LIFT & SSDPLIFT & SSDP Principles ProcessPrinciples Process

&&DeliveryDelivery

Alan Prigmore

LIFT Delivery Principles

• Strategic ‘Whole System’ approach• Community based services• Co-location / integration of services• Step change in care• Expensive & Complex• Flexibilities / Opportunities• Future proofing

Orgs. / Agencies / Services etc.• PCTs• GPs / Practices• Dentists• Optometrists• Pharmacists• Community

Nursing• DTCs

• Mental Health / Acute• Ambulance/Police/Fire• Social/Housing/Education• Private Sector providers• UDP / Transport• Trades Unions• Voluntary / Community

groups• LMC / CHC• Commercial & Leisure

LIFT Structure

Local Stakeholders

PfH

Private Partner

Strategic Partnering Board PCTs/LAs

LIFT Company

End Users

Shareholders Agreement

StrategicPartneringAgreement

Lease Plus

SSDP Contents• Population

– Demographics/Health Needs etc.

• NHS Plan / LDP Requirements– Local & National targets

• Services– Current services– Current delivery systems / pathways of care– Development proposals– Strategy

SSDP Contents continued• Human Resources

– Current staffing - skills etc.– Future requirements– Strategy

• Estates– Current capacity / standards / flexibility– Future requirements– Strategy

SSDP Contents continued• IM&T / Equipment

– Current– Future requirements– Strategy

• Financial Analysis– Current revenue commitments– Future growth & commitments– Capital & revenue costs of LIFT developments– Net revenue costs

SSDP Contents continued• Delivery

– Short term developments in detail– Medium term developments in draft– Long term vision– Implementation programme– Stakeholder commitment– OJEC Notice

Project Management

L eg a l & F in an c ia l A d vice

P C T Team s

C lin ica l / S ervice Team s

C om m u n ity G rou p s

IM & T / E q u ip m en t

S ervice P lan n in g

L oca l leg a l & fin an c ia l ad vice

H u m an R esou rces E s ta tes

P rac tices

A g en c ies

O th ers

C om m u n ica tion s

F in an ce

P ro jec t TeamH ead s o f fu n c tion a l g rou p s

P ro jec t B oard P aren t O rg an isa tion s

Specialist Advice• National

– Local Project Support Managers– PfH Advisors– Legal / Financial

• Local– Legal / Financial– Quantity Surveyors– Architect / Project Manager– District Valuer

Requirements• Partnerships / Co-ordination / Co-operation• Population Demographics / Public Health Details• Detailed Comprehensive Audits• Detailed Service development Plans• Capital Investment / Dis-investment Programme• Financial Impact Statements - Capital & Revenue• Contracts & Constitution• Financial & Legal Advice• Ownership & Commitment

Procurement & Delivery

• Signed SSDP in 6 months (£50 & £150 million)• OJEC to ITN 3 Months• Detailed Submission & Shortlist 3 months• Detailed design solutions / Partnership proposals &

selection of preferred bidder 3 months• Final Design & Contract negotiation 3 months• Construction of priority schemes commences 12

months after issue of OJEC 18 months from date of selection as a LIFT locality