planning healthcare facilities for benefits realisation benefits realisation

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PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Professor Keith Alexander Centre for Facilities Management Manchester, UK

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PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Professor Keith Alexander Centre for Facilities Management Manchester, UK. PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation Community Health Partnerships Healthy communities Case study – Bolton One - PowerPoint PPT Presentation

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Page 1: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

PLANNING HEALTHCARE FACILITIES for

BENEFITS REALISATION

Professor Keith AlexanderCentre for Facilities Management

Manchester, UK

Page 2: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION

Benefits realisationCommunity Health PartnershipsHealthy communitiesCase study – Bolton OneCommunity-based Facilities Management

Page 3: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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.

Page 4: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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?

Page 5: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 6: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 7: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

COMMUNITY HEALTH PARTNERSHIPS

‘Delivering Healthy Communities through Partnership’

Page 8: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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.

Page 9: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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%

Page 10: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 11: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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.

Page 12: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 13: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

LIFT STRUCTURE

Page 14: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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;

Page 15: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation
Page 16: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

ST PETERS’ HEALTH AND LEISURE CENTRE, BURNLEY

Page 17: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 18: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

CONCLUSIONS

Evidence base – achievement, engagement, impact, footprintBuild customer intelligenceOpportunities – health promotion, community enterpriseIs co-location enough?Develop partnership working

Page 19: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

BEAUTIFUL BOLTON

Page 20: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 22: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation
Page 23: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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

Page 24: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation
Page 25: PLANNING HEALTHCARE FACILITIES for BENEFITS REALISATION Benefits realisation

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