NHS Tameside and Glossop Clinical Commissioning Group (CCG) has launched a consultation enabling residents of Tameside and Glossop to have their say on the way we deliver care for patients, usually older people, after leaving hospital or when they are at risk of being sent to hospital. This is known as Intermediate Care.
Intermediate Care includes two main elements; ‘Home First’ – the overarching principle of a range of services which support people in their own home or at a location in their local community and Intermediate Care beds – beds for people coming out of hospital requiring a package of care which cannot be provided at home, or for people who need a short stay away from home for support to prevent them needing admission to hospital. In Tameside and Glossop we have invested heavily in recent years in ‘Home First’ services such as our digital health service which enables residents in our care homes to be treated at home through the use of SKYPE, a community IV therapy team delivering care at home or a community setting avoiding hospital admissions and additional doctors called Extensivists to work with individuals living with complex ongoing health and care needs. We are also developing neighbourhood based services, with health and social care staff working closely together to support the populations of the five neighbourhoods in Tameside & Glossop. While this work will remain ongoing, it is our plans for Intermediate Care beds that are the focus of this consultation.
We are consulting on three options - to maintain current arrangements, for all bed based care to be provided in a single location or to develop a scheme of bed based intermediate care within local private care homes. Our preferred option in the proposal is to provide all bed-based Intermediate Care at a single location at the Stamford Unit on the Tameside Hospital site. In doing this, we would improve the quality and accessibility of intermediate care for residents across Tameside and Glossop as a whole, while focusing on and investing in providing care at home wherever possible. It follows almost three years of discussion involving patients, the public and NHS professionals.
The Stamford Unit is within the Tameside hospital site. It offers single room en-suite accommodation with good public transport links, parking facilities and is easily accessible for patients and relatives. It also means that patients can have closer access to the range of specialist services provided at the hospital should they be needed. One floor of the Stamford Unit has been designed to be dementia friendly with access to outside space and wandering routes, which will also enable us to provide care in a unit which is better equipped to support patients with dementia.
- In the last couple of years 847 patients stayed at Shire Hill - 40% of them lived within 5 miles of it. 84% of them lived within 5 miles of Stamford Unit.
- 80% of residents in Tameside and Glossop can reach the Stamford Unit in 45 minutes by public transport compared to 24% travelling to Shire Hill (weekdays, off-peak).
- 27% of patients from Shire Hill were readmitted back to the hospital as their condition required greater clinical support which cannot be provided at Shire Hill, but is more accessible from the Stamford site. One central location will reduce transfers which fragment the care pathway and create a poor experience for the patient themselves and their families.
Alan Dow, Chair of NHS CCG, said: “After long and careful consideration and having listened to what our patients tell us about wanting to be cared for at home wherever possible, the Clinical Commissioning Group are now consulting with the public about how we can best deliver Intermediate Care Services in a way which better suits their needs. I would encourage all residents to feed their views into the consultation.”
Karen James, chief executive of Tameside and Glossop IC NHS FT Said: “As the major provider of health and care services locally, Tameside and Glossop Integrated Care NHS Foundation Trust fully support this consultation on how we can improve local NHS services to meet the needs of patients in 2017 and in the future. This consultation provides local people with an opportunity to have their say on how this is done and I would encourage people to take part.”
Doctor Alison Lea, NHS CCG Governing body GP member and clinical lead for planned care, said: “Our approach to Intermediate Care has always been and will remain based around patient needs. With a focus on a robust offer of care that can be provided in the home or community, we now need your views on how we can best deliver our offer of bed-based intermediate care so that it remains high quality and affordable”.
To find out more about the options and to have your say please visit www.tamesideandglossopccg.org/intermediatecare or you can pick up a paper copy of the consultation at GP practices across Tameside & Glossop.
Consultation ends 15 November 2017.