The integration of services across Community Health Partnerships’ (CHP) £2.6bn estate provides positive opportunities for individuals to access a wide range of health and wellbeing services under one roof.
These high quality integrated facilities also play an important role in area regeneration and in some cases also include a housing element; helping individuals to stay healthier for longer and addressing local health inequalities.
With over 40% of all investment targeted on the 10% of the most deprived areas of England, these integrated facilities also play an important role in area regeneration and increasing access to health and social care services for people in underprivileged communities.
For example, the Parkview Centre for Health and Wellbeing in West London, completed in July 2014, sits alongside four GP practices, and contains a dental suite, child development and speech therapy unit, diabetes care and heart unit and Hammersmith and Fulham LBC’s adult social care team - as well as 170 affordable housing apartments which form part of an affordable housing scheme through Notting Hill Housing.
Geoff Alltimes, Chair of West London Health Partnerships, the Public Private Partnership who lead the development of Parkview commented: “More services that previously people had to go to hospital for are all in one building. It’s a convenient and attractive location, in a part of the borough where there is the biggest need for improvement in primary care services.
Geoff added: "The housing development is helpful given our need for more housing, and the building is made more affordable given the housing element.
"It enables people, particularly those with long-term conditions, to remain independent and reduce hospital admissions.”
CHP is actively working to support more of these kind of integrated schemes in the future and is doing this by working with local NHS organisations and Local Authorities to develop a strategic approach to the planning, use and disposal of the primary healthcare and community estate.
Working together with the Department of Health and sister organisation, NHS Property Services, CHP is supporting local NHS organisations and Local Authorities to drive out inefficiencies from the estate and where appropriate, dispose of buildings that are no longer fit for purpose, releasing land that can be used for housing.
This work is progressing across the country and although there is no ‘one size fits all’ solution, learning from projects that CHP and partners are involved in is being shared to help unlock challenges in other areas of the country.
For example, CHP is actively working on a major scheme in Colchester which will result in a reduction of unused space at an existing high-quality, fit for purpose primary care centre (Colchester PCC) and improve patient access to acute and primary care services through service integration across two adjacent sites.
The project will also realise the disposal of land at the outdated and no longer fit for purpose Essex County Hospital site, freeing-up prime space for the development of 100+ housing units, and in turn, realising significant capital funds which will then be reinvested locally in schemes including at Colchester General Hospital.
Strong partnerships which include local stakeholders and public and private organisations with shared goals and a genuine commitment to an area, can ultimately improve services on the ground, save much needed capital for the NHS and unlock surplus estate.
Developed by Building Better Health - West London Limited and opened in the summer of 2014, this development is providing a range of health and social care services; including four GP practices, dental services, child development and a speech language therapy unit, diabetes care and heart services.
Parkview also houses the London Borough of Hammersmith and Fulham Adult Social Care Team and 170 apartments which form part of an affordable housing scheme through Notting Hill Housing.
Developed by Prima 200, this multi-award winning innovative £15 million housing, health and leisure development brings together extra care housing for the over 55s, a state-of-the-art primary care centre and additional retail and leisure facilities including a restaurant, fitness suite, hobby rooms, café, pharmacy, hair salon, piazza, landscaped gardens, allotments and conservatory.
The central piazza acts as the heart of the scheme, being the access point for all the facilities on the site, achieving true integration.
The scheme was one of the first outside London to combine extra care housing (Aspire Housing) with a state-of-the-art primary care facility.
In Colchester, CHP is working with Colchester Hospital University NHS Foundation Trust (CHUFT) to support the shift of services from an outdated, Victorian, Essex County Hospital to Colchester County Hospital and Colchester Primary Care Centre.
Essex County Hospital has extensive backlog maintenance challenges and is no longer suitable for the delivery of modern healthcare, additionally, the 12,000 m2 site is in a prime residential area.
Funding has been secured through the Department of Health’s Growth & Efficiency Fund, which helps NHS organisations accelerate land sales and as part of the Government’s Housing Strategy funding was approved to enable the capital works required to relocate the displaced CHUFT services.