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Estates and Facilities - the Future?. Kevin Oxley, Director of Operations – North Tees and Hartlepool NHS Foundation Trust National Chair - HefmA. Key Issues Affecting E&F. Foundation Trust status Compliance Health Care Associated Infections (HCAIs) Health Care Commission Inspections

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estates and facilities the future
Estates and Facilities- the Future?

Kevin Oxley, Director of Operations – North Tees and Hartlepool NHS Foundation Trust

National Chair - HefmA

key issues affecting e f
Key Issues Affecting E&F

Foundation Trust status

Compliance

Health Care Associated Infections (HCAIs)

Health Care Commission Inspections

Operating Framework 09/10

foundation trusts
Foundation Trusts
  • Regulator – Monitor (as well as DH)
  • No financial bail-out from SHA
  • New style Boards
  • Choice, Competition, Contestability
  • Reputation management
  • Estates and Facilities services are key!
compliance
Compliance
  • In organisations in financial surplus unsafe arrangements are not defendable
  • We have been too used to managing higher risk levels than normal
  • Compliance review needed
  • Are we living with a risk legacy in E&F?
but what policies affect the future of e f
But what policies affect the future of E&F?
  • Greater emphasis on HCAI’s and quality
  • Improved patient safety
  • Quicker access
  • Care closer to home
  • Improved efficiency
  • Greater public involvement
key indications of the future
Key indications of the future
  • References to
      • Asset ownership models
      • Improvements in utilisation
      • 3 per cent efficiency to 2010/11, but in ‘current economic climate…. very substantial efficiency savings in 2010/11 to contribute to returning the economy to balance’
key indications
Key indications
  • And
      • Shared services in back office operations including ‘estate and security functions’
      • More ‘commercial use of assets’
      • Specific theme focused on ‘efficient public sector property management’
asset ownership models
Asset ownership models
  • PFI balance sheet issues
  • Commissioner / Provider split
  • Social Enterprises
  • Charitable Trusts
  • Multi-agency ownership
improvements in utilisation
Improvements in utilisation
  • Big emphasis on space utilisation
  • Good asset stewardship essential
  • Estate rationalisation
  • Estate strategy’s
  • ‘Sweat the asset’ mentality needed eg 3 session or extended working
very substantial efficiency savings in 2010 11
‘very substantial efficiency savings in 2010/11’
  • How does this fit with improving quality?
  • By freeing up resource to invest in front line services
      • Service Line Management (SLM)
      • Productive Ward
      • LEAN
      • Accounting treatments
      • Strategic asset management
shared services
Shared services
  • Well embedded in some areas
  • Further scope across the country
  • Significant opportunity cross public services?
more commercial use of assets
More ‘commercial use of assets’
  • NHS Estate – too often seen as a ‘free good’
  • Commercial rents should be charged
  • Occupancy costs need to be fully understood
  • Formal leases / licences required
  • Exploit income generating opportunities
efficient public sector property management
‘efficient public sector property management’
  • All of the above
  • Need to think ‘outside the box’
  • Need demonstrable efficiency evidence
  • Is ERIC it?
  • We must benchmark with private sector
can we achieve this
Can we achieve this?
  • Yes we can!
  • We have delivered improved quality
  • We have reduced costs
  • We have many real innovators
  • We are enablers
  • We are not victims
thank you
Thank you

Questions?

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