East Lothian Community Hospital
Consultation Feedback
Contents
1. Introduction
2. Key responses
page 3
3. Detailed responses
page 4
4. Who we consulted with
page 18
5. Information collection sheets
page 19
6. Contact details
page 24
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Introduction
In May 2015 a consultation on the plans for the new East Lothian Community
Hospital took place with the public in East Lothian.
Public events were held across East Lothian. Other group consultation events were
also held with a number of community groups. The community group consultation
events were targeted at people in the community who would be less likely to attend
the public events.
There were two parts to this consultation:
1. We asked your views on the draft design plans for the new hospital as part of the
planning process. A report was written giving details of how your feedback
influenced the plans for the hospital. This is the Pre-application Consultation Report
(PAC). The PAC report was submitted along with the design plans for the new
hospital to East Lothian council planning department in October 2015. The PAC
report is available online www.nhslothian.scot.nhs.uk/elch
2. We also asked for your views on specific aspects of the design and use of the new
hospital. These were: reception and public areas, quiet space, hospital grounds, how
community groups might use the non clinical space ‘out of hours’ and the grounds.
This report contains details of what people said when asked about specific aspects
of the design and use of the new hospital.
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The summary of responses are below:
You said
Open plan centre reception on
entrance
Reflection/memory space
Points of interest for dementia
patients
We did
We have designed the facility with one
point of access and immediately on
entering there will be a manned
reception desk
We have created space of the main
entrance for a large Reflection Area and
an enclosed court yard.
We will include areas within wards for
patients to wander, with different and
interesting destination points which meet
dementia guidance.
Water cooler/fountains
All patient areas will have access to
fresh mains drinking water
Outdoor gym, walking, cycling
routes, community gardens
The therapies department have an
external garden that will be used for
patient exercise and rehabilitation. This
area also be used by visitors.
It is proposed that there will be routes
for walking/exercising around the
boundary of the site and linking with the
council pathway at the old railway line.
These spaces will be open to the wider
community as well as staff & patients.
Road screening
Where appropriate there will be bushes
and trees to ensure the rurality of the
setting is maintained and roads and
parking softened.
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Hospital Grounds
We asked you what you would like to see in the Hospital Grounds:
You said
We said
Garden projects
Allotments
Sensory garden
Reflection or memory garden
We will hold further
discussion
regarding the use
of the outdoor
space.
Mens shed project
Paths
Walking routes; circular routes with
mixed height seating, with handrails
and wheelchair accessible
Weather proofed paths
We took note of
people and groups
who said they
would be interested
in developing the
outdoor space and
will involve them in
these discussions.
Area for dog walkers
Quiet outside area
labyrinth
sheltered summerhouses
Work with Knox
Academy students
has commenced.
Hold competition for schoolchildren for designs of a
hospital
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Reception and public space
We asked you for your views on the reception and public space
“Public space needs to be welcoming and not like an airport like
Musselburgh Primary Care Centre”
East Lothian Community Care Forum event
You said
Open plan reception area that is
always staffed by helpful,
knowledgeable person to greet and
direct people
Wheelchair accessibility to all areas
including bathrooms
Spare wheelchairs
Information
Information/Resource area where people can
access info about their illness and discuss
Notice board for local information etc and bus
timetables
Screens for important information
We said
There will be a staffed reception
desk run by hospital administrative
staff and volunteers.
The hospital will be wheelchair
accessible. Wheelchairs will be
made available in the main
reception area beside the front
entrance.
There will be a third sector hub
providing a base for Carers of East
Lothian (CoEL).
This area will also be used to
support other third sector (voluntary)
organisations.
The use of the hub will be agreed at
a later date in discussion with CoEL
and other third sector organisations
Facilities
Cafe (social enterprise/non-profit)
Food and drink facilities outside core hours
Water cooler/fountain
Roots n Fruits
Local shops
Library, reading materials: books/magazines
Newspapers available free or to buy
Pay phones, computers and ATM
Hairdresser
There will be a retail space
available in the entrance area
There will be a café open to all
Space will be available for a
‘roots n fruits’ or other health and
social care related stalls or
displays.
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Reception and public space continued
You said
Signage
Clear signage required with colour
coding to support people with
dementia or learning disabilities.
We said
We will make sure that signposting is
dementia friendly and suits the needs of
people with learning disabilities.
We plan to involve people who use
services in discussions about this.
Decor
Bright fresh decor
Indoor plants/ flowers
Local art works /exhibitions
Toilets
We hope to work with local
artists. An application will be
made for grant money to support
art within the new hospital.
Yes, there will be a
range of toilets
across the hospital.
Toilets large enough for parent and
child to be together
Auto flush for hygiene
It is not known at
this stage if there
will be auto flush
toilets.
People with children
Baby changing facilities
Area for breastfeeding mums
Play area for children – a soft play
area – a basket of toys in the
corner is inadequate
Baby changing and breast
feeding areas will be provided
Child friendly equipment and
seating will be provided in the
waiting area
There will not be a dedicated
play area.
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Reception and public space continued
You said
Seating and corridors
Comfortable, adequate seating
Seating in any long corridors
Individual chairs around coffee tables
Quiet floor coverings
Non- slip surfaces
No corridors – interesting designed
linking spaces
Good lighting
We said
There will be destination and points
of interest on all routes. An arts
professional will be attached to the
project soon. They will develop
points of interest.
There will be seating to support
people with poor mobility and other
needs
Flooring will be non slip.
Flooring will be made of material
that is easy to maintain.
There will be a range of appropriate
lighting for clinic areas. Non clinical
areas will have interesting and
decorative lighting.
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Quiet Room
We asked what you would like to see within a quiet room
You said
We said
You said
Environment: Space
Space to reflect and remember loved ones
It will provide a space for
quiet or worship.
To allow worship following different
traditions
Space for prayer mats
The room will open onto a
garden area for reflection.
Access to a garden
Environment: lighting
This will provide a view and
natural light.
Good, natural light, soft lighting
Consider views
Due to health and safety we
will be unable to provide
candles.
Local scenic pictures and art work
Candles, coloured glass
Resources
Selection of appropriate books, religious,
philosophy, self-help
Book /box for prayer requests
Cards with helpful prayers and reflections
Applications for a grant from
the Health Foundation may
support some of these
suggestions for the room
Headphones with options of selecting music
Water cooler
Chaplain rota
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‘Out of hours’ use of non- clinical areas
“It would be useful to consider use of non-clinical out of hours spaces for
a basis for crisis support in East Lothian”
CAPS (Consultation and Collective Advocacy Service) Event
We asked you for suggestions on how the non clinical areas could
be used ‘out of hours’ (evenings and weekends)
You said:
We said:
Crisis space
CAPS have a space for people in crisis
1.1
Local groups
Memory clubs
Exercise classes (dance)
Local choir, drama, book groups
Christmas Carol zone
Tea, coffee making facilities and kitchen
access
Decisions on how non clinical
areas could be used out of hours
and at weekends will be
developed further once
construction starts.
1.2
1.3
1.4
1.5
Training and learning
Discussion groups regarding health issues
We have a note of groups and
organisations who said they would
be interested in using the non
clinical spaces ‘out of hours.
First Aid classes for community groups
Volunteer training, training and support for
carers
Private contractors
Hairdresser
Room hire for therapists & local groups
Family celebrations Family celebrations for those in long term care
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Other comments and concerns :
“Odd that there isn’t the need for a minor injuries as Dunbar has tripled
in size and the GPs are overwhelmed. Absence of minor injuries doesn’t
make sense”
CAPS event
You said
We said
Minor Injuries
Concern that there is no minor
injuries service
Mental Health Facilities
Lack of acute mental health
facilities for adults under 65 –
need 24 hour, 7 days a week
mental health assessment
service that links in with
CPNs and home care
service.
Lack of acute mental health
beds or crisis centre for
Mobile
mental
younger
adult
with health
mental crisis
health problems making
them feel like ‘second class
citizens’.
Mobile bus to visit
surrounding communities as
a Crisis service (similar to
mobile
. bank)
Maternity Facilities Concern
regarding lack of maternity beds
The new hospital is being designed
so that facilities can be adapted if a
minor injuries service is needed in the
future
The numbers currently do not justify
the provision of another minor injuries
service whilst whilst this service is
provided in all GP practices and
Edington in North Berwick (see more
detail in PAC report section 6. 20
iappendix 3 )
Community support for people with acute
mental health issues is available through the
Intensive Home Treatment Team (IHTT)
There will be no provision for acute mental
health inpatient beds. These acute beds are
supported in a Lothian wide medical model
at the Royal Edinburgh Hospital.
There is now a pilot project in place for
CHANGES community health project to look
at how out of hours crisis provision can best
be provided, where, when and what is
already available.
East Lothian maternity services are
community based
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Other comments and concerns continued:
You said
We said
Facilities for people with a learning
disability
Support worker should be funded so that
they can stay with the person they are
supporting as they have the best
understanding. Having one member of staff
who has an understanding of people with
learning disabilities is not enough.
This is not in the planning staffing
for the new hospital.
This comment has been
forwarded to the Head of Adult
Services for East Lothian (Acting
Learning disability nurse on duty 24 hours a
day, 7 days a week.
Community Facilities
Hospitals are for sick people, not a
community centre. NHS should be reaching
out to the community not the community
coming to the hospital.
Focus on providing more clinics rather than
community facilities.
Concerns about suitability for day centre
being co-located with NHS day services for
older people.
Health and hospital services are
being expanded to provide more
clinics locally.
The intention is that space can
be used by the community when
not being used by health.
Haddington Day Centre has
advised that they are not
relocating to the new hospital.
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Other comments and concerns continued
Inpatient facilities
You said
Television
TV facilities with headphones
for individual choice
Area where inpatients can
access TV out of the ward
area
Radio
We said
TV access will be available for
people who are inpatients
There will be a sitting area with a TV
in each ward
There will be no charge for access to
TV
Patients will be able to use their own
radio within the hospital wards.
Access to radio via headphones
Room/hospital equipped to receive
broadcasts from East Coast FM
(contact given)
Wi Fi Internet access
Wi Fi access via headphones
Access to East Coast FM may be
possible.
Wi Fi internet access will be available
for people within the hospital
There will be no charge for wifi
internet access.
People will need to use their own
headphones
Ward environment
Ward ceiling 3.5 metres minimum
Overhead tracking
The height of the ceiling will be 2.7
metres
Some rooms will have ceiling tracking to
allow ease of movement for patients
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Other comments and concerns continued
You said
We said
Other Hospital Facilities
Retention of Edington Hospital in
North Berwick is essential due to
the ageing population
The smaller East Lothian
Hospitals are not included within
this project.
Haddington is too far, need
something in Musselburgh /
Edenhall hospital opened up
The space within this hospital
should enable good facilities for all
partnership agencies to meet
together. This will include GPs.
Links
There needs to be links to local
partnerships, Community Councils,
GPs and GP practices
Population increase and Social Work
space
Contingency plans for increase in
housing in East Lothian
There isn’t enough space for future need
regarding social work space with enough
capacity for growth
Representatives of Area
Partnerships, Association of
Community Councils and
Haddington GPs have been
involved in some stakeholder
meetings.
Population increase in future years
has been taken into account .
This is the reason for an increase in
the number of beds within the
hospital and increased in clinical
space.
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Support services
You said
Third sector support
Citizens advice bureau (CAB)
Advocacy services
Groupwork and one to one support
for people with dementia
Helpline and counselling
Helpline for mental health crisis
Counselling area
We said
The third sector hub will provide a base
for Carers of East Lothian (CoEL). It
has agreed to support other Third
sector (voluntary) organisations.
We will work with Carers of East
Lothian, other Third sector
organisations and the new Hospital
stakeholder group to agree what other
services will be provided as
construction starts.
There is now a pilot project in place
for CHANGES community health
project to look at how out of hours
crisis provision can best be
provided, where, when and what is
already available.
Therapies and intergenerational
Some of these are presently
provided within our current
facilities. There is opportunity for
these services to be expanded.
Animal petting therapy
Alternative therapy services
Bring youth groups and elderly together
1.9
Facilities
Hearing loops are in areas
Provision for people who are deaf in meeting
rooms
1.8
There will be a servery in each
ward.
Allow staff to prepare very simple meals
(toast, tea etc)
First aid training for non- medics
Social work Drop in clinic for carers to meet with social
workers at an early stage
Space is available for this
1.7
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Other comments and concerns continued
Transport and Parking
“It’s not a good service from Musselburgh to Haddington and the bus only goes to
the main street. It’s expensive .. £3.50 for one person, so if it was an adult with two
children… “
“Access to out of hours is really difficult using public transport.” “You have to see if a
neighbour can take you.’ ‘And after 10 o’clock at night there’s no buses.”
First Step Gran’s group event
You said
We said
Bus travel
There needs to be regular and
reasonable priced bus service that is
accessible to people from different parts
of East Lothian.
Haddington is not the easiest place to get
to with people sometimes having to get
more than one bus.
Pricing will become more of an issue as
changes to the criteria for bus passes
will mean that some people with mental
health problems will no longer be eligible.
become
Transport Suggestions
Green travel; encourage cycling and
car clubs
Transport and access was
discussed in the PAC report ( in
appendix 3 section 6.8 to 6.11) .
A transport assessment was
carried out and submitted to East
Lothian Council with the planning
application.
We will share the areas of
concern raised regarding wider
East Lothian transport with the
most appropriate department in
East Lothian Council to see if
these can be progressed .
East Lothian Council transport
department are working with us to
develop a sprinter type service
that may come onto site. Large
buses are unable to drive into the
hospital grounds
Shuttle bus from surrounding areas
and from Haddington High Street.
Provision of transport vouchers
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.
Transport and parking continued
“ If there are lots of older people visiting the hospital people dropping them off will
need to park near the door and have time to assist the person to their appointment,
possibly with them and return to car”
“Avoid the very long walk from door to appointment as at Musselburgh health centre”
East Lothian Community Care Forum event
You said
Parking
Provide walking routes in car
park for safety
Large parking spaces for
disabled vans
Free car parking
Sufficient parking spaces
Disabled parking close to
entrance
Minibus parking area
Secure motorbike parking
We said
There will be dedicated walking routes
to the front door of the hospital
There will be large dedicated disabled
parking spaces for back loading
vehicles
Parking will be free
There will be 425 spaces proposed –
more than currently at Roodlands
Hospital. We are awaiting confirmation
via the response to the planning
application from East Lothian Council .
Motorbikes will use available car
parking spaces.
There is more information about
parking in the Pre – application
consultation report (available online)
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Who we consulted
Public events
Public events were held in May 2015 in Haddington,, Musselburgh, North Berwick
and Dunbar.
An event was held for Third Sector Organisations in June 2015.
Small Group Events
Other group consultation events and workshops were also held with a number of
community groups. Feedback from all events and sessions was recorded on
feedback forms and/or by the group facilitator. These comments have also been
taken into consideration and recorded in Chapter 6 of the pre planning report.
The community group consultation events were targeted at people in the community
who would be less likely to attend the public events as follows:

ELCAP – formerly the ‘East Lothian Care and Accommodation Project’

Whitecraig / Wallyford Lunch Club

East Lothian Community Care Forum (ELCCF)

Stepping Out

CAPS – East Lothian Consultation and Collective Advocacy Service

First Steps Gran’s Group
The exhibition comprised pop-up banners that included plans of the proposed
hospital layout; a site map, proposed access routes and more information on the
services which the hospital will provide. Feedback forms were provided to record
comments on the proposed development. These are discussed in the pre-applcation
consultation (PAC) report. The NHS provided a separate feedback form and an
‘ideas’ sheet for comments specific to the community use of the hospital. NHS
Lothian sought views from the general public, as well as organisations and
community groups on how the hospital could be used as a community resource.
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GETTING INVOLVED - we need your views!
We wish to make sure that the new hospital facility and grounds are
planned so that they are beneficial to you and the local community. We
also want to the hospital to be designed in a way that means it can be
used a community resource by local people.
In order to do this we need your ideas and suggestions. We are looking
for responses from members of the public as well as organisations and
community groups.
1. Outside Space - Hospital Grounds - landscaping
How can the hospital grounds be designed to be of benefit to the local
community?
Can you think of ways that this could be maintained by the community?
Are you or your organisation interested in helping with the design of the
grounds?
Could your organisation take responsibility for some of the grounds* for
the benefit of the community? If so, how?
*An example might be a community gardening project, outdoor exercise
etc
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2. Entrance/Public Areas
What would you like to see within the entrance area?
What would you like to see in the public areas*?
*Public areas include reception, waiting area, toilets, entrance
3. Quiet Room
A room has been set aside as a quiet contemplation or spiritual space
What you like to see in this quiet room?
4. Hospital non – clinical space – out of hours
Have you any ideas about how some of the non clinical areas* could be
used out of hours*?
*Out of hours is evenings and weekends. The non clinical areas are:
Meeting Rooms, Therapy Space, Waiting Areas etc
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Could your organisation use the facilities for the benefit of the
community? If so, how?
5. Your Contact details:
Name ........................................................................................
Organisation (if appropriate)......................................................
Contact details; (email preferred)...............................................
I want to be see feedback on the consultation
yes/no
I want to be see newsletters about the development of the community
hospital yes/no
Can you take this form to other people or groups yes/no
My organisation could use the facilities for the benefit of the community?
yes/no
Please return to:Miriam Anderson
Business and Capital Manager
East Lothian and Midlothian Community Health Partnerships
The Esk Centre
Ladywell, Musselburgh. EH21 6AB
Tel. 0131 446 4816
Mobile. 07980 701310
Email: Miriam.anderson@nhslothian.scot.nhs.uk
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Please write any comments
or ideas in the space below
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The Hospital story board that was taken to all the events.
For any queries about the content of this report, please contact:
Miriam Anderson
Business and Capital Manager
NHS Lothian
The Esk Centre
Ladywell, Musselburgh. EH21 6AB
Tel. 0131 446 4816
Mobile. 07980 701310
Email: Miriam.anderson@nhslothian.scot.nhs.uk
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