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Estates and Facilities - the Future?

Estates and Facilities - the Future?. Kevin Oxley, Director of Operations – North Tees and Hartlepool NHS Foundation Trust National Chair - HefmA. Key Issues Affecting E&F. Foundation Trust status Compliance Health Care Associated Infections (HCAIs) Health Care Commission Inspections

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Estates and Facilities - the Future?

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  1. Estates and Facilities- the Future? Kevin Oxley, Director of Operations – North Tees and Hartlepool NHS Foundation Trust National Chair - HefmA

  2. Key Issues Affecting E&F Foundation Trust status Compliance Health Care Associated Infections (HCAIs) Health Care Commission Inspections Operating Framework 09/10

  3. Foundation Trusts • Regulator – Monitor (as well as DH) • No financial bail-out from SHA • New style Boards • Choice, Competition, Contestability • Reputation management • Estates and Facilities services are key!

  4. Compliance • In organisations in financial surplus unsafe arrangements are not defendable • We have been too used to managing higher risk levels than normal • Compliance review needed • Are we living with a risk legacy in E&F?

  5. But what policies affect the future of E&F? • Greater emphasis on HCAI’s and quality • Improved patient safety • Quicker access • Care closer to home • Improved efficiency • Greater public involvement

  6. Sound familiar?

  7. THE OPERATING FRAMEWORK09/10 – high quality care for all

  8. Key indications of the future • References to • Asset ownership models • Improvements in utilisation • 3 per cent efficiency to 2010/11, but in ‘current economic climate…. very substantial efficiency savings in 2010/11 to contribute to returning the economy to balance’

  9. Key indications • And • Shared services in back office operations including ‘estate and security functions’ • More ‘commercial use of assets’ • Specific theme focused on ‘efficient public sector property management’

  10. So what does this mean?

  11. Asset ownership models • PFI balance sheet issues • Commissioner / Provider split • Social Enterprises • Charitable Trusts • Multi-agency ownership

  12. Improvements in utilisation • Big emphasis on space utilisation • Good asset stewardship essential • Estate rationalisation • Estate strategy’s • ‘Sweat the asset’ mentality needed eg 3 session or extended working

  13. ‘very substantial efficiency savings in 2010/11’ • How does this fit with improving quality? • By freeing up resource to invest in front line services • Service Line Management (SLM) • Productive Ward • LEAN • Accounting treatments • Strategic asset management

  14. Shared services • Well embedded in some areas • Further scope across the country • Significant opportunity cross public services?

  15. More ‘commercial use of assets’ • NHS Estate – too often seen as a ‘free good’ • Commercial rents should be charged • Occupancy costs need to be fully understood • Formal leases / licences required • Exploit income generating opportunities

  16. ‘efficient public sector property management’ • All of the above • Need to think ‘outside the box’ • Need demonstrable efficiency evidence • Is ERIC it? • We must benchmark with private sector

  17. Can we achieve this? • Yes we can! • We have delivered improved quality • We have reduced costs • We have many real innovators • We are enablers • We are not victims

  18. Thank you Questions?

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