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 2001NHS 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 bricks1. 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