TRAINING AND DEVELOPMENT A Strategic Approach
• Explore how to create and adopt a new (or rediscover established) methodology.
The group hopes to expand its scope to include the wider project team and client team, with further workshops and guidance in due course.
Group 2: Capital investment and PFI A SEMAP Leeds workshop, February 2023.
Sub-groups In addition to the management group, there are four sub-groups, each with its own specific remit, purpose, and intended outcomes, all of which align with the overarching ethos of delivery of healthcare excellence.
Group 1: The ‘strategic front end’
This group is initially focused on supporting NHS estates and facilities teams to take a strategic approach in order to deliver excellence for all capital projects and programmes. This has begun by exploring best practice for project initiation from the strategic front end through to concept and feasibility. ‘Strategic front end’ is essentially the project genesis – where ideas and suggestions are shaped, with consideration of the assumed immediate and ongoing resourcing and external
pressures, whether these be economic, political, societal change, and/or technological. The focus to date has been on
developing workshops to help answer some of the complex questions and issues faced by every project and ensure that the key questions are understood, and effective strategic solutions are developed. A first workshop in November 2024 entitled ‘What does capital investment mean to you?’, is aimed at the wide groups of professionals involved in capital projects. It will:
• Examine the assumed association with the often-tensioned discussion between
• Reassure participants that they are not an ‘island’, and that their problems are
the project advocators and those agreeing the funding and holding the purse strings.
not unique.
contract expiry and handback Workgroup two has this year focused on: 1 Reviewing the capital investment and appraisal process. The Healthcare Capital Investment principles as applied to ICS Estates Strategy/Business Case development.
2 PFI handback, and what this means for NHS Trusts and their estates, and how the digitised Premises Assurance Model (PAM) can:
• support Trusts with PFI handback. • share best practice.
Capital investment
The group produced a discussion paper on the capital appraisal process to increase engagement across the NHS, and shared this with HMT and DHSC representatives. Key considerations included:
• provide guidance for the healthcare system through the process.
• An IHEEM seminar to review and refresh the Capital Investment principles, as
applied to ICS Estates Strategy/Business Case development.
Ventilation Technical Platform
Andrew Poplett
VTP Chair
Overview The IHEEM Ventilation Technical Platform
has the following objectives, with the expectation that all VTP members will support their achievement: 1 To act as a vehicle and open forum for its members and other interested parties to promote and improve best practice in the planning, design, equipment manufacture, construction,
14 Health Estate Journal October 2024
commissioning, validation, and operational management, of ventilation and air-conditioning and associated systems in healthcare facilities.
2 To establish and maintain a register of Authorising Engineers (AEs) who, in the opinion of the VTP, have achieved an appropriate and sufficient level of competency to practice as an AE in the field of the heating, ventilation, and air- conditioning associated with healthcare facilities.
As part of this work, the VTP has issued two Supplementary Guidance or Briefing Notes to date:
Briefing Note No VTP/BN/001
Potential Increased Risk of Aspergillus Infection due to COVID-19 & the Associated Essential Precautions and Control Measures to Consider
Supplementary Guidance Note –
VTP/GN/001/V1.0 March 2021 Design Output and Performance Specification Guidance for the Ventilation
Strategy / Systems for Dental Care Facilities
Future plans for Supplementary Guidance or Briefing Notes are as follows. Future Supplementary Guidance Notes:
• Environmental air sampling in areas other than theatres
• Energy conservation – shutting down of ventilation systems when
(standards and criticality).
• Wound site velocity test methodology.
not in use.
• Minimum competency standards for validators and verifiers.
Future Briefing Notes:
• Installation and fixing of fire and smoke dampers / ductwork fixings (tech screws).
• Ductwork pressure / leakage testing. • Room/suite air permeability testing. • Heat recovery in isolation rooms.
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