Final Version Modernising healthcare services in Teignmouth & Dawlish Commissioned Consultation Report December 2020 Healthwatch in Devon, Plymouth & Torbay 1 Contents Introduction............................................................................................. 3 Executive Summary of Key Consultation Findings ............................................... 4 Background ............................................................................................. 6 Services in Teignmouth and Dawlish ............................................................... 6 Reasons for Change ................................................................................... 7 The Proposal ........................................................................................... 8 COVID-19 ............................................................................................... 8 Role of local Healthwatch ............................................................................ 9 Consultation Objectives ............................................................................. 10 Methodology ........................................................................................... 11 Data Reporting Summary ............................................................................ 15 Evaluation of the consultation process ........................................................... 16 Analysis of the consultation feedback about the proposal ................................... 18 Demographic Questions ......................................................................... 19 Main Survey Questions ........................................................................... 28 Public and Community Online Meetings Feedback ........................................... 61 Staff feedback .................................................................................... 64 Other options put forward for consideration and outcomes ................................. 65 Statement from Healthwatch in Devon, Plymouth and Torbay .............................. 69 Recognition ............................................................................................ 71 Appendices ............................................................................................. 72 Appendix 1 - Consultation Documents......................................................... 72 Appendix 2 – Community Groups contacted directly by local Healthwatch. ............ 73 Appendix 3 – Community Groups that accepted the invitation to participate .......... 77 Appendix 4 - Records of the online public meetings ........................................ 78 Appendix 5 - Summaries of each online public meeting .................................... 78 Contact us .............................................................................................. 88 Healthwatch in Devon, Plymouth & Torbay 2 Introduction Introduction The Devon Clinical Commissioning Group (CCG) is the organisation responsible for planning, commissioning (or buying) and developing healthcare services for the 1.2 million people who live in Devon. The stated aim of the CCG’s Coastal locality is to provide excellent integrated community health and care services in the Teignmouth and Dawlish area, and over a number of years it developed a proposal for changes they wanted to make to help achieve this aim. The background to the CCG proposal is a plan by Torbay and South Devon NHS Foundation Trust to build a new £8million Health and Wellbeing Centre in Brunswick Street, in the heart of Teignmouth, to house the town’s biggest GP practice and other health and care services. The CCG proposes moving some less frequently used outpatient services from Teignmouth to Dawlish. It sets out that no services currently being provided would be stopped, and all the services now provided in Teignmouth Community Hospital would stay in either Teignmouth or Dawlish towns. Part of the proposal is to move community outpatient services and clinics which consist of audiology, physiotherapy, podiatry as well as the specialist ear nose and throat – to the new Health and Wellbeing Centre in Teignmouth. These clinics are more frequently used by people in Teignmouth and Dawlish. Other specialist clinics would move to Dawlish Community Hospital, along with day case surgery. The final element of the proposal is to reverse an earlier CCG decision to provide 12 rehabilitation beds at Teignmouth Community Hospital. If the new proposal is approved, the CCG says Teignmouth Community Hospital would no longer be needed for NHS services and it would be likely to be sold by the Trust to generate funds for reinvestment in the NHS. Before any decisions are made about the new proposals, the CCG wanted to find out more about what local people think regarding modernising health and care services in the Teignmouth and Dawlish area. They appointed local Healthwatch in Devon, Plymouth and Torbay - the independent consumer champion for health and social care – to oversee a formal public consultation with the public, evaluate their response and learn how this new proposal may affect the people who use the services that may change. The independent report, written by Healthwatch in Devon, Plymouth and Torbay, details the feedback gathered and engagement undertaken and will be used by the CCG to inform them prior to any final decisions being made about the new proposals. Healthwatch in Devon, Plymouth & Torbay 3 Executive Summary of Key Consultation Findings Executive Summary of Key Consultation Findings • In total there were 1013 survey responses from across Devon, 98 households attended six public meetings, over 80 people attended seven community meetings and 44 people attended three staff meetings. • Most of the consultation survey feedback came from white British (92.3%) Teignmouth and Dawlish residents (90.43%) over the age of 55 (78.38%). There was a mix of gender, sexual orientation, disabilities, and religion. • More respondents had not used services at Teignmouth Community Hospital (56.66%) and Dawlish Community Hospital (68.90%) in the previous 12 months than had used services. Of those who had used services in the last 12 months, the most used services were Community Clinics (Teignmouth Community Hospital) and ‘Other’ (Dawlish Community Hospital). 137 respondents (13.52%) had received care at home in the Teignmouth and Dawlish area. • The majority of survey respondents (96.64%) fully understood the consultation proposal and thought integrated (joined-up) services are important (89.73%). Most respondents (83.81%) stated the Devon CCG document clearly explained the reasons for change and a similar majority (74.44%) said they had been ‘mostly’ or ‘completely’ provided with all the consultation information they needed to contribute their feedback. • 163 survey respondents said that the consultation document was comprehensive and sufficiently detailed, while others (65 people) felt that information was missing or inadequate; topics of concern included parking, statistics (e.g. on service usage at Dawlish Hospital), and figures (e.g. alternative proposals weren’t costed), and the moving of services. Some respondents (41) felt that the consultation document was biased towards the proposed changes (e.g. in favour of the new Health and Wellbeing Centre and closure of Teignmouth Community Hospital) and some questioned whether their feedback would be considered. • The majority of respondents (61.3%) supported the overall proposal, with more Dawlish residents (77.63%) supporting the proposals than Teignmouth residents (58.13%). Recurring issues raised throughout by residents included parking and traffic in Teignmouth town centre and transport and accessibility issues faced getting to Dawlish Community Hospital. Many (130 respondents) also had concerns about the quality and capacity of community-based care if the rehabilitation beds were to be closed and Healthwatch in Devon, Plymouth & Torbay 4 Executive Summary of Key Consultation Findings there were repeated objections to the closure of Teignmouth Community Hospital from some people. • The majority of respondents (63.18%) supported the proposal to move high-use community clinics from Teignmouth Community Hospital to the Health and Wellbeing Centre in Teignmouth town centre. Dawlish residents (72.81%) supported this more than Teignmouth residents (61.49%). • The proposal to move specialist outpatient clinics from Teignmouth Community Hospital to Dawlish Community Hospital was met with mixed feelings with more respondents saying they supported the proposal (44.92%) than those who did not support it (35.74%). 17.8% said they were ‘not sure’ about this proposal. Teignmouth residents were considerably less supportive of the proposed move than Dawlish residents. • There were similar mixed feelings to the proposal to move day case procedures from Teignmouth Community Hospital to Dawlish Community Hospital, with more respondents (45.11%) stating they supported the proposal than those who said they did not support it (35.14%). 18.46% responded that they were ‘Not sure’ about this proposal. Again, Teignmouth residents were less supportive of the proposed change than Dawlish residents. • Comparable results were found in feedback about the proposal to reverse the decision to establish 12 rehabilitation beds in Teignmouth Community Hospital, with more respondents (43.83%) saying they supported the proposal compared to those who stated they did not support it (31.49%). 22.21% said they were