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Establishing Strategic Estates Partnerships in the NHS

Establishing Strategic Estates Partnerships in the NHS

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Establishing Strategic Estates Partnerships in

the NHS

Ryhurst

Value creating partnerships Patient focussed Deliver savings Sustainable solutions Improve performance 50:50 partnership Primary and secondary

procurement of supply chain

Make decisions on behalf of the Trust

Strip assets from the NHS Private Finance Initiative

(PFI) Cherry pick projects Bring a fixed supply chain

What we do What we don’t do

Ryhurst works with the healthcare sector to support clinical plans through smarter estates

management

The NHS challenge The Health and Social Care

Bill Fragmented control over

property £30billion black hole in NHS

finances by 2020 Increased expectations 5 Year Forward View

Align clinical and estates strategies

Source funding Identify optimal project

sequencing Improve performance and

efficiency Optimise value from surplus

land and buildings Manage and deliver capital

projects Identify commercial

opportunities Increase income Apply resources and processes

The SEP solution

Ryhurst’s SEPs

2010

2011

2012

2013

2014

2015

Ryhurst forms the first whole

estates joint venture

partnership of its kind in the

NHS with Lancashire Care

NHS FT

Ryhurst forms the second whole estates joint venture partnership with Cheshire & Wirral Partnership NHS

FT

Ryhurst forms its third whole estates joint venture

partnership and the first non Foundation Trust

partnership in the NHS with Isle of Wight NHS Trust

Governance Two representatives from each shareholder NED and Executive Informed client role Transparency and visibility Continuity of ‘bid to board’ Shareholder meetings – future planning

Lancashire Care NHS FT

Came to market for:

Estate rationalisationHard and Soft FM services improvementsDelivery of new capital projects

RRCS Successes Moved from supplier of management services to

fully functioning company Exceeded Trust’s CIP targets for past 5 years Managing estates and property disposal £5m revenue savings on Hard and Soft FM in

two years Achieved Department of Health Directional

Status Transferred LCFT team, protecting

NHS pensions Generating returns to shareholders

RRCS Successes

£3m savings in Space Utilisation

39% increase in use of facilities

50% reduction in consultancy costs

£20m savings on capital costs at The Harbour

30% cost reduction in PFI annual charge

RRCS Future Opportunities Cost certainty through budget transfer Integrated Care Hub in Lancashire New Mental Health Inpatient Unit Continued Estate rationalisation Integrate Estate, IM&T and Capital Programme Delivering advisory services to other Trusts Development of website

Cheshire & Wirral Partnership NHS FTCame to market for:

Land acquisition and disposalsEstate rationalisationDelivery of new and refurbished facilitiesImproving estate and property management services

Villicare Successes Saved £1.4m on a Tier

4 CAMHS development New PICU facility Maximised returns

from Land and Property

Delivery of IM&T services

Identified Soft Services efficiencies

Fertility Services

Villicare Future Opportunities

IM&T transformation ‘Healthy Wirral’ Cost certainty through budget transfer Optimise value of land and buildings Development of website

Isle of Wight NHS TrustCame to market for:

A prioritised capital projects programmeEstate rationalisationLand acquisition and disposalImproving estate and support services

WLP Activities Alignment of estates and clinical

strategies Prioritising capital projects Review of surplus land and

buildings Identification of commercial

opportunities Review and implementation of

Secondary Services quality and financial improvements

Space Utilisation survey within the Trust’s HQ

Stakeholder engagement through island wide events

WLP Future Opportunities 4G mast allowing ‘agile’ working Lead role in Vanguard / My Life a Full Life Cost certainty though Budget Transfer Improvements in Space Utilisation Income from commercial developments

Stephen CollinsonEmail: [email protected]: 01342 822113Mobile: 07951 359887www.ryhurst.co.uk