|
1. | INTRODUCTION |
6 |
| 2. |
EXECUTIVE SUMMARY AND FUTURE PROSPECTS |
7 |
| 3. |
PUBLIC SECTOR HEALTHCARE IN THE UK |
13 |
| 3.1 | OVERVIEW & STRUCTURE OF THE NHS |
13 |
| 3.1.1 | Scotland |
13 |
| 3.1.2 | Wales |
13 |
| 3.1.3 | Legislative Drivers & Governmental Reforms |
13 |
| 3.2 | THE PRIMARY CARE MARKET |
14 |
| 3.2.1 | Overview & Primary Care Trusts |
14 |
| 3.2.2 | GP Surgeries & Health Centres |
15 |
| 3.2.3 | Polyclinics |
16 |
| 3.2.4 | Treatment Centres |
18 |
| 3.2.5 | Walk in Centres |
19 |
| 3.2.6 | Dental Provision |
20 |
| 3.3 | SECONDARY/ACUTE CARE MARKET |
20 |
| 3.3.1 | Overview & Structure |
20 |
| 3.3.2 | Types of Hospital |
21 |
| 3.4 | HEALTHCARE SPENDING IN THE UK |
23 |
| 3.4.1 | Total Healthcare Spending |
23 |
| 3.4.2 | NHS Spending |
23 |
| 3.4.3 | Primary Care Spending |
26 |
| 4. |
HE PRIVATE ACUTE HEALTHCARE SECTOR IN THE UK |
28 |
| 4.1 | OVERVIEW AND SIZE |
28 |
| 4.2 | PARTNERSHIP WITH THE NHS |
30 |
| 4.3 | ACUTE HOSPITAL PROVISION & LEADING PROVIDERS |
30 |
| 4.3.1 | Private Healthcare Companies |
32 |
| 4.4 | PRIVATE DENTAL CARE |
33 |
| 5. |
CONTRACTORS OUTPUT IN THE UK HEALTHCARE SECTOR |
36 |
| 5.1 | TOTAL CONSTRUCTION OUTPUT |
36 |
| 5.1.1 | Value of Output - Construction New Work |
36 |
| 5.2 | CONSTRUCTION OUTPUT BY SECTOR |
37 |
| 5.3 | CONSTRUCTION OUTPUT IN 2009 AND BEYOND |
38 |
| 5.4 | CONTRACTORS OUTPUT IN THE HEALTHCARE SECTOR |
40 |
| 5.4.1 | Outlook for Healthcare Construction Work |
41 |
| 5.5 | CAPITAL EXPENDITURE IN THE NHS |
42 |
| 5.5.1 | England |
42 |
| 5.5.2 | Wales |
43 |
| 5.5.3 | Scotland |
43 |
| 5.5.4 | Northern Ireland |
44 |
| 5.5.5 | Impact of the ‘Credit Crunch’ on Healthcare Infrastructure |
44 |
| 5.6 | HEALTHCARE WORK OUTPUT – GOVERNMENT TARGETS & PROGRESS TO DATE |
45 |
| 6. |
PROCUREMENT OF HEALTHCARE CONSTRUCTION WORK |
48 |
| 6.1 | OVERVIEW |
48 |
| 6.2 | THE PRIVATE FINANCE INITIATIVE |
49 |
| 6.2.1 | Size of PFI Healthcare Market and Progress to Date |
50 |
| 6.2.2 | Leading Players in the PFI Healthcare Market |
53 |
| 6.3 | NHS LOCAL IMPROVEMENT FINANCE TRUST (LIFT) |
54 |
| 6.3.1 | Background & Overview |
54 |
| 6.3.2 | Investment in NHS LIFT |
54 |
| 6.3.3 | Scheme Update and Progress to Date |
55 |
| 6.3.4 | Principal Consortia and LIFT Partners |
56 |
| 6.3.5 | Express LIFT – The Future of NHS LIFT |
59 |
| 6.3.6 | LIFT in other Regions |
60 |
| 6.4 | PROCURE21 |
61 |
| 6.4.1 | Background & Overview |
61 |
| 6.4.2 | Scheme Update and Investment in Procure21 |
61 |
| 6.4.3. | Procure 21 in Wales |
62 |
| 6.4.4 | Frameworks Scotland |
64 |
| 6.4.5 | Procure21+ (The Future of Procure21) |
64 |
| 7. |
CONTRACTOR PROFILES |
66 |
| 7.1 | STRUCTURE AND SIZE OF THE CONTRACTING INDUSTRY |
66 |
| 7.2 | KEY CONSTRUCTION COMPANIES AND CONTACTORS |
67 |
| 7.3 | PRIVATE SECTOR CONSORTIA IN THE HEALTHCARE SECTOR |
69 |
| 7.4 | KEY HEALTHCARE CONTRACTOR PROFILES |
71 |
| 7.5 | HEALTHCARE DEVELOPERS |
75 |
| TABLES AND CHARTS |
| TABLE 1 | SUMMARY OF MAJOR CAPITAL SPENDING PROGRAMMES IN THE HEALTHCARE SECTOR BUDGETS BY PROGRAMME 2006-2011 |
8 |
| TABLE 2 | UK-WIDE PLANS FOR POLYCLINICS (AS AT MAY 2009) NO. OF CLINICS BY AREA |
17 |
| TABLE 3 | CURRENT STATUS OF THE INDEPENDENT SECTOR TREATMENT CENTRE PROGRAMME (AS AT MAY 2009) – KEY PROVIDERS / FACILITIES |
19 |
| TABLE 4 | COMMUNITY HOSPITAL PROJECTS APPROVED (AS AT MAY 2009) CAPITAL VALUES AND APPROVAL DATES |
22 |
| CHART 5 | VALUE OF UK NHS EXPENDITURE 2005-2011 (£ BILLION) |
24 |
| TABLE 6 | UK NHS PRIMARY CARE TRUST SPENDING ALLOCATIONS 2006-2011 (£BN) |
26 |
| TABLE 7 | UK TOP 20 PRIMARY CARE TRUSTS BY SIZE OF OPERATIONAL CAPITAL BUDGET 2009-10 |
27 |
| CHART 8 | PRIVATE ACUTE HEALTHCARE MARKET - % BY SECTOR (£ BILLION) 2007-2008 |
29 |
| TABLE 9 | LEADING UK PRIVATE HOSPITAL PROVIDERS |
31 |
| TABLE 10 | TOP 18 PRIVATE HEALTHCARE COMPANIES BY NUMBER OF SURGERIES RUN |
33 |
| TABLE 11 | MAJOR DENTAL COMPANIES IN THE UK BY NUMBER OF PRACTICES – 2007 AND 2009 |
34 |
| CHART 12 | VALUE OF CONSTRUCTION OUTPUT NEW WORK 2002-2013 (£ BILLION) |
36 |
| CHART 13 | VALUE OF CONSTRUCTION OUTPUT NEW WORK BY SECTOR - % BY VALUE 2008 |
38 |
| TABLE 14 | CONTRACTORS OUTPUT OF HEALTHCARE SECTOR WORK (PUBLIC/PRIVATE) 1998-2008 (£M) |
40 |
| TABLE 15 | NHS CAPITAL SPENDING – 2007-2011 (£BN) |
42 |
| TABLE 16 | HEALTHCARE CAPITAL EXPENDITURE IN WALES 2009-10 ALLOCATION BY TRUST |
43 |
| TABLE 17 | CONSTRUCTION ACTIVITY IN THE UK HEALTHCARE SECTOR – PROGRESS TO DATE MAY 2009 |
47 |
| TABLE 18 | PFI HOSPITAL SCHEMES – BY STAGE OF DEVELOPMENT AND CAPITAL VALUE (AS AT DECEMBER 2008) |
51 |
| TABLE 19 | PFI HOSPITALS CUT FROM THE DH HOSPITALS PFI PROGRAMME IN 2007-2009: |
52 |
| TABLE 20 | LEADING PFI CONTRACTORS BY TOTAL PFI HEALTHCARE WORK WON (£M) – TO DECEMBER 2008 |
53 |
| TABLE 21 | INVESTMENT IN NHS LIFT – WAVES 1-4 (AS AT DECEMBER 2008) |
55 |
| TABLE 22 | PROGRESS OF SCHEMES IN WAVES 1-4 OF NHS LIFT (AS AT DECEMBER 2008) |
56 |
| TABLE 23 | MAJOR NHS LIFT PREFERRED BIDDERS/CONSORTIA (MEMBERS & SCHEMES)TO DATE |
57 |
| TABLE 24 | DESIGNED FOR LIFE: BUILDING FOR WALES – COMPOSITION OF SUPPLY CHAIN PARTNERS |
63 |
| TABLE 25 | MAIN PRIVATE CONTRACTORS - BY NUMBER OF EMPLOYEES 2007 |
66 |
| TABLE 26 | UK’S TOP 20 CONTRACTORS BY GROUP TURNOVER 2007-2008 |
68 |
| TABLE 27 | TOP 10 CONTRACTORS IN THE HEALTH SECTOR |
70 |
| TABLE 28 | PRIMARY HEALTHCARE DEVELOPERS BY NUMBER OF SURGERIES DEVELOPED |
77 |
