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

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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