strategic estate partrnerships, patient hotels and apps

Strategic Estate PartnershipsPatient Hotels & AppsLester WagmanHealthcare Environment & InfrastructureLondon, December 2013

What is a Strategic Estate Partnership?• No single definition• Often whole estate PPP principle• Can be specific assets with option to widen scope• Assets taken off balance sheet but can be just contractual• Often includes asset management and [some] FM• Can also include healthcare & support services• Private sector partner brings development skills & finance• With agreement can be extended to include other public sector

assets

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SEP spectrum?• Contractual/framework (e.g.

Lancashire)• Limited asset (e.g. Southend,

Yeovil, Salisbury)• Scheme specific (e.g.

Cambridge, Kings College)• Sample scheme led (e.g.

CWP, IoW)

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Southampton CEDP

• MERA• Parking• PPU• Patient Hotel

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Patient HotelsUK Examples (mainly NHS operated)• Nottingham• St James’, Leeds• St Thomas’• UCLH Cotton Rooms• Ronald McDonald Houses• Beardmore Hotel,

Clydebank• Lancs Teaching Hospital

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Patient HotelsBusiness Case• Need- Planned early admissions- Patients waiting discharge- Relatives and friends• Case- Save £250+ per night- Reduce waiting lists- Improve efficiency/flexibility

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Operational Considerations

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• Should there be any ongoing nursing care be provided?• If so, who should provide this and what should be their responsibility?• Should an emergency call button be provided?• If so, who should respond and what should be their responsibility?• How long should the patient be allowed to stay• What happens at the end of this period?• Who will pay for their accommodation, meals and care (and for how long)?• Who will be responsible for the maintenance of the environment?• Who will be responsible for the provision of hotel services?• Under what circumstances and who decides if the patient should be

readmitted to hospital?

Location & Site Parameters

• Larger acute FTs only• City or tourist locations• Ideally prominent• Surplus land• Existing car parks• Redevelopments• Refurbishments

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Partnership Structure• Site leased to partner

(min 30 years)• Partner constructs and

operates hotel at own cost• Trust commits to % of

rooms at fixed rate• Trust takes benefit as

either- Ground rent- Discounted day rate- Plus huge cost savings!

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Design/Operation Criteria

• Must offer room service• 3½ - 4 • 50% Accessible rooms• Robust finishes & fittings• Designed for hygiene• Call button??• Parking standards

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Challenges• Location: Commercial

demand vs hospital activity• Siting: identification of

site + planning hurdles• Parking & integration

with wider hospital infrastructure• Procurement• Governance• Operation 11

Context of Apps?

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What are Apps?

• Application software• User-friendly interface• Simplify and link ‘operations’- Internet- Databases- Native device functions• Call to [inter]action• Full or part-downloaded

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Types of Apps?App Types

CommunicationStore/retrieveLook-upEntertainmentNavigationeCommerce

Native Functions

InternetPhone

GPSMusic Player

Sound recorderVideo

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Apps in the Healthcare Environment

Clinical• Wellness• Self-diagnosis• Therapeutic• Workflow• Training

User Experience• Way finding

(map/video)• Parking• Appointments• What to bring/expect• House rules• Health & Safety• Feedback

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Non-Clinical• Building

Management• Catering• Workflow• Training

Who’s doing it?Familiar names

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