Peninsula Rehabilitation Map V 0.12
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Peninsula Rehabilitation Map v 0.12
1. Inpatient services
Organisation Name of service Location of service Rehab bed capacity Comment Level 1 tertiary specialised rehabilitation services for patients with high physical dependency/ mixed dependency /mainly walking wounded patients with cognitive / behavioural disabilities The Huntercombe Frenchay brain injury Bristol on the old Frenchay hospital site 29 beds 1 23 beds new build due on Group rehabilitation centre stream in summer 2016. We will have 52 beds in total by August 2016. These beds will be level 1b and 2a. We have two medical consultants and a very large multi-disciplinary therapy and nursing team. We are compliant with the NHS England service specification for a level 1 service. Level 2a local (supra-district) specialist rehabilitation services with a catchment of 750k to 1m and take at least 50%- 80% Category A patients Live Well South West Plymouth Neuro Mount Gould Hospital, Plymouth 15 Rehabilitation Unit Glenside Neuro Rehabilitation Unit Glenside, Warminster Road, South Newton, 20-28* Please note: Glenside is a (NRU) Salisbury privately funded provider and Glenside Neuro Behavioural Unit Glenside, Warminster Road, South Newton, 14-22* very small numbers of beds are (NBU) Salisbury commissioned from Glenside by the NHS *One ward can provide support for either physical or behavioural patients dependent on demand, so capacity can fluctuate between the two pathways. This service can fluctuate between 2a and 2b Level 2b local (district) specialist rehab services with a catchment area of 250-500k less complex caseload 30-50% Category A predominantly patients with Category B needs Royal Devon And The Mardon Neuro Exeter, Devon 12* *Two further beds ready for use
1 Specialist commissioners commission 1a beds from this service but the provider specified the beds were level 1b Organisation Name of service Location of service Rehab bed capacity Comment Exeter NHS Foundation Rehabilitation centre awaiting a commissioning Trust decision and potential to develop further ten beds Royal Cornwall Hospital Marie Therese House Hayle, Cornwall 12 Physio OT dietetics outreach, Trust speech and language therapy once a week Level 3a Local non-specialist services led or supported by consultants in specialities other than Rehabilitation Medicine, with Category C needs, such as Stroke Northern Devon Acute Stroke Unit Barnstable, North Devon 14 Healthcare Trust Royal Cornwall Hospital Acute Stroke Unit Truro, Cornwall 20 stroke, 5 Neuro
Royal Devon & Exeter Acute Stroke Unit Exeter, Devon 28 Acute stroke Hospital Plymouth Hospital NHS Acute Stroke Unit Plymouth, Devon 22 Stroke Trust Peninsula Community Bodmin Hospital Bodmin, Cornwall 9 stroke Health CIC Peninsula Community Cambourne and Redruth Cambourne, Cornwall 21 stroke Health CIC Hospital Peninsula Community Bodmin Hospital Bodmin, Cornwall 12 amputation Although some patients move Health CIC through the services to community settings they may still present with Category A and B needs due to limited level 1 and 2 beds Northern Devon Bideford Hospital Stroke Bideford, North Devon 12 stroke Healthcare Trust Rehabilitation Unit Northern Devon Ottery Hospital Ottery, North Devon 15 stroke Healthcare Trust NEW Devon CCG Burdon Grange Care Highampton, Beaworthy, 30 neuro Private nursing home Home specialising in neurological conditions/rehabilitation Torbay & South Devon George Earle Ward, Torbay 24 stroke/neuro NHS Foundation Trust Torbay Hospital Torbay & South Devon Teign ward, Newton Newton Abbot 15 stroke NHS Foundation Trust Abbot Hospital Live well South West SRU- Mount Guild Hospital 15 stroke/neuro Organisation Name of service Location of service Rehab bed capacity Comment Level 3b Local non-specialist services providing generic rehabilitation, often led by non-medical staff for patients with Category D needs
Peninsula Community Bodmin Hospital Bodmin 23 Health CIC Peninsula Community Cambourne and Redruth Cambourne and Redruth 23 Health CIC Peninsula Community Falmouth Hospital Falmouth 24 Health CIC Peninsula Community Fowey Hospital Fowey 10 Health CIC Peninsula Community Liskeard Hospital Liskeard 42 Health CIC Peninsula Community Stratton Hospital Stratton 17 Health CIC Peninsula Community Edward Hain St Ives 12 Health CIC Peninsula Community St Barnabus Saltash 9 Health CIC Peninsula Community Newquay Hospital Newquay 19 Health CIC Peninsula Community Helston Hospital Helston 24 Health CIC Peninsula Community Launceston Hospital Launceston 19 Health CIC Peninsula Community St Austell Community St Austell 44 Health CIC Hospital Peninsula Community St Mary’s Hospital, Isle of St Mary’s, Isles of Scilly 10 Health CIC Scilly Northern Devon South Molton CCT South Molton 20 Healthcare Trust Northern Devon Holsworthy CCT Holsworthy 16 Healthcare Trust Northern Devon Ottery Hospital Ottery 3 Healthcare Trust Northern Devon Seaton Hospital Seaton 18 Healthcare Trust Northern Devon Sidmouth Hospital Sidmouth 18 Organisation Name of service Location of service Rehab bed capacity Comment Healthcare Trust Northern Devon Exmouth Hospital Exmouth 18 Healthcare Trust Northern Devon Exeter (previously Exeter 20 Healthcare Trust Whipton Hospital) Northern Devon Honiton Hospital Honiton 18 Healthcare Trust Northern Devon Tiverton Hospital Tiverton 16 Healthcare Trust Northern Devon Okehampton Hospital Okehampton 16 Healthcare Trust NEW Devon CCG Waters park Nursing Plymouth 2 Spot purchase of general rehab Home beds from a nursing home Priory Group Rosehill Rehabilitation Torquay 15 This is a privately owned unit, Unit some beds are purchased by South Devon Trust Torbay and South Ashburton Hospital Ashburton 10 Devon NHS Foundation Trust Torbay and South Bovey Tracey (currently Bovey Tracey 9 Devon NHS Foundation closed) Trust Torbay and South Brixham Hospital Brixham 12 Devon NHS Foundation Trust Torbay and South Dartmouth Hospital Dartmouth 16 Devon NHS Foundation Trust Torbay and South Dawlish Hospital Dawlish 18 Devon NHS Foundation Trust Torbay and South Paignton Hospital Paignton 28 Devon NHS Foundation Trust Torbay and South Teignmouth Hospital Teignmouth 12 Devon NHS Foundation Organisation Name of service Location of service Rehab bed capacity Comment Trust Torbay and South Totnes Hospital Totnes 18 Devon NHS Foundation Trust Royal Cornwall Hospital Truro N/A Regional hospital- all usual Trust Royal Cornwall Hospital specialities including stroke, trauma ortho etc… Royal Cornwall Hospital West Cornwall Hospital Penzance N/A Medicine/eldercare acute ward Trust Royal Cornwall Hospital St Michaels Hospital Hayle N/A Hayle- elective orthopaedics Trust Live well South West Skylark Unit – Mount Plymouth 15 Gould Hospital Live well South West Kingfisher Unit – Mount Plymouth 30 Gould Hospital
2. Outpatient services provided by the acute trusts
Organisation Name of service Location of service Type of outpatient Average number of Domiciliary visits Comments clinic patients seen per average per week week Glenside Glenside has provision with our nursing homes to provide care and support to adults with complex needs eg. Traceostomy management, peg feeding, ventilation. We also provide palliative care for people in the later stage of a progressive neurological condition, slow stream rehabilitation, simulated supported living and behavioural services Royal Devon & Mardon Neuro Exeter, Devon – Just Multi-disciplinary 8 2-3 Organisation Name of service Location of service Type of outpatient Average number of Domiciliary visits Comments clinic patients seen per average per week week Exeter Rehabilitation Centre off RD&E Hospital Rehabilitation site assessment Clinic Royal Devon & Mardon Neuro Exeter, Devon – Just Couples clinic for follow 8 2-3 Exeter Rehabilitation Centre off RD&E Hospital –up of inpatients site requiring specific relationship follow psychological support. Royal Devon & Mardon Neuro Exeter, Devon – Just Monthly Peripheral 8 2-3 Exeter Rehabilitation Centre off RD&E Hospital Neuro-muscular clinics site Royal Devon & Mardon Neuro Exeter, Devon – Just Weekly Cognition 8 2-3 Exeter Rehabilitation Centre off RD&E Hospital Clinics site Royal Devon & Mardon Neuro Exeter, Devon – Just Weekly Sleep disorder 8 2-3 Exeter Rehabilitation Centre off RD&E Hospital Clinic site Royal Devon & Mardon Neuro Exeter, Devon – Just MS Clinic 8 2-3 Exeter Rehabilitation Centre off RD&E Hospital site Royal Devon and Exeter Mobility Centre Prosthetics and Approx. 800 patients. This Exeter NHS amputee rehabilitation service covers all of Devon Foundation Trust bar Plymouth.
Royal Cornwall Marie Therese House Hayle, Cornwall Neuro splinting OT Varies 1-2* *the domicilary visits are by Hospital Trust clinic twice monthly half an OT/physio as required to day slot support complex discharge Royal Cornwall Marie Therese House Hayle, Cornwall Neuro outpatient 2 Hospital Trust service – at present plan to transfer to the community Royal Cornwall Royal Cornwall Truro MSK OP Physio Hospital Trust Hospital Royal Cornwall Royal Cornwall Truro OT OP Services Hospital Trust Hospital Royal Cornwall St Michaels Hospital Hayle MSK OP Physio Organisation Name of service Location of service Type of outpatient Average number of Domiciliary visits Comments clinic patients seen per average per week week Hospital Trust Royal Cornwall St Michaels Hospital Hayle OT OP Services Hospital Trust Royal Cornwall West Cornwall Hospital Penzance MSK OP Physio Hospital Trust Royal Cornwall West Cornwall Hospital Penzance SLT and dietetic OP Hospital Trust services Northern Devon 2 x sessions OT Healthcare NHS Neurology Outpatients outpatient clinic per Trust (OT) NDDH week Northern Devon 3 x sessions Physio Healthcare NHS outpatient clinics per Trust week (includes Neurology Outpatients hydrotherapy and (PT) NDDH personal trainer) Northern Devon Healthcare NHS Functional Electrical 4 hours per week Trust Stimulation NDDH (physio) Northern Devon VISTA (post-stroke 2 x groups per week, Healthcare NHS physical fitness and physio, personal Trust exercise self-efficacy NDDH & Bideford trainer, volunteer, group) Hospital therapy support worker Northern Devon NDDH, Bideford 6 classes per week: Healthcare NHS Hospital, South Cardiac nurse, physio Trust Molton, Tyrell assistant and phase IV Hospital, cardiac rehab fitness Cardiac Rehabilitation Holsworthy instructor Northern Devon Musculoskeletal NDDH, Bideford Physiotherapy, No. Healthcare NHS outpatients Hopsital, Torrington sessions per week: Trust Hospital, 261.5 Holsworthy Hospital, Tyrell Hospital, South Molton Hospital, GP Surgeries (Caen, Organisation Name of service Location of service Type of outpatient Average number of Domiciliary visits Comments clinic patients seen per average per week week Bouport, Litchdon, Queen’s, Brannhams, Lynton) Northern Devon Rheumatology NDDH/Holsworthy Healthcare NHS Outpatients (OT) Hospital/South Trust Molton Hospital/Bideford 6 x OT outpatient clinics Hospital/ Tyrell per week Hospital/Torrington (predominantly Hospital splinting) Northern Devon NDDH, Bideford, Healthcare NHS Rheumatolgy Torrington, South 7x physio outpatient Trust Outpatients (PT) Molton sessions per week Northern Devon Healthcare NHS 6 x outpatient physio Trust Hydrotherapy (PT) NDDH sessions per week Northern Devon MSK Upper limb Healthcare NHS classes (PT) Physio led, 1 class per Trust Tyrell Hospital week Northern Devon MSK Upper limb Healthcare NHS classes (PT) Physio led, 1 class per Trust Bideford Hospital week Northern Devon MSK Upper limb Healthcare NHS classes (PT) physio led, 1 class per Trust Torrington Hospital week Northern Devon MSK Upper limb Physio led, 2 x OA knee. Healthcare NHS classes (PT) 1 x lower limb classes Trust NDDH per week Northern Devon MSK Upper limb Healthcare NHS classes (PT) Physio led, 1 x generic Trust South Molton LL class per week Northern Devon MSK Spinal exercise Bideford Hospital Healthcare NHS Class (PT) Physio led, 1 class per Trust week Northern Devon MSK Spinal exercise NDDH Physio led, 1 class per Organisation Name of service Location of service Type of outpatient Average number of Domiciliary visits Comments clinic patients seen per average per week week Healthcare NHS Class (PT) Trust week Northern Devon Staff Physio service NDDH , Bideford Healthcare NHS (occupational health) Hospital Physio led , 1 class per Trust week Northern Devon 2x physio physical Healthcare NHS activity classes per Trust week, dietitian led group, 1:1 clinics with OSCAR (obesity NDDH, Bideford nurse/consultant service) Hopsital Northern Devon pprox. 25 x Healthcare NHS physio/podiatry/OT ESP Trust outpatient sessions(includes triage and treatment clinics)- upper limb/lower OIFS (orthopaedic Bideford Hospital, limb/spinal interface service) NDDH Plymouth Hospital Rehabilitation Derriford, Plymouth Rehabilitation medicine 5 NHS Trust Medicine Clinic Consultant Clinic Plymouth Hospital Multiple Sclerosis MDT Derriford, Plymouth Neurologist, physio, Operates 5 days a Stroke NHS Trust Clinic CNS week Plymouth Hospital MND MDT Clinic Derriford, Plymouth Neurologist, CNS NHS Trust Plymouth Hospital Neuromuscular clincis Derriford, Plymouth NHS Trust
3. Community health services
Organisation Name of service Location of service Type of service Number of days Specialism or general Comments per week the service operates Peninsula Community We are an outpatient and 5 General Community Organisation Name of service Location of service Type of service Number of days Specialism or general Comments per week the service operates Community Health Rehabilitation Teams –CIC Cornwall community Service Rehabilitation Peninsula Falls Service- countywide We are an outpatient clinic 5 Community Health and community based –CIC Cornwall service/ OT/PT/Nurse Falls Community practitioners Falls Rehabilitation Peninsula Community Stroke 5 Community Health Service We are an outpatient and –CIC Cornwall clinic Community service/PT/OT/SLT/Nurse Stroke Rehabilitation Peninsula Neurological 5 Community Community Health Rehabilitation Service Rehabilitation with a –CIC Cornwall Therapy led Team of Specialist PT and Ots who provide intervention and advice for people with complex presentations countywide- sometimes inreach to We are an outpatient clinic community or acute and community based services/units and service PT/OT Neurological repatriation MS Society (pay for Barnstaple NDHT to provide Barnstaple MS Exercise service) Classes Physio-led exercise class 1 (2 classes) MS Parkinson’s UK Barnstaple & Northam (pay for NDHT to Parkinson’s exercise provide service) classes Physio-led exercise class 1 (2 classes) Parkinsons Stroke Association peer North Devon District support/outreach/ inreach Hospital (NDDH) & (based within the ESD Stroke Association Bideford Hospital team) 3 Stroke NDHT NDDH & Bideford Early Supported Discharge 5 Stroke Organisation Name of service Location of service Type of service Number of days Specialism or general Comments per week the service operates Hospital- Stroke Supported Discharge (ESD) (physio/OT/SLT/ Service psychology) #NOF ESD- physio and NDHT NDDH- #NOF ESD support workers 7 #NOF MDT outpatient clinic (Consultant, CNS, Specialist Physio) once/month and support with home visits and separate out-patient appts, supporting patients during exacerbations and CREADO team whilst on home IV or oral NDHT (Bronchiectasis) antibiotics . 4 Bronchiectasis MDT outpatient clinics (Consultant, CNS, Specialist Physio, Dietitian) 1/month and support with home visits and separate out- patient appts, supporting patients during exacerbations and whilst on home IV or oral antibiotics, inreach to Cystic Fibrosis-adults NDHT CREADO team (CF) NDDH 4 & paeds CREADO team COPD Supported discharge lasting supported discharge up to 30 days, with follow- up maintenance visits as NDHT required 3 COPD NDHT CREADO team Pulmonary Rehabilitation 7 courses across Respiratory (Pulmonary class North Devon per Rehabilitation)- year. Each course Community venues in is 2 x per week for Bideford, Torrington, 6 weeks Ilfracombe, Holsworthy, Organisation Name of service Location of service Type of service Number of days Specialism or general Comments per week the service operates Barnstaple NDHT South Molton CCT Community rehab & rapid response 5 NDHT South Molton CCT Balance class 2 NDHT Barnstaple Complex Care Community rehab & rapid Team (CCT) response 5 NDHT Barnstaple Complex Care Team (CCT) Balance class 1 NDHT Barnstaple Complex Care Team (CCT) amputee therapy class 5 amputees NDHT Ilfracombe (Tyrell MDT (Associate specialist, Hospital/Braunton/Lynto nurse, physio, OT) Fraility n)- CCT clinic 1 NDHT Ilfracombe (Tyrell Physio-led Strength & Hospital/Braunton/Lynto balance classes (12 week n)- CCT course) 3 NDHT Ilfracombe (Tyrell Hospital/Braunton/Lynto n)- CCT Community rehabilitation 5 NDHT Bideford CCT Community Rehabilitation & rapid response NDHT Bideford CCT Strength & Balance class 2 NDHT Bideford CCT Amputee Class 2 amputees NDHT Bideford CCT MDT Falls clinic 1 NDHT Holsworthy CCT Community rehabilitation and rapid response 5 NDHT Holsworthy CCT balance class 1 NDHT Torrington Complex Care Community rehabilitation Team and rapid response 5 NDHT Torrington Complex Care Team balance classes 2 Torbay & South Torbay Community Devon NHS Stroke and Neuro team OT, SLT, PT and Foundation Trust psychological support 5 Stroke and Neuro Organisation Name of service Location of service Type of service Number of days Specialism or general Comments per week the service operates Torbay & South Teignbridge Community Devon NHS Stroke and Neuro Team OT, SLT, PT and Foundation Trust psychological support 7 Stroke and Neuro Live well South Plymouth Neuro Rehab Mount Gould Neurorehabilitation Neurorehabilitation West Unit Hospital, Plymouth Outpatient clinic (doctor) 2 Live well South Plymouth Neuro Rehab Mount Gould Neurorehabilitation West Unit Hospital, Plymouth Domiciliary (doctor) 1 Neurorehabilitation Live well South Mount Gould Stroke outpatient clinic West Hospital, Plymouth (Doctor) 2 Stroke Live well South Mount Gould Stroke West Hospital, Plymouth Domiciliary (doctor) 1 Stroke Live well South Mount Gould Neuropsychology Acquired brain injury West Hospital, Plymouth Outpatient and domiciliary 5 only Live well South Therapy Unit Mount Gould Neurological West Hospital, Plymouth OT & Physio 5 conditions Live well South ESD Mount Gould West Hospital, Plymouth OT, PT, SLT, Nurse, DR Livewell Plymouth Prosthetics Plymouth This covers All of Southwest. Rehabilitation Service, Cornwall and Isles of Prosthetics and Scilly, Plymouth and amputee south west Devon. Outpatient 5 rehabilitation Approx 800 patients
4. Reablement services Organisation Name of service Location of service Type of service Number of days Average number Comments per week the of contacts per service operates week Cornwall Council We provide reablement services in people’s home for up to 6 weeks; the average is for 4 weeks. Social care workers visit people in their Luxstowe House, own homes to provide a STEPS Liskeard Liskeard reablement 7 388 reablement service. Cornwall Council STEPS Bodmin Chy Trevail, Bodmin reablement 7 444 Cornwall Council Penwinnick House, STEPS St Austell ST Austell reablement 7 302 Cornwall Council Tresillian Building, STEPS Truro County Hall, Truro reablement 7 449 Cornwall Council Dolcoath Council STEPS Camborne Offices, Camborne reablement 7 382 Cornwall Council Roscadghill Park, STEPS Penzance Penzance reablement 7 338 Total: 2303 Council of the Isles of Information unavailable Scilly Live well South West Plymouth Reablement 7 26 Live well South West 3 nursing homes within Step down beds Plymouth Reablement 7 12 beds Plymouth Live well South West Pilot scheme by NEW Devon CCG / Plymouth Community Healthcare Discharge to assess 1 nursing home within beds Plymouth Reablement 7 5 beds Plymouth NEW Devon Council This figure is based on a guestimate of 1600 individual episodes x 37 visits = 59,200 “contacts” (visits)completed per year
1138 Torbay Council Information unavailable 5. Services provided by the third sector Organisation Name of service Location of service Type of service Capacity Frequency of Comments service MS Society Branch Yoga class Average of 10 per Therapy vouchers class South Cornwall Carers group Social activities/events Coffee mornings and Mid-Cornwall lunches Therapy vouchers Coffee mornings and North Cornwall lunches Physiotherapy/exercis e class Pilates Plymouth Social events Physiotherapy/exercis North Devon e class Social events MS/CAB partnership South Devon Physiotherapy/exercis e class Exercise classes Carers groups Exeter & East Devon Tai Chi MS/CAB partnership Rehab 23 patient and their One day a week Lostwithiel and one to one support families Headway Headway Cornwall Redruth reablement community support 32 clients and 27 Headway Headway Plymouth Plymouth advice, information carers Headway Headway North Devon Barnstaple and guidance 21 Clients Exeter, Honiton, self-care Twice weekly South Devon, reducing social Exmouth, Tiverton isolation family and carer support advocacy befriending Headway Headway Devon counselling Approx 200 Version Date Reviewer Comment 0.1 15th December 2015 Annette McHardy, Ruth Initial draft Hall and Elizabeth Williams 0.2 12th January 2016 Annette McHardy Amendments post Executive Meeting, Additional data 0.3 18th January 2016 Annette McHardy Addition of spot purchase beds from Carol Green 0.4 18th January 2016 Annette McHardy Addition of updated Live well South West from Francesco Gambino
0.5 19th January 2016 Annette McHardy Amended after comments from Elizabeth Williams, locations added. Addition of data from Torbay Council (Emma Herd)
0.6 25th January 2016 Elizabeth Williams Amendments from Executive Group on the 21st January 2016
0.7 26th January Annette McHardy Addition of Plymouth Council/ Live well (Craig McArdle)
0.8 28th January Annette McHardy Addition of stroke unit info Carol Massey
0.9 2nd February Annette McHardy Addition of Royal Cornwall info Mate Abhijit
0.10 10th February Annette McHardy Addition of prosthetics info
0.11 25th February Annette McHardy Addition of Plymouth Stroke info
0.12 9th March Annette McHardy Amendment of number of beds in Marie Therese House from 15 to 12