The University of Salford Visiting Professor Series 10 November 2011 The Changing NHS Duane Passman  Director of 3Ts, Esta...
Duane Passman – Major Projects
<ul><li>The Current NHS; </li></ul><ul><li>The Future NHS; </li></ul><ul><li>Future Challenges; </li></ul><ul><li>The 3Ts ...
The Current NHS (1) NHS Trusts and FTs <ul><li>Delivery of Acute and MH Services </li></ul><ul><li>FT Authorisation; </li>...
<ul><li>One DH (sometimes); </li></ul><ul><li>4 SHA Clusters (10 legal bodies); </li></ul><ul><li>Circa 50 Primary Care Tr...
<ul><li>10 SHAs:   </li></ul><ul><ul><li>Overall strategy and leadership; </li></ul></ul><ul><ul><li>Overview of health sy...
<ul><li>151 PCTs:   </li></ul><ul><ul><li>Guarantee access and choice; </li></ul></ul><ul><ul><li>Health promotion and pro...
The Future NHS (1) DH NHS  Commissioning Board   Clinical Commissioning Groups Monitor FTs NHS Trusts Senates Health &  We...
<ul><li>More FTs; </li></ul><ul><li>Increased Shared Services: </li></ul><ul><ul><ul><li>Finance; </li></ul></ul></ul><ul>...
<ul><li>One national framework – accountability for outcomes; </li></ul><ul><li>Five domains – of responsibility: </li></u...
<ul><li>Ten overarching indicators; </li></ul><ul><li>31 improvement areas; </li></ul><ul><li>51 indicators to measure imp...
<ul><li>Cost: </li></ul><ul><ul><li>National tariff – to be set by Monitor as economic regulator; </li></ul></ul><ul><ul><...
<ul><li>Economic Climate: </li></ul><ul><ul><li>More for less – 5% (at least) CIPs; </li></ul></ul><ul><ul><li>Less public...
Royal Sussex County Hospital Campus Proposed Redevelopment Area (red boundary)
Barry & Jubilee Buildings
Barry & Jubilee Buildings
 
 
<ul><li>£420m project, 91,000 m 2 </li></ul><ul><li>Design using integrated BIM; </li></ul><ul><li>Examining in-use energy...
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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

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

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