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Transcript of Torquay Locality Development. Torquay Abbey Road SurgeryBarton Surgery Brunel Medical Practice...
Torquay Locality Development
Torquay
Abbey Road Surgery Barton Surgery
Brunel Medical Practice (Babbacombe) Brunel Medical Practice (Shiphay)
Torquay
Brunel Medical Practice (St Marychurch) Castle Circus Health Centre
Chatto Road Surgery Chelston Hall Surgery
Torquay
Chilcote Surgery Croft Hall Medical Practice
Parkhill Medical PracticeOld Mill Surgery
Torquay
Sherwell Valley Medical Practice Southover Medical Practice
Draft in development
Poin
t of A
cces
s
Customer Service Centre Public
Torquay
Community Nursing Therapies Intermediate Care
Community Matrons3.0 wte x Band 7
Community Matron Nurse1.64 wte x Band 5
Community Nurse Lead1.0 wte x Band 7
Community Nurses2.0 wte x Band 73.65wte x Band 6
15.50 wte x Band 5Community MH Nurse
1.0 wte x Band 6Safeguarding Adults Nurse
1.0 wte x Band 6Peripatetic Nurses0.8 wte x Band 6
0.43 wte x Band 5Assistant Practitioners
3.32 wte x Band 4Healthcare Assistants
7.01 wte x Band 32.0 wte x Band 2
.Total Registered
30.02 wteTotal Non-Registered
12.33 wteGrand Total
42.35 wte
Occupational Therapy Lead1.0 wte x Band 7
Occupational Therapists1.78 wte x Band 77.91 wte x Band 61.4 wte x Band 5
Equipment Officer1.0 wte x Band 5Physiotherapists1.64 wte x Band 71.62 wte x Band 6
Total Registered 15.35wte
Total Non-Registered 1.0 wte
Grand Total 16.35 wte
Adult Social Care
Social Work Leads2.0 wte x Band 7
Senior Practitioners3.0 wte x Band 7Social Workers
14.4 wte x Band 62.0 wte x Band 5
Community Care Worker5.15 wte x Band 5
Total Registered 21.4 wte
Total Non-Registered 5.15 wte
Grand Total 26.55 wte
Intermediate Care Lead0.85 wte x Band 7
Occupational Therapists5.99 wte x Band 6Physiotherapists3.59 wte x Band 6
Community Nurses1.85 wte x Band 61.0 wte x Band 5
Social Worker0.96 wte x Band 6
Community Care Worker0 wte x Band 5
Assistant Practitioner1.0 wte x Band 4
Support Worker Intermediate Care
3.91 wte x Band 3
Total Registered 14.24wte
Total Non-Registered 4.91 wte
Grand Total 19.15 wte
Torquay Practice Population: 71,946 Population Over 65: 15,814 Population Over 80: 4,497
Torbay Acute Hospital
TORQUAY GPs
Abbey Road Surgery & Shiphay Surgery
Brunel Medical Practice
Barton Surgery Chilcote Surgery
Croft Hall Medical Practice
Chelston Hall Surgery
Park Hill Medical Practice
Southover Medical Practice
Total Registered1.0 wte
Total Non-Registered
20.81 wteGrand Total21.81 wte
Total Registered Staff82.01 wteTotal Non-Registered Staff39.29 wteGrand Total 126.2 wte
Zone Manager1.0 wte x Band 8b
Deputy Zone Manager1.0 wte x Band 8a
Health & Social Care Co-ordinator Manager
0.67 wte x Band 6Health & Social Care Co-
ordinators6.32 wte x Band 5
Health & Social Care Co-ordinators
1.80 wte x Band 4Referral Co-ordinators
1.53 wte x Band 3
Broker1.64 wte x Band 4
Admin4.85 wte x Band 31.0 wte x Band 2
Personal Assistant1.0 wte x Band 4Office Manager1.0 wte x Band 4
KEYTorbay and Southern Devon Health and
Care Trust Employed
Activity SummaryDirectly Age Standardised Rate (DSR) per 100,000 registered population2013/14- 2014/15 (annual average)
Activity
Torquay Locality
South Devon and Torbay
Count of registered patients DSR per 100,000 DSR per 100,000
A&E 24,466 33,710 24,032
MIU 1,828 2,598 12,883
Elective 69,022 12,647 11,101
Non-Elective 61,912 12,039 10,300
Outpatient - all activity 102,297 137,570 107,547
Outpatient - single patients 50,663 34,475 29,403
Source: SUS activity data
Outpatient Activity Heat Maps
Outpatient activity heat maps
GP Consultations: 511,276
Community Therapy and Nursing Services: 113,185
Secondary Care Outpatient Appointments: 115,144
A&E and MIU Attendances: 26,102
Radiology events: 28,021
Elective Acute Care: 12,523
Non Elective Acute Care: 7,805
Intermediate Care: 9,696
Community Hospital Admissions: 512
Totality of Health Service Use: Torquay Locality
Figures relate to activity not people and is based on available NHS data
Community Hospital Admissions- Torquay Registered Patients
Total Admissions 512
Average LoS (days) 15
Total bed days 7,506
Total Bed Stock N/A
14%
80%
4% 2%
Moor to Sea
Paignton & Brixham
Newton Abbot
Coastal
Overall Financial Position • As a CCG above our target resource allocation by £28m (c8%) • We need to reduce our spending to move closer to what the DH says we
should be spending on our population • Timescale and by how much is unclear • Can expect a reduced or nil level of growth • Will have to deliver efficiencies across the system to remain within the
funding available & still treat the health needs of an ageing population.• Shortfall in budget against contract £5million this year and £15 million
20126/17Target(£000)
Allocation (£000)
DFT(£000)
DFT(%)
2015/16 351,130 379,182 28,052 7.99
Community Hospital Costs
Hospital No of beds Bed Days Bed day Cost £No of Admissions
Avg. cost per Admission
ASHBURTON HOSPITAL 10 3388 £306.56 176 £5,901BOVEY TRACEY HOSPITAL 9 3088 £326.22 235 £4,287BRIXHAM HOSPITAL 20 6253 £261.81 431 £3,798DARTMOUTH HOSPITAL 16 4391 £331.58 387 £3,762DAWLISH HOSPITAL 18 5278 £362.28 440 £4,346NEWTON ABBOT HOSPITAL 20 7768 £342.61 595 £4,473PAIGNTON HOSPITAL 28 9462 £263.70 719 £3,470TEIGNMOUTH HOSPITAL 12 4476 £267.80 261 £4,593TOTNES HOSPITAL 18 6016 £285.04 364 £4,711
178 59,041 4064
Avg Bed Day Cost £297.90
Avg cost per admission £4,328
MIU Costs
Hospital AttendancesCost Per Attendance
Ashburton MIU 268 £541.99Brixham MIU 3081 £93.56Dartmouth MIU 3340 £64.73Dawlish MIU 3851 £71.94Newton Abbot MIU 16453 £51.22Paignton MIU 3274 £71.45Teignmouth MIU 3492 £57.74Totnes MIU 5665 £85.78
50,244
£69.77Avg. MIU Attendance Cost
Community Nursing Costs
Locality Activity Avg Cost
Coastal 32,322 £32Moor to Sea 32,632 £38Newton Abbot 34,813 £34Paignton/Brixham 49,283 £34Torquay 43,228 £32Average cost £35