Improving Space Utilisation in the NHS Estate

1. Improving Space Utilisation in the NHS Estate Julie Whetton, Head of Property Management, NHS Property Services

2. NHS Property Services (NHSPS) Our objectives: £760M annual revenue 10% of NHS estate 3.2M square metres £3.8B asset value 7,000 tenants 3,500 properties ~5,000 employees Act as landlord and service provider Reduce running costs of the NHS estate Reconfigure estate to support the delivery of new models of care Unlock value from surplus NHS land and buildings and deliver housing Help the NHS use its estate more efficiently

3. NHS in the wider public sector estate How does the NHS fit into the wider public sector estate? One Public Estate, Government Property Agency – how does this connect to NHSPS? National Office Programme and Government Strategic Hubs programme NHS Open Space, long term ambition to open to all public sector services NHS England/Improvement realigning zones for the estate, shifting to regional planning

4. Our programmes How NHSPS is improving space utilisation

5. Creating value from the NHS Estate • Our core purpose: • Transforming the NHS estate to improve patient care, increase capacity and release value for investment

6. Property Disposals • £342m • 412 • 5,935 To ensure the NHS estate is as efficient as possible, sometimes we need to dispose of properties. This can be the case if a property is underused, is no longer needed or if the way services are provided needs to evolve. All receipts are reinvested in the NHS estate. raised for the NHS through disposal of unwanted assets new homes developed via release of surplus NHS land since April 2013 properties sold since FY2013/14

7. National Office Programme Offices make up a significant proportion of the NHS estate, with NHSPS’ portfolio alone covering approx. 400 office holdings, spanning 400,000 sqm and serving multiple NHS bodies. Promoting agile, modern working environments Lease events management Supporting rationalisation and relocation Project oversight and best practice for wider healthcare estate

8. Property Development We explore redevelopment opportunities of underutilised and inefficient sites in order to provide modern, fit for purpose healthcare facilities, as well as optimise the value of the site so that funds gained can be reinvested back into the NHS. This includes releasing land for much needed housing. Hawks Road, Kingston: a new health facility and up to 100 residential units Chiswick Health Centre, London: a new health facility and up to 35 residential units

9. Vacant Space Handback Scheme Enabling Commissioners to pass on the liability for eligible vacant space to NHS Property Services (NHSPS), and cut the cost of empty space in their buildings. Once handed back, NHSPS will then use its property expertise to repurpose the space, via:

10. NHS Open Space NHS Open Space leverages NHSPS' national portfolio of accessible, flexible and affordable accommodation as an alternative to leasing for NHS bodies, driving utilisation and rationalising opportunities. Provides clear and transparent pricing/usage data Substantial, scalable potential A catalyst for better estate management Enables flexible booking/usage of space

11. CORE: our new facilities management platform As part of the improvements we are making to our Facilities Management services, we have launched CORE, our new FM platform. CORE aims to provide a more reliable and efficient FM service by logging, planning and monitoring our customers’ FM jobs, including reactive and planned, through one system. Greater first time success Increased levels of building compliance More accurate expected completion times More accurate monitoring of assets Real-time reporting Better communication

12. FM Helpdesk Transformation At the end of 2018 we consolidated our four regional facilities management helpdesks into one centrally-managed desk to target key strategic benefits including: Improved operational efficiency Greater business intelligence Increased customer satisfaction The project has been recognised in overwhelmingly positive feedback and operational colleagues. We have also been nominated for the Institute for Workplace and Facilities Management (IWFM) Awards 2019 in the category “Impact on Customer Experience”.

13. Occupancy Regularisation A formal agreement on a property’s occupation gives us an opportunity to agree with you on the facts about how our buildings are occupied and used. Leases enable: Quality patient care Security of occupation Clarity on costs Informing future investment

14. Alternatives to Leases We are aware that a full lease may not be suitable for every occupier, for example where there are short service contracts in place. And so we have three options available: Full lease Rental Agreement Letters NHS Open Space and Sessional Licenses

15. Looking ahead Technology and the NHS estate

16. NHSPS and The King’s Fund • We partnered with The King’s Fund to explore technology and the NHS estate, which has a key role in enabling the NHS Long Term Plan • Key research objectives: • Explore the impact of technology advancements on the NHS estate • Identify the key lessons from previous technology projects in the NHS and other sectors, and look for implications for the estate • Identify the opportunities and risks in this area

17. NHS Estate of the Future Using PropTech to improve buildings management and planning Real time data on property • Technology is likely to result in a different NHS estate, rather than a smaller one, with space being used or configured in different ways. Supporting flexible working Staff involved in design Location agnostic data Access the system more effectively, from anywhere Lower or different footprint Integrated systems reduces need for space and storage, allows for better patient experience

18. Contact Julie Whetton 99 Gresham Street, London Julie.Whetton@property.nhs.uk 0203 934 1711 @NHSProperty Property.nhs.uk