12. Derbyshire

What does the STP mean for your area?

The number of beds will be cut by 535. This is part of a wider STP plan to oversee a major "reduction of bed-based care" to save money; 400 beds will be cut in the acute sector, 85 in community hospitals and 50 mental health beds.

The head of the NHS recently warned that slashing thousands of beds amid a “sharp rise” in crowding levels is too risky.

Under the plans:

  • 12 acute wards in Derbyshire will be cut;
  • 4-5 community wards will be lost;
  • There will be 1-2 fewer specialist mental health wards;
  • One fewer dementia care ward.

Some of the community hospital sites will be closed and other will be integrated into community hubs.

Newholme Hospital in Bakewell and Bolsover Hospital are already under threat of closure as part of a previous review.

There is considerable overlap between Derbyshire's health system and neighbouring Staffordshire. Under Staffordshire's STP the A&E at Burton Hospital may be downgraded or forced to close and this will have implications for Derbyshire as the Hospital serves a major part of South Derbyshire.

Campaigners have launched a petition against this and enlisted the support of local MP Andrew Griffiths.

What are the proposed aims of the STP?

  • Eliminate a projected 2020/21 deficit of £355 million;
  • Encourage prevention and self-management, to increase the number of people "managing with minimum support";
  • To reduce infrastructure costs by 10%;
  • To reduce care in specialist settings, through the development of place-based 'community hubs/networks' fully integrated with primary care;
  • Overall the aim is to eliminate the deficit by moving care from bed-based hospital care to the community/primary care.

Further information

Stand-alone minor injuries units (MIU) or walk-in centres are likely to close or be integrated with other primary care facilities.

Major changes to the workforce are planned with a move to 2,500 more staff delivering care outside of the acute sector, around 10% of the current workforce.