TRAINING AND DEVELOPMENT PFI - the end of an era


Strategic Estates Management Quality - the third key


In contrast to our work on the very early stages of projects, we are also examining the implications for estates management of the end of PFI contacts, most of which run for 25 years. The expectation for all PFI facilities is that


they will have been maintained, and therefore handed back, in Condition B. For host NHS bodies, this is a real benefit, and the challenge will be to ensure that this benefit is not lost in the longer term. There are of course many other


considerations as PFI terms expire, and more detail of our work is given below.


dimension Inevitably – but not until the appropriate stage – time and cost will become the two headline metrics for capital schemes. Alongside these there should be a range of measurable health and wellbeing outcomes, established during the early work describing and then quantifying the patient/ carer/ staff and community objectives. Across the whole of these considerations,


there should be a framework setting out a comprehensive set of quality objectives. Every decision, every step, will be an influence on time and cost and also on quality. The tension between these three is often a source of difficulty, and hence defining what is meant by quality in all aspects should be established at an early stage. Quantifying quality is not easy. But it is


the one key dimension of the three that can be established by common consent of those closely involved with the scheme. These are the stakeholders, and SEMAP will be developing work to assist in identifying and engaging with stakeholders – often a difficult challenge. Assembling stakeholders to work


together in agreeing the quality dimensions of the project has the benefit of providing a common framework which can be referred to and tested at stages as the scheme unfolds. The Construction Industry Council (CIC)


‘Time, cost, quality’, page 11, Creating Excellent Buildings, CABE


has developed a specific tool for this – DQI for Health (Design Quality Indicators) – now in use for over 20 years. The initial stakeholder workshop is held at pre-briefing


Paul Mercer Chair of SEMAP


Healthcare architect, and former NHS Estates Director


This is a long-term commitment, and will hopefully grow to enjoy wide recognition across the industry.


Now read on...


Duncan Sissons, Paul Holt, Suzanne MacCormick and Pete Sellar s explore our work more deeply below.


stage – before a single line has been drawn on a drawing or any attempt has been made to assemble a brief.


We welcome comments and feedback


SEMAP is itself just starting out, and we would be pleased to hear from members to hear your views. We will reflect all comments in future articles in HEJ. Please send your thoughts to Zanna Mercer: zanna.mercer@iheem.org.uk for further details.


10 Health Estate Journal October 2023


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