Health leaders have approved plans today (6 June) to begin conversations with patients, staff and partner organisations about transforming community rehabilitation services in Ilkeston.
NHS Derby and Derbyshire Clinical Commissioning Group (CCG) wants to improve the range of support available to patients so it more closely matches the health needs of patients in the community.
Research has been carried out – including a specific, detailed study between February and May this year – to review what type of care patients received and how it dovetailed with their identified clinical needs.
The type of care evaluated was for people who could not be discharged from an acute hospital without some sort of further support and rehabilitation.
Care and rehabilitation for patients well enough to supported at home with visits from a team of professionals such as district nurses, community matrons and social care staff, known as Pathway 1
Patients who need more help but don’t need to be in a fully nurse-staffed medical ward, who can benefit from being looked after by social care staff, with clinical oversight from an advanced care practitioner under GP supervision, known as Pathway 2
Anyone who needs to spend the majority of their time in a bed on a medical ward looked after by nurses, with some rehabilitation therapy, known as Pathway 3.
It was found more care options to support pathways 1 and 2 would benefit patients by supporting quicker and more effective recovery and prevent problems such as loss of independence and condition.
Changes to the current kinds of services offered were outlined at the CCG’s governing body meeting at Toll Bar House in Ilkeston:
Increasing Pathway 1 availability for care at home support spaces from 27 a month to 37
Increasing Pathway 2 availability for supportive bed care from three to 11
Making 16 to 18 Pathway 3 hospital care beds available, from the current 24, to reflect the increased care available at patients’ homes, or in supportive care beds.
Dr Steve Lloyd, Medical Director for the CCG, said: “Clinically making these adjustments to the kind of care offered is definitely the right thing for patients.
“I can understand any talk about changing bed numbers at a local hospital may sound concerning but as we found in the north of the county when we instituted similar changes the quality of care nearer to home improves.
“There is robust evidence indicating that delay in transfer from hospital based care to care in the community is associated with poorer outcomes in terms of mobility and long-term ability to self-care.
“We’ve already got excellent staff and services in Ilkeston – we just need to make sure the balance of what is offered keeps up with the type of care needed so patients are looked after in the right way for them.”
The plans have been shared with partner organisations across health and social care and received full support.
Zara Jones, Director of Commissioning Operations for the CCG said: “Local and national evidence shows patients being discharged to the right type of care when they come out of hospital get better more quickly.
“Work to make these sort of adjustments to the care services offered has already been very successful in the north of Derbyshire through our ‘Better Care Closer to Home’ initiative.
“It has had really positive results for patients and the effectiveness of how services run so we’re proposing to put these improvements in place in Erewash.”
The CCG will be launching an “engagement” process later this month to share how the plans would be implemented and understand what local people, patients, staff and other key organisations think about them.
Further details about this will be shared at www.derbyandderbyshireccg.nhs.uk/have-your-say/engagements/