Bowthorpe Care Village Tracey Harris Head of Specialist

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

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

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

Aerial View

Village Features Site is built over 2. 3 hectares with views of the River Yare Valley Project cost £ 18. 9 m 24 hour care service All have a private balcony Set in extensive landscaped gardens Roof top terrace

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

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

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

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

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 Mo. U between Norse and NPL Revised specification between Norse and NCC

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)

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

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

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