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European Health Property Network Brian Gilroy National Director of Estates Brian.gilroy@hse.ie European Health Property Network Conference April 2008
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Health Infrastructure: - what is it? Current Health Estate Estates Structure Fact and Figures Recent and Current work Investment priorities & patterns Realising Potential Future Health Estate. European Health Property Network European Health Property Network Conference April 2008
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European Health Property Network National Director of Estates “Corporate” Estates functions: Capital; Property/Office; Environment & Standards; Commercial & VFM; Architecture and Planning. Capital; Property/Office; Environment & Standards; Commercial & VFM; Architecture and Planning. Regional Assistant National Directors Delivery & Implementation. Delivery & Implementation. Multi – disciplinary expertise Restructuring in progress Role of Hospitals, Institutions & Voluntary Bodies. European Health Property Network Conference April 2008
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European Health Property Network Health Facilities – What are they? Include buildings, land, plant and equipment. Role they play: Clinical Clinical Economic Economic Social Social Psychological Psychological Environmental Environmental European Health Property Network Conference April 2008
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Current Health Estate Illustrated: Old - e.g. Dr.Steevens, Rotunda - Changing uses/urban & cultural importance 19 th Century – e.g. Workhouses - Accessibility 1930’s - Type & standard of construction 1950’s: Sanatoria - Building plans & Configuration Late 20 th Century: changing needs - Space standards & capacity Into the 21 st Century…….. European Health Property Network Conference April 2008 European Health Property Network
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Current Estate: Some facts and figures: Acute Beds: 11,660 Public 4,400 Private Co- Located project to deliver approximately 1,000 beds Mental Health Beds: 4,000 Long Stay Dependent Elderly: 8,205 Public 17,500 Private - (20-25% in buildings 150+ years) 50+ Acute Hospitals Nationwide Specialist facilities Care Programmes: Primary Care; Acute Hospital, Childcare, Elderly, Mental Health, Disability. European Health Property Network Conference April 2008 European Health Property Network
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Drivers for Change: HSE Mission – “Easy Access, Public Confidence, Staff Pride” Improved patient outcomes Changing Models of Care Integration of Primary and Secondary Care In-Patient to day case shift Aligning facilities with service needs Inherited Historical Deficits Changing demographics Patient and staff expectations Control of infections Technical advances European Health Property Network Conference April 2008 European Health Property Network
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Drivers for Change (cont.): Risk Management Higher environmental & space standards Safe Care In-Patient to day case shift Privacy and dignity “Patient Focus” “Healing environment” - Space, light, views, noise, colour, etc Value for Money Staff recruitment and retention European Health Property Network European Health Property Network Conference April 2008
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Recent achievements: New and enhanced facilities, supporting improved clinical delivery, in more appropriate environments St.Vincents University Hospital (awards…) Cork Maternity Hospital Tullamore Thurles CNU (Community Nursing Units) IBTS – Irish Blood Transfusion Service Dublin Dental Hospital –International exemplars/world class European Health Property Network European Health Property Network Conference April 2008
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European Health Property Network In Design & being procured: NRH – National Rehabilitation Hospital Mater Adult NPH – National Paediatric Hospital Marymount Hospice CNU’s (Community Nursing Units) Primary Care Units CMH (Central Mental Hospital) Grangegorman European Health Property Network Conference April 2008
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Investment Priorities Investment to support service reconfiguration and clinical priorities: Revenue consequences of capital investment Improved delivery of projects Efficiency and affordability whole life cost: - General ratio 1 (construction) : 10 (running) : 200+ (staff) over lifetime - General ratio 1 (construction) : 10 (running) : 200+ (staff) over lifetime - (0.1 design) Increasing complexity (NPH) (National Paediatric Hospital) European Health Property Network European Health Property Network Conference April 2008
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Investment Patterns: NDP: 2007-2113 - €4.5bn Health: NHO: €2bn PCCC: €2.1bn PCCC: €2.1bn NPRO:€415M (PPP) Minor Capital: €80m per annum Minor Capital: €80m per annum ICT:€409m ICT:€409m Total HSE 2008 Vote: €14.9bn 2008 Capital: €540m 2008 Capital: €540m Oversubscribed plan Other funding sources: - Private (Co-Located); Revenue Stream ; Voluntary; Altruistic; Cross- Sectoral; Sale of surplus European Health Property Network European Health Property Network Conference April 2008
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European Health Property Network Criteria for selection/tender list: Answer questions Answer questions Health and Safety Health and Safety Speedy Delivery Speedy Delivery Understanding of Health Environment & Client requirements Understanding of Health Environment & Client requirements Quality of design, construction, performance. Quality of design, construction, performance. European Health Property Network Conference April 2008
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Maximise Potential of Health Estate & New Capital Investment. VFM Learn lessons Support innovation : - ICT - Model of care - Model of care - Design - Design - Construction process - Construction process International trends and practices Recognise that not all significant clinical improvements will necessarily need significant capital investment. European Health Property Network European Health Property Network Conference April 2008
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The future: Better patient outcomes Flexible and adaptable estate Fit for purpose Support service needs & priorities Realistic lifespans Planned programmes of investment Healing and quality environments Facilities a measure of worth of Health Service, those using the service, and those delivering care. European Health Property Network Conference April 2008 European Health Property Network
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