INTRODUCTION and OVERVIEW

Areas of particular interest include:-

• Impact of 2010 CSR for the healthcare sector - overall NHS spending will increase by around £10bn over 2011-2015.

• Review of major changes in NHS under the Coalition’s White Paper -local GP commissioning consortia take responsibility for around 80% of the NHS budget, abolition of all PCTs – impact on construction.

• Reviews likely shift away from major new build hospital schemes towards local and primary health facilities and less-costly refurbishment schemes - an approach which could open up the market considerably to smaller firms and suppliers.

• 17% squeeze on health capital funding over next 4 years - many large-scale capital schemes expected to suffer, or trusts having to consider smaller refurbishment schemes rather than new-builds.

• Analysis of future of PFI as a means of procuring healthcare facilities including the new Express LIFT and Procure 21+ Frameworks.

• Review of the growing involvement of the private sector and corporate providers in NHS primary care provision – LABV, SEP, Retail Outlets etc .

• Detailed analysis of Government targets for capital spending in the healthcare sector, an assessment of contractors output and the anticipated opportunities for healthcare work over the next few years.

Key areas covered in the report include :

PUBLIC SECTOR HEALTHCARE IN THE UK  

• Overview and Structure of the NHS – England, Scotland, Wales

• Legislative drivers and Government reforms in the NHS.

• Size and condition of the NHS Estate.

• Overview of the Primary Healthcare Market – PCTs, GP Surgeries, Polyclinics, Treatment Centres and Dental Provision. 

• Overview of the Secondary/Acute Healthcare Market.

• Healthcare Spending and Investment in the UK – NHS Spending, Impact of the 2010 CSR, NHS Funding in Wales, Scotland and Northern Ireland.

PRIVATE ACUTE HEALTHCARE SECTOR IN THE UK 

• Private partnership with the NHS and analysis of private and corporate providers in the NHS.

• Acute private hospital provision and leading providers.

• The H5 Private Hospitals Alliance.

• Private Healthcare Companies including Chain ownership of practice premises; Retail Outlets moving into primary healthcare; Private Healthcare Groups and Property/Investment Companies specialising in GP and primary care premises investment.

• Private Dental Care.

• Analysis of Total New Work Construction Output  - Output by Sector and for 2011 and Beyond.

• Construction Output in the Healthcare Sector –future prospects 2011-15.

• Capital Expenditure in the NHS – England, Scotland, Wales and N. Ireland  -  2011-15.

• Size of the PFI Healthcare Market and Progress of Schemes to Date – problems and successes in different procurement programmes.

• Future of Healthcare PFI under the Coalition Government -  alternative models to PFI.

• Leading Players and Consortia in the PFI Healthcare Market.

• Overview of the Local Improvement Finance Trust Initiative (LIFT) – Progress to Date; Investment; Scheme Update; Principal LIFT Partners and Consortia; Future of LIFT and Express LIFT Framework.

• Procure 21 Framework – Progress and Investment to Date; P21+ Framework; Frameworks Scotland; P21 in Wales

• Overlap of private/public sector providers – Local Asset Backed Vehicles, Strategic Estates Partnerships.

• Key Construction Companies and Consortia in the Healthcare Sector.

• Contractor Profiles – Balfour Beatty; BAM; Carillion; Galliford Try; Interserve; John Laing; Kier; Laing O’Rourke; Morgan Sindall; Willmott Dixon.

• Healthcare Developers and Investors.

Impact of Lift and P21 on Healthcare Construction MarketRMI in the Education Sector

RMI in the Healthcare Sector

Care Homes Construction Market

Education Construction Market

Higher Education and Student Accommodation

RMI in the Education Sector