1. Torquay Locality Development

2. Torquay Abbey Road SurgeryBarton Surgery Brunel Medical Practice (Babbacombe) Brunel Medical Practice (Shiphay)

3. Torquay Brunel Medical Practice (St Marychurch)Castle Circus Health Centre Chatto Road Surgery Chelston Hall Surgery

4. Torquay Chilcote Surgery Croft Hall Medical Practice Parkhill Medical PracticeOld Mill Surgery

5. Torquay Sherwell Valley Medical PracticeSouthover Medical Practice

6. Point of Access Customer Service Centre Public Torquay Community NursingTherapiesIntermediate Care Community Matrons 3.0 wte x Band 7 Community Matron Nurse 1.64 wte x Band 5 Community Nurse Lead 1.0 wte x Band 7 Community Nurses 2.0 wte x Band 7 3.65wte x Band 6 15.50 wte x Band 5 Community MH Nurse 1.0 wte x Band 6 Safeguarding Adults Nurse 1.0 wte x Band 6 Peripatetic Nurses 0.8 wte x Band 6 0.43 wte x Band 5 Assistant Practitioners 3.32 wte x Band 4 Healthcare Assistants 7.01 wte x Band 3 2.0 wte x Band 2. Total Registered 30.02 wte Total Non-Registered 12.33 wte Grand Total 42.35 wte Occupational Therapy Lead 1.0 wte x Band 7 Occupational Therapists 1.78 wte x Band 7 7.91 wte x Band 6 1.4 wte x Band 5 Equipment Officer 1.0 wte x Band 5 Physiotherapists 1.64 wte x Band 7 1.62 wte x Band 6 Total Registered 15.35wte Total Non-Registered 1.0 wte Grand Total 16.35 wte Adult Social Care Social Work Leads 2.0 wte x Band 7 Senior Practitioners 3.0 wte x Band 7 Social Workers 14.4 wte x Band 6 2.0 wte x Band 5 Community Care Worker 5.15 wte x Band 5 Total Registered 21.4 wte Total Non-Registered 5.15 wte Grand Total 26.55 wte Intermediate Care Lead 0.85 wte x Band 7 Occupational Therapists 5.99 wte x Band 6 Physiotherapists 3.59 wte x Band 6 Community Nurses 1.85 wte x Band 6 1.0 wte x Band 5 Social Worker 0.96 wte x Band 6 Community Care Worker 0 wte x Band 5 Assistant Practitioner 1.0 wte x Band 4 Support Worker Intermediate Care 3.91 wte x Band 3 Total Registered 14.24wte Total Non-Registered 4.91 wte Grand Total 19.15 wte Torquay  Practice Population: 71,946  Population Over 65: 15,814  Population Over 80: 4,497 Torbay Acute Hospital TORQUAY GPs Abbey Road Surgery & Shiphay Surgery Brunel Medical Practice Barton Surgery Chilcote Surgery Croft Hall Medical Practice Chelston Hall Surgery Park Hill Medical Practice Southover Medical Practice Total Registered 1.0 wte Total Non-Registered 20.81 wte Grand Total 21.81 wte Total Registered Staff 82.01 wte Total Non-Registered Staff 39.29 wte Grand Total 126.2 wte Zone Manager 1.0 wte x Band 8b Deputy Zone Manager 1. 0 wte x Band 8a Health & Social Care Co-ordinator Manager 0.67 wte x Band 6 Health & Social Care Co- ordinators 6.32 wte x Band 5 Health & Social Care Co- ordinators 1.80 wte x Band 4 Referral Co-ordinators 1.53 wte x Band 3 Broker 1.64 wte x Band 4 Admin 4.85 wte x Band 3 1.0 wte x Band 2 Personal Assistant 1.0 wte x Band 4 Office Manager 1.0 wte x Band 4 KEY Torbay and Southern Devon Health and Care Trust Employed Draft in development

7. Activity Summary Directly Age Standardised Rate (DSR) per 100,000 registered population 2013/14- 2014/15 (annual average) Activity Torquay Locality South Devon and Torbay Count of registered patients DSR per 100,000 A&E 24,46633,71024,032 MIU 1,8282,59812,883 Elective 69,02212,64711,101 Non-Elective 61,91212,03910,300 Outpatient - all activity 102,297137,570107,547 Outpatient - single patients 50,66334,47529,403 Source: SUS activity data

8. Outpatient Activity Heat Maps

9. Outpatient activity heat maps

10. GP Consultations: 511,276 Community Therapy and Nursing Services: 113,185 Secondary Care Outpatient Appointments: 115,144 A&E and MIU Attendances: 26,102 Radiology events: 28,021 Elective Acute Care: 12,523 Non Elective Acute Care: 7,805 Intermediate Care: 9,696 Community Hospital Admissions: 512 Totality of Health Service Use: Torquay Locality Figures relate to activity not people and is based on available NHS data

11. Community Hospital Admissions- Torquay Registered Patients Total Admissions 512 Average LoS (days)15 Total bed days7,506 Total Bed StockN/A

12. Overall Financial Position As a CCG above our target resource allocation by £28m (c8%) We need to reduce our spending to move closer to what the DH says we should be spending on our population Timescale and by how much is unclear Can expect a reduced or nil level of growth Will have to deliver efficiencies across the system to remain within the funding available & still treat the health needs of an ageing population. Shortfall in budget against contract £5million this year and £15 million 20126/17 Target (£000) Allocation (£000) DFT (£000) DFT (%) 2015/16351,130379,18228,0527.99

13. Community Hospital Costs HospitalNo of bedsBed DaysBed day Cost £ No of Admissions Avg. cost per Admission ASHBURTON HOSPITAL103388£306.56176£5,901 BOVEY TRACEY HOSPITAL93088£326.22235£4,287 BRIXHAM HOSPITAL206253£261.81431£3,798 DARTMOUTH HOSPITAL164391£331.58387£3,762 DAWLISH HOSPITAL185278£362.28440£4,346 NEWTON ABBOT HOSPITAL207768£342.61595£4,473 PAIGNTON HOSPITAL289462£263.70719£3,470 TEIGNMOUTH HOSPITAL124476£267.80261£4,593 TOTNES HOSPITAL186016£285.04364£4,711 17859,0414064 Avg Bed Day Cost£297.90 Avg cost per admission£4,328

14. MIU Costs HospitalAttendances Cost Per Attendance Ashburton MIU268£541.99 Brixham MIU3081£93.56 Dartmouth MIU3340£64.73 Dawlish MIU3851£71.94 Newton Abbot MIU16453£51.22 Paignton MIU3274£71.45 Teignmouth MIU3492£57.74 Totnes MIU5665£85.78 50,244 £69.77Avg. MIU Attendance Cost

15. Community Nursing Costs LocalityActivityAvg Cost Coastal32,322£32 Moor to Sea32,632£38 Newton Abbot34,813£34 Paignton/Brixham49,283£34 Torquay43,228£32 Average cost£35