1. Meeting the future health needs of people in the Odiham area
Presentation to Public Meeting
3rd March 2011

2. Our responsibilities
To ensure local people can access safe and effective services which will meet their health needs and offer value for money

3. NHS Priorities Improving outcomes
Modern, personalised, responsive care
Improving choice
Improving independence
Developing joined up health and social care
Securing efficient use of NHS resources

4. Agreed plans to meet these priorities
Healthy Horizons
Transforming Community Services
Reablement
Dementia Strategy
Public Health Strategy
Carers Strategy

5. Context
Current provider will end provision of services at Odiham Hospital July 2011 due to concerns re maintaining safe staffing levels
Odiham Cottage Hospital owned by Trustees
NHS Hampshire commissions range of hospital, community and reablement services
Odiham Cottage Hospital cared for 93 people out of Hart population of in 2010

6. Demographics Hart population 88000(6% of Hampshire)
Low rate of population growth 0.98% by 2015
Highest life expectancy in Hampshire
Least deprived district in England
2.31% ethnicity
Young population in relation to rest of Hampshire but ageing faster

7. Health profile information

8. Health profile for Hart residents
Cancer greatest cause of death
Less circulatory disease, stroke, diabetes, respiratory disease than rest of Hampshire
Second lowest number of older people with dementia in Hampshire
Lowest rates of severe mental illness (0.4%)
Injuries from falls above average for Hampshire
Highest level of hazardous drinking in Hampshire

9. Local access to acute hospital services
Frimley Park
Basingstoke and North Hampshire NHS Foundation Trust
Other specialist hospitals

10. Local access to community based services
GP practices
Hampshire Community Health Care Services-Community Matrons, Community Nurses, Virtual wards, Rapid Response Teams
Reablement beds
Fleet Hospital
Odiham Cottage Hospital
Hampshire Partnership Trust- CPNs
Dental practices
Pharmacies

11. Commissioning safe and effective services
Regulatory requirements of providers inc Care Quality Commission
Concerns regarding over reliance on agency staff by current provider with associated risks to patient safety
Environment raises concerns re model of care that can be delivered at Odiham Cottage Hospital- no therapy area

12. Commissioning services which provide value for money
What does £300 buy?
1 days care in an acute hospital such as Frimley Park or Basingstoke
1.5 days of care at Odiham Cottage
3 days reablement care in a local care home
9 home visits by a Community Nurse

13. Engagement Led by Local Involvement Network –LINKs
Range of local drop in sessions:
Mon 7th March 11am-1pm Odiham Health centre
Tue 8th March 10am-12 noon Hook Health Centre
Wed 9th March 2-4pm Old School, Odiham
Mon 14th March 10-4pm Hartley Witney Surgery
Mon 14th March 2-4pm Old School, Odiham
Hart Locality Stakeholder Group involvement in option appraisal

14. Hart Locality Stakeholder Group
Odiham Cottage Hospital Trustees
Odiham Parish Councillors
Hart District Councillors
Councillors and officers from Hampshire County Council
Local GPs
League of Friends
NHS Hampshire
Hampshire LINk
Practice Based Commissioning Group
Hampshire Community Health Care

15. Potential options to meet future health needs of the area
Inpatient bed based model providing 24 hour nursing care and rehabilitation.
Re-ablement facility.
Home based care from Community Matrons, community nursing teams, ‘Virtual’ Wards.
Integrated care with Social Care and Voluntary Sector.
Outpatient / clinic based care.