Working in the heart of your community

JoinedUp Carein Belper

A better Health Service for BelperWith 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.

There is a lot to think about and now

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

as close to home as possible we will

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.

What will change?

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

take greater care of themselves. Our

joined up care approach will support

this and over the last few months

we have identified four areas where

local services must change to meet the

challenges we all place to face:

• Redesign community services

to support more people outside

of hospital

• 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

• Make services work better

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

want to look in detail at how people’s

behaviour has changed towards the

use of health care services and build

this into the vision for the future.

We will look at:

• Services provided – both long

standing and some that have been

introduced over the last few years

• The changing health needs, patient

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.

Expected increase in over 65 = 26%

Expected increase in over 80 = 33%

Expected increase in 80-90 years = 24%

Expected increase in over 90 = 75%

Over the next 10 years we can expect to see in people aged 65+

Expected increase in people aged 65

and living alone – 34%

Expected increase in people living with a limiting long term

illness – 36%

Expected increase in people diagnosed

with dementia – 47%

34%

33%26%

36%

24%

47%

75%

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.

What we have done so far to improve services in and around Belper

We have set up Community Support

Teams (CST)s across Belper and

the surrounding area to provide

preventative health care support to

patients with complex needs.

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.

This provides rapid access into

community services for patients who

need urgent healthcare but don’t need

to go into hospital.

This service helps GP’s and other

clinicians to make a single referral into

a central team who then coordinate

a rapid response from the most

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

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