II. Vulnerable Adults Service (VAS) The Vulnerable Adults Service (VAS) provides GP registration and targeted healthcare support to individuals experiencing homelessness or at risk of homelessness, as well as sex workers, people transitioning from custody, and Gypsy, Traveller and Roma communities. The service aims to stabilise patients’ health and address immediate healthcare needs over a defined period, typically within six months. During the 2025/26 reporting period, the service supported a monthly average of 109 registered patients. The VAS team works collaboratively with Norwich-based Inclusion Health practices to enable timely transfer of care into mainstream primary care services. This ensures continuity of care and supports the effective, longer-term management of each patient’s health needs. Care transfer from the Vulnerable Adults Service (VAS) into mainstream primary care is a planned and coordinated process designed to ensure continuity, safety, and stability of care. Once a patient’s immediate health and social needs have been stabilised, the VAS team works collaboratively with local Inclusion Health GP practices to identify a suitable long-term practice for registration. This process includes confirming the patient’s engagement, location, and any ongoing support needs. Prior to transfer, the VAS team ensures that a comprehensive clinical handover is completed. This includes up-to-date medical records, current treatment plans, identified risks, and any safeguarding considerations. Where appropriate, care plans are developed to support ongoing management of long-term conditions, mental health needs, or substance misuse. Patients are supported throughout the transition, including assistance with registration, clear communication about their new practice, and signposting to relevant services. In some cases, joint working or phased handover arrangements are used to provide additional support during the transition period. Following transfer, the receiving GP practice assumes clinical responsibility for the patient’s care, ensuring continuity and integration into mainstream primary care services. This approach supports sustained health improvements and reduces the risk of patients disengaging from services. The VAS and the ASCHT completed a combined 3,387 patient consultations in the 2025/26 period.
Norfolk Primary Care - Quality Account 2025/26
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