North Derbyshire System Resilience Planning for 2014/15
Additional non-recurrent funding to support services during the winter period
The North Derbyshire System Resilience Group is responsible for ensuring that system resilience
plans are in place to support our services during the winter period when there is often more
pressure on our local health and care services.
General System Resilience
Appendix One below summarises the non-recurrent funds received by the North Derbyshire and
Hardwick Clinical Commissioning Groups (CCGs) to support system resilience over the winter
period and invested across a range of health and care services.
The plans have been developed with input from the CCGs and all of the main providers and have
been approved through our System Resilience Group and CCG commissioning systems.
The funding shown in Appendix One totals £2,852,000 and this additional investment is supported
by an allocation of additional national non-recurrent funding for use up to 31 March 2015.
The total national allocation excluding for Mental Health Services (see below) received to date is
shown below:
North Derbyshire system resilience allocation:
Derbyshire NHS111 system resilience allocation:
£3,087,000
£38,000.
Work is continuing to finalise plans for investment of the remaining £273,000 and this table will be
updated during November and December 2014. A bid is also being submitted against additional
national allocations to support NHS111.
Improving crisis care and early intervention in psychosis
Bids were also submitted as part of a Derbyshire and Nottinghamshire-wide submission against a
national allocation for improving crisis care and early intervention in psychosis. A total of £275,000
has been allocated for two North Derbyshire schemes and a Nottinghamshire & Derbyshire-wide
EMAS scheme. A summary is included in Appendix Two.
Chris Rowlands
Interim Operational Resilience and Capacity Planning Manager
NHS North Derbyshire CCG
November 2014
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Appendix One
North Derbyshire System Resilience Group Non-elective Care Operational Resilience and
Capacity Planning, Non-recurrent Allocations for 2014/15
Scheme
Lead Provider(s)
Funding
2014/15
£000s
Planned/
actual Start
Date
End Date
GP winter scheme to increase capacity (various GP
Practice initiatives) across North Derbyshire
GP Practices
(North Derbyshire and
Hardwick CCGs)
650
01/11/14
31/03/15
NHS 111 service performance improvement. Additional
Clinician Advice in the Out of Hours period
Derbyshire Health United
150
01/12/14
31/03/15
Additional funding to increase NHS111 and GP Out of
Hours service resilience (E.g. funding to support
additional call handlers and Nurse Advisors)
Derbyshire Health United
528
01/04/14
31/03/15
Mental Health Clinical Advisors to support NHS111
services
Derbyshire Healthcare NHS
Foundation Trust
108
01/04/14
31/03/15
Additional Mental Health crisis and step down bed
capacity
Derbyshire Healthcare NHS
Foundation Trust
134
01/10/14
31/03/15
Additional resources to support the RAID Service
supporting Chesterfield Royal Hospital
Derbyshire Healthcare NHS
Foundation Trust
16
01/01/15
31/03/15
Additional Community Nursing Resource
Derbyshire Community Health
Services NHS Foundation
Trust
200
01/11/14
31/03/15
Clinical Discharge Facilitator to support the
management of Complex Patients
Derbyshire Community Health
Services NHS Foundation
Trust
18
01/11/14
31/03/15
Additional multi-disciplinary resource to support the
rehabilitation pathway for Non Weight Bearing patients
Derbyshire Community Health
Services NHS Foundation
Trust
72
01/12/14
31/03/15
Enhanced intermediate care services in the North High
Peak Locality
Derbyshire County Council
and Derbyshire Community
Health Services NHS
Foundation Trust
5
01/11/14
31/03/15
Additional Intermediate Care beds in the High Peak
Thornbrook GP Surgery
13
01/11/14
31/03/15
Increased utilisation of bed based intermediate and
reablement services in North Derbyshire
Derbyshire County Council
and Derbyshire Community
Health Services NHS
Foundation Trust
78
01/12/14
31/03/15
Additional Social Care Support for the 7 day Single
Point of Access (SPA) Service
Derbyshire County Council
18
17/11/14
31/03/15
Additional ambulance transport support for the 7 day
Single Point of Access (SPA) Service and for
community hospital discharge/transfers
Patient Transport Services
Contractor (NSL)
102
01/11/14
31/03/15
Increase capacity in High Peak to facilitate rapid
discharge from hospital
Derbyshire County Council
12
01/11/14
31/03/15
Ward Liaison Officers to support patient flow (E.g.
arrangements for patient discharge)
Chesterfield Royal Hospital
NHS Foundation Trust
37
01/12/14
31/03/15
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Appendix One (Continued)
North Derbyshire System Resilience Group Non-elective Care Operational Resilience and
Capacity Planning, Non-recurrent Allocations for 2014/15
Scheme
Lead Provider(s)
Funding
2014/15
£000s
Planned/
actual Start
Date
End Date
Additional resource for the hospital Transfer Team (E.g.
Porters and nursing support)
Chesterfield Royal Hospital
NHS Foundation Trust
20
01/12/14
31/03/15
Additional resource for the Rapid Response Team
Chesterfield Royal Hospital
NHS Foundation Trust
133
01/12/14
31/03/15
Discharge Lounge increased capacity
Chesterfield Royal Hospital
NHS Foundation Trust
21
01/12/14
31/03/15
Enhanced Senior Surgical Consultant Review to
support patient flow
Chesterfield Royal Hospital
NHS Foundation Trust
52
01/12/14
31/03/15
Additional Emergency Department Clinical Liaison
Nurse Capacity
Chesterfield Royal Hospital
NHS Foundation Trust
14
01/12/14
31/03/15
Additional Reception Cover in the Emergency
Department Pitstop (7am-12 midnight)
Chesterfield Royal Hospital
NHS Foundation Trust
25
01/12/14
31/03/15
Additional Phlebotomy cover to support patient
diagnosis and flow
Chesterfield Royal Hospital
NHS Foundation Trust
29
01/12/14
31/03/15
Additional plaster technician cover in the Emergency
Department
Chesterfield Royal Hospital
NHS Foundation Trust
17
01/12/14
31/03/15
Additional clinician resource to support triage of
Emergency Department and GP referrals Monday –
Friday on EMU (7.30am-7.30pm)
Chesterfield Royal Hospital
NHS Foundation Trust
20
01/12/14
31/03/15
Additional patient flow team cover at weekends – Sat
(10am-6pm)
Chesterfield Royal Hospital
NHS Foundation Trust
3
01/12/14
31/03/15
Additional Pharmacy cover for the Emergency
Department on weekdays
Chesterfield Royal Hospital
NHS Foundation Trust
26
01/12/14
31/03/15
Enhanced weekend cover of CAMHS
liaison/Emergency Department children's services
additional support
Chesterfield Royal Hospital
NHS Foundation Trust
50
01/12/14
31/03/15
Ashgate Hospice additional resource to support patient
discharge home
Ashgate Hospice
10
01/11/14
31/03/15
Red Cross A&E Discharge/Home from Hospital Service
British Red Cross
15
01/11/14
31/03/15
Voluntary Sector Funding to support patient flow
(various)
Various - work ongoing to
finalise some schemes
35
01/11/14
31/03/15
Staffing to support further development of the electronic
Directory of Services
North Derbyshire CCG
6
01/04/14
31/03/15
System plan delivery transformation programme and
governance in place; bed utilisation audit completed
Hardwick CCG
115
01/04/14
31/03/15
Additional Senior clinical review of care home residents
Hardwick CCG
120
01/11/14
31/03/15
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Appendix Two
North Derbyshire System Resilience Group Improving crisis care and early intervention in
psychosis. Non-recurrent Allocations for 2014/15
Title
Scheme
Lead CCG/Area
Funding
2014/15
£000s
The plan is to place a member of crisis team from Derbyshire Healthcare
Foundation Trust or Nottinghamshire Healthcare Trust in the ambulance
control room at weekends until 0100 hours
The scheme does not cover Lincolnshire which has a separate control room
but will potentially provide support for Leicestershire
Derbyshire and
Nottinghamshire
50
Home
treatment
workers and
DST support.
The proposal is to expand and diversify the skill mix within home treatment
team addressing the issues identified by Trust and commissioners that are
delaying discharges and the capacity to respond to increased referrals for
home support occurring from the liaison team investment.
North Derbyshire
unit of planning.
Hardwick and
NDCCG
209.5
High Peak
Primary care
MH support
worker
To deliver a primary care MH support worker scheme embedded in the
Buxton practices under the clinical leadership of a named GP.
North Derbyshire
CCG
15.5
EMAS control
room support.
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North Derbyshire System Resilience Planning for 2014/15