Torbay and S Devon NHS Foundation Trust representatives to report, following invitation by this Committee.
Minutes:
The Committee received a presentation from Ann Wagner, Director of Strategy and Improvement and Dawn Butler, Deputy Director, Torbay and S Devon NHS Foundation Trust on:-
(a) Integrated Care Organisation New Model of Care
The NHS representatives gave the context of the two organisations merging together – Torbay and South Devon Care Trust and the former South Devon NHS Foundation Trust, as well as giving a summary of the recent Care Quality Commission report.
The new Model of Care comprised three main areas:-
-care for people on the ground in Teignbridge, Torbay and the South Hams, focussing on wellbeing and partnerships;
-personal approach and assessment for individuals, aiming to provide short term support and create less dependency, to enable people to live independently in their own homes for as long as possible, enabling people to feel more connected, not isolated;
-move away from bed based care and reducing or delaying the need for long term social care placements,. Reducing community hospital inpatient beds and acute escalation beds to divert investment into community teams who can offer care to people in their own home and also work more proactively to help prevent people from becoming unwell.
A video demonstrating how the ICO model was working together with the communities of Dawlish and Teignmouth to provide care and support to people outside of hospital was to be made available to members at:
Members comments/discussion included:-
-recognition of the difficulties the NHS faced and to do nothing was not an option;
-concern that the Clinical Commissioning Group (CCG) had not undertaken a normal consultation practice allowing the community to influence the outcome. This undermined local County Councillors as local representatives;
-costed models of doing and delivering had not been provided for engaging with the community, further undermining trust in the Trust;
-Teignmouth hospital still was closed when it was understood this would be for convalescence, resulting in local patients being sent miles away (eg to Exmouth hospital) for a bed.
-how the private sector could provide cost effective quality home care/residential homes when they were to make a profit;
-qualitative/quantitative data and scrutiny practices;
The NHS responded to all of the above and commented that:- local savings from the sale of community hospitals would be reinvested in the local community if the proposals went ahead; intermediate care teams and crisis response teams would remain NHS staffed; the importance of the voluntary sector and a resilient home care market in services; national work on future sustainable acute services/Accident and Emergency; joint executive body coordinating DCC, Torbay Council, NHS and the CCG.
The NHS representatives extended an invitation to the Committee to visit Teignmouth hospital to meet the team should members wish and would be happy to return to the Committee with ICO model data and more detailed information on this and the Sustainability & Transformation Plan (STP) Wider Devon, along with associated colleagues.
RESOLVED that the NHS representatives be invited along with associated colleagues,
to the next meeting of the Committee to further discuss the ICO model (including data) and the Sustainability & Transformation Plan (STP) Wider Devon.
(b)Sustainability & Transformation Plan (STP) Wider Devon
The NHS representatives also wished to give members an overview of the Sustainability & Transformation Plan (STP) Wider Devon, embargoed until 4 November 2016 and:-
The press and public having been excluded from the meeting for the remainder of this item on the grounds that exempt information may be disclosed, Members noted the Sustainability & Transformation Plan (STP) Wider Devon on the 5 year view for a clinically socially and financially sustainable health and care system to improve health, wellbeing and care. Key priorities were:-
Prevention & early intervention
Integrated models of care
Primary care
Mental health
Children & young people
Acute hospital & specialist services
Productivity.