Feedback from public meeting

Feedback from public meeting held at Moretonhampstead Sports Hall on Monday 9 December 2013.

59 responses received, to date (15 January 2014)

Regarding the presentations and discussion, what was most important to you?

  • The chairs presentation, the diversity of the panel, the obvious familiarity of members of the panel with local facts, Dr Dudgeon’s part, the open questions/discussion time
  • A fairly clear plan and ideas how to get that plan in to action
  • Clarity of statements.  The meeting was well chaired.  The hub was explained and I support this plan
  • A positive and encouraging meeting.  Here in Moretonhampstead perhaps we can help make an efficient, effective template for rural health services.  We have the parish council, Dr Dudgeon and other health professionals, the Moreton Redevelopment Trust and Moorcare – these are key organisations in making this work.  Moreton really could blaze a trail
  • Keeping Moreton open and used by the local area
  • To clearly understand the present issues and, more importantly, to understand what the future will hold for the building and its potential
  • To hear the proposals for Moretonhampstead Hospital and the proposed ideas put forward by Dr Dudgeon.  I accept that the suggestions offer a good way forward.  Hospital should be kept open
  • The development of a general consensus around the idea of the hospital as a hub for day care services coupled with the transformation of care within the home using rapid response nursing and live-in care support
  • The suggestion made by Mrs P regarding the use of Holcombe House VG.  As a regular visitor to Coppelia, the idea of 3 rehab beds without a change of staff is unthinkable.
  • No mention was made of care of dementia cases, many cannot be cared for at home
  • To learn more about the proposed changes to healthcare provisions in the area, especially the plans for a ‘hub’.
  • Concern shown by panel and chair on future wellbeing of residents of Moretonhampstead and surrounding areas.  The proposal for forming a hub in the hospital is welcome
  • It was vital that we save our hospital, albeit under a new guise
  • To hear the proposals for the hub
  • At the meeting, you were asked to guarantee these changes and improvements in perpetuity.  Recognising that this is a long time I would say that my support is conditional on the proposed hub being in place for at least 15 years with the only changes being improvements during that time
  • The future of Moretonhampstead Hospital
  • To maintain the standard of health facilities in Moretonhampstead and retain hospital and provision of beds within area
  • That Moretonhampstead stays open.  There was much talk from the professionals about care provided by Coppelia who had not been consulted, so purely hypothetical.  If the nursing care provided before closure was not of a high enough qualified standard, how on earth could this be provided by Coppelia House
  • As Mr F said, let’s keep the hospital open somehow and then perhaps in the future we can get the beds back.  There seems to be a lot of to-ing and fro-ing planned.  But let’s make the hub work properly
  • That the best health services remain available to the residents of Moretonhampstead.  This requires much better communications than there have been
  • That the best healthcare facilities are provided from Moreton hospital and medical centre and that the facility remains for years to come
  • To discover the options available in the future
  • Hearing an honest assessment of the position.  Dr Dudgeon was superb in his understanding of the problem and his endeavours to find solutions
  • Clear proposals for the future of the change of use for the hospital
  • Reaction of the meeting
  • How confident you were that this could be successful – still need to convinced given NDH handling of current situation
  • The explanation of the hub and the reasons for closing the beds
  • Excellent explanation of a hub system for Moretonhampstead Hospital in the future
  • To hear the plans
  • Dr Dudgeon’s vision of all the facilities that could be provided via a hub – having this happen quickly (and as a personal request, facilities for eye clinics including injections)
  • Will level of care at home be as good as care in Moreton Hospital
  • Detailed discussion on the hub and background data on detailed problems about carer recruitment
  • To build a hospital hub
  • Hearing different points of view and hearing more about a hub and how more care in the community would be provided
  • Seeing a consensus forming
  • To see return of beds at Moretonhampstead Hospital and alternative use
  • The future of the hospital
  • Gaining actual facts and hopefully getting honest answers.  Let’s get going
  • Provision of range of integrated services.  Opportunities of integrated services.  Finances
  • To understand the way forward for the area with regard to community care and services
  • Learning about how the proposed hub will work
  • Is the change of provision a financial issue – is it cheaper than inpatient care?
  • Security of healthcare to local population.  Security of Moreton Hospital.  Beds were important, but if these are really not an option then best alternative going forward for equivalent caring care.  Reassurance that the committee will act on tonight’s i.e. Tim Dudgeon’s proposals
  • The consensus of opinion was in favour of the hub (as per vote taken by chair) therefore the NHS (eastern Devon) should take the appropriate action to make this happen ASAP
  • Both my wife and I are over 75 and in reasonable health, so we want a local service to look after us in normal circumstances.  We realise we cannot have very gadget, but you should use the building to its fullest extent to cover as many health issues as possible
  • The proposals sound ‘good’.  I hope this hub gets going ASAP, thus hanging on to the hospital building
  • I support the suggestion of a hub
  • Discussion about the hub
  • The enthusiasm of all doctors to improve the proposed change
  • The clear outline from Dr Dudgeon as to the ‘way forward’ for the hospital
  • Obviously the ‘continuation’ of the cottage hospital as an in-bed facility is too expensive and the hub seems the next alternative – but as you say, this expense is unknown
  • The clarity, openness and optimism of Dr Dudgeon
  • The fact the closure of the cottage hospital will be replaced by a new service, the ‘hub’.  Ideal if it reaches larger numbers of the population and all the promised services will be available.  I am rather concerned that cuts will be achieved easier in the new establishment
  • The reasons why hospital beds here are ineffective and cannot be contemplated if other services are to be maintained and increased
  • The presentation by Dr Tim Dudgeon on the future of the hospital
  • To be given a sensible solution to a problem.  I support the proposal subject as ‘nursing home’ availability at an affordable cost
  • Moretonhampstead Hospital continuation and development, particularly regarding alternative therapies
  • To have honest answers
  • The future of health care in the community
  • Presentations and discussions were easy to follow

How did you hear about tonight’s meeting?

  • News in Moreton
  • From a friend
  • Moretonhampstead Hospital League of Friends
  • Local publicity and public notice
  • Patient Participation Group (PPG)
  • Word of mouth
  • Local paper
  • Moortones (choir)
  • Communication to councillors
  • Email from CCG
  • Healthwatch newsletter
  • Chagford parish website/bulletin
  • Facebook
  • Whiddon parish magazine

Please tell us why you came to the meeting tonight

  • We care about the hospital
  • To learn of progress in the developing situation for the future of the hospital
  • Support for keeping Moreton open
  • As chair of the Moretonhampstead Business Association, I have a responsibility to pass information to our members and share their views
  • Concern for a community concern
  • To understand what had and was about to happen with the hospital
  • To hear the discussion and new proposals
  • Because I care about the provision of good local healthcare for our community
  • I have been a patient there.  My cousin had a heart attack.  In the absence of a doctor, the nursing staff acted with calm confidence and my cousin recovered.  In a few months I shall be 90.  I was like other elderly, reassured that in the end we would be cared for if a stroke or heart attack required care of comfort in ones dying moments
  • To learn about the proposals for Moreton Hospital
  • To hear how the Hospital building will be preserved
  • To support Moreton against the NHS in the event that this meeting progressed in the same appalling way the last one had.  It didn’t, it was a remarkably positive one
  • Concern for the community.  I saw the medical services available in Moreton slipping away from us.  I now appreciate that by making the suggested changes and introducing the hub will more than compensate for the less of historically available services such as inpatient beds
  • Before my husband passed away 2 years ago, he was in and out of Moretonhampstead Hospital and was looked after and cared for in a most loving manner.  I live in North Bovey since 28 years and our hospital was and is very dear to me
  • Because the issue of healthcare is vitally important in small rural towns without easy public bus access to large hospital.  I did however feel that meeting was structured in such a way as to generate a specific response wanted by the NHS
  • As a Moreton resident, I am a potential user of the hospital and in the past I have called in there for help when the surgery is closed
  • In the hope of bringing together all of the stakeholders and providers so that we can get the best available healthcare for the area
  • The hope that the local community would have more of a say as to the future of our medical care and improvement in the running of the hospital
  • I wanted to hear how care for the elderly and frail was going to be achieved locally.  Having to travel to other areas for care causes a strain on the patient and family
  • I am concerned about the hospital’s future
  • Secretary of league of friends following previous meeting with Tamara Powderly, who we were all very impressed with and interested in listening to further to discussion
  • Deep interest
  • Wanted to hear more after going to one of the discussion groups
  • Interest in local healthcare
  • To hear the proposals from the experts
  • Because I am seriously concerned about the loss of beds and the minor injury services at Moretonhampstead Hospital (these were a godsend when my husband had cancer)
  • Part of league of friends
  • To represent Moretonhampstead parish council
  • A need to influence the provision of local healthcare
  • I care.  Having worked at Moreotnhampstead Hospital for over 17 years, its future matters to me and the community
  • Partly as representative, as voice of local parishes and deep concern over withdrawal of services
  • To hear about the future of the hospital
  • To support forward progress i.e. the hub – yes
  • For information
  • To be able to report back to our patient participation group on the proposals and outcome
  • Because I believe keeping a viable hospital in the community is very important
  • Now is the critical time to have the opportunity to restructure our local health provision.  Good ideas will come from local organisations
  • To listen to propositions and hear arguments and to be reassured.  I have had excellent care from the health centre and hospital in the form of treating cuts, removing ticks, end of life care for elderly relatives and advice
  • Because Moretonhampstead and area needs action now – nearly a year has gone past since closure and we need to make this happen now.  We live in a rural area, many people don’t drive, bus services infrequent and not suitable for hospital outpatient appointments.  Morecare brilliant but under increasing pressure
  • I am registered blind and a trustee of ‘Torch Trust’ (previously ‘Torch Trust for the Blind’)
  • Because I wanted to know what was planned for future healthcare in Moretonhampstead
  • My concern for our super hospital
  • The hospital is vitally important to Moretonhampstead.  It must stay open
  • Because it is an important responsibility of a resident
  • To understand what the NHS are looking at overall and to enable me as a member of the league of friends of Moretonhampstead to fight to keep the Hospital open
  • The health of the village community is of importance
  • Because we consider NHS medical service very important
  • Interest in the future development of healthcare provision
  • A most important matter for the community to be involved in and to be sufficiently aware to be able to support the way ahead
  • Interest in the hospital since I had an operation
  • I’m concerned the health service continues and evolves
  • Passionate interest in future health care facilities
  • Because I am concerned about the future of the service and the building

Keeping well in the community and maintaining your independence – Please list up to 3 services that you feel would help you to maintain your health and wellbeing, but which aren’t already available in Moretonhampstead or surrounding areas.

  • Eye clinics / ophthalmology – including injections, glaucoma screening
  • Audiology clinics – hearing aid checks, micro-suction, etc
  • Healthy body clinic i.e. regular blood tests, breathing checks and advice regarding nutrition
  • Dementia screening and clinics, including a memory café
  • Minor injury unit
  • Chemotherapy services
  • Physiotherapy and rehab
  • Acupuncture
  • Exercise classes
  • Blood transfusions
  • Minor surgery
  • Consistent and reliable care at home
  • Cardiology services
  • Transport to the hub
  • Children’s clinics i.e. ear, nose and throat (ENT), speech therapy, dermatology, orthoptic
  • Cancer outpatient services
  • Accident and emergency (A&E)
  • Well man/woman clinics
  • Podiatry
  • Geriatric care
  • Rheumatology
  • An easy to access emergency service
  • The most important service is self-service, go and walk if you possibly can
  • Osteopath
  • The development of a sustainable NHS.  One that recognises healthcare is required 24 hours in the day, 7 days a week, 365 days a year with elimination of waste of resources
  • My main concern is the provision of care to the seriously ill and dying if the length of stay is up to 25 days in the cottage hospital.  For my mother it was longer and it is a long time to care for a loved one at home.  Help will not always be available.  For an elderly partner this plan will need the support of Coppelia or similar
  • Dermatology – including mole/lesion removal
  • I am quite new to Moretonhamsptead and have not had to use services other than the GP. Though I once broke my wrist while here and was perplexed that I had to drive to Exeter to get it seen to. I would think that the biggest take up of services would be from young mothers and children and the elderly, plus sports injured folk, and people with ongoing conditions such as diabetes so services relevant to these groups would be essential;  physiotherapy, podiatry, hospice services and audiology, specialist healthcare for elderly patients, respite centre and services run in partnership with charities such as Age Concern and the Alzheimer’s Society as suggested in the Budleigh Salteron plans online plus minor injuries services for all ages and some access to fitness and diet counselling services and mental health services probably.
  • Tai Chi
  • Mindfulness therapy
  • Gardening
  • Qi Gong

Support during a health crisis – If/when you are unwell, what support and/or services are most important to you?

  • Availability of a local GP at all times
  • Speedy, efficient, relevant care and understanding
  • Being able to  consult a local and familiar health team
  • Continuity of medical practitioners
  • Access to emergency out of hours services
  • Access to local pharmacy
  • Immediate medical care by a professional that knows me
  • Advice on how to manage my condition and aftercare to check that progress is being made
  • Emotional support for my spouse who will be doing the worrying
  • The reassurance that advice is readily available
  • A health centre of excellence
  • Exactly what I could reasonably expect if I lived in Exeter
  • My GP
  • 24 hour care with equipment to deal with my condition or illness
  • Fast response doctor
  • Access to medical support quickly without having to travel too far
  • Local care, familiar faces, consistent care, informed choices and compassion and understanding
  • Someone to see or at least talk to to help resolve problem, including at weekends
  • Adequate support by suitably qualified carers e.g. at NVQ standard
  • Healthcare in the home
  • GP and A&E
  • Transport and home care
  • Qualified help available, preferably directly with doctors (out of hours)
  • Transport to/from hospital
  • Someone to stay with me after an operation because I live alone
  • Careful, accurate diagnosis, with speedy treatment and accurate communications
  • Doctor available at all hours
  • Access to a hospital bed if problem is acute enough
  • Local professional care and help as soon as possible
  • Local services
  • A place/person to ask for advice at the time needed
  • I don’t really know yet!
  • Acupuncture service
  • Immediate access to health professionals and appropriate treatment if necessary
  • Knowing that you have nursing/caring support readily available
  • Access to a doctor for consultation
  • Osteopath
  • Easy access to support in the home if medication needed intravenously
  • Blood tests/transfusions, heart/lungs/Blood pressure monitoring, asthma support in case of acute attack and chemotherapy services
  • Good nursing staff and accessibility to local GP
  • Rapid response in case of accident or sudden illness
  • Reassurance of ongoing care during the time of illness
  • Regular visits by a health expert and availability of care at all times
  • Friends
  • Preferably one’s own GP and understanding from medically trained staff
  • Preferably our local hospital offering the above services
  • Doctor consultation at home
  • Ambulance/Air ambulance
  • Care and treatment from someone who knows me and knows what’s going on
  • In my experience Devon Doctors out of hours have provided an excellent service
  • Community nursing with out of hours cover
  • Physiotherapy
  • Minor Injury service with referral for x-ray without having to wait at Exeter RD&E
  • The services Morecare offer (shopping, driving, befriending) need expanding through increased funding and access to training for volunteers.
  • Assuming that there are community doctors and nurses available to maintain a patient before and after hospital admittance then local services which assist a patient’s rehabilitation(as listed above) or provide respite care if the main carer is a family member. In some cases presumably this could be a bed in a local nursing home as an NHS bed.
  • The use of IT to maintain dialogue with patients.  Also  IT to enable housebound patients to feel less invisible within the community as a supplement to visitors/befrienders. The generation getting older are going to be pretty IT savvy.
    Very clear information about services available within a health hub and services available which are attached to a heath hub – charities, Alzheimers, Age Concern, Mind, CVS, etc. to provide clients (do we have to be patient!) and carers with a quick guide to what they can do for selves and what can be done to help them. Hubs can be virtual and actual…and providing such information both online and on paper would ensure that people know what is available before they get ill as well so that they and their carers can make intelligent decisions. People need to be engaged with the Health Hub and feel some ownership.
  • Holistic approaches
  • Guaranteed attention from a GP
  • Complementary approaches such as acupuncture. Qi gong, massage and herbs

Getting you home as quickly and safely as possible – If you have had an episode of care in the hospital, what most helped your recovery?

  • Clear, concise information about condition and after care
  • Efficient arrangements for putting in to place after care with clearly defined visit times and emergency numbers for support.  Often the support is not clearly defined and times of health visits random because insufficient community nurses available
  • Important that patient not sent home too early or that arrangements are made for convalescence followed by care in the home
  • I am concerned that the elderly and infirm in the community are cared for in a caring and dignified way and are not caused further stress by forcing them to be cared for in a factory hospital (Exeter) away from family.  I have witnessed this and it was distressing for the family
  • Good care in the hospital (not always the case in Exeter)
  • Continuity of care
  • Visits from district nurse
  • Opportunity to speak with my doctor, or for my wife to do so, at short notice
  • Access to family and friends
  • Good communications from staff
  • Excellent clinical care
  • Clean facilities and good food
  • Seeing our own doctors, the same nursing staff who know you, and good food cooked in the hospital
  • Early discharge home
  • Good follow up by my GP and practice team
  • Access to family, family’s ability to visit in hospital.  Family knows the patient’s needs e.g. unable to drink from cup and needs a beaker
  • Home is not always the answer as every home is different so should be treated and assessed in isolation
  • Home is a great place to recover, but can be very scary in an isolated place
  • After-surgery care that is local
  • I have only been in hospital for 3 nights, but friends are most important to me to recover fast
  • Getting home and being cared for there
  • Morecare services on hand
  • Physiotherapy services
  • Personal fitness training, including swimming daily
  • Advice from GP and pharmacist
  • Access to A&E if necessary
  • After spinal surgery, the standard of nursing care and the delicious, freshly cooked food put the RD&E to shame.  Of course such a happy atmosphere led to a speedy recovery
  • Visits from family and friends and good medical treatment
  • Good, local GP service
  • Highly trained staff, preferably qualified nurses or ones working toward that qualification
  • Overall standard of care that is constantly maintained
  • Returning home as quickly as possible, with good support at home
  • Sound advice on coming home
  • Proper food – not the rubbish reheated and served up by the RD&E
  • For my mother – the Moretonhampstead Hospital, who provided qualified staff known to the family, who were kind, thoughtful and caring.  It is a difficult service to match
  • A service to supply short term aids such as foot rests, bath aids, etc. without a long wait
  • Very clear information about services available within a health hub and services available which are attached to a heath hub – charities, Alzheimers, Age Concern, Mind, CVS, etc. to provide clients (do we have to be patient!) and carers with a quick guide to what they can do for selves and what can be done to help them. Hubs can be virtual and actual…and providing such information both online and on paper would ensure that people know what is available before they get ill as well so that they and their carers can make intelligent decisions. People need to be engaged with the Health Hub and feel some ownership.
  • Good nursing

Last updated: October 3, 2017