Joined Up Care in Belper Working in the heart of your community
A better Health Service for Belper With your help we can make the health services in Belper and the surrounding areas better. NHS Southern Derbyshire Clinical Commissioning Group brings together local doctors and health professionals to plan and buy health care for people in Derby and southern Derbyshire. We work with hospitals, GP practices, councils and other healthcare professionals to improve and modernise how we provide healthcare services in southern Derbyshire. Together, we are aware that changes need to be made to our health and social services, to make sure they are fit for the future needs of the Belper people. We are now starting to look at all the health care services in Belper and the surrounding areas and we will need your help over the coming months to make sure we have the right care in place now and in the future. Why we are reviewing our health care services. NHS and care organisations in South Derbyshire have come together to plan changes to the way local services are provided to make them fit for the future. The overall vision is to make sure patients can plan their care with health, social care and other services that work together to understand their needs and those of their carer and to achieve the best results. This evolution towards our vision of joined up care is only achievable through organisations working in partnership with each other and with local people. We must transform local services in the face of significant changes in our local population i.e more people with complex health needs and work closely together with partners to be at our best and the need to make the best use of taxpayers money. We are proud of the health care services provided for the people in Belper and the surrounding areas and we want to continue to provide effective, safe and high quality health care services for all. National Picture The UK has one of the most envied health and care systems in the world, as the whole population funds health and social care for everyone, with support from voluntary and other sectors in delivering services. But the current system is under strain due to a number of factors, including: An increasingly elderly population people are living longer and have more complex health and care needs The changing needs and desires of the population people want quick access for increasing complex care and would like their care delivered close to home Skills shortages and recruitment challenges of staff Services being provided from some buildings which are old and unsuitable for modern day health and care Big financial challenges.
What will change? Make services work better There is a lot to think about and now as close to home as possible we will The health and care community in South Derbyshire has to look at how services are going to change and work together in future, to give people better access when they need them, have a better experience of the service when it is being used and have a better results from the care they receive. We need to move more care from specialist, hospital-based services to a model where more care is provided in the community and patients are given the confidence and skills to together to make people spend time in hospital only when absolutely necessary and can get care more easily without moving between services What does this mean for health care services in Belper and the surrounding areas We need to review how our health and care services are provided in Belper to understand how the changing health needs of the local population may affect the services needed. We is the time for us all to start to consider how we can reshape the services we provide to make sure they are fit for the future. We know people want to live as independently as possible for as long as possible and there is much evidence that shows by providing good joined up care across health and social care, means more people can manage their health condition at home. Providing rapid access to services to manage a crisis when they happen and supporting people to stay at home or increase patient and carer satisfaction and quality of life. Information to think about What we know about the people living in Belper Belper is part of Amber Valley and we know that by 2025 the population of Amber Valley is expected to grow by 5 per cent from 123,900 to 134,000 with much of the growth happening amongst the oldest people. take greater care of themselves. Our want to look in detail at how people s joined up care approach will support behaviour has changed towards the this and over the last few months use of health care services and build we have identified four areas where this into the vision for the future. local services must change to meet the challenges we all place to face: Redesign community services to support more people outside We will look at: Services provided both long standing and some that have been introduced over the last few years 26% in over 65 = 26% 33% in over 80 = 33% 24% in 80-90 years = 24% 75% in over 90 = 75% of hospital The changing health needs, patient Transform general practice to make sure it can manage growing demand Improving care and support for people and their families and carers at the end of their life expectations and quality of the services provided The location of where services are provided to make sure these meet people s needs, healthcare standards and are fit for providing healthcare now and for the future. Over the next 10 years we can expect to see in people aged 65+ 34% in people aged 65 and living alone 34% 36% in people living with a limiting long term illness 36% 47% in people diagnosed with dementia 47%
What we have done so far to improve services in and around Belper This provides rapid access into community services for patients who need urgent healthcare but don t need We have set up Community Support to go into hospital. Teams (CST)s across Belper and This service helps GP s and other the surrounding area to provide clinicians to make a single referral into preventative health care support to a central team who then coordinate patients with complex needs. a rapid response from the most Each CST has a care coordinator who has the vital job of bringing together and helping to coordinate all the relevant services that are needed to care for a patient as near to home as possible such as secondary care (hospital), primary care (GP), community care (eg District Nurse), social care, mental health, out of hours and voluntary organisations. We have set up a rapid access route for referring patients into voluntary sector services, providing a quick and easy way to identify and put people in touch with the voluntary sector services available to support people s health and care needs. We have also set up a clinical single point of access for community services. appropriate community service to meet the patients need; District Nursing, Community Matron, community therapies (physiotherapy, speech and language), all with the aim of supporting people to stay at home or as close to home as possible to maintain independence and quality of life. There are many medical conditions that will always require care in a hospital setting, however what we want to do is make sure that when they do occur we can make the hospital stay as short as possible and support people to go directly home to rehabilitate. To help us achieve this we have established Virtual Wards where patients remain under the direct care of the Hospital consultant but receive the care in their The next steps We have already started to focus on: What are people s healthcare needs now and what do we expect them to be in five, ten, 15 years and into the future? What services are available now? How can we improve services? How can we make sure we can afford this now and in the future? The answers to these questions will allow us to develop local health services which meet the needs of local people and are joined up well with other services that will be suitable in the long term. We want to talk to you during the autumn about developing options for improving services so that everyone has an opportunity to give us their views. own homes delivered by community health teams.
If you would like to talk to us about the work we are doing over the coming months please contact Claire.Haynes@southern derbyshireccg. nhs.uk or call 01332 868 677 If you need help accessing this document, please email enquiries@ southernderbyshireccg.nhs.uk or call 01332 868730 To keep up-to-date on where we will be and when please sign up for email alerts please visit our website www.southernderbyshireccg.nhs.uk Working in the heart of your community