SPECIAL MEETING OF THE COMMUNITY LEADERSHIP AND PARTNERSHIPS COMMITTEE 14 MARCH 2011 REPORT OF OVERVIEW AND SCRUTINY MANAGER A.2 THE AVAILABILITY AND USAGE OF HOSPITAL SERVICES IN, AND FOR, THE DISTRICT (Report prepared by Richard Walker) PURPOSE OF THE REPORT To investigate the availability and usage of hospital services in, and for, the District. INVITEES Attending the meeting of the Committee will be the Chief Executive of the Colchester Hospital University NHS Foundation Trust Dr. Gordon Coutts, and from North East Essex NHS – Sam Hepplewhite, Deputy Director of Commissioning & Business Delivery and Pam Green, Head of Acute Commissioning. BACKGROUND Tendring is principally served by three hospitals, two Community ones within the district: Clacton Hospital Fryatt Hospital and Mayflower Medical Centre, Harwich and the third, an acute hospital, at Colchester: Clacton Hospital The Clacton Community Hospital provides an inpatient service which is home to three community wards, two providing beds for care of the elderly, and one for patients requiring rehabilitation. Patients are transferred to the wards from the acute hospital and are all consultant led. The exception to this is the use of 4 Step Up Beds (nurse led beds for patients referred directly into the hospital from the community team) and 2 Community Acquired Pneumonia Beds - available for GP direct referral. A range of outpatient services are also provided within the Hospital site and these include: Audiology Breast Feeding Clinic Blood Transfusions Cardiology Chemotherapy Child Health Clinics Dental Dermatology Diabetes and Endocrinology Dietetics Dressing Clinics Echocardiograms Ear, Nose & Throat Endoscopy Family Planning Gynaecology Maternity Minor Injuries Unit Occupational Therapy Oncology Orthopaedics Pharmacy Phlebotomy Podiatry Out of Hours Service Rapid Chest Pain Clinic Rapid Access Clinic Sexual Health Speech & Language Therapy Stroke Multidisciplinary Clinic Urology X-Ray Fryatt Hospital and Mayflower Medical Centre, Harwich The Fryatt Community Hospital includes a 6 bed maternity unit, a geriatric ward, minor injuries unit, outpatient clinics and rehabilitation gym. And currently offers more than 60 different services including: Two GP services – the Mayflower Practice and an out of hours services. A minor injuries unit – open every day from 9am to 5pm for minor injuries (eg cuts, sprains, stings and including those that might need stitches) and minor illness Phlebotomy, offering blood tests. 21 different outpatient clinics for Colchester Hospital including breast care, chest clinic, cytology, diabetes, elderly medicine, ENT & audiology, general medicine, general surgery, gynaecology, MS nurse specialist, opthalmology, optometry, orthotics, paediatrics, pain management, phlebotomy, radiotherapy, rheumatology, stoma care, urology. 10 different outpatient clinics run by North East Essex Provider Services including continence clinic, diabetic retinal screening, diabetology, family planning & sexual health, heart failure, leg ulcer & post-operation dressing clinic, oxygen clinic, podiatry, pregnancy smoking cessation and a prostrate clinic. 10 therapy services for children including baby weighing, Chief Medical Officer consultations, community paediatric services, paediatric physiotherapy, parenting club, second year party, speech & language therapy, twins club and under one year health checks. Eight therapy services for adults including cardiac rehabilitation, falls prevention, hand therapy, hip/knee class, inpatient & outpatient physiotherapy, muscular skeletal, occupational therapy and rehabilitation/mobility. A maternity unit with six beds, clinics and two delivery suites. Diagnostic services including x-ray and ultrasound. Trinity Ward – 21 beds to assist people to become as independent as possible and return to live where possible in their own community. A pharmacy. Rethink – support for people living with a mental illness. Dermatology – a comprehensive service for people with common skin diseases and a ‘see and treat’, one stop service. Health trainers – offering encouragement and practical support to people who want to have a healthier lifestyle eg exercise quitting smoking, weight loss and healthy eating. Stop smoking service –practical support and advice on stopping smoking. Open Road – drug and alcohol counselling services. Weight reduction. The Mayflower Medical Centre houses 13 GPs and 7 nurse practitioners and practice nurses in 22 consulting and treatment rooms. RECOMMENDATION That the Committee determines whether it has any comments or recommendations it wishes to put forward to the relevant Portfolio Holder or Cabinet. BACKGROUND PAPERS FOR THE DECISION None.