The future of Intermediate
Care in North Oxfordshire
John Jackson
Director of Adult Social Services,
Oxfordshire County Council
21 October 2015
Intermediate Care
Services designed to:
• Help people who have an illness or injury to stay at home
rather than go into hospital;
• Support people to return home as quickly as possible after
a hospital stay.
Provided to people in different ways:
• Most Intermediate Care in Oxfordshire is currently
provided as a bed-based service.
• It can be provided as a community service in people’s own
homes by a team of social care and health staff.
• It includes visiting health service therapists and GP
support.
Why we are consulting you
• We want to hear your views on the way Intermediate Care
is provided in this area.
• We have 14 Intermediate Care beds in Chipping Norton.
• The arrangements for running these are not sustainable
after April 2016.
• We have to change the way Intermediate Care is provided
in the north of Oxfordshire.
• There are new ways of providing Intermediate Care to
people in their own homes.
History and context - 2007
Plans for a new Care Home and a new Primary Care Centre on Rockhill Farm site
in Chipping Norton were agreed.
A new 'health campus' replacing a both a 43-bedded care home in Chipping
Norton and the outpatient facilities previously provided at the War Memorial
Hospital. This would comprise:
A new care home to be built by Orders of St John Care Trust.
• Oxfordshire Primary Care Trust to purchase 14 Intermediate Care beds.
• County Council to purchase 20 residential care beds.
An NHS-run Community Health Facility offering:
• primary and community health care services (typically, occupational therapy,
radiology, podiatry, physiotherapy, falls and outpatient clinics);
• a maternity unit.
History and context - 2011
• The War Memorial Hospital was closed and the new care
home and Primary and Community Health Centre were
opened. The Intermediate Care beds were purchased
(commissioned) by the County Council.
• Oxford Health NHS Foundation Trust seconded nursing staff to
the Orders of St John Care Trust to staff the Intermediate Care
Unit, which was a different arrangement from elsewhere in
Oxfordshire.
• This secondment arrangement ended in February 2014.
Current arrangements
• Since March 2014 nursing staff have been managed directly
by Oxford Health NHS Foundation Trust.
• The Orders of St John Care Trust provide the accommodation,
property, and essential care, domestic and 'hotel' services and
is the registered provider.
Who uses the Intermediate Care
beds in Chipping Norton?
• The map shows where people
who used the Intermediate
Care beds in Chipping Norton
came from, in the six months
from December 2014.
• 70% were not residents of
Chipping Norton.
• The beds provide a service for
people in a wider area of North
Oxfordshire and further afield.
Why change?
• The current model of separating the nursing care
from the facilities management is not affordable
within the available and projected council
budgets.
• The costs are too high – higher than elsewhere in
Oxfordshire and nationally.
• We are relying on a one-off subsidy from the
former Oxfordshire Primary Care Trust which only
lasts until April 2016.
The last few years have seen…
• The County Council’s money from central government
decrease significantly.
• Demand for services increase.
• Restrictions on how we can raise money locally to make up
the difference.
• £292m savings made or planned, further £50m
• Pressures in NHS – including the need to find savings of
£270m in Oxfordshire.
The consultation
Model A
The Intermediate Care Unit in Chipping Norton continues and
the full 14 bed service is provided by the Order of St John
Care Trust.
Model B
Intermediate Care services based in people's own homes are
further developed in North Oxfordshire, including Chipping
Norton, and the Intermediate Care Unit at the Henry Cornish
Care Centre is closed. The space could be moved into use as
part of the existing care home already on the site.
Other options
• As part of this consultation we are interested in
hearing about other ideas.
• We would welcome proposals that are specific,
financially viable, safe and affordable and clearly
beneficial to people who use the service.
How you can take part
•
•
•
The consultation and supporting documents can be found at:
www.oxfordshire.gov.uk/intermediatecare
Supporting documents include frequently asked questions that will be updated
after this meeting.
Paper copies of the consultation are available in Chipping Norton and Banbury
libraries or, write to us at:
FREEPOST RTRX-GJUL-HXHY
Engagement Team
Oxfordshire County Council
County Hall
New Road
OX1 1ND
Please contact us if you need help or support to participate.
What will the council do next?
•
We will write a summary of this meeting which will contribute to the
consultation responses – it will be made available on the consultation website
and you can request paper copies.
•
A report on the consultation will be written after the public consultation
closes on 8 December 2015.
•
The views expressed will form an important part of the information used by
the council in making its decision about Intermediate Care provision in North
Oxfordshire, along with other matters such as affordability and quality.
•
As Director of Adult Social Services I will make a recommendation to the
Cabinet of the County Council, which meets on 26 January 2016.
•
The County Council Cabinet will make the final decision.