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Efficient Government Fund EGF)1)2)49 Grampian Equipment and Adaptation Service

DescriptionSTATUS - UNSUCCESSFUL - To create a "Grampian Equipment and Adaptation Service".
ISBN
Official Print Publication DateMarch 2005
Website Publication DateFebruary 24, 2006

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    EFFICIENT GOVERNMENT FUND

    Stage 1 application - expression of interest

    Part 1: Summary Table

    Bid number (for EG use) EGF/1/1/021

    Lead bidder

    Susan Macpherson
    Grampian Joint Equipment Project Manager
    NHS Grampian
    Bennachie
    Cornhill Hospital
    Cornhill road
    ABERDEEN
    AB25 2ZH
    Tel: 01224 557767 or mobile: 07866 957037
    E.mail: susan.macpherson@nhs.net

    Brief description of the aims of the project

    To create a "Grampian Equipment and Adaptation Service" to promote:

    • A strategic approach to planning services involving all stakeholders
    • Better co-ordination and joint working between organisations building on existing collaboration
    • Improvements in efficiency and effectiveness of information, assessment and supply
    • Grampian wide policies and procedures, management and performance information

    Clear description of what the EGF money would be used to buy

    • An internet based IT System that will allow all stakeholders access to relevant and up to date information on equipment and adaptations
    • An equipment manager and additional staff to assist with the implementation and ultimate management/provision of a new service
    • Refurbishment of a main store and decontamination unit, creation of a Disability Living Centre and new vehicles to transport equipment across Grampian

    Partners to the project likely to commit resources

    NHS Grampian

    Aberdeen City Local Authority

    Aberdeenshire Local Authority

    Moray Local Authority

    Ambulance Service

    Red Cross

    Names of other organisations with whom the project has been discussed (to assist the introductions process)

    NHS Grampian

    Aberdeen City Local Authority

    Aberdeenshire Local Authority

    Moray Local Authority

    NHS Highland

    Highland Local Authority

    NHS Glasgow

    Glasgow Local Authority

    Edinburgh Local Authority

    NHS Tayside

    Tayside Local Authority

    NHS Shetland

    Shetland Local Authority

    NHS Orkney

    Orkney Local Authority

    Western Isles Health Board

    Ambulance Service

    Red Cross

    Fire Brigade

    Carers Groups and Forums

    Evidence that suggested approach has been deployed successfully elsewhere

    • In England Joint Equipment Services are up and running and have proven to be very successful. An Integrated Community Equipment Service ( ICES) web site (www.icesdoh.org.uk) has been set up with information and updates on the services in England.
    • Other areas in Scotland have commenced with setting up Integrated Equipment Services and personnel in Grampian have visited Greater Glasgow Independent Living Equipment Store ( GGILES) ( www.ggiles.org) which covers Dumbarton and Glasgow local authorities and NHS Glasgow.
    • Audit Scotland have made a number of recommendations regarding the implementation of Joint Integrated Equipment and Adaptations Services (Adapting to the Future - August 2004)

    Are there any restrictions to potential for enlargement of the project ( i.e. technology, number of partners etc)

    IT system imperative to allow further development of the service to include equipment libraries for primary and acute health services and local authorities. IT system could be used across Scotland and create possible "virtual store" for specialist equipment. Hand held equipment that links to the IT system will need to be utilised and scheduling of transport for equipment deliveries/uplifts could include specimens, drugs, stores etc. to ensure transport systems for all organisations are more efficient/effective.

    Benefits projected from the project

    • Approximately 10% savings on equipment budgets
    • Approximately 30% clinical time released from equipment issues to spend on clinical issues
    • Reduction in paid/unpaid carers time in people's homes
    • Greater/speedier access to resources
    • Improved communication and more efficient service for user
    • Improved tracking and maintenance of equipment
    • Equitable service across Grampian
    • Data available for audits and research
    • Recycling of equipment will benefit environment and budgets
    • Reviews/reassessments easier
    • Equipment decontaminated properly at all times
    • Reduces bed blocking and avoids admission to hospital
    • Links with Joint Futures/Team Working
    • E.procurement for all organisations in Grampian
    • Website - access for user on what is available
    • One Stop Shop - Clarity for user about the service

    Estimated financial projections

    Total

    2005/6

    2006/7

    2007/8

    2008/9

    Overall project cost (see attached)

    £1,175,660

    £190,220

    £335,220

    £505,220

    £145,000

    Estimated projected benefits

    (see attached)

    £1,660.00

    £150,000

    Equipment budgets (via better re-cycling)

    (£50,000)

    10% saving on clinical time and reduction of waiting lists

    Reduction in paid/unpaid carers time

    (£100,000)

    £290,000

    Equipment budgets (via better re- cycling)

    £150,000)

    15% saving on clinical time and reduction of waiting lists

    Reduction in paid/unpaid carers time

    (£140,000)

    £490,000

    Equipment budgets (via better re-cycling)

    (£300,000)

    20% saving on clinical time and reduction of waiting lists

    Reduction in paid/unpaid carers time

    (£190,000)

    £730,000

    Equipment budgets (via better re- cycling)

    (£480,000)

    30% saving on clinical time and reduction of waiting lists

    Reduction in paid/unpaid carers time

    (£250,000)

    Is a pilot required - see guidance notes

    No

    Additionally: why is EG funding required

    Since the Care in the Community Act and Joint Futures initiative emphasis on care has transferred from the acute health sector to the primary care setting. Demands on equipment, aids and adaptations to help care for people in their own homes has increased dramatically and will continue to do so as outlined in the 5 to 10 Year Grampian Health Plan (increase 45% activity in primary care setting and 25% activity in acute care setting). An IT system, additional accommodation and personnel are required to initiate an effective service and without additional funding this cannot be achieved. Although savings will be achieved on equipment budgets ultimately, as the project evolves additional funds or savings will be required to buy any equipment required by the increased demands.

    Is this project complementary in anyway to other EG work

    Complements the e.procurement system in Scotland as new equipment will be ordered centrally for Grampian on behalf of all organisations. Re-cycling of equipment will be managed better and disposal will be handled centrally to comply with new waste regulations. Links in with support service reform with several functions presently performed by each organisation being undertaken by one. Will improve productive time of staff and reduce duplication of work. System could be initiated across Scotland and "virtual stores" created for specialist equipment.

    Is "stage 2 development funding" requested?

    Yes.