"Step by step"
May 2007 Reforming community services in Wiltshire Step by step The NHS in Wiltshire is changing. Wiltshire Primary Care Trust is leading a series of reforms and improvements, which will affect a number of NHS services in towns and villages across the county. This monthly newsletter will keep you up-to-date with progress and plans. The changes – a simple guide Just 10 per cent of all NHS care is provided in hospitals. This might seem surprising, as most of us first think about big town or city hospitals, when we think about the health service. But appointments with your family doctor, health visitor or home-visiting nurse or therapist; consultations with a Home-based care pharmacist; and outpatient appointments at clinics and health centres make up the vast majority of NHS services. In Wiltshire, we want to invest more in the services which most people use most often. This means moving more resources into local communities and closer to people’s homes. And it doesn’t necessarily mean providing services in community hospitals. If you need a dressing changed, or a regular blood pressure test, you won’t have to go to a hospital. The NHS in Wiltshire will bring the service as close to you as possible. Some services will even take place in the most local place of all – your home. Money myths As a public organisation, spending tax-payers’ money, the NHS in Wiltshire needs to make sure it lives within its means. But the changes to community services are not designed to save money. They will make sure we deliver the right services, to the right people, in the right place, at the right time. If we work more efficiently, we can invest more of our funds in frontline care for patients. Reforming community services in Wiltshire Step by step In your neighbourhood Keeping staff informed Teams of skilled nurses, therapists and other clinical Staff are the biggest asset of professionals are being recruited to join 11 neighbourhood the NHS. Wiltshire PCT is teams covering Wiltshire from this summer. determined to make sure all Each neighbourhood team will provide a range of health and staff are kept up-to-date with care services seven days a week, from taking blood tests, developments and changes changing dressings, carrying out assessments and providing which might affect them, or palliative care for people at the end stages of their lives who to which they can contribute. want to stay in their own home. Individual In south Wiltshire, three teams are already up and running Every member of PCT staff and the rest will be established from the beginning of July. affected by the changes is The areas that the teams will cover are: receiving a personal letter • Salisbury City and Downton from Jenny Barker, • Amesbury Managing Director of • Tisbury Wiltshire Community Health • Trowbridge Services (the provider service arm of Wiltshire • Bradford-on-Avon and Melksham PCT) setting out what the • Warminster and Westbury changes mean for them • Chippenham individually. • Calne, Corsham and Box • Malmesbury, Sherston, Cricklade, Wootton Bassett Teams and Purton Staff affected by the setting • Devizes and its surrounding villages up of neighbourhood teams • Marlborough, Pewsey, Ludgershall and Tidworth are also being given the Neighbourhood teams will work to keep patients out of opportunity to join a series of hospital by providing care in local clinics, in individual consultation meetings on the patient’s homes, or in residential and nursing homes. Every implementation of the team will deliver care seven days a week. changes across Wiltshire. For the time being those patients who need care overnight Answers will stay in hospital. The neighbourhood teams will gradually Human Resources start to take over this care later in the year. representatives are attending Frontline nurses and therapists are already involved in each meeting to answer developing the ways the teams will work on the ground. Staff questions. Questions and are already signing up to join the teams and formal answers are being posted on recruitment to all the posts is underway. the PCT’s Intranet so staff who haven’t attended a meeting can find out what has been discussed. Reforming community services in Wiltshire Step by step Spotlight on: Devizes Devizes community hospital will stop taking inpatients from the end of June 2007, as the first of the new neighbourhood teams is set up in the market town. No closure The hospital will continue to provide a range of services, including outpatient x- ray, physiotherapy, and In your local community podiatry. Transfer Patients currently in Local changes Devizes community hospital will either Because some of the services that are currently transfer to the care of provided in community hospitals will be delivered the new neighbour by the neighbourhood teams in people’s homes, team, or may move to there will be fewer people who need to come in to other inpatient units hospital. depending on their particular needs. But we know that some hospital beds will still be Each month, we will focus needed across Wiltshire, so our plans include on a different town in providing inpatient beds at Chippenham, Wiltshire. Warminster and Savernake (Marlborough). Keep reading for more Because fewer beds will be needed overall, we details. plan to reduce the number of locations where these are provided. This is because we need to make sure that the doctors and nurses continue to deliver high-quality safe clinical care and are seeing enough patients to maintain their skills. This means that there will be no general medical inpatient beds at Devizes, Trowbridge or Melksham Hospitals. Guarantee PCT Chairman Tony Barron has given a personal guarantee that no services will be closed before a replacement is up and running. Reforming community services in Wiltshire Step by step Staying informed The changes we plan for the NHS in Wiltshire will not happen overnight. They follow 18 months of debate and consultation with the public and our partners, called Pathways for Change. The changes will take time to deliver properly and we want to make sure we keep a two- way process of communication going as they roll out. Wiltshire PCT has set up a sub-committee to oversee the implementation of the changes. Patients are also represented on the sub-committee with the Patient and Public Involvement Forum chairman Peter Biggs a key member. Giving birth It’s a special time in any woman’s life, and it Organisations represented are: is important that women and their partners • Avon and Wiltshire Mental Health are able to choose what kind of support they Partnership NHS Trust would like to receive during pregnancy and • Great Western Ambulance Service childbirth. NHS Trust Many women tell us that they want to choose • Royal United Hospital Bath NHS the type of facility where they give birth: at Trust home, a midwife-led unit or an obstetrician- led unit. To help give Wiltshire women this • Salisbury NHS Foundation Trust choice, we will provide a midwife-led birthing • Swindon and Marlborough NHS service at Chippenham Hospital, with 14 Trust maternity beds. • Wiltshire County Council’s Maternity beds at Devizes Hospital will close Department of Community Services at the end of June. The PCT will be writing to • Wiltshire Patient and Public every mum-to-be affected confirming what will happen. Involvement Forum • Wiltshire Primary Care Trust Director of maternity services Helen Jones said: “I realise that the idea of one midwife- We guarantee to publicise all changes as led unit in Wiltshire could worry people, but widely as possible and welcome your our research shows that the geographical ideas on how you want us to keep you pattern of births in the county means that informed. You can let us know by visiting only one woman in eight will need to travel to a different facility when the changes go our website www.wiltshirepct.nhs.uk and ahead.” follow the links from the homepage to the Reforming Community Services pages. Women in Wiltshire can also choose to give birth at the hospitals in Swindon, Salisbury Local media will also be covering the and Bath, or further afield if that suits their changes, and regular updates will be family. We will be publishing a list of all the published. birthing facilities available to women in Wiltshire later this summer.