Directions to NHS Lothian and East Lothian Council on Shifting the Balance of Care for Care Groups (Budget: 8,616K)

D12a – Hospital to Home and Home Care Services Review

NHS Lothian and East Lothian Council to simplify and speed up the process for assessing and acting on an individual client’s needs for care at home by completing a review of Hospital to Home and Home Care Services, including development of more effective protocols for assessment process.

D12c – Day Services Review

East Lothian Council improve access to and quality of day services across the county while delivering service efficiencies through completion and implementation of the strategy for day services for older people.

D12d – Transforming Care for Older People

NHS Lothian and East Lothian Council to transform services for older people in East Lothian through working in collaboration with HUB Southeast approach to agree future of Eskgreen and Abbey Care Homes and Edington and Belhaven Hospitals and to deliver on the recommendations of the Housing with Care report

D12g – Adults with Complex Needs Review


NHS Lothian and East Lothian Council to support the IJB priority to transform community supports for adults with complex needs through the development of a transformation programme involving full engagement and consultation with appropriate parties.

D12j – Extra Care Housing Implementation


East Lothian Council Housing and Officers of East Lothian Health & Social Care Partnership to:  

  • Maximise independent living
  • Provide specific interventions according to the needs of the service user
  • Provide a clear care pathway which connects services Contribute to preventing unnecessary hospital admission through implementation of recommendations from the extra care housing review.

D12k – Mental Health Repatriation


NHS Lothian to ensure East Lothian residents receive care closer to home through repatriation of mental health beds from Midlothian community hospital to the East Lothian Community Hospital.