1. Improving community hospital care
A public consultation about proposed changes to rehabilitation care and outpatients services

2. Who we are
A part of the NHS that plans and buys healthcare for the people living in this area

3. Community hospitals review
Summer 2015: we looked at services at the 5 community hospitals in the Surrey Downs area:
Cobham Hospital
Dorking Hospital
Leatherhead Hospital
Molesey Hospital
New Epsom and Ewell Community Hospital (NEECH)
Interaction:- What does this mean to the audience? Do they use or know about community hospitals ?

4. What did we look at? Where services are How many patients they see
Ways to improve care
Buildings – and their condition
Local health needs
Changes in our population and the services we will need in future
Where services are located now
How many patients they see
The quality of care received
Opportunities to improve care
Condition of the current buildings and care environment
The health needs of the local population
Population growth and future service demand

5. Summary of recommendations
Admit patients to the nearest available community bed as soon as possible so they can start their recovery
Make sure patients only go to a community hospital if it is the right place for them
Look at the need for specialist neuro-rehabilitation services
Think about other ways of delivering care
Buy more physiotherapy and occupational therapy services for people staying in community hospitals
Interaction : - is there any considerations that they recommend?

6. The options Dorking Hospital Molesey Hospital
Dorking Hospital
Molesey
Hospital
New Epsom & Ewell Community Hospital (NEECH)
Leatherhead Hospital
Epsom General Hospital
Cobham Hospital
 Option 1 No change
No change to how services are provided now →
Developed as a planned care centre, with a wider range of outpatient services. The ward would remain closed.
No change
Option 2
Changes to services
in the Epsom area
Community beds move to Epsom General Hospital on a dedicated community ward. Outpatient services move to other community locations
Community beds move from NEECH community hospital to a dedicated community ward at Epsom General Hospital.
Option 3
Changes to services in the Molesey and Cobham area
Community beds move to Cobham Hospital. Outpatient services move to community locations.
Community beds move from Molesey Hospital to Cobham Hospital.
Option 4
 Changes to services in both Epsom and the Molesey and Cobham area (ie. options 2 & 3 above)
Community beds move from Molesey to Cobham Hospital.
Community beds move from NEECH to Epsom General Hospital. Outpatient services move to community locations
Community beds move from NEECH to Epsom General Hospital.
The options
Option 1
There would be no change to how services are delivered now but the ward at Leatherhead Hospital would not reopen
People in the Leatherhead area have been receiving care in other community hospital wards since December 2014 and care has not been compromised
BUT some of the hospitals need development work, which this option does not address
Option 2
Facilitates closer working between community services and Epsom General Hospital
Improves access to medical support and tests (x-rays. scans etc)
BUT the move of NEECH beds onto Epsom Hospital could mean fewer spare beds at the hospital (these are opened when the hospital is particularly busy).
Option 3
Molesey Hospital is in need of development and repair work, whereas Cobham is a much newer, purpose-built, hospital
BUT patients and staff may have to travel further for care
Option 4
Options 2 and 3 above

7. Consultation process We want to hear what you think of the options
Let us know between 28 January and 5 May 2016
There will be events and public workshops
Complete the questionnaire (paper/online)
us your views
Message our text phone
Full report and findings in summer 2016.
Now we want to know what you think of the options. We will be taking notes and comments from this session, but we also have a short questionnaire available, which you can either fill out now, or take home with you and fill out after further consideration. A freepost envelope is attached. For those who would prefer a link to the online questionnaire is also available on our website. Also available is our public consultation pack, which includes some background about each of the five community hospitals and a summary of the services which are currently provided out of each.

9. Any questions?

10. Thank you for your time