Update 3 February 2025
The feedback from the public consultation on whether we should explore a more formal partnership with Derbyshire County Council, for how we provide a range of assessment, reablement and intermediate care services, is now being analysed.
Both DCHS and DCC are working together to ensure that the consultation feedback is considered by both organisations at roughly the same time, in line with each organisation’s slightly different governance and public accountability scheduled meetings.
Our DCHS Trust Board will consider the consultation feedback at its next meeting on Thursday 6 February, and will subsequently make its final decision in March (and report this publicly in April). By the time of the DCHS March Trust Board the decision of the DCC Cabinet will be known. The DCC Cabinet paper is expected to be considered on 20 February by the elected members who comprise the Cabinet. The paper will include recommendations, following the public consultation, and will be published ahead of the meeting on the DCC website on 12 February and the link will be made available to DCHS colleagues.
The papers for our DCHS Trust Board’s 6 February’s meeting are published today (3 February) on our website and you can read them now: Public Board Meeting Pack - February 2025. A summary of the recommendations is listed here:
- Consider the consultation findings at Appendix 1 and the summary within the cover report.
- Consider the draft Equalities Impact Assessment as set out in Appendix 2.
- Support the proposal in principle to move forward with a formal integration partnership based on the consultation feedback and the Board’s previous support for integration, should the County Council’s Cabinet agree that this is a priority for them when they consider the matter on the 20 February.
- Agree to receive a final recommendation at the Trust’s Private Board on the 6 March 2025, for a decision and ratification, informed by any substantive matters arising from the County Council’s Cabinet considerations and decision.
- Agree to reporting the final decision and next steps, at the Public Board on the 3 April 2025.
If you have any queries about this please email dchst.communications@nhs.net.
What is being proposed?
Derbyshire County Council (DCC) and Derbyshire Community Health Services (DCHS), are consulting upon further integration between the two organisations, including the possibility of entering into a formal partnership agreement, to jointly deliver a range of assessment, reablement and intermediate care services aimed at helping people remain independent at home for as long as possible. This may include the provision of community-based support beds, short-term care and any other services where further integration would benefit the people of Derbyshire. Section 75 of the National Health Service Act 2006 enables councils and NHS bodies to work in partnership and pool budgets and an agreement of this nature if often referred to as a ‘Section 75 Partnership Agreement’.
The DCC and DCHS are already working closely together to deliver assessment and reablement services using multi-professional assessments, by sharing staffing skills, training and development. The proposal to enter a formal partnership arrangement would be about building on the success so far, to enable both organisations to manage increasing demand for services into the future. The partnership would be aimed at providing more people with reablement and assessment so that they have a better chance of remaining independent at home and returning home after a hospital stay. The proposal would also seek to reduce dependency on health and care services as a way to keep people safe, healthy and living well.
We are proposing that the partnership creates a single service to provide assessment and a short period of intensive reablement for people when their health or care needs change at home or following a stay in hospital. These services are commonly known as ‘Intermediate Care’ or ‘Reablement Services’ and are generally provided for up to two weeks on average.
This team would be made up of colleagues from DCC and DCHS, however in the future they may be in one team with a single employer. This would mean the team would be able to use a wide range of skills to try and assist people.
With a growing population and as people live longer, bringing health and care services closer together is at the heart of the NHS and Government plans, making sure that more people can receive support to remain healthy and independent at home for as long as possible. This support is even more critical after someone has had an episode of ill health or has been admitted to hospital. DCC and DCHS are already working closely together by sharing the skills of their staff, but this proposal will take this a step further so that the teams will be better placed to support more people into the future.
We believe that a formal collaboration would help DCC and DCHS provide a more seamless service for local people by removing duplication of efforts, differences in approach and organisational barriers that exist by operating separately. It would be designed to improve the quality, co-ordination and accessibility of health and care for local people.
The aims of entering a more formal partnership arrangement would be to:
- Help more people to be supported with a period of intensive assessment and reablement, care and physical therapy to help regain their physical ability and remain living independently following a deterioration in health or hospital admission.
- Create a more consistent care offer by increasing the overall capacity to respond to demand for assessment and reablement across the county. This demand for health and care is anticipated to rise due to the demographic changes in the population in the coming years.
- Reduce the different contact points for individuals, their families and professionals by undertaking a streamlined assessment process and then responding using a wider mix of skills and abilities in a new single staff team. By working as one team, with access to shared care records, this would help individuals to be able to “tell it once” and people would know that their health and care information is available to all the professionals who support them.
- Improve and develop a shared workforce to see an improvement in the recruitment and retention of carer and support worker roles by having a wider and more varied career pathway for staff. Both organisations are experiencing vacancy rates, and a new partnership arrangement will offer an opportunity to design job roles differently as part of a single service offer.
The main change would be that for those people who need assessment and a period of reablement in the future there would be a new combined team. Where people have accessed support, especially after hospital, in a temporary bedded care environment, the location of this may also change and the people supporting them may be from a single multi-disciplinary team. Also, the process of arranging and advising people about their ongoing health or care support would be carried by a single team, rather than using different organisations which sometimes happens now.
The main change would be the makeup of the team as existing employees of the relevant teams with DCC or DCHS would be part of a larger single team. It may also be beneficial for all colleagues to be employed by the same employer. There may be some future changes to the ways in which the teams currently work, and whom they work with. The changes could also mean a reduction in vacant posts as both organisations would combine their recruitment. Training and development could also be carried out differently to enable potentially wider career opportunities for staff. Any major changes to work practices would need a more detailed consultation with staff affected before being implemented.
There is legislation at Section 75 of the National Health Service Act 2006 which enables Councils and NHS bodies to work together in partnership by joining their resources to fulfil their respective legal duties. This is referred to as a ‘Section 75 Partnership Agreement’. DCC and DCHS would use this legislation to set out the aims of the partnership in a formal agreement and would regularly review that its desired aims were being met. Feedback from people using the service, and staff working in the service, will be used in future to determine whether the desired improvements have been made.
A decision on the proposal will not be made by DCC and DCHS until after this consultation process. If the proposal goes forward, it is not likely there will be any final changes before Spring 2026.
We are carrying out this consultation, from 5 December 2024 until 17 January 2025, in the following ways:
- By email
- By post
- Questionnaire - Online - (standard format)
- Questionnaire - Paper (available on request)
Which part of Derbyshire is this consultation aimed at?
- All Derbyshire (excluding Derby City)
Feedback about this consultation will be available by the following methods:
- Derbyshire County Council website
- Derbyshire Community Health Services website.