Health leaders have agreed plans to transform community rehabilitation services in Erewash by making more support available closer to people’s home.
NHS Derby and Derbyshire Clinical Commissioning Group (CCG) is working with NHS provider partners and the local authority to improve the range of community patient support so it more closely matches health needs.
Improvements will include:
Increasing the availability of care at home support spaces from 27 a month to 37 (known as pathway 1)
Increasing the availability for supportive bed care from three places to 11 (known as pathway 2).
As part of the changes 16 hospital care beds (known as pathway 3) will be available, compared to the current 24, to reflect increased care being available at patients’ homes, or in supportive care beds.
The transformation follows reviews of the type of care patients received and how it matched their clinical needs.
Research of the care for people who could not be discharged from an acute hospital without further support and rehabilitation covered:
Care and rehabilitation for patients well enough to be 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).
Zara Jones, Executive Director of Commissioning Operations for the CCG, said “We want to make the best use of our resources – as does the entire NHS – to make sure rehabilitation services match patients’ needs so they lead full and active lives after an illness.
“Our plans were shared with partner organisations across health and social care and are fully supported as we work closer together as a system for the benefit of all patients.
“We also made sure the views of local patients and the community were heard and considered throughout this process.
“There are excellent NHS staff and services in Ilkeston already so all we’re doing is improving the balance of what’s offered so we can look after people in the right way.”
William Jones, Chief Operating Officer for Derbyshire Community Health Services NHS Foundation Trust said: “We’re confident these plans support our patients and help them recover more quickly as they’re cared for in the most appropriate setting.
“The hospital is so much more than just beds – it serves the community as an outpatient hub, a Diagnostic and
Treatment Centre, and remains an integral part of the wider Erewash health service resource.”