Prioritising Primary Care Premises Developments

Strategic Service Development Plans

Keith Houghton,

Associate Consultant

NatPaCT/ NHS Estates

Purpose of Strategic Service Development Plan

• A whole system plan for investment

• Can act as a basis for premises procurement

• Describes procurement priorities/ phased investments and supports business cases

Who will have access to the SSDP?

• All health and social care organisations

• Community and professional representative groups

• Partnerships for Health (NHS LiFT)

• Potential Private Partners

What should an SSDP contain?

• Reflect implementation of national and local priorities

• Proposed PCT, SHA and local authority investments

• Linked to local estate strategies

• Joint investment/ planned disinvestments

• Purchase of land and use of nGMS flexibilities

Specific relevance of Primary Care

• Reflect current and future Service Aspirations

• Physical condition of the primary care estate

• Anticipated service changes - nGMS/PMS, Pharmaceutical and Dental contracts

• incentives to involve other stakeholedrs

Opportunities for Stakeholder involvement

• Enable front line staff to influence design solutions

• Reflect priorities in meeting health needs

• Link to urban regeneration

• Inclusive of all health services in a locality

• Enable a wider range of non-NHS community based service providers

• Consider opportunities with the commercial sector

Service change and impact assessment

• Describe planned service changes

• Proposed joint investment, e.g. intermediate care, emergency care

• Change resulting from the impact of service redesign

• May also act as public consultation document

Approval Process and wider use

• Approval by all relevant agencies at board level

• A “live” document updated regularly• Reflect all investment priorities in

LDP• LiFT companies will deliver

developments informed by SSDP• In the case of batched schemes,

SSDP will inform OJEC/tendering process

Modernising Primary Care/ Estate

SOS / Ministers

Public and Service Interface – SHA, PCTs, Clinicians/Networks, Social

Services, Voluntary Sector

Local Delivery Plan

PCT CompetenciesnGMS contract

Investment in Estates Management and Procurement of Primary Care Premises

• PCT Board & PEC clearly understand responsibilities in relation to estates functions

• PCT ensures that there is a Board member responsible for estate issues

• PCT understands how to dispose of existing estate, procure new facilities and maintain current facilities.

• PCT should employ or contract the necessary expertise to manage the estate and facilities

PCT Competencies contd...

• PCT maintains an upto date estates terrier (register of property interests) owned or leased by the Trust

• PCT ensures a management support structure to enable an improved estate through the NHS Local Improvement Finance Trust (LIFT) scheme

• PCT should develop a Strategic Services Development Plan indicating appropriate estate requirements to meet modern patterns of service delivery.

PCT Competencies contd...

• PCT has a Board approved Estates Strategy

• PCT has an established visiting programme to ensure all owned and appropriate NHS contractor premises meet and maintain minimum standards.

• PCT should seek independent assurance that an appropriate and effective system of managing the estate is in place and that the necessary level of controls and monitoring are being implemented