Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
THE NHS ESTATEIN WALES
Facilities Performance Report2004/05
W E L S H H E A LT H E S TAT E SYSTADAU I ECHYD CYMRU
THE NHS ESTATE IN WALES
Facilities Performance Report
2004/05
W E L S H H E A LT H E S TAT E SYSTADAU I ECHYD CYMRU
1.1 Estates and facilities condition and performance reports1.2 The 2004-05 Facilities Performance Report1.3 Facilities functions1.4 Good practice
2.1 Context of the report2.2 Facilities performance
3.1 Overview of facilities management services3.2 Performance management and the balanced scorecard approach
4.1 Expenditure on NHS facilities services4.2 Telecommunications4.3 Car parking4.4 Cleaning services4.5 Catering services4.6 Laundry and linen services4.7 Security services4.8 Portering services4.9 Postal services4.10 Outsourced services
5.1 Overall analysis5.2 Car parking5.3 Cleaning services5.4 Catering services5.5 Laundry and linen services5.6 Security services5.7 Portering services5.8 Postal services
Appendices I – XIV Observations on FM-related operating costsAppendix XV Occupancy costs for different hospital typesAppendix XVI Cost comparisons of individual FM services
1 INTRODUCTION 5-8
2 EXECUTIVE SUMMARY 9-14
3 FACILITIES MANAGEMENT PROFILE 15-16
4 ANALYSIS OF TRUST-WIDE DATA 17-39
5 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA 40-48
6 APPENDICES 49-141
CONTENTS
1.1 Estates and facilities condition and performance reports
1.1.1 Annual Facilities Performance Reports along with the Estate Condition and Performance Reports are
based on the returns from the on-line Estates and Facilities Performance Management System
(EFPMS) introduced by the Welsh Assembly Government (WAG) in April 2002. The system is managed
by Welsh Health Estates (WHE) and allows Welsh Trusts to gain access to estates and facilities data
submitted by other Trusts in Wales as well as English Trusts, thus enabling them to compare their
performance against a much larger database.
1.1.2 The reports produced by WHE are intended primarily to provide the WAG with high-level data and
information on the performance of Trusts in respect of their facilities functions, in order to monitor
year-on-year performance trends, inform the strategic planning process and assist in the prioritisation
and allocation of resources.
1.1.3 The reports are also intended to provide NHS Trusts with data and information that will enable them
to compare their own performance with that of other Trusts, as well as against national trends and
should, therefore, be a driver in the process of improving the performance and efficiency of health
care facilities at a local and national level.
1.1.4 An EFPMS User Group, with representatives from each Trust, was set up in 2003 to provide data input
training for the Service and deliver improvements in the quality and consistency of reporting. The user
group is currently undergoing review to raise the profile of the EFPMS within Trusts and to redress the
balance of membership for estates and facilities staff, with the aim of improving the quality of facilities
management (FM) data submitted. The re-formed group is likely to develop into a ‘benchmarking club’
responsible for developing suitable performance indicators (PIs) with appropriate data definitions that
will serve to improve standards and performance across Wales.
1.1.5 WHC (2003) 120 and WHC (2004) 047 described the programme of work to develop and implement
the performance framework for NHS Wales and the introduction of the Balanced Scorecard. WHC
(2005) 72, The Balanced Scorecard for NHS Wales 2005-06, issued in August 2005, builds on these
initial steps and introduces the second Balanced Scorecard for NHS Wales for use in 2005-06. Future
balanced scorecards will be linked to the recently published strategy for NHS Wales, Designed for Life
and the National Leadership and Innovations Agency for Healthcare’s modernisation assessment
referred to in that strategy.
1.1.6 It is envisaged that Facilities Performance Reports will evolve over time as the ability of the Service to
provide robust data improves and additional PIs are identified for benchmarking purposes. The All
Wales Facilities Forum (AWFF), set up in 2004 to drive forward the FM agenda and move towards a
balanced scorecard performance approach, will also oversee developments in FM.
1.1.7 Responsibility for the management of hospital sites within the former Powys Health Care NHS Trust
has been transferred to the Powys Local Health Board and, for the purposes of this report and to
enable a consistent approach to be taken with regard to PIs and targets, this particular Local Health
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 5
1 INTRODUCTION
Board is deemed to have the same status as the other Welsh Trusts. Due to its uniqueness amongst
Trusts, the Welsh Ambulance Services Trust has not been included.
1.2 The 2004-05 Facilities Performance Report
1.2.1 The 2004-05 Facilities Performance Report complements the 2004-05 Estate Condition and
Performance Report and focuses on a range of FM services that support clinical care. The Executive
Summary (Section 2) is followed by an overview of FM services (Section 3). The nature of the available
data has determined, to a great extent, its applicability and scope. Where appropriate, it has been
applied on a Trust-wide basis (Section 4), or limited to individual NHS acute hospitals (Section 5).
Analyses of the data for individual Trusts have been included in Appendices I – XIV.
1.2.2 This report is the second to be produced for the NHS in Wales and is based on EFPMS returns
submitted for 2004-05. Following the issue of the 2003-04 Facilities Report questionnaires were sent
to Chief Executives and Line Managers requesting feedback. Comments were generally favourable in
terms of the format and layout of the report, which was seen as a positive step in taking FM services
forward. However, in the context of the PIs used, there was concern about the underlying weaknesses
with regard to the comparability of data submitted and the ability of Trusts to provide that data in
accordance with the EFPMS definitions. These aspects will be addressed by WHE as part of an on-
going process of refinement of the EFPMS and with additional guidance and support for Trusts where
required. However, it is also recognised that EFPMS representatives in some Trusts will need to make
a far more concerted effort with FM service providers and mobilise all contributors of the required
data in order to report accurately and on time.
1.2.3 It should be noted that, in the main, this report is based on the analysis of the financial costs of carrying
out the facilities functions in the NHS in Wales and, therefore, the PIs do not take into account the quality
aspects of these services and, in particular, the way they impact on the patient experience in the NHS.
A number of PIs have been used including, where possible, those that are patient-orientated and it is
anticipated that more patient-focused PIs will feature in future reports.
1.2.4 This year, once again, the quality, consistency and, in some cases, the lack of data submitted by Trusts
has been disappointing, reinforcing a view that there is an absence of a robust management-led data
verification process within many Trusts. Whilst WHE has not carried out a comprehensive validation of
all the data, every effort has been made to identify and address significant anomalies.
1.2.5 Responsibility for the accuracy of the data submitted to WHE, in particular its provision in accordance
with the stated data definitions, and the effect this may have on PIs used in this report, rests ultimately
with the Trusts. Only one Trust of the three responsible for managing Private Finance Initiative (PFI)
hospitals apparently continues to have difficulty in obtaining data from its PFI operator.
1.2.6 The acute hospitals included for detailed analysis in this report are listed in Figure 1 along with the
Trust and Region to which they belong.
INTRODUCTION
6 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
1.3 Facilities functions
1.3.1 With reference to paragraph 1.2.1 above, the report analyses the facilities data either Trust-wide or on
the basis of 16 major acute hospital sites.
Trust-wide information
1.3.2 Comments on the data submitted for the following Trust-wide facilities functions are included in
Section 4 of this report:
❖ Telecommunications
❖ Car parking
❖ Cleaning services
❖ Catering services
❖ Laundry and linen services
❖ Security services
❖ Portering services
❖ Postal services
❖ Outsourced services
INTRODUCTION
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 7
REGION TRUST TRUST TYPE HOSPITAL
Conwy & Denbighshire Large multi-service Ysbyty Glan Clwyd
North Wales North West Wales Large multi-service Ysbyty Gwynedd
North East Wales Large multi-service Ysbyty Maelor
Bro Morgannwg Large multi-service Princess of Wales
Carmarthenshire Medium acute Prince Philip
Carmarthenshire Medium acute West Wales General
Mid & West Wales Ceredigion & Mid-Wales Small multi-service Bronglais General
Pembrokeshire & Derwen Medium multi-service Withybush General
Swansea Large multi-service Morriston
Swansea Large multi-service Singleton
Cardiff and Vale Acute teaching Llandough
Cardiff and Vale Acute teaching University Hospital of Wales
South East Wales Gwent Healthcare Large multi-service Nevill Hall
Gwent Healthcare Large multi-service Royal Gwent
North Glamorgan Medium multi-service Prince Charles
Pontypridd & Rhondda Large multi-service Royal Glamorgan
Figure 1: Acute hospitals included in the report
Hospital-specific information
1.3.3 Comments on the data submitted for the following hospital-specific facilities functions are included
in section 5 of this report:
❖ Car parking
❖ Cleaning services
❖ Catering services
❖ Laundry and linen services
❖ Security services
❖ Portering services
❖ Postal services
1.4 Good practice
1.4.1 A key objective of this report is to provide data and information that will enable FM stakeholders to
share good practice and, in doing so, contribute to the process of continuous improvement in the
provision of FM services within Trusts. Benchmarking is a fundamental tool in sharing good practice.
1.4.2 It is apparent that, to varying degrees, Trusts already monitor themselves against internally-set targets
and some use other FM benchmarking tools, although the full extent of this is not known. For this
reason the AWFF is currently looking at how Trusts may further avail themselves of good practice
sharing opportunities, and at ways in which WHE may provide the necessary support.
1.4.3 In view of the on-going development of the Performance Improvement Framework and the PIs that
will feature in balanced scorecards, it is not possible to be specific about Trust indicators and the
setting of appropriate targets. However, throughout this report the available data has been analysed
and used not only to inform but, wherever possible, to stimulate thought and discussion both at a
national/strategic and local/operational level and to assist the development of appropriate PIs.
1.4.4 WHE has organised one workshop so far in 2005 for Trusts to participate in the process of refining the
data definitions and PIs for Catering, Cleaning and Portering. Further workshops to cover the full range
of FM services are anticipated.
1.4.5 The above process has highlighted instances of significant variations in performance against the
indicators used. Indeed, there are some cases of alarmingly wide variations which are unlikely to be
accounted for by differences in service provision and, therefore, more likely to be due to management
effectiveness. These have been highlighted in the report and all present opportunities for Trusts to
consider areas for improvement. Cross-reference to Appendices I–XIV is intended to enable
benchmarking and may be particularly helpful in this respect.
1.4.6 Increasingly, as PIs are refined and adopted in Trust balanced scorecards, opportunities to benchmark
against these will arise. The only suitable FM indicator at the present time is the audited score against
the National Standards of Cleanliness and, as more Trusts participate fully, this will be an increasingly
valuable indicator for the ongoing sharing of good practice.
INTRODUCTION
8 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
2.1 Context of the report
This report examines the performance of facilities management related services and functions in the
NHS in Wales for the period 2004-05. It includes data and information on a Trust-wide basis and,
where appropriate, on a hospital-specific basis, which this year is, as with the report for 2003-04,
limited to 16 major acute hospital sites.
The report, compiled by Welsh Health Estates (WHE), complements the 2004-05 Estate Condition and
Performance Report, and is the second of its type to be based on the Estates and Facilities Performance
Management System (EFPMS) data, submitted by 13 NHS Trusts and Powys Local Health Board. Due to
its uniqueness amongst Trusts, the Welsh Ambulance Services Trust has not been included.
This is the third year that the submission of the majority of the EFPMS facilities data has been
mandatory and, once again, the quality, consistency and, in some cases, the lack of data submitted by
Trusts has been disappointing, suggesting the ongoing absence of a robust management-led data
verification process within many Trusts. Whilst it has not been possible for WHE to carry out a
comprehensive validation check of the data, every effort has been made to identify and address
anomalies. Responsibility for the accuracy of the data submitted to WHE, however, rests ultimately
with the Trusts.
The unreliability of the data has, once again, limited the scope for analysis and hindered the
establishment of trends. The effectiveness of the EFPMS is largely dependent upon the reliability and
consistency of its data. These issues, therefore, continue to be a priority matter for WHE and efforts
are being made to address deficiencies through Data Quality Assessments carried out with each Trust.
It continues to be a matter of concern that there appears to be an underlying difficulty for some Trusts
to provide what is considered to be essential management information.
The performance indicators (PIs) included in this report are a combination of financial indicators
widely used for audit studies and benchmarking and, wherever possible, indicators that relate directly
to the patient/visitor experience. The patient/visitor-related indicators are seen as a step towards the
‘harmonisation’ of key PIs for the NHS-wide and Trust-specific balanced scorecards that, in due course,
will inform the Assembly’s Performance Framework.
WHC (2003) 120 and WHC (2004) 047 described the programme of work to develop and implement
the performance framework for NHS Wales and the introduction of the Balanced Scorecard. WHC
(2005) 72, The Balanced Scorecard for NHS Wales 2005-06, issued in August 2005, builds on these
initial steps and introduces the second Balanced Scorecard for NHS Wales for use in 2005-06. Future
balanced scorecards will be linked to the recently published strategy for NHS Wales, Designed for Life
and the National Leadership and Innovations Agency for Healthcare’s modernisation assessment
referred to in that strategy.
Wherever possible, the opportunity has been taken to compare expenditure between Trusts and to
give a breakdown of overall expenditure for the services in the NHS in Wales. The provision of this data
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 9
2 EXECUTIVE SUMMARY
is seen to be useful for performance management purposes and for future investigations into possible
correlations with patient/visitor-related PIs and the findings from Hospital Patient Environment (HPE)
external assessments.
The analysis of data in this report also enables Trusts to identify where they may be under-performing
against the all-Wales averages. It also indicates where examples of good practice are adopted by
similar Trusts with an improved performance. The All Wales Facilities Forum is now established as an
advisory committee to drive forward facilities related issues within the NHS in Wales. It will oversee
developments in FM and work towards a Balanced Scorecard way of comparing performance.
2.2 Facilities performance
2.2.1 Organisational issues
FM services are commonly split between estates and hotel services, and organisational structures
within Trusts continue to evolve to reflect the increasing importance being placed on FM in supporting
the delivery of clinical services. The nutrition and catering standards issued in 2002 and the cleaning
standards issued in 2003, for example, require that Trusts nominate a board member with
responsibility for those services.
At director level, however, there is evidence of significantly different corporate approaches to the
assignment of responsibilities for FM services. In the majority of Trusts responsibility is shared
between estates, facilities, commercial and operational directorates. In some Trusts, however,
responsibility for one or more of the services falls outside these directorates.
Structures below director level are generally similar, with departmental line managers, supported by
their own departmental structure, reporting to their director and being responsible for their specific
FM service.
2.2.2 Expenditure
Overall
An analysis of figures reported for 2004-05 shows that expenditure on facilities (hotel services) costs
totalled £133.7 million across Wales. This is an increase of £2 million on the costs reported for 2003-
04 and represents approximately 5.3% of the Trusts’ income.
The current all-Wales breakdown of the percentage expenditure on facilities services is shown in
Figure 3 on page 17.
With increasing attention being paid to the importance of the patient experience, it is anticipated that
the profile of facilities services will continue to rise and that the monitoring of the level of expenditure
on such services will be considered important.
Observations for Trusts
Observations on the expenditure reported by individual Trusts have been included in
Appendices I - XIV.
EXECUTIVE SUMMARY
10 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 11
It is appreciated that expenditure on facilities services alone does not present the complete picture
for the performance of the service delivery, and the All Wales Facilities Forum is now taking forward
the development of a range of appropriate indicators. However, it is often a very helpful indicator
when used to compare similar organisations, in order to draw attention to potential savings and to the
allocation of resources for optimum performance. Hence, the available EFPMS data has been used and
observations made where appropriate. A consolidated table giving a breakdown of expenditure for
the facilities services of each Trust, including the all-Wales average values, is illustrated in Figure 4 on
page 18.
2.2.3 Hotel services
Telecommunications
No clear indication of performance is currently available for telecommunication services. The only PI
adopted as a benchmark is the costs per occupied floor area, ranging between £4 and over £10 per
unit area. A factor in this variation is the increasing use of mobile phones, with approximately 25% of
all calls being made to a mobile phone and accounting for as much as 35% of the telephony call spend.
This financial indicator needs refinement to include aspects of service quality. One particular aspect is
telephone answering response times, although there is currently no national NHS standard in place.
The ‘average’ response times data currently available is seen as inadequate to give a true reflection of
the service provided and will need to be refined to be of benefit.
It is apparent that bedside communication and entertainment systems are increasingly being adopted
by Trusts, although the full extent is not known. The facilities these systems can provide, both for
patients and Trusts, are potentially beneficial. However, contractual arrangements need to be
considered carefully and the costs incurred by users must be taken into account.
Car parking
It is evident that Trusts are experiencing increasing problems in meeting the demand for parking
spaces at healthcare facilities. The findings of the Hospital Patient Environment (HPE) Annual Reports
have identified the capacity of car parks at many of the sites visited as inadequate. In addition, there
are problems with access by public transport.
Data submitted by Trusts shows that, on the basis of spaces provided/100m2 of occupied floor area,
the range is substantial, varying from 1.5 to 2.7 spaces between Trusts, which may well correlate with
some sites having worse parking problems than others.
Since 2003-04 there has been an increase of over 3,200 parking spaces across all Trusts. Of these, over
300 have been allocated to disabled users resulting in an increase of 27% in disabled spaces. As a result,
there has been an improvement in the number of Trusts meeting the local authority guidelines for the
provision of disabled spaces in a new car park.
According to the data submitted, nine of the fourteen Trusts have introduced a charging regime at one
or more of their hospitals. Of the nine Trusts, three generated income from both staff and visitors, two
from staff only and four from visitors only. The reported income from staff and patients/visitors for
2004-05 stands at £940,000 and £1,455,000 respectively.
EXECUTIVE SUMMARY
Cleaning
The National Standards of Cleanliness for NHS Trusts in Wales, 2003 provided a toolkit for auditing and
assessing the performance of the Service measured against specific cleaning outcome requirements.
EFPMS data for 2003-04 included the results submitted for 89 hospitals and aggregated sites.
The data for 2004-05 shows a higher number of hospital audit scores being submitted and all Trusts
returned an audit score against the National Standards of Cleanliness for some, if not all, of their
hospitals. Trusts that failed to provide externally verified scores for all of their hospitals have reported
that their Trust Cleaning Plans are to take any remaining hospitals into account in future, and this will
be monitored closely. Results for 93 hospitals and aggregated sites were submitted, with audit scores
that ranged from 31% to 100%. The extreme cases were isolated and most scores for major hospitals
ranged from 60% to 95%. The audit scores will clearly be a factor in demonstrating continuous
improvement in the provision of an acceptable standard of cleanliness in hospitals.
At Trust level the indicator of cost per m2 of occupied floor area has been used for comparison
purposes. With the exception of Velindre NHS Trust which reported a cost of £11.28/m2, cleaning costs
ranged from less than £20/m2 to almost £30/m2. Similarly, costs reported for the major acute hospitals
ranged from £17/m2 to over £33/m2.
Welsh Risk Management Standard 40: Cleanliness was introduced in April 2005 to ensure that the
Trusts meet the requirements of the National Standards. It is expected that the requirement for self-
assessment from April 2006 will identify areas in which improvements can be made to the quality of
cleaning ‘action plans’. This requirement will also provide further data that will allow for the in-depth
comparison of performance between the Trusts.
Catering
According to Trust data, almost £49,460,000 overall was spent on catering operations (including non-
patient activity) in 2004-05, which is just over £2 million more than reported for 2003-04, and
represents 13% of the total expenditure on FM services by Trusts and just under 2% of Trust income
for 2004-05.
The indicator of ‘cost of patient meals/inpatient day’ used in the 2003-04 report can no longer be
developed from the data provided and will not be pursued. However, a ‘patient meal day’ cost
indicator has been introduced to the EFPMS for 2004-05 that reflects the “cost of feeding one patient
per day”, including all meals and beverages, on a site basis.
It is clear from the data reported that, in general, Trusts have experienced difficulties in providing
robust information regarding the ‘patient meal day’. According to the data submitted, it is found that
there is a significant and unrealistic variance for individual sites. Management and operational aspects
of service delivery are likely to be playing a considerable part in contributing to such wide variations,
rather than issues of quality of the meals alone.
However, despite these difficulties, the overall average ‘patient meal day’ cost for Trusts of around £7
is considered to provide a useful baseline indicator for future refinement. A consistent relationship
EXECUTIVE SUMMARY
12 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
between this indicator and one of gross cost per patient meal requested, which has averaged at
approximately £3.50, has also been observed for a number of Trusts. Hence the value of using both
indicators, either independently or together as a tool for the verification of the ‘patient meal day’ cost,
will be further explored.
The above data returns have highlighted the difficulty that some Trusts have had, once again, in
providing the required data, highlighting the need for further refinement of the data definitions.
Food wastage is another factor affecting cost. Ward wastage survey data available for NHS Trusts
(no data was reported from Powys LHB), suggests the total number of untouched patient meals in
2004-05 was 1,205,000, which represents almost 10% of the total patients meals produced.
Accordingly, the percentage of meals remaining untouched is alarmingly high, ranging between 10%
and 20% for most sites, although several sites reported figures in excess of 20%. As an indication of
costs it can be shown that a reduction in untouched meals of only 1% would achieve an overall saving
of over £300,000 for the 16 acute hospitals alone.
As well as the ‘overproduction’ of meals and instances where patients are away having treatment while
meals are served, it is acknowledged that food wastage also occurs for a variety of other reasons.
These may include the unsuitability of the menu and food quality. Hospital management should be
particularly concerned whether patient recovery and early discharge could be affected by these
factors.
Figures show that 68% of patient meals were produced by conventional cooking methods, with an
even split between plated and bulk delivery. 20% of meals were produced by cook chill method, with
an 11.5% and 8.5% split between plated and bulk delivery respectively. The remaining 12% were
produced using cook chill services, with an even split between plated and bulk delivery.
Linen and laundry
All Trusts in Wales have contracts or service level agreements with the five Welsh NHS Trust laundries
for the provision of their linen and laundry services, with the exception of one Trust that contracts out
its requirement to a commercial company.
Using these laundries across Wales, Trusts reported that during 2004-05 a total of almost 28 million
items were laundered at a cost of almost £10 million, resulting in an average cost/item of 35.4p. The
cost per item varies significantly between Trusts, ranging from 27p to 57p. The reasons for such a wide
variation need to be explored with the Trusts and may include the need to clarify the EFPMS data
definitions.
When comparing the cost of linen and laundry per occupied bed day the variation for twelve of the
fourteen Trusts is within the range of £2.02 and £2.83. In most cases this bears out the differences
accounted for by the cost/item, although there are some inconsistencies that do not appear to be
correlated with the demands of differing organisation types.
Security
According to the Trust data, the NHS in Wales spent £2,579,726 on security services in 2004-05, which
represents approximately 2% of the total expenditure on FM services. It is apparent from the data
EXECUTIVE SUMMARY
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 13
submitted that there is a wide variation in the proportion of expenditure on security services by Trusts.
Analysis shows that figures range from 0.1% to over 11%. It follows that expressing costs as a rate per
m2 has also shown an alarmingly wide variation, ranging between £0.12/m2 and £4.81/m2.
Although the nature, location and usage of the premises covered will have an influence on the
demand for security services, the extremes and accompanying wide variations suggest that the data
cannot be used for performance management. They do, however, draw attention to the apparent
inability of many Trusts to account accurately for the costs of this important service, which is clearly
a matter of concern. Similarly, the quality of data submitted for the number of security incidents is
inconsistent, preventing meaningful analysis.
In August 2005, the Welsh Assembly Government issued the Security Management Framework for
NHS Trusts in Wales. This was produced by the all-Wales Security Task and Finish Group under the
auspices of the AWFF. The purpose of the framework is to introduce the revised security standards for
NHS Wales and provide guidance on their implementation. The central part of the document is the
requirement for a revised Welsh Risk Management Standard 33: Security Management.
The Community Health Councils (CHCs) carried out the second round of HPE assessments in Autumn
2004, and once again security was rated as one of the most disappointing aspects of external areas in
the Welsh hospitals visited. There is a recommendation that Trusts identify the shortfalls in their
security arrangements and rectify them as soon as possible.
Portering
Total expenditure on portering services for 2004-05 was just over £19 million, which is an increase of
10.7% on expenditure in 2003-04. Almost 1,150 whole time equivalent (WTE) porters are employed
across Wales. The number of porters employed by individual Trusts varied between over 170 WTE to
less than 20 WTE.
The number of WTE staff per 10,000m2 of occupied floor area has been used as a PI, resulting in a
range of between four and nine porters.
Postal services
The reported expenditure on postal services for 2004-05 was £3,366,455. In general, postal costs are
directly linked to the size of Trust, activity, type of service provided and the topography of the sites
within each Trust. Due to the significant variations in these factors, even between Trusts of a similar
type, it is difficult to make observations or comparisons of value.
Outsourced services
It was hoped that the data submitted would allow comparisons to be made between Trusts regarding
the services they outsource. However, due to errors in the data submitted and the failure of one Trust
to submit any data, this has not been possible and the information presented under section 4.10.1 is
included for information purposes only.
EXECUTIVE SUMMARY
14 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 15
3.1 Overview of facilities management services
Grouping of services into estates and hotel services
3.1.1 This report complements the 2004-05 Estates Condition and Performance Report by providing
information on the range of support services that underpin clinical care such as cleaning, catering and
portering and, therefore, are not featured in estate-focused reports.
3.1.2 Facilities management (FM) services provided by NHS Trusts are often grouped into ‘hard’ services
covering estate management and maintenance, and ‘soft’ services covering hotel services, such as
catering, portering, cleaning and laundry. For the purposes of this report and in line with the EFPMS
definitions, hotel services include cleaning, catering, laundry & linen, security, portering, postal
services, telecommunications and car parking.
3.1.3 While FM services are split into estates and hotel services, it is recognised that at a board, managerial
and operational level, responsibilities for these services within Trusts are assigned across a variety of
disciplines and departments. Frequently, for example, nursing directorates have lead responsibility for
catering while personnel directorates may have lead responsibility for security indicating that, at
board level, the range of services are not exclusively covered by Estates and/or Facilities or
Commercial/Operational Service directorates.
Management structures
3.1.4 The concept of a Facilities Directorate within Trusts in Wales is relatively new, having been introduced
within the last 10 years. Since the Directorates were set up, facilities management structures have
evolved following a variety of models, illustrated by the fact that 75% of Trusts have a single director
with responsibility for estates and facilities functions while the remainder have opted for separately
managed functions.
3.1.5 Structures below director level are similar, with departmental line managers, supported by their own
departmental structure, reporting directly to a director and being responsible for their specific FM
service.
Outsourcing
3.1.6 Many Trusts outsource some of their hotel services, which are generally non-core or specialist.
Interestingly, Swansea continues to be the only Trust to outsource portering and domestic services,
both of which are provided by the same company. It is understood that this arrangement works well
for the Trust, in conjunction with a software package to assist the in-house monitoring team with
performance management.
3.2 Performance management and the balanced scorecard approach
3.2.1 The National Estates Strategic Framework, published by the WAG in October 2002, was specifically
written to provide an overarching framework for the future development and management of the
healthcare estate. The framework included a commitment to promote the use and continued
3 FACILITIES MANAGEMENT PROFILE
FACILITIES MANAGEMENT PROFILE
16 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
development of the EFPMS as a performance management tool, supported by the Estates
Development Panel (EDP) set up in 2003 primarily to drive forward the estates agenda.
3.2.2 More recently, the AWFF was set up in 2004 to complement and work alongside the EDP in order to
drive forward the facilities-related issues within the NHS in Wales. The development of the
performance management of facilities services using the balanced scorecard approach at National and
Trust level is an issue to be taken forward by the AWFF.
3.2.3 A range of Trust-specific and national PIs are required for incorporation into the Trust scorecard,
which will ultimately inform the Performance Improvement Framework (PIF) for NHS Wales. In general
the intention is that decision-making should take account of patient experience related PIs as well as
financial considerations. Currently patient experience PIs are not available as part of the EFPMS and
will require careful development to ensure data can be gathered in a consistent manner.
3.2.4 It is anticipated that a number of PIs with associated targets will feature in the Trust and national
balanced scorecards as part of the PIF. In the absence of the nationally agreed PIs, the measures used
in this report are, in general, a combination of ‘industry standard’ PIs and measures that WHE has
developed in consultation with the Service. However, the only facilities-related national PI used for the
Balanced Scorecard and included in the EFPMS continues to be the externally verified cleaning score
measured against the National Standards of Cleanliness for NHS Trusts in Wales.
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 17
4.1 Expenditure on NHS facilities services
4.1.1 The EFPMS holds information on a range of facilities services (hotel services) costs, which are listed
on an all-Wales basis in Figure 2. It can be seen that the overall figure is almost £134 million, which is
£2 million more than for 2003-04, and represents approximately 5.3% of the total Trusts’ income for
2004-05, reported to be almost £2,543 million.
(It should be noted that cost data for the PFI Chepstow Community Hospital has not been made
available for inclusion in this analysis.)
4.1.2 The all-Wales percentage breakdown of facilities expenditure is illustrated in Figure 3.
Comparison with the breakdown of facilities expenditure for 2003-04 shows little variation overall. The
percentage expenditure for 2004-05 of 37% for catering, 14% for portering and 2% for security has
remained unchanged, whilst there has been a 1% shift away from laundry and linen and
telecommunications, to cleaning and postal services.
Facility (Hotel Services) Function Gross Cost
(£)
Telecommunications 11,717,386
Catering services 49,458,405
Cleaning services 37,473,992
Laundry and linen services 9,766,209
Portering services 19,358,719
Security services 2,579,726
Postal services 3,366,455
Total 133,720,892
Figure 2: All-Wales costs by facility services
Cleaning28%
Postal3%
Telecoms9%
Security2%
Portering14%
Catering37%
Linen and Laundry7%
Figure 3: All-Wales breakdown of the percentage expenditure on facilities services
4 ANALYSIS OF TRUST-WIDE DATA
ANALYSIS OF TRUST-WIDE DATA
18 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
4.1.3 The cost for each service as a percentage of the overall facilities budget within each Trust is illustrated
in Figure 4.
In general, the apparent stability of the all-Wales percentage breakdown for 2004-05 in comparison
with 2003-04 is a reflection of the consistency of the expenditure profile for facilities services for
most individual Trusts, with shifts of one or two percentage points (at most) between the services
being reported in the majority of cases.
Otherwise, with the exception of the special case of Velindre, where there has been a major shift away
from telecommunications, there are isolated instances of significant variations. These include the
reported budgets for 2004-05 at Cardiff and Vale, which allocated +5% to cleaning and -6% to laundry
& linen services along with Pontypridd and Rhondda, which allocated +7% for catering services. In
these cases the shifts are understood to be due to inaccuracy of the data rather than a reflection of
a shift in budget allocation.
Facility Function
Trust Tel
eco
mm
un
icat
ion
s
Cle
anin
g s
ervi
ces
Cat
erin
g s
ervi
ces
Lau
nd
ry &
lin
en s
ervi
ces
Sec
uri
ty s
ervi
ces
Po
rter
ing
ser
vice
s
Po
stal
ser
vice
s
(%) (%) (%) (%) (%) (%) (%)
Bro Morgannwg NHS Trust 11 25 34 10 2 16 3
Cardiff and Vale NHS Trust 6 33 36 6 5 11 3
Carmarthenshire NHS Trust 7 25 41 7 1 15 3
Ceredigion & Mid Wales NHS Trust 9 27 41 8 <1 13 2
Conwy & Denbighshire NHS Trust 7 32 34 5 1 19 1
Gwent Healthcare NHS Trust 12 27 39 7 1 13 2
North East Wales NHS Trust 8 24 33 9 2 21 3
North Glamorgan NHS Trust 7 31 32 8 3 18 <1
North West Wales NHS Trust 12 22 45 7 <1 11 3
Pembrokeshire & Derwen NHS Trust 9 34 31 11 1 13 1
Pontypridd & Rhondda NHS Trust 5 28 41 7 2 15 2
Powys LHB 10 32 37 8 <1 10 2
Swansea NHS Trust 9 28 37 7 1 16 3
Velindre NHS Trust 13 20 24 4 8 18 13
All-Wales average 9 28 37 7 2 14 3
Figure 4: Percentage breakdown of the reported expenditure allocated tofacilities services in each Trust
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 19
4.1.4 Comparison of Trust expenditure on facilities services, as a percentage of the overall Trust budget, is
illustrated in Figure 5. Velindre NHS Trust, with a figure of 2% is the lowest. Figures for the other Trusts
range from 4.2% to 6.5%, resulting in an all-Wales average of 5.3%. It is interesting to note that the
figure reported by Velindre has reduced significantly from that of 3.4% for 2003-04. This will, to a large
extent, reflect the significant drop in reported telecommunications costs and draws attention to the
specialist nature of the Trust.
It should be noted that the costs for on-site collection and handling of waste, non-patient
transportation and car parking are included in the overall facilities costs, but are not assigned to these
individual services.
4.1.5 Information relating to operating costs for individual Trusts and observations made on that
information has been included in Appendices I–XIV.
4.1.6 Occupancy costs for acute, minor acute, community and psychiatric hospitals are contained in
Appendix XV.
4.1.7 Figure 6 illustrates the overall FM cost/m2 for each Trust calculated from the submitted data for
2003-04 and 2004-05.
4.1.8 Appendix XVI provides a breakdown of costs for individual FM services at each Trust to enable
comparison with all-Wales calculated estimates.
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
Vel
indr
e N
HS
Tru
st
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
eN
HS
Tru
st
Con
wy
&D
enbi
ghsh
ire N
HS
Tru
st
Nor
th E
ast W
ales
NH
S T
rust
Sw
anse
a N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th W
est W
ales
NH
S T
rust
Cer
edig
ion
& M
idW
ales
NH
S T
rust
Nor
th G
lam
orga
nN
HS
Tru
st
Pon
typr
idd
&R
hond
da N
HS
Tru
st
Pow
ys L
HB
Car
mar
then
shire
NH
S T
rust
(%)
% of Trust budget All-Wales average
Figure 5: Facilities service costs expressed as a percentage of the overall Trust budget
ANALYSIS OF TRUST-WIDE DATA
20 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
4.2 Telecommunications
General information
4.2.1 Impressions of a Trust are often formed by how quickly, politely and efficiently an initial telephone call
is handled. The ‘front of house’ service is not only having to embrace new and rapidly changing
technology but has to develop staff skills to ensure the service becomes more customer-focused and
able to respond as a focal point for general information.
4.2.2 Although no national NHS standard has been set for hospital telephone response times, other public
sector organisations have set four rings, or approximately ten seconds, as their target. When using
‘average’ response times to compare performance it is clear that the data does not give a true
reflection of the service provided, since substantial delays occur at peak times that are offset by
long periods of low activity at night and weekends.
Switchboard response times have been somewhat devolved by the introduction of auto-attendant,
giving callers options to wait for an operator, or press a certain number for a department, or even to
call back later. However, while these are used commonly in administration offices, they are not
generally used in larger hospitals.
In view of the above, graphical representation of this data has not been produced. In due course it is
anticipated that balanced scorecards for Trusts will be able to provide peak time response data in
order to assess performance.
Trust Name Organisation Type Calculated FM cost
from submitted data
(£/m²) Bro Morgannwg NHS Trust Large Multi Service 86.59
Cardiff and Vale NHS Trust Acute Teaching Outside London 67.74
Carmarthenshire NHS Trust Medium Acute Outside London 107.25
Ceredigion & Mid Wales NHS Trust Small Multi-Service 107.19
Conwy & Denbighshire NHS Trust Large Multi Service 76.05
Gwent Healthcare NHS Trust Large Multi Service 88.11
North East Wales NHS Trust Large Multi Service 74.25
North Glamorgan NHS Trust Medium Multi-Service 83.26
North West Wales NHS Trust Large Multi Service 80.58
Pembrokeshire & Derwen NHS Trust Medium Multi-Service 81.92
Pontypridd & Rhondda NHS Trust Large Multi Service 104.90
Powys LHB Medium Community with Mental Health 68.21
Swansea NHS Trust Large Acute Outside London 81.14
Velindre NHS Trust Acute Specialist 56.70
Estimated all-Wales average 81.53
Figure 6: Comparison of overall cost/m2 for FM services
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 21
4.2.3 The Telecommunications Act 1984 introduced deregulation that allowed companies to apply for
licenses to provide certain telephony services. Conventional call traffic, once carried exclusively by
British Telecom, was such a service and a number of competing companies have emerged as major
players. This change has given Trusts the opportunity to transfer calls to an alternative carrier and
benefit from lower charges. Many Trusts have now made the change and are apparently reaping the
rewards.
4.2.4 The need for immediate contact with patients and suppliers over the last decade has seen a rapid
growth in the use of mobile telephony. Major call carriers confirm that approximately 25% of calls are
now made to a mobile phone and, although call charges are being driven down by competition, they
can account for as much as 35% of Trusts’ telephony call spend. This is an area that Trusts should
continue to closely monitor and manage accordingly.
4.2.5 A document on the use of mobile communication systems within hospitals was issued by the MHRA
in August 2004, supplementing the previously published advice contained in MRHA Device Bulletins
DB9702 and DB 1999 (02). These documents recognise the difficulty in enforcing an effective ‘total
ban’ policy and encourage a balanced approach to ensure that the benefits of mobile wireless
technology can be made available to healthcare organisations. Overly restrictive polices may act as
obstacles to beneficial technology and may not address the growing need for personal
communication for patients, visitors and workforce. The removal of a total ban policy will present new
challenges for Trusts if mobile phone ‘friendly’ areas are permitted, as the risk to and effect on medical
devices from the electro-magnetic waves transmitted by the mobile phones will still need to be
considered.
4.2.6 Bedside communication and entertainment systems, described in England as Patient Power, are fully
managed bedside services that allow patients to keep in touch with friends and relatives by phone.
They also allow personal access to a wide range of television channels, films and information systems
that can include e-mail and high-speed Internet access. The second-generation systems for utilising
digital technology are being further developed to provide electronic patient records (EPR) and
digitised diagnostic images at the bedside by integration into the hospital’s IT network.
4.2.7 Bedside communication systems may be used for patient surveys in order to collect data on patient
satisfaction. The data can be used to complement PIs introduced into a balanced scorecard without
the need for distributing and collecting hard copy questionnaires.
4.2.8 In addition to the benefits already mentioned, the system allows nurses to concentrate on patient
care because of fewer telephone calls made to the nurse station. It also offers special facilities for the
elderly, the disabled and children. It may alleviate patient boredom, can be developed to allow patients
to select meals using an on-line menu ordering system and reduces the telephone traffic through the
hospital’s switchboard.
4.2.9 In line with the agreed model concession agreement developed by NHS Estates for England, bedside
communication systems are installed at no cost to Trusts. NHS Estates set up a national licensing
system that allows those suppliers, who have demonstrated that they have the capacity to install and
effectively manage a bedside communication and entertainment system, to provide the service in
ANALYSIS OF TRUST-WIDE DATA
22 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
NHS Hospitals. In 2003-04 four companies had been awarded full licences. However, this figure has
now been reduced to three, as one company is reported to have withdrawn.
4.2.10 Some of the benefits listed above, however, do not come free to the patient. Whilst outgoing
telephone calls are charged at standard call box rates, incoming calls are charged at premium rates.
Some television channels and children’s channels are provided free but the cost of entertainment
packages depends upon selection and usage. The license holders in England have indicated that, from
their experience, patients who fully utilise the system could expect to spend about £2.50 to £3.50 per
day for the services used. This figure has increased from the estimated cost of £2/day reported for
2003-04.
Analysis of Trust Telecommunication data
4.2.11 The average telephone response times reported for 2004-05 ranged from 7 seconds at Ceredigion to
25 seconds at Bro Morgannwg. When using ‘average’ response times to compare performance it is
clear that the data does not give an accurate reflection of the service provided, since substantial
variations in activity occur at peak times. Graphical representation of this data, therefore, has not been
produced.
4.2.12 The overall expenditure on the telecommunications services in 2004-05 was £11,717,386.
Unfortunately, as Carmarthenshire did not submit data in 2003-04, and the data from Velindre was
considered to be unrepresentative and, therefore, excluded, it is not possible to provide accurate
comparisons for the overall expenditure year-on-year.
4.2.13 Due to the limited data collected for telecommunications, the analysis has been restricted to a
comparison of costs/occupied floor area expressed as £/m2. The results for 2004-05 are illustrated in
Figure 7 and show that costs range from £4.10/m2 at Cardiff and Vale to £10.21/m2 at Gwent
Healthcare, which represents 43% less and 30% more than the calculated all-Wales average of
£7.14/m2, respectively.
Figure 7: Telecommunications cost/m2 of occupied area
0.00
2.00
4.00
6.00
8.00
10.00
12.00
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
ST
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
ST
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
£/m
²
Trust cost / occupied floor area All-Wales average
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 23
4.2.14 Cardiff and Vale reported the lowest cost/m2 of all of the Trusts for the second consecutive year.
Developments with telecommunications
4.2.15 The National Patient Safety Agency (NPSA) conducted a survey of acute hospitals in England and
Wales to determine what numbers staff dial in an emergency. They found that several numbers were
used, 222, 2222, 3333, 999, 100, etc. It was a concern to staff moving between sites that an
emergency number they were familiar with might not be used at their new location. On completion of
the survey the NPSA instructed that all hospital staff should dial 2222 for Cardiac Arrest. This has now
been implemented.
4.2.16 Some Trusts have converged their data and voice systems by adopting Voice over IP (VoIP)
technology, which basically means using one network to send and receive, both voice and data traffic.
There is no requirement for a separate telephone and computer socket. The telephone plugs into the
PC and the PC plugs into the data socket as normal. The ‘old’ telephone sockets and miles of internal
telephone cable become redundant. VoIP calls transit the Internet and are generally free of charge;
the customer pays revenue for the network lines and can send as many calls as the size of their
connections will allow.
4.2.17 Video conferencing is now being used extensively across NHS Wales. HSW Telecomm Services is the
management centre for the videoconference network. It is also the test bed for video conferencing
and the technical support centre for the network known as the Welsh Health Video Services (WHVS).
All Trusts in Wales and some Local Health Boards, have installed video conferencing, which has enabled
them to conduct meetings and present statistics and graphs, etc. across the network from their
meeting rooms and in some cases from their desks, without the need to travel for meetings. It is
intended that the service will extend to GPs in the near future. Video conferencing calls are not
restricted to the network, and enable users to contact or be contacted from practically any country in
the world with the facility.
4.3 Car parking
General information
4.3.1 The provision of adequate and easily accessible car parking is critical to patients, staff and visitors. In
practice this is rarely achieved on hospital sites and few cater for peak demand. It is not uncommon
to see cars parked on every available grass verge with visitors vainly searching for a space.
4.3.2 Hospital Patient Environment (HPE) Annual Reports have also identified the capacity of car parking
facilities at hospital sites across Wales as inadequate, especially regarding designated spaces for
disabled users. In addition, they highlight a general lack of support staff to manage and direct traffic
flow where necessary, and that parking at most sites is considered stressful for both staff, patients and
visitors. This problem is reported as part of a wider issue connected with the provision of public
transport alternatives, and urging the Welsh Assembly Government to ensure that transport plans are
inclusive of the needs of patients and the NHS, with partnership working between the NHS and Local
Authorities, remains a priority.
ANALYSIS OF TRUST-WIDE DATA
24 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
4.3.3 HPE assessments have also found that, in general, the charges levied for car parking are considered
‘good’ across Wales, although some concern has been expressed over Pay & Display meters as a
number of these do not give change, which results in overcharging.
4.3.4 There are no easy solutions to these problems but it is anticipated that the comparators used in the
following figures, in conjunction with public transport considerations and healthy travel initiatives, will
assist Trusts in the development of Transport Plans for their hospitals. It is also envisaged that
developments with EFPMS data and Trust balanced scorecards will, in future, refine the PIs on parking
provision.
Analysis of Trust car parking data
4.3.5 The total number of car parking spaces available for use within Trust grounds for 2004-05 was 32,814,
which is over 3,200 more than the previous year and represents an increase of almost 11%. Of these,
1,498 were allocated for disabled staff and visitors, which is over 300 more than the previous year and
represents an increase of 27%. These increases indicate that, overall, the proportion of car parking
spaces allocated for disabled staff and visitors has risen from just under 4% for 2003-04 to over 4.5%
for 2004-05.
4.3.6 The variation for parking spaces provided by Trusts compared with the occupied floor area of their
properties for both 2003-04 and 2004-05 is illustrated in Figure 8. It can be seen that for 2004-05 the
range varies between about 1.5 spaces/100m2 at Gwent Healthcare and Ceredigion & Mid Wales, and
just over 2.7 at Bro Morgannwg. The graph also illustrates that there is a 50/50 split across the fourteen
Trusts between those reporting an increase and those reporting a reduction in the rate. However, the
overall average has remained about the same and increased only slightly, from 1.8 to 2. The marked
change for Gwent Healthcare is due to omissions in the number reported for 2003-04.
Figure 8: Number of parking spaces/100m2 of occupied floor area
0.00
0.50
1.00
1.50
2.00
2.50
3.00
Bro
Mor
gann
wg
NH
ST
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
ST
rust
Cer
edig
ion
& M
idW
ales
NH
S T
rust
Con
wy
&D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
nN
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
&R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
Nu
mb
er o
f sp
aces
/100
m²
2003-04 2004-05
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 25
Figure 9: Disabled car parking allocation
4.3.7 The percentage of spaces allocated for disabled parking as a percentage of total spaces for each Trust
is illustrated in Figure 9. It can be seen from the figures for 2004-05 that there has been an
improvement in nearly all Trusts, and that the rates range between just under 3% at Carmarthenshire
and Gwent Healthcare, and 7.9% at Powys LHB which has, once again, reported by far the highest rate.
4.3.8 Trusts have adopted a variety of policies and contractual arrangements in respect of car parking
charges. According to the data submitted for 2004-05 only nine Trusts generate income from car
parking, which is an increase on the six reported for 2003-04. Of the nine Trusts, three generated
income from both staff and visitors, two from staff only, and four from visitors only.
For the five Trusts that generated income from staff, this ranged from just over £4,500 to almost
£300,000, whereas the income generated from visitor parking from seven Trusts ranged from just
under £10,000 to almost £800,000. The totals from the participating Trusts for staff and visitors were
approximately £940,000 and £1,455,000 respectively. This shows an increase from the figures
reported for 2003-04 of approximately £638,000 and £1,289,000 respectively, and demonstrates
more growth in the income generated from staff.
It should be noted that the absence of income generation reported does not in all cases imply that
no parking charges are levied for staff or patients and visitors. This is due to the current data
definitions requiring Trusts to report income generated from parking spaces within the organisation’s
grounds, whereas contractual arrangements for car parking spaces may apply to remote and/or
adjoining land not owned by the Trust. Furthermore, the financial aspects of the contractual
arrangements may not provide Trusts with what can be regarded as an income.
In an effort to provide Trusts with more meaningful information on car parking charges across hospital
sites in Wales, it is anticipated that the data required by the EFPMS will be reviewed and data
definitions clarified by WHE and the Service.
Additional analysis of car parking on acute hospital sites is included in Section 5.2.
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
7.00%
8.00%
9.00%
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
Dis
able
d s
pac
es /
To
tal N
o o
f sp
aces
(%
)
2003-04 2004-05
ANALYSIS OF TRUST-WIDE DATA
26 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
4.4 Cleaning services
General information
4.4.1 The National Standards of Cleanliness for NHS Trusts in Wales were launched in June 2003 and issued
under cover of WHC (2003) 59. They introduced a risk-based approach to the development of
cleaning specifications for all Trusts to adopt and set out clear requirements for cleaning, along with
a system for ongoing audits to assist with continuous improvement.
4.4.2 At the same time as the National Standards were issued to the service, the Auditor General for Wales’
report The Management and Delivery of Hospital Cleaning Services in Wales was published. This made
a number of recommendations, one of which was concerned with the setting of cleaning budgets to
meet risk-based cleaning standards. This process requires budgeting for cleaning specifications that
take into account the time needed to achieve the required cleaning outcomes, rather than setting
cleaning budgets based on historical financial allocation. This could significantly affect the cleaning
budget necessary to meet the required cleaning specifications and achieve an acceptable audit score
against the National Standards.
4.4.3 A performance assessment toolkit that accompanies the National Standards provides an audit
methodology to generate a score for the EFPMS. However, there were initial problems for many Trusts
in setting up the required internal audits and, along with the need for external verification of the
scores for the EFPMS, many Trusts were unable to submit any results. The returns for the scores for
2003–04 were therefore patchy, which restricted the opportunities for analysis.
4.4.4 The data for 2004-05 shows a higher number of hospital audit scores being submitted, and all Trusts
returned an audit score against the National Standards of Cleanliness for some, if not all, of their
hospitals. However, only the following Trusts provided scores for all of their hospitals:
❖ Cardiff and Vale;
❖ Ceredigion & Mid Wales;
❖ North East Wales;
❖ North Glamorgan;
❖ North West Wales;
❖ Swansea and
❖ Velindre.
Most of the Trusts that failed to provide externally verified scores for all of their hospitals have reported
that their Trust Cleaning Plans will be taking any remaining hospitals into account in future. This will
need to be monitored closely. It is interesting to note, that the type and size of a Trust appears to have
little bearing on the ability of that Trust to comply with this requirement, and that some Trusts appear
to be having far more difficulty than others in providing this data for all of their sites.
The continued collection of this data will allow for the demonstration of improvement in the provision
of an acceptable standard of cleanliness to be monitored. It is anticipated that, as Trusts progress with
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 27
the implementation of the standards, they will be in a much better position to determine their current
performance and be able to demonstrate continuous improvements as required by the Welsh
Assembly Government.
4.4.5 The introduction of the Welsh Risk Management Standard 40: Cleanliness in April 2005, was to ‘ensure
that NHS Trusts meet the requirements of the National Standards of Cleanliness for NHS Trusts in
Wales, and to demonstrate improvement in reducing risks associated with environmental cleanliness
in all NHS Trust premises in which patient services are delivered’.
The areas for assessment include requirements to ensure the provision of:
❖ Clear management arrangements linked to clinical and corporate governance;
❖ A consistently high standard of cleanliness, where patient views are incorporated into the planning,
implementation and monitoring processes;
❖ The utilisation of the most appropriate cleaning methods and frequencies to maintain Trust
buildings and fixtures to an acceptable standard;
❖ Staff training appropriate for them to undertake their duties;
❖ Key performance indicators capable of showing improvements in environmental cleanliness; and
❖ Assessment of the cleanliness of the healthcare environment by both internal and external
audit.
The requirement for self-assessment under Welsh Risk Management Standard 40: Cleanliness
commences from April 2006. This will allow for more in-depth analysis of reported data in future
reports in terms of cost effectiveness and quality control.
Analysis of Trust cleaning data
4.4.6 Overall the cost for cleaning was almost £37.5 million, an increase from the £36 million reported for
2003-04, which equates to 1.5% of the overall Trust income and 25.8% of the overall facilities budget.
As indicated above, cleaning budgets are now required to support cleaning specifications that achieve
acceptable output requirements in accordance with the National Standards.
4.4.7 Excluding the PFI hospitals at Port Talbot, Cardiff and Chepstow, approximately 6,500 staff, working in
excess of 4,000,000 hours, were recorded as providing the service, of which almost all were reported
to be working on a part-time basis.
4.4.8 A comparison of the existing cleaning service costs, reported as a percentage of the Trusts’ income, is
shown in Figure 10. According to the submitted data, the all-Wales average of Trust income spent on
cleaning has reduced from 1.7% in 2003-04 to 1.5% for 2004-05. At almost 2.1%, it appears that Powys
Local Health Board has spent the greatest percentage of income on cleaning for 2004-05. It is
interesting to note here that, whilst the proportion of the Trusts’ income spent on cleaning has
decreased, the overall cost of cleaning has increased.
ANALYSIS OF TRUST-WIDE DATA
28 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
4.4.9 The cost of cleaning services per occupied floor area is shown in Figure 11. Although historically the
cost/m2 PI has been a nationally used one, it should not be viewed in isolation from local conditions.
For example, the age profile of properties is understood to have a significant impact upon cleaning
costs. It is also difficult to quantify the effect that changes in design standards, building functionality
and quality of finishes has on the cost/m2 but these must all be borne in mind when making
comparisons.
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
Bro
Mor
gann
wg
NH
ST
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
ST
rust
Cer
edig
ion
& M
idW
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ireN
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
ST
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
daN
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
Cle
anin
g C
ost
/m²
Trust All-Wales average
Figure 11: Cost of cleaning services/m2 of occupied floor area
0.00
0.50
1.00
1.50
2.00
2.50
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
Cle
anin
g B
udge
t as
a %
of T
rust
Inco
me
Trust All-Wales average
Figure 10: Cost of cleaning services as a percentage of Trust income
* Cleaning costs for Chepstow hospital were not submitted.
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 29
In addition, all components of cost need to be considered carefully when comparing the overall cost
figures that are currently provided. For example, there is uncertainty as to whether all Trusts are
apportioning the staff time where necessary. It follows that until more sophisticated accounting
systems are adopted, which take into account where staff time should be apportioned to disparate
tasks (as with generic workers and the time spent on cleaning duties), there may be doubt as to
whether this factor is always being accounted for manually.
The total cost for cleaning services for 2004-05 was £37,473,992, an increase of £1,480,140 on the
cost reported for 2003-04. It can be seen from Figure 11 that the all-Wales average for the cost of
cleaning/m2 is £22.85, an increase of almost £1 on the 2003/04 figure.
4.4.10 Cleaning audit scores were submitted for 93 hospitals and aggregate sites that ranged from 31% to
100%. These extremes are isolated cases and most scores for the major hospitals ranged between 60%
and 95%. In general, there has been an improvement on the scores reported for 2003-04.
Additional analysis in respect of cleaning at the acute hospital sites is detailed in Section 5.3.
4.5 Catering services
General information
4.5.1 A Nutritional and Catering Framework drawn up in May 2002 was issued to Trusts for implementation
as part of the Welsh Assembly Governments’ initiative Improving Health in Wales – A Plan for the NHS
with its partners. Produced by the All-Wales Catering/Nutrition Group for the Welsh Assembly
Government, the framework recognises the importance of good nutritional management, its impact
on the speed with which patients recover and its contribution to an early discharge from hospital.
4.5.2 To support the framework, Welsh Risk Management Standard 23: Nutrition and Catering was reviewed
to ensure that the catering management, food handling and NHS premises in which food is stored,
prepared or served, comply with current food legislation and good practice, and provide for the
dietary and nutritional requirements of the patient. (Information on nutrition has not been included
as it is outside the scope of this report).
It is anticipated that WRMS 23 will be reviewed in 2006 and the requirements amended for
continuous improvement in the quality of service in this area. Along with a review of the requirements,
an element of external assessment is also under consideration by the Welsh Risk Pool for the future.
Should this be introduced, it is seen as adding value to the process of performance management to
ensure that each Trust remains compliant with the Standard and assist with benchmarking against PIs.
4.5.3 Welsh Risk Management Standard 23 stipulates the use of a number of PIs to assist Trusts with
measuring improvements in their catering services, including patient surveys. Although data
associated with these PIs is not included in the EFPMS, it is envisaged that they will feature alongside
EFPMS PIs in both National and Trust balanced scorecards to inform the Performance Framework. This
will give opportunities to introduce issues relating to quality into this report.
4.5.4 The Facilities Performance Report for 2003-04 highlighted the difficulties some Trusts had in providing
the required data. These difficulties included:
❖ Segregating the time allocated to the preparation of patients/other meals from other duties;
❖ Interpreting the data definitions such as apportioning managers’ time and
❖ Apportioning staff costs at the point of service to the patient, for example, where Trusts utilise
domestic staff to fulfil this role.
Whilst it is evident that there has been an improvement in the quality of the catering services data
provided, it is also apparent that the above difficulties still apply. Therefore, once again, where there
have been anomalies with the data submitted and it has not been possible to verify the accuracy of
the data, it has not been used in this report for comparison purposes. Trusts that are still experiencing
such difficulties will need to resolve them in order to achieve maximum benefit from the EFPMS.
Analysis of Trust catering data
4.5.5 According to Trust data, almost £49,460,000 overall was spent on catering operations (which include
non-patient activities) in 2004-05, which is just over £2 million more than reported for 2003-04, and
represents 13% of the total expenditure on FM services by Trusts and just under 2% of Trust income
for 2004-05.
4.5.6 A comparison of staff costs, expressed as a percentage of the gross cost of catering operations, is
illustrated in Figure 12. It can be observed that the all-Wales average is 52%, which is a reduction of
3.5% against the figures for 2003-04. Seven Trusts have spent less on staff costs as a percentage of
the gross cost of catering operations than in 2003-04. It is interesting to note that about half of the
£2 million increase in the overall cost of catering operations has been attributed to staff costs.
4.5.7 Patients often see meal times as an important aspect of their recovery and one where they have some
measure of control. In addition to the requirement of the Welsh Risk Management Standard 23 for
meal times to be uninterrupted, wherever possible, the designation of protected meal times may also
be considered by Trusts.
ANALYSIS OF TRUST-WIDE DATA
30 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
%
Trust All-Wales Average
Figure 12: Staff costs as a percentage of gross cost
(%)
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 31
Eight Trusts report having introduced protected meal times but it is only Conwy & Denbighshire
NHS Trust and Powys LHB that have introduced them to a high degree. Conwy & Denbighshire NHS
Trust report having protected meal times at all of their hospital sites, with 100% patient
mealtimes covered at all hospitals except Ysbyty Glan Clwyd (45%). Powys LHB report having all
mealtimes covered at all of their hospitals. The introduction of protected meal times within the
acute hospitals is limited to two of the sixteen hospitals: Ysbyty Glan Clwydd (45%) and
Withybush (60%).
4.5.8 The indicator of ‘cost of patient meals/ inpatient day’ developed for comparisons in the 2003-04
report can no longer be developed from the data provided and will not be pursued.
4.5.9 A ‘patient meal day’ cost indicator has been introduced to the EFPMS for 2004-05 that reflects the
“cost of feeding one patient per day”, including all meals and beverages, on a site basis.
It is clear from the data reported that, in general, Trusts have experienced difficulties in providing
robust information regarding the ‘patient meal day’. According to the data submitted, it is found that
there is a significant, and unrealistic, variance for individual sites, and with averaged costs for Trusts
ranging from £2.31 at Carmarthen to £12.37 at Powys LHB.
However, despite these difficulties, the overall average ‘patient meal day’ cost for Trusts of around
£7 is considered to provide a useful baseline indicator for future refinement. A consistent relationship
between this indicator and one of gross cost per patient meal requested, which has averaged at
approximately £3.50, has also been observed for a number of Trusts. Hence the value of using both
indicators, either independently or together as a tool for the verification of the ‘patient meal day’ cost,
will be further explored.
4.5.10 It is apparent that more needs to be done in an effort to refine the data definitions so that more
robust data may be reported in the future. A series of workshops is proposed to provide further
guidance to service providers, aimed at improving the quality of the data and enabling more
meaningful comparisons to be made from PIs.
4.5.11 Food wastage is another factor to be considered. Ward Food Wastage Survey returns suggest that a
total of 1,205,000 patient meals produced in 2004-05 were untouched, which represents 9.5% of the
associated total patients meals produced (no data was reported from Powys LHB). It is of concern that
the percentage of food waste for many hospitals is in the 10% to 20% range along with several in
excess of 20%. There is also an apparent increase from the 8.3% reported for last year, which is
disappointing. Clearly more will need to be done in an effort to reverse this trend.
It should be noted that the full methodology for calculating the percentage of food waste (calculated
on a sample basis and in terms of untouched meals) is set out in the Ward Food Wastage Survey
section of the EFPMS Data Definitions and Completion Notes.
4.5.12 A breakdown in the reported number of patient meals requested according to the type of service
employed indicated that 68% were from conventional means with an even split for plated and bulk
delivery. At 20%, cook freeze was the next most widespread method employed, and this had an 11.5%
to 8.5% split for plated and bulk respectively. The remaining 12% were produced by cook chill service
with an even split for plated and bulk delivery.
An analysis relating type of service delivery to cost and the amount of food wastage did not produce
any meaningful comparisons. However, it is clear, when comparing similar types of service, that some
sites produce meals at low cost with little waste while others do not, thus, presenting opportunities to
identify and share best practice in implementation. Issues concerning aspects of quality of the meals
produced have not been considered as they are currently outside of the scope of this report.
Additional information on catering at the acute hospital sites is detailed in Section 5.4.
4.6 Laundry and linen services
General information
4.6.1 The Health Service Guidelines HSG (95) 18, issued in April 1995, covered the arrangements for
processing used and infected linen at hospital laundries. They set out the recommended procedures
to help Trusts meet their obligations under the Health and Safety at Work Act 1974, taking reasonable
steps to prevent the risk of infection to staff when handling and laundering linen. They also dealt with
the potential for harm to staff and damage to linen by the failure to separate ‘sharps’ from dirty linen
before they are placed in laundry bags. Workshops are to be organised by The Society of Hospital
Linen Services and Laundry Managers to look at the implications of the new guidelines for NHS
laundry standards, which are expected to be issued soon.
Laundries have to comply with this guidance and the services they provide to Trusts are audited using
the NHS Estates Process Assessment Toolkit 21 (PAT 21). The toolkit is designed to address specific
issues relating to processes or practices that allow organisations to classify their adherence to the
relevant guidance. Audits carried out by WHE in 2004 identified that some laundries did not comply
fully with the guidance, which resulted in some Trusts having to reconsider how their theatre linen
should be provided.
4.6.2 The Medical Devices Directive (93/42/EEC), published in 1993, became compulsory in June 1998 and
required all medical devices, including surgical packs complete with linen, to be CE marked when
placed on the European market. With regards to Sterile Service facilities provided by Trusts in Wales,
this CE mark requirement has to be observed whenever such ‘medical devices’ are supplied to any
other healthcare organisation within the EC, including other Trusts in Wales.
4.6.3 The European Standard EN 13795, issued in 2002, defined the performance of fabrics used in
theatres, that is, theatre gowns and drapes. Materials should comply with stringent new requirements
such as microbial penetration (wet and dry), fluid penetration, low linting and adequate strength for
their use. While there is no legal requirement to comply with EC standards, meeting the EN 13795
standard is the easiest way to demonstrate compliance with the requirements of the Medical Devices
Directive 93/42/EEC.
4.6.4 The Society of Hospital Linen Services and Laundry Managers are currently developing a Linen Service
Code of Practice that will target the different approaches to dealing with laundry issues, such as a bed-
changing policy, to assist the service. Research is also being conducted in Scotland to address the
implications for the spread of MRSA by current practices with the laundering of uniforms and
changing facilities for healthcare workers that come into close contact with patients.
ANALYSIS OF TRUST-WIDE DATA
32 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 33
All Trusts in Wales have contracts or service level agreements with the five Welsh NHS Trust laundries
for the provision of their linen and laundry services. Pembrokeshire and Derwen NHS Trust, however,
contract out their requirements to a local company.
The five Welsh NHS laundries are managed by:
❖ Gwent Healthcare NHS Trust
❖ Conwy & Denbighshire NHS Trust
❖ Carmarthenshire NHS Trust
❖ Swansea NHS Trust
❖ Pontypridd & Rhondda NHS Trust
Analysis of Trust laundry and linen data
4.6.5 This year laundry and linen data was submitted by all Trusts and it was reported that 27,572,325
laundry and linen pieces were used/processed in 2004-05 at a total cost of £9,766,209. When
compared with the figures for 2003-04, this is a relatively modest increase of just over £732,000 for
the 4.6 million additional items processes in 2004-05, and actually resulted in the average cost/item
being reduced by 4p from 39.4p to 35.4p.
However, as illustrated in Figure 13 it can be seen that the cost/item was reduced for only two
individual Trusts but the reduction at Cardiff and Vale NHS Trust, from 63.09p to 29.5p for over
4 million items used, was so large that it has had a major impact overall. There remains uncertainty
regarding the interpretation of the data definitions in connection with the dramatic reduction in cost
reported by Cardiff and Vale.
Figure 13 also shows that Carmarthenshire has reduced its cost/item from 36.5p to 33.4p, and that
the remainder of the Trusts were between 27.4p for Pembrokeshire & Derwen, and 57.6p for Bro
Morgannwg. These rates are higher than those for 2003-04 ranging from 0.82p to 16.65p in the case
of Pembrokeshire and Derwen.
Figure 13: Cost/item of laundry and linen
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
Bro
Mor
gann
wg
NH
S T
rust
Car
diffa
nd V
ale
NH
S T
rust
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
ST
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
(p)
2003/04 2004/05
4.6.6 Following the use of the ‘cost of laundry and linen per occupied bed day’ used in the 2003-04 report,
Figure 14 shows that the 2004-05 figures present a similar picture with the cost for 12 Trusts ranging
between £2.02 and £2.83. Extremes of £1.81 and £3.66 were reported for Cardiff and Vale and
Velindre respectively, with the associated number of laundry and linen items contributing to this cost
calculated at 6.15 and 11.4 in each case.
Additional analysis of laundry and linen services at the acute hospital sites is detailed in Section 5.5.
4.7 Security services
General information
4.7.1 In August 2005, the Security Management Framework for NHS Trusts in Wales was issued. This was
produced by the all-Wales Security Task and Finish Group for the Welsh Assembly Government, under
the auspices of the AWFF. The purpose of the framework was to introduce revised security standards
for NHS Wales and provide guidance on their implementation. The central part of the document is the
requirements of a revised Welsh Risk Management Standard 33: Security Management.
Under Area for Assessment 11 for WRMS 33, it is a requirement for Trusts to use key indicators
capable of showing improvements in security management at all levels, including the Board, and that
the efficacy and usefulness of the indicators are reviewed regularly in association with the Trusts’ Risk
Management Committee. EFPMS data for security services features in the compulsory indicators for
implementation of this standard.
As stated in the Security Framework, “the value in recording appropriate data that is clearly defined
cannot be overstated, as it provides for better-informed planning for crime reduction and the
improvement to security services across the Trust’s healthcare premises”.
ANALYSIS OF TRUST-WIDE DATA
34 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figure 14: Cost of linen and laundry/occupied bed day
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
Bro
Mor
gann
wg
NH
S T
rust
Car
diffa
nd V
ale
NH
S T
rust
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
Co
st o
f lin
en p
er O
ccu
pie
d D
ay
Trust Cost All-Wales average cost
A variety of reporting systems are currently being implemented in Wales having disparate data coding
and methods of reporting, and all largely dependent upon staff self-reporting. As with 2003-04, it is
apparent from the data on security service incidents made available for submission to the EFPMS for
2004-05 that some of the systems are failing to report accurately. A group of Risk Managers in South
East Wales are currently gathering data from the systems in use and looking at developing a suitable
all-Wales coding methodology, to enable common methods of reporting and comparability for
analysis.
4.7.2 The Community Health Councils (CHCs) carried out the second round of HPE assessments in Autumn
2004, and once again security was rated as one of the most disappointing aspects of external areas
in the Welsh hospitals visited.
Eight of the eighteen hospitals visited received a poor rating for levels of security staffing with only
slightly better results for lighting and CCTV. The report considered that these aspects of security were
important for the reassurance of both staff and patients and hoped that the situation would be
remedied as a preventative rather than a reactive measure.
The recommendation was that Trusts identify the shortfalls in their security arrangements and rectify
them as soon as possible.
Analysis of Trust security services data
4.7.3 The provision of an environment in which patients, staff and visitors can feel secure should be a high
priority for Trusts. As with the last report, it is disappointing to have to report again that much of the
data submitted for 2004-05 is considered to be unreliable.
Regrettably, there are still instances of definite reporting errors, for example, the omission of data,
along with instances where data submitted in accordance with specific definitions for a Trust vary by
too great a margin to be robust. For example, the total number of security incidents reported for the
Large Multi Service Trusts varied widely, from a minimum of 184 for North West Wales, to just
over 3,000 for Gwent Healthcare. Similarly with data reported for the number of assaults on staff, for
the Large Multi Service Trusts the numbers range from 14 for North West Wales to 673 for
Bro Morgannwg.
Much of the data submitted in respect of security service costs also indicates that it is unreliable, and
suggests an on-going difficulty for many Trusts to account for monies spent on FM services generally,
and in particular when attempting to identify costs for individual service areas such as security.
Where data has clearly been inaccurate, and it has not been possible to obtain clarification, the data
has been disregarded in any of the following analyses.
4.7.4 According to Trust data, the NHS spent nearly £2.6 million on security services in 2004-05, which is
significantly less than the amount of nearly £3 million for 2003-04, and represents just under 1.3% of
the total expenditure on FM services by Trusts in 2004-05.
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 35
Figure 15 expresses this cost for Trusts as a percentage of their overall FM service expenditure.
However, discussion with the Trusts that have submitted very low costs has revealed that they have
been unable to identify the full costs for security services, and so, as this service is relatively less
expensive than most of the other FM services, it can be said that this percentage of total reported
expenditure is appreciably less than the true figure.
From what are considered to be the more reliable security service costs submitted it can be shown
that the percentage of the total FM costs for individual Trusts ranges between around 0.5% at
Pembrokeshire & Derwen, and almost 3.5% at Cardiff and Vale. Excluding the data for the four Trusts
reporting to be outside of this range, an average of 1.75% is obtained.
The higher figures for both Cardiff and Vale NHS Trust and Velindre NHS Trust may well reflect the
increased demand on security services due to the nature, location and usage of the particular hospitals
and premises involved. In general, there appears to be no correlation between security costs as a
percentage of overall Trust expenditure and organisation type.
4.7.5 Security services costs as a rate/m2 are expressed in Figure 16. The chart illustrates the wide variation
in rates, apparently without correlation to organisation type.
As with the earlier analysis involving security service costs, and similarly with the data for 2003-04, it
would appear that Ceredigion & Mid Wales NHS Trust, North West Wales NHS Trust and Powys Local
Health Board have supplied unreliable data. With the data relating to these Trusts and Powys Local
Health Board excluded, the variation ranges between £0.80/m2 and £3.00/m2.
It is noted that Velindre NHS Trust has a significantly higher figure at £4.81/m2, and this is believed to
reflect the specialist nature of the Trust.
Additional analysis of security services at the acute hospital sites is detailed in Section 5.6.
ANALYSIS OF TRUST-WIDE DATA
36 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figure 15: Security cost as a percentage of overall Trust expenditure
on facilities services
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
eN
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
idW
ales
NH
S T
rust
Con
wy
&D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
nN
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
&R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
(%)
4.8 Portering services
General information
4.8.1 The range of duties carried out by portering staff is wide and varied and not always allied to the
provision of patient care. Generally, management structures across Wales are similar, usually with a
Portering Manager responsible for the service and accountable to the Hotel Services/Operational
Manager. Operationally, porters are usually attached to departments such as pharmacy, accident and
emergency, theatres and kitchens, while a team of pool porters, managed by a charge hand, supports
wards and other departments.
4.8.2 The following analyses look at expenditure and the number of porters employed. However, these
statistics do not necessarily provide a measure of the quality and efficiency of the service. Good
appearance, politeness, helpfulness and a caring approach are all attributes expected by patients from
a hospital porter. The introduction of a balanced scorecard approach in future years should allow for
these essential characteristics to be included in performance reviews.
Analysis of Trust portering data
4.8.3 Total expenditure on portering services for 2004-05 is just over £19 million, an increase of 10.7% on
the 2003-04 figure.
4.8.4 The number of porters employed across Wales is almost 1,144 whole time equivalent (WTE) staff for
2004-05 which is an increase of 67 on the number reported for 2003-04. The number of porters
employed by individual Trusts varies between 173 WTE for Gwent Healthcare to less than 17 WTE at
Ceredigion & Mid Wales and Velindre NHS Trusts.
4.8.5 The cost of portering services calculated for 2004-05 ranges between £7.42/m2 at Cardiff and Vale and
£16.35/m2 at Carmarthenshire, with the all-Wales average being £11.80/m2. This average figure has
increased by 11% from the 2003-04 figure.
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 37
Figure 16: Security service costs/m2
0.00
1.00
2.00
3.00
4.00
5.00
6.00
Bro
Mor
gann
wg
NH
ST
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
idW
ales
NH
S T
rust
Con
wy
&D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
nN
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
&R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
st
(£ /
m²)
4.8.6 Using the data reported for portering service costs (including pay and non-pay) and WTE the
cost/WTE varies considerably by between about £15,000, as in the cases of Bro Morgannwg and North
West Wales, and over £20,000, as with Ceredigion & Mid Wales, North Glamorgan and Velindre.
4.8.7 The number of porters employed by the Trusts in terms of WTE/10,000m2 of occupied floor area is
shown in Figure 17. From the data for 2004-05, the all-Wales average for number of porters on this
basis of floor area is 7, an increase of just over 6% on the figure calculated for 2003-04. According to
the available data Bro Morgannwg, Carmarthenshire, Conwy & Denbighshire and Pontypridd &
Rhonnda NHS Trusts employ the highest number of porters on the basis of floor area, all exceeding
9 WTE, which is approximately 33% above the all-Wales average. Cardiff and Vale, Powys LHB and
Velindre NHS Trusts employ the least on this basis, all less than 5 WTE, which is approximately 33%
below the average.
Additional analysis of portering services at the acute hospital sites is detailed in section 5.7.
4.9 Postal services
General information
4.9.1 In general, postal costs are directly linked to the size of the Trust, activity, type of service provided and
the topography of the sites within each Trust. Due to the significant variations in these factors, even
between Trusts of a similar size, it is considered that no useful comparisons can be made for this
service area and restricted the analysis of data to making the following observations.
Analysis of postal services data
4.9.2 Total expenditure on postal services for 2004-05 was £3,366,455, representing an increase of 7% on
the figure for 2003-04, and equating to 3% of the total facilities budget.
ANALYSIS OF TRUST-WIDE DATA
38 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figure 17: WTE Staff/10,000m2 occupied floor area
0.00
2.00
4.00
6.00
8.00
10.00
12.00
Bro
Mor
gann
wg
NH
S T
rust
Car
diff
and
Val
e N
HS
Tru
st
Car
mar
then
shire
NH
S T
rust
Cer
edig
ion
& M
id W
ales
NH
S T
rust
Con
wy
& D
enbi
ghsh
ire N
HS
Tru
st
Gw
ent H
ealth
care
NH
S T
rust
Nor
th E
ast W
ales
NH
S T
rust
Nor
th G
lam
orga
n N
HS
Tru
st
Nor
th W
est W
ales
NH
S T
rust
Pem
brok
eshi
re &
Der
wen
NH
S T
rust
Pon
typr
idd
& R
hond
da N
HS
Tru
st
Pow
ys L
HB
Sw
anse
a N
HS
Tru
st
Vel
indr
e N
HS
Tru
stPo
rter
s / 1
0,00
0m²
of
occ
up
ied
flo
or
area
Trust All-Wales average
4.9.3 A total of almost 62 WTE staff is reported for 2004-05 to be employed to undertake postal work,
representing an increase of approximately 11 WTE staff (just over 20%) on last year’s figures. The
number of WTE staff undertaking postal work for each Trust ranged from almost 13 WTE at Bro
Morgannwg NHS Trust, to none at North Glamorgan NHS Trust.
4.10 Outsourced services
General information
4.10.1 As with last year’s report, due to errors in the data submitted for 2004-05 and the failure of Gwent
Trust to submit any data on this area, it has not been possible to make any valued comparisons or
observations on outsourced services. For example, there are many instances of a service being 100%
outsourced, but with the cost of the contract(s) not corresponding to the expenditure reported by the
Trust for that service. However, this is considered to be an area where more detailed monitoring and
analysis is warranted in order to provide important information. Accordingly, the data for 2004-05 is
considered of on-going value and is reproduced in Figure 18 for reference.
ANALYSIS OF TRUST-WIDE DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 39
Figure 18: Contract status within Trusts expressed as percentage of total cost of theparticular service
* indicates that the data reported is considered to be unreliable
Facility Function
Trust Car
par
king
Cat
erin
g
Cou
rier
ser
vice
s
Dom
estic
ser
vice
s
Gro
unds
and
gar
dens
mai
nten
ance
Laun
dry
Non
-em
erge
ncy
patie
nt tr
ansp
ort
Pes
t con
trol
Por
teri
ng
Pos
tal s
ervi
ces
Res
iden
tial a
ccom
mod
atio
n
Man
ned
secu
rity
Tele
com
mun
icat
ions
Bro Morgannwg NHS Trust 100 50 90 80 100 100
Cardiff and Vale NHS Trust 57 5 100 3 100 100 100 2 4 10 9
Carmarthenshire NHS Trust 100 100 50 1 100
Ceredigion & Mid Wales NHS Trust 100 * 100
Conwy & Denbighshire NHS Trust 100 50 100 100 80 100
Gwent Healthcare NHS Trust NO DATA SUBMITTED
North East Wales NHS Trust 20 95 100 100
North Glamorgan NHS Trust * 100 100 100 *
North West Wales NHS Trust 100 75 100 100
Pembrokeshire & Derwen NHS Trust 100 100 100
Pontypridd & Rhondda NHS Trust 100 100
Powys LHB * 100 95 *
Swansea NHS Trust 78 100 100 100 100 100 19
Velindre NHS Trust 85 * * 100 100 * *
5.1 Overall analysis
5.1.1 The overall cost for the facility functions carried out within the 16 major acute hospitals in Wales
during 2004-05 was £73,745,938 and Figure 19 shows a breakdown of these costs by function.
5.1.2 The breakdown of facility function costs within the 16 major acute hospitals, expressed as a
percentage of the total FM costs, is shown in Figure 20. It can be seen that catering and cleaning
together account for 69% of the hotel services costs.
40 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
5 ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
Facility Function Gross Cost
(£)
Car Parking Information not available
Cleaning services 20,880,666
Catering services 29,923,851
Laundry & linen services 6,646,203
Security services 1,582,439
Portering services 12,318,501
Postal services 2,394,278
Totals 73,745,938
Figure 19: Facility costs by function in 16 major acute hospitals
Laundry & Linen9%
Security2%
Postal3%
Cleaning28%
Portering17%
Catering41%
Figure 20: Average cost for facility functions as a percentage of total FM cost
for the 16 major acute hospitals
5.2 Car parking
Analysis of acute hospital car parking data.
5.2.1 According to the data for the sixteen major acute hospitals almost 21,000 parking spaces were
provided in total, which is about 2,000 more spaces than last year. Most of the hospitals either
increased capacity or maintained the same number, with the exception of Llandough Hospital, which
reported 10% fewer spaces.
5.2.2 The total available parking spaces allocated for disabled staff and visitors was between about 2% and
6%. Figure 21 compares this provision against that expected by local authorities for new car parks
whereby those with up to 200 spaces are to have 6% allocated for the disabled and those above 200
are to have 4% plus 4.
Figure 21 also illustrates the fact that, if these guidelines were applied to acute hospitals, seven of the
hospitals complied in 2004-05, which adds the University Hospital of Wales (UHW) and Royal
Glamorgan Hospital to the list of hospitals reported last year. Morriston Hospital and UHW reported
the greatest increases of 57 and 45 disabled parking spaces respectively.
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 41
0 20 40 60 80 100 120 140 160
Bronglais General Hospital
Llandough Hospital
Morriston Hospital
Nevill Hall Hospital
Prince Charles Hospital
Prince Philip Hospital
Princess of Wales Hospital
Royal Glamorgan Hospital
Royal Gwent Hospital
Singleton Hospital
University Hospital of Wales
West Wales General Hospital
Withybush General Hospital
Ysbyty Glan Clwyd
Ysbyty Gwynedd
Ysbyty Maelor
Existing Disabled Spaces Current Standard for a New Car Park
Figure 21: Number of disabled car parking spaces
5.2.3 From the data submitted on charging for parking, it appears that only three of the sixteen hospitals did
not charge patients/visitors, these being Ysbyty Glan Clwyd, Ysbyty Maelor and Prince Charles. For the
rest of the hospitals included, the average charge per hour levied on patients and visitors (based on a
three hour period) ranged from 25p to £1.19, with an average of 54p. The gross income from parking
charges totalled almost £1.5 million in 2004-05, which is over £470,000 more than in the previous year.
Staff parking charges were reported for seven of the hospitals, this being two more than last year.
Income generated from staff parking applied to five of these, which totalled nearly £895,000 and
ranged from £80,000 to £290,000 for the hospitals concerned.
5.3 Cleaning services
Analysis of acute hospital cleaning data
5.3.1 The cost of cleaning/m2 calculated for the 16 major acute hospitals is illustrated in Figure 22. The data
for 2004-05 shows that the average cost/m2 has increased from £22.69 to £23.30. The 2003-04 report
noted that the three main North Wales hospitals were achieving lower costs than the majority of their
southern counterparts. This would still appear to be the case, with Ysbyty Gwynedd spending the
least on cleaning/m2 .
5.3.2 The Performance Assessment (Toolkit), which accompanied the National Standards of Cleanliness, set
out the detailed methodology for the calculation and verification of an audit score. The reported
scores are an important indicator of the adequacy, or otherwise, of the cleaning specifications
currently in operation. With full implementation of the National Standards of Cleanliness, involving
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
42 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
Ysb
yty
Gw
yned
d
Prin
cess
of W
ales
Hos
pita
l
Ysb
yty
Mae
lor
Uni
vers
ity H
ospi
tal o
fW
ales
Nev
ill H
all H
ospi
tal
Sin
glet
on H
ospi
tal
Prin
ce C
harle
s H
ospi
tal
Wes
t Wal
es G
ener
alH
ospi
tal
Ysb
yty
Gla
n C
lwyd
Roy
al G
wen
t Hos
pita
l
Mor
risto
n H
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Roy
al G
lam
orga
n H
ospi
tal
Bro
ngla
is G
ener
al H
ospi
tal
Llan
doug
h H
ospi
tal
Prin
ce P
hilip
Hos
pita
l
(£/m
²)
Acute Hospital Acute Hospital Average
Figure 22: Cleaning costs/m2
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 43
audit trails that assist in the prioritisation of remedial measures, the scores become an important
indicator for Trusts to demonstrate continuous improvement in standards at their hospitals.
In conjunction with financial and quality indicators, the scores could also provide an indication as to
whether or not a Trust is obtaining ‘best value’ from the cleaning budget. At the present time there
appears to be no correlation between the cost of cleaning and the audit score received for
compliance with the National Standards.
5.3.3 The externally verified whole hospital audit scores for major acute hospitals against the Standards for
2004–05 are illustrated in Figure 23. It can be seen that Nevill Hall Hospital is the only hospital without
a score. Gwent Healthcare NHS Trust has advised that its Cleanliness Strategy will include the provision
of a score later this year, but not in time for the submission of EFPMS data.
Reported scores now range from 61% to 95%, which shows a narrower spread than the 50% to 97%
range reported last year. This is a welcome development as it indicates a general refinement in
following the methodology for the calculation and verification of the score, and adds confidence in
the reliability of the results.
In addition, it is welcome to see that the average score in 2003-04, which was just over 71%, has now
increased to almost 74%. However, there is considerable room for improvement, particularly for the
seven hospitals below this figure.
Figure 23 also shows that only four hospital scores show improvement on last year’s figures, three
ostensibly remain the same, and in five hospitals standards have apparently deteriorated. Where
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
90.00
100.00
Bro
ngla
is G
ener
al H
ospi
tal
Llan
doug
h H
ospi
tal
Mor
risto
n H
ospi
tal
Nev
ill H
all H
ospi
tal
Prin
ce C
harle
s H
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
n H
ospi
tal
Roy
al G
wen
t Hos
pita
l
Sin
glet
on H
ospi
tal
Uni
vers
ity H
ospi
tal o
fW
ales
Wes
t Wal
es G
ener
alH
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Ysb
yty
Gla
n C
lwyd
Ysb
yty
Gw
yned
d
Ysb
yty
Mae
lor
(%)
Audit Score
No
scor
e pr
ovid
ed
Figure 23: Audit score against cleaning standards
standards appear to have dropped, the Trusts concerned now have the audit trails to identify and
address the problems, and employ their internal auditing function to the full in this process. In
addition, assessment against the Welsh Risk Management Standard 40: Cleaning, introduced in 2005,
will provide further indications of where improvements may be made in the action plans for the
cleaning service provided.
5.4 Catering services
Analysis of acute hospital catering data
5.4.1 From the results of Ward Food Wastage Surveys, the percentages calculated for hospital meals that go
untouched by patients is illustrated in Figure 24, and are intended to reflect the proportion of “over
production” of meals to what is actually required. The average percentage of untouched meals for the
sixteen acute hospitals has increased from 8.3% in 2003-04 to 9.9% in 2004-05. Clearly more will need
to be done in an effort to reverse this general trend.
However, it is important to note that the figure resulting from the Ward Food Wastage Survey
conducted at Morriston Hospital was 31%, but the next highest percentage was 14.8% at Ysbyty Glan
Clwydd, suggesting that the Morriston figure is an isolated instance, and the extrapolated figure of
nearly 220,000 meals wasted has impacted disproportionately upon the average. This point has been
reinforced by the fact that 6 of the 16 acute hospitals indicate a reduction in food wastage and 3 have
remained constant. If the data from Morriston Hospital is omitted, the acute hospital average would
be 7.9%.
Although there will inevitably be some food wastage, the benefit of a significant reduction in over
production should not be underestimated. A reduction in untouched meals of only 1% may achieve
an overall cost saving at these acute hospitals of around £300,000.
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
44 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
Bro
ngla
is G
ener
alH
ospi
tal
Llan
doug
h H
ospi
tal
Mor
risto
n H
ospi
tal
Nev
ill H
all H
ospi
tal
Prin
ce C
harle
sH
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
nH
ospi
tal
Roy
al G
wen
t Hos
pita
l
Sin
glet
on H
ospi
tal
Uni
vers
ity H
ospi
tal o
fW
ales
Wes
t Wal
es G
ener
alH
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Ysb
yty
Gla
n C
lwyd
Ysb
yty
Gw
yned
d
Ysb
yty
Mae
lor
(%)
Acute Hospital All Wales Average
Figure 24: Percentage food waste (untouched meals)
5.5 Laundry and linen services
Analysis of acute hospital laundry and linen data
5.5.1 The cost of laundry per occupied hospital bed is compared over a two-year period in Figure 25. Apart
from the extreme changes at UHW, Llandough and Withybush, which are considered to be unreliable,
the figures indicate that seven hospitals have increased their costs and three have reduced them.
Figure 25 also shows that the range of costs for 2004-05 is between £735 and £1104. This results in
an average of £968, which exceeds the all-Wales average marginally by £13.
5.6 Security services
Analysis of acute hospital security data
5.6.1 The cost of providing security services at the 16 acute hospital sites, measured against the number of
assaults on staff reported for those hospitals in 2004-05, is illustrated in Figure 26.
The data provided for these individual hospitals has improved from last year, although no cost was
reported for Nevill Hall, Singleton and Withybush. Furthermore, Bronglais and Ysbyty Gwynedd are
considered to be too low to be reliable. Excluding data from these hospitals it can be seen that the
variation in terms of cost/m2 has been reduced greatly, ranging between £1.50/m2 and £3.50/m2.
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 45
0
200
400
600
800
1,000
1,200
1,400
1,600
Bro
ngla
is G
ener
alH
ospi
tal
Llan
doug
h H
ospi
tal
Mor
risto
n H
ospi
tal
Nev
ill H
all H
ospi
tal
Prin
ce C
harle
s H
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
n H
ospi
tal
Roy
al G
wen
t Hos
pita
l
Sin
glet
on H
ospi
tal
Uni
vers
ity H
ospi
tal o
fW
ales
Wes
t Wal
es G
ener
alH
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Ysb
yty
Gla
n C
lwyd
Ysb
yty
Gw
yned
d
Ysb
yty
Mae
lor
(£)
2003-04 2004-05
Figure 25: Cost of laundry/bed
No
cost
dat
a su
bmitt
ed
No
cost
dat
a su
bmitt
ed
Once again, disregarding omissions and likely errors in reporting, notable changes in the number of
assaults reported in 2004-05 from these hospitals when compared with 2003-04 are as follows:
❖ A reduction at Ysbyty Maelor from 735 to 153.
❖ A reduction at Ysbyty Glan Clwyd from 296 to 155.
❖ A reduction at Princess of Wales from 161 to 100.
❖ An increase at Llandough Hospital from 284 to 469.
❖ An increase at the University Hospital of Wales from 423 to 580.
There is no apparent correlation between the above changes and the amount spent on security
services at these hospitals when compared with the previous year’s figures.
5.6.2 As indicated above, there has been some improvement in data quality in 2004-05 but significant
inconsistencies and weaknesses in reporting procedures for some Trusts remain, which need to be
addressed before further data analysis is undertaken.
5.7 Portering services
It is widely acknowledged that the location, site layout and the type of service provided profoundly
affects the cost of portering services at all hospitals. However, this should not discourage local
management from reviewing their service against similar hospitals, whenever possible, when assessing
their own performance.
Analysis of acute hospital portering data
5.7.1 The all-Wales average cost/occupied floor area derived from the data for 2004-05 is £14.5/m2, which
represents a 6.3% increase compared with 2003-04. The cost/m2 calculated for individual hospitals
ranged from £6.5/m2 to £19.8/m2, with the University Hospital of Wales spending the least per m2 for
portering services for the second consecutive year.
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
46 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figure 26: Cost/m2 for the provision of security services comparedwith number of assaults on staff
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
Bro
ngla
is G
ener
al H
ospi
tal
Llan
doug
h H
ospi
tal
Mor
risto
n H
ospi
tal
Nev
ill H
all H
ospi
tal
Prin
ce C
harle
s H
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
n H
ospi
tal
Roy
al G
wen
t Hos
pita
l
Sin
glet
on H
ospi
tal
Uni
vers
ity H
ospi
tal o
f Wal
es
Wes
t Wal
es G
ener
al H
ospi
tal
With
ybus
h G
ener
al H
ospi
tal
Ysb
yty
Gla
n C
lwyd
Ysb
yty
Gw
yned
d
Ysb
yty
Mae
lor
(£/m
²)
0
100
200
300
400
500
600
700
(No
)
Cost/m² Assaults on Staff
No
cost
dat
a
No
cost
dat
a
No
cost
dat
a
5.7.2 A comparison of the number of porters WTE per m2 of occupied floor area for 2003-04 and 2004-05
is illustrated in Figure 27. Costs have risen in 10 cases, with the largest increase of £4.2/m2 (30.6%) at
Prince Philip Hospital, and fallen in only 5 of the hospitals, with the greatest reduction of £2.9/m2
(14.6%) at the Royal Glamorgan Hospital. (N.B. The reduction at the Royal Glamorgan Hospital is in
conjunction with a 4,155m2 increase in occupied floor area).
5.7.3 A comparison of the number of porters WTE per 100 beds is illustrated in Figure 28. This shows the
average number of porters/100 beds for 2004-05 is 11.2, which is an increase of 0.88 (8%) on figures
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 47
0.00
5.00
10.00
15.00
20.00
25.00
Bro
ngla
is G
ener
alH
ospi
tal
Llan
doug
h H
ospi
tal
Mor
risto
n H
ospi
tal
Nev
ill H
all H
ospi
tal
Prin
ce C
harle
sH
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
nH
ospi
tal
Roy
al G
wen
tH
ospi
tal
Sin
glet
on H
ospi
tal
Uni
vers
ity H
ospi
tal
of W
ales
Wes
t Wal
es G
ener
alH
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Ysb
yty
Gla
n C
lwyd
Ysb
yty
Gw
yned
d
Ysb
yty
Mae
lor
(£/m
²)
2003-04 2004-05
Figure 27: Cost of portering/m2
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
20.00
Nu
mb
er o
f p
ort
ers/
100
bed
s
Acute Hospital Acute Hospital Average
Figure 28: Number of porters/100 beds
Ysb
yty
Gw
yned
d
Prin
ce C
harle
sH
ospi
tal
With
ybus
h G
ener
alH
ospi
tal
Wes
t Wal
es G
ener
alH
ospi
tal
Sin
glet
on H
ospi
tal
Prin
cess
of W
ales
Hos
pita
l
Roy
al G
lam
orga
nH
ospi
tal
Prin
ce P
hilip
Hos
pita
l
Roy
al G
wen
tH
ospi
tal
Ysb
yty
Mae
lor
Ysb
yty
Gla
n C
lwyd
Mor
risto
n H
ospi
tal
Uni
vers
ity H
ospi
tal
of W
ales
Bro
ngla
is G
ener
alH
ospi
tal
Nev
ill H
all H
ospi
tal
Llan
doug
h H
ospi
tal
ANALYSIS OF MAJOR ACUTE HOSPITAL DATA
48 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
calculated for 2003-04. The number of porters/100 beds calculated for 2004-05 ranges between 7 at
Ysbyty Gwynedd and 18 at Ysbyty Glan Clwyd.
5.8 Postal services
Due to the wide variation in factors that influence the cost of the service, such as size and topography
of the site, and type of hospital and activity, no analyses have been made for the data reported.
However, the data is available electronically in the supplementary data spreadsheet provided on CD-
Rom or on the WHE website.
APPENDIX I
Observations on FM-related Operating Costs
BRO MORGANNWG NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 49
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 51
APPENDIX I
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Bro Morgannwg for 2004-05 has increased by £303,667
compared with 2003-04. This has resulted in an overall facilities cost of £86.59/m2, an increase of 15%
on last year’s figure and now significantly higher than the all-Wales average of £81.53/m2. This may, in
part, be due to the closure of Hensol Hospital and the subsequent opening of Llwyneryr Hospital at a
time when data was not available for inclusion for 2004-05.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Bro Morgannwg for 2003-04, the most notable change is a
3% reduction in allocation for cleaning services. There are apparently no major differences from the
all-Wales average profile, with above average allocations for telecommunications (2%), laundry &
linen (3%) and portering services (2%) and below average allocations for cleaning (3%) and catering
services (3%).
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 1,158,000 2,596,685 3,638,661 1,044,080 178,613 1,665,379 315,599 10,597,017
Trust cost (£/m²) 9.46 21.22 29.73 8.53 1.46 13.61 2.58 86.59
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX I
52 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 9 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
❖ Aggregate 5 - Leased and part serviced by NHS Trust/landlord
3.2 Details of all the available individual Trust facility functions costs on a site-by-site basis are shown in
Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. As with the data returns for 2003-04, some of the costs for Maesgwyn, Cimla, Groeswen and
Glanrhyd Hospitals were originally included in the submissions for other hospitals. These have since
been apportioned for these sites by the Trust so that a more accurate picture of the costs for the
individual hospitals can be obtained.
2. Catering costs at the Princess of Wales Hospital are over £290,000 lower than reported for 2003-04
and are the only service area for this hospital reported to have decreased. This reduction, in
conjunction with an increase in occupied floor area of almost 4,000m2, has contributed to the
cost/m2 reducing by £16.30, a drop of almost 18%.
3. This year far more FM data for Neath Port Talbot Hospital has been returned and the overall FM cost
of occupancy is calculated at £107.46/m2. A more detailed analysis shows that this apparent high
cost reflects the component occupancy costs of cleaning at £34.29/m2, catering at £44.40/m2,
laundry and linen at £12.79/m2 and portering at £12.85/m2.
4. Security costs for the Trust appear to be low, with only the dedicated security at Princess of Wales
Hospital being reported, with no further information provided.
5. No data for Llwyneryr Hospital has been included in data returns for 2004-05.
Telecoms11%
Cleaning25%
Catering33%
Security2%
Portering16%
Postal3%
Linen and Laundry10%
Figure 2: Facilities expenditure % by function
APPENDIX I
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 53
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
e N
ame
Ho
spit
al T
ype
Tel
eco
ms
(Tru
st-w
ide)
C
lean
ing
se
rvic
es
cost
s
Gro
ss c
ost
o
f ca
teri
ng
o
per
atio
ns
Lau
nd
ry &
L
inen
co
sts
Sec
uri
ty
serv
ices
co
sts
Po
rter
ing
S
ervi
ces
Co
sts
Po
stal
S
ervi
ces
Co
sts
To
tal F
M
Co
sts
Occ
up
ied
fl
oo
r ar
ea
FM
Co
sts
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£
/m²)
Cim
la H
ospi
tal
Com
mun
ity G
eria
tric
38,3
62.0
0 10
8,52
7.00
31
,282
.00
0.00
1,
777.
00
7,61
3.00
18
7,56
1.00
2,
444.
00
76.7
4
Gla
nrhy
d H
ospi
tal
Psy
chia
tric
- M
I/MS
U
51
,693
.00
363,
521.
00
113,
260.
00
0.00
30
0,32
2.00
14
,143
.00
842,
939.
00
13,5
84.0
0 62
.05
Gro
esw
en H
ospi
tal
Com
mun
ity G
eria
tric
63,0
42.0
0 59
,237
.00
17,0
75.0
0 0.
00
16,3
98.0
0 4,
155.
00
159,
907.
00
1,33
4.00
11
9.87
Llw
yner
yr H
ospi
tal
Psy
chia
tric
- L
D
0.
00
0.00
0.
00
0.00
0.
00
0.00
0.
00
0.00
0.
00
Mae
sgw
yn H
ospi
tal
Com
mun
ity
5,
807.
00
40,8
37.0
0 30
,640
.00
0.00
13
,429
.00
1,58
9.00
92
,302
.00
1,52
6.00
60
.49
Mae
steg
Com
mun
ity
Com
mun
ity
59
,152
.00
139,
681.
00
21,7
80.0
0 0.
00
77,5
00.0
0 7,
974.
00
306,
087.
00
2,70
3.00
11
3.24
Nea
th P
ort T
albo
t (P
FI)
M
inor
Acu
te
1,
011,
302.
00
1,30
9,51
7.00
37
7,45
8.00
0.
00
378,
909.
00
91,8
59.0
0 3,
169,
045.
00
29,4
90.0
0 10
7.46
Prin
cess
of W
ales
Hos
pita
l M
ajor
Acu
te
92
0,92
4.00
1,
372,
489.
00
360,
741.
00
178,
613.
00
836,
261.
00
169,
463.
00
3,83
8,49
1.00
51
,287
.00
74.8
4
Ton
na H
ospi
tal
Psy
chia
tric
- M
I
230,
902.
00
244,
852.
00
70,5
77.0
0 0.
00
40,7
83.0
0 18
,803
.00
605,
917.
00
5,51
4.00
10
9.89
AG
GR
1 F
H -
Dia
g &
Tre
atm
ent
20
4,75
2.00
0.
00
21,2
67.0
0 0.
00
0.00
0.
00
226,
019.
00
9,94
7.00
22
.72
AG
GR
2 F
H -
Oth
er
10
,749
.00
0.00
0.
00
0.00
0.
00
0.00
10
,749
.00
4,24
6.00
2.
53
AG
GR
5 Ls
d &
par
t ser
v N
HS
0.00
0.
00
0.00
0.
00
0.00
0.
00
0.00
31
1.00
0.
00
1,15
8,00
0.00
1,
158,
000.
00
To
tal f
or
sub
mit
ted
dat
a
1,15
8,00
0.00
2,
596,
685.
00
3,63
8,66
1.00
1,
044,
080.
00
178,
613.
00
1,66
5,37
9.00
31
5,59
9.00
10
,597
,017
.00
122,
386
86.5
9
APPENDIX II
Observations on FM-related Operating Costs
CARDIFF and VALE NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 55
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Cardiff and Vale for 2004-05 has decreased by £1,062,000
compared with 2003-04. This has resulted in an overall facilities cost of £67.74/m2, which is
significantly lower than the all-Wales average of £81.53/m2.
From the data available, the Trust appears to have out-performed the all-Wales average for all FM
services with the exception of security, although there is uncertainty regarding the returns for laundry
and linen costs as they are reported to have dropped dramatically from 2003-04.
The Trust spends £3.05/m2 on security services, nearly twice the all-Wales average, and reports
expenditure for security at all hospital sites. The Trust statistic for employing WTE staff is 52.31, which
is more than double the number for Gwent Healthcare NHS Trust, which is the second highest
employer of WTE staff in this area.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
APPENDIX II
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 57
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 1,288,775 7,069,244 7,734,913 1,288,457 959,985 2,333,638 632,395 21,307,407
Trust cost (£/m²) 4.10 22.48 24.59 4.10 3.05 7.42 2.01 67.74
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Cardiff and Vale for 2003-04, the most notable changes are
with cleaning and laundry & linen services, which indicate a 5% higher and 6% lower allocation,
respectively. For 2004-05, the Trust reports spending significantly more of its FM expenditure than the
all-Wales averages for cleaning (5%) and security (3%), and less on telecommunications (3%) and
portering (3%).
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 8 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
❖ Aggregate 3 - Leased and fully serviced by the NHS Trust
❖ Aggregate 4 - Leased and fully serviced by the Landlord
❖ Aggregate 5 - Leased and part serviced by NHS Trust/landlord
3.2 Details of all the individual facility functions costs on a site-by-site basis for the Trust are shown in
Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The difference between the FM cost/m2 for Llandough Hospital and the University Hospital of
Wales has decreased slightly but is still considerable at £93.87/m2 and £55.91/m2 respectively. The
reduction is accounted for mainly by Llandough Hospital having decreased costs by approximately
£1,000,000, reflecting large reductions in costs for security, catering and laundry and linen.
APPENDIX II
58 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Cleaning33%
Telecoms6%
Postal3%
Linen and Laundry6%
Catering36%
Portering11%Security
5%
Figure 2: Facilities expenditure % by function
2. The apparent anomaly on portering costs raised in the 2003-04 data for Barry Community Hospital,
that has about half the occupied floor area and beddage of the PFI St David’s Hospital, arises again
for 2004-05. The costs of portering services at Barry of £18.01/m2 are almost five times those for
St David’s at £4.00/m2.
3. Although the figure for Trust cleaning service costs is very close to the all-Wales average of
£22.85/m2, individual hospital rates vary significantly and are as high as £43.72/m2 at St David’s
Hospital. However, the higher rates are balanced by the rate of £18.70/m2 for the University Hospital
of Wales that accounts for almost 54% of the reported occupied floor area for the Trust.
4. A major reduction in overall costs has been reported for Llandough Hospital, along with 4 fewer
WTE security staff, which has resulted in the FM cost for security services dropping dramatically
from £9.45/m2 in 2003-04 to £3.26/m2.
5. There has been a significant reduction of over £1,400,000 in the total laundry & linen costs reported
this year compared with those reported in 2003-04. At the time of issue of this report WHE has
been unable to ascertain what factors have influenced this reduction.
APPENDIX II
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 59
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Bar
ryH
ospi
tal
Com
mun
ity20
2,60
6.00
288,
901.
0042
,876
.00
78,1
20.0
011
4,75
0.00
3,90
0.00
731,
153.
006,
371
114.
76
Car
diff
Roy
alIn
firm
ary
Min
orA
cute
37,1
95.0
00.
000.
0010
4,10
6.00
63,1
04.0
03,
900.
0020
8,30
5.00
4,87
042
.77
CR
I-W
estW
ing
Min
orA
cute
288,
551.
0029
4,06
7.00
63,7
96.0
086
,755
.00
78,8
88.0
03,
900.
0081
5,95
7.00
7,11
211
4.73
Llan
doug
hH
ospi
tal
Maj
orA
cute
1,48
1,05
0.00
1,70
4,37
3.00
314,
737.
0015
6,24
0.00
737,
679.
0010
4,88
5.00
4,49
8,96
4.00
47,9
2693
.87
Roo
kwoo
dH
ospi
tal
Spe
cial
istA
cute
296,
275.
0028
1,11
0.00
52,8
63.0
010
4,10
6.00
141,
984.
003,
900.
0088
0,23
8.00
11,9
4573
.69
StD
avid
sH
ospi
tal
Com
mun
ity46
6,12
8.00
420,
809.
0094
,451
.00
83,0
04.0
042
,655
.00
27,1
52.0
01,
134,
199.
0010
,661
106.
39
Uni
vers
ityH
ospi
talo
fWal
esM
ajor
Acu
te3,
161,
530.
003,
854,
981.
0061
8,01
0.00
260,
265.
001,
104,
320.
0045
2,25
4.00
9,45
1,36
0.00
169,
044
55.9
1
Whi
tchu
rch
Hos
pita
lP
sych
iatr
ic-
MI
937,
643.
0089
0,67
2.00
101,
724.
0087
,389
.00
50,2
58.0
032
,504
.00
2,10
0,19
0.00
33,4
7162
.75
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
118,
416.
000.
000.
000.
000.
000.
0011
8,41
6.00
9,53
812
.42
AG
GR
2F
H-
Oth
er18
,703
.00
0.00
0.00
0.00
0.00
0.00
18,7
03.0
01,
659
11.2
7
AG
GR
3Ls
d&
full
serv
NH
S13
,694
.00
0.00
0.00
0.00
0.00
0.00
13,6
94.0
05,
938
2.31
AG
GR
4Ls
d&
full
serv
Lnd
37,9
06.0
00.
000.
000.
000.
000.
0037
,906
.00
4,76
37.
96
AG
GR
5Ls
d&
part
serv
NH
S9,
547.
000.
000.
000.
000.
000.
009,
547.
001,
240
7.70
1,28
8,77
5.00
1,28
8,77
5.00
To
talf
or
sub
mit
ted
dat
a1,
288,
775.
007,
069,
244.
007,
734,
913.
001,
288,
457.
0095
9,98
5.00
2,33
3,63
8.00
632,
395.
0021
,307
,407
.00
314,
538
67.7
4
APPENDIX II
60 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
APPENDIX III
Observations on FM-related Operating Costs
CARMARTHENSHIRE NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 61
APPENDIX III
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 63
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Carmarthenshire for 2004-05 has increased by £776,020
(12%) compared with 2003-04. In terms of cost/m2, the increase is 6% from £94.30/m2 to £99.73/m2
for 2004-05. Significantly, this includes an increase in postal service costs of over £207,000 to a more
realistic cost of £239,042 and represents 3% of the overall FM expenditure. (N.B. As the cost of
telecom services was not reported with last year’s data, the telecom services cost for 2004-05 has
been omitted from the above comparisons.)
Taking telecom service costs into account the Trust’s overall FM cost/m2 is £107.25/m2, which is
£25.72/m2 more than the all-Wales average and is the highest of all the Trusts in 2004-05. It appears
that all individual service costs have exceeded the all-Wales average, with the exception of security,
which at £1.38/m2 is £0.19/m2 below.
As with data for 2003-04, it appears that the high catering costs reported are contributing significantly
to the Trust exceeding the all-Wales average. Although cost/m2 is a poor PI for catering services, it is
worth noting that the Trust is also reported to spend 2.7% of its total income on catering, which is the
highest proportion reported for any Trust in 2004-05. Similarly, portering costs at £16.35/m2 are the
highest for Trusts in 2004-05. Furthermore, the portering cost/occupied bed PI exceeds £3,200, which
is far higher than all other non-specialist Trusts.
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 554,629 1,966,967 3,252,899 586,679 101,682 1,205,487 239,042 7,907,385
Trust cost (£/m²) 7.52 26.68 44.12 7.96 1.38 16.35 3.24 107.25
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Carmarthenshire NHS Trust for 2003-04, the most notable
changes are that postal and cleaning services have increased by 3% and 2% respectively, whereas
catering services show a reduction of 4%. Compared with the all-Wales average profile, the only
significant differences are with catering services, where the Trust exhibits a 4% higher allocation and
with cleaning and telecommunications services, which are 3% and 2% respectively less than the
calculated average.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 6 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. It was apparent from the data initially submitted by the Trust that costs for certain services needed
to be apportioned to appropriate hospital sites. The subsequent verification of such data has
resulted in improved accuracy and has allowed a more meaningful analysis to be made.
APPENDIX III
64 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Cleaning25%
Telecoms7%
Postal3%Security
1%
Portering15%
Catering42%
Linen and Laundry7%
Figure 2: Facilities expenditure % by function
2. The low total FM cost for Bryntirion Hospital is understood to reflect the fact that no patients
receive treatment there, and that it is the location of a central catering unit.
3. As with the cleaning costs submitted for Prince Philip Hospital (PPH) and West Wales General
Hospital (WWGH) for 2003-04, a significant difference of over £7/m2 is apparent, and at £33.13/m2
and £25.23/m2 respectively, they are both above the all-Wales average for acute hospitals for
2004-05.
4. Security costs have been provided for five of the six hospitals. The total security costs for the Trust
of £101,682 are more than double the £47,681 reported for PPH and WWG for 2003-04.
5. The total cost of £1,205,487 for portering services in 2004-05 represents a 10% increase from 2003-
04 but this includes a significant reallocation of costs to PPH, resulting in an increase at this site of
30% from £302,242 to £429,231.
6. As with the data reported in 2003-04, the total Trust cost for postal services are divided between
PPH and WWGH. The overall cost of postal services has increased for 2004-05 by 87% to a more
realistic £239,042.
APPENDIX III
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 65
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Am
man
Val
ley
Hos
pita
lM
inor
Acu
te54
,987
.00
133,
855.
008,
685.
0019
,377
.00
58,1
32.0
00.
0027
5,03
6.00
1,77
515
4.95
Bry
ntiri
onH
ospi
tal
Com
mun
ityG
eria
tric
0.00
102,
622.
0012
,739
.00
8,06
0.00
0.00
0.00
123,
421.
005,
256
23.4
8
Llan
dove
ryH
ospi
tal
Com
mun
ity37
,866
.00
57,8
85.0
03,
959.
000.
000.
000.
0099
,710
.00
1,07
293
.01
Myn
ydd
Maw
rH
ospi
tal
Com
mun
ityG
eria
tric
74,3
79.0
014
1,42
6.00
20,0
22.0
020
,857
.00
62,5
73.0
00.
0031
9,25
7.00
2,19
114
5.71
Prin
ceP
hilip
Hos
pita
lM
ajor
Acu
te79
4,88
6.00
1,14
1,16
6.00
212,
376.
0026
,694
.00
429,
231.
0098
,098
.00
2,70
2,45
1.00
23,9
9411
2.63
Wes
tWal
esG
ener
alM
ajor
Acu
te92
7,57
0.00
1,67
5,94
5.00
328,
898.
0026
,694
.00
655,
551.
0014
0,94
4.00
3,75
5,60
2.00
36,7
5910
2.17
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
77,2
79.0
00.
000.
000.
000.
000.
0077
,279
.00
2,26
934
.06
AG
GR
2F
H-
Oth
er0.
000.
000.
000.
000.
000.
000.
0041
30.
00
554,
629.
0055
4,62
9.00
To
talf
or
sub
mit
ted
dat
a55
4,62
9.00
1,96
6,96
7.00
3,25
2,89
9.00
586,
679.
0010
1,68
2.00
1,20
5,48
7.00
239,
042.
007,
907,
385.
0073
,729
107.
25
APPENDIX III
66 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
APPENDIX IV
Observations on FM-related Operating Costs
CEREDIGION & MID-WALES NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 67
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Ceredigion & Mid Wales for 2004-05 has increased by a
relatively modest £179,498 (7%) compared with 2003-04. In terms of facilities cost/m2, these have
increased by 8% from £99.61/m2 to £107.19/m2 for 2004-05, which is considerably higher than the
all-Wales average of £81.53/m2.
With the exception of telecom services cost/m2 that is reported to have decreased by 19%, the overall
increase for 2004-05 appears to have resulted from higher costs for all other services that now exceed
their respective all-Wales average by between 18% and 31%. Cleaning, catering and portering costs/m2
for the Trust are approaching the highest recorded for 2004-05.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM
reported costs.
APPENDIX IV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 69
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 227,642 722,192 1,072,085 202,286 2,956 356,309 61,407 2,644,877
Trust cost (£/m²) 9.23 29.27 43.45 8.20 0.12 14.44 2.49 107.19
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
The chart is very similar to that produced for Ceredigion & Mid Wales for 2003-04. Compared with the
all-Wales average profile, the most notable difference concerns catering services, where the Trust
exhibits a 4% higher allocation than the all-Wales average.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 4 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 3 - Leased and fully serviced by the NHS Trust
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The cost of cleaning services at Bronglais General Hospital for 2004-05 is £579,164, which is
£60,382 more than for 2003-04 and represents an increase of 12%. In terms of cost/m2 this
represents an increase of £3.29/m2, up to £30.11/m2, which is considerably higher than the all-Wales
average for acute hospitals for 2004-05 of £23.30/m2. Despite this extra expenditure the reported
audit score against the National Standards of Cleanliness has not improved for 2004-05, remaining
at 62%.
2. The Trust is reported to spend only approximately 0.1% of its FM budget on security services. It is
noted that there has been a reduction in the total number of security incidents reported for the
Trust, from 170 in 2003-04 to 98 in 2004-05, a reduction of over 40%.
APPENDIX IV
70 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Telecoms9%
Cleaning27%
Postal2%
Linen and Laundry8%
Catering41%
Portering13%
Security0%
Figure 2: Facilities expenditure % by function
APPENDIX IV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 71
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Abe
raer
onH
ospi
tal
Day
Hos
pita
l5,
021.
000.
000.
0040
.00
0.00
288.
005,
349.
0061
28.
74
Tre
garo
nH
ospi
tal
Com
mun
ityG
eria
tric
78,1
44.0
084
,643
.00
7,60
0.00
0.00
19,3
09.0
015
1.00
189,
847.
001,
470
129.
15
Car
diga
n&
Dis
tric
tM
emor
ial
Com
mun
ity45
,930
.00
107,
126.
0012
,156
.00
0.00
32,3
07.0
05,
553.
0020
3,07
2.00
1,87
810
8.13
Bro
ngla
isG
ener
alH
ospi
tal
Maj
orA
cute
579,
164.
0088
0,31
6.00
182,
080.
002,
712.
0030
4,69
3.00
55,4
15.0
02,
004,
380.
0019
,236
104.
20
Car
diga
nH
ealth
Cen
tre
FH
-D
iag
&T
reat
men
t7,
283.
000.
0037
4.00
204.
000.
000.
007,
861.
0035
522
.14
Nor
thR
oad
Clin
icF
H-
Dia
g&
Tre
atm
ent
6,65
0.00
0.00
0.00
0.00
0.00
0.00
6,65
0.00
541
12.2
9
46D
any
Coe
dF
H-
Oth
er0.
000.
0019
.00
0.00
0.00
0.00
19.0
061
0.31
Fla
t2,P
las
Dan
yC
oed
FH
-O
ther
0.00
0.00
19.0
00.
000.
000.
0019
.00
580.
33
Fla
t4,P
las
Dan
yC
oed
FH
-O
ther
0.00
0.00
19.0
00.
000.
000.
0019
.00
600.
32
Pan
tyfe
dwen
FH
-O
ther
0.00
0.00
0.00
0.00
0.00
0.00
0.00
293
0.00
Wer
n-
Cae
'rG
ogF
H-
Oth
er0.
000.
0019
.00
0.00
0.00
0.00
19.0
011
10.
17
227,
642.
00
To
talf
or
sub
mit
ted
dat
a22
7,64
2.00
722,
192.
001,
072,
085.
0020
2,28
6.00
2,95
6.00
356,
309.
0061
,407
.00
2,64
4,87
7.00
24,6
7510
7.19
APPENDIX V
Observations on FM-related Operating Costs
CONWY & DENBIGHSHIRE NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 73
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Conwy & Denbighshire for 2004-05 has increased by
£707,882 (8%) compared with 2003-04. This has resulted in an overall facilities cost of £76.05/m2, an
increase of 6% on last year’s figure.
The total FM cost/m2 is among the lowest recorded for 2004-05 and, for the second consecutive year,
is significantly less than the all-Wales average. In 2003-04 the Trust costs were calculated at 10% less
than the all-Wales average, and in 2004-05 the figure is 7%.
Although the cost/m2 for cleaning and portering exceeds the all-Wales average by 6% and 19%
respectively, the comparatively low cost/m2 calculated for the Trust is due to all the other FM services
ranging between 15% and 46% below the all-Wales average.
Expenditure on portering services as a percentage of the overall Trust budget is calculated to be 19%
and this is the highest reported for 2004-05.
Laundry and linen service costs for 2004-05 are reported to have increased significantly by £72,933
(18%) from 2003-04 but remain the lowest reported for a non-specialist Trust both in terms of cost/m2
and average cost/piece.
APPENDIX V
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 75
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 663,584 2,886,385 3,043,085 487,227 114,328 1,742,829 130,638 9,068,076
Trust cost (£/m²) 5.57 24.21 25.52 4.09 0.96 14.62 1.10 76.05
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The chart is very similar to that produced for Conwy and Denbighshire for 2003-04. Compared with
the all-Wales average profile, the most notable differences concern portering and cleaning services,
where the Trust exhibits a 5% and 4% higher allocation respectively, and with catering services, which
is 2% less than the calculated average.
2.2 A breakdown of the total reported costs, expressed as percentages by facilities function, is
presented in Figure 2.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 17 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
❖ Aggregate 3 - Leased and fully serviced by the NHS Trust
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. Portering cost/m2 for Ysbyty Glan Clwyd is calculated to be £19.61/m2 and is almost the highest
reported for an acute hospital in 2004-05, and significantly higher than the all-Wales average for
acute hospitals of £14.50/m2.
2. The FM cost/m2 of £40.16 for H M Stanley Hospital in 2004-05 is slightly higher than in 2003-04 but
remains disproportionately low compared with other community hospitals. This may be due to a
APPENDIX V
76 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Telecoms7%
Cleaning32%
Postal1%
Linen and Laundry5%
Catering35%
Portering19%
Security1%
Figure 2: Facilities expenditure % by function
relatively large occupied floor area that is unrelated to the service costs associated with the
delivery of healthcare.
3. With the exception of the aggregate sites, the costs for security services for 2004-05 mirror the
data reported for 2003-04 exactly.
4. As reported for 2003-04, catering costs once again have not been apportioned in some cases and,
therefore, contribute to the distortion of the cost for the sites involved.
APPENDIX V
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 77
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Abe
rgel
eH
ospi
tal
Min
orA
cute
142,
051.
0016
7,04
0.00
28,6
96.0
043
3.00
63,8
82.0
07,
210.
0040
9,31
2.00
9,26
444
.18
Abl
ettU
nit
Psy
chia
tric
-M
I87
,625
.00
138,
035.
0020
,446
.00
7,83
5.00
37,4
40.0
00.
0029
1,38
1.00
3,77
977
.11
Bod
nant
Psy
chia
tric
Uni
tP
sych
iatr
ic-
MI
38,5
35.0
00.
003,
741.
0043
3.00
0.00
1,45
3.00
44,1
62.0
01,
134
38.9
4
Bry
nH
eske
thE
MI
Psy
chia
tric
-M
I34
,692
.00
0.00
3,96
7.00
433.
000.
001,
796.
0040
,888
.00
1,23
633
.08
Ced
arC
ourt
Psy
chia
tric
-M
I21
,094
.00
0.00
196.
000.
000.
0093
3.00
22,2
23.0
066
833
.27
Col
wyn
Bay
Com
mun
ity14
6,14
2.00
207,
402.
0012
,910
.00
288.
0085
,371
.00
6,15
0.00
458,
263.
004,
654
98.4
7
Den
bigh
Com
mun
ityH
ospi
tal
Com
mun
ity85
,455
.00
152,
392.
0010
,523
.00
288.
0034
,416
.00
6,24
2.00
289,
316.
003,
142
92.0
8
Gla
nT
raet
hD
ayH
ospi
tal
Day
Hos
pita
l16
,053
.00
0.00
18.0
057
7.00
0.00
710.
0017
,358
.00
524
33.1
3
Gla
nT
raet
hW
ard
Com
mun
ityG
eria
tric
23,9
41.0
00.
007,
791.
000.
000.
0097
8.00
32,7
10.0
063
051
.92
HM
Sta
nley
Hos
pita
lC
omm
unity
171,
257.
0089
,309
.00
16,2
69.0
01,
365.
0098
,853
.00
12,3
60.0
038
9,41
3.00
9,69
640
.16
Haf
odM
HR
CD
ayH
ospi
tal
23,3
03.0
00.
0012
3.00
288.
000.
001,
319.
0025
,033
.00
853
29.3
5
Llan
golle
nC
omm
unity
Hos
pita
lC
omm
unity
34,0
29.0
072
,545
.00
4,25
0.00
577.
009,
618.
001,
520.
0012
2,53
9.00
1,01
312
0.97
Nan
ty
Gly
nD
ayH
ospi
tal
9,86
1.00
0.00
0.00
288.
000.
001,
328.
0011
,477
.00
835
13.7
4
Pre
stat
ynC
omm
unity
Hos
pita
lC
omm
unity
40,5
52.0
00.
003,
020.
000.
000.
001,
331.
0044
,903
.00
850
52.8
3
Roy
alA
lexa
ndra
Hos
pita
lC
omm
unity
101,
614.
0025
1,04
8.00
18,1
49.0
03,
239.
0012
1,92
7.00
11,3
73.0
050
7,35
0.00
8,18
262
.01
Rut
hin
Com
mun
ityH
ospi
tal
Com
mun
ity74
,591
.00
127,
638.
009,
383.
0014
4.00
37,9
75.0
02,
915.
0025
2,64
6.00
2,15
111
7.46
Ysb
yty
Gla
nC
lwyd
Maj
orA
cute
1,71
5,02
4.00
1,83
7,67
6.00
347,
745.
0098
,140
.00
1,25
3,34
7.00
63,8
60.0
05,
315,
792.
0063
,894
83.2
0
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
88,5
93.0
00.
000.
000.
000.
006,
394.
0094
,987
.00
4,77
019
.91
AG
GR
2F
H-
Oth
er31
,973
.00
0.00
0.00
0.00
0.00
2,76
6.00
34,7
39.0
01,
962
17.7
1
AG
GR
3Ls
d&
full
serv
NH
S0.
000.
000.
000.
000.
000.
000.
000
0.00
663,
584.
0066
3,58
4.00
To
talf
or
sub
mit
ted
dat
a66
3,58
4.00
2,88
6,38
5.00
3,04
3,08
5.00
487,
227.
0011
4,32
8.00
1,74
2,82
9.00
130,
638.
009,
068,
076.
0011
9,23
776
.05
APPENDIX V
78 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
APPENDIX VI
Observations on FM-related Operating Costs
GWENT HEALTHCARE NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 79
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Gwent Healthcare for 2004-05 has increased by £5,189,234
compared with 2003-04. However, this increase is largely accounted for by the inclusion of costs for
FM services that were absent from the 2003-04 submissions, notably the Trust laundry and linen costs
and the true cost of portering for the Royal Gwent Hospital. These two items alone account for
approximately £2,915,000 of the overall increase.
The overall FM cost/m2 for the Trust is £88.11/m2, which is 7% greater than the all-Wales average. It
should be noted that although the occupied floor area for Chepstow Hospital is included, only laundry
& linen services costs have been submitted. With the laundry & linen costs and occupied floor area for
Chepstow Hospital removed from the calculation the more realistic figure of £99.60/m2 is derived for
comparison.
It is disappointing that the Trust has been unable to obtain all of the required data for Chepstow
Hospital for 2004-05, as was also the case for 2003-04. It is understood that the PFI contract is due
for re-tender and the difficulty in accessing the information required will be taken into consideration.
However, the data submitted for 2004-05 appears to have improved considerably, the only service
area appearing to be incorrect being security services, where the calculated cost/m2 is unrealistically
low. It is also understood that the Trust plans to centralise its Facilities and Support Services by April
2006, which should overcome many of the problems encountered in providing the necessary data.
APPENDIX VI
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 81
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 2,590,605 5,939,259 8,676,735 1,636,081 242,120 2,834,798 441,294 22,360,892
Trust cost (£/m²) 10.21 23.40 34.19 6.45 0.95 11.17 1.74 88.11
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX VI
82 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The chart is very similar to that produced for Gwent Healthcare for 2003-04. Compared with the all-
Wales average profile, the only significant differences concern telecommunications services, where
the Trust exhibits a 3% higher allocation than the all-Wales average and with catering services, which
is 2% more than the calculated average.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 22 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. Only laundry & linen costs were provided for Chepstow Community Hospital. It is understood that
discussions are to take place with the service provider at this PFI hospital to enable the necessary
data to be provided for future reports.
2. The cleaning costs for Caerphilly Miners Hospital result in an extremely high cost/m2 of £54.43 in
2004-05, an increase of £6.37/m2 from 2003-04.
Telecoms12%
Cleaning27%
Postal2%
Security1% Portering
13%
Catering38%
Linen and Laundry7%
Figure 2: Facilities expenditure % by function
APPENDIX VI
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 83
3. Although there has been an improvement in the robustness of the data for 2004-05, the data set is
still incomplete and there is a need for apportionment of costs for some hospitals. This, together
with the incomplete data set for 2003-04, does not allow for meaningful comparisons to be made
for either the core FM services or between hospital types.
APPENDIX VI
84 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Abe
rbar
goed
&D
istr
ictH
ospi
tal
Com
mun
ity44
,271
.00
71,8
88.0
013
,043
.00
0.00
0.00
0.00
129,
202.
001,
694
76.2
7
Abe
rtill
ery
&D
istr
ictH
ospi
tal
Com
mun
ity88
,260
.00
169,
299.
0034
,940
.00
0.00
43,0
84.0
032
.00
335,
615.
002,
090
160.
58
Bla
enav
onH
ealth
Car
eU
nit
Com
mun
ity19
,104
.00
39,7
16.0
02,
164.
000.
0010
,364
.00
0.00
71,3
48.0
01,
315
54.2
6
Bla
ina
&D
istr
ictH
ospi
tal
Com
mun
ity94
,614
.00
168,
972.
0024
,456
.00
0.00
44,5
17.0
042
8.00
332,
987.
002,
878
115.
70
Cae
rphi
llyD
istr
ictM
iner
sM
inor
Acu
te47
6,05
8.00
297,
530.
0088
,419
.00
0.00
153,
545.
000.
001,
015,
552.
008,
747
116.
10
Che
psto
wC
omm
unity
Hos
pita
lC
omm
unity
0.00
0.00
30,1
69.0
00.
000.
000.
0030
,169
.00
6,09
74.
95
Cou
nty
Hos
pita
lM
inor
Acu
te30
9,13
3.00
379,
804.
0047
,686
.00
0.00
162,
379.
008,
399.
0090
7,40
1.00
13,1
5169
.00
Ebb
wV
ale
Hos
pita
lC
omm
unity
59,5
71.0
011
7,45
4.00
15,6
37.0
00.
0013
,387
.00
2,11
1.00
208,
160.
002,
729
76.2
8
Llan
frec
hfa
Gra
nge
Hos
pita
lP
sych
iatr
ic-
LD28
8,89
8.00
442,
380.
0035
,476
.00
27,0
00.0
027
,727
.00
54,6
94.0
087
6,17
5.00
16,9
4251
.72
Mai
ndiff
Cou
rtH
ospi
tal
Psy
chia
tric
-M
I20
6,38
8.00
194,
878.
0017
,232
.00
2,06
0.00
0.00
5,75
0.00
426,
308.
005,
051
84.4
0
Mon
mou
thG
ener
alH
ospi
tal
Com
mun
ity48
,810
.00
63,3
95.0
07,
847.
000.
0014
,518
.00
251.
0013
4,82
1.00
1,36
099
.13
Nev
illH
allH
ospi
tal
Maj
orA
cute
854,
506.
001,
495,
941.
0035
9,43
3.00
0.00
680,
976.
000.
003,
390,
856.
0043
,374
78.1
8
Oak
dale
Hos
pita
lC
omm
unity
55,4
45.0
057
,574
.00
7,61
0.00
0.00
0.00
0.00
120,
629.
0082
214
6.75
Red
woo
dM
emor
ialH
ospi
tal
Com
mun
ity60
,526
.00
26,3
07.0
04,
709.
000.
000.
000.
0091
,542
.00
794
115.
29
Roy
alG
wen
tHos
pita
lM
ajor
Acu
te1,
792,
571.
003,
144,
188.
0067
5,40
4.00
140,
800.
001,
279,
363.
0027
9,15
1.00
7,31
1,47
7.00
66,1
6611
0.50
StC
adoc
'sH
ospi
tal
Psy
chia
tric
-M
I38
3,16
2.00
502,
019.
0050
,128
.00
35,0
00.0
051
,387
.00
25,5
17.0
01,
047,
213.
0020
,307
51.5
7
StW
oolo
sH
ospi
tal
Min
orA
cute
431,
090.
0084
7,35
7.00
132,
498.
0035
,200
.00
223,
098.
0056
,252
.00
1,72
5,49
5.00
18,5
7292
.91
Tal
ygar
n&
Ty
Siri
olP
sych
iatr
ic-
MI
181,
858.
000.
0012
,003
.00
0.00
0.00
4,93
3.00
198,
794.
003,
777
52.6
3
Tre
dega
rG
ener
alH
ospi
tal
Com
mun
ity10
6,11
6.00
209,
190.
0022
,861
.00
0.00
41,5
09.0
023
1.00
379,
907.
002,
971
127.
87
Ty
Sirh
owy
Uni
tP
sych
iatr
ic-
MI
31,7
26.0
078
,131
.00
4,06
6.00
0.00
0.00
2,00
0.00
115,
923.
001,
214
95.4
9
Ysb
ytyr
Tri
Chw
mP
sych
iatr
ic-
MI
125,
778.
0014
9,73
2.00
11,4
76.0
02,
060.
000.
001,
545.
0029
0,59
1.00
2,64
710
9.78
Yst
rad
Myn
ach
Hos
pita
lC
omm
unity
281,
374.
0022
0,98
0.00
38,8
24.0
00.
0088
,944
.00
0.00
630,
122.
007,
589
83.0
3
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
0.00
0.00
0.00
0.00
0.00
0.00
0.00
23,5
030.
00
2,59
0,60
5.00
2,59
0,60
5.00
To
talf
or
sub
mit
ted
dat
a2,
590,
605.
005,
939,
259.
008,
676,
735.
001,
636,
081.
0024
2,12
0.00
2,83
4,79
8.00
441,
294.
0022
,360
,892
.00
253,
790
88.1
1
APPENDIX VII
Observations on FM-related Operating Costs
NORTH EAST WALES NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 85
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by North East Wales for 2004-05 has increased by £446,221 (6%)
compared with 2003-04. In conjunction with a net increase of over 1,100m2 in occupied floor area,
this has resulted in a facilities cost of £74.25m2. This is a reduction of £3.76/m2 (5%) on the 2003-04
figures, and puts the Trust further below the all-Wales average for 2004-05 of £81.53/m2.
Most service costs appear less than the all-Wales average, notably cleaning and catering, at 23% and
19% respectively. The services that exceeded the averages for all-Wales were laundry & linen, portering
and postal services, being 9%, 34% and 11% respectively.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The chart is very similar to that produced for North East Wales for 2003-04. Compared with the all-
Wales average profile, the only major difference concerns portering services, where the Trust exhibits
a 7% higher allocation than the all-Wales average. The two notable areas where expenditure is lower
are cleaning and catering services, both at 4% less than the calculated average.
APPENDIX VII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 87
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 654,053 1,997,539 2,759,924 731,789 195,703 1,775,689 256,767 8,371,464
Trust cost (£/m²) 5.80 17.72 24.48 6.49 1.74 15.75 2.28 74.25
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX VII
88 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 13 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
❖ Aggregate 3 - Leased and fully serviced by the NHS Trust
❖ Aggregate 5 - Leased and part serviced by the NHS Trust/Landlord
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. As with the data for 2003-04, security service costs are only reported for Ysbyty Maelor. The Trust
has confirmed that security is provided to the other sites on an ad-hoc basis. Of the 1473 reported
security incidents 96% occurred at Ysbyty Maelor.
2. FM costs at Penley Hospital are £168.49/m2, which are significantly higher than any other site within
the Trust. This appears to reflect the high facilities cost for running a very small hospital.
3. Portering service costs at Ysbyty Maelor have increased by £205,203 (16%) for 2004-05 when
compared with 2003-04. With an increased occupied floor area of 14,756m2 being reported for the
site, the FM cost of £19.52/m2 for 2004-05 is £1.33/m2 lower than the cost of £20.85/m2 for 2003-
04. However, this reduced FM cost remains far higher than the £14.50/m2 average for major acute
hospitals in 2004-05.
Telecoms8%
Cleaning24%
Postal3%Security
2%
Portering21%
Catering33%
Linen and Laundry9%
Figure 2: Facilities expenditure % by function
APPENDIX VII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 89
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Chi
rkC
omm
unity
Hos
pita
lC
omm
unity
61,4
54.0
013
7,19
0.00
5,82
4.00
0.00
36,9
98.0
082
3.00
242,
289.
002,
388
101.
46
Coe
dC
elyn
Sup
port
Uni
tP
sych
iatr
ic-
MI
9,09
2.00
0.00
0.00
0.00
0.00
0.00
9,09
2.00
291
31.2
4
Dee
side
Com
mun
ityH
ospi
tal
Com
mun
ity99
,980
.00
129,
599.
0010
,414
.00
0.00
39,3
48.0
04,
051.
0028
3,39
2.00
4,64
461
.02
Dob
shill
Hos
pita
lC
omm
unity
Ger
iatr
ic41
,593
.00
117,
753.
0020
,834
.00
0.00
35,4
39.0
073
.00
215,
692.
002,
243
96.1
6
Flin
tCom
mun
ityH
ospi
tal
Com
mun
ity44
,005
.00
73,0
54.0
04,
419.
000.
0016
,214
.00
319.
0013
8,01
1.00
890
155.
07
Hol
ywel
lCom
mun
ityH
ospi
tal
Com
mun
ity42
,189
.00
55,1
72.0
06,
444.
000.
0010
,316
.00
1,36
7.00
115,
488.
001,
003
115.
14
Llue
sty
Hos
pita
lC
omm
unity
Ger
iatr
ic63
,631
.00
109,
332.
0012
,971
.00
0.00
65,0
03.0
01,
101.
0025
2,03
8.00
3,13
880
.32
Mea
dow
slea
Hos
pita
lC
omm
unity
Ger
iatr
ic34
,635
.00
79,5
67.0
015
,604
.00
0.00
24,8
95.0
017
4.00
154,
875.
003,
118
49.6
7
Mol
dC
omm
unity
Hos
pita
lC
omm
unity
74,7
00.0
013
5,08
4.00
15,4
91.0
00.
0038
,735
.00
4,45
0.00
268,
460.
003,
332
80.5
7
Pen
ley
Hos
pita
lC
omm
unity
Ger
iatr
ic18
,016
.00
42,4
64.0
06,
231.
000.
000.
0012
.00
66,7
23.0
039
616
8.49
Ysb
yty
Mae
lor
Maj
orA
cute
1,42
2,21
7.00
1,88
0,70
9.00
633,
557.
0019
5,70
3.00
1,50
8,74
1.00
228,
924.
005,
869,
851.
0077
,274
75.9
6
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
23,3
73.0
00.
000.
000.
000.
004,
539.
0027
,912
.00
9,68
62.
88
AG
GR
2F
H-
Oth
er11
,654
.00
0.00
0.00
0.00
0.00
200.
0011
,854
.00
811
14.6
2
AG
GR
3Ls
d&
full
serv
NH
S22
,252
.00
0.00
0.00
0.00
0.00
1,50
1.00
23,7
53.0
01,
001
23.7
3
AG
GR
5Ls
d&
part
serv
NH
S28
,748
.00
0.00
0.00
0.00
0.00
9,23
3.00
37,9
81.0
02,
530
15.0
1
654,
053.
0065
4,05
3.00
To
talf
or
sub
mit
ted
dat
a65
4,05
3.00
1,99
7,53
9.00
2,75
9,92
4.00
731,
789.
0019
5,70
3.00
1,77
5,68
9.00
256,
767.
008,
371,
464.
0011
2,74
574
.25
APPENDIX VIII
Observations on FM-related Operating Costs
NORTH GLAMORGAN NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 91
APPENDIX VIII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 93
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported for North Glamorgan for 2004-05 has increased by £270,186
(4%) compared with 2003-04.
The Trust’s overall FM cost of £83.26/m2 is marginally higher than the all-Wales average for 2004-05
of £81.53/m2. This is closer than for 2003-04 when the Trust was 13% above the all-Wales average.
Only the cost for telecoms, catering and postal services are below the all-Wales average. However,
there is some doubt as to the accuracy of the reported data for postal services as this service is
fragmented across various departments.
Cleaning costs of £26.80/m2 are 15% higher than the all-Wales average. However, this figure shows a
reduction in costs from 2003-04 of £29.35/m2, whilst the audit scores against the National Standards
of Cleanliness for all hospitals are unchanged.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 483,911 2,096,814 2,137,434 562,109 215,836 1,173,676 3,408 6,673,188
Trust cost (£/m²) 6.19 26.80 27.32 7.19 2.76 15.00 0.04 83.26
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX VIII
94 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The chart is very similar to that produced for North Glamorgan for 2003-04. Compared with the
average profile for expenditure in 2004-05, the only significant changes are concerned with
expenditure on catering, which is 5% lower and portering and clearning services at 4% and 3% higher,
respectively.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 4 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The FM cost for Prince Charles Hospital has decreased significantly from £91.06/m2 in 2003-04 to
£76.01/m2. The total FM costs have increased by just over £80,000 but the reduction is due to the
occupied floor area increasing by 8,892m2.
2. The relatively high security service cost of £8.42/m2 at Mountain Ash General Hospital is consistent
with the findings for 2003-04.
3. Portering costs at St Tydfil’s Hospital are £29.62/m2, which is extremely high and a significant
increase on the figure for 2003-04. This is, in part, attributable to a reduction in occupied floor area
of 1,179m2.
Cleaning31%
Linen and Laundry8%
Catering33%
Portering18%
Security3%
Telecoms7%Postal
0%
Figure 2: Facilities expenditure % by function
APPENDIX VIII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 95
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Abe
rdar
eG
ener
alH
ospi
tal
Min
orA
cute
400,
075.
0024
6,18
7.00
59,9
77.0
019
,551
.00
179,
772.
000.
0090
5,56
2.00
10,3
5587
.45
Mou
ntai
nA
shG
ener
alH
ospi
tal
Com
mun
ity10
6,40
8.00
70,5
38.0
028
,075
.00
27,0
37.0
019
,775
.00
0.00
241,
776.
003,
212
75.2
7
Prin
ceC
harle
sH
ospi
tal
Maj
orA
cute
1,16
4,13
5.00
1,46
6,67
9.00
415,
895.
0014
8,19
1.00
621,
228.
002,
907.
003,
683,
068.
0048
,453
76.0
1
StT
ydfil
'sH
ospi
tal
Com
mun
ity34
3,07
8.00
354,
030.
0058
,162
.00
15,8
86.0
033
3,12
6.00
501.
001,
091,
125.
0011
,245
97.0
3
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
83,1
18.0
00.
000.
005,
171.
0019
,775
.00
0.00
108,
064.
004,
963
21.7
7
483,
911.
0048
3,91
1.00
To
talf
or
sub
mit
ted
dat
a48
3,91
1.00
2,09
6,81
4.00
2,13
7,43
4.00
562,
109.
0021
5,83
6.00
1,17
3,67
6.00
3,40
8.00
6,51
3,50
6.00
78,2
2883
.26
APPENDIX IX
Observations on FM-related Operating Costs
NORTH WEST WALES NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 97
APPENDIX IX
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 99
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by North West Wales for 2004-05 has increased by £565,506
(5%) compared with 2003-04. The cost/m2 has increased by 6% to £80.58/m2, with no significant
change in occupied floor area, making it marginally less than the all-Wales average.
As with the data supplied for 2003-04, only £15,000 has been reported for the Trust expenditure on
security services. This figure, which was allocated to Ysbyty Gwynedd, was queried with the Trust, and
is considered to be unreliable. It is reported that only 120 security incidents occurred at Ysbyty
Gwynedd, and of these only 7 were assaults against staff. There were no security incidents reported
for 5 other hospitals and 64 incidents reported for the remaining 7 hospitals.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The chart is very similar to that produced for North West Wales for 2003-04, the most notable change
being a 2% increase in the allocation for catering services. Compared with the average profile for
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 1,167,922 2,241,830 4,486,772 712,000 15,000 1,145,038 284,260 10,052,822
Trust cost (£/m²) 9.36 17.97 35.96 5.71 0.12 9.18 2.28 80.58
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
expenditure in 2004-05, the allocation for cleaning services and portering services are 6% and 3%
lower respectively, with 8% and 3% more being spent respectively on catering and
telecommunications services.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 13 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other sites
❖ Aggregate 3 - Leased and fully serviced by the NHS Trust
❖ Aggregate 4 - Leased and fully serviced by the Landlord
❖ Aggregate 5 - Leased and part serviced by NHS Trust/landlord
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. Comparisons of the costs for each hospital show that Ffestiniog Memorial Hospital has FM costs of
£160.05/m2, higher than the other hospitals within the Trust.
2. The cleaning cost of £2,245,830 is almost identical to that reported in 2003-04 of £2,241,836.
However, it would appear that there was an error with the 2003-04 data for at least one of the sites,
which has impacted upon the accuracy of the data.
3. Portering service costs of £9.11/m2 calculated for Ysbyty Gwynedd are the second lowest in Wales
for an acute hospital and, as with the report for 2003-04, second only to the University Hospital of
Wales.
4. Cleaning costs for Ysbyty Glan Clwyd are £33,993 less than for 2003-04, representing a cleaning cost
of £16.35/m2 that is the lowest calculated for 2004-05.
APPENDIX IX
100 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Cleaning22%
Postal3% Telecoms
12%Security
0%
Portering11%
Catering45%
Linen and Laundry7%
Figure 2: Facilities expenditure % by function
APPENDIX IX
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 101
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Bro
n-y-
gart
hH
ospi
tal
Com
mun
ity52
,226
.00
172,
261.
0022
,500
.00
0.00
30,5
00.0
09,
200.
0028
6,68
7.00
2,83
010
1.30
Bry
nB
eryl
Hos
pita
lC
omm
unity
66,5
67.0
013
7,97
7.00
26,0
00.0
00.
0037
,300
.00
5,23
0.00
273,
074.
002,
088
130.
78
Bry
nsei
ontH
ospi
tal
Com
mun
ity55
,544
.00
0.00
0.00
0.00
7,00
0.00
150.
0062
,694
.00
1,32
647
.28
Bry
n-y-
Neu
add
Hos
pita
lC
omm
unity
332,
747.
0049
6,40
6.00
75,5
00.0
00.
0080
,304
.00
15,4
50.0
01,
000,
407.
0019
,088
52.4
1
Cef
niH
ospi
tal
Com
mun
ityG
eria
tric
66,9
35.0
011
9,76
8.00
23,0
00.0
00.
0048
,200
.00
2,57
5.00
260,
478.
002,
641
98.6
3
Dol
gella
u&
Bar
mou
thD
istr
ict
Com
mun
ity63
,370
.00
134,
255.
0025
,000
.00
0.00
28,0
75.0
05,
500.
0025
6,20
0.00
2,24
411
4.17
Ery
riH
ospi
tal
Com
mun
ityG
eria
tric
86,4
42.0
018
8,56
2.00
25,0
00.0
00.
0066
,647
.00
12,4
80.0
037
9,13
1.00
4,15
591
.25
Ffe
stin
iog
Mem
oria
lHos
pita
lC
omm
unity
27,5
40.0
091
,102
.00
10,0
00.0
00.
0024
,709
.00
1,10
0.00
154,
451.
0096
516
0.05
Llan
dudn
oG
ener
alH
ospi
tal
Min
orA
cute
293,
550.
0047
3,06
0.00
100,
000.
000.
0017
5,00
0.00
25,4
00.0
01,
067,
010.
0011
,980
89.0
7
Min
fford
dH
ospi
tal
Psy
chia
tric
-M
I24
,180
.00
0.00
5,00
0.00
0.00
1,00
0.00
250.
0030
,430
.00
416
73.1
5
Tyw
yn&
Dis
tric
tWar
Mem
oria
lC
omm
unity
49,7
43.0
011
1,61
9.00
17,0
00.0
00.
0022
,000
.00
1,25
0.00
201,
612.
001,
989
101.
36
Ysb
yty
Gw
yned
dM
ajor
Acu
te99
6,00
0.00
2,39
5,13
1.00
350,
000.
0015
,000
.00
555,
170.
0020
0,10
0.00
4,51
1,40
1.00
60,9
1674
.06
Ysb
yty
Pen
rhos
Sta
nley
Com
mun
ity72
,992
.00
166,
631.
0033
,000
.00
0.00
61,6
33.0
02,
575.
0033
6,83
1.00
4,43
475
.97
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
10,2
00.0
00.
000.
000.
002,
000.
001,
000.
0013
,200
.00
4,87
62.
71
AG
GR
2F
H-
Oth
er23
,323
.00
0.00
0.00
0.00
1,00
0.00
0.00
24,3
23.0
02,
567
9.48
AG
GR
3Ls
d&
full
serv
NH
S10
,600
.00
0.00
0.00
0.00
2,00
0.00
1,00
0.00
13,6
00.0
01,
302
10.4
5
AG
GR
4Ls
d&
full
serv
Lnd
2,13
1.00
0.00
0.00
0.00
1,50
0.00
500.
004,
131.
0060
68.8
5
AG
GR
5Ls
d&
part
serv
NH
S7,
740.
000.
000.
000.
001,
000.
0050
0.00
9,24
0.00
879
10.5
1
1,16
7,92
2.00
1,16
7,92
2.00
To
talf
or
sub
mit
ted
dat
a1,
167,
922.
002,
241,
830.
004,
486,
772.
0071
2,00
0.00
15,0
00.0
01,
145,
038.
0028
4,26
0.00
10,0
52,8
22.0
012
4,75
680
.58
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 103
APPENDIX X
Observations on FM-related Operating Costs
PEMBROKESHIRE & DERWEN NHS TRUST
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Pembrokeshire & Derwen for 2004-05 has decreased by
£442,025 (9%) compared with 2003-04. However, in conjunction with a considerable reduction in
reported occupied floor area of 11,920m2 (17%), there has been an increase in cost/m2 to £81.92/m2,
bringing it very close to the all-Wales average for 2004-05.
The FM cost of cleaning services has increased by 17%. This significant increase has caused it to rise
further above the all-Wales average for 2004-05. There has also been a considerable increase in FM
cost for laundry & linen services. The rise of 31% takes the cost from below the all-Wales average for
2003-04 to above the all-Wales average for 2004-05.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Pembrokeshire & Derwen for 2003-04, the most notable
differences are that catering services account for 2% less and laundry & linen 3% more of the budget.
APPENDIX X
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 105
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 445,136 1,576,541 1,438,298 493,675 46,000 623,479 62,600 4,685,729
Trust cost (£/m²) 7.78 27.56 25.15 8.63 0.80 10.90 1.09 81.92
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX X
106 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Compared with the average profile for expenditure in 2004-05, the allocation for cleaning services and
laundry & linen services are 6% and 4% higher respectively, with 6% less being spent on catering
services.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 5 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 3 – Leased and fully serviced by the NHS Trust
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The major development of the South Pembrokeshire Hospital is reported to have prevented the
submission of any data for the site for the period 2004-05.
2. The cost of laundry and linen services for Withybush General Hospital has increased by £99,671
from the figure reported for 2003-04. This sharp increase, together with slight increases in costs for
catering and portering services, has counteracted the significant reduction in cleaning and postal
services and has raised the FM cost for the hospital marginally from the rate for 2003-04. The FM
costs of the new Psychiatric MI Units are reported to be included with the data for Withybush
General Hospital, preventing meaningful comparisons.
3. The overall cost of FM services at St David’s Hospital is £346.63/m2, more than three times that
calculated for 2003-04. Although total FM costs have decreased slightly, this disproportionately
high rate reflects a major reduction in the reported occupied floor area of 14,080m2 (70%), and
clearly raises concerns about the applicability and/or accuracy of the data provided.
4. Only St David’s Hospital is reported to have a dedicated security service, with other hospitals having
security tasks included with the porters duties.
Cleaning34%
Linen and Laundry11%
Catering31%
Portering13%
Security1% Telecoms
9%
Postal1%
Figure 2: Facilities expenditure % by function
APPENDIX X
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 107
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Bro
Cer
wyn
&S
tBry
nach
Day
Psy
chia
tric
-M
I0.
000.
000.
000.
000.
000.
000.
004,
238
0.00
Bry
ngof
alP
sych
iatr
ic-
MI
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,39
30.
00
Can
olfa
nB
roC
erw
ynP
sych
iatr
ic-
MI
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,47
70.
00
Can
olfa
nG
wen
ogP
sych
iatr
ic-
MI
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,53
00.
00
StD
avid
'sH
ospi
tal(
Car
mar
then
)P
sych
iatr
ic-
MI/L
D75
7,00
0.00
767,
000.
0099
,000
.00
46,0
00.0
026
8,00
0.00
50,6
00.0
01,
987,
600.
005,
734
346.
63
Ten
byC
otta
geH
ospi
tal
Com
mun
ity47
,936
.00
17,3
83.0
01,
480.
000.
000.
000.
0066
,799
.00
531
125.
80
With
ybus
hG
ener
alH
ospi
tal
Maj
orA
cute
771,
605.
0065
3,91
5.00
393,
195.
000.
0035
5,47
9.00
12,0
00.0
02,
186,
194.
0027
,057
80.8
0
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
0.00
0.00
0.00
0.00
0.00
0.00
0.00
9,23
50.
00
AG
GR
2F
H-
Oth
er0.
000.
000.
000.
000.
000.
000.
000
0.00
AG
GR
3Ls
d&
full
serv
NH
S0.
000.
000.
000.
000.
000.
000.
001,
388
0.00
AG
GR
4Ls
d&
full
serv
Lnd
0.00
0.00
0.00
0.00
0.00
0.00
0.00
00.
00
AG
GR
5Ls
d&
part
serv
NH
S0.
000.
000.
000.
000.
000.
000.
002,
617
0.00
445,
136.
0044
5,13
6.00
To
talf
or
sub
mit
ted
dat
a44
5,13
6.00
1,57
6,54
1.00
1,43
8,29
8.00
493,
675.
0046
,000
.00
623,
479.
0062
,600
.00
4,68
5,72
9.00
57,2
0081
.92
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 109
APPENDIX XI
Observations on FM-related Operating Costs
PONTYPRIDD & RHONDDA NHS TRUST
APPENDIX XI
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 111
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Pontypridd & Rhondda for 2004-05 has increased by
£442,025 (6%) compared with 2003-04. In conjunction with a slight reduction in occupied floor area
of 2,083m2, these changes have marginally increased the cost/m2, which is now £23.37/m2 above the
all-Wales average for 2004-05.
The only service area where the calculated FM cost is less than the all-Wales average for 2004-05 is
telecommunications. As with the figures for 2003-04, all other FM service costs have exceeded the
respective all-Wales average. Most significantly, the costs for cleaning and portering both exceeded
the all-Wales averages by almost 23%.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Pontypridd and Rhondda for 2003-04, the most notable
changes are the reduction in expenditure on telecommunication services of 7%, and the increase of
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 471,357 2,484,755 3,618,108 637,490 141,901 1,287,913 192,738 8,834,262
Trust cost (£/m²) 5.60 29.50 42.96 7.57 1.68 15.29 2.29 104.90
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
5% and 3% for cleaning and portering services respectively. Compared with the average profile for
expenditure in 2004-05, the allocation for catering services is 4% higher, whereas it is 4% less for
telecommunications services.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows::
❖ 6 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other properties
❖ Aggregate 5 - Leased and part serviced by NHS Trust/landlord
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. All service area costs reported for Ysbyty George Thomas have increased considerably and, in
conjunction with a slight reduction in occupied floor area of 248m2 (5%), have contributed to the
very high total FM cost of £185.31/m2.
2. Apart from the cleaning cost of £18.44/m2 for Pontypridd and District Hospital, all other hospitals
are well in excess of the all-Wales average, ranging from £26.14/m2 at Dewi Sant to the extremely
high figure of £76.19/m2 at Ysbyty George Thomas. The Royal Glamorgan Hospital figure of
£29.96/m2 remains one of the highest for acute hospitals in 2004-05. Concerns have been raised
with the Trust regarding the applicability and/or accuracy of the available data.
3. Portering costs for 2004-05 vary considerably, from the extremely low figure of £4.71/m2 at
Pontypridd and District Hospital to a high figure of £21.88/m2 at Llwynypia Hospital. However,
Llwynypia Hospital delivers its services from nine separate buildings and this, along with additional
office accommodation, is understood to contribute to the relatively high costs of a range of
services provided.
APPENDIX XI
112 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Cleaning28%
Postal2% Telecoms
5%
Security2%
Portering15%
Catering41%Linen and Laundry
7%
Figure 2: Facilities expenditure % by function
APPENDIX XI
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 113
4. Catering costs of £44.46/m2 at Royal Glamorgan Hospital are 32% higher than the all-Wales average
for 2004-05 and contribute to the overall FM cost for the hospital of £106/m2, one of the highest
of the acute hospitals in 2004-05.
5. The East Glamorgan site has been sold by the Trust, and no data was provided for the 2004-05
report.
APPENDIX XI
114 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Dew
iSan
tHos
pita
lC
omm
unity
204,
546.
0048
3,23
2.00
64,6
96.0
00.
0014
0,07
6.00
0.00
892,
550.
007,
825
114.
06
Llw
ynyp
iaH
ospi
tal
Min
orA
cute
415,
238.
0062
2,38
0.00
69,4
03.0
00.
0021
3,91
9.00
30,3
62.0
01,
351,
302.
009,
769
138.
33
Pon
typr
idd
&D
istr
ictH
ospi
tal
Com
mun
ity45
,454
.00
9,86
2.00
2,54
9.00
0.00
11,6
10.0
00.
0069
,475
.00
2,46
528
.18
Roy
alG
lam
orga
nH
ospi
tal
Maj
orA
cute
1,42
5,32
5.00
2,11
5,35
5.00
441,
665.
0013
2,58
2.00
809,
062.
0013
5,03
3.00
5,05
9,02
2.00
47,5
8010
6.33
Ton
teg
Hos
pita
lP
sych
iatr
ic-
MI
0.00
0.00
353.
009,
319.
000.
000.
009,
672.
0098
79.
80
Ysb
yty
Geo
rge
Tho
mas
Psy
chia
tric
-M
I35
8,78
8.00
387,
279.
0055
,866
.00
0.00
69,1
15.0
01,
598.
0087
2,64
6.00
4,70
918
5.31
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
4,05
4.00
0.00
245.
000.
0035
,146
.00
25,7
45.0
065
,190
.00
5,87
711
.09
AG
GR
2F
H-
Oth
er0.
000.
000.
000.
000.
000.
000.
004,
042
0.00
AG
GR
5Ls
d&
part
serv
NH
S31
,350
.00
0.00
2,71
3.00
0.00
8,98
5.00
0.00
43,0
48.0
096
444
.66
471,
357.
0047
1,35
7.00
To
talf
or
sub
mit
ted
dat
a47
1,35
7.00
2,48
4,75
5.00
3,61
8,10
8.00
637,
490.
0014
1,90
1.00
1,28
7,91
3.00
192,
738.
008,
834,
262.
0084
,218
104.
90
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 115
APPENDIX XII
Observations on FM-related Operating Costs
POWYS LOCAL HEALTH BOARD
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the LHB is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The Local Health Board, treated as a Trust within this report, has an advantage over the other Trusts
because it operates ten similar sites thus allowing it to compare their individual performance.
The total FM operating cost reported by Powys LHB for 2004-05 has increased by £91,070 (3%)
compared with 2003-04. In conjunction with a sizable increase in occupied floor area of 5,963m2,
these changes have resulted in a considerable reduction in the total FM cost/m2 rate. This is now
£68.21/m2, which is £16.96/m2 less than last year’s figure and considerably less than the all-Wales
average of £81.53/m2.
The LHB cleaning cost has dropped by £57,847 compared with 2003-04. This results in a cleaning FM
cost of £24.58/m2, that is 8% above the all-Wales average for 2004-05, whereas portering service cost
at £7.96/m2 is 33% below the all-Wales average.
Security costs for 2004-05 have been provided for only 4 sites and total £1,006. This figure is less than
reported for 2003-04 and appears to be unrealistically low but, following a data check, was confirmed
by the LHB as accurate. The number of security incidents has also decreased from those reported in
2003-04, from 75 incidents to 55.
Telecommunications costs have been included on a Board-wide basis and not allocated to individual
sites.
APPENDIX XII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 117
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 371,975 1,143,042 1,325,173 267,517 1,006 370,226 65,367 3,544,306
Trust cost (£/m²) 8.00 24.58 28.49 5.75 0.02 7.96 1.41 68.21
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: LHB facilities information
APPENDIX XII
118 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Compared with the chart produced for Powys LHB for 2003-04, the most notable differences are that
cleaning services account for 3% less and laundry & linen 2% more of the budget. Compared with the
average profile for expenditure in 2004-05, the allocation for cleaning services is now 4% higher,
whereas 4% less was spent on portering services.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 10 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
3.2 Details of all the individual LHB facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. Overall FM costs at Victoria Memorial Hospital of £127.86/m2 are high in comparison with the other
hospitals within the Board.
2. The cleaning costs calculated vary between hospital sites from a high £57.60/m2 at Montgomery
County Infirmary to a very low £7.50/m2 at Bronllys Hospital. Bronllys Hospital was calculated at
£12.16/m2 for 2003-04 but a reported drop in costs of £57,847, in conjunction with an increase in
occupied floor area of 2,965m2, has contributed to the unrealistically low rate for 2004-05.
3. The overall low portering service FM cost of £7.96/m2 is developed from rates that vary between
£6.18/m2 at Broddyfi Community Hospital and £15.46/m2 at Llanidloes and District Hospital.
4. Postal costs of £23,584, submitted for Brecon War Memorial Hospital, equate to 36% of the Board’s
total reported postal cost and, as with the data submitted for 2003-04, appear to be
disproportionately high.
Cleaning32%
Linen and Laundry8%
Catering38%
Portering10%
Security0%
Telecoms10%
Postal2%
Figure 2: Facilities expenditure % by function
APPENDIX XII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 119
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Bre
con
War
Mem
oria
lHos
pita
lC
omm
unity
184,
770.
0017
1,17
7.00
43,3
34.0
00.
0045
,446
.00
23,5
84.0
046
8,31
1.00
6,56
871
.30
Bro
ddyf
iCom
mun
ityH
ospi
tal
Com
mun
ity99
,090
.00
88,1
04.0
015
,864
.00
0.00
28,7
61.0
01,
628.
0023
3,44
7.00
4,65
750
.13
Bro
nlly
sH
ospi
tal
Com
mun
ity10
2,51
9.00
323,
438.
0077
,727
.00
414.
0084
,706
.00
1,12
5.00
589,
929.
0013
,659
43.1
9
Bui
lthW
ells
Cot
tage
Hos
pita
lC
omm
unity
80,4
95.0
072
,377
.00
7,82
5.00
0.00
24,2
14.0
02,
222.
0018
7,13
3.00
1,79
710
4.14
Kni
ghto
nH
ospi
tal
Com
mun
ity57
,979
.00
57,4
44.0
09,
697.
000.
0018
,040
.00
2,40
8.00
145,
568.
001,
507
96.5
9
Llan
drin
dod
Wel
lsH
ospi
tal
Com
mun
ity15
9,75
0.00
125,
514.
0032
,584
.00
0.00
29,2
00.0
011
,128
.00
358,
176.
004,
049
88.4
6
Llan
idlo
es&
Dis
tric
tHos
pita
lC
omm
unity
62,2
60.0
093
,760
.00
15,7
43.0
012
9.00
28,7
16.0
01,
859.
0020
2,46
7.00
1,85
810
8.97
Mon
tgom
ery
Cou
nty
Infir
mar
yC
omm
unity
151,
477.
0091
,256
.00
17,5
96.0
026
3.00
34,3
24.0
010
,129
.00
305,
045.
002,
630
115.
99
Vic
toria
Mem
oria
lHos
pita
lC
omm
unity
113,
671.
0014
5,54
4.00
23,0
20.0
00.
0034
,896
.00
4,30
0.00
321,
431.
002,
514
127.
86
Yst
radg
ynla
isC
omm
unity
Hos
pita
lC
omm
unity
129,
611.
0015
6,55
9.00
24,1
27.0
020
0.00
41,9
23.0
06,
384.
0035
8,80
4.00
4,12
986
.90
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
1,42
0.00
0.00
0.00
0.00
0.00
600.
002,
020.
003,
142
0.64
371,
975.
0037
1,97
5.00
To
talf
or
sub
mit
ted
dat
a37
1,97
5.00
1,14
3,04
2.00
1,32
5,17
3.00
267,
517.
001,
006.
0037
0,22
6.00
65,3
67.0
03,
172,
331.
0046
,510
68.2
1
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 121
APPENDIX XIII
Observations on FM-related Operating Costs
SWANSEA NHS TRUST
APPENDIX XIII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 123
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
The total FM operating cost reported by Swansea for 2004-05 has increased by £400,954 compared
with 2003-04. This makes the facilities cost of £81.14/m2, for the Trust, £1.56/m2 higher than last year
but once again very close to the all-Wales average.
Portering services at £12.88/m2 continue to be the only core service area where cost significantly
exceeds the all-Wales average, whilst the costs for other service areas are very close to their respective
all-Wales average.
The increase in laundry and linen service costs of almost 19% is reported to be due largely to a
significant increase in patient/hospital activity.
Due to the small number of similar hospital types within the Trust it is not easy to make valued
comparisons. Future reports will include costs compared with the all-Wales average for each hospital
type. Telecommunications costs have been included on a Trust basis and not allocated to individual
sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 1,382,429 4,368,808 5,818,239 1,040,682 200,805 2,499,373 434,137 15,744,473
Trust cost (£/m²) 7.12 22.52 29.99 5.36 1.03 12.88 2.24 81.14
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
APPENDIX XIII
124 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
The cost breakdown for the Trust is very close to the all-Wales average profile for 2004-05, with the
largest difference being a 2% above average allocation for portering services. There appear to be no
major differences with the chart produced for Swansea for 2003-04, other than a 2% reduction for
telecommunications services.
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 8 Individual hospital sites
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 – Freehold, all other properties
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The significant difference between the portering costs at Singleton Hospital and Morriston Hospital
reported for 2003-04 is repeated this year. The rates are £12.27/m2 and £19.76/m2 respectively.
2. Singleton Hospital continues to be the only major acute hospital site in Wales for which there is no
account of a formal security service being provided.
Cleaning28%
Postal3%
Telecoms9%
Security1%
Portering16%
Catering36%
Linen and Laundry7%
Figure 2: Facilities expenditure % by function
APPENDIX XIII
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 125
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Cef
nC
oed
Hos
pita
lP
sych
iatr
ic-
MI
538,
574.
0072
9,18
2.00
67,2
06.0
00.
0020
0,15
6.00
19,5
04.0
01,
554,
622.
0024
,666
63.0
3
Fai
rwoo
dH
ospi
tal
Min
orA
cute
35,9
57.0
078
,233
.00
4,19
6.00
0.00
0.00
0.00
118,
386.
0071
916
4.65
Gar
ngoc
hH
ospi
tal
Psy
chia
tric
-M
I75
,161
.00
101,
483.
0014
,818
.00
0.00
13,1
21.0
01,
425.
0020
6,00
8.00
1,93
210
6.63
Gel
linud
dH
ospi
tal
Com
mun
ityG
eria
tric
40,3
88.0
097
,923
.00
8,38
0.00
0.00
0.00
72.0
014
6,76
3.00
1,00
314
6.32
Gor
sein
onH
ospi
tal
Com
mun
ityG
eria
tric
98,4
97.0
019
5,48
1.00
23,9
34.0
00.
0052
,100
.00
1,49
8.00
371,
510.
003,
623
102.
54
Hill
Hou
seH
ospi
tal
Min
orA
cute
66,7
77.0
031
0,95
0.00
40,5
06.0
00.
0089
,703
.00
0.00
507,
936.
003,
693
137.
54
Mor
risto
nH
ospi
tal
Maj
orA
cute
1,95
1,96
7.00
2,04
5,06
5.00
527,
823.
0020
0,80
5.00
1,37
3,61
2.00
163,
452.
006,
262,
724.
0069
,514
90.0
9
Sin
glet
onH
ospi
tal
Maj
orA
cute
1,36
9,80
1.00
2,25
9,92
2.00
352,
726.
000.
0077
0,68
1.00
182,
155.
004,
935,
285.
0062
,808
78.5
8
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
176,
020.
000.
001,
093.
000.
000.
0065
,989
.00
243,
102.
0011
,781
20.6
4
AG
GR
2F
H-
Oth
er15
,666
.00
0.00
0.00
0.00
0.00
42.0
015
,708
.00
11,5
211.
36
AG
GR
3Ls
d&
full
serv
NH
S0.
000.
000.
000.
000.
000.
000.
002,
769
0.00
1,38
2,42
9.00
1,38
2,42
9.00
To
talf
or
sub
mit
ted
dat
a1,
382,
429.
004,
368,
808.
005,
818,
239.
001,
040,
682.
0020
0,80
5.00
2,49
9,37
3.00
434,
137.
0015
,744
,473
.00
194,
029
81.1
4
APPENDIX XIV
Observations on FM-related Operating Costs
VELINDRE NHS TRUST
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 127
APPENDIX XIV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 129
1.0 Introduction
1.1 The level of expenditure on facilities services alone does not reflect the performance of service
delivery. However, it is a helpful indicator when used to compare the expenditure of similar
organisations and draw attention to potential savings and the allocation of resources for optimum
performance. Hence, observations have been made on the available EFPMS data and the information
has been presented to enable benchmarking and, wherever possible, the sharing of good practice.
It should be noted that until suitable qualitative service PIs are developed for use in conjunction with
financial PIs to provide a balanced view, the system of colour coding performance used by the Welsh
Assembly Government’s balanced scorecard, as adopted for the Facilities Performance Report 2003 –
2004, will not be applied.
2.0 Breakdown of Trust facility services expenditure
2.1 A breakdown of the total reported costs associated with FM for the Trust is set out in Figure 1. Also
shown is the breakdown expressed as a cost/m2 compared with the all-Wales average. (N.B. due to the
omission of some data from Trusts, estimates have been incorporated to produce this average).
There has been a reduction of over £1m in total FM costs reported by Velindre, from almost £2.8m to
just over £1.9m, due almost entirely to a reduction in telecommunication service costs. The FM cost
for 2004-05 is £56.70/m2, which is over 30% less that the all-Wales average.
Compared with the data for 2003-04, every FM service cost average has increased, with the exception
of telecommunications and postal services. However, these services still remain well below the
respective all-Wales average. This is of general interest only, as the specialist nature of the Trust is
understood to account for the considerable departure from the national averages for most of the
services, making cost comparisons with other Trusts inappropriate.
Telecommunications costs have been included on a Trust basis and not allocated to individual sites.
2.2 Figure 2 shows the cost of the main FM functions expressed as a percentage of the total FM reported
costs.
The large reduction in the telecommunications component of the FM breakdown for Velindre NHS
Trust, from 48% in 2003-04 to 13% for 2004-05, has radically altered the chart. Due to the specialist
nature of the Trust, the comparison is expected to be only of on-going interest for this Trust.
Telecomsservice
Cleaningservices
Cateringservices
Laundry
& Linen
services
Securityservices
Porteringservices
Postalservices
Totals
FM Costs (£) 257,368 383,931 456,079 76,137 163,791 344,885 246,803 1,928,994
Trust cost (£/m²) 7.56 11.28 13.41 2.24 4.81 10.14 7.25 56.70
All-Wales cost (£/m²) 7.14 22.85 30.16 5.95 1.57 11.80 2.05 81.53
Figure 1: Trust facilities information
3.0 Breakdown of facilities services costs for individual sites
3.1 Sites included for the 2004-05 EFPMS were as follows:
❖ 1 Individual hospital site
❖ Aggregate 1 – Freehold, diagnostic & treatment centres, health centres
❖ Aggregate 2 - Freehold, all other properties
❖ Aggregate 5 - Leased and part serviced by NHS Trust/landlord
3.2 Details of all the individual Trust facility functions costs on a site-by-site basis are shown in Figure 3.
3.3 Observations on the data contained in Figure 3 are as follows:
1. The anomaly encountered last year with the extraordinarily high telecommunication services cost
for the Trust appears to have been resolved, as the figure of £7.56/m2 for this year comes out only
slightly above the estimated all-Wales average of £7.14/m2.
2. The Trust expenditure for cleaning services in 2004-05 has increased by over £100k for a similar
occupied floor area as 2003-04. This is understood to be due to the cleaning costs associated with
Health Solutions Wales, which are now part of the Trust, along with an increase in costs for Velindre
Hospital. The cleaning audit score submitted for Velindre Hospital in 2004-05 remained at 92%.
3. With postal service costs approaching £200k for 2004-05, they continue to feature as a highly
significant proportion of the total FM expenditure.
APPENDIX XIV
130 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Cleaning20%
Linen and Laundry4%
Catering24%
Portering18%
Security8%
Telecoms13%
Postal13%
Figure 2: Facilities expenditure % by function
APPENDIX XIV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 131
Figu
re 3
: Fac
iliti
es e
xpen
ditu
re
Sit
eN
ame
Ho
spit
alT
ype
Tel
eco
ms
(Tru
st-w
ide)
Cle
anin
gse
rvic
esco
sts
Gro
ssco
sto
fca
teri
ng
op
erat
ion
s
Lau
nd
ry&
Lin
enco
sts
Sec
uri
tyse
rvic
esco
sts
Po
rter
ing
Ser
vice
sC
ost
s
Po
stal
Ser
vice
sC
ost
s
To
talF
MC
ost
sO
ccu
pie
dfl
oo
rar
eaF
MC
ost
s
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(£)
(m²)
(£/m
²)
Vel
indr
eH
ospi
tal
Spe
cial
istA
cute
222,
899.
0045
6,07
9.00
68,1
24.0
028
,376
.00
220,
305.
0033
,452
.00
1,02
9,23
5.00
12,8
5280
.08
AG
GR
1F
H-
Dia
g&
Tre
atm
ent
14,7
36.0
00.
001,
770.
0070
0.00
3,84
8.00
35,7
90.0
056
,844
.00
1,65
434
.37
AG
GR
2F
H-
Oth
er50
,423
.00
0.00
572.
0073
,823
.00
106,
900.
0011
9,01
5.00
350,
733.
0010
,240
34.2
5
AG
GR
3Ls
d&
part
serv
NH
S95
,873
.00
0.00
5,67
1.00
60,8
92.0
013
,832
.00
58,5
46.0
023
4,81
4.00
9,27
725
.31
257,
368.
0025
7,36
8.00
To
talf
or
sub
mit
ted
dat
a25
7,36
8.00
383,
931.
0045
6,07
9.00
76,1
37.0
016
3,79
1.00
344,
885.
0024
6,80
3.00
1,92
8,99
4.00
34,0
2356
.70
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 133
APPENDIX XV
Occupancy costs for different hospital types
APPENDIX XV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 135
Fixed Costs £/m² rate Cost of Occupancy £/m² rate
Capital Charges Unknown Fixed Asset Costs 0.52
Taxes Unknown
Leases (Cost) 2.12
Leases (Income) 1.59 Operational Costs 51.48
Fixed Asset Cost 0.52 Annual Cost 52.00
Variable Costs 1
Electricity 5.57
Prime Energy 6.35
Water/Sewage 4.21
Telephone 7.54
Waste Disposal 2.86
Sub-Total 26.53
Engineering & Building 24.45
Ground & Gardens 0.51
Operational Cost 51.48
Variable Costs 2
Cleaning 26.04
Catering 35.03
Portering 16.07
Laundry 8.20 Cost Serviced Space £/m² rate
Security 1.54
Postal 2.86 Cost of Occupancy 52.00
Sterile Services 5.96
EBME 5.87 Service Costs 101.56
Sub-Total 101.56 Annual Cost 153.56
ACUTE HOSPITALSFixed Assets, Operational Costs & Cost of Occupancy Summary
(Based on the 2004-05 EFPMS Returns)
APPENDIX XV
136 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Fixed Costs £/m² rate Cost of Occupancy £/m² rate
Capital Charges Unknown Fixed Asset Costs 0.52
Taxes Unknown
Leases (Cost) 2.12
Leases (Income) 1.59 Operational Costs 53.20
Fixed Asset Cost 0.52 Annual Cost 53.72
Variable Costs 1
Electricity 4.05
Prime Energy 9.36
Water/Sewage 4.76
Telephone 7.54
Waste Disposal 2.26
Sub-Total 27.98
Engineering & Building 23.59
Ground & Gardens 1.63
Operational Cost 53.20
Variable Costs 2
Cleaning 30.98
Catering 40.42
Portering 12.90
Laundry 7.10 Cost Serviced Space £/m² rate
Security 2.05
Postal 0.64 Cost of Occupancy 53.72
Sterile Services 5.96
EBME 5.87 Service Costs 105.92
Sub-Total 105.92 Annual Cost 159.64
MINOR ACUTE HOSPITALSFixed Assets, Operational Costs & Cost of Occupancy Summary
(Based on the 2004-05 EFPMS Returns)
APPENDIX XV
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 137
Fixed Costs £/m² rate Cost of Occupancy £/m² rate
Capital Charges Unknown Fixed Asset Costs 0.52
Taxes Unknown
Leases (Cost) 2.12
Leases (Income) 1.59 Operational Costs 45.73
Fixed Asset Cost 0.52 Annual Cost 46.26
Variable Costs 1
Electricity 4.33
Prime Energy 8.38
Water/Sewage 2.37
Telephone 7.54
Waste Disposal 2.21
Sub-Total 24.83
Engineering & Building 19.20
Ground & Gardens 1.70
Operational Cost 45.73
Variable Costs 2
Cleaning 31.40
Catering 44.56
Portering 12.51
Laundry 6.43 Cost Serviced Space £/m² rate
Security 0.99
Postal 1.34 Cost of Occupancy 46.26
Sterile Services 5.96
EBME 5.87 Service Costs 109.06
Sub-Total 109.06 Annual Cost 155.31
COMMUNITY HOSPITALSFixed Assets, Operational Costs & Cost of Occupancy Summary
(Based on the 2004-05 EFPMS Returns)
APPENDIX XV
138 WELSH HEALTH ESTATES - Facilities Performance Report 2004/05
Fixed Costs £/m² rate Cost of Occupancy £/m² rate
Capital Charges Unknown Fixed Asset Costs 0.52
Taxes Unknown
Leases (Cost) 2.12
Leases (Income) 1.59 Operational Costs 38.27
Fixed Asset Cost 0.52 Annual Cost 38.91
Variable Costs 1
Electricity 3.41
Prime Energy 6.50
Water/Sewage 2.37
Telephone 7.54
Waste Disposal 1.85
Sub-Total 21.68
Engineering & Building 14.68
Ground & Gardens 2.03
Operational Cost 38.39
Variable Costs 2
Cleaning 31.24
Catering 38.58
Portering 7.40
Laundry 3.35 Cost Serviced Space £/m² rate
Security 1.66
Postal 1.26 Cost of Occupancy 38.91
Sterile Services 5.96
EBME 5.87 Service Costs 95.32
Sub-Total 95.32 Annual Cost 134.23
PSYCHIATRIC HOSPITALSFixed Assets, Operational Costs & Cost of Occupancy Summary
(Based on the 2004-05 EFPMS Returns)
APPENDIX XVI
Cost comparison of individual FM services
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 139
APPENDIX XVI
WELSH HEALTH ESTATES - Facilities Performance Report 2004/05 141
Tru
stN
ame
Org
anis
atio
nT
ype
Tel
eco
mm
sC
lean
ing
serv
ices
Cat
erin
gse
rvic
esL
aun
dry
&L
inen
serv
ices
Sec
uri
tyse
rvic
esP
ort
erin
gse
rvic
esP
ost
alse
rvic
esC
alcu
late
dF
Mco
stfr
om
sub
mit
ted
dat
a
(£/m
²)(£
/m²)
(£/m
²)(£
/m²)
(£/m
²)(£
/m²)
(£/m
²)(£
/m²)
Bro
Mor
gann
wg
NH
ST
rust
Larg
eM
ulti-
Ser
vice
9.46
21.2
229
.73
8.53
1.46
13.6
12.
5886
.59
Car
diff
&V
ale
NH
ST
rust
Acu
teT
each
ing
Out
side
Lond
on4.
1022
.48
24.5
94.
103.
057.
422.
0167
.74
Car
mar
then
shire
NH
ST
rust
Med
ium
Acu
teO
utsi
deLo
ndon
7.52
26.6
844
.12
7.96
1.38
16.3
53.
2410
7.25
Cer
edig
ion
&M
idW
ales
NH
ST
rust
Sm
allM
ulti-
Ser
vice
9.23
29.2
743
.45
8.20
0.12
14.4
42.
4910
7.19
Con
wy
&D
enbi
ghsh
ireN
HS
Tru
stLa
rge
Mul
ti-S
ervi
ce5.
5724
.21
25.5
24.
090.
9614
.62
1.10
76.0
5
Gw
entH
ealth
care
NH
ST
rust
Larg
eM
ulti-
Ser
vice
10.2
123
.40
34.1
96.
450.
9511
.17
1.74
88.1
1
Nor
thE
astW
ales
NH
ST
rust
Larg
eM
ulti-
Ser
vice
5.80
17.7
224
.48
6.49
1.74
15.7
52.
2874
.25
Nor
thG
lam
orga
nN
HS
Tru
stM
ediu
mM
ulti-
Ser
vice
6.19
26.8
027
.32
7.19
2.76
15.0
00.
0483
.26
Nor
thW
estW
ales
NH
ST
rust
Larg
eM
ulti-
Ser
vice
9.36
17.9
735
.96
5.71
0.12
9.18
2.28
80.5
8
Pem
brok
eshi
re&
Der
wen
NH
ST
rust
Med
ium
Mul
ti-S
ervi
ce7.
7827
.56
25.1
58.
630.
8010
.90
1.09
81.9
2
Pon
typr
idd
&R
hond
daN
HS
Tru
stLa
rge
Mul
ti-S
ervi
ce5.
6029
.50
42.9
67.
571.
6815
.29
2.29
104.
90
Pow
ysLH
BM
ediu
mC
omm
unity
8.00
24.5
828
.49
5.75
0.02
7.96
1.41
68.2
1
Sw
anse
aN
HS
Tru
stLa
rge
Mul
ti-S
ervi
ce7.
1222
.52
29.9
95.
361.
0312
.88
2.24
81.1
4
Vel
indr
eN
HS
Tru
stA
cute
Spe
cial
ist
7.56
11.2
813
.41
2.24
4.81
10.1
47.
2556
.70
Est
imat
edal
l-W
ales
aver
age
7.14
22.8
530
.16
5.95
1.57
11.8
02.
0581
.53
The
leve
l of
exp
endi
ture
on
faci
litie
s se
rvic
es a
lone
doe
s no
t re
flect
the
per
form
ance
of
serv
ice
deliv
ery.
How
ever
, it
is a
hel
pful
ind
icat
or w
hen
used
to
com
pare
the
exp
endi
ture
of
sim
ilar
orga
nisa
tions
and
dra
w a
tten
tion
to p
oten
tial s
avin
gs a
nd t
he a
lloca
tion
of r
esou
rces
for
opt
imum
perf
orm
ance
. Hen
ce, o
bser
vatio
ns h
ave
been
mad
e on
the
avai
labl
e EF
PMS
data
and
the
info
rmat
ion
has
been
pre
sent
ed t
o en
able
ben
chm
arki
ng a
nd, w
here
ver
poss
ible
, the
sha
ring
of g
ood
prac
tice.
A s
umm
ary
of t
he c
alcu
late
d co
sts
for
each
FM
ser
vice
is p
rovi
ded
belo
w t
o al
low
com
paris
on w
ith
all-W
ales
ave
rage
s de
rived
fro
m t
he r
epor
ted
data
for
200
4-05
.
© Copyright Welsh Health Estates 2005
All Rights Reserved. No part of this publication may be
reproduced, stored in a retrieval system, or transmitted, in any
form or by any means, electronic, mechanical, photocopying,
recording or otherwise without the prior permission of the
copyright owner.
Cover photographs by Welsh Health Estates.
Designed by Keith James Design Associates.
Printed by Integrated Graphics Ltd., Barry
Front Cover photographs:
1, St. Cadoc’s Hospital, Caerleon
2, Reproduced with kind permission of
North Glamorgan NHS Trust
3, Royal Glamorgan Hospital, Llantrisant
4, Royal Glamorgan Hospital, Llantrisant
Back Cover photographs:
5, Cancer Treatment Centre –
Ysbyty Glan Clwyd
6, Welshpool Community Hospital
PO Box 182,
Bevan House, 24-30 Lambourne Crescent, Llanishen
Cardiff CF14 5GS
PO Box 182,
Ty Bevan, 24-30 Cilgant Lambourne, Llanisien
Caerdydd CF14 5GS
1
2 3
5 6
W E L S H H E A LT H E S TAT E SYSTADAU I ECHYD CYMRU4