Decision details

The report will detail:

·  the progress made to develop and trial the expanded Community Treatment Team (CTT) and new home based intermediate care community services in B&D;

·  the case for change in the model of intermediate care, informed by evidence gathered through the trial; and,

·  provide an overview of the consultation process currently underway and detail the preferred option of the CCG.

The Board will be asked to support the intermediate care consultation process and note the preferred option of the CCG

The Board commented:

(i)  There are three different boroughs, each of which had their own diverse and different needs, and that needs to be acknowledged.

(ii)  In the Council’s view, shutting the service at Gray’s Court a time of a growing population and an increasingly ageing population is short-sighted.

(iii)  Clarification was needed in regards to the future of the clinics that operate at Grays Court and the Gray’s Court building itself.

(iv)  LBBD residents find it difficult to get to King George’s Hospital.

(v)  The beneficial effect of visitors to a patient getting well could be lost if relatives, especially older residents, could not travel to visit patients. 

(vi)  The drive to provide more care in patient’s homes may be more difficult, as the space in the older LBBD properties is not as generous as the 60s and 70s builds in Havering.

(vii)  There had been assurances that Gray’s Court service was safe and there had been categorical assurances of overnight clinical cover, with the exception of stroke cover, and now feel the Council feel it had been very misled.

(viii)  This was the second facility closure since the inception of the CCG and both facilities had been in LBBD.

(ix)  The recruitment of high calibre staff at all levels still needed to be resolved.

(x)  There was insufficient detailed data to enable discussions meaningful.

(xi)  Based upon the evidence currently available the Council would wish to support Option 3, which was provision on three sites.