LIFT and the development of Primary Care

Paul BensonGeneral Manager

East London LIFT Company

What is LIFT?

What is LIFT? How does it work? How LIFT will support your work

NHS Plan – July 2000

“The NHS will enter into a new public private partnership within a new equity stake company – the NHS Local Improvement Finance Trust (NHS LIFT) – to improve primary care premises in England.”

NHS Plan – July 2000

“As a result of this NHS Plan: up to £1 billion will be invested in

primary care facilities up to 3,000 family doctors’

premises will be substantially refurbished or replaced by 2004.”

NHS Plan – July 2000

…. “record investment will allow for a range of brand new types of NHS facilities, bringing primary and community services – and where possible social services – together under one roof to make access more convenient for patients.”

NHS Plan – July 2000

“New one-stop primary care centres will include GPs, dentists, opticians, health visitors, pharmacists and social workers.As a result of this NHS Plan there will be:

500 one-stop primary care centres by 2004”

NHS Plan – July 2000

……. “a radical redesign of the whole care system. In future, social services will be delivered in new settings, such as GP surgeries, and social care staff will work alongside GPs and other primary and community health teams as part of a single local care network.”

LIFT Prospectus – July 2001

NHS LIFT aims to: Deliver a step change in the quality of

the primary care estate Remedy some of the deficiencies in

the existing arrangements Contribute to the delivery of the

investment targets in the NHS Plan

LIFT – policy into reality

February 2002 – East London OJEU notice

February 2002 – East London SSDP May 2002 – ITN published December 2002 – preferred bidder May 2003 – contracts signed

East London LIFT

Three of the most deprived boroughs in the UK - but also wealth and commerce Newham Tower Hamlets Hackney City of London

East London LIFT

East London - context

Estimated population of 627,000 Ethnically rich population - 46%

from minority communities Young population – 25% under 15 Major health problems Mainly poor primary care

infrastructure

East London – public sector

City & Hackney PCT & LB Hackney Tower Hamlets PCT & LB TH Newham PCT & LB Newham East London & the City Mental

Health Trust Partnerships for Health

East London – private sector

Global Solutions LtdGlobal Solutions Ltd Babcock and Babcock and Brown Balfour Beatty and supply chain

Private Sector Partners

Property Development Project Management Project Finance Design & Construction Supply chain management Facilities Management

East London LIFT Company 60% private sector

Global Solutions Babcock and Brown

40% public sector PCT’s x 3 Mental Health Trust London Borough of Newham Partnerships for Health

LIFT – it’s not just bricks

1. LIFTCO – development company2. Strategic Partnering Board3. Strategic Service Development

Plan4. Service and Estate Strategies5. PCT’s, Acute Trusts, LA’s 6. Whole system transformation

What LIFT will deliver

Unprecedented investment in primary care infrastructure

Strategic packaging of projects Support to wider regeneration Reduced procurement time & costs Reduced construction time and

costs

What LIFT will deliver

Long-term partnering and learning Innovative design through dialogue

with users Guaranteed lease payments Guaranteed programmed

maintenance

What LIFT will deliver

….the tools that will support you in the redesign and development of services!

LIFT – “must do’s”

Joint acute and primary care trust service strategies

Whole-system approach to service redesign

Engagement with Local Authorities Engagement with all stakeholders

Church Road, Newham (old)

…….a waiting room

Church Road, Newham (new)

Church Road - services 3 GP practices Community

nursing School nursing Sure Start Pharmacy Psychology

Optician Dentist Diagnostic

imaging Women’s services Cardiology Community cafe

Church Road – the future

….questions