John will lead a panel presentation and discussion on the state of procurement of design and consultancy services for healthcare projects. Its seems a long time since a healthcare client would directly appoint a consultant team to deliver a project from inception to completion. A lot has changed. We have seen the introduction of capital works models such as PFI, NPD, P22, Lift and other mechanisms such as Trust frameworks, mini-competitions, D&B, novation, traditional and other permutations to the services designers are appointed under. The panel will discuss the status quo, the various procurement routes, their successes, failures, and near-misses!