second, CHP led the ADEPT project with these goals and objectives in mind. The Darzi Report highlighted that the shift towards neighbourhood level, multidisciplinary care will only be possible with significant modernisation of existing estate and better use of space. Achieving this requires new ways of working, modern operating models and targeted capital investment to transform how care is delivered. The ADEPT Tool helps quantify the level of capital required to address gaps in the estate and supports informed, system-wide planning for this shift. For too long, healthcare infrastructure planning has struggled with fragmented information. Across the Midlands and beyond, the estate varies significantly in condition, ranging from modern multi- purpose hubs to aging facilities that no longer fit the clinical models they house. Without a ‘whole system’ view, it is difficult to determine if services are in the right place to tackle health inequalities or if space is being utilised to its full potential to increase productivity throughout the NHS. Impact in action: Lessons from the Midlands In systems like Northamptonshire and Coventry & Warwickshire, the tool identified that strategic investment in primary and community care can lead to long-term capital savings by reducing the overall space gap. It also highlighted opportunities for
reconfiguration, showing that in many cases, the challenge isn’t just about building more space, but about using the right space, in the right health centre, more effectively. Using an innovative technological one stop shop allows users to access the information they need quickly, rather than having to complete a full data gathering exercise. Looking ahead: The future of ADEPT and data driven models for the NHS As the ADEPT programme formally transitioned to NHS England in December 2025, its legacy is just beginning. The tool has evolved from a complex set of models into a streamlined, singular point of information. The success of the pilot has made information more accessible for systems to use independently, providing even greater analytical visuals and real- time modelling capabilities. Tools such as ADEPT will support wider programmes, such as CHP’s PACE (Productivity Acceleration in Community
Estates) programme, a national initiative to prioritise the delivery of opportunities to increase productivity across the LIFT estate. CHP will continue to work with and support ICBs and Trusts in their strategic initiatives to identify potential opportunities. Working collaboratively with Integrated
Care Systems (ICSs) and their partners, the PACE programme focuses on maximising efficiency, improving patient throughput, and ensuring the continued delivery of high-quality healthcare services within local communities. As systems work towards creating a Neighbourhood Health Service and delivering the Government’s three shifts, it is crucial that existing estate, such as LIFT facilities are fully utilised to support the delivery of care at a local level. Using data to drive productivity The success of ADEPT highlights the importance of accurate and up to date data to support evolving healthcare
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needs. By embedding these tools into transformation programmes, we can ensure that every square metre of the NHS estate is working toward a healthier future for our communities and supporting the Government’s mission to move more care closer to home and the development of a Neighbourhood Health Service across many communities. Darren Lawrence, Programme Delivery
Lead – Midlands, Community Health Partnerships commented: “The ADEPT project shows what is possible when data is used effectively across the CHP LIFT and wider NHS estate. The tool demonstrates how data and technology can support the mission to deliver more healthcare closer to home for the people who need it most. “The response to the pilot has been
extremely positive, and we will continue to use every asset available to us to increase productivity and deliver a truly neighbourhood-focused health service.”
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