Dorset sustainability and transformation partnership (Our Dorset)

View the sustainability and transformation plans for Dorset STP, details of the footprint lead and which CCGs, Local Authorities and Trusts make up this footprint.

STP plan

View the STP plan and a summary of proposals

Footprint lead

Tim Goodson, Dorset CCG

Who is involved in the partnership and how many people does it serve?

Clinical Commissioning Groups (CCGs)

  • Dorset Clinical Commissioning Group

Local Authorities

  • Bournemouth Borough Council
  • Borough of Poole Council
  • Dorset County Council

NHS Trusts

  • Dorset County Hospital NHS Foundation Trust
  • Dorset Healthcare University NHS Foundation Trust
  • Poole Hospital NHS Foundation Trust
  • The Royal Bournemouth And Christchurch Hospitals NHS Foundation Trust
  • South Western Ambulance Service NHS Foundation Trust

Together, the partners serve a population of 0.8 million.

What needs to change?

Dorset’s vision is to create health services where patients are in control of consistently high-quality care, and provide services that meet the needs of local people and deliver better outcomes.

Dorset has good NHS services but change is vital to meet the challenges of an ageing population and rising demand, too much variation in the quality of services, unacceptable inequalities in life expectancy, workforce and financial pressures.

To tackle these challenges, proposals in Dorset focus on three main areas:

  • Prevention at scale: helping people to stay healthy and avoid getting unwell, including a focus on heart disease and diabetes, musculoskeletal and mental health problems, and alcohol misuse. The STP will tackle wider determinants of health, such as quality of housing, employment and education.
  • Integrated community services: creating community hubs with and without beds that combine health and care services, led by mixed teams of multi-skilled health and care professionals.
  • One acute network: transforming acute services in Dorset so they meet the complex and specialist needs of the local population.

There is already a strong commitment to collaborative working across the health and care system in Dorset. Almost two-and-a-half years ago, the local NHS launched its Clinical Services Review, developed with the direct input of frontline clinicians as well as the organisations that form the partnership.

What will this mean for local people?

  • More initiatives similar to the Dorset Healthy Homes programme run by the three local councils, which tackles older, less energy-efficient houses linked with health problems such as respiratory disease, circulatory problems and increased risk of poor mental health. The ambition is to deliver improvements to around 150 homes each year for the next three years.
  • Expanding prevention programmes out to more disadvantaged areas so more people can stay healthy. For example, through ‘LiveWell Dorset’ – a programme that helps people quit smoking, cut down on alcohol, exercise more, lose weight and eat more healthily.
  • More services in the community and closer to home delivered through a network of community hubs with and without beds. These will provide more integrated community and primary care with teams working across professional boundaries and providing rapid access to diagnostic tests such as blood tests, imaging and x-rays.*
  • In Bridport there is already a hub where patients can see GP and specialist doctors, nurses, physiotherapists, care workers and others all in one place.  If the Bridport centre is replicated around the county, it would mean less travel with 100,000 more outpatient appointments delivered closer to home.
  • Transforming mental health services including establishing safe spaces, having more peer support workers in services, more choice and options for support to prevent crises and responding to future demand for inpatient beds.**
  • Health and social care leaders in the area want to improve care in larger hospitals by having highly trained consultants available 24 hours a day, seven days a week. Currently, none of the hospitals provide 24/7 consultant care on site.
  • The plan is to establish centres of excellence for hospital services through a major emergency hospital providing 24/7 urgent and emergency care and a major planned care hospital in East Dorset, and a combined planned care and emergency hospital in West Dorset. The three sites will form a single acute network providing consistent services across the county. **

*Aspects of this are part of the Clinical Services Review that went out to public consultation until 28 February 2017.

**Aspects of this are part of the Acute Mental Health Pathway review that went out to public consultation until 31 March 2017.