Hornsea and surrounding area information
This page provides information about the current urgent care services in Hornsea and the surrounding area and what the Governing Body decisions will mean.
Urgent Treatment Centres
The Hornsea population will have access to any of the Urgent Treatment Centres (UTC’s) that will be open for 16 hours a day 7 days a week (this is an increase of 8 hours/day Monday-Sunday on what was available within the MIU) this is a consistent service both in respect of the hours of availability and the range of clinical services and interventions that will be available for them to access. The existing Minor Injury Unit will close. and the nearest UCC to Hornsea will be 12 miles away in Beverley.
The CCG is aware that 40% (4-patients/day) of people who have attended the Hornsea MIU in 2015/16 were ‘subsequent attendances’ which do not appear to be for an urgent unplanned care need.
The Hornsea population will have planned care services e.g. for their wound care needs being delivered as part of the community services provision either in a planned wound care clinic or through the community nursing service for housebound patients. There will also be navigation and sign posting available via the GP Practice and NHS111 and clinical advice will be available via the Yorkshire Ambulance Service (YAS) Clinical Advisory Service. People with urgent care needs will be encouraged to ‘talk before they walk’ by accessing advice services.
The community hospital in Hornsea will continue to be used as an asset to meet the needs of the population e.g. out-patient clinics and a base for community services. The CCG will continue to work with partners across health care, the voluntary sector and the local community to maximise the use of Hornsea Community Hospital for the benefit of the population.
Click here to view information which has been developed to encapsulate what people told the CCG about the proposed options for changes to MIUs during the urgent care consultation for Hornsea. The CCG has looked at the evidence in respect of what was said and has identified what possible responses they should consider.
Key facts about the existing Hornsea Minor Injury Unit
The purpose of a Minor Injury Unit is to treat people who have an urgent, unplanned need. It is not for conditions that need immediate medical attention to save a life or to prevent permanent damage to health.
Led by: Emergency Care
|Restrictions: Cannot see under 1s|
|Attendances in 15/16: 3,140
A breakdown of activity is below
Our analysis shows that, in most cases, the 'subsequent' attendances do not appear to be for an urgent, unplanned need.
Improving wrap around patient care
Creating an Integrated Community and Rehabilitation Centre
We have identified that the East Riding of Yorkshire requires a much more flexible and responsive future community bed model that is expanded to include improved intensive rehabilitation, Time to Think beds and a Home First approach.
The decision made by the governing body is to:
Create an integrated community and intensive rehabilitation centre in a single location, at East Riding Community Hospital in Beverley supported by 15 Time to Think Beds. Together with the following actions:
i. The location of time to think beds at Bridlington and South Holderness specifically
ii. The availability of an additional 10 time to think beds during the transition period
iii. Partnership working with East Riding of Yorkshire Council in respect of care home capacity and transport options
iv. The review of palliative care services to ensure the provision of service that meets the needs of individuals.
This means the existing community hospital beds at Bridlington and Withernsea Hospitals will close and the CCG will be able to support more people in, or close to, their own home, refocussing resources into community teams.
This model of care will provide intensive rehabilitation and support for people with more complex nursing needs and will also provide Time to Think Beds to support earlier discharge from acute hospital care. Time to Think Beds will be based in residential homes and be used by people who are medically fit, whilst they are waiting for complex care packages to be put into place to allow them to return home.
Key facts about the existing community beds
We currently have 54 community beds located across the East Riding at East Riding Community Hospital in Beverley, Bridlington District Hospital and Withernsea Community Hospital. A community bed costs around £350 per day whether it is used or left empty. The beds are a mixture of:
- Sub-acute beds (including stroke and palliative care)
- Rehabilitation beds
- Step up and Step down
The average bed occupancy rate in 2015/16 for the East Riding was 86%.
We have done a bed audit across the East Riding on the current use of community beds and this has told us that less than 25% of the patients actually needed medical or nursing input and a further 50% of patients would experience better quality of care by being offered nursing and therapy care at their own home (which may be a care home).