Delivering high quality care and support to East Lothian's current and future older population, at the right time and in the right place

Where we are now

The East Lothian Integration Joint Board (IJB) approved a paper on the Reprovision of Belhaven and Edington Hospitals and Eskgreen and Abbey Care Homes in December 2018. The paper reported the results of a year-long engagement with community representatives, staff, individual stakeholders, service-users, carers, providers and partners in East Lothian Council, NHS Lothian, and the Third Sector. Noting the results of the consultation, the IJB issued Direction 12d to initiate development work.

Work began in 2019 to better understand existing capacity and the wider impacts of providing the care models discussed with stakeholders, and how this might affect future service delivery across East Lothian.

As of August 2022, we are commencing our community engagement events, please see details above.   The key themes and findings from these engagement events are due to be presented to the IJB in October 2022.

The original IJB direction, has not been superseeded byt direction 12L : NHS Lothian and East Lothian Council to transform the service delivery to older people for the provision of Community Hospitals, Care Homes and the development of intermediate care services, involving full engagement and consultation with appropriate parties. This should take into account demographic factors, current use of services, the impacts of COVID-19, funding pressures, service remobilisation and redesign. It must also take note of the emerging outputs from the Independent Review of Adult Social Care and development of a National Care Service (previously direction 12d).

We aim to present the final report to the IJB in February 2023.   Throughout, this process we will continue to engage and work with our stakeholders.


The Health and Social Care landscape has changed

Since the publication of the December 2018 paper, significant issues have arisen for East Lothian Health and Social Care Partnership (ELHSCP)

  • coronavirus (COVID-19) has had a huge impact on health and social care nationally and locally. How will it be delivered? How will it be funded? It will also have impacts on the future design of and regulatory requirements for care accommodation, the delivery of care at home, and the role of technology in future health care delivery
  • COVID-19 double vaccination programme is in operation for the people of East Lothian, including 12-15 year olds with booster vaccinations also being offered
  • the Care Inspectorate recently announced a national consultation on the future design of care homes and how new approaches to design will influence regulation in the future
  • the Scottish Government's response to the recommendations set out in the Independent Review of Adult Social Care published in January 2021 gives clear indications that there will be major changes to deal with when a new National Care Service (NCS) is formed. Consultation on the NCS runs from August 2021 to the end of October 2021
  • we have had significant workforce and recruitment pressures from the start of the Covid-19 pandemic, and these pressures will continue - the impact of this is still emerging as we move out of the pandemic and our first year after Brexit


Looking ahead 

The impact of these challenges are still not clear and we now have to fully consider the constraints imposed by them. However, It is clear that as we begin to move forwards, there will be long-lasting impacts on our workforce, future recruitment, funding, and how we deliver residential care, and care in the community.

Health and social care staff have shown resilience in providing social care and health services to the people of East Lothian during these difficult times.

Community Hospitals and Care Homes Project document library