The Best Client Guide - Good Practice Briefing and Design Manual, NHS Estates

Overview

  • CPA in association with MBM Consultants authored this capital management guidance manual for NHS Estates.

  • The guidance was provided as an aide and source of good practice for all NHS managers involved with the planning and delivery of NHS capital investments.

  • The guidance incorporates new procurement thinking in response to “Re -thinking Construction” a Government review of the construction industry chaired by John Egan. It also provides up-todate advice for Private Finance Initiative and capital developments.

  • The manual is available on the web, either through NHS Estate portal or direct at www.nhsbestclient.org.uk NHS Estates is producing this guide to good practice for briefing, design and the management of capital development in order to achieve an improvement in the performance of the NHS as a client.

  • The Government is fully committed to good design. Key elements of which are that: - The function of the facility meets the needs of the users. - The appropriate concept and detailed design is consistently applied through the entire construction, operation, and maintenance and disposal process. - The design of each component should not be seen in isolation. - The incorporation of whole-life costs and sustainable environmental objectives apply to the complete facility.

  • This guide has been developed to reflect the future procurement of capital schemes, which will be focused upon Public Private Partnerships and partnering as defined in NHS ProCure21.

  • The guide represents an agreed approach to the procurement of capital schemes. It is directed at Project Directors and Managers who are responsible for capital developments.

  • It is directed to the use of best practice using any procurement method and includes many lessons learnt from PFI / PPP and exchequer funded schemes. The objective is not only to improve processes and procedures but also to consistently enhance expertise and experience, to deliver a consistent design quality standard for NHS buildings. This objective applies to all capital schemes and at all levels from functionality planning through to the design, manufacture and installation of individual cons truction components, including support systems and the infrastructure.

  • This guide can also help the construction industry to have a better perception of the processes being promoted by NHS Estates and enable them to contribute towards the improvement of the briefing design and construction of healthcare buildings.

Outcomes

The report contains:

  • Part 1 - Best client practice
    - The briefing and design process
    - Recent influences on briefing and design
    - NHS ProCure 21
    - Controls assurance and the use of risk management
    - Project management of the briefing design process
    - Construction stage and change control process
    - Evaluation

  • Part 2 - Establishing the brief
    - Key briefing information to be provided by the Trust
    - Hospital policies and capital planning
    - Equipment procurement in capital schemes
    · Appendices
    - Output specification
    - List of health publications


“Clients must accept their responsibilities for effective design. Too often they are impatient to get their projects on-site the day after planning consent is obtained, the industry must help clients to understand the need for resources to be concentrated upfront on projects if greater efficiency and quality are to be delivered” The Egan Report

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