Estate Strategy Development, Hartlepool & North Tees PCT’s

Overview

  • The Community and Primary Care estate has been largely neglected through lack of investment and had few opportunities fro development due to a lack of strategic intent for these services.

  • The NHS Plan now provides a Primary Care focus and a clear strategy. However, the estate is often a major restraint on the desired rate of change. The buildings tend to be of the wrong size, in the wrong location and the wrong design to meet modern healthcare demands.

  • The development of an appropriate estate to support Community and Primary Care service delivery is key to meeting the challenges of reform set out in the NHS Plan.

  • To provide analysis of the PCT and GP estate in a manner that enables opportunities to be identified for estate change to meet emerging service delivery patterns an NHS Plan targets.

CPA’s Approach

  • Premises assessment.

  • DDA audits.

  • Existing records co-ordinated (drawings & database).
  • Initial findings document.

  • Demographic data merged & patient flow analysed.

  • Alternative sites for premises search undertaken.

  • Liaison with other agencies e.g. Social Services, Planning Authority etc.

  • Valuation of premises undertaken.

  • Stakeholder analysis and workshop facilitation.

  • Outline design proposals developed.

  • Future scenarios for the estate generated.

  • Estate strategy document produced.

Outcomes

  • An analysis of the PCT and GP estate against key performance criteria.

  • A range of options developed to enable the PCT to effect necessary changes to its service delivery.

  • Improved access to facilities

  • Facilities that integrate previous disparate services

  • Proposal that seek to increase capacity in Primary Care and provide appropriate “fit-for-purpose” environments

  • A range of projects that reinforce the direction for Strategic Service Development Plan (SSDP)

  • A framework for the estate to develop the PCT’s Local Improvement Finance Trust (LIFT) proposals.

Government Aspirations & Targets for Primary Care:

  • Improved access:
    - 48 hr appointments by 2004.
    - Practice Nurse Triage.
    - Primary Care Walk-in centres.

  • Fully equipped, staffed and trained practices working to common standards in appropriate premises:
    - 3,000 GP premises to be substantially refurbished / replaced by 2004.
    - 500 one-stop care centres by 2004.
    - All GP’s accessing NHS Net by 2002.
    - Electronic admissions by 2005.

  • Extended range of supporting staff:
    - Specialist nurse & 1,000 extra mental health workers.
    - Social workers & Benefits advice.

  • Enhanced career opportunities for GP’s:
    - GP specialists – 1,000 by 2004 e.g. in cardiology, dermatology and Endoscopy.

  • Extended service provision:
    - Diagnostic & imaging.
    - Minor procedures and Endoscopy.
    - Minor injuries and walk-in centres.
    - Access to beds for rehabilitation.
    - Extended service provision.


    • Close working with the PCT’s Executive team and their stakeholders to build relationships that can enable “joined-up” future developments

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