TRAINING AND DEVELOPMENT Working Groups Next steps for WG1


Moving forward, our next step is to start to determine the tools and skills IHEEM can promote for clients and others faced with, maybe, their first experience of working on a major capital project delivered through:


Seminars Online sessions Written articles Connecting into an international perspective/supply change Workshops for a wide range of external healthcare stakeholders, as well as IHEEM members


Suzanne MacCormick Workstream 3 Lead Director, Spencer Harrison Ltd, Healthcare and Management Consultants


D


espite its long history, there is still a certain amount of mystery that


surrounds healthcare planning – both what it is, and indeed what it does. The World Health Organization (WHO) has


a 140-word, four-point definition that includes generic descriptions of project management and policy frameworks, but fails to clarify the real scope, complexity, and genuine value, that healthcare planning brings to healthcare estates design. There is also no recognised accreditation or defined skillset for the profession, nor a global definition of what a healthcare planner is.


The complexities


Healthcare planning comprises a plethora of skills, techniques, and capabilities, that underpin the delivery of excellence in clinical design. Starting long before any decision to build or remodel space ismade, it asks the existential questions to define the current situation and understand what lies beneath the presenting problems. It then considers the end-game and what is needed to resolve those problems for the immediate, middle,


and long term. It includes:


Situational analysis - digging beneath the presenting issues to understand the problems and their cause Strategic and operational planning – to understand future clinical aspirations and ensure delivery of global best practice Population health needs assessment – including epidemiology, capacity and demand analysis, and quantitative modelling Service model development – to facilitate an understanding of what service components, assets, and other resources, are necessary to create and deliver the service Functional assessment – ensuring a detailed understanding of process and functions across the seven flows of healthcare Space, infrastructure, utilisation, and facility planning – defining the optimum space requirements for a compliant design wrapped around excellence in clinical delivery


Developing a


framework for the profession


Simulation modelling – to test scenarios of flows, functions, and human factors, to inform the solutions Digital design – ensuring that digital components facilitate delivery of the functional requirements


Pursuance of excellence


Whilst buildings often cause restrictions to services and users, a new building will not resolve constraints unless it is designed around the flows of the service and its logistics. When form follows function, building design facilitates delivery of service and clinical excellence. Healthcare planning is the academic and practical underpinning that ensures the raison d’être of healthcare buildings is paramount - it’s the discipline that ensures that the exam question is interrogated, understood, and then answered, in the most exemplary manner. A good healthcare planner is the conduit


that brings together capital and estates, strategic and operational, and clinical requirements and aspirations, to ensure a clinically led design that is future-proofed.


October 2023 Health Estate Journal 13


HEALTHCARE PLANNING


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