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Fife

Integration Authority: Fife

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Client Group

Service Area

Setting

Enablers

Element of Framework

Fife - Care at Home Collaborative

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Example of Good Practice

Care at Home Collaborative

Client Group(s)

All Older adults

Service Area(s)

All Social care services Community care Admission avoidance

Setting(s)

All Urban

Enabler(s)

All Infrastructure Improvement capacity Culture and values Management information Information sharing Agile working Aligned plans Team ethos Well developed relationships Clarity of vision Shared accountability Collaborative leadership

Elements of Framework

All Reablement Live independently at home or in a homely setting
Fife - High Health Gain

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Example of Good Practice

Fife High Health gain

Client Group(s)

All Older adults

Service Area(s)

All Admission avoidance

Setting(s)

All Urban

Enabler(s)

All

Elements of Framework

All First point of contact Teams aligned to general practice Seamless working with acute care
Fife - Partnership working with discharge hub and Fife Carers Centre

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Example of Good Practice

Partnership working with discharge hub and Fife Carers Centre

Client Group(s)

All Younger adults Older adults

Service Area(s)

All Community care Supported discharge

Setting(s)

All City Corporate

Enabler(s)

All Well developed lead professional roles Information sharing Agile working Well developed relationships

Elements of Framework

All Connect with communities Manage own care
Fife - SAMH Sam's Cafe

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Example of Good Practice

SAMH Sam's Cafe

Client Group(s)

All Younger adults

Service Area(s)

All Mental health

Setting(s)

All Urban

Enabler(s)

All Culture and values Agile working Team ethos Well developed relationships Clarity of vision Shared accountability

Elements of Framework

All First point of contact Connect with communities Manage own care