ESTATE AND ASSET MANAGEMENT
A full summary of the survey results will be produced and shared in the near future.
Looking to allied industries The problems facing the NHS are not new, and we should look to allied industries and learn from their journeys to resolve their backlog maintenance and strategic asset planning. Look at the utility industry, the water, gas, and electricity networks, the rail industry, and many others – they have all had to recover from significant under- investment in their asset base, and have made real improvements, while balancing capital and operational costs. How did they achieve this? In part it was by following a structured approach to managing their asset base, utilising the framework that became PAS 55, and is now embedded in ISO 55001. ‘Ah, but we’re healthcare, our assets and context are different’, I hear you cry. I would point you to the PFI asset base, and their Lifecycle approach very much mirrors the principles of ISO 55001; nor do I see any PFI contracts featuring in the ‘backlog maintenance’ statistics? It would be inappropriate to simply lift the utility sector asset plans, but we can borrow the principles and use them to equally good effect. This is where IHEEM comes in, and our plans are now coming together to create a Framework, and associated tools and training, to provide the NHS (and all healthcare estate providers) with a standard, repeatable, structured approach to managing the asset base, to optimise the capital investment and the associated operational costs.
A structured approach
Ideally, the director of Estates/Facilities should form part of the Board, but all too often this is no longer the case. However, by following a structured approach to asset management, it should be possible to engage with non-technical audiences at Board level (CEO, CFO, Chief Nurse, Medical Director etc.) i.e. talk their language, whether Estates is directly represented on the Board or not. The opportunity to provide the key decision-makers with a
Interest in personal online training for individuals Very high level of interest
Service Provider (non-PFI) PFI Provider
NHS Trust (in house) NHS SubCo
0 n No n Yes 11 11 14 100 20 40 Percentage
Figure 2: Would you have a personal interest in further developing your understanding and competency in asset management to enable you to improve your performance and that of your organisation?
Interest in an asset management framework for FM in the health service Very strong support – especially NHS Trust and sub-contractors
Service Provider (non-PFI) PFI Provider
NHS Trust (in house) NHS SubCo
0 n No n Not sure n Yes 5 11 5 13 20 40 Percentage Figure 3: Interest in an asset management framework for the health service.
fuller understanding of the benefits that can be realised with appropriate investment, and, equally, to educate them as to the strategic risks associated with not committing the necessary funds, should not be passed over. Given the significant investment available to the NHS through the HIP programme, the Carbon Net Zero targets, the likely capital investment that will be made available to start to address the backlog maintenance, and the very likely changes that the built estate will need to deliver in response to the Pandemic and associated clinical backlogs, there is no time to lose in making our case for a structured
Significant gaps with NHS Trusts and sub-contractors
Service Provider (non-PFI) PFI Provider
NHS Trust (in house) NHS SubCo
n No n Not sure n Yes 0 5 11 16 11 45 63 20 40 Percentage
Figure 4: Does your organisation have a systematic approach for the recognition and management of asset-related risk, including degradation with age?
60 5 13 80 79 78 50 25 The Asset Management Working Group’s members are: 100
•Greg Markham, Estates & Assets director, Serco Health. •Keith Hamer, MD, Gloucester Managed Services. •Peter Jay, retired asset management consultant. •Nick Fox, deputy director of Estates and Capital Projects, North Bristol NHS Trust.
•June Lancaster, MD, and Janet Wilson, Client Relationship manager, Asset Wisdom.
and strategic approach to management of the NHS estate.
Asset management training online The Asset Management Working Group has plans to move this forward. The first step will be to make available asset management training online, which will provide an opportunity for people to improve their knowledge and understanding as it relates to healthcare facilities using language that we recognise. In the near future we will be looking for ‘early adopters’ from NHS Trusts and PFI providers to participate in developing an asset management approach designed to meet the needs of health service estates. As part of the upcoming Healthcare Estates 2021 conference, there will be sessions focusing on the subject of asset management, including more about the learning that is available online, and we would encourage you to join the webinars to learn more about our plans and the opportunities for how a structured asset management approach can help shape the future for the NHS.
18 88 60 80 100 26 22 77 68 67 60 80 100 89 89 86
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September 2021 Health Estate Journal 47
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