Moor to Sea Locality Development
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1 Moor to Sea Locality Development
2 Moor to Sea Locality Ashburton Community Hospital Bovey Tracey Community Hospital Dartmouth Community Hospital Totnes Community Hospital
3 Moor to Sea Locality The Surgery Ashburton Riverside Surgery Bovey Tracey Buckfastleigh Medical Practice Tower House Surgery Chudleigh
4 Moor to Sea Locality Dartmouth Medical Practice Leatside Surgery Totnes Catherine House Surgery Totnes
5 Complex Care Team Point of Access Moor to Sea Practice Population: 53,729 Population Over 65: 13,916 Population over 80: 3,739 TSDHCT & DCC Employed Workforce wte Total Non Registered wte Total = wte Leatside Surgery TOTNES AND DARTMOUTH GPS Dartmout h Medical Practice Totnes & Dartmouth Catherine House Surgery Care Direct Moor to Sea Public Buckfastleig h Medical Centre MOORLAND GPS The Bovey Tracey & Chudleigh Practice Moorland Ashburton Surgery KEY Torbay and Southern Devon Health and Care Trust Employed staffing as at Devon County Council Employed Section 256 Monies Funded but employed by TSDHCT Totnes & Dartmouth Moorland Community Nursing Intermediate Care Therapies Therapy Manager 1.0 wte x Band 8 Social Services Community Nursing Therapies Social Services Complex Care Team Zone Manager 1.0 wte x Band 8b Cluster Co-ordinator 2.0 wte x Band 4 Non-registered = 3.0wte Community Nursing Team Leader 1.0 wte x Band 7 Community Matron 1.0 wte x Band 7 Community Nurses 1.85 wte x Band wte x Band wte x Band 5 vacancy Assistant Practitioners 2.0 wte x Band 4 Healthcare Assistant 1.0 wte x Band 3 Phlebotomist 0.67 wte x Band wte Total Non Registered 3.67 wte Grand Total = wte Discharge Liaison Sister 0.8 wte x Band 6 0.8wte INTERMEDIATE CARE Occupational Therapist 1.0 wte x Band 6 Physiotherapist 1.0 wte x Band 6 Support Worker 1.0 wte x Band wte Total Non Registered 1.0 wte Grand Total = 3.0 wte TOTNES Physiotherapy Team Leader 0.8 wte x Band 7 Occupational Therapist 0.61 wte x Band 6 Physiotherapist 1.0 wte x Band wte x Band 5 Multi-link Support Worker 0.53 wte x Band wte x Band 3 Admin 0.6 wte x Band wte Total Non Registered 1.93 wte Grand Total 5.34 wte DARTMOUTH Physiotherapist 1.0 wte x Band wte x Band 5 Occupational Therapists 1.0 wte Band wte Band 5 Physiotherapy Technician 0.63 wte x Band 4 Therapy Assistant 0.4 wte x Band wte x Band wte Total Non - Registered 1.59 wte Grand Total 5.59 wte Practice Manager 1.0 wte x Grade H Community Care Workers 2.0 wte x Grade E Social Workers 1.0 wte x Grade G Social Worker vacancy 1.0 wte x Grade G Occupational Therapist 1.0 wte x Band wte Total Non Registered 2.0 wte Grand Total = 6.0 wte Community Nursing Team Leader 1.0 wte x Band 7 Community Matron 0.91 wte x Band 7 Team Leaders 2.0 wte x Band 6 Community Nurses 6.3 x Band 5 Healthcare Assistant 2.25 wte x Band wte x Band 2 Admin 1.1 x Band wte Total Non Registered 5.05 wte Grand Total = wte Therapy Manager 0.48 wte x Band 7* Physiotherapist 0.92 wte Band wte x Band 6 Occupational Therapist 1.58 x Band wte x Band 5 Support Worker Intermediate Care 1.0 wte x Band 3 Rehab Assistant 0.43 x Band 3 Physiotherapy Assistant 0.75 x Band wte Total Non Registered 2.18 wte Grand Total = 8.44 wte Intermediate Care Practice Manager 0.6 wte x Grade H Community Care Worker 2.0 wte x Grade E Social Worker 2.0 wte x Grade G Occupational Therapist 0.5 wte x Band wte Total Non Registered 2.00 wte Grand Total = 5.1 wte Totnes Community Hospital Torbay Acute Hospital N.B// This includes only Permanent and Fixed Term Temporary Posts therefore Bank and Agency staff are excluded *Indicates where a role is divided across multiple teams (i.e. Management & Team Leaders that are responsible across more than one area or where support may be required in line with demand not necessarily divided equally). Dartmouth Community Hospital Bovey Tracey Hospital Torbay Acute Hospital Ashburton & Buckfastleigh Hospital Draft in development
6 Activity Summary Directly Age Standardised Rate (DSR) per 100,000 registered population 2013/ /15 (annual average) Activity Moor to Sea Locality Count of registered patients South Devon and Torbay DSR per 100,000 DSR per 100,000 A&E 8,775 15,845 24,032 MIU 10,384 19,424 12,883 Elective 11,412 9,318 11,101 Non-Elective 8,869 7,827 10,300 Outpatient - all activity Outpatient - single patients 49,533 83, ,547 28,609 24,808 29,403
7 Outpatient Activity Heat Maps
8 Outpatient Activity Heat Maps
9 Totality of Health Service Use: Totnes & Dartmouth GP Consultations: 175,584 Community Therapy and Nursing Services: 39,321 Secondary Care Outpatient Appointments: 32,896 A&E and MIU Attendances: 10,747 Radiology events: 8,634 Elective Acute Care: 3,762 Non Elective Acute Care: 2,083 Intermediate Care: 1,932 Figures relate to activity not people and is based on available NHS data Community Hospital Admissions: 739
10 Totality of Health Service Use: Ashburton, Buckfastleigh, Bovey Tracey and Chudleigh GP Consultations: 178,665 Community Therapy and Nursing Services: 36,490 Secondary Care Outpatient Appointments: 33,709 A&E and MIU Attendances: 7,802 Radiology events: 7,460 Elective Acute Care: 3091 Intermediate Care: 2,964 Non Elective Acute Care: 1862 Figures relate to activity not people and is based on available NHS data Community Hospital Admissions: 402
11 Totality of Health Service Use: Moor to Sea Locality GP Consultations: 354,249 Community Therapy and Nursing Services: 76,841 Secondary Care Outpatient Appointments: 66,605 A&E and MIU Attendances: 18,549 Radiology events: 16,094 Elective Acute Care: 6,853 Intermediate Care: 4,896 Non Elective Acute Care: 3,945 Figures relate to activity not people and is based on available NHS data Community Hospital Admissions: 1141
12 Dartmouth Community Hospital Utilisation Admissions (Patients registered within ) Admissions (Patients registered outside ) 43% 57% Total Admissions 375 Of which, patients registered within the Of which, patients registered outside Average LoS (days) 12 Total bed days 4,514 Beds 16 Totnes Community Hospital Utilisation Admissions (Patients registered within ) Admissions (Patients registered outside ) 51% 49% Total Admissions 364 Of which, patients registered within the Of which, patients registered outside Average LoS (days) 17 Total bed days 6,107 Beds 18
13 Ashburton Community Hospital Utilisation Admissions (Patients registered within ) Admissions (Patients registered outside ) 43% 57% Total Admissions 177 Of which, patients registered within the Of which, patients registered outside Average LoS (days) 19 Total bed days 3,354 Beds 10 Bovey Tracey Community Hospital Utilisation Admissions (Patients registered within ) Admissions (Patients registered outside ) 44% 56% Total Admissions 225 Of which, patients registered within the Of which, patients registered outside Average LoS (days) 13 Total bed days 63,021 Beds 9
14 Moor to Sea Locality Community Hospital Utilisation Admissions (Patients registered within ) Admissions (Patients registered outside ) Total Admissions 1,154 Of which, patients registered within the Of which, patients registered outside Average LoS (days) % 56% Total bed days 13,996 Beds 53
15 Overall Financial Position As a CCG above our target resource allocation by 28m (c8%) We need to reduce our spending to move closer to what the DH says we should be spending on our population Timescale and by how much is unclear Can expect a reduced or nil level of growth Will have to deliver efficiencies across the system to remain within the funding available & still treat the health needs of an ageing population. Shortfall in budget against contract 5million this year and 15 million 20126/17 Target ( 000) Allocation ( 000) DFT ( 000) DFT (%) 2015/16 351, ,182 28,
16 Community Hospital Costs Hospital No of beds Bed Days No of Bed day Cost Admissions Avg. cost per Admission ASHBURTON HOSPITAL ,901 BOVEY TRACEY HOSPITAL ,287 BRIXHAM HOSPITAL ,798 DARTMOUTH HOSPITAL ,762 DAWLISH HOSPITAL ,346 NEWTON ABBOT HOSPITAL ,473 PAIGNTON HOSPITAL ,470 TEIGNMOUTH HOSPITAL ,593 TOTNES HOSPITAL , , Avg Bed Avg cost per Day Cost admission 4,328
17 MIU Costs Cost Per Hospital Attendances Attendance Ashburton MIU Brixham MIU Dartmouth MIU Dawlish MIU Newton Abbot MIU Paignton MIU Teignmouth MIU Totnes MIU , Avg. MIU Attendance Cost
18 Community Nursing Costs Locality Activity Avg Cost Coastal 32, Moor to Sea 32, Newton Abbot 34, Paignton/Brixham 49, Torquay 43, Average cost 35
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