Robert Braham, Regional Asset Manager (London) NHS Property Services Ltd



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Robert Braham, Regional Asset Manager (London) NHS Property Services Ltd NLA 18 th June 2014

NHS Property Services: Who we are and what we do Created as part of Health and Social Care Act to hold Primary Care estate Focus on professional property management to maximise benefits of estate whilst mitigating costs Work with primary care commissioners to develop an appropriate estate

Our core business Operational estates management Property management Strategic estates management Additional facilities management services Car park management Catering Cleaning Grounds maintenance Pest control Portering Reception staff/centre management Security services

What Day One looked like 161 organisations brought together 3,000 staff (2,500 WTE) TUPE transferred 3,936 assets transferred Covering 25 million square feet With 12,000 tenants Valued at 3 billion 1,500 legal charges transferred We continued to deliver safe, clean and efficient services

What Day One looked like: 3,746 assets Community centres 4% Land 4% Support buildings 3% GP surgeries 8% Hospital related 9% Health centres 42% Care homes 14% Offices 16%

Who we are and what we do* 3,746 holdings 1,976 Health centres/gp surgeries 2.7m sq metres gross internal floor space 3,200 staff 696 Offices buildings 356 Other properties 277 Hospital related properties 201 Land without buildings 101 Nursing/care homes net book value 3bn 71 Land with buildings 68 Residential * May 2014

In numbers Portfolio value 3,000,000,000 Spend 800,000,000 Spend on external facilities management 136,000,000 Gross internal area 2,700,000 m2 10% of the NHS estate

The NHS Estate Acute Trusts Mental Health Trusts Community Health Trusts NHS Property Services

Changed role and relationships Before 1 st April 2013 PCTs commissioned GP s and community services; PCTs still delivered services through Tier 2; and PCTs owned or leased its own properties After 1 st April 2013 NHS England commissions GP s; CCGs commission community services; and NHS Property Services owns or leases estate Key decisions about property now moved to NHS Property Services The estate must pay for itself a change in money flows

Key challenges Dispose of surplus estate estate no longer required for operational purposes by NHS England or the local CCG Regularise the estate put all occupants of estate onto formal arrangements with clear understanding of liabilities and obligations Develop standard approaches o Standard lease terms o Consistent service across estate o Management of multi-let properties Improve space utilisation 75,000 sq m in London alone Generate income to create self sufficiency realistic rents Rationalise costs rationalise service contracts; use buying power to drive down costs

The London estate Numbers of Proper-es by type Health centre/ GP Office Residen-al/ Care home Hospital Land with buildings Land without buildings Children/Community Centre Total 266 57 32 26 15 26 10 432 Largest: Edgware Hospital (33,000 sq m) Smallest: Carpenters Community Clinic (42sq m) Most expensive: Queen Mary s ( 17m)

London - Key Facts The London region covers a small area compared to other regions, only 607 square miles We support the healthcare provision for 8.1m people We are responsible for 432 properties Scrutiny from high profile people including the Mayor of London Stakeholders include 32 CCGs; 32 Local Authorities; 73 MPs; the GLA; local and national media

NHS PS vacant estate (London) Under or non-utilised estate 75,000 sq metres Vacant sites 14 Vacant site areas 19 Hectares

NHSPS Disposals in London 2013-15 30% of planned housing target achieved 225% of planned housing target expected 210% of planned sale value expected 2013-15 No Housing units Value ( 000s) Plan at 01-04-2013 33 186 21,700 Completed 10 63 6,960 Currently under offer 1 2 325 Currently on market 2 35 1,250 Not yet on the market 10 320 44,100 Expected total March 2015 23 420 45,675

Transforming Community Services North West London - Shaping a Healthier Future North East London - Health for North East London North Central London - Barnet, Enfield and Haringey Clinical Strategy South East London - TSA recommendations South West London - Better Services Better Value

Some sites likely to be sold or developed 2015-16: Assets Dulwich Community Hospital Northwood and Pinner Community Hospital St George s Hospital, Hornchurch Marie Foster Centre, Barnet Bassets Campus, Farnham, Kent