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C ASE S TUD Y


A fifth of the building stock actu-


ally pre-dates the NHS’ foundation in 1948 (one clinical building which is still in use was built in 1735) – and is not fit for purpose. Around 17 per cent of overall NHS occupied space is not functionally suitable for care or clinical needs. In 30 UK hospitals 50 per cent of the space is not suitable, and one hospital accounts for a figure closer to 83 per cent. Ageing buildings pose big risks.


Therefore, the cost of maintaining the NHS estate is very high. Each year, £20 billion is spent on the NHS buildings, equipment and training – the third largest expenditure after staff and drugs. It is estimated that the figure for backlog maintenance is around £5 billion, and this is only going to skyrocket unless necessary measures are put in place. Of course, in addition to poor infrastructure, the NHS has energy


efficiency targets to contend with too. It has its own carbon reduction strategy in place, coupled with the burden of the CRC (Carbon Reduc- tion Commitment) Energy Efficiency Scheme, which is essentially a carbon tax designed to reduce consumption and emissions. Hospitals are complex environ-


ments, and the UK is home to some of the highest energy users by build-


The NHS is the


largest public sector contributor to climate change and produces over 18 million tonnes of CO2 per year in England.


ing type. Operating the largest single estate in Europe and having increased its carbon footprint by 40 percent since 1990, the NHS is the largest public sector contributor to climate change and produces over 18 million tonnes of CO2 per year in England. The NHS clearly needs to achieve


some large-scale improvements and create innovative solutions. Assist- ance from the private sector can also be of immense help. Obviously new buildings are not, at present, a prior- ity for the NHS, but the renovation and refurbishing of existing buildings will go a long way in improving the current scenario. For example, Schneider Electric


has recently formed a partnership with Taunton & Somerset NHS Trust in the South West of England, signing a deal for a performance contracting project to improve Musgrove Park Hospital, Taunton.


12 INSIGHT ON


HOSPITAL & HEALTHCARE MANAGEMENT Vol. 1 Issue 2 August 2011


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