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Friday 19 April 2019
Derbyshire Healthcare NHS Foundation Trust
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The NHS in North Derbyshire launches proposals for better care closer to home for more older people

21C #JoinedUpCare logo

Better joined-up care closer to home would become a reality for many older people in North Derbyshire under proposals at the heart of a public consultation beginning at 12pm on Wednesday 29 June and closing at 12pm on Wednesday 5 October.

Care closer to home for most patients is being proposed in place of these services for:

  • older people receiving inpatient care in a community hospital, usually following a spell in an acute hospital because of an illness or accident, and

  • older people with dementia who currently receive services from community hospitals.


The proposals respond to calls for better joined-up community-based care in or near to home. The vast majority of patients who currently have to go to a community hospital for these services would travel substantially less for their care under these plans and some would not travel at all.

No services would stop under these proposals until an alternative is in place. Under these proposals, those who need inpatient treatment will still be admitted.

Eleven public meetings about the consultation have been organised throughout North Derbyshire beginning on 4 July. Everyone is encouraged to have their say.

Dr Ben Milton, the Chair of NHS North Derbyshire Clinical Commissioning Group and a GP at Darley Dale Medical Centre, said:

“My patients often tell me that they don’t want to go into hospital and doctors now know that patients do better if they can avoid unnecessary hospital stays, which can lead to some older people never regaining their independence.

“Medicine has changed for the better over the years. This means much of the care traditionally provided in community hospitals is just as safe to give at home where many patients prefer to be.

“It means more older people can still receive the quality of care that they need, from an expert team based in the community, without the strain of travelling to a community hospital or an unnecessary admission.

“It is vital that we listen to your views and we urge everyone to have their say.”

Dr Steve Lloyd, Chair of NHS Hardwick Clinical Commissioning Group who is a GP at St Lawrence Road Surgery, added:

“The proposals in the consultation are the result of years of research and discussion with the public and colleagues in local health and social care services and the voluntary sector.

“We’ve done a lot of work to understand people’s needs. We’ve been told they want joined-up care closer to home because there’s no bed like your own bed. Doctors, nurses, therapists and social care staff also agree it’s best, where it’s safe and possible to do so.

“Investing in community teams to provide more care closer to home would mean we won’t need as many beds in our community hospitals. This will enable us to make necessary changes that will better equip us to meet the changing needs of the local population into the future.

“We would like to hear everyone’s opinions about our plans.”

It is the first public consultation that is part of a major ongoing programme of work called 21C #JoinedUpCare. 21C is a partnership between local NHS commissioners and providers, Derbyshire County Council and the voluntary sector.

The local commissioners of NHS services, Hardwick and North Derbyshire Clinical Commissioning Groups, are leading the consultation.

The plans allow for significant investment in community-based services to make these changes happen.

All the partner organisations of 21C agree staff would change the way they work so that care wraps around the patient and they would only need to tell their story once.

The investment would provide new community teams with extra and varied skills and knowledge making it easier to meet the needs of patients in or nearer to their homes.

These proposals were carefully developed over a period of years with members of the public, patients and health and care professionals including GPs and hospital doctors from different parts of North Derbyshire. They agree the proposals will be better for patients than the way services are currently provided.

Better community-based care means fewer delays with quicker support in place at home for patients who are sufficiently recovered to leave hospital. These patients will avoid the unwanted effects of an unnecessarily lengthy hospital stay.

The consultation document and questionnaire is available online and at surgeries and hospitals. More information about the proposals and the public meeting dates and venues is available at www.joinedupcare.org.uk