Planning for the Long Term, Delivering Now

Time: 12:20 - 12:40

Date: 09/10/2018

The problems that the NHS is facing are well reported, primarily increasing and changing demand with limited resources. The response to these challenges is evolving through the Sustainability and Transformation Plans (STPs), the Carter report and Naylor report. A common theme is the recognition of the importance of the estate to support the transformation in service delivery with the estate described as one of the enablers for STPs.

How does the NHS unlock the potential of the estate as an enabler addressing the realities of backlog maintenance in an aging estate supporting a long term vision whilst responding to short term requirements? We will explore the challenges and opportunities that Estates teams commonly face in developing and delivering comprehensive estates strategy, including:

The availability of funding remains limited leading to incremental development with a strategy taking many years to deliver. Whilst the estates strategy must reflect the current clinical strategy it must be flexible to respond to changes in clinical strategy.

In parallel with long term planning and development strategies there are demands for urgent action such as additional beds or theatre capacity. What are the challenges of meeting these demands without compromising long term flexibility?

With almost 40% of the NHS estate constructed pre 1985 and 16% pre dating the NHS how do we understand the constraints and opportunities aligning complex backlog maintenance programmes with transformational change?

How are these challenges addressed whilst realising the benefits identified by the Naylor report?


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