpaces
AfterSchoolClubs
Community
Teaching
E-Sgoil
Indoor Setting
Quiet Space
Staffspaces
OutdoorLearning
Admin
Life Skills
IT Access
CommunityClubs
Games Hall
E-Learning
Art Exhibitions
School Drama
Cinema/Film Club
BookClub
Cafe
Cookery Classes
Swimming Pool
Mummy babySwim Class
Swimming Lessons
EventCatering
School Learning
Studio Space
Inter-island event hosting
Fitness clubs
BusinessOpportunities
Digital Connectivity
School Learning
Primary School
Secondary School
UHI
Tourism
Health
SportsDevelopment
CareerOpportunities
E D U C A T I O NC O M M U N I T Y H U B
Fitness Centreand Pool
Cafe/ Restaurant
Library
Auditorium
Heritage Centre
Education hub
H E A L T H A N DS O C I A L
C A R E H U B
Social CareBedrooms
ED andAmbulance
service
Ambulatorycare
Inpatients
Clinicalsupport
Non clinicalsupport
GeneralPractice
Dental Practice
Social CareServices
Social CareCommunal
Decont.room
Lab
Stores
Treatmentroom
Acc.WC
Livingarea
Bedrooms
Privategarden
Staffspaces
Resus.
Dutyroom
Consultationroom
Rehabroom
Treatmentroom
Patientrooms Relatives
room
Pharmacy
Lab
Utility
Kitchen
Consultationrooms
Pharmacy
Adminareas
Meetingspaces
Staff rest /trainingspaces
Adminareas
Quietspace
Laundry
Office
Service
Stores
Feasibility StudyInvestigating Benefits For...
...the public ...service users ...staffA chance to improve the quality of public realm and external spaces, maximising the benefits of the surrounding views and landscape connections that the Castlebay area provides
Improving the opportunity for casual social interactions
The chance to realise health and wellbeing benefits by linking a wide range of demographics and social groups
Wider development opportunities to develop sites into economically beneficial ventures
Establish potential sites for new housing within the wider Castlebay areas as a result of released plots of land
Mitigating the likeliness of social isolation and feelings of loneliness throughout all generations
Opportunities generated will minimise the desire for outward migration whilst positively influencing inward migration
Working to sustain a healthy population
The opportunity to give an asset to the community which responds to their needs for the twenty first century - flexible and adaptable
Opportunity to access state of the art educational, community, social and healthcare facilities
Improve social connectedness and promote intergenerational interactions
Opportunity to locate the health and social care hub in a more accessible location relative to the settlements of Castlebay and Horve
The chance to realise health and wellbeing benefits by linking a wide range of demographics and social groups
Protection against the harsh Hebridean winter weather with many services located under one roof
Shared knowledge and opportunities
Improving operational effectiveness in the workplace and opportunities to create stronger relationships with the community
Improved economic opportunities for businesses and staff
Opportunities to develop skills and knowledge required to progress in a career without needing to leave the island
Improved access to childcare
Encouraged wider investment on the island
Easily accessible social and retreat areas
Access to more facilities under one roof and realising the benefits of spatial efficiencies
Reduction in travel time and distance to public services
Greater sense of worth improving attitude to work
Feasibility StudyOptions
Option 1Newbuild integrated facility combining health, social care, learning and community facilities (including Comhairle services and Police Scotland) into a single campus
Option 2Integrated facility with retained elements from existing Castlebay School, eg sports hall and reception area
Option 3 Standalone St Brendan’s Health and Social Care Hub by NHSWI on currently proposed site, and standalone school and community facilities by CnES on the existing school site
Option 4Collaborative approach (NHSWI and CnES) to project development (design, procurement and construction) but on existing separate sites
Feasibility StudyAreas for Evaluation
Project Governance and Management ArrangementsScottish Government Health and Learning Departments, NHS Eileanan Siar, Comhairle nan Eilean Siar, Scottish Futures Trust
Integrated Service Delivery Model for Barra and Vatersaytheory and application
Technical feasibilitydesign, procurement, construction, estate and facilities management, cost and programme
New Islands Brygge SchoolTredj Natur
Feasibility StudyScope of Technical Investigation
Site Investigations and Existing Structure Surveys
Land Ownership and Occupancy
Definition of Brief and Outline Schedule of Accommodation
Outline Design Options and Cost Appraisal
Planning Liaison
Community Engagement
Study to be complete and identification of preferred option by September 2019
Comhairle decision 2 October 2019
Kirn Primary SchoolRyder Architecture
Questions
