Health leaders are inviting local people to come and talk to them about the transformation of community rehabilitation services in Erewash.
NHS Derby and Derbyshire Clinical Commissioning Group (CCG) wants to improve the range of patient support available so it more closely matches health needs in the community.
Improvements will include:
Increasing availability of care at home support spaces from 27 a month to 37 (known as pathway 1)
Increasing availability for supportive bed care from three places to 11 (known as pathway 2)
Continue to make 16 hospital care beds available, compared to the current 24, to reflect the increased care available at patients’ homes, or in supportive care beds (known as pathway 3).
The plans for transformation follow research carried out – including a specific, detailed study between February and May this year –which reviewed the type of care patients received and how it matched with their identified clinical needs.
The type of care evaluated was for people who could not be discharged from an acute hospital without further support and rehabilitation. This covered:
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, (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 (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 (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.
The CCG, together with partners from Derbyshire Community Health Services NHS Foundation Trust, which provide services both in the local area and at Ilkeston Community Hospital, will be among staff available to talk to at a series of drop in sessions. These will take place at Charnos Hall, Ilkeston, between 2pm and 6pm on:
Mon 15 July
Mon 29 July
Mon 12 August.
Dr Steve Lloyd, Medical Director for the CCG, said:“We want to make sure the right kind of care is available for patients to recover more quickly and closer to – or even in - their own homes.
“We understand talk about changing bed numbers at a local hospital may sound concerning but our plans are to increase the availability of care overall – not reduce it.
“The focus is on providing the best quality of care and the NHS as a whole is moving towards providing care closer to home wherever possible.
“We welcome people from across the community to come and talk to us about this and ask any questions they might have.
“There are excellent NHS staff and services in Ilkeston already so all we intend to do is ensure the balance of what’s offered keeps up with the type of care patients’ need – that way we can look after them in the right way.”
The plans have been shared with partner organisations across health and social care and received full support.
William Jones, Chief Operating Officer for Derbyshire Community Health Services NHS Foundation Trust said: “We’re talking to our staff regularly and they’re fully involved in these planned changes.
“We are confident these plans will support our patients and help them recover more quickly as they’re cared for in the most appropriate setting.”
Zara Jones, Executive Director of Commissioning Operations for the CCG said: “Robust evidence, both local and national, shows patients who are discharged to the right type of care when they come out of hospital recover more quickly.
“Work to make these sort of adjustments to the care services offered has already been very successful in north Derbyshire through our ‘Better Care Closer to Home’ initiative.
”We’re keen to hear from as many people as possible during our local conversations so we can share how plans will be implemented and understand what local people, patients, staff and other key organisations think about them.
“We will take on board all comments and make sure all implications of these changes are planned for.”
Further information is available at www.derbyandderbyshireccg.nhs.uk/have-your-say/engagements/changing-the-provision-of-community-rehabilitation-in-erewash/