What issues have been raised about this STP?
Bed numbers will be cut by 535. The acute sector will loose 400 beds, 85 will be lost 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.
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 dementia care ward cut.
Burton Hospital could lose its A&E
Community hospital sites Newholme Hospital in Bakewell and Bolsover Hospital are set for closure; others will either follow suit or be integrated into community hubs.
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.
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.
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.