Repeatable Mental Health Bedrooms The Radisson Blu Portman Hotel 25 - - PowerPoint PPT Presentation

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Repeatable Mental Health Bedrooms The Radisson Blu Portman Hotel

25th March 2015

www.procure21plus.nhs.uk

Delivering Cost Reduction through Standardisation

Roll-Out of Repeatable Rooms and Standard Components

25th March 2015

www.procure21plus.nhs.uk

Introduction and Welcome

David Kershaw

PSCP Programme Director

Agenda

• Introduction and Welcome
• DH Opening Address
• NHS Trust Address
• Cost Reduction Journey
• Repeatable Room: Functional MH Bedroom
• 11:10 Break, Exhibition and Video

Agenda

• Repeatable Room: Organic MH Bedroom
• Standard Components
• Target Cost Savings
• 12:30 Lunch, Exhibition and Video
• Implementation
• Panel Q & A
• Work Group Session
• 14:30 Break, Exhibition and Video

Agenda

• Work Group Feedback
• DH Closing Address
• Next Steps
• Summary
• 15:40 Close

Housekeeping

• Breaks
• Facilities
• Fire/ Emergency
• Phones

Delivering value with P21+

DH – Leading the nation’s health and care

Ray Stephenson

ProCure21+ National Framework Programme Lead

Finance and NHS Directorate 25.03.15

9 DH – Leading the nation’s health and care

Government Construction Strategy

DH and the Principal Supply Chain Partners

• Introduced May 2011
• To deliver up to 20% cost efficiency savings for NHS Capital

Projects

• Challenged the PSCPs
• PSCPs responded with repeatable rooms, standard materials and

components and discount/bulk buying

• Benchmarking Targets

10 10 DH – Leading the nation’s health and care

• All delivered within 2 years
• Consulting with the NHS
• 95% Buy-in
• Repeatable Rooms acute sector - Delivered
• Standardisation/Priced Components - Delivered

11 11 DH – Leading the nation’s health and care

Your Challenge

• Opportunity to change the way capital projects are delivered
• Get involved, engage early
• Invite your PSCP to talk to you about this initiative for your scheme
• Support information sharing

12 12 DH – Leading the nation’s health and care

The Future

• This is the start of a wider push for efficiency in NHS Estates and

Facilities Management

• We will be collaborating with the Industry to identify and deliver

further savings both Cap Ex and Op Ex

• This framework is providing a model of engagement for the future,

including sharing designs more widely in the healthcare sector

• Supported by Central Government as part of wider efficiency agenda

13 13 DH – Leading the nation’s health and care

Beyond 2016

• Health Minister has agreed to a new Framework when P21+ ends –

P22

• Development work already started
• Engagement with the NHS about your requirements – consultation

events June/July

• Embedding standardisation and developing the Repeatable Rooms

and Standard Components within P22 framework

14 14 DH – Leading the nation’s health and care

Today

A lot of work has gone into this day

• Engage with us
• Tell us what you think
• Talk to your PSCP
• Go and see for yourself

www.procure21plus.nhs.uk/club

ANY QUESTIONS

DH – Leading the nation’s health and care

www.procure21plus.nhs.uk

NHS Trust Address

Duane Passman

3T s Project Director

ProCure 21+ Cost Reduction Programme USING REPEATABLE ROOMS AND STANDARDISED COMPONENTS FOR MENTAL HEALTH Duane Passman Director of 3Ts Brighton & Sussex University Hospitals NHS Trust Visiting Professor, MARU, London South Bank University 25 March 2015

Reflecting on the past:

Harness/Nucleus/”Best Buy” – Standardisation Seen as a straightjacket and not an opportunity;

• A LOT of energy expended in how to avoid standardisation/repeatability;
• Egan et al looked at the benefits of increased repeatability;
• P21–few organisations used the process to undertake multiple projects;
• Opportunities to reduce capital cost – and revenue?
• Acute single rooms evidence not decisive on medication errors;
• >21,000+ mental health beds – wider opportunities;
• Limited capital – more for less;

The pressure on mental health services can only intensify.

www.procure21plus.nhs.uk

Cost Reduction Journey

Alan Kondys

PSCP Lead - IHP

The Challenge

• Government

Construction Strategy

• Efficiency Agenda

Our Response

• Cost reduction

programme

• Repeatable

solutions

• Standard materials

& Components

• National Events

Cost Manager

LEADERSHIP

Programme Manager

Our Committed Response

All 6 PSCPs Working together with DH, Supply Chain and Industry

Core Teams

Today’s car is 50% cheaper

and… Better quality, more reliable and safer Standardisation - The Principles...

How this has been achieved…

Standardisation with continuous improvement

Reuse of designs and components with mechanisation Standardisation - The Principles...

Choice to suit our requirements and budget Choice to suit our requirements and budget

Kit Car

£25,000+

Seat Leon

£18,490

Skoda Fabia

£13,670

VW Golf

£20,500

Standardisation - The Principles... We are putting this Principle into Practice for NHS facilities

Unique but expensive – reliability?

These all use the same main components Only what we interface with differs – we choose

Repeatable Room Design

Room Specification Operating Policy Literature/ Research Review Evidence Matrix Patient Focus Group Previous Scheme Designs Peer Review In-Use Review Post Project Evaluation Supplier Development

Development Process

Specification Operational Policy Literature Review Evidence M atrix Patient Group Design Assessments Peer Review

Applies to all Rooms & Designs

Design

Published Work

P21+ Club website

Guidance

Development Work

Reports Literature reviews Assessment Schedules

Updated & New Framework Documents

Charter Works Information Procurement Strategy Guidance Note 19 & 20

NHS England & TDA Business Case checklists

Published Work

P21+ Club website

Standard Share

Standard Materials & Components:

Soft & Hard Flooring Suspended Ceilings Doors & Ironmongery Lighting Sanitary Ware Fire & Smoke Dampers Bedhead Services Radiant Panels Ceiling Hoists Paint

What have we achieved

14 Standard Rooms Developed & Validated: Acute

• 3 Single Bedrooms
• 3 4Bed MBB

Primary/Acute

• 5 Consult/Exam Rooms

Mental Health

• Functional Bedroom
• 2 Organic Bedrooms

INNOVATION INTEGRATION AND COLLABORATIVE WORKING

iPad App

What we are doing now and in the future

Emergency Department Rooms:

• Fixed acuity
• Acuity-adaptable
• Chair-centric

Review Feasibility & Benefits for :

• 8 Bed Cluster

Standard Components

Repeatable Rooms in Use

• Projects at Stage 3:

– Doncaster – Chase Farm – Addenbrookes – Basildon – Oxleas

Repeatable Rooms in Use

• Projects at Stage 4:

– Wrightington, Wigan and Leigh

• IHP and IBI Nightingale

– Lymes Wards 112 & 113, Royal Stoke University

Hospital

• Kier and Gilling Dod

Repeatable Rooms in Use

• Completed Projects

– Lilac Ward, Scarborough Hospital

• Kier and RLA

– Lymes Wards 110 & 111, Royal Stoke University

Hospital

• Kier and Gilling Dod

34

How you will benefit

COM M ERCIAL TECHNICAL

Off the shelf solutions-ready for use Off the shelf solutions-ready for use

Compliant designs and products Compliant designs and products Endorsed by Department of Health Endorsed by Department of Health Quicker design period Quicker design period

Significant savings

• n HBN Bespoke

Designs Significant savings

• n HBN Bespoke

Designs

Benchmarked Costs Benchmarked Costs Supporting the Government Construction Strategy Supporting the Government Construction Strategy Helps you deliver real savings Helps you deliver real savings Use on New build and refurbished projects Use on New build and refurbished projects Value for Money Value for Money

Helping you achieve your savings targets & improve your business Can you afford not to?

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Repeatable Mental Health Bedrooms

www.procure21plus.nhs.uk

Functional Mental Health Bedroom

Fabia Holt/ Rosemary Jenssen

What are the repeatable mental health bedrooms?

What they are: For two care groups:

• adults with functional mental illness
• adults with organic mental illness

What they are not:

• children or adolescents
• disabled patients
• patients with intense

physical nursing needs

• patients with specific

bariatric requirements

Literature Review

• Evidence based

design

• MARU (Medical

Architecture Research Unit)

• Over 50 studies
• Evidence Tables

Evidence Based Matrix

Personalisation Unit Size Day Lighting Personal Storage Artifical Lighting Artwork Reduce Violence & Aggression

• Reduce Stress & Agitation
• Increase Patient Safety
• Increase Patient Satisfaction
• Increase Patient Control
• Increase Social Support
• Increase Staff Observation
• Increase Staff Satisfaction
• Therapeutic Environment

Openness & Sight Lines Personal Space & Privacy Anti-ligature Measures Patient Experience Staff Experience Fixtures & Fittings Location of the bedroom Residential Character Window Specification Door & Handle Specification Temperature Ventilation Acoustics Environmental Comfort Outlook Design Principles

Mental Health Survey

Patient Workshop: Mental Fight Club

• February 2014
• Personalisation and identity
• Bright with a connection to outdoors
• Open and spacious
• Storage

compliant design features:-

• 15.0 sqm combined bedroom and en-suite
• Sight-line from door
• daylight and views out
• en-suite HBN00-02 and 03 compliant
• Rooms paired to share services
• Anti-ligature
• 1800mm corridor width

recommendations:-

• Bed relative to window
• Personalisation
• Acoustic consideration
• Furniture detail
• Ceiling height min 2700mm (‘break the box’)
• Recognise function of corridor + threshold
• Carpet in part of the room

M H functional single bedroom en-suite – key drivers

En-suite sh/ wc En-suite sh/ wc Sleep/ rest Sleep/ rest Work/ play storage storage support recovery entry entry

M H functional single bedroom – layout parameters

Bedroom design inc l staff / ther apeutic featur e s E n-suite design featur es

Ne t ro o m are a (sqm) Cle arwidth Cle arde pth Be d po sitio n Sig ht-line fro m do o r Wo rk spac e Sto rag e pro visio n Pe rso nalisatio n / artwo rk T e c hno lo g y Ce iling he ig ht Windo w size + o pe ratio n Do o rtype Do o r size + o pe ratio n Ne t ro o m are a (sqm) Duc t are a (sqm) L

• c atio n re lative to be dro o m

Co nstruc tio n in-situ/ po d Do o rtype do o rsize , o pe ratio n + lo c k- bac k

M H Functional bedroom assessments

M H functional bedroom en-suite – 2 arrangements In-board with sight-line splay Parallel/ nested

• En-suite comfortable, not over or under sized
• Sight-line, move into room, impact of f,f+e
• Bed position impact on the ‘sense of space’

M H functional bedroom in-board en-suite – room testing

featur es:-

100% sig ht-line , mo r e be d po sitio ns, e ffic ie nt fo o tprint, te ste d o bse rvatio n re c e ss de pth

M H functional bedroom en-suite – model test

T echnical Workshop

• Detailed design:

– Support for work on

storage

– En-suite arrangement:

• Solid stub wall
• Pocket door
• Broader principles:

– Standard brief

• What is an acceptable

level of risk?

• Definition of anti-ligature

and testing

• Expectations – infection

control

– Flexibility: baseline for

forensic bedroom?

M H functional bedroom en-suite – 2 arrangements In-board with sight-line splay Parallel/ nested

enhanc ed design featur es:-

We ig ht se nsitive do o r , sliding o r po c ke t do o rs to e n-suite , hig he r c e iling , windo w se at, fitte d furniture , artwo rk, o ppo rtunity fo r pe rso nalisatio n

featur es:-

100% sig ht-line , 2 be d po sitio ns, e ffic ie nt fo o tprint, re duc e d c o rrido r le ng th

M H functional bedroom en-suite – in-board

En- suite sh/ wc En- suite sh/ wc Sleep/ rest Sleep/ rest Work/ play

support recovery

entry entry

bedroom, 11.8sqm en-suite, 3.1 sqm duct, 0.4sqm

M H functional bedroom mock up@ Thorlux show room, 30:10:14

M H functional bedroom mock up@ Thorlux show room, 30:10:14

M H functional bedroom mock up@ Thorlux show room, 30:10:14

• 10. C-Sheets

• 10. Federated BIM M odel

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Furniture Arrangements

• Padded waistcoat
• Waterproof top
• shoes
• trainers
• boots
• 4 pairs of trousers
• 2 tracksuit bottoms
• shorts
• 7 t-shirts
• 3 rugby tops
• 3 jumpers
• 7 boxers
• 7 socks
• Baseball cap
• (2 bath towels)
• (2 hooded tops)

MH bedroom storage test - triangular

MH bedroom storage test – rectangular high level

• Padded waistcoat
• 2 Waterproof tops
• shoes
• trainers
• boots
• 8 pairs of trousers
• 2 tracksuit bottoms
• shorts
• 10 t-shirts
• 6 rugby tops
• 6 jumpers
• 7 boxers
• 7 socks
• Baseball cap
• 2 bath towels
• 4 hooded tops

MH bedroom storage test – rectangular low level

• Padded waistcoat
• Waterproof top
• shoes
• trainers
• boots
• 4 pairs of trousers
• 2 tracksuit bottoms
• shorts
• 7 t-shirts
• 3 rugby tops
• 3 jumpers
• 7 boxers
• 7 socks
• Baseball cap
• 2 bath towels
• 2 hooded tops

Patient Workshop: Mental Fight Club

• September 2014
• What does this space say to me?
• What does this space expect of me?

– Bed position – Furniture – Storage – Colour

featur es:-

Mo dular o ptio ns, sing le fixe d ro o m de sig n, 4 be d po sitio ns

M H functional bedroom – modularised fitted furniture

MH functional bedroom - Aerial view Rectangular furniture option with peninsula bed

MH functional bedroom - perspective view from window Rectangular furniture option peninsula bed

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Break, Exhibition and Video

Return 11:30

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Organic Mental Health Bedroom

Pat Pemberton/ Rosemary Jenssen

HBN compliance- HBN 35

Size: Bedrooms with en-suites- but no showers 17m2 5.46 Single rooms, with en-suite WC and washing facilities are

• required. The wash basin will need to be at a height suitable for a

person sitting on a chair. The en-suite facilities will need to have wheelchair access. 5.47 The bedroom may be furnished with a variable height bed and general type bed head services but piped oxygen and suction are not required. An emergency call system is required. The room will also require a bedside locker, a chair of appropriate height and storage for clothes.

What are the needs?

• Nursing care – continuation of care that has been provided at

home

• Interventions to encourage activities of daily living
• Safety – falls prevention and harm relating to falls
• Rest and relaxation
• Security and observation

Literature Review and Workshops

• Literature Review
• Mental Health Survey
• The Kings Fund
• South Essex Carers

Group

• Innovate Dementia

compliant design features:-

• 17.0 sqm -19.0sqm combined bedroom and en-suite
• Sight-line from door
• daylight and views out
• en-suite HBN00-02 and 03 compliant
• Rooms paired to share services
• Anti-ligature

recommendations:-

• Familiarity ‘v’ ligature
• Accommodate more interventions
• Memory box
• Sight-line to wc
• Fitted furniture detail
• Ceiling height min 2700mm
• Recognise function of corridor + threshold
• Seamless floor finish

M H organic single bedroom en-suite – key drivers

En-suite sh/ wc En-suite sh/ wc Sleep/ rest Sleep/ rest Work/ play storage storage support recovery entry entry

Bedroom design inc l therapeutic / nursing featur es E n-suite design featur es

Ne t ro o m are a (sqm) Cle arwidth Cle arde pth Be d po sitio n Sig ht-line fro m do o r Wo rk spac e Sto rag e pro visio n Pe rso nalisatio n / me mo ry bo x artwo rk Ce iling he ig ht Windo w size + o pe ratio n Do o rtype Do o r size + o pe ratio n Ne t ro o m are a (sqm) Duc t are a (sqm) L

• c atio n re lative to be dro o m

Sig ht-line be d to wc Co nstruc tio n in-situ/ po d, g rabrails Door type do o rsize , o pe ratio n + lo c k- bac k

M H Older Adult/ Organic bedroom assessments

• En-suite comfortable, not over or under sized
• Bed type and size
• Option peninsula or against the wall

M H organic bedroom in-board en-suite – room testing

T echnical Workshop

• Detailed design:

– Size of the en-suite in

relation to assistance

– Single leaf entrance door

• Broader principles:

– Standard brief

• What is an acceptable level
• f risk?
• What level of assistance are

we designing for?

– Flexibility: baseline for

forensic bedroom?

Organic in-board en-suite

assistance on and off wc, with two staff 1. 2. 3. adjustments made to organic en-suite post technical workshop layout pre and post workshop

featur es:-

100% sig ht-line , e ffic ie nt fo o tpr int, fo ur be d po sitio ns, sig ht-line to wc

M H organic bedroom in-board en-suite

En- suite sh/ wc En- suite sh/ wc Sleep/ rest Sleep/ rest Work/ play

support recovery

entry entry

bedroom, 14.3sqm en-suite, 3.8 sqm duct, 0.4sqm bay, 0.6 sqm

• 10. C-Sheets

Organic nested en-suite

assistance on and off wc, with two staff 1. 2. New layout nested en-suite post technical workshop

featur es:-

Shallo we r plan de pth, two be d po sitio ns, se ating are a within c o rrido r

M H organic bedroom nested en-suite

En- suite sh/ wc En- suite sh/ wc Sleep/ rest Sleep/ rest Work/ play

support recovery

entry entry

bedroom, 13.8sqm en-suite, 3.8 sqm duct, 1.3 sqm bay, 0.6 sqm

• 10. C-Sheets

www.procure21plus.nhs.uk

Furniture Arrangements

featur es:-

100% sig ht-line , e ffic ie nt fo o tprint, fo ur be d po sitio ns, sig ht-line to wc

M H organic bedroom – modularised furniture

MH organic inboard en-suite bedroom - Aerial view T allboyfurniture option with peninsula bed

MH organic inboard en-suite bedroom – perspective view T allboy furniture option with peninsula bed

featur es:-

100% sig ht-line , shallo we r plan de pth, lo ng e r c o rrido r, two be d po sitio ns, sig ht-line to wc

M H organic bedroom – modularised furniture

MH organic nested en-suite bedroom - Aerial view T allboy furniture option with peninsula bed

MH organic nested en-suite bedroom - perspective view T allboy furniture option with peninsula bed

www.procure21plus.nhs.uk

Standard Components

David Kershaw

PSCP Programme Director

“StandardShare”

• P21+ Club website

– Hard Flooring – Suspended Ceilings – Doors – Lighting – Sanitary Ware – Fire Dampers – Partitions – AHUs – Pipework – Chillers – Bedhead Services – Radiant Panels – Ceiling Hoists – Paint

Benefits – Potential Savings

• T
• tal potential saving:

£30.24m, or c5.04%

(against typical market rates, and based on £600m total spend pa)

• Flooring: £4.20m
• Doors: £3.84m
• Lighting: £2.52m
• Ceilings: £2.46m
• Bedhead Services: £1.98m
• Ceiling Hoists: £1.20m
• Sanitary Ware: £0.54m
• Radiant Panels: £0.48m
• Paint: £0.18m
• Partitions: £4.5m
• Pipework: £3.54m
• Chillers: £2.64m
• AHUs: £2.16m

9 Month Savings

• T
• tal: £1,114k
• Lighting: £511K (20%)
• Sanitary Ware: £319k (59%)
• Ceilings: £180k (7%)
• Flooring: £92k (2%)
• Doors: £9k
• Fire Dampers: £2k

Airedale Buckland and Dover Croydon Darlington Memorial Hillingdon Leighton New Cross Nottingham University Rotherham Royal Stoke University Scarborough Southampton General St Bernards Stepping Hill The Walton Centre Worcester Royal Queen Elizabeth, Gateshead

MH Components Journey

• PSCP Component Survey
• Trust wide specifications
• Feedback Analysis

– Multiple Suppliers – Varying specifications

• Specification or Supplier led proposals

Mental Health Components

• Extension of Primary/ Community/Acute

Components

• Available now:

– Fire/ Smoke Dampers; Hard and Soft Flooring;

Sanitary Ware; Radiant Panels; Lighting Doors and Ironmongery; Windows; and Paint

• Being concluded:

– Furniture

Hard Flooring

• Tarkett Flooring
• Vinyl and Linoleum products
• Capex and Opex focused options
• Fixed price to end 2015
• Up to 37% savings

Soft Flooring

• Tarkett Flooring
• Tandus Carpet
• 25 year warranty
• Fixed price to end 2015
• Up to 22% savings

Doors – Mental Health

• Specification led component
• 6 standard door sets
• 6 Suppliers

– Arnold Laver; David Smith; Datim; Leaderflush;

Lloyd Worrall; and Safe Hinge

• Fixed prices to end 2015
• Up to 32% savings

Lighting – Mental Health

• Whitecroft Lighting
• Product Selector
• CF or LED options
• Tuneable LEDs
• 5 year warranty
• Fixed price to end 2016
• Up to 27% savings

Sanitary Ware – Mental Health

• Armitage Shanks and Pipe Centre
• Product Selector; Room Packs
• Contour and Sentry 21
• L/ M/ H secure unit options
• Fixed price to end 2016
• Up to 20% savings

Radiant Panels

• Pipe Centre and Sabiana
• Pulsar Ceiling Panels
• Fixed price to end 2016
• Up to 28% savings

Paint

• Akzo Nobel Paints and PPG Industries
• National technical specification teams
• Free next day delivery
• Free can recycling
• Fixed price to end 2016
• Up to 30% savings

Windows

• Britplas
• Safevent system for natural ventilation
• Option for Window Seat/ Bay Window
• 2 year warranty and 12 month

inspection/service

• Fixed price to October 2016
• Up to 19% savings

Skirting Heating

• Discrete Heat
• Alternative to Radiant Panels
• Perimeter skirting heating option
• 10 year warranty
• Fixed price to October 2016
• Up to 20% savings

Fire/ Smoke Dampers

• Advanced Air
• Fire/ Smoke Damper with Adjustable Frame
• Fixed price to end 2016
• Up to 40% savings

Pipework

• A T

echnical Guide

• Prepared with PSCMs and Suppliers
• Benefits of alternative jointing systems;

purchase cost and installation cost

• Robust installation and test procedures
• Up to 20% savings

Chillers

• A T

echnical Guide

• HTM: recommendations only
• Prepared with PSCMs and Suppliers
• Review specification for project requirements
• Up to 40% capital cost;

27% CO2 emissions; and 36% annual energy cost savings

Air Handling Units

• A T

echnical Guide

• HTM: recommendations only
• Prepared with PSCMs and Suppliers
• Review specification for project requirements
• Up to 30% capital cost;

27% CO2 emissions; 36% energy costs; and 40% size savings

Accessing StandardS hare

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Target Cost Savings

Richard Venables

Interserve

The Challenge

Government Construction Strategy – Efficiency Agenda

Sharing good practice/ standardisation Innovation, changing culture, BIM , Govt soft landings Incentivising supply chain collaboration to provide value/ bulk buying Controlling scope & understanding what costs money Challenging time-scales M anaging expectations Reviewing performance Publishing cost analyses

20% savings required 14.1% savings proposed

Target Cost Savings

Room sizes?

• Inboard en-suite – both
• rganic and functional

similar to HBN

• Nested en-suite minimal

saving against HBN Efficiencies?

• Right solution first time
• Quality time
• Component savings

Focus on patient care

Repeatable Room Design

Room Specification Operating Policy Literature/ Research Review Evidence Matrix Patient Focus Group Previous Scheme Designs Peer Review In-Use Review Post Project Evaluation Supplier Development

Development Process

Specification Operational Policy Literature Review Evidence M atrix Patient Group Design Assessments Peer Review

Applies to all Rooms & Designs

Right solution first time

All rooms All designs Consistent Thorough

• Evidence

based

Quality Time!

Design / Consultation

• Detailed analysis – once
• Consistent details
• Improved Patient Experience

Construction

• Early Involvement of the right supply

chain

• Quality install
• More off site
• Better co-ordination
• Familiarity
• Certainty and knowledge
• Speed to market

£1,425 cost saving for PSCP / PSCM team per room If take into account Trust (clinical and management) time this saving will more than double.

Components – benefits and savings

112

Up to 37% savings

Manufacturers

F ixed price duration, extended warranties, UK manufactured

Wholesalers

Up to40% savings

National, efficient call-off, any size scheme, F ixed price 2016

Guidance

Up to30% savings

S pecification clarity, understanding cost, technical design review

Specification

Up to32% savings

R ationalise door sets (15)

Lessons learnt

Investment Aggregate spend profile Collaboration with key suppliers Focussed resources Speed to market Understand the market Design led – ensure compliant specification Benchmark and review Best price not best discount Trusted relationships Communicate and market Innovate together

Client Benefits

PSCP Investment Baseline for local branding and adaption HBM compliant designs Evidence based Quicker delivery, right first time New NHS specific products Free research and development Efficient capital spend Reduced development time Removal of waste Realistic and robust Integrated working innovate together

The end result

115

Standardised components & design

• Increased

certainty of time, cost, quality Whole life cost choices

• Target Cost

saving > 5%

Benefit Standardisation

Up to 5% target cost saving: Area/ Design Better buying

Road to Savings

GCS14.1% target 20%+ Potential with: Stakeholder engagement S taff familiarity Supplier response Lifecycle

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Lunch, Exhibition and Video

Return 13:20

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Implementation

Gary Barnes

PSCP Lead - Kier

Where to implement

• New Build
• Refurbishment
• Whole Rooms
• Assemblies
• Components

When to implement

Time Benefit

100% <0%

Think BIM

• Block model existing
• “Cut & Paste” additional

requirements (from StandardShare)

• Accommodation &

Adjacencies to meet Clinical Strategy

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Panel Q & A

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Work Group Sessions – Implementation Barriers

David Kershaw

PSCP Programme Director

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Break, Exhibition and Video

Return 14:30

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Work Group Sessions – Feedback

David Kershaw

PSCP Programme Director

Delivering value with P21+

DH – Leading the nation’s health and care

Ray Stephenson

ProCure21+ National Framework Programme Lead

Governance and Assurance Directorate 25.03.15

www.procure21plus.nhs.uk

Next Steps

Alan Kondys

PSCP Lead - IHP

Cost Reduction

Cost Reduction

Further Rooms & Components

• ED Rooms
• 8 Bed Ward cluster
• Components
• to suit rooms
• Low/ Medium Secure

Anyone interested in participating please contact David Kershaw

Continuous Improvement

• Government Soft Landings
• Post Occupancy Evaluation

= Enhanced standards on StandardShare

Ready to Go!

• April 2013: 95% support standardised design
• Second designs now delivered by PSCPs
• Available in StandardShare for all to use

www.procure21plus.nhs.uk

Summary

David Kershaw

PSCP Programme Director

Thank you

• Service Users
• Trusts
• Designers
• Stakeholders
• Suppliers

www.procure21plus.nhs.uk

Close and Video

Thank you!