What’s happened since the closure of Archways? An update report

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Summary of report content

In September 2016, Healthwatch York produced a report on the closure of Archways, a 22-bed community unit in York, designed to help stop people going into hospital and to help them leave hospital earlier. They had made a few recommendations for future service changes which were accepted by the boards.

In May 2019, Healthwatch York produced an updated report to follow what had happened since the closure of Archways. They report of alternative services being provided through York Community Response Team (CRT), Community Discharge Liaison Team, Advanced Clinical Practitioners and Outreach Pharmacists. They also report on a case study provided by the York CRT and on their performance, on Home First engagement project and the key concerns identified by the public. The report considers the NHS Long Term Plan and how it will focus on people out of hospital as far as possible. It also provides a commentary on how the services need to develop to meet future needs considering the predicted growth in number of older people and those with complex health needs.

The updated report provides further recommendations to all health and social care commissioners, providers and leaders in York and stresses the importance of consulting and engaging with the public at the earliest stage possible for all future service changes; to make sure patients/families/carers understand what is happening at discharge; continue to monitor concerns and feedback around provision of services; report on how the additional funding freed up from Archways, which was not spent on Home First, was spent; and work with other sectors to address non-healthcare issues such as social isolation.

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General details

Report title 
What’s happened since the closure of Archways? An update report
Local Healthwatch 
Healthwatch York
Date of publication 
Wednesday, 1 May, 2019
Date evidence capture began 
Monday, 29 July, 2019
Date evidence capture finished 
Monday, 29 July, 2019
Type of report 
Key themes 
Continuity of care
Devolution of services
Health and safety
Information providing
Quality of care
Service closure
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
If this work has been done in partnership, who is the partner? 
Primary research method used 
User stories
How was the information collected? 

Details of health and care services included in the report

Community services 
Community healthcare and nursing services

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.