1. Moor to Sea Locality Development

2. Moor to Sea Locality Ashburton Community HospitalBovey Tracey Community Hospital Dartmouth Community Hospital Totnes Community Hospital

3. Moor to Sea Locality Riverside Surgery Bovey Tracey Buckfastleigh Medical Practice The Surgery Ashburton Tower House Surgery Chudleigh

4. Moor to Sea Locality Dartmouth Medical Practice Leatside Surgery Totnes Catherine House Surgery Totnes

5. Point of Access Moor to Sea N.B// This includes only Permanent and Fixed Term Temporary Posts therefore Bank and Agency staff are excluded *Indicates where a role is divided across multiple teams (i.e. Management & Team Leaders that are responsible across more than one area or where support may be required in line with demand not necessarily divided equally).  Practice Population: 53,729  Population Over 65: 13,916  Population over 80: 3,739 TSDHCT & DCC Employed Workforce Total Registered 45.67 wte Total Non Registered 22.42 wte Total = 68.09 wte MOORLAND GPS TOTNES AND DARTMOUTH GPS Community Nursing Therapies Therapy Manager 1.0 wte x Band 8 Community Nursing Team Leader 1.0 wte x Band 7 Community Matron 1.0 wte x Band 7 Community Nurses 1.85 wte x Band 6 6.24 wte x Band 5 0.8 wte x Band 5 vacancy Assistant Practitioners 2.0 wte x Band 4 Healthcare Assistant 1.0 wte x Band 3 Phlebotomist 0.67 wte x Band 2 Total Registered 10.89 wte Total Non Registered 3.67 wte Grand Total = 14.56 wte Discharge Liaison Sister 0.8 wte x Band 6 Total Registered 0.8wte TOTNES Physiotherapy Team Leader 0.8 wte x Band 7 Occupational Therapist 0.61 wte x Band 6 Physiotherapist 1.0 wte x Band 6 1.0 wte x Band 5 Multi-link Support Worker 0.53 wte x Band 3 0.8 wte x Band 3 Admin 0.6 wte x Band 3 Total Registered 3.41 wte Total Non Registered 1.93 wte Grand Total 5.34 wte Social Services Practice Manager 1.0 wte x Grade H Community Care Workers 2.0 wte x Grade E Social Workers 1.0 wte x Grade G Social Worker vacancy 1.0 wte x Grade G Occupational Therapist 1.0 wte x Band 6 Total Registered 4.0 wte Total Non Registered 2.0 wte Grand Total = 6.0 wte INTERMEDIATE CARE Occupational Therapist 1.0 wte x Band 6 Physiotherapist 1.0 wte x Band 6 Support Worker 1.0 wte x Band 3 Total Registered 2.0 wte Total Non Registered 1.0 wte Grand Total = 3.0 wte The Bovey Tracey & Chudleigh Practice Buckfastleig h Medical Centre Ashburton Surgery Care Direct Catherine House Surgery Dartmout h Medical Practice Leatside Surgery Totnes & Dartmouth Totnes Community Hospital Community Nursing Community Nursing Team Leader 1.0 wte x Band 7 Community Matron 0.91 wte x Band 7 Team Leaders 2.0 wte x Band 6 Community Nurses 6.3 x Band 5 Healthcare Assistant 2.25 wte x Band 3 1.7 wte x Band 2 Admin 1.1 x Band 2 Total Registered 10.21 wte Total Non Registered 5.05 wte Grand Total = 15.26 wte Therapy Manager 0.48 wte x Band 7* Physiotherapist 0.92 wte Band 7 2.0 wte x Band 6 Occupational Therapist 1.58 x Band 6 1.28 wte x Band 5 Support Worker Intermediate Care 1.0 wte x Band 3 Rehab Assistant 0.43 x Band 3 Physiotherapy Assistant 0.75 x Band 3 Total Registered 6.26 wte Total Non Registered 2.18 wte Grand Total = 8.44 wte Social Services Practice Manager 0.6 wte x Grade H Community Care Worker 2.0 wte x Grade E Social Worker 2.0 wte x Grade G Occupational Therapist 0.5 wte x Band 6 Total Registered 3.1 wte Total Non Registered 2.00 wte Grand Total = 5.1 wte Dartmouth Community Hospital Bovey Tracey Hospital Ashburton & Buckfastleigh Hospital DARTMOUTH Physiotherapist 1.0 wte x Band 6 1.0 wte x Band 5 Occupational Therapists 1.0 wte Band 6 1.0 wte Band 5 Physiotherapy Technician 0.63 wte x Band 4 Therapy Assistant 0.4 wte x Band 4 0.56 wte x Band 3 Total Registered 4.0 wte Total Non - Registered 1.59 wte Grand Total 5.59 wte Moor to Sea Intermediate Care “Complex Care Team” Zone Manager 1.0 wte x Band 8b Cluster Co-ordinator 2.0 wte x Band 4 “Complex Care Team” Non-registered = 3.0wte Torbay Acute Hospital Moorland Totnes & Dartmouth Public Moorland Therapies Intermediate Care KEY Torbay and Southern Devon Health and Care Trust Employed staffing as at 08.07.15 Devon County Council Employed Section 256 Monies Funded but employed by TSDHCT Draft in development

6. Activity Summary Activity Moor to Sea Locality South Devon and Torbay Count of registered patients DSR per 100,000 A&E8,77515,84524,032 MIU10,38419,42412,883 Elective11,4129,31811,101 Non-Elective8,8697,82710,300 Outpatient - all activity 49,53383,236107,547 Outpatient - single patients 28,60924,80829,403 Directly Age Standardised Rate (DSR) per 100,000 registered population 2013/14- 2014/15 (annual average)

7. Outpatient Activity Heat Maps

9. GP Consultations: 175,584 Community Therapy and Nursing Services: 39,321 Secondary Care Outpatient Appointments: 32,896 A&E and MIU Attendances: 10,747 Radiology events: 8,634 Elective Acute Care: 3,762 Non Elective Acute Care: 2,083 Intermediate Care: 1,932 Community Hospital Admissions: 739 Totality of Health Service Use: Totnes & Dartmouth Figures relate to activity not people and is based on available NHS data

10. GP Consultations: 178,665 Community Therapy and Nursing Services: 36,490 Secondary Care Outpatient Appointments: 33,709 A&E and MIU Attendances: 7,802 Radiology events: 7,460 Elective Acute Care: 3091 Non Elective Acute Care: 1862 Intermediate Care: 2,964 Community Hospital Admissions: 402 Totality of Health Service Use: Ashburton, Buckfastleigh, Bovey Tracey and Chudleigh Figures relate to activity not people and is based on available NHS data

11. GP Consultations: 354,249 Community Therapy and Nursing Services: 76,841 Secondary Care Outpatient Appointments: 66,605 A&E and MIU Attendances: 18,549 Radiology events: 16,094 Elective Acute Care: 6,853 Non Elective Acute Care: 3,945 Intermediate Care: 4,896 Community Hospital Admissions: 1141 Totality of Health Service Use: Moor to Sea Locality Figures relate to activity not people and is based on available NHS data

12. Total Admissions 375 Of which, patients registered within the locality 213 Of which, patients registered outside locality 162 Average LoS (days)12 Total bed days4,514 Beds16 Dartmouth Community Hospital Utilisation Totnes Community Hospital Utilisation Total Admissions 364 Of which, patients registered within the locality 184 Of which, patients registered outside locality 180 Average LoS (days)17 Total bed days6,107 Beds18

13. Total Admissions 177 Of which, patients registered within the locality 101 Of which, patients registered outside locality 76 Average LoS (days)19 Total bed days3,354 Beds10 Ashburton Community Hospital Utilisation Bovey Tracey Community Hospital Utilisation Total Admissions 225 Of which, patients registered within the locality 126 Of which, patients registered outside locality 99 Average LoS (days)13 Total bed days63,021 Beds9

14. Moor to Sea Locality Community Hospital Utilisation Total Admissions 1,154 Of which, patients registered within the locality 667 Of which, patients registered outside locality 517 Average LoS (days)15.3 Total bed days13,996 Beds53

15. 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

16. 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

17. 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

18. 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