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The Changing Landscape in NHS Construction Programmes - Professor Duane Passman
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The Changing Landscape in NHS Construction Programmes - Professor Duane Passman

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  • 1. The University of Salford Visiting Professor Series 10 November 2011 The Changing NHS Duane Passman Director of 3Ts, Estates & Facilities, Brighton & Sussex University Hospitals NHS Trust Visiting Professor, University of Salford
  • 2. Duane Passman – Major Projects
  • 3.
    • The Current NHS;
    • The Future NHS;
    • Future Challenges;
    • The 3Ts Programme.
    Overview
  • 4. The Current NHS (1) NHS Trusts and FTs
    • Delivery of Acute and MH Services
    • FT Authorisation;
    • Independent Regulator
    Department of Health
    • Policy & Direction;
    • Standards & Resources;
    • Choice
    Strategic Health Authorities
    • Performance Management;
    • Strategic Capital;
    • Developing local strategies
    Primary Care Trusts
    • Commissioning Services;
    • Delivery of Primary and Community Services;
    • Improving Health
    Monitor
  • 5.
    • One DH (sometimes);
    • 4 SHA Clusters (10 legal bodies);
    • Circa 50 Primary Care Trust Clusters (151 legal bodies);
    • Circa 240 NHS Trusts (inc FTs);
      • 140 FTs (41 mental health and 3 Ambulance);
      • Still broadly 100 to become FTs;
      • Mergers expected.
    The Current NHS (2)
  • 6.
    • 10 SHAs:
      • Overall strategy and leadership;
      • Overview of health system and developing market;
      • High quality commissioning of services;
      • PCT Performance Management;
      • Developing strategic alliances;
      • Governance & corporate responsibility;
      • Capability and capacity building.
    The Current NHS (3)
  • 7.
    • 151 PCTs:
      • Guarantee access and choice;
      • Health promotion and protection (links to Local Authorities);
      • Support and reinforce patient-led NHS
        • Market information;
        • Public engagement;
        • Local target setting;
      • Performance management of providers.
    The Current NHS (4)
  • 8. The Future NHS (1) DH NHS Commissioning Board Clinical Commissioning Groups Monitor FTs NHS Trusts Senates Health & Well-Being Boards Other Providers
  • 9.
    • More FTs;
    • Increased Shared Services:
        • Finance;
        • Back-office.
    • Greater plurality – independent sector, local authorities, third sector;
    • Greater role for GPs and Local Authorities.
    The Future NHS (2)
  • 10.
    • One national framework – accountability for outcomes;
    • Five domains – of responsibility:
      • Preventing people dying prematurely;
      • Enhancing quality for life for people with LTCs;
      • Recover from ill-health or injury;
      • Positive experience;
      • Safe environment.
    The Future NHS (3)
  • 11.
    • Ten overarching indicators;
    • 31 improvement areas;
    • 51 indicators to measure improvement (in development).
    The Future NHS (3)
  • 12.
    • Cost:
      • National tariff – to be set by Monitor as economic regulator;
      • Same payment for same procedure to encourage efficiency;
      • Local variance.
    The Future NHS (4)
  • 13.
    • Economic Climate:
      • More for less – 5% (at least) CIPs;
      • Less public capital available;
      • Poor liquidity in private markets (for larger schemes);
      • Sustainability;
      • Continuous improvement.
      • (same slide as 2009!)
    The Future NHS (5)
  • 14. Royal Sussex County Hospital Campus Proposed Redevelopment Area (red boundary)
  • 15. Barry & Jubilee Buildings
  • 16. Barry & Jubilee Buildings
  • 17.  
  • 18.  
  • 19.
    • £420m project, 91,000 m 2
    • Design using integrated BIM;
    • Examining in-use energy and water (with Matthew Bacon);
    • Occupancy analytics;
    • BIM and Operational Facilities Management;
    • Benefits realisation.
    3Ts in Brighton