Safe Effective Care Within a Budget: - Public response to feedback form Raw data Key: Preferred Option/s Code All beds at NDDH B 2 community sites A Bideford and Holsworthy A1 NDDH + one other CH Site C Bideford and Ilfracombe A2 NDDH and Bideford C1 Bideford and South Molton A3 NDDH and Holsworthy C2 Holsworthy and South Molton A4 NDDH and Ilfracombe C3 Holsworthy and Ilfracombe A5 NDDH and South Molton C4 Ilfracombe and South Molton A6 Other freetext No. Preferred Reasons (inc criteria) Ilfracombe Least Reason (inc Criteria) How well have Other options Do you understand Questions on home Anything else Staff (Y/N) option code solution preferr we explored home based care? based care ed the options (1 - option 4) code 1 C2 : NDDH could provide the Not B Option B: All beds at NDDH. Not well at all Your explored options are limited, some What you say cannot no I fear that the NHS is N best continuity of care included This is the least viable in that are non-viable, and all appears to be be believed. It is shortly going to for frail and elderly because it terms of access, with many based on short term expediency that is simply unworkable. almost self-destruct. patients following is not viable patients who would prefer to driven by the need to save £11m of the What will happen, There are too many admission and treatment in the be nearer to home and their NDHCT budget in this financial year. It despite all other factors that are for an acute condition. It 2015/2016 relatives. NDDH is an acute should be borne in mind that to isolate the protestations to the in play, a lot of which would provide ready financial hospital with a broad range hospital care needs for North Devon into a contrary, is that the you have not access to consultant year. of expertise in this area. It is single short term view is in my opinion elderly will be mentioned that expertise and diagnostics However it not well experienced in the flawed and will lead to disaster. In short it neglected, impact on your and reduce effects of should be care of post acute recovery will not work. There should have been inadequate care decisions. For trauma on elderly and strongly and rehabilitation, as is the provided a scoping study covering the plans that are not fit example how is the frail patients through considered case for all acute NHS immediate 1 - 5 years, medium term 5-10 for purpose will be trust paid for by way moving them to a to replace hospitals. Consultants and years and longer term 10 - 15 years needs produced, if at all. of treating and caring satellite site following the medical teams are more for the various communities. Instead it People will not for visitors in the their acute care. community geared and experienced in appears that short sited knee jerk reaction receive adequate end county? What is the Holsworthy community bed acute medical and trauma has led to tramline thinking. There seems to of life care. The cash flow situation hospital is able to provide allocation treatment. End of Life care in have been no "end goal" other than the incidence of with regard to these rehabilitation care at NDDH at NHS hospitals is generally drive to save money because of the current complaints will rise. payments? Is it not following stay in an acute the earliest poor, as is palliative care. political will to reduce current spending to When you can time for the NHS to bed at Exeter, Plymouth opportunity NDDH is no different. enable growth. I think a more robust and produce something start claiming or NDDH. Access to . NDDDH Palliative care and end of life substantial case could have been made to that is payment for self NDDH from the environs bed care requires an expertise of Government to avoid the current situation. understandable then inflicted injury i.e. around Holsworthy is occupancy its own and the extra burden Fundamentally all that is being achieved is I can start asking sports accidents or virtually impossible to the does not placed on acute medical the abandonment of satisfactory care of the questions. At the accidents at work majority of relatives due currently teams and their elderly in order to pay for re-educating a moment there is too and the longer term to no viable transport have any management would render generation who self inflict illness and injury little information on implications?. The links other than car. NHS community this option non-viable. and demand far too much without the which to base any use of GP surgeries staffing at Holsworthy is bed willingness to pay. practical questions. and medical centres 2 A Ilfracombe & Torrington The elderly & infirm Y Community Hospitals, cannot look after Beds necessary at top & elderly & infirm bottom of our area relatives. The cover provided looks ok on paper but does not work well in practice. 3 A4 Both isolated B Option B: Access issues 3 Do you have step up Y communities long way / step down from Barnstaple resource. How will you fill gap in cover availability on which so much of this relies. 4 C 4 N 5 A We feed a very large C Option C: Distance for S.M. 4 No Start living in the real N rural area. One of the patients. Lack of public world!! You will not largest in Devon. Paying transport from 6.45pm from be saving costs by nurses to travel around Barnstaple. Cost of travel. taking beds away this area + travel cost will Cost of paying nurses to from our community give you a far greater travel & travel times! Rural hospitals. Paying [illegible] than looking areas would have great nurses to travel etc. after them in one place. difficulty getting to you. will cost as much if Particular elderly people not more than having who don’t drive. them in place. 6 A4 (Holsworthy + South B Option B: Patients, families Impossible to answer as I am not an expert The increase in I couldn't see how to N Molton (or Ilfracombe) 1, have to travel excessively. If and don't understand the roles of all the community care staff fill this in online. I 3 a b c d, 5, 7 Holsworthy all community hospitals different management layers & didn't seem to have can't believe that is furthest from NDDH & close, care staff will also organisations involved. been costed. there are only 11 public transport is non spend a larger part of their Apologies if I missed carers in Holsworthy existent in the southern time travelling, to deliver it but only had a area as shown in the parishes in Torridge for care in the community. couple of hours to table. I know at least accessing NDDH (and read all the info. And 6 and I only know a getting back again!). heard about local tiny proportion of the Admission levels to consultation event population. We have Holsworthy are high. after it had already lost our happened, from the community hospital weekly newspaper. at Winsford, Halwill Junction, please let us have some Holsworthy beds. 7 A4 Difficulty for relatives to B 4 Care in the home will I nursed my late N visit if patients were in never work in this husband for the last N.D.D.H. This is approx 1 very rural area. It 12 months of his life - hour drive - 2014 the cost would be a disaster if he was upstairs and of hospital car from Holsworthy hospital bed ridden. I tried Holsworthy to Barnstaple closed. care workers but, was £31 - taxi would be they arrived when much more. they could often 3/4 - 1/2 to late. If I had not been able to do all the caring myself my husband would have been lying in soiled and wet pads for hours. My husband was lucky I was able to do the care. What about the partners who would be unable to? 8 A1 Holsworthy patients have B Option B: A lot of people I 4 Option 0 do nothing at all what happens I understand it but A lot of my family N a lot of frail people + find personally know when they then? putting this into members have died it hard to travel to were at the end of their life practice when nurses in Holsworthy Barnstaple. We have they wanted to die at are already pushed to hospital. The poor transport links. Holsworthy hospital, people their caseload. atmosphere is so Holsworthy hospital don't want to die miles away different. A lot more should be kept because from family at NDDH. friendly. By cutting it’s the furthest than the beds there will bed other hospitals. blocking , NDDH will never cope. Community staff will not cope with workload. 9 A4 (Holsworthy + South B Option B: Not enough beds How - people at The longhouse will N Molton (or Ilfracombe) now, access for family, lack present in work with the Holsworthy meets all of transport. Impact on local Holsworthy hospital hospital for the aspects of the criteria. communities. Impact on only stay until they benefit of patients, Ilfracombe, South Molton patients being kept outside are able to return carers and family - it are both rural. It is not their own community. home - what is the needs the hospital to only the people and their alternative? For the function effectively families living in the terminally ill, for all. towns, it is the people Holsworthy is a from outlying areas.