Estates and facilities the future
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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?

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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


Sound familiar

Sound familiar?


The operating framework 09 10 high quality care for all

THE OPERATING FRAMEWORK09/10 – high quality care for all


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’


So what does this mean

So what does this mean?


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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