Norfolk PCT Mark Taylor, Director of Provider Services What is - - PowerPoint PPT Presentation

Norfolk PCT

Mark Taylor, Director of Provider Services

What is ‘Intermediate Care’?

• Not ill enough to be in

acute hospital but not well enough to be home unsupported

• Most services delivered

in people’s homes but also in beds

• Need to get the balance

right between home/hospital

• Keep people out of hospital and in their
• wn homes, if that’s what they want

What have w e got now ?

Former PCT Area N˚ of WTE Staff in Community Teams N˚ of In-patient Beds N˚ of NHS In- patient Sites Broadland 17 24 1 North Norfolk 10 58 4 Norwich 31 32 1 Southern Norfolk 11 52 2 West Norfolk 51 35 1 Total 120 201 9

So w hy do w e w ant to change?

• We believe we can provide more care for people at

home and help keep them out of hospital

• By concentrating our beds onto fewer sites we can do

more with our resources and get better outcomes for patients

• We believe that our proposals provide better value for

money in the long term for local people

What are w e proposing?

• To provide an additional 40 nurses, therapists &

support workers to deliver home based care – an increase of around 33%

• To re organise our beds into 3 main sites providing

118 beds, with a further 40 beds spread across the county.

• To provide a specialist unit dedicated to helping

people to rehabilitate after a stroke.

What is the evidence for this?

• Over the last 3 years several home based services

across Norfolk have developed very successfully and received very positive feedback from patients & carers.

• Highest satisfaction ratings & very low level of

complaints

What is the evidence for this?

• There are a number of national studies which have

demonstrated the value of a mix of home based care with beds being available for those who need them

• Studies have shown that having well resourced, trained

staff to provide dedicated rehabilitation get the best

• utcomes, eg for strokes.

What is the evidence for this?

• Clinicians have carried out local audits which have

shown that with some support available for people at home, 7 days a week, we can safely get people out of hospital quicker and use less hospital beds (by around 28-30%)

So w hat are w e consulting on?

• Strengthening home based services by an additional

40 nurses, therapists and support workers

• Reducing bed numbers from 201 to 158, with 3 main

centres for NHS beds:

• Dereham (66 beds)
• Norwich (26 beds)
• Either Kelling or N. Walsham (26 beds)

So w hat are w e consulting on?

• A further supported 40 beds across the county at a

range of locations

• Within the beds at Dereham providing a dedicated

Stroke rehab unit for patients who need it.

So w hat does this mean for community hospitals?

The current beds at Benjamin Court, Fakenham, St Michaels Hospital, Swaffham Hospital, and Ogden Court, Wymondham and either Kelling or N. Walsham would close. Other outpatient & other services would continue at Swaffham, Wymondham, N. Walsham & Kelling St Michaels Hospital and Benjamin Court may close

But………

• We have committed to explore alternative uses for

some of these sites such as Supported beds, Transitional beds, or Long Term (Continuing) Care

Consultation

We want to know:

• What do you think of our overall proposals?
• Do you agree with our preferred option?
• From the 2 North Norfolk sites, which do you prefer?
• Anything else you might want to say.

Consultation

• Period runs from 6th March - 5th June
• Return the question page in Consultation Document
• Email: yourviewsmatter@norfolk-pct.nhs.uk
• Use our website: www.norfolk-pct.nhs.uk
• Write to us (no stamp needed)

Our Address

The Communications & Public Involvement Dept FREEPOST ANG20396 Norfolk PCT c/o St Andrews House St Andrews Business Park Northside Norwich NR7 0HT

Public meetings

Date Time Venue

Friday, 23 March 10.00 am to 2.00 pm Cromer Parish Hall, 65 Church Street, Cromer, NR27 9HH Thursday, 29 March 10.00 am to 2.00 pm Fakenham & District Community Centre, Oak Street, Fakenham, NR21 9DY Wednesday, 4 April 10.00 am to 2.00 pm Holt Community Centre, Kerridge Way, Holt, NR25 6DN Tuesday, 17 April 10.00 am to 2.00 pm Memorial Hall, Norwich Street, Dereham, NR19 1AD Wednesday, 18 April 4.00 pm to 7.00 pm Swaffham Community Centre, The Campinglands, Swaffham, PE37 7RB Tuesday, 24 April 10.00 am to 2.00 pm The Community Centre, New Road, North Walsham, NR28 9DE Friday, 11 May 10.00 am to 2.00 pm Central Hall, Back Lane, Wymondham, Norfolk, NR18 0QD Wednesday, 16 May 10.00 am to 2.00 pm St Andrews and Blackfriars Halls, St Andrew’s Plain, Norwich, NR3 1AU Wednesday, 23 May 5.00 pm – 7.30 pm Aylsham High School, Sir Williams Lane, Aylsham, NR11 6AN