1. Bowthorpe Care Village Tracey Harris Head of Specialist & Supported Housing Saffron Housing Trust Mick Sanders Head of Integrated Commissioning, Norwich Norfolk County Council and Norwich Clinical Commissioning Group

2. The Meadows 92 independent living- self contained apartments Consisting of: 14 Two-bedroomed units 9 Extra – Care units 6 Bariatric units Mayflower Court 80 en-suite bedrooms for Dementia Care

3. The Partnership  Norsecare  Saffron Housing Trust  Norwich City Council  Norfolk County Council  Homes & Communities Agency

4. Aerial View

5. Village Features  Site is built over 2.3 hectares with views of the River Yare Valley  Project cost £18.9m  24 hour care service  All have a private balcony  Set in extensive landscaped gardens  Roof top terrace

6. Village Features  Choice of own washing machine or communal laundry  Central Village Hub  Hairdressing Salon  Shop  Bar/Lounge  Café  Restaurant

10. Health and Social Care Provision  Collaborative multi-agency approach covering:  - Primary Care (main focus)  - Falls  - End of Life Care  - Dementia  - Community use & engagement

11. NHS Context  From PCTs to NHSE & CCGs - NHSE specialist services and primary care contracting - CCG policy development with a local focus e.g. care homes  ‘5 Year Forward View’ (and other) - New models of care, including primary care - Reducing hospital admissions - Supporting people to remain living as independently as possible - Role of care homes

12. Primary Care - History  Early approaches to local surgeries  Role of NHSE  Development of co-commissioning  Favoured model of care for Norwich GPs  Bowthorpe seen as a test-bed for development

13. Primary Care - Contractual Arrangements  Norwich Practices Limited (NPL) as contract holder with NHSE (separate dedicated patient list)  18 month contract (as part of a pilot)  Use of CQC compliant treatment room  MoU between Norse and NPL  Revised specification between Norse and NCC

14. Primary Care – Service Offer Demand-led, so still being finalised]  5 day ‘working hours’ presence  Nurse practitioner service Mornings – surgeries Afternoons – home visits and Dementia Care Unit  GP clinics 2 days/week  On-site Community Pharmacist (working with Norse medication lead)

15. Primary Care – Developments with other partners  Norwich Community Health & Care  Norfolk and Norwich University Hospital, EEAST, 111, Passenger Transport, Norfolk & Suffolk Foundation Trust (MH)  Summary Care Plans as a first step

16. Other Exemplar Elements  3 Main areas of development - Patient pathway - Preventative approaches - Training developments Applied to:  Falls  End of Life Care  Dementia care  Community use & engagement

17. Concluding Remarks  Innovative model of integrated care  Scope for further development  Test-bed for health & social care provision in Norwich  18 month pilot period  Opportunity to raise standards across the care home sector  Great example of effective partnership working