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LIFT and the development of Primary Care . Paul Benson General Manager East London LIFT Company. What is LIFT?. What is LIFT? How does it work? How LIFT will support your work. NHS Plan – July 2000.
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LIFT and the development of Primary Care Paul Benson General Manager East London LIFT Company
What is LIFT? • What is LIFT? • How does it work? • How LIFT will support your work
NHS Plan – July 2000 • “The NHS will enter into a new public private partnership within a new equity stake company – the NHS Local Improvement Finance Trust (NHS LIFT) – to improve primary care premises in England.”
NHS Plan – July 2000 “As a result of this NHS Plan: • up to £1 billion will be invested in primary care facilities • up to 3,000 family doctors’ premises will be substantially refurbished or replaced by 2004.”
NHS Plan – July 2000 • …. “record investment will allow for a range of brand new types of NHS facilities, bringing primary and community services – and where possible social services – together under one roof to make access more convenient for patients.”
NHS Plan – July 2000 • “New one-stop primary care centres will include GPs, dentists, opticians, health visitors, pharmacists and social workers. As a result of this NHS Plan there will be: • 500 one-stop primary care centres by 2004”
NHS Plan – July 2000 • ……. “a radical redesign of the whole care system. In future, social services will be delivered in new settings, such as GP surgeries, and social care staff will work alongside GPs and other primary and community health teams as part of a single local care network.”
LIFT Prospectus – July 2001 NHS LIFT aims to: • Deliver a step change in the quality of the primary care estate • Remedy some of the deficiencies in the existing arrangements • Contribute to the delivery of the investment targets in the NHS Plan
LIFT – policy into reality • February 2002 – East London OJEU notice • February 2002 – East London SSDP • May 2002 – ITN published • December 2002 – preferred bidder • May 2003 – contracts signed
East London LIFT • Three of the most deprived boroughs in the UK - but also wealth and commerce • Newham • Tower Hamlets • Hackney • City of London
East London - context • Estimated population of 627,000 • Ethnically rich population - 46% from minority communities • Young population – 25% under 15 • Major health problems • Mainly poor primary care infrastructure
East London – public sector • City & Hackney PCT & LB Hackney • Tower Hamlets PCT & LB TH • Newham PCT & LB Newham • East London & the City Mental Health Trust • Partnerships for Health
East London – private sector • Global Solutions Ltd • Babcock and Brown • Balfour Beatty and supply chain
Private Sector Partners • Property Development • Project Management • Project Finance • Design & Construction • Supply chain management • Facilities Management
East London LIFT Company • 60% private sector • Global Solutions • Babcock and Brown • 40% public sector • PCT’s x 3 • Mental Health Trust • London Borough of Newham • Partnerships for Health
LIFT – it’s not just bricks • LIFTCO – development company • Strategic Partnering Board • Strategic Service Development Plan • Service and Estate Strategies • PCT’s, Acute Trusts, LA’s • Whole system transformation
What LIFT will deliver • Unprecedented investment in primary care infrastructure • Strategic packaging of projects • Support to wider regeneration • Reduced procurement time & costs • Reduced construction time and costs
What LIFT will deliver • Long-term partnering and learning • Innovative design through dialogue with users • Guaranteed lease payments • Guaranteed programmed maintenance
What LIFT will deliver • ….the tools that will support you in the redesign and development of services!
LIFT – “must do’s” • Joint acute and primary care trust service strategies • Whole-system approach to service redesign • Engagement with Local Authorities • Engagement with all stakeholders
3 GP practices Community nursing School nursing Sure Start Pharmacy Psychology Optician Dentist Diagnostic imaging Women’s services Cardiology Community cafe Church Road - services