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NHS LIFT Marion Rex / Joe Clyne Partnerships for Health / Private Finance Unit

NHS LIFT Marion Rex / Joe Clyne Partnerships for Health / Private Finance Unit. LIFT Objectives. Consumer not organisation focus Increased and improved services in deprived areas Integrated ‘Hub & Spoke’ services including social care, mental health, voluntary sector etc.

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NHS LIFT Marion Rex / Joe Clyne Partnerships for Health / Private Finance Unit

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  1. NHS LIFT Marion Rex / Joe Clyne Partnerships for Health / Private Finance Unit

  2. LIFT Objectives • Consumer not organisation focus • Increased and improved services in deprived areas • Integrated ‘Hub & Spoke’ services including social care, mental health, voluntary sector etc. • Meet Health & Safety and DDA requirements • Attract and retain clinicians and staff in deprived areas • Attract new private sector partners in deprived areas • Help deliver NHS Plan targets by complementing existing delivery vehicles

  3. Partnerships for Health • 50:50 Joint Venture Company • National structure to establish common framework and approach • common solutions • avoid ‘reinventing wheel’ • Partnerships for Health will support local projects by • providing resources, planning and procurement advice and standardised documentation • spread learning across all projects • select private sector partner, negotiate agreements and set up legal and financial structures • investing in local Liftcos • ongoing influence through shareholding/Liftco Board

  4. Strategic Service Delivery Plan (SSDP) • Health needs of population • Service developments/delivery • NHS Plan targets • Estates audit & strategy • Capital and revenue consequences - affordability • Short term plans, medium & long term vision • Stakeholder commitment including StHA • Consultation • First tranche schemes

  5. Selecting a Partner Complete Strategic Service Development Plan Selection Process - OJEC/PQQ/Interview Outline Planning & Brief/Tenants Requirements 3 months ITN bid (3 bidders) Outline Design/Dialogue 3 months ITN Bid Evaluation User Consultation/ Negotiations/Preferred Bidder/ 3 months Preferred Bidder Negotiations Detailed Design & Planning Establish LIFTCo 3 months

  6. Design Evaluation • Functionality • Access • Space standards • Character & Innovation • Citizen satisfaction • Internal environment • Urban and social integration • Performance • Engineering • Construction

  7. Strategic Partnering Board HA/PCT/LA Approval PSP Strategic Partnering Agreement Shareholders’ Agreement LiftCo Local PfH Lease Plus End Users LIFT Structure

  8. What will the Liftco Do? • Exclusive Partner • Strategic Service Planning • Develop estates strategy for the area • Plan and develop new property investments • Lease, manage and maintain property including commercial opportunities - innovative solutions • Manage delivery of the services and accommodation required locally, through • Supply chain • Market testing

  9. Lease Plus Agreement • Simple and Flexible • Whole life costing • Flexible term • Direct to Users or PCT Headlease • Payment - rent & pass through cost • Index linked • Deductions for non-availability • Remedies • self-help • Link to SPA then SHA

  10. Delivery Progress • 1st wave of 6 • East London LIFTCo created • 5 preferred bidders selected • Remaining 5 LIFTCos to be in place by Sept 03 • 2nd wave (12) • 4 Preferred Bidders announced • All ITNs issued and bids back • 3rd wave (24) • 17 ITNs issued • All LIFTCos to be in place by Jan 2004 • standard documentation updated in consultation with private sector bidders

  11. LIFT Overview • 3 LIFT waves by 2004 delivering... • over 40 local LIFT companies, with exclusive right to… • partner with local stakeholders, to... • provide flexible, affordable and VFM whole life estate solutions, that… • help meet national and local service objectives, achieving... • commercial returns from services and investment to public and private sector in partnership.

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