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Consultation Summary Moor to Sea.Indd 1. Consultation and benefi ts Into the future 2. A new approach and delivering change Re-shaping community-based health services 3. The potential impact 4. Taking part and fi nding out more in the Moor to Sea locality 5. Complete the questionnaire A public consultation: Thursday 1 September to Wednesday 23 November 2016 South Devon and Torbay Clinical Commissioning Group is responsible for planning and organising health services for local people. Driving quality, delivering value, improving services It is divided in to fi ve localities – each led by www.southdevonandtorbayccg.nhs.uk/community-health-services local GPs. Into the future Re-shaping community-based health services in the Moor to Sea locality 1. Consultation and benefi ts Consultation and benefi ts 2. A new approach and delivering change 3. The potential impact 4. Taking part and fi nding out more 5. Complete the questionnaire A public consultation: We want to hear the views of those • Earlier identifi cation of those at risk who may be affected and who live of becoming more unwell through Thursday 1 September to in the four localities – Moor to Sea, focusing on prevention and self-help Wednesday 23 November Newton Abbot, Paignton and Brixham, care and to make services greater than the sum of their parts 2016 and Torquay – which are part of this • Properly staffed and resourced consultation. (Our Coastal locality is community hospitals able to deliver quality, safe care • Reduced demand for services as a e’re asking people in South not part of this process because we result of helping people live independent consulted there in 2015 and WDevon and Torbay what Safe, high-quality hospital care lives for longer. improvements are currently being • they think of proposals for more when needed but keeping people out implemented.) Find out how to take Since last summer, the CCG, supported community-based healthcare and of hospital when they don’t need to part in this consultation on page 4 and by TSDFT, has engaged with groups support, closer to their homes. be there We want our services to be available complete the feedback questionnaire across the area to discuss how best to when people need help and to make (pages 5-12). • Reduced ‘bed blocking’ in hospitals deliver services which would meet the sure that patients don’t have to go into as a result of effective alternative future needs of our local population. hospital unnecessarily. The benefi ts we want to see community-based support These engagement discussions involved a range of interests and expertise and The CCG is seeking feedback on its We asked people in 2013 what they • Treatment and recuperation at looked at, for example, the predicted proposals and listening to alternative wanted from their health and care home, recognising that ‘the best bed health needs of our population, the use ideas for strengthening services. Any services. We have been exploring how is your own bed’ of hospital beds to look after people proposals must meet increasing health we can best respond to what people who can no longer live on their own, needs, be clinically sound, sustainable said, most recently working with Torbay • Reduced pressure on A&E by ways of providing more care in the and affordable. and South Devon NHS Foundation strengthening minor injuries units (MIUs) local community and the diffi culties of Trust (TSDFT) which provides most of to treat a wide range of problems, attracting specialist staff to the area. The consultation proposals respond to our community-based services. By keeping Torbay’s A&E service free to increasing demand for healthcare, the changing the way we do things and by deal with life-threatening issues In parallel with these discussions, need to strengthen services that most working more closely with social care, representatives of the CCG, Torbay people use and the benefi ts to we believe our new way of working will • Greater investment in local services Council, Devon County Council, TSDFT be gained from switching resources deliver benefi ts such as: by switching funding from hospital to and primary care, including senior from bed-based hospital care to community-based care clinicians, have drawn on the feedback community-based care, enabling more • Easier access to a wider range provided and informed also by TSDFT • Closer working by different people to be supported in or near their of community-based services to help staff, considered how best to provide organisations which support people’s own homes. people stay well and to support them future services. when they are not wellbeing to provide local, seamless Into the future: Re-shaping community-based health services in Moor to Sea locality. A public consultation: Thursday 1 September to Wednesday 23 November 2016 1 Into the future Re-shaping community-based health services in the Moor to Sea locality 1. Consultation and benefi ts A new approach and delivering change 2. A new approach and delivering change 3. The potential impact 4. Taking part and fi nding out more 5. Complete the questionnaire A new approach (MIUs). The hubs would be provided people recover more quickly, in buildings that are of a high clinical maximising their independence and f implemented, our proposals would standard and, where necessary, helping them to resume normal activities. support they need is not available. Isee GPs, community health and social additional investment would be made to Intermediate care also supports more We are therefore proposing to close care teams and the voluntary sector improve the quality of environment and timely discharge from hospital and four community hospitals (Ashburton and working together to provide for the vast range of services offered. helps to avoid unnecessary hospital Buckfastleigh, Bovey Tracey, Dartmouth majority of people’s health and admissions by supporting people in their and Paignton) so that more money can wellbeing needs. Accessing services Local health and wellbeing centres: local communities, either at home or be invested in local community teams. would be made simpler through a these would be linked to the clinical in another care setting. By switching Community hospital beds would central contact point. hub and see community staff based resources to home-based care, we continue to be available in Brixham, locally and working alongside GPs, would be able to strengthen intermediate Newton Abbot, Totnes and Dawlish for The four core elements to deliver this pharmacists and voluntary-sector care teams, with seven-day cover and patients who need them. approach locally are: organisations to provide the health input from doctors, pharmacists and and wellbeing services most frequently personal care teams. Stronger minor injuries units (MIUs): Clinical hubs: In each locality there used by local people. They would be people can’t rely on MIUs being open would be a clinical hub providing located in Ashburton/Buckfastleigh, Delivering these changes at present because staff and resources people with better access to medical, Bovey Tracey/Chudleigh, Brixham, are spread too thinly. By reducing them clinical and specialist services. These Dartmouth, Newton Abbot, Paignton, Investment: strengthening community- to three and concentrating our staff in hubs would offer a broad range of Totnes and Torquay. based services by investing in: Newton Abbot and Totnes, as well as services to people and, although one Dawlish, MIUs would open 8am to is proposed in each locality, they could Health and wellbeing teams: these are • Wellbeing coordinators 8pm, seven days a week and would be used by everybody irrespective of made up of the staff based in these have x-ray diagnostic services. • Clinics and services for people where they live. centres and would include community This means that MIUs in Ashburton, with multiple long-term conditions health and social care staff, mental Dartmouth (both currently suspended), The clinical hubs would offer services health professionals and voluntary Additional intermediate care Brixham and Paignton would close. such as outpatient appointments, organisations. Together they would • services to support people to return to specialist conditions clinics and organise and deliver services to meet maximum independence, in or close to Intermediate and domiciliary care inpatient services. By bringing services most of the local population’s health people’s own homes, in local residential together in a single location we would and social care needs. Discussions have already taken place reduce the need for people to travel and nursing homes. with local authority colleagues and with to Torbay Hospital to access services. Intermediate care provision: this is some care home operators to see how Fewer, safer community hospital beds: provided to people who need extra we can stimulate this market to provide Totnes and Newton Abbot would also many patients remain in hospital too support and care following a period greater provision. long because the community-based offer access to minor injuries units of ill-health. It is designed to help Into the future: Re-shaping community-based health services in Moor to Sea locality. A public consultation: Thursday 1 September to Wednesday 23 November 2016 2 Into the future Re-shaping community-based health services in the Moor to Sea locality 1. Consultation and benefi ts Moor to Sea: the potential impact 2. A new approach and delivering change 3. The potential impact 4. Taking part and fi nding out more 5. Complete the questionnaire MOOR TO SEA What would be different? community nursing, physiotherapy, For those whose GP is based in occupational therapy and social care Chillington, the proposals have little The Trust is not the main provider of support. impact other than if adopted, the A clinical hub would be established at community services in this area. Totnes Community Hospital that would nearest MIU and community hospital Community inpatient care and specialist include community inpatient beds and run by Torbay and South Devon NHS outpatient clinics for the population of a range of specialist services to reduce Foundation Trust would be in Totnes.
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