The Impact on the NHS from the Economic Downturn We shape our buildings; thereafter they shape us Healthy citizens are the greatest asset any country can have . Winston Churchill. NHS Facilities Management. What do Trust Boards need Strategy Leadership Assurance. The NHS Challenges Ahead.
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We shape our buildings; thereafter they shape us Healthy citizens are the greatest asset any country can have.
What do Trust Boards need
The operational framework calls for better use of underused and therefore surplus estate. With the opportunity to save £3Bn of investment
This will require new ways of working and ownership of the estate. The DH estimate saving up to £100 million per annum.The Challenge
The demand on the health service is set to increase as the result of an ageing population and a higher incidence of chronic disease.
And although NHS outputs (operations, patients treated etc) have been increasing since 2000, NHS inputs (money) have been increasing at a faster rate and hence productivity in the service has fallen.
Future productivity gains will be essential if the NHS is to cope in a period of austerity.Production and Productivity
The Corporate Manslaughter and Corporate Homicide Act 2007 (CMCHA) came into effect on 6th April 2008.
The Health and Safety Offences Act 228 came into effect on 16th January 2009
The Regulatory Reform Act (Fire Safety) came into law on 1st October 2006
Quality and Regulation
Value for moneyFuture Developments for NHS Fm
£200m The approximate value of a 0.5 per cent cut in prices paid for hospital activity
£1bn The annual saving the Treasury says can be made through shortened hospital stays and extending the tariff
7.4 per cent The real terms growth in NHS funds between 2002 and 2008
2.3 per cent The Institute for Fiscal Studies predicted real terms cut for government departments from 2011-12 onwardsIn numbers
Reduce cost: supply chain management in a recession
Reduce operational expenditure: Spend where income generated management
Improve and protect revenues: Knowledge management and best practiceSweating Fixed AssetsIncreasing income, reducing costs
Next Generation of FM performance criteria
An updated methodology for a Asset Strategy and Investment Plan
Systems and protocols for Assurance
Innovation to deliver accommodation solutions in a changing NHS
Knowledge ManagmentFuture Developments for NHS FmOffer Strategic Value
Matching demand to clinical productivity and programmed admissions are probably the greatest opportunity gains.
FM directors need to have a handle on their operations like they have never had before. The concept of service-line management and Space utilisation
The next three years requires an even greater focus on quality, safety and leadership.The Balancing Act