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NHSI Estates and Facilities
Maximising the value of the NHS estate and back-office systemsSimon CorbenDirector and Head of Profession NHS Estates and Facilities
28th September 2017
Agenda
• An update on Central Governance
• Introducing the E&F Team at NHSI
• An update on our 5 Key areas of focus
• Corporate Back Office Opportunities
• Questions
Central Governance Update
3
• Estates Programme Board Established
– Chaired by David Williams and Lord O’Shaughnessy
– Made up of DH, CO, Treasury, NHSE, NHSI, CHP, NHSPS and DCLG
– Meets monthly
– Provides challenge to 16 core work streams, such as
• Response to Naylor
• Carter
• Disposals
• Workforce
• Backlog maintenance
NHSI Estates and Facilities – The Team (March 2017Simon Corben
Director and Head of Profession for Estates and
Facilities
Programme & Strategic Business
LeadVajid Mahmood
Divisional Co-ordinator and EFM
Dashboard Manager
Energy Fund Programme
Coordinator & Support
EFM PolicyMike Bellas
EFM OppsCliff Howell
EFM Commercial
Jo Dolby
Strategy LeadNick Mathew
DoH
Work streams• Food• Cleanliness• Parking• Mixed sex• Safety• Fire• Care
pathways• HTMS• HBNS
Reg
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Work streamsHard FMSoft FMAsset ManagementEstate codeEnergySpace Utilisation
Work streams• Alternative
Capital Funding Models
• Backlog• P22+ and
others• Standardisation• Income
Generation• Capability and
Capacity• Contract
Management
• Work streams• STPS• SEPI’S• Pilots
Chetan TailorPrinciple Analyst
Ian Stone DoHCapital
MOU NHSE PAU
Chris Cale / Mike Lowe– NHSI Finance
P22 Cliff Jones
Enhanced team to drive through Disposals and staff housing and general housing needs
Disposals LeadIan Burden
EnergyCarbon SavingsImproved resilienceImproved estate compliance Delivers against 5 domains of CQC
SustainabilityTBA
NHSI Estates and Facilities – The TeamSimon Corben
Director and Head of Profession for Estates and
Facilities
Programme & Strategic Business
LeadVajid Mahmood
Divisional Co-ordinator and EFM
Dashboard Manager
Energy Fund Programme
Coordinator & Support
EFM PolicyMike Bellas
EFM OppsCliff Howell
EFM Commercial
Jo Dolby
Strategy LeadNick Mathew
DoH
Work streams• Food• Cleanliness• Parking• Mixed sex• Safety• Fire• Care
pathways• HTMS• HBNS
Reg
iona
l S
poke
Lond
on
Reg
iona
l S
poke
Sou
th
Eas
t/Wes
t
Reg
iona
l S
poke
Mid
land
s
Reg
iona
l S
poke
Nor
th
Work streams• Hard FM• Soft FM• Asset
Management• Estate code• Energy• Space
Utilisation
Work streams• Alternative
Capital Funding Models
• Backlog• P22+ and
others• Standardisation• Income
Generation• Capability and
Capacity• Contract
Management
• Work streams• STPS• SEPI’S• Pilots
Chetan TailorPrinciple Analyst
Ian Stone DoHCapital
MOU NHSE PAU
Chris Cale / Mike Lowe– NHSI Finance
P22 Cliff Jones
• Enhanced team to drive through Disposals and staff housing and general housing needs
Disposals LeadIan Burden
EnergyCarbon SavingsImproved resilienceImproved estate compliance Delivers against 5 domains of CQC
SustainabilityTBA
6
People
• Key actions
– Work with 3rd parties (HE, Professional Bodies, Private Sector) to generate campaign
• Timescales
– Target is to launch a defined programme/ scheme in 12 Months
Simplification
• Key actions
– We have mobilised central Policy Team
– 110 policy documents being reviewed
– Programme of delivery to be produced by Q3,
– Support team due to be procured in Q3
7
Commercial awareness
• Key actions
– Team appointed
– Reviewing value of throughput and activity – the WAU
– Launching PFI focused group
– Engaged with “Project Phoenix”
Tomorrows needs
– Disposal / Housing working group established/ Backlog review underway
– EPB established, with revised governance and challenge
– 6 SEPI Pilots underway
– Bring together a technical team to drive this from an infrastructure perspective
8
Operational Efficiency
• Key actions
– To save £1.3bn in operational costs, from £8.8bn budget
– Bring in new sectors, combine targets, actively performance manage Trusts in delivery.
– Ensure data governance is in place
– Establish the true costs of lifecycle
– Improved collaboration – regional events/ 30 F2F visits
– Improved utilisation of the model hospital
An Overview of The Model Hospital
9
Board Level OversightGives a breakdown by individual compartments, with the potential opportunities listed in orange in the top right corner of the compartment. By clicking on the compartment, gives you a compartment overview.
Estates & Facilities Compartment
NHS Estate ERIC 2016/17
Non-clinical space (m²) Average Cost/m2
Of this back office space (not collected) –
say
AddressableOpportunity
2015-16 37% or 8,555,014 335 40% £1.146bn
2016-17 33% or 8,172,547 352 40% £1.150bn
Change (4%) or (382,467) 17m2 £4m
Key actions and opportunities
– NHS lag behind other sectors in this area
– Based on a 20% we could see £200m saving in estates costs alone
– Further define non clinical space to draw out specifics
– Incentivise agile working
– Incorporate measure into model hospital
– Enable with improved technology