Integrated health and social care community services
Our teams of integrated health and social care community professionals across northern Devon work to rehabilitate patients, avoid admissions, and promote health, wellbeing and independence. The multidisciplinary teams include community nurses, social workers, physiotherapists, occupational therapists, community matrons and the voluntary sector.
The teams deliver care to around 2500 people, often with very complex needs, providing support and treatment to enable them to live independently in their own homes.
The teams provide a rapid response service. If a GP is worried about a patient whose health is deteriorating, they can call the community rapid response team who will arrive at the person’s home within two hours. We then look at the health and social care needs of the patient, and the patient is provided with immediate support in their own home. Quite often this avoids an admission to hospital.
The Trust has five community hospitals and two resource centres, which provide a range of services that are easily accessible to the local population, including around forty inpatient beds, and rehabilitation and outpatient clinics.
Some hospitals also offer specialist services such as minor injuries units, stroke rehabilitation and renal care. The resource centres in Barnstaple and Lynton provide a range of local outpatient and self-referral services, such as family planning clinics.
North Devon District Hospital (NDDH), Barnstaple
In 2016/17, staff at Northern Devon Healthcare NHS Trust treated 28,122 inpatients, 21,804 day cases, 353,650 outpatients and delivered 1,548 babies. They also saw 45,050 people in our accident and emergency department, and 25,413 in our minor injuries units.
The populations of Torridge and North Devon account for 94% of patients to NDDH, with the remaining 6% coming from residents from the Cornish and Somerset borders or tourists to the area.
NDDH provides a 24/7 accident and emergency service. In 2012 it was designated as a trauma unit within a trauma network serving the whole of Devon and Cornwall. This ensures residents of northern Devon have access to trauma services.
The Trust offers a range of general medical services, including cardio-respiratory, stroke care and gastroenterology. General surgical services include orthopaedics, urology and colorectal specialities.
The Trust also runs very successful ophthalmology services, which use the latest procedures and techniques to treat glaucoma and macular degeneration.
The Trust offers patients a choice of local, specialist services and invites consultants from other neighbouring Trusts to hold clinics in the area. We work with Musgrove Park in Taunton on a vascular network, Derriford on a neonatal network and the Royal Devon and Exeter on a cancer network. We also work with the RD&E to deliver ear, nose and throat services.
Our pathfinder team at NDDH liaise with the wards in both acute hospitals to organise timely and safe discharges for patients who require ongoing care or support after leaving hospital. As members of the local health and social care teams, the pathfinder and onward care teams develop and arrange any care packages that are required to ensure the patient can leave hospital, with the right support to live independently at home.
Specialist community services
The Trust is the main provider of specialist community healthcare services across North, East, Mid and South Devon, including podiatry, sexual health and the Sexual Assault Referral Centre (SARC). We also provide adult and paediatric bladder and bowel care services in these areas.
The Trust runs two walk-in centres in Exeter, based in Sidwell Street and at the RD&E. These services are led by specialist nurses, who can provide treatment for minor injuries or illnesses such as sprains, cuts and minor infections. There is also a deep vein thrombosis service at the RD&E.