Equipment and adaptations: guidance on provision - executive summary
Guidance outlining the responsibilities of NHS Scotland, Local Authorities, Integration Authorities, and their Housing and Education partners for the provision of equipment and adaptations, with the aim of supporting partnerships, across Scotland, to deliver a more equitable and accessible service.
Community equipment Store service models
Since the publication of the original guidance in 2009, many store service arrangements have been reviewed and Integration has also proved to be a catalyst in helping partners reflect on their local models for provision.
However more could still be done to improve service pathways and remove barriers to the provision of equipment for people in our communities, particularly in relation to issues with the separate funding stream arrangements, in some equipment services, which can create barriers and blockages.
Store services should be resourced by partners with a funding 'pot' which allows the Stores to procure equipment into the service, according to demand, throughout the year, with all equipment and Store running costs, funded equally from this arrangement. This should avoid the issues that some service still have with separate funding arrangements based on professional use/type
The store service arrangements should be designed and resourced to effectively meet the partner objectives, ensuring that the equipment service is strategically aligned across all relevant services, with clear statements which articulate the expected benefits of timely equipment provision within the service pathways, between hospital and home, institutional settings, and community.
The refreshed Good practice guide for the provision of community equipment services and the self-assessment tool which accompanies this Guidance, should assist partnerships to review their Store service models in line with these aims. These resources are available on the Scottish Government blog page.
- Store service arrangements should be designed and resourced to effectively meet the partner objectives, ensuring that the equipment service is strategically aligned across all relevant services to help deliver key aims related to supporting hospital discharge, and effectively maintaining people in the community.
- Store services should be resourced by partners with a funding 'pot' which allows the Service to procure equipment into the service, according to demand, throughout the year, with all equipment funded equally from this arrangement. Costs for the use of the equipment should then be charged to partners according to use by their services, rather than by type.
- Funding model should allow the store service to procure a wide range of standardised core equipment (and non-stock products as required) for people of all ages and needs (e.g. including equipment assessed for by all relevant Allied Health professionals (AHP's), nurses, care staff, staff working in Sensory services etc.), with an annually agreed budget which guarantees appropriate levels of funding throughout the year.
- Operational and strategic managers should be clearly accountable for overall expenditure and actively support the store service managers to achieve business efficiencies, as well as providing a responsive and effective operational service.
- Partnerships should utilise the Good practice guide for the provision of community equipment, and the new self-assessment tool, to assess current services and ensure their arrangements are in line with the aims of the national guidance.
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