Not all health services will be able resume immediately or be able to return to normal working arrangements due to the ongoing need to maintain separate areas to treat patients with Covid-19.
Physical distancing and infection control measures to protect patients and staff will limit the number of people who can attend at any one time and reduce previous service capacity.
A number of updates on specific services are available below:
Orthopaedic surgery resumed
NHS Fife has now recommenced much of its orthopaedic programme, including joint replacements, and was one of the first Health Boards in Scotland to do so. Over recent weeks our clinical team has been contacting those patients awaiting orthopaedic procedures to reassess their needs and are prioritising patients based on national guidance to ensure the most clinically urgent cases are seen first. We have now regained much of the operating capacity we had available prior to the pandemic and this capacity will continue to expand in the coming weeks and months.
Cataract procedures resumed at Queen Margaret Hospital
Cataract procedures re-commenced at Queen Margaret Hospital on 13 July 2020. Across our wider ophthalmology service, only urgent patients received face-to-face appointments at the height of the pandemic. Since the beginning of July 2020 there has been a steady and incremental increase in activity across the various ophthalmological sub-specialties. Patient safety remains our number one priority and we have put additional infection prevention measures in place during any surgical procedures. The need for physical distancing has impacted upon capacity as our services recommence, however, this is necessary to ensure the continued safety of staff and patients, and every effort is being made to minimise the effects of such measures.
Resumption of National Screening Programmes
- Abdominal Aortic Aneurysm Screening
- Bowel Screening
- Breast Screening
- Cervical Screening
- Diabetic Eye Screening
Re-mobilise, Recover, Re-design, The Framework for NHS Scotland
Re-mobilise, Recover, Re-design, The Framework for NHS Scotland sets out how Health Boards will follow national and local clinical advice to safely and gradually prioritise the resumption of some paused services. Health boards will introduce these plans while maintaining COVID-19 capacity and resilience and providing appropriate support for social care.
Joint Remobilisation Plan for health and care services in Fife
This is the Joint Remobilisation Plan for health and care services delivered by NHS Fife and Fife Health and Social Care Partnership (HSCP) following the COVID-19 pandemic. Scotland and the UK is still in emergency planning measures, however, the framework published by the Scottish Government on 21 May 2020 provides a roadmap with 4 phases to restart society following the period of lockdown.
The purpose of this document is to set out the short term plan and will describe how clinical services will be restarted and the governance supporting the restart.