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Saltash Integrated Community Services Workshop Minutes

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Saltash Integrated Community Services Workshop Minutes Minutes Saltash integrated community services stakeholder event 24 April 2019 2 to 4pm Saltash Guildhall Present: Clare Greenwood (Hearing Loss Catherine Thomson (Cornwall Gateway Cornwall) Heather Landers (headteacher) Bob Austin (Director) Hilary Frank (County councillor) Sarah Martin (Saltash Town Council) Colin Martin (County councillor) Derek Holley (County councillor) Sheila Lennox-Boyd (County councillor) Cllr Derek Holley (County councillor) Gloria Challen (Saltash Town Council) Dr Birte Morris (Saltash Health Centre) Chris Phillips (Chairman, Saltash Health Rose Edwards (Patient Participation Centre) Group) Lisa Marie Dennis (Port View Patient David Yates (Patient Participation Group) Participation Group) Angie Fisher ( Port View Patient Peter Thistlethwaite (Patient Participation Participation Group) Group) Nigel May (Citizens Advisory Panel vice Barbara May (League of Friends) chairman) Mary Shears (League of Friends) Sharon Savigar (Matron, Liskeard Community Hospital) Anne Renzi (District nursing lead, Lead, Laura Ashman (Community Maker) Saltash) David Yates Rose Edwards Margaret Holley Catherine Thomson Margaret Hopper Joy Randall Joyce Mepsted Estelle Ward (Cornwall Foundation Trust) Steve Day (Cornwall Foundation Trust) Sarah Fisher (Cornwall Foundation Trust) Tom Last (photographer) NHS Kernow team Michelle Smith Candice Webber Kate Mitchell Ben Mitchell Julie Rogers Paula Bland Please note that these minutes represent the views and observations of those attending the event and the specific detail and reference to any numbers and data may not be accurate at this point in time. Minutes Introductions and why we’re here today Kate Mitchell, NHS Kernow’s programme lead and project manager for this piece of work, thanked people for attending the first stakeholder event to support the Saltash integrated community services project. Kate thanked everyone involved in all the work and conversations to date held about local Saltash services and St Barnabas Community Hospital. The group was invited to participate in the review of community services in Saltash, including those that were provided from the community hospital. Similar sessions are also taking place in Penwith and Fowey, where community hospitals are also temporarily closed to inpatient services. Each review is distinct to its geographic area, and each review will involve people from that area. It is important to involve local people in this process, and benefit from their knowledge, experience and insight. Information was presented on the key facts and figures and the challenges to Saltash and the surrounding areas. The purpose of today’s session was to help identify a list of options for the possible future shape of community services in the locality, which will determine the future of St Barnabas Community Hospital. People were asked to join three smaller groups and consider and discuss the following three questions: What are our key challenges in supporting communities and individuals to thrive? What our community needs, and what’s important to us? What do we need to change to provide local care and support services that are fit for the future? By the end of the session, we hope to have: Enabled people to have decided if they would like to remain involved by becoming a member of either the options development group or the countywide criteria setting group. Begun having the conversations about community services in the Saltash area that will lead to the development of options for the future. Please note that these minutes represent the views and observations of those attending the event and the specific detail and reference to any numbers and data may not be accurate at this point in time. Page 2 of 10 Minutes What do we need to change to provide local care and support services that are fit for the future? Session one: Key points from the group discussion (please refer to appendix one for full list): Extra care housing should be a priority. The 1000 home housing development at Broadmoor Farm needs to be taken into consideration. The plan for the housing development is eight years, and does involve extra care housing, although this is not explicit. Minor injury service up and running in Saltash Health Centre. Affordable housing for families with complex needs is needed. Extra care housing has to have rapid access to facilities. We need an integrated system. St Barnabas as a building is old and no longer appropriate. We need services for the future which focus on step up and step down. People could ideally stay put and receive care in the same facility. We need to acknowledge St Barnabas is not fit for the above purpose. We need more nursing homes to take the burden off Derriford. NHS investment is crucial. A strong community can find its own solutions. St Barnabas was originally the vision of one woman. Funding for health and care services is now specific to areas. There is a new strategic commissioner in the council with in-depth experience of extra care housing. We need to work across the system. We need to consider demographics, numbers etc. The system is already stretched before adding more housing to it. There are a large number of people (especially younger ones) in the Saltash area with mental health needs. As an area Saltash is always told it is “Plymouth-facing” but services are commissioned by Cornwall. This leads to a feeling of isolation from other Cornwall-commissioned services which tend to be further west. Session two: Key points from the group discussion (please refer to appendix one for full list): Practice staffing across branch surgeries. Expansion of Saltash Health Centre. Extra care housing. Health visitors running groups/programmes. Community Development Workers – could they be part medical and part social? Structured way of finding the right people to deal with specific things, rather than not knowing who to talk to. Please note that these minutes represent the views and observations of those attending the event and the specific detail and reference to any numbers and data may not be accurate at this point in time. Page 3 of 10 Minutes Social prescribing link worker. Social prescribing for people aged 18 and older, but could this be opened up to include young children and their families? Regular bus route for Derriford. May not be profitable but it is definitely needed. By bus it takes one hour and two buses to get to Derriford from Saltash, by car takes 15 to 20 minutes. Volunteer drivers are needed. Could some drivers be subsidised? Could more clinics be run by nurses, and could St Barnabas be used for this? Increase school nurses. Could St Barnabas be used as a place to bring people together? Focus on mental health. Clear pathways of who to speak to or where to go. Session three: Key points from the group discussion (please refer to appendix one for full list): We need a building that is fit for purpose. A new build. We need housing that is adaptable so people can stay at home instead of going into a care home. What about new developments and the infrastructure around them e.g schools, GP, transport? It’s vital to have. It’s always talked about but doesn’t come to fruition e.g. Pilmere and Broadmoor. Need to contribute to healthcare. We have physiotherapists, mental health and paramedics already. We could do with a pharmacist. Social hub should also include GPs. A fit for purpose building would bring everything together in one location. We could take over the school or move the football club for the health and wellbeing centre. Local care should be local. We need to adapt approaches to areas and individuals to give people support. Information needs to be more accessible. We need to think about the audience. People don’t buy papers or use the library. There are so many places you can register your organisations or group – it’s hard to keep them all up to date. Lots of groups are run by volunteers who are not always IT savvy. Assumption is that this is how you communicate. Please note that these minutes represent the views and observations of those attending the event and the specific detail and reference to any numbers and data may not be accurate at this point in time. Page 4 of 10 Minutes What are our key challenges in supporting communities and individuals to thrive? Session one: Key points from the group discussion (please refer to appendix one for full list): Is there money in the system to open St Barnabas to inpatients? The building is not fit for purpose and would need significant investment to be made safe, as well as ongoing finance for staffing/workforce. Options could include using it for clinics if this is viable from a financial and workforce perspective. No options are off the table, but we will need to see how each one stacks up from a business perspective. A range of providers including NHS Property Services is involved so it is not coherent. Fire safety is a big issue. We can’t use St Barnabas the way it is at the moment. I used to work nights at St Barnabas and patients received care there which they couldn’t get at home. I think we should try and keep the clinics in it. Could it be used for office space? The local practice managers have said that there is funding available for minor injuries at the surgeries. There is a lack of doctors available in the hospital. They can’t keep travelling to and from Derriford. Could we build behind and above St Barnabas? Session two: Key points from the group discussion (please refer to appendix one for full list): Housebound patients – what can we suggest? Befriending option etc. lack of befrienders. Where do live at home cover? A central hub, with information on groups and events in the area.
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