The Citycare Ltd is a Public Private power of Partnership with a vision to provide the best environments possible to support improved health and community service delivery. partnership LIFT in Hull - the story so far citycare-developments.co.uk 1 03 Chapter 1 Hull’s health transformation 13 Chapter 2 The catalyst for change 27 Chapter 3 Delivery, delivery, delivery 51 Chapter 4 We got the job “ We shape done, plus some our buildings; 55 Chapter 5 thereafter they Looking shape us” ahead Winston Churchill citycare-developments.co.uk 3 Chapter 1 Hull’s health transformation In 1948 the NHS was formed. At that time the Government declared a clear vision – to have a health centre in every community, that would bring together the different elements of healthcare and create easy access to services. Introduced nationally in 2000, the LIFT Programme aimed to do just that. NHS LIFT (Local Improvement Finance Trust) was a new approach aiming to improve the facilities that housed health care, social care and community services. citycare-developments.co.uk Chapter 1 - Hull’s health transformation 5 Future proofed Over £100m Quality maintained invested by for the next 25 years the partnership Peace of mind Committed to improving the health Lets start and social care experience around the clock A dedicated team, there for you 24/7 A safe, legal compliant at the end Improved estate patient access 1200 full time 70% of Hull residents now access health and “The ambition was to bring jobs through community services in * together expertise and funding the programme welcoming facilities * based on full time employment from the public and private for one year or more sectors to help transform Hull’s health and social care estate in a long-term partnership. Revolutionising healthcare The results are a reflection A partnership that’s constantly learning and evolving of the dedication of the teams involved.” Chris Long, Area Team Director, North Yorkshire and Humber, NHS England citycare-developments.co.uk Chapter 1 - Hull’s health transformation 7 “ I’ve been with the same practice for over Hull 50 years, but how things have changed for deserved the better. I used to see my doctor in an old terraced house. The kitchen was the better reception, the living room was the waiting room, and my doctor’s office was upstairs.” Angela Flower | HU9 • Over 75% of practices were more than 25 years old • Most facilities were substandard • GP recruitment in Hull was difficult • Need for a strategy to transform health and social care in Hull • Lack of public sector investment for estate development Hull’s Primary Care Picture in 2002 %of patients used GP premises that didn’t meet current 85standards in 2002 citycare-developments.co.uk Chapter 1 - Hull’s health transformation 9 We needed to kick start the city’s regeneration The root of the problem A snapshot of the city in 2002 clearly illustrated that a regeneration boost for Hull was vital. The LIFT Partnership’s plans were to underpin the modernisation of primary, social and community care in the city, involving local people along every step of the journey. Low standards of literacy and numeracy with some of the worst exam results in the country The city was already seeing the first shoots Lack of of regeneration, with private sector the opening of The Deep, investment and Hull’s public aquarium, and the KC stadium unemployment both in 2002. were major issues Residents in Hull Alongside this, plans to in the Hull and had a lower than develop new education, Humber region average life retail and leisure facilities expectancy were starting to crystallise. Teenage pregnancy rates were exceptionally high in the area citycare-developments.co.uk Chapter 1 - Hull’s health transformation 11 Following a strict procurement process, Citycare brought local knowledge and a local team together with national and Who cares? international best practice. 2004: 2012: 2013: Citycare The Impact New Citycare ownership of the NHS structure Health and Social Care Act 2004 In 2012, the 2013 most extensive reorganisation of the NHS to date was announced by the Government. The Act abolished Primary Care Trusts (PCTs), and Strategic Health Authorities NHS Hull PCT was created following the reconfiguration of (SHAs). In Hull this meant the NHS East and West Hull’s Primary Care Trust. It was responsible LIFT Programme had four new for commissioning health services for the city. 20%Hull signatories. NHS Hull Clinical 40% Commissioning Group, Community NHS England, NHS Property Community A wholly owned DOH company established in 2001 to create the highest quality primary and community Services Ltd and Community Health Health Health Partnerships are now Partnerships estate. Investors in 49 LIFT companies, including Hull. 20% planning the future for health Partnerships and social care facilities in Established in Hull in 1876, Sewell Group is an estates Hull, alongside NHS Humber Sewell services provider with successful strategic parterships in the Sewell health, education and community sectors. Sewell is now Foundation Trust and Hull City 30% Group recognised as a “Sunday Times 10 Best Company to Work Council. 30% Group For” business and a Gold Considerate Constructor. UME Group has planned, managed, developed, UME commissioned and operated hospitals and healthcare UME 30% Group projects in 23 countries since 1976. 30% Group citycare-developments.co.uk 13 Chapter 2 Catalyst for change Partners wanted an organisation they could trust to deliver the highest quality estate, in a socially responsible manner, where local people could see and experience the benefits on the ground from each investment. ‘They really looked after us and involved us in the development. They tidied our gardens and painted our community centre.’ Trevor Genter, Deputy Chairman, Alf Marshall Centre citycare-developments.co.uk Chapter 2 - Catalyst for change 15 We had very Wawne Road Wawne Road ambitious aims... Beverley Road Hull Road Longhill Beverley Road Salthouse Roadcommunity • Deliver nine community Orchard Park Sutton Road “Hull is not like other Ings Road hubs across the city community places. Our 9x6 Cottingham Road Chanterlands Avenue Holderness Road • Support delivery Road Stoneferry mile ‘island’ has Beverley Road Holderness Road of primary care Newland community transformation community evolved differently. Substance Preston Road Derringham Misuse • Achieve value Willerby Road Bank community Westbourne Therefore solutions Holderness Road community for money Marfleet needed to be Spring Bank community • Support service tailored.” integration Anlaby Anlaby Road community Charles Lewis, Chair, Citycare • Develop flexible and Castle Street future proof facilities Boothferry Road Hessle Road • Work across public bodies and develop a Clive Sulivan Way (A63) partnership approach The main focus in 2002 was • Regeneration vehicle for Hull nine • Environmental planned custom sustainibility for NHS built centres citycare-developments.co.uk Chapter 2 - Catalyst for change 17 “I had an elderly gentlemen here this morning, visiting the audiology department. I advised him he could arange a bus pass here too. He was so pleased he could do all this in one place.” Rachel Atkins, ...and Customer Service Advisor together we made it happen citycare-developments.co.uk citycare-developments.co.uk Chapter 2 - Catalyst for Change21 The new building is fit for purpose and gives the staff The local people respect the building and A real step the opportunity for collaborative working.” want to keep it as it was when it first opened, forward... Julie Charles, because it’s for them.” Practice Manager Far from being just beautiful new buildings, the projects Leanne Jerome, already completed have made a tangible positive Dental Nurse difference to the people living and working in the area. Marfleet Primary Park Health Alexandra Longhill Newington The Calvert Bilton Grange Kingswood Parks The Orchard Bilton Grange Bransholme Wilberforce Elliott Chappell Morrill Street Health Care Care Centre Health Care Health Care Health Care Centre Health Centre Health Centre Centre Pharmacy Health Centre Health Centre Health Centre New Green Centre Centre Centre Centre Surgery Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: Completed: October 2005 August 2006 December 2006 August 2007 February 2007 December 2007 October 2009 October 2009 November 2009 February 2010 August 2011 November 2011 February 2013 July 2013 This is a real step forward We have a lovely I’ve just been to see the doctor I am delighted with our new for the area, for our patients comfortable reception facility. This fantastic building living here and for the health area with more consulting because I have just found out I am brings together a range of professionals working within rooms and the patients are pregnant, now I am waiting for partners and community the buildings.” really pleased with it.” the council services so I can make services conveniently under one roof.” Dr Tony Banerjee, Janet Whitby, a change to my benefits” Chair of NHS Hull Cinical Practice Manager Cllr John Hewitt, Commissioning Group Kayleigh Jacobs | HU4 Portfolio Holder, Neighbourhood Local Resident and Communities citycare-developments.co.uk Chapter 2 - Catalyst for change 2321 Maximising the use of existing facilities Alongside the development of the new health and community hubs, our £100m programme includes facility adaptations and improvements to cater for new and evolving services. Improving patient environments Humber NHS Foundation Trust serves a population of 600,000 residents across Hull and East Riding of Yorkshire. Citycare has been working with the Trust to deliver a variety of patient environment improvements and recommended more efficient space use across the estate. “The team quickly grasped the scale of the challenge the Working together to programme of works deliver more for less presented. Our Trust In an era of reduced budgets, the public sector partners need to work together to explore how to is delighted with the be more effective in spending collective resources.