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38 PROJECT REPORT: HEALTHCARE BUILDINGS


ABOVE


The unit combines low rise accommodation for the elderly with a fire station


FACING PAGE


Upon entering, patients are immediately able to see out to the central courtyard


It was therefore natural that this location was chosen for the ICC, which is hoped to be the first in a series of “care hubs” as Yeomans describes them. “The overall vision was to respond to emerging national thinking around the idea of integrating health and social care,” he says.


An alternative approach Integrated care, says Yeomans, is about “delivering joined-up support for those with long term conditions, rather than the episodic support at times of crisis that acute hospitals are geared towards.”


Although other integrated care provision already exists within England – based around different NHS organisations working together – the Jean Bishop ICC is “based on the earlier thinking, but goes much further,” says Yeomans.


One obvious example is the fact that the building also houses a fire station. This unusual mix was the result of mutually aligned needs: Humber Fire and Rescue Service (HFRS) needed a new facility and the ICC was the perfect opportunity to showcase how such public services can work together and provide added value. “The ability to share facilities with health partners made sense,” comments Paul Yeomans.


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Chris Blacksell, chief fire officer for


HFRS explains further: “We recognised that the people we were working with to try and prevent them having fires and other emergencies, were the same people our health colleagues were working with.” As a result of being located in the centre, fire service staff are able not only to ‘educate’ patients on fire safety, they also provide a falls response team.


As well as the fire service, the centre houses geriatricians, GPs, advanced nurse practitioners, pharmacists, therapists – physio and occupational – as well as social services and the voluntary sector. “You don’t normally see all these team members when you go to an outpatients appointment,” says consultant physician in elderly care at the centre, Dr Dan Harman. “We’re trying to deliver care in a different way to keep people as independent as possible for as long as possible.” The centre has facilities for undertaking blood tests, x-rays and CT scans.


Describing the primary aims of the project – beyond increasing the area’s average life expectancy – Yeomans says the client wanted to “reduce admissions to hospital via a community based integrations and assessment approach, and reduce the length


ADF NOVEMBER 2018


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