Hull Integrated Care Centre Update – June 2015 Julia Mizon – Director of Commissioning and Partnerships Erica Daley – Strategic Lead Planning and Integration Jackie Hadwen – Project Manager Paul Jackson – Project Board Chair John Parker – Project Clinical Lead

Objectives To provide an update about the proposal for establishing Hull Integrated Care Centre To discuss the proposed service profile/ service issues/ seek your views To outline the timetable for the development To discuss and agree clinical engagement preferences going forward To answer any queries

Progress to date…… Hull PID approved August 2014 Design development underway Initial clinical protocol workshops held OBC development advanced Affordability appraisal underway Option benefits appraisal complete Implementation of Communications & Engagement plan including completion of formal consultation April 2015

Case for Change - Clinical Principles for Service Delivery Established Broad agreement between commissioners and providers that alternatives are needed for some GP admissions to hospital Broad agreement that improvements to co-ordination between GP and community services could maintain people in their own home longer Broad agreement that there should be primary care direct access to diagnostics and senior clinical review

Facility Requirements Identified Rapid Assessment and Diagnostics – reception/ patient lounge/ assessment and treatment facilities Schedulable appointments – clinic rooms Diagnostics – x-ray, ultrasound, bloods, scans Functional rehabilitation facility and associated therapies, including telehealth, telecare Community information, third sector input

Preferred Site – Former David Lister School

Initial Concept Site Plan

Future service profile development principles Ambulatory care pilot expansion to rapid access and diagnosis facility Direct GP/Clinician access/ not a walk in service LTC clinics/ support Rehabilitation and reablement facilities/ teams Future service profile factors in growth in population +65 years Range of occupancy scenario’s will be run from 80% to 60%. Pan organisational working to maintain people in their own homes

Future service profile The future service profile has to be developed and agreed to support: new models of service provision service shift from an acute to a community setting demand and capacity analysis development of clinical protocols Revenue analysis Progress to date: Initial profile for ambulatory care Initial profile or clinic attendances More work to do on reablement and rehabilitation More work to do on developing clinical protocols

Potential impacts? Ambulatory Assessment Elderly Medicine Stroke rehabilitation Dementia Neurological rehabilitation Falls and #neck of femur reablement/ rehabilitation Discharge support Community support Development of service offer under community services procurement- Care Group 3

Key Challenges and Risks Key Challenges Fire service proposal NHSPS/CHP/DoH position and scheme sign off Maintaining an affordable scheme Maintaining programme Appropriate and sensitive management of service shift Key Risks Affordability Transition management via community services re-procurement including workforce planning Public sector affordability/ social care Failure to effect system change

Timetable Summary MonthOBC Development and Approval Planning Development and Consent Jun 2015 Jul 2015OBC/Stage 1 Submission Aug 2015Planning Pre-application Sept 2015FBC/Stage 2 Submission Oct 2015Planning Application Nov 2015 Dec 2015 Jan 2016Planning Consent Feb 2016Financial Close

Questions and Discussion Thank you