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Richard Darch, Leader, HealthCare Partnering from designing building solutions to designing property solutions

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Architects for Health & European Health Property Network Event - How can we do more with less? …

Architects for Health & European Health Property Network Event - How can we do more with less?


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  • 1. +Developing HealthcareInfrastructureFrom Designing BuildingSolutions to Designing PropertySolutions
  • 2. +Developing HealthcareInfrastructure Future Hospital configuration moving to more ‘campus style’development Out of hospital care requires new type of facilities
  • 3. +Developing HealthcareInfrastructure Need for new types of infrastructure Extending care outside of Hospital Multi-occupiers of facilitiesFocus is to move away from a‘Building’ view of the world to a‘Property’ view.
  • 4. +Developing HealthcareInfrastructure Existing Infrastructure may no longer be suitable but locatedon valuable city centre sites Public Sector ownership of land across a health geographywill be extensive but often not capitalised upon The opportunity is to create value from estate managementas well as development
  • 5. +Developing HealthcareInfrastructure Focus on reconfiguration Create new infrastructure and manage run-down ofinappropriate facilities and deliver value from surplus estate Finding partners to manage infrastructure change Catalyst for new patterns of delivery
  • 6. +Developing HealthcareInfrastructureAn Example:Townlands Hospital, Henley-on-Thames
  • 7. +Developing HealthcareInfrastructureAn Example:Townlands Hospital, Henley-on-Thames
  • 8. +Developing HealthcareInfrastructure
  • 9. +Developing HealthcareInfrastructure
  • 10. +Developing HealthcareInfrastructure
  • 11. +Developing HealthcareInfrastructure
  • 12. +Developing HealthcareInfrastructure
  • 13. +Developing HealthcareInfrastructure
  • 14. +Developing HealthcareInfrastructure Delivers Health and Social CareCampus Maximises land value and usesthis to assist affordability Attractive to local community Multi occupation of providerTrusts and Charity Supports real reconfiguration
  • 15. +Developing HealthcareInfrastructure Infrastructure RemainsAttractive Asset Class Current uncertainty in the debtmarkets is significantlyimpinging access to capital. Government/DH need to clarifyhow the government covenantwill be used. New sources of capitalrequired. New type of Private SectorPartners with background inmaximising value from surplus
  • 16. +Developing HealthcareInfrastructure Role of NHS Property Ltd indevelopment. Opportunity to leverage offpublic sources of capital egFTFF. NHS Infrastructure Fund? Look to US Healthcare REITsand understanding of the assetclass. Creation of supply chain forAsset creation andDevelopment
  • 17. +The way forward“Seeking development in effective management of NHS Assetsto deliver improvementsnot only in the quality of facilitiesbut also the quality of care ”