Impact of Lift and P21 on Healthcare Construction Market Report - UK 2012-2016 Analysis


May 18, 2012
67 Pages - SKU: AJLA3914825
License type:
Countries covered: United Kingdom

AMA Research are pleased to announce the publication of the 1st edition of the report, “Impact of Lift and P21 on Healthcare Construction Market Report – UK 2012-2016 Analysis”, which reviews the major changes currently taking place within the NHS, specifically reviewing the future of key construction programmes and procurement routes under the new NHS Structure.

Key areas in the report:

Government reform of the NHS – analysis of new Operating Structure.
Implications of the Health & Social Care Act 2012 for the Construction Industry.
New providers and clients under the new NHS Structure.
Analysis of NHS Revenue and Capital Funding to 2015 and capital funding arrangements under the new NHS Structure.

Areas of particular interest include:-

Review of main procurement routes and construction programmes used in the healthcare sector and their future under the new NHS structure, focusing on: LIFT and ExpressLIFT; Hub Initiative in Scotland; Procure21/Procure21+; Designed for Life: Building for Wales (P21 in Wales) and Frameworks Scotland
Potential impact of Health and Social Care Act on future of the NHS estate and development of GP premises - including estate rationalization, surplus land for sale, abolition of PCTs and shift towards foundation trust status
Policy of GP-led commissioning will transfer decisions on care, treatments and spending to groups of practices signalling a change towards larger GP-led clinical collectives in the form of Clinical Commissioning Groups
Review of major contractors and consortia, key developers and investors involved in the healthcare sector - future opportunities for healthcare work and key issues for the construction industry
Future Prospects – impact of a more rationalised estate and a move away from large healthcare developments such as large PFI hospitals, towards upgrading, refurbishing and extending the primary healthcare estate.

Key areas covered in the report include :

PUBLIC SECTOR HEALTHCARE IN THE UK

Overview of the new Structure of the NHS – England, Scotland, Wales.
Legislative drivers and Government reforms in the NHS – Health & Social Care Act 2012.
New Providers and Clients under the new NHS Structure – timetable, Clinical Commissioning Groups, NHS Commissioning Board.
Estate Rationalization with the NHS – size of estate, maintenance backlog value.
Future of GP Premises – developments, funding issues etc.

HEALTHCARE SPENDING IN THE UK

NHS Funding in England, Scotland and Wales, Primary Care Spending.
Capital Spending in the NHS – England, Scotland and Wales – budgets 2011-2015, key projects.
Construction Output in the Healthcare Sector - forecasts to 2016.

PROCUREMENT OF HEALTHCARE CONSTRUCTION WORK

Procurement routes for GPs and PCTs - Future of Procurement under the new NHS Structure.
NHS LIFT – Overview, investment, scheme update & progress to date (waves, construction values etc.)
ExpressLIFT – overview, investment 2004-12, scheme update & progress to date, principal Consortia and LIFT Partners, key players, capital expenditure values 2011-2015.
Future of ExpressLIFT under the new NHS Structure.
Procure21 – overview, investment, scheme update, project pipeline, PSCPs (capital values, status, 2011-2015).
Procure21+ - overview, investment, scheme update, project pipeline, PSCPs.
Future of Procure21+ under the new NHS Structure – preferred route?
Procure21 in Wales – designed for life 2012-2016.
Frameworks Scotland / hub initiative in Scotland (projects, values, status).
Other finance and procurement options for NHS clients – LABVs, Joint Ventures, Surplus Land.

CONSTRUCTION SUPPLY IN THE HEALTHCARE SECTOR

Key Construction Companies and Consortia in the Healthcare Sector .
Key healthcare Developers and Investors.
New clients for the construction industry in healthcare sector in the form of newly emerging CCGs. Also, newly formed foundation trusts by 2014 will also provide new clients in the secondary care sector.
Healthcare Opportunities.


Additional Information

Under major reforms proposed in the Health and Social Care Act, the NHS is undergoing the most dramatic change in its history, which will see the management of the NHS, including the estate, decentralized as more power is handed to GPs and clinicians. In addition, with NHS capital spending now drastically reduced the process of funding new hospitals and primary care facilities is set to change over the coming years. Responsibility for commissioning services will be devolved to local consortia of GP practices, now to be known as Clinical Commissioning Groups (CCGs). These proposals are being implemented by the Health and Social Care Act, which has recently gained Royal assent. CCGs are now expected to be in place by 1st April 2013 to replace Primary Care Trusts (PCTs).

The Government’s Health & Social Care Bill has been heavily amended in response to industry concerns over the original proposals. However, the broader policies of developing GP-led commissioning and encouraging greater co-operation between private and public care providers remain and, as financial constraints continue and public sector capital becomes more difficult to obtain, the procurement of construction services will increasingly look towards increased partnership with the private sector

These increased powers are expected to form the basis of a new system for procuring healthcare estate facilities, reducing the need for direct capital funding from the public purse. As a result of these reforms, the nature of future work in the healthcare sector is likely to change to reflect a more rationalized estate, with the majority of healthcare clients reviewing their healthcare estates in a bid to achieve efficiency savings.

Industry response to the new Act indicates a move away from secondary healthcare developments such as large PFI hospitals, towards upgrading, refurbishing and extending the primary healthcare estate, with around a quarter of NHS trusts looking to increase the size of their estates through extensions to existing premises over the next 2-3 years. Indeed, the DH has said that in future there will be more emphasis on improving existing premises rather than building new ones.

Going forward, existing methods of delivery of new capital developments, such as PFI, LIFT, Procure 21+ and Express LIFT may change under NHS organisational reforms. As financial constraints continue and public sector capital becomes more difficult to obtain, the procurement system will increasingly look towards solutions with private sector partners.

Those procurement routes and construction programmes specifically included for review in this report include: LIFT and ExpressLIFT; Hub Initiative in Scotland; Procure21/Procure21+; Designed for Life: Building for Wales (P21 in Wales) and Frameworks Scotland.

A total of £2.5bn has been invested across 4 waves of LIFT since its launch, but beyond this time, the DH is unable to set estimates for the amount expected to be spent on LIFT in the future and investment will be subject to change as more schemes are added to the forward pipeline. To date, the Procure21 programme has seen 630 schemes completed; totaling around £4bn. Around 50 schemes are currently either on site or under development and worth approximately £680m. Based on the data available from the HM Treasury forward construction pipeline data, which details schemes currently going ahead, the total value of P21+ projects is around £733m to 2015.

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