2. What If … ???

3. The National Policy Framework Modernisation agenda Consumerism, design quality, sustainability To enhance the patients experience of healthcare

4. The NHS Plan To upgrade GP premises and create one-stop primary care centres Greater integration of primary and community, social services Pay attention to the comfort and convenience of patients Emphasis on privacy and dignity

5. Health Policy 3000 GP premises, 500 one-stop shops Millions more outpatients to be seen in primary care Advancing medical technology Wider range of expertise in primary care Existing premises are insufficient

6. Primary Care Trust Local Authorities General Practitioners Dentists Opticians Pharmacists Allied Health Professionals Diagnosticians Volunteers Job / advice centres Midwives Social Workers Therapists Nurses Counselling & advice Carers Physical fitness / leisure Podiatrists Ambulance services Police Link to schools Chiropractors Retail / commercial Patient & Family One-stop shops

7. The result Greater integration Benefit (i.e. welfare advice) services Improvements to patients health and social circumstances Economic regeneration This needs: Premises with capacity and innovative design

8. Related providers NHS Direct (24 hours a day) Walk-in Centres and Minor Injury Centres (with interactive video links with A & E) However care is accessed patients should be viewed as customers with their needs put before those of the healthcare providers

9. Privacy and dignity Reception Consultation Examination Treatment With particular attention for the increasing numbers of elderly managing chronic conditions

10. Other issues The development of patient pathways Facilities not being developed in isolation Grouping of single handed GPs The development and updating of the SSDP

11. Changing roles Nurses taking on GP tasks Lifestyle changes (health promotion) Social group fostering activities GPs with special interests Specialist outreach care Telemedicine (teleradiology and telepathology) Near patient testing – smaller and more automated equipment

12. Our role To be aware and sensitive to this agenda To fulfil the criteria for design quality and sustainability as set out in AEDET and the CABE vision To understand the consumerism agenda To create non-institutional & healing environments To radically improve the patient journey Link design to patient recovery

13. To put one brick upon another. Philip Larkin To put one brick upon another, Add a third and then a fourth, Leaves no time to wonder whether, What you do has any worth. But to sit with bricks around you While the winds of heaven bawl Weighing what you should or can do Leaves no doubt of it at all

17. Public Private S.S.D.P Estates Management Property Development

19. VISION for the FUTURE