1. Paignton & Brixham Locality Development

2. Paignton Brixham Locality Estates
Bishops Place Surgery
Corner Place Surgery
Withycombe Lodge Surgery
Pembroke House Surgery
Paignton Community Hospital

3. Cherry Brook Medical Centre Mayfield Medical Practice
Paignton Brixham Locality Estates
Cherry Brook Medical Centre
Grosvenor Surgery
Mayfield Medical Practice
Old Farm Surgery

4. Paignton Brixham Locality Estates
Brixham Hospital
Compass House Medical Centre
Greenswood Medical Centre
St Lukes Medical Centre

5. Brixham Draft in development Point of Access
Practice Population: 20,922
Population Over 65: 6,788
Population Over 80: 1,784
Point of Access
BRIXHAM GPS
TSDHCT Employed Workforce
Total Registered
35.06 wte
Total Non Registered
22.96 wte
Total = wte
Compass House Medical Centres
St. Luke’s Medical Centre & Greenswood Surgery
Customer Service Centre
Public
Brixham Community Hospital
Brixham Health & Social Care Team
St Kilda
Midvale Clinic
Paignton Health & Social Care Team (detail elsewhere – includes Physio and OT at Paignton Hospital)
KEY
Torbay and Southern Devon Health and Care Trust Employed
Community Nursing
Therapies
Adult Social Care
Administration & other staff
Of Community Nursing and Therapies staffing, utilisation is split between the following:
Intermediate Care:
0.85 wte Band 6 Nurse
2.28 wte Band 6 OT
1.5 wte Band 6 Physio
1.0 wte Band 4
1.47 wte Band 3
St Kilda:
1.0 wte Band 5 nurse
0.84 wte Band 6 OT
0.85 wte Band 6 Physio
1.0 wte Band 4 AP
0.8 wte Band 3 admin
0.8 wte Band 3 TI
Ward:
0.6 wte Band 6 Physio
0.35 wte Band 6 OT
1.0 wte Band 5 OT
0.81 wte Band 4 OT AP
1.0 wte Band 3 Physio TI
(NB wte already accounted for in staff group)
Community Nurse Zone Lead wte Band 7
Community Nurse Team Leaders wte Band 6
IC Nurse wte x Band 6
IC Nurse (St Kilda) wte x Band 5
Community Nurses wte Band 5
Assistant Practitioners wte Band 4
Healthcare Assistants wte Band 3
Phlebotomist wte Band 2
Community Matron wte Band 7
Community Matron HCA wte Band 3
Total Registered
14.13 wte
Total Non Registered
3.38 wte
Grand Total = wte
OT Lead wte Band 7
Physiotherapy Lead wte Band 7
Occupational Therapist wte Band 6
Occupational Therapist wte Band 5 (rotational)
Physiotherapist wte Band 6
Physiotherapist wte vacancy; 1.6 wte mat leave
Equipment Officer wte Band 5
Assistant Practitioners wte Band 4
Therapy Assistant wte Band 3
SWIC wte Band 3
Technical Instructors wte Band 3
Total Registered
13.43 wte
Total Non Registered
5.88 wte
Grand Tot = wte
Social Work Lead
1.0 wte x Band 7
Social Workers
1.0 wte Band 7
5.5 wte Band 6
Community Care Workers
0.8 wte Band 5
HSCC
4.3 wte Band 5
Hospital Discharge
0.8 wte Band 7 (vacancy)
Total Registered
7.5 wte
Total Non Registered
6.7 wte
Grand Total wte
Manager - Brixham Office & Manager Midvale Clinic
1.0 wte Band 4
Zone Admin
1.4 wte Band 3
St Kilda admin
0.8 wte Band 3
Midvale Reception
1.0 wte Band 3
1.0 wte band 2
Midvale Cleaners
0.8 Band 2
Total Registered
0 wte
Total Non Registered
6.0
Grand total = 6.0
Zone Manager
0.5 wte Band 8b
Deputy Zone Manager
0.5 wte Band 8a
Total 1 wte Non-Registered
Brixham Community Hospital
Draft in development

6. Paignton Draft in development Point of Access
Practice Population: 51,269
Population Over 65: 13,205
Population over 80: 3,737
Point of Access
PAIGNTON GPs
Paignton Medical Partnership
Bishop’s Place Surgery
Grosvenor Road Surgery
Corner Place Surgery
Mayfield Medical Centre & Cherrybrook Surgery
Old Farm Surgery
Pembroke House Surgery
Withycombe Lodge Surgery
Customer Service Centre
Public
Paignton
TSDHCT Employed Workforce
Total Registered
54.03 wte
Total Non Registered
33.43 wte
Total = wte
Community Nursing
Therapies
Adult Social Care
Intermediate Care
KEY
Torbay and Southern Devon Health and Care Trust Employed
Zone Manager
0.5 wte x Band 8b
Deputy Zone Manager
0.5 wte x Band 8a
Office Manager / PA
1.0 wte x Band 4
Lead Community Nurse
1.0 wte x Band 7
Community Matrons
2.0 wte x Band 7
Community Nurse Team Leaders
5.05 wte x Band 6
Community Nurses
12.9 wte x Band 5
Assistant Practitioners
2.2 wte x Band 4
Healthcare Assistants
4.18 wte x Band 3
Phlebotomists
1.8 wte x Band 2
Admin
0.91 wte x Band 3
Total Registered
20.95 wte
Total Non-Registered
9.09 wte
Grand Total
30.04 wte
Lead Occupational Therapist
1.0 wte x Band 7
Occupational Therapists
3.81 wte x Band wte x Band 5
OT Technical Instructor
1.0 wte x Band 3
Lead Physiotherapist
Physiotherapist
2.5 wte x Band 6 Physio Technical Instructor
Admin
Coverdale Ward Physiotherapist
1.0 wte x Band 6
Physio Technical Instructor
0.8 wte x Band 3 Occupational Therapists
1.0 wte x Band wte x Band 5
Total Registered wte
Total Non-Registered 4.8 wte
Grand Total wte
Lead Social Worker
1.0 wte x Band 7
Senior Practitioners
2.0 wte x Band 7
Social Workers
6.84 wte x Band 6
Community Care Worker
5.45 wte x Band 5
Review Officer
0.53 wte x Band 4
Carers Assessor
0.4 wte x Band 4
Admin
1.0 wte x Band 3
0.35 wte x Band 2
Total Registered
9.84 wte
Total Non-Registered
7.73 wte
Grand Total
17.57 wte
Occupational Therapists
1.0 wte x Band 7
3.83 wte x Band 6
1.0 wte x Band 4
Physiotherapist
2.5 wte x Band 6
Community Nurses
0.8 wte x Band 6
2.0 wte x Band 5 Community MH Nurse
Community Care Worker
0.8 wte x Band 5
Assistant Practitioner
Support Worker Intermediate Care
3.6 wte x Band 3
Physio Technical Instructor
0.41 wte x Band 3 Admin
1.0 wte x Band 3
Total Registered
8.93 wte
Total Non-Registered
9.81 wte
Grand Total
18.74 wte
Total Non-Registered wte
Draft in development
Paignton Community Hospital
Torbay Acute Hospital

7. Activity Summary
Directly Age Standardised Rate (DSR) per 100,000 registered population
2013/ /15 (annual average)
Activity
Paignton and Brixham Locality
South Devon and Torbay
Count of registered patients
DSR per 100,000
A&E
19,485
26,658
24,032
MIU
6,790
9,349
12,883
Elective
20,207
12,678
11,101
Non-Elective
17,376
11,519
10,300
Outpatient - all activity
97,666
121,456
107,547
Outpatient - single patients
50,379
32,566
29,403
Source: SUS activity data

8. Outpatient Activity Heat Maps

9. Outpatient Activity Heat Maps

10. Totality of Health Service Use: Paignton & Brixham
GP Consultations: 506,380
Community Therapy and Nursing Services: 125,433
Secondary Care Outpatient Appointments: 106,614
Radiology events: 27,618
Represents the totality (as far as we can quantify it) of health services used by Dartmouth. Need to map this against social care and mental health usage.
Model of care impacts upon utilisation of each of those service areas with exception of radiology, A&E and elective care.
The numbers are activity and not people specific (limited by data). GP Practice. 87% of registered population had at least 1 interaction with practice in year.
7% have 3 or more LTC and 43% have at least 1
A&E and MIU Attendances: 23,482
Intermediate Care: 12, 300
Elective Acute Care: 11,335
Non Elective Acute Care: 6,624
Figures relate to activity not people and is based on available NHS data
Community Hospital Admissions: 1,154

11. Paignton Community Hospital Utilisation
Total Admissions
723
Of which, patients registered within the locality
380
Of which, patients registered outside locality
343
Average LoS (days) 13
Total bed days
9,293
Beds 28
Brixham Community Hospital Utilisation
Total Admissions
431
Of which, patients registered within the locality
287
Of which, patients registered outside locality
144
Average LoS (days) 14
Total bed days
6,111
Beds 20

12. Paignton and Brixham Locality Community Hospital Utilisation
Total Admissions
1,154
Of which, patients registered within the locality
667
Of which, patients registered outside locality
487
Average LoS (days)
13.5
Total bed days
15,404
Total Bed Stock 48

13. 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
(%)
2015/16
351,130
379,182
28,052
7.99

14. Community Hospital Costs
No of beds
Bed Days
Bed day Cost £
No of Admissions
Avg. cost per Admission
ASHBURTON HOSPITAL 10
3388
£306.56
176
£5,901
BOVEY TRACEY HOSPITAL 9
3088
£326.22
235
£4,287
BRIXHAM HOSPITAL 20
6253
£261.81
431
£3,798
DARTMOUTH HOSPITAL 16
4391
£331.58
387
£3,762
DAWLISH HOSPITAL 18
5278
£362.28
440
£4,346
NEWTON ABBOT HOSPITAL
7768
£342.61
595
£4,473
PAIGNTON HOSPITAL 28
9462
£263.70
719
£3,470
TEIGNMOUTH HOSPITAL 12
4476
£267.80
261
£4,593
TOTNES HOSPITAL
6016
£285.04
364
£4,711
178
59,041
4064
Avg Bed Day Cost
£297.90
Avg cost per admission
£4,328

15. MIU Costs Hospital Attendances Cost Per Attendance Ashburton MIU 268
£541.99
Brixham MIU
3081
£93.56
Dartmouth MIU
3340
£64.73
Dawlish MIU
3851
£71.94
Newton Abbot MIU
16453
£51.22
Paignton MIU
3274
£71.45
Teignmouth MIU
3492
£57.74
Totnes MIU
5665
£85.78
50,244
£69.77
Avg. MIU Attendance Cost

16. Community Nursing Costs
Locality
Activity
Avg Cost
Coastal
32,322
£32
Moor to Sea
32,632
£38
Newton Abbot
34,813
£34
Paignton/Brixham
49,283
Torquay
43,228
Average cost
£35