Issue - meetings

- presentation by NHS Doncaster on the changes to the clinical arrangements at Mexborough Montague Hospital.

Jo Pollard, Programme Director, and Chris Staniforth, Chief Operating Officer, NHS Doncaster, gave the following powerpoint presentation on the proposals to change some services currently provided at Mexborough Montague and Tickhill Road Hospitals and provide more care closer to home:-

Why do we need to make these changes?

-        More care can now be provided outside hospital

-        NHS landscape and role of hospitals is changing

-        What patients tell us

-        New technology

-        Improve quality and experience

Our Principles – Services must be

-        Safe

-        Effective

-        Affordable

-        Value for money

-        Sustainable

-        Integrated

-        Local where possible

Government’s four tests – Any service change must have

-        Support of local GPs

-        Patient and public engagement

-        Clinical evidence

-        Consistent patient choice

What about the money?

-        No reduction in investment – just used differently

-        New Rehabilitation Centre with £4.9M costs at Montague Hospital

-        DBHFT build and equip the new Rehabilitation Centre including an application to the Fred and Anne Green Legacy

-        Maintain the current investment of £2.8M on acute care

-        £1.4M will be invested in additional home support services

-        £400,000 will be invested in intermediate care and step down services

-        £300,000 will be invested in community stroke services

-        £500,000 will be invested in other community services and palliative care

Our Proposals 1 – A redesign programme to

-        Reduce the time patients spend in hospital by providing high quality care for patients who do not need a hospital bed, at home or in a community setting

Our Proposals 2

-        Reduce the time patients spend on an acute hospital ward by developing a new 58 bed state-of-the-art rehabilitation centre at Montague Hospital which would improve outcomes for patients by enabling an intensive 24/7 model of care to be delivered

Our Proposals 3

-        Stop admitting to Montague Hospital those patients who were currently brought by ‘blue light’ ambulance for urgent care

-        Take urgent care patients directly to Doncaster Royal Infirmary or another district general hospital near to where they lived such as Barnsley and Rotherham

Why do we need to make changes?

-        People are living longer so we need to help them stay as fit as possible so they can enjoy a fulfilled life

-        Keeping elderly and frail patients in hospital beyond their urgent care period results in them losing many every day skills and this can quickly result in a loss of independence

-        Centralising rehabilitation services at Montague Hospital would maximise the benefit of having a large pool of skilled therapists who would be able to provide a 7 day a week service

-        More patients would be cared for at a single location instead of therapists spending valuable time travelling between hospital sites to see patients

-        Patients who needed urgent care should be treated at a facility that has a full range of support services

-        An enhanced new role for Montague would enable the hospital to  ...  view the full minutes text for item 24