Transforming community services

Transforming Community Services

The CCG’s Transforming Community Services Programme commenced initially in May 2013.

The purpose was to:
  • Develop the strategy, priorities and outcomes for community services in North, East and West Devon
  • Plan future provision arrangements for community services in North, East and West Devon  
To reflect the respective health needs, services and starting points in each of  northern, eastern and western localities, as part of one co-ordinated overall whole, the Transforming Community Services Programme included three locality programmes, each with a locality GP/Clinical Lead and a locality Commissioning Manager overseeing the work. 
  • Care closer to home in Northern Devon
  • Pathways for the future in Eastern Devon
  • Your health, your future, your say in Western Devon
Following approval by the CCG Governing Body, the Transforming Community Services Programme started in May 2013 with a period of locality engagement and CCG wide co-production, designed to hear views that would shape the strategic direction of community services.  The timescales were:
  • Initial engagement and co-production: May 2013 – March 2014.
  • CCG Strategic framework: May 2014 – September 2014.
  • Locality commissioning intentions consultation: September 2014 – February 2015 with decisions by July 2015.
  • Procurement of future out of acute hospital provision: September 2014 – present

The key milestones and documents are set out below. 
Eastern locality engagement report (April 2014)

Initial engagement and co-production (May 2013 – March 2014)

The CCG’s Community Services programme started in May 2013 with an initial engagement and co-production phase which included gaining further insights in relation to:
  • Health needs of the population
  • Views from engagement
  • Policy evidence and direction

This was designed to provide views and information to shape the strategic direction for community services and inform future commissioning, including procurement.  
Over this time, a number of engagement events plus many conversations were held in each locality as well as 4 CCG stakeholder event involving providers, commissioners, local authorities and key stakeholders.  
Western locality engagement report (April 2014) Northern locality engagement report (April 2014)

Development of the strategic framework (May 2014 – September 2014)

The Strategic Framework for community services was published in May 2014 until July 2014 for an eight-week period of comment on both the strategy and proposed procurement approach.
Engagement report (July 2014)
As a result the Strategic Framework was updated setting out the CCG strategy for integrated, personalised and sustainable community services for the 21st century.  This strategy was adopted by the CCG Governing Body on 4 September 2014.
Integrated, personal and sustainable community services for the 21st century (Strategic Framework)
Each locality developed commissioning intentions, taking into account the strategy and prior engagement.  These were following by public consultations.
The consultation for Northern and Western localities commenced on 17 September and continued until 12 December 2014.
For Eastern locality the consultation commenced on 17 September 2014 and was extended until 22 February 2016.
Listed below are the consultation documents and follow on reports. 


Eastern TCS commissioning intentions Eastern TCS supplementary report Eastern TCS involvement and consultation final report (July 2015)


Northern TCS commissioning intentions Northern TCS bed modelling Northern TCS involvement and consultation report


Western TCS involvement and consultation report
All localities subsequently progressed with decisions in relation to implementation. 
Where reconfiguration was indicated:
  • Eastern Locality
    Decision taken at the July 2016 governing body to consolidate community inpatient beds on 7 of the 12 community hospital sites (Exmouth, Exeter, Sidmouth, Seaton, Honiton, Okehampton and Tiverton). In addition as Ottery St Mary took on the interim role of stroke unit provision this enabled continuation of a small number of inpatient beds also on an interim basis.
  • Northern Locality
    Decision taken at the Northern Locality Board in May 2015 confirmed the reduction to 40 inpatient beds. Since then, work by Northern Devon Healthcare NHS Trust has implemented that decision with inpatient provision remaining in two of the five community hospitals in the north (Holsworthy and South Molton).  Weblink to northern board papers
  • Western Locality
    No reconfiguration was included in the west consultation at that time.
The localities continue to work on the development of community services as set out in integrated, personal and sustainable community services for the 21st Century document.

Procurement of future out of acute hospital provision (Sept 2014 – present)

The procurement process for out of acute hospital/complex adults services commenced in September 2014 with preferred providers for North, East and West identified in November 2014.  This was followed by further strategic assessment and detailed due diligence. 
This process is now nearing a conclusion for all three localities. 

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