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AMA Research has recently published
the 1st Edition of its overview of Healthcare Construction in
the UK, with particular emphasis on the Government’s NHS LIFT and
Procure21 Initiatives. This report also continues a series of shorter ‘Building
Insight’ Reports on key areas within public sector construction.
Other completed reports include an overview of construction within the
higher education sector and current activities within the student
accommodation market and an analysis of the Building Schools for the
Future Initiative.
Key
features of this brand new building insight: -
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An overall review of the
Healthcare Construction Market, with a particular focus on the
Government’s programme of expansion of services and facilities at
primary care level.
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Review of the structure and
reform of the NHS in England.
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Analysis of public sector
funding for NHS acute and primary care facilities.
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Analysis of recent policy
issues which have re-shaped the way in which primary care is
being delivered in the UK including the recent Government White
Paper on ‘Out of Hours’ Care.
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Detailed analysis of the
Government’s targets for capital spending as outlined in the NHS
Plan, an update of construction progress
and an assessment of contractor’s
output of work in the healthcare market.
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Focus on the different clinical
areas - modernisation of GP surgeries, ‘one stop shop’
healthcare centres and treatment centres, the general shift away
from the provision of large acute PFI hospitals towards more local
facilities and the introduction of a
new wave of community hospitals through NHS LIFT and
Procure21.
Areas
of particular interest include:-
The second part of the Report analyses the
specification and procurement of healthcare work, with particular
emphasis on the NHS LIFT and Procure21 initiatives, and in
particular focuses on the following issues:-
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Background to each initiative.
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Investment
to date.
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Scheme update and current
progress.
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P21
and NHS LIFT in practice, including benefits
and drawbacks of each programme.
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Principal consortia, partners and
contractors involved.
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Key drivers
and future prospects for each initiative
Key areas covered in the report:-
THE STRATEGIC HEALTHCARE MARKET
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Structure and Reform of the NHS.
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Legislative Drivers and Policy Issues
shaping the way in which care is being delivered.
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Overview
of the Primary Care Sector, including provision of GP
surgeries, treatment centres and walk-in centres.
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An
overview of the Secondary/Acute care sector, including
foundation hospitals and plans to increase the provision of
community hospitals and ‘poly clinics’ in the UK..
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Healthcare spending
in the UK, including total healthcare spending, NHS budgets, capital
expenditure and primary care spending.
CONTRACTORS OUTPUT IN THE HEALTHCARE SECTOR
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Overview of the
NHS Estate and Capital Building
Programme.
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Analysis of the Primary Healthcare Estate in
the UK and the
various options available to GPs and healthcare centres for
upgrading their premises.
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Analysis of contractors output in the public
healthcare sector, including output and new orders.
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Analysis of Government targets for healthcare
construction output and progress being made on a number of clinical
services over the period 2000-2010 in accordance with the
NHS Plan.
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Brief overview of NHS
construction procurement routes including PFI, NHS LIFT and
Procure21
OVERVIEW OF NHS LIFT IN PRIMARY CARE DEVELOPMENTS
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Background to the NHS LIFT Programme and
overview of the NHS LIFT process including the formation of
LIFTcos, funding arrangements and use of Strategic Service Development
Plans.
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Ownership
of GP premises under LIFT and analysis of
Lease Plus Agreements.
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Investment in NHS LIFT, including allocation
of enabling funds, private funding and total capital value of
schemes across waves 1-4.
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LIFT
scheme update and current progress –
construction progress of schemes in waves 1-3, new buildings completed
and the provision of clinical services and diagnostic
facilities under wave 4.
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Procurement process under NHS LIFT, comparison
with traditional PFI, use of
partnering in LIFT.
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Analysis of
LIFT in practice including the major benefits and
disadvantages of the Programme.
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Analysis of
principal consortia and LIFT partners including
construction contractors.
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Future
direction and key drivers of NHS LIFT,
discussion of a 5th wave of LIFT and use of LIFT in other
sectors, such as education and social housing.
OVERVIEW OF THE NHS PROCURE 21 FRAMEWORK
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Background to the Procure21 Initiative and the
P21 process.
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Analysis of
the role of Supply Chains in P21 including
recent changes to the PSCP line-up.
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Investment in Procure21.
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P21
scheme update and current progress –
construction progress.
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The
procurement process under P21 – use of the NEC contract and
partnering in P21.
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Procure21
in practice including perceived benefits to
clients and major criticisms of the Framework.
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Analysis of
Principal Supply Chain Members and leading contractors
involved in P21.
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Future of
P21 and Key Drivers including the
future management and direction of the Framework and the introduction of
P21 in Wales.
The report has 64 pages and
18 tables and charts and provides a comprehensive review of the
construction and procurement within the healthcare sector. |