People who need on-going care before they can return home following hospital treatment are set to benefit from enhanced levels of care in their community, following changes announced by Brighton and Hove Clinical Commissioning Group.
Population health data and feedback from staff shows the health and social care needs of residents in Brighton and Hove are changing, with more patients now leaving hospital with complex and greater nursing needs, which cannot always be met fully in some care homes currently commissioned to provide nursing and therapy for patients before they can go home.
This means more people are ready to be discharged from the Royal Sussex County Hospital still require on-going specialist nursing care, which is not available at Knoll House and Craven Vale 24 hours a day.
This has prompted NHS Brighton and Hove Clinical Commission Group (CCG) to assess the needs of patients being discharged from hospital who require on-going care in community, before they can return home or move into a package of long-term care.
Until recently, care has been provided in Knoll House and Craven Vale, which are council owned and operated care homes. These homes provide residential care and largely support older people who have been discharged from hospital, often prior to them going home or into a long-term care home placement.
Increasing community health needs, along with patient feedback captured in a 2019 Healthwatch report into experience of hospital discharge, has prompted the CCG commissioners to review where services are provided, and develop a more enhanced community bed service on modern facilities for local residents in the city.
The CCG is now launching a community beds mobilisation plan, which will provide a significantly more enhanced level of care than previously provided, while the local health and care system undertakes a comprehensive review of all community services.
The new community beds capacity to be provided for Brighton and Hove residents:
- 24 community rehabilitation beds at Lindridge Nursing Home in Hove, run by Sussex Partnership NHS Foundation Trust.
- 16 sub-acute step-down beds at Newhaven Community Hospital (in Newhaven), run by Brighton and Sussex University Hospitals NHS Trust
- 12 specialist 24-hour nursing home beds to support patients with dementia or who are unable to walk unaided.
The majority of these beds will be provided at sites which are owned and run by NHS Trusts, and are opening in addition to the existing community bed capacity that is available to Brighton and Hove residents at Lewes Community Hospital (26 beds) and Wayfield Avenue and Ireland Lodge Nursing Homes (44 beds).
The community care will be provided across a number of sites in Brighton and Hove, rather than in one place, to build resilience into the local health and care system. The requirements for the sites included their ability to support multi-disciplinary care and assessment, supported by teams from Sussex Community Foundation Trust and Brighton and Hove Adult Social Care, to ensure regular assessment of patients and further down-stream discharge without delay.
The sites were chosen to provide the additional community based on the ability to provide the necessary levels of care safely, location in proximity to Brighton and Hove, and the Care Quality Commission inspection rating on each site.
A spokesperson for NHS Brighton and Hove CCG, said: “We will continue to work in partnership with Brighton and Hove City Council to ensure there is a fully integrated health and social care community provision for the residents of Brighton and Hove, as the council considers the future of Knoll House and Craven Vale.”