Stockton-on-Tees Borough Council

Big plans, bright future

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Cabinet Decision: 14th May 2009
Title of Item/Report
Integrated Health Care Facility
Record of the Decision
Cabinet was presented with an update on the Stockton on Tees Teaching PCT's plans for an integrated health and care facility in Stockton and outlined the implications for services.

Hartlepool PCT and Stockton on Tees Teaching PCT, together with partner organisations, were committed to the improvement of patient care, the reduction in health inequality and improvement in health outcomes through the delivery of greater integration of health and social care services. In order to achieve this, the PCT's had ambitious plans for whole system re-design around care pathways, changes in working practices, and the development of the infrastructure from which to deliver care. The change programme Momentum: Pathways to Healthcare addressed the reconfiguration of care from the existing 2 hospital sites in Hardwick, Stockton and Hartlepool and the transfer of services to a single site in Wynyard. To effect this change additional services would need to be provided in new settings.

Both PCTs had recently received Board approval to its Strategic Outline Case (SOC) which encompassed the following:

• Re-providing and developing health and care facilities in Hartlepool, Stockton, Billingham and Yarm. This includes integrated care centres, which will provide a range of services traditionally delivered from an acute hospital setting such as outpatients, and diagnostics. Additionally, minor injury facilities will be developed at Hartlepool and Stockton.
• To maintain the pace of change and ensure service delivery continues to be improved, it is important for the Health Community to secure the capacity required to meet the needs of the local population are met now and in the future.
• To build on progress already made, including development and modernisation of General Practitioner facilities and considerable innovation in working practice.

As part of the plans to develop an integrated health care facility in Stockton the PCT considered and consulted on a range of locations. PCT plans indicated that the Alma Street site was their preferred option for the Stockton Integrated Care Centre. This was subject to affordability and value for money. The PCT Board had approved the preferred option site and would progress to its approval process with the Full Business Case planned for sign off in February 2010.

Alma Street site had separate office accommodation (for approx 70 staff), a caretakers house and the Alma Centre - a day service facility for some adults with disabilities, older people and older people with mental health needs. The day service was one of three within Stockton on Tees run by Adult Operations, and was used by 70 clients per day.

The proposal to redevelop the Alma Street site would impact on the existing services. If PCT plans were realised then the Stage 2 Business Case would be approved by February 2010 and the developers would be keen to access the site from this date which had consequences for the re-provision of existing services.

The Workwise Strategy, agreed by Cabinet in April 2009, identified that opportunities would be taken to rationalise office accommodation. Work was also underway exploring funding opportunities for ISA staff, many of whom were currently based in Alma House and the impact of Alma House would be managed in this way. The caretaker's house would also need to be re-provided in line with terms and conditions of employment.

The existing day services would need to be re-provided. An exploration of alternative day service space had been undertaken. Upon review of the possible site options the Halcyon Centre in Thornaby had the physical capacity to extend its existing service and offer additional capacity to re-provide the existing service. This would enable the ongoing provision of day services for the clients that attend Alma in an appropriate facility.

In order to progress this change, consultation would be required with service users, carers and related stakeholders. Cabinet was asked to approve a period of consultation about the future service provision at Alma Street and re-provision of the service to the Halcyon Centre. Feedback from the consultation and any recommendations would be considered at the Cabinet meeting in July 2009.

The long term arrangements for day services would be subject to the Efficiency, Improvement and Transformation (EIT) review and the consultation would enable feedback to inform this part of the review

The costs of service re-provision would need to be considered as part of the financial implications and consideration of releasing the site. Detailed negotiations would be undertaken with PCT. The PCT would need to confirm its commitment to the site in advance of any capital expenditure in any service re-provision to ensure that the Council was not put at financial risk.

RESOLVED that: -

1. The contents of the report be noted.
2. A period of consultation about the future service provision at Alma Centre and the re-provision of the service to the Halcyon Centre, with service users, carers, staff and other relevant stakeholders was approved and consideration of feedback from the consultation and the subsequent recommendations be presented at the cabinet meeting in July 2009.
3. The Alma site was the preferred location for PCT development and progress negotiation for the sale of the site, subject to the costs associated with re-provision of Alma Street Day Centre be approved.
4. The positive steps in the development of the PCT's plans for new healthcare services in Stockton be noted.
Reasons for the Decision
To enable the PCT to meet its timetable in line with its proposals for health service changes.
To ensure that the re-provision of the existing services on this site are planned and developed.
To ensure that day services continue to meet the needs of older people across Stockton Borough and that they are fit for purpose now and in the future.
Alternative Options Considered and Rejected
Declared (Cabinet Member) Conflicts of Interest
Details of any Dispensations
Date and Time by which Call In must be executed
By Midnight, Friday, 22nd May 2009

Date of Publication: 19 May 2009

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