1. The future of Intermediate Care in North Oxfordshire John Jackson Director of Adult Social Services, Oxfordshire County Council 21 October 2015

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. 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. Who uses the Intermediate Care beds in Chipping Norton?

8. 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.

9. 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.

10. 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.

11. 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.

12. 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.

13. 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.