Architects for Health & European Health Property Network Event - How can we do more with less?

1. +
Developing Healthcare
Infrastructure
From Designing Building
Solutions to Designing Property
Solutions

2. +
Developing Healthcare
Infrastructure
 Future Hospital configuration moving to more ‘campus style’
development
 Out of hospital care requires new type of facilities

3. +
Developing Healthcare
Infrastructure
 Need for new types of infrastructure
 Extending care outside of Hospital
 Multi-occupiers of facilities
Focus is to move away from a
‘Building’ view of the world to a
‘Property’ view.

4. +
Developing Healthcare
Infrastructure
 Existing Infrastructure may no longer be suitable but located
on valuable city centre sites
 Public Sector ownership of land across a health geography
will be extensive but often not capitalised upon
 The opportunity is to create value from estate management
as well as development

5. +
Developing Healthcare
Infrastructure
 Focus on reconfiguration
 Create new infrastructure and manage run-down of
inappropriate facilities and deliver value from surplus estate
 Finding partners to manage infrastructure change
 Catalyst for new patterns of delivery

6. +
Developing Healthcare
Infrastructure
An Example:Townlands Hospital, Henley-on-Thames

7. +
Developing Healthcare
Infrastructure
An Example:Townlands Hospital, Henley-on-Thames

8. +
Developing Healthcare
Infrastructure

9. +
Developing Healthcare
Infrastructure

10. +
Developing Healthcare
Infrastructure

11. +
Developing Healthcare
Infrastructure

12. +
Developing Healthcare
Infrastructure

13. +
Developing Healthcare
Infrastructure

14. +
Developing Healthcare
Infrastructure
 Delivers Health and Social Care
Campus
 Maximises land value and uses
this to assist affordability
 Attractive to local community
 Multi occupation of provider
Trusts and Charity
 Supports real reconfiguration

15. +
Developing Healthcare
Infrastructure
 Infrastructure Remains
Attractive Asset Class
 Current uncertainty in the debt
markets is significantly
impinging access to capital.
 Government/DH need to clarify
how the government covenant
will be used.
 New sources of capital
required.
 New type of Private Sector
Partners with background in
maximising value from surplus

16. +
Developing Healthcare
Infrastructure
 Role of NHS Property Ltd in
development.
 Opportunity to leverage off
public sources of capital eg
FTFF.
 NHS Infrastructure Fund?
 Look to US Healthcare REITs
and understanding of the asset
class.
 Creation of supply chain for
Asset creation and
Development

17. +
The way forward
“Seeking development in effective management of NHS Assets
to deliver improvements
not only in the quality of facilities
but also the quality of care ”