Why it matters

Keeping our hospital as a Community Health & Wellbeing Hub would improve care and across our community

Healthcare works best when people and services can work together.

In Moretonhampstead and the surrounding area, services are already working hard to support local people, but they are spread across different locations. This can make care harder to access, slower to deliver and more difficult to coordinate, particularly for those facing challenges with transport, cost or mobility.

The examples below, provided by local healthcare professionals, illustrate some of the practical impacts of losing local hospital facilities.

Lack of joined-up care

Working closely with other professionals is paramount to providing good patient care.

When therapy teams, support workers and a local care agency were all using the hospital building, multidisciplinary working was much easier.

More patients are now choosing to receive end-of-life care at home. These patients are often complex to manage, and close working relationships between professionals are essential. Informal conversations between colleagues in the same building are often far more productive than arranging an online Teams meeting.

Impact on rural patients

At any one time, the Community Nursing Team support around 12 ambulant catheter patients. These patients, predominantly men, have prostate problems and are often on long waiting lists for surgery. When the hospital was open, they would attend for routine catheter changes and could also telephone or visit if they experienced problems, needed advice or required support.

Now, these patients must wait at home for nursing visits. Many live in surrounding rural areas, including Yeoford, Christow, Postbridge and Sticklepath. This results in increased travel time and mileage costs for the nursing service, whereas previously these patients would have travelled to the hospital themselves.

Barriers to accessing care

A local patient with a long-standing leg ulcer previously attended the nurses’ clinic at Moretonhampstead Hospital.

Since the hospital closed, they have been unable to attend the replacement clinic in Okehampton. The local bus service runs only once a day and does not align with clinic appointment times, while volunteer transport cannot guarantee weekly attendance.

As a result, the patient must now wait for Community Nurses to visit them at home. Treatment is often carried out in cramped conditions, which is not ideal for either the patient or the nursing team.

Safety concerns

A diabetic patient requiring insulin treatment was living in their car in very poor conditions.

If Moretonhampstead Hospital had remained open, they could have attended regularly for treatment and support. Instead, Community Nurses had to provide care in the patient’s vehicle, in all weather conditions.

This created safety concerns for both the patient and staff and meant care could not be delivered as effectively as it would have been in a clinical environment.

Independant Analysis

Independent analysis by local sustainability consultancy, Global City Futures, has shown that retaining the hospital could deliver significant long-term value for both the health system and the wider community, through better coordination of care, fewer hospital admissions, improved access to services, and stronger workforce retention. The analysis estimates more than £220m in long-term health and social benefits, including over £100m linked to improved joined-up care for people with complex needs.

How our community will benefit