SPACE UTILISATION
Optimising space use via data-driven insights
Matt Etherington, Public Sector Workplace specialist at Matrix Booking, explores how data-driven insights can help organisations balance occupancy levels and adapt to changing work patterns.
Estates and facilities managers in healthcare are under constant pressure to do more with less, but as the way healthcare staff work continues to evolve, so too must the environments that support them. Flexible working models – such as hybrid, compressed hours, and job sharing – are now formally recognised across the public sector. While clinical teams must remain on site, many administrative and support roles are increasingly mobile. This shift presents both opportunities and challenges for estates teams. In this evolving landscape, the role of estates and facilities managers and other estates professionals is no longer just about maintaining buildings; it’s about supporting better care through smarter, more responsive environments. With up to £10 bn of new NHS investment earmarked for digital transformation, there’s a clear opportunity to harness data and technology to drive more efficient, patient-focused estate strategies – but only when done right. Therefore, it leaves one pressing question: How is the role of estates and facilities managers evolving in response to the balancing act of modern healthcare, where rising expectations and limited resources demand smarter, technology-driven approaches to managing space?
Competing demands in the modern workplace Hybrid working has transformed the way that space is being used across healthcare – but not evenly. Despite clinical teams needing to remain on site, many administrative, managerial, and support staff can now work more flexibly. However, these evolving work patterns are often at odds with how NHS spaces were originally designed and are currently managed. The result? A growing disconnect between planned space allocation and actual usage. This mismatch presents a significant challenge for estates and facilities teams. Unlike in the corporate world, where space can often be consolidated or repurposed quickly, NHS facilities must balance clinical priorities, safety regulations, and public accountability. Spaces that were once fully occupied may now sit empty for days, while others are stretched beyond
capacity. Without accurate visibility into how space is being used, it becomes difficult to plan effectively, or to respond to shifting demands.
Reactive maintenance At the same time, reactive maintenance continues to dominate budgets across the NHS estate. The recently announced £750 m in government funding – described by the NHS Confederation as a ‘small downpayment’ on a £14 bn maintenance backlog – is being directed toward urgent infrastructure issues such as leaking roofs, faulty wiring, and poor ventilation. While this funding is essential to keep facilities safe and operational, it leaves little room for proactive space optimisation, particularly at a time when estates teams are expected to support new ways of working. Administrative and support staff increasingly seek
flexible working arrangements and better working conditions, while clinical teams require consistent, well- equipped environments. This dual demand places further strain on estates teams, who must balance safety-critical
October 2025 Health Estate Journal 77
Matrix Booking says: “Superficial tracking methods like badge swipes or card scans offer little insight into how spaces are used or how long staff stay, while trends like ’coffee badging’, where employees briefly check in to meet attendance expectations, further distort the picture.”
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