ESTATE STRATEGY
holistic approach to health, care, and support needs.
A different approach to care 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. 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. The care at the ICC feels unique – as it is about prevention and working in a proactive way.”
By organising the welcoming point at the heart of the low-rise building, all the clinical and support functions are nearby and accessible. The planning logic of interspersing clinical and public spaces fosters a sense of reassurance and wellbeing. This is central to the experience of patients, staff, and visitors, in the journey from diagnosis to treatment and therapy.
The carefully selected palette of materials and components forms a distinctive identity for the new centre. Features such as the oriel window draw the eye and communicate a structure and order to the linear form. Sited on vacant school land in an area of the city often deprived of investment, the Jean Bishop
Integrated Care Centre has created a new civic landmark that the local community is very proud of.
Standardisation
Where clinical services are evolving rapidly, growth and change must be considered to deliver long-term value. The building has been designed with a process of appropriate standardisation to provide the flexibility to adapt to future changes in need.
In its opening year, the centre achieved a 10% reduction in both emergency department attendance and emergency admissions, and a saving of £72 per year per patient on drug costs. For those reviewed in their own homes, the reduction in emergency admissions was 29%, and for those reviewed in care homes, 24.3%.
Developing the approach These are just two examples where an integrated model of care has been used to address the complex health needs of coastal towns, but there are communities up and down the country where a similar approach would deliver significant health benefits. We continue to work with NHS clients to pioneer this new class of health infrastructure, developing our thinking as we gain fresh insight from each completed project
Lianne Knotts
Lianne Knotts is a director of Medical Architecture, and a senior architect specialising in the design and planning of healthcare buildings. She believes strongly in the importance of user consultation in the design process, and close collaboration with client and consultant teams, to improve outcomes and the patient experience. Alongside her work in acute and primary care, as an Associate of the Design in Mental Health Network she supports initiatives to improve patient recovery within the mental health environment.
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November 2021 Health Estate Journal 55
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