Virtual Reality (VR)
- Transparency of final outcomes is enhanced through the development of VR in construction. Estates are able to walk around and explore their finished space before a single piece of material is cut.
- Clients, designers and stakeholders can collaboratively make real-time adjustments to a design in a virtual world, visible on a smart phone, tablet, laptop or VR headset.
Circular Economy and Sustainability
- Transparency of the final result at the front end means little to no changes are made once the materials arrive on site, reducing waste and speeding up construction
- An automated digital system minimises the potential for human error leading to reduction of waste and re-ordering of materials, as well as overall project time
- Creating a digital file allows for re-use and reconfiguration of the materials in the future, detailing which elements are available for re-use and which, if any, to buy new.

The recent pandemic caused by SARS-CoV-2 highlighted significant shortcomings in healthcare estates infrastructure across the NHS. A report commissioned by the Institute for Government 'How Fit were Public Service for Coronavirus' stated that 'The NHS could have entered this crisis with a more resilient health infrastructure if it had invested more in recent years' (Davies and Atkins, 2020).

In January 2021, the National Patient Safety Agency released data which states that patient safety incidents citing work and environmental factors in 2019/20 had doubled since 2011/12 (NHS England, 2020), amounting to over 115,000 incidents and accounting for 5.3% of all reported incidents - including deaths. All the while the estates backlog cost increases year on year to its highest ever point.

In addition, a review of research into the effects of backlog maintenance on patient outcomes has returned no studies in the last 20 years that link the level of backlog in healthcare to patient harm.

The presentation will discuss two key projects that will attempt to address the issue. The first is a summary of my PhD research into the effects of backlog maintenance on patient outcomes. The presentation will discuss:

- the review of 20 years of research in Patient Harm, and the role that infrastructure has
played,
- a review of over 9m NRLS patient safety incident reports,
- The future aims of the research over the coming three years.

The second project is an overview of a pilot study being developed at UHS NHS Foundation Trust. The aim of the study is to not only capture the cost to estates of infrastructure failures, but the clinical impact from a financial and patient disruption perspective. The pilot, taking place 2023/24 will aim to provide significant evidence of the direct effect infrastructure failure on the patient.

Transformation is placed at the heart of the UK government's drive to improve productivity, increase efficiency, and improve outcomes across the NHS. This is reflected in the New Hospitals Programme in England, which represents a significant investment in the NHS estate and infrastructure, aimed at enabling delivery of new service models.

Healthcare providers need to understand the impact of service transformation on the scale and scope of services that will be needed in the future, to ensure that new hospital facilities are 'right-sized'. Capital investment needs to reflect the wider strategic objective of delivering care in the most appropriate location at the right time.

As an example, the James Paget University Hospitals (JPUH) Change Framework provides a programmatic approach to collating and evaluating the impact of system-wide transformation programmes and prioritising programmes that are required to deliver local and system objectives. The approach provides assurance that the new models of care and activity assumptions driving the scope, scale and size of capital investment plans are supported by operational plans. It also supports understanding of the achievability of other objectives that are delivered as part of wider programmes of work - digitalisation, net zero carbon, improved working environment, etc.

The benefits of the programmatic approach include:
- Operationalising local and system strategic goals
- Quantifying and measuring the impact of programmes on strategic objectives and providing assurance on deliverability of plans
- Enabling system-wide coordination and implementation of transformation programmes
- Strengthening system-wide governance, accountability and integration
- Facilitating a whole system approach to data analysis and population health management
- Identifying interdependencies to maximise use of resources across the system

This presentation will describe the progress JPUH (supported by Currie & Brown) has made, the challenges we have faced and the opportunities identified through taking a programmatic approach to system-wide transformation.

NHS Property Services and NHS Bath and North East Somerset, Swindon and Wiltshire Clinical Commissioning Group, working together with Kier recently delivered the new £10.9m Devizes Care Centre
As one of the county's first integrated care centres, it provides accommodation for primary care, community health, mental health and other associated services - all centred around the patient in a community setting, as well as:
• Minor procedures
• Outpatients
• Phlebotomy
• Physiotherapy
• Podiatry
• Audiology
• Diabetes
• Community dentistry
• Voluntary sector services

By providing an expanded range of primary care services to the local community, it will shift care closer to patients' homes with the ambition to deliver care efficiently through networks of practitioners working together and integrating services across the health, social care and voluntary sector spectrum.
Services are provided in an efficient building layout that has been designed for future flexibility, with a 'racetrack' typology that raises the quality of the patient journey, fostering intuitive way finding and improved patient experience, also giving local GPs additional clinical space needed for everyday care.
Focus on sustainability is not only one at community level but also through a reduced energy footprint, supported systems designed to provide ''net zero carbon' in operation, using heat pumps and solar panels to power and heat the building
"The new Devizes Health Centre will be a facility the whole community can be proud of and benefit from ... As the flagship location for health and care in Devizes, the centre will ensure patients have access to modern facilities and state-of-the-art services while also providing professionals with much-needed additional clinical space, which will allow teams to provide an even greater level of care. I very much look forward to the opening of the new Devizes Health Centre in 2022"
Dr Andrew Girdher, Clinical Chair

Over the last few years, the Diversity and Inclusion Working Group has been looking at different aspects of this subject.  This year we have been looking at the "Inclusion Ceiling" - what that means to ensure that we have a diverse and inclusive workforce at the highest levels of our industry.  The session will explore different aspects from what we have heard.

The presentation will cover key opportunities and positive outcomes enabled by the digital transformation of the NHS and will provide a general overview of ongoing strategic projects in this space. The first part of the presentation will focus on the digital strategy championed by the NHP to modernise assets, systems, processes and workforce. The second part will introduce the AIP and its current composition, innovative approach and aspirations around accelerating the digital transformation and the realisation of benefits for the NHS.

Panellists in this session are:

Steve Lawley, Director of Estates and Facilities, The Dudley Group NHS Foundation Trust

Martin Clark, Senior Director and UK Head of Healthcare, Currie & Brown

Jade Metcalfe, Senior Consultant, Healthcare Advisory Team, Currie & Brown

Will Brown, Assistant Director of Strategy and Transformation, James Paget University Hospitals NHS Trust

James Hackett, Programme Director, James Paget University Hospitals NHS Trust

Panellists in this session are:

Ian Strangward Managing Director, Architecutral Wallsz (International ltd)

Professor Servio Cavalaro, Associate Dean for Research and Innovation (Loughborough University), in representation of the AIP, Loughborough University and Academia-Industry Partnership (AIP)

Panellists in this session are:

David Jones, Director of Estates, Facilities & Capital Development, University Hospital Southampton

Martyn Symonds,Senior Project Manager, Kier Construction

Alison Halmshaw, Associate Director, Archus

Andrew Strange, Estate Strategy Lead (South), NHS Property Services

Panellists for this session are:

Paul Harris, Chair IHEEM Electrical Technical Platform

Martyn Stanway, IHEEM Electrical Technical Platform

Peter Angel, IHEEM Electrical Technical Platform

Mazin Daoud, Chair, IHEEM Fire Safety Technical Platform

Panellists in this session are:

Lucy Rowe, Young Persons & Diversity Lead, National Estates & Facilities Team- NHS England

Caroline Lowe, Workforce HR System Manager, National Estates & Facilities Team- NHS England

Duane Passman, Joint Chair, Diversity & Inclusion Group- IHEEM

Gareth Longley-Gammon, Member, Diversity & Inclusion Group- IHEEM

Kim Shelley, Joint Chair, Diversity & Inclusion Group- IHEEM