Issue - meetings

For the Committee to consider the formal consultation on the South Warwickshire Community Beds review.

The Chair introduced this item advising that this consultation was very specific and concerned the rehabilitation beds. Some of the public contributions had raised other aspects which were not being considered as part of this consultation. She was grateful for the point from Manuela Perteghella MP, read by Councillor Rolfe, that it was because of this Committee, that the consultation was happening.

The Chair introduced Laura Nelson, the Chief Integration Officer for Coventry and Warwickshire ICB who gave a presentation and spoke to the submitted report and consultation document.

The report detailed the previous engagement with the Committee on the South Warwickshire Community Beds Review. It provided an update on key milestones, including the submission of the Pre-Consultation Business Case (PCBC) to NHS England (NHSE), the Stage 2 Assurance meeting and the ICB Board’s approval on 6 January 2025 to proceed with public consultation.

The report summarised NHSE’s Stage 2 Assurance Outcome and outlined the ICB’s approach to the South Warwickshire Community Hospital Rehabilitation Bed consultation (SWCHRBC). There were two options under consideration, to provide beds at three or two sites. The consultation period would run until 14 February 2025. The report detailed next steps following the consultation. The Committee was asked to discuss the potential impacts of the proposals and contribute to the feedback process, specifically to:

·       Note for information the contents of the report.

·       Be assured in respect of the progress against the agreed approach to deliver the SWCHRBC.

·       Feedback and comment on the impact of the proposals to support the ICB to shape the future of rehabilitation services in South Warwickshire.

The accompanying presentation slides covered the following areas:

·       Agenda for today – an outline of the presentation.

·       Why do we need to change? This showed the key drivers and the ICB’s commitment.

·       Key objectives of the consultation.

·       What is a bed? A graphic showing the different hospital bed types, uses, equipment and staffing requirements.

·       Bedded support after acute hospital stays. This chart showed the two pathways for care at the patient’s home, or a temporary stay in a community hospital, care or nursing home bed. This consultation concerned community rehabilitation beds in a community hospital, with the transformation work and discharge to assess beds also being highlighted.

·       SWCR Provision. This confirmed the current distribution of rehabilitation beds with the temporary closure of EBH and its redevelopment.

·       Who is using the beds? Data on patient demographic, key usage areas and asking why does distance matter?

·       Why are 35 beds the right number? This was modelled on the shown demand to support 550 patients.

·       Where do people in the beds come from? Data was provided on the top ten locations where patients lived, who had been discharged from each of the hospital sites. It showed a shift over time and reference was made to the transformation work including the ‘home first’ approach.

·       Options for the consultation. The two options with beds being located at two or three sites, their respective advantages and challenges.

·       The ICB’s preferred option  ...  view the full minutes text for item 5