Integrated Care Centre (ICC)
The CCG is working with partners including Hull City Council and Humberside Fire and Rescue Service to build a new Integrated Care Centre (ICC) in Hull. The ICC will provide tailored care for the vulnerable elderly to prevent unnecessary hospital admissions. The project will improve health by helping different public services, including health services, the council and emergency services, to work closely together.
The £9m ICC will open in May 2018 on the site of the former David Lister School in East Hull. It will primarily treat elderly patients who have been identified by their GP as being at risk of hospital admission.
The centre will be open 7 days a week and patients will be assessed, a care coordinator appointed and have a comprehensive integrated care plan formed, all on the same day.
Diabetic services, physio and occupational therapists, voluntary and third sector organisations, and other specialist services will all be based in one place to enable easy and coordinated access.
Emma Latimer, Chief Executive of Hull CCG said: “This is a truly transformational approach to commissioning a new service model… The Hull ICC is designed to create a shift in how health and social care services are provided in Hull. This is in line with the NHS Five Year Forward View and the Humber Coast and Vale Strategic Transformation Plan (STP) vision for out of hospital care.
“The Hull ICC will provide a timely multi-agency response to the needs of the elderly and people with long-term conditions to avoid unnecessary hospital admission and coordinate care around individual needs.”
East Hull fire station will also be relocated to the new facility. Humberside Fire and Rescue Services have specially trained fire personnel supporting the rehabilitation and recovery of patients following a period in hospital, building on the success Hull FIRST Falls Response Team.
The CCG undertook a large scale consultation and spoke to people across Hull about their own health condition, the services they access, their experiences of local health care and the kind of care and support they want to get back to independent living. Read more about the consultation here.
The ICC will reduce avoidable emergency hospital admissions and shorten the time spent in hospital for the people who do need to be admitted. It will also address gaps in service, such as local access to assessment and diagnostic services.
Citycare is NHS Hull CCG’s estates’ partner. The ICC is the 14th project the public-private partnership is delivering, having developed £100 million of new and improved health and wellbeing facilities on behalf of its public sector partners across Hull since 2004.
How will the ICC make a difference?
Caring for patients
John is diabetic with Chronic Obstructive Pulmonary Disease (COPD) and prostate problems. He visits his GP because he has noticed that even a slight exertion makes him feel faint and unwell.
John’s GP could arrange for him to visit the Rapid Access Assessment Unit in the Integrated Care Centre where he would see a senior doctor. The Doctor could check his bloods and arrange any other tests like x-rays or ultrasound scans. John would be booked in for a follow up appointment to monitor his condition, he could then go home with a plan of care that would be shared with him and his GP. Managing John’s care in this way would avoid the need for him to go into hospital and give him the reassurance that he can go back to the centre via his GP if he feels unwell again.
June (83) lives in a care home and is normally in good health but has poor mobility. Staff report she has become unwell and lost appetite, suspecting she may have an infection or becoming anaemic.
June could benefit from the Integrated Care Centre to have a full review of her health. Blood tests could be carried out in the Rapid Access Assessment Unit and treatment arranged for any infection. The health
and social care teams working at the centre would then visit her back at the care home; they would support the staff there to understand June’s treatment and how to manage her on-going needs so that she does not have to go into hospital. An appointment would be made for her to return to the centre to see a hospital specialist.
Margaret lives on her own. She has one son who lives Peterborough who she sees every couple of months. Apart from her son, Margaret doesn’t see anyone and feels increasingly isolated. Her health and self-confidence has declined and she has let things slip, like her personal appearance.
A local community group, which runs lunch clubs for older people to help overcome social isolation, could use the cafeteria area in the Integrated Care Centre. Lunch clubs can make a huge difference to older people on their own. They enable people to get out regularly and make new friends. Margaret would look forward to the club each week knowing she is going to meet friends and see people. It would give her the incentive and encouragement to leave the house.
Brian is a heavy smoker. He has been diagnosed with COPD which means that he sometimes has breathing difficulties and receives oxygen therapy.
Brian could have regular visits to the Integrated Care Centre to have his condition checked and whilst there he would be able to speak to an officer from Humberside Fire and Rescue Service. Fire and Rescue Service officers have a wealth of expertise and understanding of people who are most at risk of dying in a fire in their own home – specifically people aged over 55, living alone who are smokers. The fire officer would be able to arrange a visit to Brian’s home and undertake a full fire safety check.
The Fire Service uses several measures to help mitigate fire risk which can include the installation of smoke alarms for people with hearing impairment, and, in the most vulnerable cases, domestic sprinkler systems. decisions on the best protection for these people often needs detailed discussion with health and social care professionals. Basing these services on the same site could mean a more efficient service, supporting people at the earliest opportunity and potentially reducing further problems down the line for people like Brian.