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 own homes, if that’s what they want
What have w e got now ? N ˚ of WTE Staff N ˚ of In-patient N ˚ of NHS In- Former PCT Area in Community Beds patient Sites Teams 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 outcomes, 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
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