Paignton & Brixham Locality Development

Paignton Brixham Locality Estates

Bishops Place Surgery Corner Place Surgery Withycombe Lodge Surgery

Pembroke House Surgery Paignton Community Hospital

Paignton Brixham Locality Estates

Cherry Brook Medical Centre

Grosvenor Surgery

Mayfield Medical Practice Old Farm Surgery

Paignton Brixham Locality Estates

Brixham Hospital Compass House Medical Centre

Greenswood Medical Centre St Lukes Medical Centre

Draft in development

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Brixham Health & Social Care Team

Community Nursing Therapies

Community Nurse Zone Lead - 1.0 wte Band 7Community Nurse Team Leaders - 2.54wte Band

6IC Nurse - 0.85 wte x Band 6

IC Nurse (St Kilda) - 1.0 wte x Band 5Community Nurses - 7.74 wte Band 5

Assistant Practitioners - 0.53 wte Band 4Healthcare Assistants - 1.65 wte Band 3

Phlebotomist - 0.6 wte Band 2Community Matron - 1.0 wte Band 7

Community Matron HCA - 0.6 wte Band 3

Total Registered 14.13 wte

Total Non Registered 3.38 wte

Grand Total = 17.51 wte

OT Lead - 0.6 wte Band 7Physiotherapy Lead - 0.5 wte Band 7

Occupational Therapist - 4.83 wte Band 6 Occupational Therapist - 1.0 wte Band 5

(rotational)Physiotherapist - 3.9 wte Band 6

Physiotherapist - 1.0 wte vacancy; 1.6 wte mat leave

Equipment Officer - 0.8 wte Band 5Assistant Practitioners - 2.81 wte Band 4

Therapy Assistant - 0.8 wte Band 3SWIC - 0.67 wte Band 3

Technical Instructors - 0.8 wte Band 3

Total Registered 13.43 wte

Total Non Registered 5.88 wte

Grand Tot = 19.31 wte

Adult Social Care

Social Work Lead1.0 wte x Band 7

Social Workers1.0 wte Band 75.5 wte Band 6

Community Care Workers

0.8 wte Band 5

HSCC4.3 wte Band 5

Hospital Discharge 0.8 wte Band 7 (vacancy)

0.8 wte Band 5

Total Registered 7.5 wte

Total Non Registered 6.7 wte

Grand Total 14.2 wte

KEYTorbay and Southern Devon Health

and Care Trust Employed

Compass House Medical Centres

St. Luke’s Medical Centre &

Greenswood Surgery

Brixham

Manager - Brixham Office & Manager

Midvale Clinic1.0 wte Band 4

Zone Admin

1.4 wte Band 3

St Kilda admin0.8 wte Band 3

Midvale Reception1.0 wte Band 31.0 wte band 2

Midvale Cleaners0.8 Band 2

Total Registered0 wte

Total Non Registered6.0

Grand total = 6.0

Customer Service Centre Public

TSDHCT Employed WorkforceTotal Registered 35.06 wteTotal Non Registered22.96 wteTotal = 58.02 wte

Practice Population: 20,922 Population Over 65: 6,788 Population Over 80: 1,784

St Kilda Brixham Community Hospital

Administration & other staff

Midvale Clinic

Paignton Health & Social Care Team (detail

elsewhere – includes Physio and OT at Paignton

Hospital)

Of Community Nursing and Therapies staffing, utilisation

is split between the following:

Intermediate Care:0.85 wte Band 6 Nurse

2.28 wte Band 6 OT1.5 wte Band 6 Physio

1.0 wte Band 41.47 wte Band 3

St Kilda:1.0 wte Band 5 nurse 0.84 wte Band 6 OT

0.85 wte Band 6 Physio1.0 wte Band 4 AP

0.8 wte Band 3 admin0.8 wte Band 3 TI

Ward:0.6 wte Band 6 Physio

0.35 wte Band 6 OT1.0 wte Band 5 OT

0.81 wte Band 4 OT AP1.0 wte Band 3 Physio TI

(NB wte already accounted for in staff group)

Brixham Community Hospital

Zone Manager 0.5 wte Band 8b

Deputy Zone Manager0.5 wte Band 8a

Total 1 wte Non-Registered

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Paignton

Community Nursing Therapies Intermediate Care

Lead Community Nurse1.0 wte x Band 7

Community Matrons2.0 wte x Band 7

Community Nurse Team Leaders

5.05 wte x Band 6Community Nurses12.9 wte x Band 5

Assistant Practitioners2.2 wte x Band 4

Healthcare Assistants4.18 wte x Band 3

Phlebotomists1.8 wte x Band 2

Admin0.91 wte x Band 3

Total Registered 20.95 wte

Total Non-Registered 9.09 wte

Grand Total30.04 wte

Lead Occupational Therapist1.0 wte x Band 7

Occupational Therapists3.81 wte x Band 63.0 wte x Band 5

OT Technical Instructor1.0 wte x Band 3

Lead Physiotherapist1.0 wte x Band 7Physiotherapist2.5 wte x Band 6

Physio Technical Instructor1.0 wte x Band 3

Admin1.0 wte x Band 3

Coverdale WardPhysiotherapist1.0 wte x Band 6

Physio Technical Instructor0.8 wte x Band 3

Occupational Therapists1.0 wte x Band 61.0 wte x Band 5

OT Technical Instructor1.0 wte x Band 3

Total Registered 14.31 wteTotal Non-Registered 4.8 wte

Grand Total 19.11 wte

Adult Social Care

Lead Social Worker1.0 wte x Band 7

Senior Practitioners2.0 wte x Band 7Social Workers

6.84 wte x Band 6Community Care Worker

5.45 wte x Band 5Review Officer

0.53 wte x Band 4Carers Assessor0.4 wte x Band 4

Admin1.0 wte x Band 3

0.35 wte x Band 2

Total Registered 9.84 wte

Total Non-Registered 7.73 wte

Grand Total17.57 wte

Occupational Therapists1.0 wte x Band 7

3.83 wte x Band 61.0 wte x Band 4Physiotherapist2.5 wte x Band 6

Community Nurses0.8 wte x Band 62.0 wte x Band 5

Community MH Nurse0.8 wte x Band 6

Community Care Worker0.8 wte x Band 5

Assistant Practitioner1.0 wte x Band 4

Support Worker Intermediate Care3.6 wte x Band 3

Physio Technical Instructor0.41 wte x Band 3

Admin1.0 wte x Band 3

Total Registered 8.93 wte

Total Non-Registered 9.81 wte

Grand Total18.74 wte

KEYTorbay and Southern Devon Health and

Care Trust Employed

PAIGNTON GPs

Corner Place Surgery

Paignton

Torbay Acute HospitalPaignton Community Hospital

Mayfield Medical Centre & Cherrybrook

Surgery

Old Farm Surgery

Pembroke House Surgery

Withycombe Lodge Surgery

TSDHCT Employed WorkforceTotal Registered 54.03 wteTotal Non Registered 33.43 wteTotal = 87.46 wte

Practice Population: 51,269 Population Over 65: 13,205 Population over 80: 3,737

Customer Service Centre Public

Paignton Medical Partnership

Zone Manager0.5 wte x Band 8b

Deputy Zone Manager0.5 wte x Band 8a

Office Manager / PA1.0 wte x Band 4

Bishop’s Place Surgery

Grosvenor Road Surgery

Total Non-Registered - 2.0 wte

Activity SummaryDirectly Age Standardised Rate (DSR) per 100,000 registered population2013/14- 2014/15 (annual average)

Activity

Paignton and Brixham Locality

South Devon and Torbay

Count of registered patients DSR per 100,000 DSR per 100,000

A&E 19,485 26,658 24,032

MIU 6,790 9,349 12,883

Elective 20,207 12,678 11,101

Non-Elective 17,376 11,519 10,300

Outpatient - all activity 97,666 121,456 107,547

Outpatient - single patients 50,379 32,566 29,403

Source: SUS activity data

Outpatient Activity Heat Maps

Outpatient Activity Heat Maps

GP Consultations: 506,380

Community Therapy and Nursing Services: 125,433

Secondary Care Outpatient Appointments: 106,614

A&E and MIU Attendances: 23,482

Non Elective Acute Care: 6,624

Intermediate Care: 12, 300

Community Hospital Admissions: 1,154

Totality of Health Service Use: Paignton & Brixham

Figures relate to activity not people and is based on available NHS data

Radiology events: 27,618

Elective Acute Care: 11,335

53%47%

Admissions (Patients registered within locality)Admissions (Patients registered outside locality)

Total Admissions 723Of which, patients registered within the locality

380

Of which, patients registered outside locality

343

Average LoS (days) 13

Total bed days 9,293

Beds 28

67%

33%

Admissions (Patients registered within locality)Admissions (Patients registered outside locality)

Paignton Community Hospital Utilisation

Brixham Community Hospital UtilisationTotal Admissions 431Of which, patients registered within the locality

287

Of which, patients registered outside locality

144

Average LoS (days) 14

Total bed days 6,111

Beds 20

58%

42%

Admissions (Patients registered within locality)Admissions (Patients registered outside locality)

Paignton and Brixham Locality Community Hospital Utilisation

Total Admissions 1,154Of which, patients registered within the locality

667

Of which, patients registered outside locality

487

Average LoS (days) 13.5

Total bed days 15,404

Total Bed Stock 48

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 CostsHospital Attendances

Cost 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