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Innovation in the NHS

Innovation in the NHS
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
Total Pages: 54
Release: 2005-05-19
Genre: Medical
ISBN: 9780102932799

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In 2000 the Department of Health (DH) announced the establishment of NHS Local Improvement Finance Trusts (LIFT) to develop primary and social care services buildings and facilities in England. LIFT is based on long term joint ventures at national and local level: nationally, Partnerships for Health is a joint venture between DH and Partnerships UK (itself a joint venture between the Treasury, Scottish ministers and the private sector); locally the local joint venture company (the LIFTCo) is owned by representatives of the local health economy, Partnerships for Health and a private sector partner. Unlike PFI deals, LIFT deals are based on the local LIFTCo owning the premises which it builds and refurbishes. This report examines whether LIFT will meet local needs and provide value for money. 42 local schemes had been approved by August 2002, mostly in deprived inner city areas, with a total capital value of £711 million. Most LIFTCos are operational, though few buildings are open; most of the developments have been well received by local stakeholders. NAO conclude that LIFT will work. Nationally it is an attractive way of securing improvements, and local schemes appear to be effective and offer value for money. Local management frameworks need to be strengthened.


NHS Local Improvement Finance Trusts

NHS Local Improvement Finance Trusts
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
Total Pages: 56
Release: 2006-07-04
Genre: Medical
ISBN: 9780215029508

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The Department of Health launched the Local Improvement Finance Trust (LIFT) in 2000 to address long-standing under-investment in primary care facilities. It is a form of Public-Private Partnership with a national joint venture, Partnerships in Health, that oversees and invests in it. The total capital value of the first tranche of buildings was £711 million and the average cost of a building was £5 million. 90% of the capital is provided by debt and the properties are owned by the LIFTCo, with income being generated by rent payments from tenants such as GPs, Primary Care Trust, pharmacies and the local authority. This report examines whether the programme has been implemented effectively.


Changes to Primary Care Trusts

Changes to Primary Care Trusts
Author: Great Britain: Parliament: House of Commons: Health Committee
Publisher: The Stationery Office
Total Pages: 260
Release: 2006-01-11
Genre: Medical
ISBN: 021502687X

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NHS Primary Care Trusts (PCTs) were created in 2002 to commission health services for their local populations, and are currently responsible for controlling about 80 per cent of the £76 billion NHS annual budget. In addition, PCTs have responsibility for public health, and many also provide community-based health services such as district nursing and community hospitals. The Committee's report examines the Government's proposals (set out in the Department of Health paper 'Commissioning a Patient-led NHS' published in July 2005, which can be downloaded at http://www.dh.gov.uk/assetRoot/04/11/67/17/04116717.pdf) to cut the number of PCTs and to contract out community health services by the end of 2008. The report raises a number of serious concerns about the proposals, including in relation to: failings in the consultation process; the impact of PCT restructuring and divestment of provider services; and the likelihood that the estimated financial savings of £250 million will be achieved.


New Aspects of Quantity Surveying Practice

New Aspects of Quantity Surveying Practice
Author: Duncan P. Cartlidge
Publisher: Elsevier
Total Pages: 323
Release: 2006
Genre: Technology & Engineering
ISBN: 0750668415

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The construction industry and the quantity surveying profession have undergone rapid changes and this text explores the evolving market, examining the new construction culture, procurement strategies, e-practice and the QS, delivering added value, supply chain management and partnering.


Improving Healthcare through Built Environment Infrastructure

Improving Healthcare through Built Environment Infrastructure
Author: Michail Kagioglou
Publisher: John Wiley & Sons
Total Pages: 296
Release: 2010-01-28
Genre: Technology & Engineering
ISBN: 9781444319682

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From the Foreword by Rob Smith, Director of Estates andFacilities (NHS England), Department of Health ‘The built environment for the delivery of Healthcare willcontinue to change as it responds to new technologies andmodalities of care, different expectations and requirements ofproviders and consumers of care. It is vital that built environmentstudents and practitioners alike avail themselves of the bestpossible information to guide them in their studies, continuingprofessional development and the delivery of their tasks. The rangeis enormous from the assessment of need, planning the servicedelivery to design, construction, commissioning, maintenance andoperation of the healthcare environment. The book that follows addresses these areas from a blend ofcontributions of experienced practitioners to the descriptions ofthe output from recent research that moves forward the frontiers ofknowledge and practice in the many areas of the healthcare builtenvironment. I happily commend this book to all engaged in the excitingfields of planning, delivering, maintaining and operatinghealthcare environments. When we get it right, we are able to doimmeasurable good.’ This book helps academic researchers as well as practitioners tounderstand how the healthcare infrastructure sector works byaddressing the crucial issue of healthcare delivery from a builtenvironment perspective. It explains the trends in healthcare, models of healthcaredelivery; healthcare planning; the NHS building and investmentprogrammes; the procurement process; and facilities management;financial models – including PFI and LIFT; risk allocationand partnering. Past investigations in the area of healthcare delivery haveconcentrated on either the medical aspects or the design issues ofbuildings but Improving Healthcare through Built EnvironmentInfrastructure is unique in considering the ‘meetingspace’ of built environment technologies and modern methodsof procurement with the medical and operational needs of healthcaresettings. The authors have brought together key industrialists andacademics, all heavily involved in the formulation and delivery ofnew practices. Case studies illustrate how policies and healthcaremodels are implemented in practice and help identify the keychallenges for the future.


Healthy Living Centres

Healthy Living Centres
Author: Geoffrey Purves
Publisher: Taylor & Francis
Total Pages: 242
Release: 2007-06-01
Genre: Architecture
ISBN: 113639933X

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By exploring the design process this book looks at the relationship between the architectural and medical professions to see how the next wave of Government health policies can be best provided for. The aim is to raise the quality of health buildings in the primary care sector. Greater flexibility will be required as the medical profession moves towards a pro-active attitude to Healthy Living Centres rather than the traditional reactive treatment to cure disease. This is a hands-on 'how to do it' guide to satisfy changing policy objectives, offering an up to date methodology to encourage a holistic approach to health care buildings which will be of interest to both architectural and medical professionals.


Betraying the NHS

Betraying the NHS
Author: Michael Mandelstam
Publisher: Jessica Kingsley Publishers
Total Pages: 321
Release: 2007
Genre: Medical
ISBN: 1843104822

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Based on his experiences of helping to fight cuts and closures in Suffolk, Michael Mandelstam delivers a damning verdict on the mismanagement of the NHS at national, regional and local level. He charts the widespread cutbacks and closures, both rural and urban, to clinics, A&E services, beds, wards and scores of community hospitals. He outlines how humane care, particularly for older people, is compromised by the ruthless determination of NHS management to increase patient throughput and hit government-set targets. The author highlights how the chaotic change to the NHS is being driven by concealed agendas - including privatisation of the NHS, obsessive interference from central government as well as selective use, if not abandonment, of evidence-based practice. Seriously flawed and damaging decisions are the result, affecting the population at large as well as those most vulnerable - older people with chronic and complex needs, people with physical or learning disabilities and people with mental health problems. Above all, he exposes the scandalous lack of transparency and accountability behind changes that threaten to destroy the NHS.