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					European Health Property Network



                                   Brian Gilroy
                   National Director of Estates
                                          Brian.gilroy@hse.ie


  European Health Property Network Conference   April 2008
European Health Property Network
  Health Infrastructure: - what is it?
  Current Health Estate
  Estates Structure
  Fact and Figures
  Recent and Current work
  Investment priorities & patterns
  Realising Potential
  Future Health Estate.

     European Health Property Network Conference   April 2008
European Health Property Network
   National Director of Estates
   “Corporate” Estates functions:
      Capital; Property/Office; Environment &
       Standards; Commercial & VFM; Architecture
       and Planning.
   Regional Assistant National Directors
       Delivery & Implementation.
   Multi – disciplinary expertise
   Restructuring in progress
   Role of Hospitals, Institutions & Voluntary
    Bodies.


     European Health Property Network Conference   April 2008
European Health Property Network
    Health Facilities –

    What  are they?
    Include buildings, land, plant and equipment.
    Role they play:
       Clinical

       Economic

       Social

       Psychological

       Environmental




    European Health Property Network Conference   April 2008
    European Health Property Network
Current Health Estate Illustrated:

    Old - e.g. Dr.Steevens, Rotunda
        - Changing uses/urban & cultural importance
    19th Century – e.g. Workhouses
         - Accessibility
    1930’s
        - Type & standard of construction
    1950’s: Sanatoria
        - Building plans & Configuration
    Late 20th Century: changing needs
        - Space standards & capacity
    Into the 21st Century……..


         European Health Property Network Conference   April 2008
 European Health Property Network
Current Estate:
Some facts and figures:

 Acute Beds: 11,660 Public 4,400 Private
 Co- Located project to deliver approximately 1,000 beds
 Mental Health Beds: 4,000
 Long Stay Dependent Elderly: 8,205 Public 17,500 Private
  - (20-25% in buildings 150+ years)
 50+ Acute Hospitals Nationwide
 Specialist facilities
 Care Programmes: Primary Care; Acute Hospital,
  Childcare, Elderly, Mental Health, Disability.

       European Health Property Network Conference   April 2008
European Health Property Network
Drivers for Change:

HSE Mission – “Easy Access, Public Confidence, Staff Pride”

   Improved patient outcomes
   Changing Models of Care
   Integration of Primary and Secondary Care
   In-Patient to day case shift
   Aligning facilities with service needs
   Inherited Historical Deficits
   Changing demographics
   Patient and staff expectations
   Control of infections
   Technical advances


        European Health Property Network Conference   April 2008
European Health Property Network
Drivers for Change (cont.):

 Risk Management
 Higher environmental & space standards
 Safe Care
 In-Patient to day case shift
 Privacy and dignity
 “Patient Focus”
 “Healing environment”
  - Space, light, views, noise, colour, etc
 Value for Money
 Staff recruitment and retention

    European Health Property Network Conference   April 2008
    European Health Property Network
Recent achievements:

    New and enhanced facilities, supporting improved
    clinical delivery, in more appropriate environments

   St.Vincents University Hospital (awards…)
   Cork Maternity Hospital
   Tullamore
   Thurles CNU (Community Nursing Units)
   IBTS – Irish Blood Transfusion Service
   Dublin Dental Hospital –International exemplars/world
    class


       European Health Property Network Conference   April 2008
European Health Property Network
In Design & being procured:

   NRH – National Rehabilitation Hospital
   Mater Adult
   NPH – National Paediatric Hospital
   Marymount Hospice
   CNU’s (Community Nursing Units)
   Primary Care Units
   CMH (Central Mental Hospital)
   Grangegorman

       European Health Property Network Conference   April 2008
European Health Property Network
Investment Priorities
 Investment to support service reconfiguration
  and clinical priorities:
  Revenue consequences of capital investment
 Improved delivery of projects
 Efficiency and affordability whole life cost:
  - General ratio 1 (construction) : 10 (running) :
  200+ (staff) over lifetime
  - (0.1 design)
 Increasing complexity (NPH) (National
  Paediatric Hospital)

     European Health Property Network Conference   April 2008
European Health Property Network
Investment Patterns:

NDP: 2007-2113 - €4.5bn
Health: NHO: €2bn
        PCCC: €2.1bn
        NPRO:€415M (PPP)
      Minor Capital: €80m per annum
      ICT:€409m

Total HSE 2008 Vote: €14.9bn
          2008 Capital: €540m

   Oversubscribed plan
   Other funding sources: - Private (Co-Located); Revenue Stream ;
    Voluntary; Altruistic; Cross- Sectoral; Sale of surplus

        European Health Property Network Conference   April 2008
European Health Property Network

 Criteria   for selection/tender list:

     Answer questions
     Health and Safety
     Speedy Delivery
     Understanding of Health Environment & Client
      requirements
     Quality of design, construction, performance.

      European Health Property Network Conference   April 2008
European Health Property Network
Maximise Potential of Health Estate & New Capital
  Investment.

   VFM
   Learn lessons
   Support innovation : - ICT
                                 - Model of care
                                 - Design
                                 - Construction process
   International trends and practices
   Recognise that not all significant clinical improvements
    will necessarily need significant capital investment.

       European Health Property Network Conference   April 2008
European Health Property Network
The future:

   Better patient outcomes
   Flexible and adaptable estate
   Fit for purpose
   Support service needs & priorities
   Realistic lifespans
   Planned programmes of investment
   Healing and quality environments
   Facilities a measure of worth of Health Service, those
    using the service, and those delivering care.

       European Health Property Network Conference   April 2008

				
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