Integrated Care Centre (ICC)
Opening of Jean Bishop Integrated Care Centre, marks new era of care for frail, elderly in Hull
The Jean Bishop Integrated Care Centre (ICC) in Hull was officially opened on Friday 6th July 2018 during the week the NHS celebrated its 70th birthday. This innovative new facility, the first of its type in the UK, was opened by Jean Bishop, Hull’s Bee Lady, in front of 100 guests, and is set to transform care for older people in Hull by providing out of hospital care, reducing unnecessary hospital admissions, enabling residents to keep fit, healthy and living independently in their own homes.
In a new and unique approach to health and care, a clinically led team will primarily treat 12,000 frail older people in Hull with long term conditions who have been assessed by their GP as being at risk of hospital admission.
Dr Dan Harman, Consultant Physician in Elderly Care at City Health Care Partnership CIC, which provides the services in the new centre explains:
“It’s a totally different way of caring for patients. A member of our team visits the patient in their own home to undertake an assessment and identify issues that the patient wishes to discuss with the team when they attend the ICC. These issues often range from concerns about their health, social interaction or anything they are struggling with. Not only does this help the patient and carer understand what to expect at the ICC but it also helps us identify which members of the team they need to see.”
The Centre has a comprehensive specialist team including Older People’s Consultants/Geriatricians, Advance Nurse Practitioners, GPs, Pharmacists, Therapists, Social Workers and the voluntary sector. There are diagnostics at the centre enabling the team to undertake blood tests, x-rays and in the future CT scans.
“Straight away you can tell it’s different as you wouldn’t see all those people in a hospital outpatient clinic at once, it brings everyone together in one place. A hospital admission is often a flashpoint in people’s lives, often when they have a crisis, and it can be difficult to identify their needs at that time. The care at the ICC feels different as it is about prevention and working in a proactive way. At the end of their visit to the ICC the patient is given their care plan to take home with them, knowing they’ve been listened to and having a plan and support in place which will be implemented and monitored.”
“We wanted the centre to be welcoming and warm and have had great feedback so far. It enhances the healing environment by being relaxed, calm and dementia friendly. It’s about working together to agree and deliver the best care for the patient”.
The Centre, which sits on the site of the former David Lister School in East Hull has been opened to patients in May 2018. In the longer term the aim is to reduce unplanned admissions by up to 20%. This has been forecasted to save the NHS up to £5.8 million, which the CCG says it could then reinvest in new services.
Emma Latimer, NHS Hull CCG Chief Officer, says she is immensely proud of the service:
“We know people don’t want to be in hospital unless they absolutely need to be. We have listened to this and have developed a fantastic new facility that can support people to remain independent wherever possible.
“It’s such a wonderful service and provides everything I would want for my own family – human kindness, the time to listen and to identify what’s important for each individual person. The new service has been meticulously planned and thought through, from the café run by a local charity providing bite size meals for patients, to the diagnostic testing and the specialist team in place. I’m so proud that through our partnerships we’ve been able to make this happen – Hull and East Yorkshire Hospitals, City Health Care Partnership CIC, Hull City Council, the fire service, our development partners Citycare and voluntary and charity organisations, all working together to make sure people get the best possible care.”
Humberside Fire and Rescue also has an operational fire station on site and provide a falls response team as well as responding to other fire and rescue incidents. Discussions are underway to explore the crews also supporting rehabilitation and recovery of patients.
Chris Blacksell, Humberside Fire and Rescue Chief Fire Officer, says he’s proud to see East Hull crews fully operational from the facility:
“We have worked closely with our health partners since the initial concept was discussed to create an environment to further our ‘Safe and Well’ initiative which sees fire crews working with the socially isolated and reducing the risk of falls in the home. I look forward to the centre being the catalyst for further collaboration on innovative new projects in the future.”
Hull City Council has provided the land for the new Centre, as well as the adjacent Newbridge Village social housing scheme for over 65s.
City Council leader Cllr Stephen Brady said care services must continue to evolve to ensure the best possible support is available to vulnerable residents:
“The Jean Bishop Integrated Care Centre will be incredibly important for this area and I am delighted to see the scheme come to fruition.
“This facility will transform the way we care for some of the elderly people living in Hull. This and the Newbridge Village development represent a link between good housing and health and wellbeing in what is a real first in the provision of healthcare in the city.”
The NHS Hull CCG Board has chosen to recognise the outstanding contribution of Jean Bishop, Hull’s ‘Bee Lady’, 96-year-old champion fundraiser for older people, by naming the ICC after her. Jean is a Freeman of the City of Hull, and was awarded a British Empire Medal earlier this year after individually raising more than £125,000 for Age UK.
Emma Latimer continues:
“Jean Bishop has been an ambassador for Age UK for so many years and we are delighted to open the new centre in Jean’s name to truly recognise what she has done for this city. The ethos behind the ICC is about keeping people fit and well and able to stay living happily and independently – Jean is a brilliant advocate for this.”
The ICC is the first capital project to be completed since the Health and Social Care Act came into force in 2012. It is the thirteenth building to be developed under the LIFT public private partnership scheme in the city, overseen by the CCG’s development partners Citycare.
Alan Johnson, Citycare’s Independent Chair, said:
“It is fantastic to celebrate the remarkable partnership between the NHS, local authority, fire and rescue service, and all of the other providers at the official opening of the Jean Bishop Integrated Care Centre.
“Whilst creating flexible estate solutions, it is about giving the NHS the best quality and designing a building which can be flexible around services for decades to come.
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.
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.