Request for Information Reference 09.15.34 Direct Line: 01325 743700 Email: [email protected] Email Only 16 October 2015 Freedom

Executive Corridor Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6HX Switchboard Tel: 01325 38 0100 Foundation Trust Office: 01325 74 3625 Trust Secretariat Office: 01325 74 3579 Direct Fax: 01325 74 3741

Request for Information Reference 09.15.34

Direct line: 01325 743700 Email: [email protected]

Email only

16 October 2015

Freedom of Information Act 2000 – Request for Information

Thank you for your request for information received on 17 September 2015 in relation to the County Durham and Darlington NHS Foundation Trust (Trust). We are dealing with your request under the provisions of the Freedom of Information Act 2000.

You requested information regarding the adult community nursing service. Specifically you asked for:

The following information with regard to your adult community nursing service (Community Matrons, District Nurses and support staff):

1. What is the weighted population that you cover?

Answer: The whole of County Durham and Darlington for which the total actual population split is as follows:

Co. Durham: 513,000

Darlington: 106,000

2. How many referrals do you receive per annum?

Answer: 66,800.

3. How many community nurses and support staff do you employ, split by band?

Answer:

Band 7 DN team leads = 15 wte Band 6 DN caseload holders = 52.87 wte Band 5 Community Staff Nurses = 240.1 wte Band 3 Healthcare Assistants = 72.45 wte Band 2 Healthcare Assistants = 1.44 wte Band 7 Community Matrons = 5.50 wte Band 4 Associate Practitioners = 5.0 wte

4. Are the staff split into teams, how many, what is their make up in terms of skill mix, what populations do they cover?

Answer: There are 14 Units split into the Locality Teams.

DN Teams Unit Adult - Bishop Auckland Adult - Chester le Street Adult - Darlington District Nursing Adult - Derwentside East Adult - Derwentside West Adult - Durham City East Adult - Durham City West Adult - Easington Central Adult - Easington North Adult - Ferryhill and Spennymoor Adult - Sedgefield Integrated Team Adult - Shildon and Newton Aycliffe Adult - Teesdale Adult - Willington Crook

Locality areas Team Aligned to GP practices, which determines area covered Skill Mix/ number of wte by CCG per band (Bd) Bd 7 Bd 6 Bd 5 Bd 3 North Durham Chester-Le-Street Pelton, Fellrose, Cestria, Middle Chare, Bridge End, Lumley 1 4.4 21.2 5.93 Durham City East Coxhoe/Bowburn, Claypath, University Health Centre, Belmont, 1 4.2 16.6 4.85 Sherburn, Cheveley Park, Chastleton, West Rainton Durham City West Sacriston, Brandon Lane, Dunelm Medical Group, Ushaw Moor, 1 3.6 17.7 4.2 Langley Park, Esh Winning, The Medical Group Derwentside East Burnhope, Craghead, Tanfield View, The Cedars, Stanley 1 3.2 16.56 4.22 Primary Centre, Dipton, The Haven, Annfield Plain, Stanley Medical group Derwentside West Consett, Queens Road, Leadgate, Oakfields 1 3.6 15 4.8 DDES Bishop Auckland Auckland, Bishopgate, Station View, Durham Dales 1 3 15.42 4.05 Teesdale Barnard Castle, Lower Teesdale, Middleton-in-Teesdale 1 3.06 10.6 4 Willington/Crook Willington, Crook, Stanhope, Tow Law 1 3 15 4 Easington Central Kelloe, Wheatley Hill, Wingate, Blackhill, Hordon, Peterlee, 1 5.2 23.8 8 Shotton Easington North Murton, South Hetton, Marlborough, Kapoor/Dusard 1 4 15 4.47 Ferryhill and Spennymoor, Ferryhill, Sensier House 1 3.85 14.89 4.04 Spennymoor Sedgefield Trimdon, West Cornforth, Sedgefield, Fishburn 1 2.4 10.47 3.47 Shildon and Newton Aycliffe, Newton Aycliffe, Shildon 1 3 15 5 Aycliffe Darlington Darlington Middleton St George, All surgeries in Darlington 2 6.36 32.86 11.42

5. Please provide your service structure chart?

Answer: See attached.

6. What is the size of the total community nursing caseload?

Answer: Current Patients on overall Caseload: 46,494.

7. What is the average caseload per wte?

Answer: Caseloads are managed by Band 6 District Nurse’s with a team of Community Staff Nurses and Healthcare Assistants. On average the numbers of patients on the caseload varies from 90 – 434 in relation to GP alignment. On average the caseload per wte Band 6 is 228.

Community Matrons vary especially since the introduction of predominate Care home work for Darlington and the North, therefore, caseload depend on the number of patients residing in care home between on average 30 – 90.

Currently on average Community Matrons in the North have between 2 – 10 housebound community patients. Darlington Community Matrons have between 2 - 40 housebound community patients

8. On average, how many patients are the community nurses expected to see per day?

Answer: The number of patients a community nurses is expected to see per day varies depending on whether the patients resides in care homes/shelter housing etc. and according to the patients assessed need e.g. length of time to obtain a venous blood sample compared to end of life care or bilateral compression bandaging. Therefore, on average the expected visits can range from 6 – 20+

9. What % of time do your community nurses spend on face to face direct patient care?

Answer: The % of time spend on direct patient care varies according to patient need but the general principle is that Band 7’s operate 20/80, Band 6’s 60/40, Band 5’s 80/20 and Band 3’s 90/10.

10. Have you identified the competencies required for staff at each band? If yes please provide?

Answer: Staff training requirements are reviewed during staff’s annual appraisal and a development plan is agreed. A training need analysis is provided to Learning and Development each year to ensure that training available meets the needs of the service. All qualified staff undertake 2 days mandatory training annually.

In line with the Information Commissioner’s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on the County Durham and Darlington NHS Foundation Trust website.

If you have any queries or wish to discuss the information supplied, please do not hesitate to contact me on the above telephone number or at the above address.

If you are unhappy with the way your request for information has been handled, you can request a review by writing to:

The Chief Executive County Durham & Darlington NHS Foundation Trust Darlington Memorial Hospital Hollyhurst Road Darlington, DL3 6HX

If, you remain dissatisfied with the handling of your request or complaint, you have a right to appeal to the Information Commissioner at:

The Information Commissioner’s Office Wycliffe House Water Lane Wilmslow Cheshire, SK9 5AF

Telephone: 0303 123 1113 Website: www.ico.gov.uk.

There is no charge for making an appeal.

Yours sincerely

Joanna Tyrrell Freedom of Information Officer