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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