Community Services Redesign (2018/19)

We asked

Under plans to transform local healthcare set out under Better Care Together, the three Clinical Commissioning Groups in Leicester, Leicestershire and Rutland (NHS Leicester City CCG, NHS East Leicestershire and Rutland CCG and NHS West Leicestershire CCG) are currently considering transformation possibilities for the following services to deliver greater levels of integrated care in or around people’s homes:

  • District nursing services – which provide home-based patients with ongoing nursing care for long-term conditions or end-of-life care, with treatments such as wound care and continence care
  • Intensive Community Support (ICS) – a ‘virtual ward’ providing healthcare services in a patient’s own home
  • Community hospital beds (including stroke beds)
  • Community physiotherapy services (not including MSK physiotherapy)
  • Community stroke rehabilitation service
  • Primary care co-ordinators – who work in hospitals to support staff to help get patients home as quickly as possible once they are ready to leave hospital

To help shape proposals for the future, patients, clinicians and health and social care staff had the opportunity to share their experiences of community services in the autumn of 2018.

We undertook face-to-face qualitative interviews, an online qualitative survey and conducted a number of workshops.

We captured the views of:

  • patients receiving community services (in their own home, in community and acute hospitals, in clinics and other settings)
  • family carers
  • NHS staff who deliver community services (district nurses, community matrons, Intensive Community Support, community hospital staff, therapists, neuro and stroke service staff and primary care coordinators etc.) acute care staff and social care staff
  • domiciliary care workers and care home staff

Additionally, we have examined 22 existing reports in line with community services from research in LLR representing views from 4,300 people.


You said

The views and experiences shared with us during the work we have undertaken have enabled us to understand what matters most to people, and this varies across those we spoke with, although there are some common themes. The findings are being presented at a number of local events – see the section below for more information.


We did

The findings have been used to shape initial proposals for change. The findings and the resulting proposals are currently being shared with the public and stakeholders via a series of public events. You can find out more about this here.

During the event we will work together with you to share our insights and hear how they resonate with you. We will also talk through our proposals for community services and ask for your views. The agenda and presentation slides for the event can be found on the Better Care Together website here.