What is Hospital Based Complex Clinical Care?
HBCCC is for people who need care and treatment than can only be given in hospital or specialist NHS unit. It is provided free of charge by the NHS when nursing and other daily healthcare needs are judged by a multidisciplinary team to be complex, specialist, unpredictable and intense. Someone is eligible for this level of care if the team feel their needs cannot be met in another setting.
As far as possible, hospitals should not be places where people go to live – even people who have ongoing clinical needs. Hospitals are places to go for people who need specialist short-term or episodic care.
Reviews of those admitted to HBCCC should occur at least every three months and outcome decisions should be recorded in the health notes and also communicated to the patient, family and carer.
HBCCC Facilities
Dedicated HBCC areas across Lothian are:
City Of Edinburgh
- Ellens Glen House – This is a 60 bed unit which opened in 1999, it is for frail elderly and psychiatry of old age patients. There are two wards; Hawthorn for frail elderly and Thistle for psychiatric patients, most rooms are single with en-suite bathroom.
- Findlay House – This a 60 bed unit which opened in 2003, it is for frail elderly and psychiatry of old age patients. There are two wards; Fillieside for frail elderly and Prospectbank for psychiatric patients, most rooms are single with en-suite bathroom. NHS respite provision is also provided in this area.
- Ferryfield House – This is a 60 bed unit which opened in 1996, it is for frail elderly and psychiatry of old age patients. There are two wards; Rowan for frail elderly and Willow for psychiatric patients, most rooms are single with en-suite bathroom.
East Lothian
- East Fortune House at Crookston Care Facility – This is based within Roodlands General Hospital in Tranent and is a 20 bed mixed sex continuing care facility which specialises in end of life care and caters for resident living in East Lothian. Rooms are single with toilet facilities, provisions for both private and assisted bathing and shower facilities.
West Lothian
- Tippethill Hospital – This unit is in Armadale.
- St Michaels Hospital – This unit is in Linlithgow
Midlothian
- Midlothian Community Hospital – This is a 20 bed unit in Bonnyrigg. The Loanesk ward provides predominantly palliative and end of life care although this is not its exclusive role.
