search.noResults

search.searching

note.createNoteMessage

search.noResults

search.searching

orderForm.title

orderForm.productCode
orderForm.description
orderForm.quantity
orderForm.itemPrice
orderForm.price
orderForm.totalPrice
orderForm.deliveryDetails.billingAddress
orderForm.deliveryDetails.deliveryAddress
orderForm.noItems
Refurbishment planning


200 180 160 140 120 100 80 60 40 20 0


 Re-felting of main flat roof (phase 2): DSM1 (No precedence)  Re-felting of main flat roof (phase 2): DSM2 (Guaranteed source of materials and contractor taking precedence)  Re-felting of main flat roof (phase 3): DSM3 (BREEAM requirement taking precedence)


1.0


0.8


0.6


0.4


122 74 94


142 83 92


135 85 90


175 110 117


140 88 102


0.2


0.87 0.53 0.67


0.92 0.54 0.6


0.92 0.58 0.62


1.0 0.63 0.67


0.93 0.58 0.68


0 Option A Option B Option C Option D Option E Figure 4: Non-Financial preference ranking.


option, based upon the NHS/PSCP consensus on each comparison. Figure 3 shows the ‘non-financial preference’ in the ‘Total score’ column.


Consideration of cost issues What Figure 3 also illustrates is that a Benefit to Cost ratio function is designed into the prototype. Once the costs, or estimated costs, of each option are entered, the Model automatically provides a Benefit to Cost calculated financial preference. The ‘Add DSM’ button, which is visible in Figure 3, replicates the matrix to allow for sensitivity analysis testing through revisiting the criterion precedence (this can be seen in Table 2). For example, the user may choose to re-run the model to identify attaining a BREEAM requirement as the most desirable criterion. This would exponentially adjust the final scores and financial preference rankings with no requirement for input or calculation from the user.


Option A Option B Option C Option D Option E Figure 5: Benefit to cost preference ranking.


Presentation of the results It was identified that another key driver for the Model’s development was to provide evidence that a measured, calculated, and formalised process had been undertaken in ascertaining VFM, and, as importantly, in visualising and recording the decision- making process in a recordable and demonstrable manner. To enable the results of the decision-making process, and the sensitivity analysis testing, to be clearly visualised, and available for inclusion within a report format, the results of each decision matrix are modelled as simple graphs. The graphs are programmed to be dynamic, and therefore will update as changes or amendments are made to the decision-making phase. Figures 4 and 5 show the sensitivity-tested results of both ‘Non-Financial Preferences’ and also ‘Benefit to Cost Preference Ranking’. A good indicator of the value of this process can be seen if Option D in the case study is observed. Although


significantly more expensive in initial cost terms (Fig. 3), both financial and non- financial rankings recognise this as the preferred, or ‘best fit’ option. It should, however, be re-emphasised that the comparisons shown in Figures 5 and 6 are resultant from the NHS/PSCP criterion and options preferences, and value judgements ‘specific to the facility in question’. Figure 6 shows the complete ‘Decision-


making’ page. The multiple decision matrices undertaking the process of sensitivity analysis, and the graphs comparing the non-financial and financial preferences, are clearly displayed, and are dynamically connected through pre- defined Excel coding. Two further link buttons are visible in Figure 6. One of these connects directly to the uploaded Indicative Cost Plan, and the other provides a link to a future worksheet, which will be designed to carry out a Lifecycle Costing analysis of each relevant element or sub-element.


Figure 6. Decision-making page showing Sensitivity Analysis and Report Function. 42 Health Estate Journal September 2013


Total score


BTC ratio


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100  |  Page 101  |  Page 102  |  Page 103  |  Page 104  |  Page 105  |  Page 106  |  Page 107  |  Page 108  |  Page 109  |  Page 110  |  Page 111  |  Page 112  |  Page 113  |  Page 114  |  Page 115  |  Page 116  |  Page 117  |  Page 118  |  Page 119  |  Page 120  |  Page 121  |  Page 122