Changes to inpatient rehabilitation services
Derbyshire Healthcare NHS Foundation Trust has been providing mental health rehabilitation services at two units called Cherry Tree Close and Audrey House, which are close to each other at Kingsway Hospital site in Derby.
The services support people from across Derbyshire, providing rehabilitation support for those who have been referred from other hospital settings and the community. The aim is to support people to live outside hospital and reach their full potential within a community setting.
Cherry Tree Close offers 23 beds, provided through five single sex, self-contained bungalows for either four or five service users. There are ten beds at Audrey House.
Over recent years there has been a decrease in demand for inpatient mental health rehabilitation services. Prior to the COVID-19 pandemic, the rehabilitation services had commenced a project to deliver a new community rehabilitation model, however in response to the pandemic Audrey House was temporarily closed in April 2020, with inpatient services being delivered from Cherry Tree Close.
Since April 2020 Cherry Tree Close has been able to manage flow, in to and out of the unit. Bed availability has been regularly monitored, remains stable and there is no expectation that we will need the beds provided at Audrey House for inpatient rehabilitation services in the future. The Trust would therefore like to use Audrey House to support the wider estate needs of the Trust.
We know that many people who receive support from the Trust’s rehabilitation services would benefit from receiving increased support within a community setting. In many cases this would reduce the need for an inpatient stay. Evidence from other areas that have community based rehabilitation services also suggest that community based support provides a better patient experience, improved medicines compliance and reduced need for wider hospital admissions. We hope to commence a community rehabilitation service in 2023. Colleagues who previously worked at Audrey House are temporarily working in other services and it is likely that these colleagues will support the new community service when it is in place.
What will Audrey House be used for?
Alongside the new acute mental health development at Kingsway Hospital, the Trust is asking for additional funding from the Joined Up Care Derbyshire system to develop a new eight bed ‘acute plus’ facility for women and a new Psychiatric Intensive Care Unit (PICU) for 14 men. Both of these facilities would also be based at Kingsway Hospital. We will also refurbish the existing Radbourne Unit to continue to provide acute mental health care for female patients, across two wards with single en-suite bedrooms.
This development will need a staged move of existing services, to allow for the development work to take place. We are therefore proposing that Audrey House will initially be used as an interim facility, supporting patients from existing services (such as the Radbourne Unit) while the current ward environments are improved.
When the new acute unit opens in 2024, it is proposed that Audrey House will become the permanent base for the ‘acute plus' facility, providing enhanced support to women, across eight inpatient beds.
We are committed to engaging on this proposed change and are seeking the views of those currently accessing the services, their family and carers and those with a lived experience of mental health services.
We will be engaging with members of the public about these proposals for six weeks between 24 January 2022 – 7 March 2022. This will also include opportunities for our patients and carers to share their views on the proposals.
To share your views please:
Click here to complete the survey or enter the following URL into your web browser: https://www.surveymonkey.co.uk/r/ChangesToInpatientRehabilitationServices2022
Attend a meeting: We will be holding two open meetings for people to attend and talk about these proposals on the following dates:
- 9 February 2022 – 11.30 – 12.30
- 21 February 2022 – 10am – 11am
If you would like to attend, have any questions or would like to provide feedback in another way, then please contact:
Claire Haynes, Involvement Manager, NHS Derby and Derbyshire CCG