Innovation Exchange

Health and Transport Action Plan

Introduction

Key activities

Benefits and impacts

Learning

In 2008, the North East Scotland Joint Public Sector Group approved a Health & Transport Action Plan (HTAP) for the region.  The HTAP was developed by JMP Consultants on behalf of NHS Grampian, Nestrans and their partners and set out long-term strategic actions to improve integration between transport and health outcomes.

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Theme: Health and Social Care

The purpose of the Health and Transport Action Plan is:

 

To enable providers of transport, health and social care services to work together in a more co-ordinated manner in order to improve outcomes and efficiency of service delivery, both in reducing the adverse impacts of transport choices on public health and in improving access to health and social care.”

 

The vision for transport and public health is:

 

  • For people in Grampian to choose to travel by active modes such as walking and cycling whenever appropriate and to have the ability to do so conveniently and safely, in order to improve activity levels and public health;
  • For everyone in the region to live without unacceptable risk to their health caused by the transport network or its use.
  • The vision for access to health and social care is:
  • For everyone in the region to be able to access the health and social care they need and if transport is required for this to be appropriate, convenient and affordable;
  • For the environmental impacts of journeys to be minimised

Transport & Public Health

While seeking to add value to existing delivery plans and partnerships the partners have undertaken a mapping exercise reviewing current activity related to transport and public health.  This includes joint work on Travel Planning via the GetAbout Partnership, Road Safety and Air Quality

Further progress has been through partners having developed a joint approach to evaluation of Smarter Choices Smarter Places projects.  Such approaches are welcomed by the Scottish Government.

 

Another good example of new working relationships has been the partnership working between NHSG Public Health and Aberdeen City Council to carry out a Health Inequalities Impact Assessment of the Aberdeen Local Transport Strategy.  These examples, should in time, become the norm across partners.

 

Progress is being made around collating the evidence for increased investment in active travel infrastructure and campaigns, cross sector awareness of activities and ensuring the reach of campaigns is maximised.

 

Access to Health & Social Care

The work plan for the Access to Health & Social Care Sub-Group focuses on improving information on available services, supporting the community transport sector, piloting integrated transport and developing the work of partners to ensure Travel Planning by organisations gives consideration to accessibility.

 

THInC

A key focus of this theme has been the ongoing funding by partners (NHSG, Nestrans, Aberdeen City Council, Aberdeenshire Council and Moray Council) of the THInC project.

 

THInC (Travel to Health & Social Care Information Centre) was launched in January 2013.  Initially, providing information to health appointments the project has extended its remit to include social care appointments.

 

The long term vision is to integrate appointments and transport bookings.  Currently transport for health and social care is provided by several organisations, is spread across budgets and does not provide equal coverage across Grampian region.  It can be confusing and distressing for residents to navigate.  In being a regional point of contact for all health and social care service users THInC helps assist people to access services.

The following case studies give a flavour of the situations some users of health and social care services encounter and advice provided by THInC.

 

  1. A man from the Keith area who was diagnosed with cancer and other health issues felt able to use the rail service from Keith to Aberdeen for his chemotherapy at ARI but not the return journey.  He was made aware of Keith Cancer Support, RVS and Clan Elgin recommended as sources of assistance.  Macmillan Cancer Support number also given.

  2. A caller receiving chemotherapy at ARI required transport from Ellon.  She usually feels ill going on her own and has been late for her appointments using Patient Transport.  Clan, Macmillan and RVS recommended.

  3. Lady phoned to find out about transport options for her dad to travel from Strichen to Fraserburgh to visit his wife (of 69 years) now resident in a care home.  Recommended applying for TaxiCard, A2B dial a bus and Buchan Dial a Bus.  Also recommended Stagecoach bus from Strichen to Fraserburgh and taxi from the bus station.  A list of Fraserburgh taxi operators was also supplied.

  4. Having received short notice that her PTS for the following day had been cancelled the caller, who travels using a wheelchair, found the only available transport was a taxi.  This was not affordable so the only option for the caller was to cancel the appointment.

  5. A lady from Gardenstown called looking for transport information to Banff Hospital as ambulance transport isn’t provided.  There was no suitable public transport available so the RVS volunteer car scheme was recommended.

Contact details:

To find out more about this case study, please contact:

 

Ewan Wallace

Head of Service

Aberdeenshire Council

01224 664580

Case study added to site: June 2016

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