About the consultation About the consultation

Our vision

Our vision documents for Hambleton, Richmondshire and Whitby localities were first shared in 2013.

Since then, we have been refining our vision and case for change through extensive public and stakeholder engagement. 

Our patients are at the heart of everything we do and we want to work closely with our local communities to help us achieve our goals. 

What you've told us

Evidence base 

Possible effects on elderly patients: 

  • Audits show many patients (up to 90%) can be cared for in their own homes with integrated health and care support. 

  • Clinical evidence shows frail elferly patients should be in a hospital environment as short a time as possible to prevent loss of function.

  • At any one time between 35-50% of patients admitted to the Lambert Hospital come from Thirsk and the surrounding areas. 50-65% came from parts of Hambleton and Richmondshire currently without community facilities. 

What we've done so far

Where we want to be (Key priorities) 

  • "Home first" care or as close to home as possible

  • Implement a frailty pathway

  • Increase access to beds inthe community, enabling care to be stepped up or down locally

  • An integrated Front of House at the Friarage

  • Undertake a review of the community facilities within each locality

  • A strengthened and sustainable Friarage

  • Integrated locality teams wrapped around GP practices

  • Enhance end of life care

How we're going to get there 

Sustainable Friarage including an integrated Front of House

  • Integration of all Front of House services

  • Sustainable 24/7, 365 days per year urgent and emergency care service

Locality teams

  • Provide Home First care

  • Continuity of care between patients' homes, primary care and the community

  • Integrated team working

  • Inclusion of Voluntary Sector

Step up/step down beds, including End of Life care, in the community

  • Delivers care closer to the patients' homes

  • A safe bed base in local areas where need is the greatest

  • Cose working with GP's

Development of Primary Care Hubs and GP practices working together