Health and local authority leaders are today publishing the findings of months of research and work which will help shape future services for Derbyshire.

Sustainability and Transformation Plans (STP) have been prepared by health and local authorities across England, covering the next five years to 2021.

‘Joined Up Care Derbyshire’ is being published on Southern Derbyshire CCG’s website following permission from NHS England, which tasked local areas with preparing STPs in March this year.

It sets out priorities for improving the way health and social care organisations work together to offer people high quality, safe services, making the best use of all resources.

To address various pressures – including growing demand, more people living with complex, ongoing health needs, and increasing costs of providing services, five priorities have been identified.

These priorities, designed to help keep people healthy, and offer the best possible, well-run care, are:

  1. to do more to prevent ill health and help people take good care of themselves
  2. to tailor services so they look after and focus on people in their communities, so people get better, more targeted care and support
  3. to make it easy for people to access the right care, whenever it is needed, helping everyone get better care, more quickly, across the health and social care system. This would help keep accident & emergency, minor injury units and urgent care centres free for patients who really need them
  4. to get health and social care working seamlessly together so people get consistently high quality, efficient, coordinated services, without gaps or duplication.
  5. to make organisations as efficient as possible so money is pumped into services and care, with running costs kept low.

Gary Thompson, Senior Responsible Officer for Joined Up Care Derbyshire, said:

Derbyshire has a changing population with many people living for years in poor health.

This places increasing demand on the NHS and social care and the current services are not sustainable.

So all of these services need to change to focus on preventing people becoming ill and to improve care for those who do.

The NHS and local authorities across Derbyshire have worked together to look at how to make the changes that are needed.

We are sharing this through the Joined Up Care Derbyshire document being published today.

This work is still in progress and we want to start the discussion with the people of Derbyshire to determine how we can best meet everyone’s needs in these challenging times.

A financial gap of £219m for health services, and a further £136m gap for social care in Derbyshire by 2021 is predicted if organisations carry on working the way they are and patients use services as they do today.

Dr Rick Meredith, Medical Director for Derbyshire Community Health Services NHS Foundation Trust, said:

Fundamentally this is about the quality of care we want to give people – and every professional in Derbyshire wants it to be of the highest standard.

There’s a lot of research available that shows patients do better when they get care close to home, in their familiar environment, with family and friends nearby, living their usual lives and following their own routines.

In research highlighted by the National Audit Office earlier this year it was revealed that, for healthy older adults, 10 days of bed rest led to a 14 per cent reduction in leg and hip muscle strength and a 12 per cent reduction in aerobic capacity – the equivalent of 10 years of life.

That cannot be allowed to happen when with more coordinated working, and better planning between health and social care, we can make the system that supports people join up to get them well.

Councillor Dave Allen, Derbyshire County Council’s Cabinet Member for Health and Communities, said:

Social care and health services need to change, but any changes must be made with the full involvement of local communities.

For these changes to succeed, all organisations providing health and social care must work and plan together to support people to live and stay well in their own homes.

We’ve been keen to share the plan as soon as possible and now it’s published I’d urge people in Derbyshire to have a look at it and think about the part they can play in shaping future services.

Joined Up Care Derbyshire is available to read at on Southern Derbyshire CCG’s Joined Up Care Derbyshire webpage.

Details of how you can share your thoughts and ideas about Joined Up Care Derbyshire and services in their area will be published on the Joined Up Care Derbyshire webpage in the coming months. Opportunities to take part will be online and face-to-face.

Councillor Martin Repton, Cabinet Member for Integrated Health and Care for Derby City Council, said:

Today’s publication marks the start of a full and frank conversation amongst the people of Derby and Derbyshire about how we deliver better, joined up care, much closer to where people live.

I’m passionate about protecting our NHS, but the currently inefficient and fragmented system is failing so many people and leading to many older people languishing in hospital beds due to pressures on adult social care.

It is vital that adult social care, public health and the NHS work together to find solutions to these challenges, and I’m committed the ensuring a robust and positive discussion on this, making sure the voices of our local residents are heard.

People can sign up to receive information and updates about Joined Up Care Derbyshire, including how to share your thoughts on any future proposals at