| 1. |
INTRODUCTION |
6 |
| 2. |
EXECUTIVE SUMMARY |
7 |
| 3. |
ECONOMIC ENVIRONMENT |
9 |
| 3.1 | GDP |
9 |
| 3.2 | INFLATION & INTEREST RATES |
10 |
| 3.3 | UNEMPLOYMENT |
11 |
| 3.4 | HOUSEHOLD CONSUMPTION |
11 |
| 3.5 | HOUSING & CONSTRUCTION |
12 |
| 3.6 | STERLING |
13 |
| 3.7 | POPULATION PROFILE |
14 |
| 3.8 | CONCLUSION |
15 |
| 4. |
UK HEALTHCARE RMI MARKET |
17 |
| 4.1 | DEFINITION |
17 |
| 4.2 | SUMMARY OF NEW WORK OUTPUT IN THE HEALTHCARE SECTOR |
18 |
| 4.3 | OVERVIEW OF NON-DOMESTIC RMI OUTPUT |
19 |
| 4.4 | HEALTHCARE RMI MARKET SIZE &TRENDS |
20 |
| 4.4.1 | Market Mix by Sector |
23 |
| 5. |
NATIONAL HEALTH SERVICE (NHS) |
25 |
| 5.1 | INTRODUCTION |
25 |
| 5.2 | NHS ESTATE |
26 |
| 5.2.1 | England |
26 |
| 5.2.2 | Devolved Administrations |
30 |
| 5.3 | MARKET FACTORS |
33 |
| 5.3.1 | Total NHS Expenditure |
33 |
| 5.3.2 | Expansion of Primary Care Sector |
34 |
| 5.3.3 | Condition of Estate Buildings & Maintenance Backlog |
35 |
| 5.4 | NHS TRUSTS EXPENDITURE ON RMI |
40 |
| 5.4.1 | England |
40 |
| 5.4.2 | Scotland |
43 |
| 5.4.3 | NHS Wales |
46 |
| 5.4.4 | Northern Ireland |
46 |
| 6. |
INDEPENDENT HEALTHCARE SECTOR |
47 |
| 6.1 | INTRODUCTION & DEFINITION |
47 |
| 6.2 | INDEPENDENT HOSPITALS AND CLINICS |
47 |
| 6.2.1 | Market Overview |
47 |
| 6.2.2 | Size of Independent Hospitals Estate |
48 |
| 6.2.3 | Expenditure |
50 |
| 6.3 | INDEPENDENT NURSING HOMES |
50 |
| 6.3.1 | Market Overview |
50 |
| 6.3.2 | Size of Care Homes Estate |
51 |
| 6.3.3 | Expenditure |
53 |
| 7. |
SUPPLY OF HARD FM / RMI SERVICES |
55 |
| 7.1 | NHS - OVERVIEW |
55 |
| 7.2 | KEY CONTRACTORS PROVIDING HARD FM / RMI SERVICES TO THE HEALTHCARE SECTOR |
56 |
| TABLES AND CHARTS |
| TABLE 1 | HEALTHCARE RMI MARKET £ MILLION 2006/07 2011/12 |
7 |
| CHART 2 | INTEREST RATES AND INFLATION (CPI) FROM 1992-2013 |
10 |
| CHART 3 | PDI & SAVINGS RATIO AT CURRENT PRICES 1992-2013 |
12 |
| TABLE 4 | EXCHANGE RATE FLUCTUATIONS 2002-2009 - STERLING TO THE DOLLAR, AND THE EURO, SPOT RATES |
14 |
| CHART 5 | AGE DISTRIBUTION OF THE RESIDENT UK POPULATION MID-2008 (000) |
15 |
| TABLE 6 | CONTRACTORS OUTPUT OF HEALTHCARE SECTOR WORK (PUBLIC/PRIVATE) 2005 - 2008 (£M) |
18 |
| TABLE 7 | CONTRACTORS OUTPUT OF NON HOUSING NEW WORK & RMI 2003 -2008 (£M) |
19 |
| TABLE 8 | NON-RESIDENTIAL RMI OUTPUT BY WORK TYPES GENERAL FABRIC, ELECTRICAL, PLUMBING, JOINERY, ROOFING, GLAZING, DECORATING, ETC - PUBLIC AND COMMERCIAL SECTOR SPLIT 2007 (£M) |
20 |
| TABLE 9 | HEALTHCARE RMI MARKET £ MILLION 2006/07 2011/12 |
22 |
| CHART 10 | HEALTHCARE RMI MARKET - SHARE BY SECTORS 2008 (NHS ENGLAND, SCOTLAND, WALES, NORTHERN IRELAND, PRIVATE INDEPENDENT SECTOR) |
24 |
| TABLE 11 | NHS ESTATE IN ENGLAND BY TYPES OF TRUST & FACILITIES NO. TRUSTS, BEDS, WARDS, SITES, ORGANISATIONS, FACILITIES |
28 |
| TABLE 12 | NHS ESTATE IN ENGLAND - SHARE BY SIZE (SQ M GROSS INTERNAL FLOOR AREA & HA) AND TYPE OF ORGANISATION |
29 |
| CHART 13 | NHS IN SCOTLAND ESTATE PROFILE AND MIX BY PREMISES TYPE (ACUTE, NON-ACUTE, HEALTH CENTRES / CLINICS, SUPPORT FACILITIES) 2008 |
30 |
| TABLE 14 | NHS SCOTLAND NO. OF HOSPITAL BEDSPACES BY TYPES OF FACILITY 2009 |
31 |
| TABLE 15 | NHS WALES NO. HOSPITAL SITES & BEDSPACES BY TYPES OF FACILITY 2007/08 |
32 |
| TABLE 16 | NORTHERN IRELAND NO. BEDSPACES BY TYPES OF FACILITY 2008/09 |
32 |
| CHART 17 | VALUE OF UK NHS EXPENDITURE 2005-2011 (£ BILLION) |
33 |
| TABLE 18 | NHS ENGLAND CONDITION OF BUILDING BY TRUST TYPE RISK BACKLOG COSTS BY TRUST TYPE & RATING (HIGH, SIGNIFICANT, MODERATE, LOW) £M AT MARCH 2009 |
37 |
| TABLE 19 | TOTAL AMOUNT OF INVESTMENT TO REDUCE BACKLOG MAINTENANCE COSTS BY NHS TRUSTS IN ENGLAND 2004/05 2008/09 |
38 |
| CHART 20 | NHS IN SCOTLAND ESTATE AGE PROFILE AS OF 2008 |
38 |
| CHART 21 | NHS IN SCOTLAND ESTATE SHARE BY PHYSICAL CONDITION RATING (A-D) 2008 |
39 |
| CHART 22 | NHS ENGLAND SUPPORT SERVICES EXPENDITURE BY TYPE (HOTEL SERVICES, BUILDING/ENGINEERING SERVICES ETC) 2008/09 |
41 |
| CHART 23 | NHS ENGLAND SUPPORT SERVICES EXPENDITURE -SHARE BY IN-HOUSE AND OUTSOURCED 2008/09BY VALUE |
41 |
| TABLE 24 | NHS ENGLAND BUILDINGS & ENGINEERING RMI EXPENDITURE 2000/01 2008/09 |
42 |
| TABLE 25 | NHS ENGLAND BUILDINGS & ENGINEERING RMI EXPENDITURE BY TYPE OF TRUST 2007/08 AND 2006/07 |
43 |
| CHART 26 | NHS SCOTLAND ESTATES OPERATIONAL COSTS BY CATEGORY HARD FM, SOFT FM, ENERGY & WASTE ETC. - 2006/07 |
44 |
| CHART 27 | NHS SCOTLAND ESTATES RMI COSTS BY CATEGORY OF WORKS BUILDING, ENGINEERING, GROUNDS MAINTENANCE 2007-08 |
45 |
| TABLE 28 | NHS SCOTLAND BUILDINGS AND ENGINEERING RMI EXPENDITURE BY TYPE OF FACILITY |
45 |
| CHART 29 | PRIVATE ACUTE HEALTHCARE PROVISION - % BY SECTOR BY TURNOVER (£ BILLION). ACUTE HOSPITALS/CLINICS, NHS COMMISSIONING, MENTAL HEALTHCARE 2007-2008 |
48 |
| TABLE 30 | LEADING UK INDEPENDENT HOSPITAL GROUPS 2009 NO. OF HOSPITALS AND SHARES BY BEDSPACES. |
49 |
| CHART 31 | INDEPENDENT HOSPITALS MIX BY SIZE BY BED NUMBERS |
49 |
| TABLE 32 | TOTAL NUMBERS OF CARE INSTITUTIONS, PLACES & RESIDENTS |
51 |
| TABLE 33 | AVERAGE NUMBER OF PLACES IN RESIDENTIAL AND NURSING CARE HOMES FOR THE ELDERLY BY COUNTRY |
52 |
| TABLE 34 | UK CARE HOMES MARKET SUPPLIERS MARKET SHARES BY NO. OF SITES & BEDSPACES |
53 |
| CHART 35 | CARE HOME OPERATING COSTS - SHARE AS % OF FEES STAFF, CAPITAL , RMI, SUPPLIES & SERVICES, UTILITIES ETC |
54 |
| CHART 36 | PROVISION OF HARD FM SERVICES IN-HOUSE / OUTSOURCED BY VALUE |
55 |
