PLANNING HEALTHCARE FACILITIES for
BENEFITS REALISATION
Professor Keith AlexanderCentre for Facilities Management
Manchester, UK
PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION
Benefits realisationCommunity Health PartnershipsHealthy communitiesCase study – Bolton OneCommunity-based Facilities Management
BENEFITS REALISATION
Programme and project
Projects deliver products Programmes deliver outcomesBenefits realisation fills the gap between the two
Projects are measured in terms of their achievement of objectives within budget, within the required time frames and at the requisite levels of quality but, very often achieving all these criteria results in the overall organisational benefits not being met.
BENEFITS REALISATION
9
Keith – great if you would take a ‘planning change’ perspective –
approximately 5 to 7 slides maximum?
‘The processes of planning and managing a programme or project so that potential benefits to all stakeholders, arising from organisational transformation, are actually achieved’ (Alexander 2009)
Public service/social benefitSocial return on investment (SROI)
BeReal
Benefits management strategy
l
Benefits profile
High level benefits map
Benefits realisationplan
Evaluation/reviewsChange and benefits
What is the benefit? Which strategic objective does the benefitsupport? When is the benefit expected to accrue? On what enablers or changes does the benefit rely? Which stakeholders own the benefit and which receive it? How is it measured and tracked?
an EPSRC funded centre
Healthcare(outcomes)
Service UserExperience
HealthcareSetting
(Healthscape)
Hotel services
Health Estate
Built environment
Feedback
Non clinical support
Feedforward
REFLECTION
ACTION
HEALTHCARE FACILITIES MANAGEMENT
Value chain
Integrated service
WP 6 – Facilities and service management and use
COMMUNITY HEALTH PARTNERSHIPS
‘Innovative and creative solutions to procure and develop assets that enhance health and social care provision’
Local Improvement Finance Trust (LIFT)PPP modelIntegration of health and social care servicesRegeneration objectives
COMMUNITY HEALTH PARTNERSHIPS
‘Delivering Healthy Communities through Partnership’
NHS PLAN 2000
The NHS will enter into a new public private partnership within a new equity stake company – the NHS Local Improvement Finance Trust (NHS Lift) – to improve primary care premises in England.
Up to £1 billion will be invested in primary care facilities
The investment will allow for a range of brand new types of NHS facilities, bringing primary and community services – and where possible social services – together under one roof to make access more convenient for patients.
New one-stop primary care centres will include GPs, dentists, opticians, health visitors, pharmacists and social workers.
LIFT PROGRAMME
Service led initiative to bring about radical change in primary and social care
Bring new capital investment into Primary CareSeeking to co-locate integrated health & social care
services and facilities
Long term partnership involving:Local health and social care economy 20%Private Sector Partner (PSP) 60%Community Health partnerships 20%
STRATEGIC CONTEXT
Improve access to public servicesTackle health inequalities Improve level of health and well beingShift of care from hospitals to the communityHospital building programme – capacity
assumptionsGood health is not solely the remit of the health
service – integration of public sector community services
Primary care estate condition and suitability particularly in deprived areas
Traditional lease leaves risk with clinicians
STRATEGIC CONTEXT
Need For:
Integrated community based care facilities and services determined by local requirements and an efficient delivery mechanism.
Integration and shift in services between Primary / Intermediate / Secondary / Local Authority services, Voluntary Sector etc
Recruitment and retention of clinicians and staff in deprived areas.
LIFT PROGRAMME
Partnership establishes limited companies
Shareholders - LHE (20%), PfH (20%) & PSP (60%)LIFTCo becomes strategic partner for localityPlan, design, build/refurbish & maintain primary & social care premisesAssets owned by LIFTCo and rented to health and social care providersProvides a range of partnering services to support public sector Brings a commerciality to service and premises decisions
LIFT STRUCTURE
LIFT PROGRAMME
The intended benefits
Improvements in healthcare outcomes;Broader, more complex range of services in areas of greatest need;Improved accessibility of the healthcare system;Integration of health and social care;Faster, more referrals;Flexibility to changing requirements;Additional community facilities;Improved usabilityViability;Sustainability;
ST PETERS’ HEALTH AND LEISURE CENTRE, BURNLEY
CMI Action Cluster Meeting St Peter’s Health and Leisure CentreBurnley, Friday 29 March 2008
SUSTAINABLE FACILITIES
Promoting health and well-beingPCT leadership in sustainability LIFT and regenerationRegeneration outcomes
CONCLUSIONS
Evidence base – achievement, engagement, impact, footprintBuild customer intelligenceOpportunities – health promotion, community enterpriseIs co-location enough?Develop partnership working
BEAUTIFUL BOLTON
BRAHM LIFT
Bolton, Rochdale and Heywood and Middleton LIFTFormed in 2007NHS Bolton, NHS HMR and Eric Wright GroupStrategic Partnership Board
Bolton OneBolton PCT, Bolton Council, University of Bolton
INTEGRATED FACILITIES
Healthurgent care facilitiesprimary care facilitiesdiagnosticsspecialised, community-based treatment
Leisure8-lane 25m swimming pool – with movable floorhydro-therapy poolfitness suiteaccess to University sports facilities
Teaching and researchclinical skills laboratory facilitiesa rehabilitation suite, including rehabilitation clinicssports injury and exercise and conditioning clinicsa test-running track
Community SocialLocal employment and training
Community engagementLocal impact (LM3)
EnvironmentalEnvironmental sustainability
Carbon reduction commitment (10:10) BREEAM: Healthcare XB
ServicePatient
Experience
AssetsProcurement
Supplier diversity
LearningUsability
Workplace appraisal
NHS CORPORATE CITIZENSHIP
COMMUNITY BASED FACILITIES MANAGEMENT
5 PERSPECTIVES