ESTATE STRATEGY
Opened in summer 2018, the Jean Bishop Integrated Care Centre in Hull is – Medical Architecture says – ‘the first of a new class of NHS facilities to cater for the needs of an increasingly elderly population without recourse to hospital admission’.
design, I have been involved in the design and delivery of two forward-thinking healthcare projects for NHS clients in coastal communities which embrace the integrated care model. There are aspects of these two interesting case studies that could be applied to many locations around the country, which are facing similar challenges.
An integrated community hospital in Whitby
The coastal town of Whitby opened its hospital in 1979 as a comprehensive centre for all major health services. Over the past decade, the breadth of health services provided was reduced to the extent that the facility was significantly under-utilised, vastly inefficient, and unsustainable. At the same time, the internal arrangement did not lend itself to developing an integrated workforce – services were not naturally aligned, resulting in staff often working in isolated parts of the building.
In June 2015, we were commissioned to support NHS Property Services and the
local Clinical Commissioning Group in the redevelopment of the existing building to create a health and social care hub, which supports the integrated delivery of primary care, secondary care, and community services. The newly configured community hospital will bridge the gap between home and specialist hospital care, through the delivery of both outpatient and inpatient services in Whitby. The project is currently under construction, and due for completion in November this year. Consolidation of the clinical
accommodation has allowed services to be more closely aligned and integrated, while freeing land on the site for redevelopment. This has created an option to provide contemporary extra care housing on the site, to further extend the continuum of care.
Purpose-built extension
A purpose-built extension provides a new entrance, with better accessibility and legibility for those using the steeply sloping site. A new visual identity stitches
together the new and old, while communicating the renewed approach to health and wellbeing. Elevated viewpoints and landscaped green spaces are used to promote activity and improve the experience for patients, staff, and visitors.
A pioneering integrated care centre in Hull
Like many places, in the past decade, the coastal city of Hull has seen funding for the treatment of older people with complex and continuing illnesses increasingly strained, while demand has increased. Hospitals are accommodating many elderly patients on a long-term basis, when they would be better served by support to remain in their own homes. Opened in the summer of 2018, the pioneering Jean Bishop Integrated Care Centre in Hull is the first of a new class of NHS facilities to cater for the needs of an increasingly elderly population without recourse to hospital admission. Adopting an entirely new way of delivering health services, the centre brings together a range of specialities to provide a more
The planning logic of interspersing clinical and public spaces fosters a sense of reassurance and wellbeing at the new Jean Bishop Integrated Care Centre in Hull.
54 Health Estate Journal November 2021
Dr Dan Harman, Consultant Physician in Elderly Care, says of the Jean Bishop Integrated Care Centre: 'Straight away, you can can see that it's different.'
©Jill Tate
©Jill Tate
©Jill Tate
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