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Working together for excellent healthcare in North Norfolk and rural Broadland


NN CCG Statement regarding Benjamin Court and Cranmer House

21st Feb 2017

NHS North Norfolk CCG has no plans to close Benjamin Court or Cranmer House.

We have stated publicly our vision for these units is to be thriving and focal points of the community where ’joined up’ health and social care services can be provided. The CCG is in the process of considering the options for how these units are best used in the future and have invited colleagues including NCH&C, Friends of Cranmer House, North Walsham Hospital, Kelling Hospital and Cromer Hospital (which includes Benjamin Court) to input into this process to ensure the best use of these facilities.

NHS North Norfolk CCG has been working for some time with clinicians from within the CCG, Norfolk First Support (NFS) and NCH&C to develop a Supported Care model that provides increased care (with some clinical oversight) within the community which is due to commence in May 2017 as part of a staged roll out programme.

Supporting people before they get so ill that they need a hospital bed can provide the NHS with an opportunity to use units such as Cranmer House and Benjamin Court in a different way.

Supported care therefore aims to:

  • Stop people being admitted to hospital when they don’t need to be
  • Make sure the right help is readily available
  • Make more efficient use of resources
  • Empower people to care for themselves
  • Work across health and social care and in partnership with patients and their families and carers, the voluntary sector and the wider community.

Our strategy is very much based on developing a model of ‘Supported Care’ that focuses on patient need rather than from the perspective of ‘bricks and mortar’ and reliance on bed-based care. It is a model of integrated health and social care that supports people to remain safe and well at home, preventing their conditions from exacerbating to such an extent that they enter a crisis and need to leave home and stay in a hospital bed. We believe no-one, not least the patient, wants that to happen.

The CCG has served contractual notice to NCH&C that it does not want to continue funding the beds in their current form from August. NCH&C has been advised that alternatives may include using the beds for different purposes or using the units for different purposes.

There has been a significant amount of local engagement and is constantly under review as the model develops.

North Norfolk CCG recruited a Community Engagement Panel (CEP) in February 2015 to work with the CCG in transforming local services and to help us engage with the local community. Since April 2016 supported care has featured as a standing agenda item for the CEP. Regular updates are also given to the northern locality carers forum and to HOSC. The ‘Friends’ of the hospital units have also been involved in the development of the supported care model through specially organised regular meetings.  As well as this a working group has been formed made up of patients, carers and stakeholders to enable them to influence the detailed direction of the model.  A document aiming to support engagement with local people, and written in conjunction with the CEP, is available on the front page of the NNCCG website www.northnorfolkccg.nhs.uk