Mobility Management at Royal Devon and Exeter Hospital 


Location

The Royal Devon and Exeter NHS Foundation Trust is located on 5 hospital sites: The main two sites being RD&E Wonford and RD&E Heavitree. The remaining sites Honeylands, Exeter Mobility and Mardon are small specialist sites. The major facilities of Maternity and Women’s Health which were located on the Heavitree site have been relocated to a new facility on the Wonford site but other services will be transferred from Wonford e.g. some out patients clinics; a decant ward, for patients who need minimum medical care before they are discharged; an extension to the Medical school and a new Dental School.

 

Wonford and Heavitree hospitals are both located within the inner suburbs of Exeter, being approximately 1.5 km mile and 1km from the city centre, respectively. The RD&E Trust provides acute hospital services to around 350,000 people in Exeter, East and Mid Devon and offers specialist services such as cancer care, plastics and reconstructive surgery, orthopaedic surgery, paediatric care and renal services to people further afield in Devon, Cornwall, the Isles of Scilly, Somerset and Dorset.

 

In addition part of the Peninsular Medical School is located on both sites.

 

Accessibility profile

Wonford site

     

Public transport
Distance to mainline train station 3 km, IC train connection to Plymouth, Truro, Bristol and London. Buses stop outside the hospital main entrance: Service to Hospital P&R site; two routes to city centre and train station every 15 mins; 8 bus services within 100m of main building.

 

Cycling
Roofed over and lockable bike shelter for employees (part of OPTIMUM² measures).

 

Car
Distance to highway 3 km.
Parking spaces for staff: 718; parking space for patients and visitors: 609; disabled parking spaces: 53. Total spaces 1380.

 

Heavitree site


Public transport

Distance to mainline train station 2.4 km, IC train connection to Plymouth, Truro, Bristol and London. Buses: 14 county services and 6 city services within 100m of site.


Car
Parking spaces for staff: 63. Parking spaces for patients and visitors: 56. Shared Parking spaces for staff/patients/visitors: 127. Disabled Parking spaces 7. Total spaces: 253

     

Mobility profile

Numbers of travellers

Wonford and Heavitree combined:

     

  • Staff: 5966 (4344 full time equivalents) at 31st March 2008 compared with 5495(3779 full time equivalents) at 1st April 2004;
  • Number of outpatients per year 2006/7: 257, 853 (251,810 in 2003/4);
  • Number of Inpatients and day cases per year 2006/7: 117,080 (109,881 in 2003/4);
  • Number of emergency attendances per year 2006/7: 69,954 (61,858 in 2003/4);
  • Average daily vehicle count (December 2004): 11,123 – weekday; 4620 - weekend.

 


Origin of travellers (journey time)

Wonford and Heavitree combined:


 

  • Majority of staff (60%) live within 30 minutes of the hospital (November 2004);
    Majority of patients and visitor (46%) live within a 20-45 minute radius of the hospital (November 2004).

 


Origin of travellers (mileage)

Wonford and Heavitree combined:

     

  • 49% of the staff live within 5 miles of the hospital (December 2007);
  • 35% live over 10miles from the hospital (December 2007);
  • 22% of patients and visitors questioned live within 5 miles of the hospital (December 2007);
  • 27% of patients and visitors questioned live over 20 miles from the hospital (December 2007). 

 


 

Modal split

 

 

Staff and Volunteers

Patients and Visitors

 

Nov 2004

Dec 2007

Nov 2004

Dec 2007

Car (Driver)

53%

40.8%

36%

34.2%

Car (Passenger)

7%

9.5%

38%

39.5%

Hospital Park & Ride

7%

10.1%

5%

3.8%

Bus

7%

8.3%

7%

12.2%

Walk

16%

22.3%

7%

3.8%

Cycle

4%

6.1%

1%

0.4%

Other

6%

2.9%

6%

6.1%

 

 

 

 

 

 


 

Surveys November 2004 & December 2007

 

The car share for staff and volunteers decreased substantially. whereas the Hospital Park & Ride share, bus, walk and cycle share increased substantially. The bus share of patients has also significantly increased.

  

Institutional context

All of the RD&E sites are within the Exeter City Council boundary and they are the local Planning Authority. Devon County Council is in overall charge of the transport policy and is responsible for regulating the bus services. All the bus services are provided by private operators and whilst there are one or two county services run by other operators, all routes within the City boundary and the majority coming into the City are operated by Stagecoach. The dedicated hospital Park & Ride service is contracted to Dartline and is funded solely by the Trust, although Devon County Council are responsible for the Park & Ride site.

 

Since 1999 Exeter City highways have been the responsibility of Devon County Council.

 

In 1995, Exeter City Council in line with Devon County Council’s policy, restricted the number of parking site across the Wonford and Heavitree sites to 1500, excluding that for residents, although this has been reviewed slightly as services on the Wonford site has developed. The current spaces on the Wonford and Heavitree sites are 1380 and 253 respectively. Planning permission has to be sought in order to increase the number of spaces, e.g. when new buildings are constructed although in reality, the physical restrictions on available space and the high cost of providing a multi-storey car park impose a greater pressure to manage the parking spaces.

 

Motivations for mobility management

Mobility management is key as both hospitals have restricted parking spaces, which in some instances are decreasing due to new buildings on the site, that in turn bring increased demand through provision of additional services and an increase of staff. In addition, new policies within the NHS (such as "Choose & Book") mean that the hospitals must be seen to be accessible to patients from a very wide area, as they are competing with other hospitals for patients in an increasing number of clinical areas.

 

Buses and other public transport improvements

     

  • A leaflet on Buses to the Royal Devon & Exeter Hospital, in conjunction with Devon County Council, was designed in April 2005 and 30,000 were printed and distributed to hospitals, G.P.s, Heath Centres, Libraries and information offices, within the catchment area. This leaflet was updated in June 2007, to coincide with the extension of the operating hours, again with 30,000 copies printed.  
  • New larger disability access compliant Park & Ride buses was introduced in April 2005. 
  • New larger disability access compliant buses introduced on ‘H’ routes (to city centre) from September 2006 and partly funded by Devon County Council. 
  • Continued one third discount bus tickets for staff on production of staff identity badge. 
  • Continued discounted annual Stagecoach travel permits.

 

The Park & Ride and bus routes are not formally part of OPTIMUM², but are part of the package of measures running to provide alternatives to car travel, for accessing the hospitals, by staff, patients and visitors. The service is free to staff and promoted as an alternative when they are not eligble to park on site (see parking management). The Park & Ride hours were extended in June 2007 to 10.30 pm to enable shift staff to use the service.

 

Promoting cycling

  • Increased cycle storage around the hospital sites for use by staff and visitors and further secure cycle storage facilities have been provided as part of the OPTIMUM² project. There are now almost 300 spaces available.
  • Introduction of a Bicycle Users Group (BUG) with plans to set up a training and cycle buddy scheme.
  • Organised a day within both 2006 and 2007 bike weeks, where free cycle checks and security marking were carried out by a local cycle shop and the Police.
  • Membership of the Exeter Cycle Forum, which is a group set up to promote cycling in both the City and its environs, including comment on specific propsals affecting cycling being considered by the Planning and Highway authorities.
  • Working with Devon County Counil on specific cycling map showing acces routes to the RD&E from other part of the city.

       

Promoting walking
 

A walking Promotion Week was held in April 2005, in conjunction with the Trust’s Health Information Centre's 'Healthy Lifestyle and Exercise' promotion. This included providing messages and information on the benefits of walking and other exercise, to help promote health.

 

Parking management

Although not part of the OPTIMUM² project, strict parking management measures are in place at both sites. Parking permits are issued to staff based on the following criteria: home location; the need for the use of their car for work purposes and shift working. Permits are generally not issues to staff living within the city of Exeter boundary or within easy access of the Park & Ride site. Recently some shift staff have also been denied permits with the introduction of longer operating hours for the Park & Ride in June 2007. Where permits are issued the related annual charge depends on the salary bracket of the staff member i.e. those earning more pay a higher charge. The charges range from £80 to £350.

 

The cost of using the Park & Ride for staff is free of Charge, providing they are in possession of a Park & Ride permit, which is charged for at half the rate of a full on-site permit, which can also be used for parking on-site between the hours 0f 16.30 and 08.30 Mondays to Fridays and at any time during weekends and bank holidays.

 

For patients and visitors, the parking charges are up to 2 hours £1.40; 2- 4hours £2.80; over 4 hours £5.60 or weekly £20.

 

Enforcement is carried out by Exeter City Council and the penalty charges are the same as for those charged in Exeter City Council car parks.

 

Combining solutions

The Trust has integrated a Travel Bureau within the existing Car Parking Office. From this office advice is available on alternative travel means, including timetable information. Supplies of timetables for all local services are available, either in hardcopy or accessed via the internet. The aim is for this to be the source of information regarding all transport and parking services available the hospitals. Information is available on:

 

  • Site specific car parking information;
  • Alternative travel information, including timetables;
  • Car Share Scheme;
  • Cycle information. 

 

In addition ‘Infopoints’ have been set up at two of the RD&E Wonford main entrances, where people can make, free of charge, calls to the Travel Bureau office, Trainline, Stagecoach, Travelline, Exeter Airport, a local taxi company, for travel and other information .

 

There are travel information pages on the staff intranet and public internet sites. See http://www.rdehospital.nhs.uk for the public site.

 

Mobility management process

 

The project is managed day-to-day by the Royal Devon & Exeter NHS Foundation Trust Car Parking and Projects Manager (Bob Adams) with others (Linda Hall, Ted Merson, Sally Bowden and Peter Rowe) involved in the planning, development and finance.

 

Due to constraints within the main concourse area of the hospital, where it was intended to set up the travel bureau, this is now integrated within the car parking department, in an on-site satellite building. As a result the provision of the ‘Infopoints’ was made in order to provide a point of contact at the main entrances.

 

The construction of new facilities on the site also made it difficult to install cycle storage cages until later in the project.

 

More widely, the fact that the NHS, and specifically the Trust itself, has been in a process of change has made it more difficult to plan travel information provision appropriately. However, Over the current life of the project and increased relationship has developed between the Trust and Devon County Council. The Trust has worked with the Council on producing the ‘Buses to the Hospital’ leaflet, providing and analysing traffic counting systems, assisting in the setting up of the Trust BUG and promoting cycling to staff. In addition consideration of alternative travel infrastructure is now included in planning new developments.

 

The award of funding to Exeter as a "Cycling City" has also meant that more funding is now available for additional measures such as cycle training.

 

The Trust is represented on the Exeter Cycle Forum and the Exeter Public Transport Forum.

 

Marketing and communication

A variety of different methods have been used to market alternatives to the car for staff. These include:

 

 

  • Using the Trust intranet to keep alternative travel options in the mind of staff; 
  • Provision of information, for patients and visitors, regarding travel to both the hospital sites and the Park & Ride, on the Trust’s internet site and in literature which goes out to inpatients, prior to admission;
  • Running a ‘Cycle Day’ where cycle safety checks and security coding was carried out;
  • Articles on the BUG initiatives, alternative transport, in the inhouse Trust magazine;
  • Assisting Devon County Council, by promoting via global emails to staff, on running their alternative transport promotions for Car sharing, Cycling and other associated travel promotions;
  • For patients and visitors, the main marketing tool has been the production of the "Buses to RD& E Hospital" leaflet.

 

Contact

For further or more detailed information on Mobility Management within the Royal Devon and Exeter NHS Foundation Trust please contact:

 

Bob Adams, Car Parking and Projects Manager (Bob.Adams@rdeft.nhs.uk) or Sally Bowden, Site Travel Administrator (Sally.Bowden@rdeft.nhs.uk)