THE NEW HOSPITAL PROGRAMME
given the increasing ‘digitalisation’ of many aspects of healthcare. NHP team members emphasised early in the day that one of the fundamentals in ensuring the Programme met its goals was getting contractors, suppliers, and the wider supply chain involved in ‘the biggest hospital project in a generation’. The team says the Programme is taking a ‘transformative approach’ to designing and building hospitals for the future, harnessing, in particular, Modern Methods of Construction, standardised design for manufacture and assembly, and use of ‘the latest technology’. Part of the Government Major Projects
Portfolio (GMPP), it will see outdated infrastructure replaced by facilities for both staff and patients ‘that are on the cutting edge of modern technology, innovation, and sustainability’. The NHP team says the new healthcare facilities will be delivered via ‘a collaborative partnering approach’, the aim being ‘to build an enduring capability to continue to deliver new generation hospital facilities way beyond the first phase’.
Four key elements Natalie Forrest was the first speaker, and having welcomed attendees, set the context for the rest of the day. She said the New Hospital Programme would ‘transform the way healthcare is delivered across England’ based on four key elements: n Delivery: Delivering hospitals faster and for less cost. The Programme aims to address some of the most pressing challenges for the NHS estate – ‘ensuring that our health infrastructure can adapt to changing clinical need, deliver significantly improved value for money and a sustainable legacy, and create enhanced social value and local community benefits’.
n Quality: Ensuring that all new hospitals integrate ‘innovative national new standards for healthcare infrastructure, and enable high-quality modern healthcare’. This, the DHSC and NHP team say, ‘will support transformational change for each hospital, patient, and staff member’.
n Sustainability: ‘Building the foundations for an enduring national capability for enhanced healthcare infrastructure delivery’. This will enable continuous learning, ‘working in an agile way to
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NHP Programme Director, Saurabh Bhandari, described Hospital 2.0 as ‘an integrated system that drives a step- change in the delivery of healthcare infrastructure’.
respond to innovation and advances in medicine over time’.
n Collaboration: Supporting the co- design and co-creation of schemes in collaboration with local and regional health systems. The New Hospital Programme will ‘build trust and constructively challenge’.
Natalie Forrest was clear that the extent of the success of the Programme would be ‘measured’ by NHS staff and patients. She said: “Our job is to ensure that on top of a building programme, we enable transformation in clinical care.” This would require the sector to be ‘curious, brave, and challenge everything we know’, while the NHP team’s focus would be to maintain patient services and keep hospitals open while new buildings are being built. The team would also be putting a high priority on looking at how healthcare services are best delivered both here and internationally, learning from others, and ‘adopting and adapting for success’. She told those gathered: “Our goal is to be world-leading, and to do that, we need your help.”
Driving a step-change In a subsequent presentation, Saurabh Bhandari, NHP Programme Director, explained why the NHP team has developed a ‘H 2.0’ system, describing it as ‘an integrated system that drives a
NHP needs to deliver hospitals cheaper and faster, yet currently every scheme is a standalone project with a new solution to the same fundamental challenges developed each time, with no learning between projects
Saurabh Bhandari
Chief Programme Officer, Morag Stuart, was another of the speakers at the New Hospital Programme Autumn Market Briefing held in London in November.
step-change in the delivery of healthcare infrastructure’. He said: “NHP needs to deliver hospitals cheaper and faster, yet currently every scheme is a standalone project with a new solution to the same fundamental challenges developed each time, with no learning between projects”. To address this, the Programme will aim for standardised business cases, efficiency, and consistent design, to address current cost and schedule challenges, and identify opportunities for innovation and continuous improvement. Hospital 2.0 was – he explained – ‘an
integrated systems approach providing curated design and development solutions to efficiently deliver transformational, sustainable healthcare environments for patients and staff’. The Programme would: n Provide a blueprint for fast-track project development.
n Drive operational excellence ‘by empowering employees to maximise use of the facilities’.
n Optimise interpretation of clinical standards, enabling future models of care.
n Provide ‘robust, adaptable designs based on balanced input matching capacity to demand’.
n ‘Ensure repeatable solutions, delivering procurement at scale’.
n Drive cost reduction, with standardisation / modularisation at the heart of design.
n Mitigate delivery risks by simplifying processes and pooling contingency.
n Deliver curated and codified knowledge resources to Trusts, ‘formed from a rich network of SMEs’.
n Draw on best practices ‘to drive smooth operational readiness and transition to new facilities’.
n ‘Enable continuous value management through check and challenge’.
January 2024 Health Estate Journal 61
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