NHS Estates Report 2003
Total Page:16
File Type:pdf, Size:1020Kb
THE NHS ESTATE IN WALES Estate Condition and Performance Report 2002-2003 THE NHS ESTATE IN WALES Estate Condition and Performance Report 2002-2003 CONTENTS 1 INTRODUCTION 5-6 1.1 The Estate and Facilities Performance Management System 1.2 Estate Condition and Performance Reports 1.3 The 2002-2003 Estate Condition and Performance Report 2 EXECUTIVE SUMMARY 7-11 33 EEstateSTATE ProfilePR 4 OFILE- 6 12-14 3.1 Key statistics of the NHS estate in Wales 3.2 The age of the estate 3.3 The Essential and Non-Essential estate 3.4 Expenditure on the NHS estate 44 EEstateSTATE PerformancePERFORMANCE 7 - 20 15-31 4.1 General information 4.2 Physical condition 4.3 Statutory and safety compliance 4.4 Functional suitability 4.5 Space utilisation 4.6 Energy 5E5 EnvNVIRONMENTALironmental Issues 20 - 23 ISSUES 32-36 5.1 Waste 5.2 Transport 5.3 Water usage 6S6 AummaryPPENDICES 24 - 25 37-194 Appendix I Trust Backlog Maintenance Costs Appendices II-XV Summary of Trust Information Appendix XVI Details of Residual and Surplus Hospital Sites Appendix XVII Performance Indicators and Targets Appendix XVIII Comparison of Key Performance Indicators by Trust Type 1 INTRODUCTION 1.1 The Estates and Facilities Performance Management System 1.1.1 This is the second report on the condition of the NHS Estate in Wales to be based on the Estates and Facilities Performance Management System (EFPMS) returns. The system was introduced into Wales in April 2002 under cover of Welsh Health Circular WHC(2001)99 and replaces the Estate Data Returns (EDRs) that used to be submitted annually by NHS Trusts to Welsh Health Estates (WHE). 1.1.2 The system is web-based and is derived from the Estates Returns Information Collection (ERIC) system used by NHS Trusts in England. 1.1.3 The system in Wales is managed by WHE and is designed to facilitate the data input and reporting processes. As a web-based system the EFPMS allows Welsh Trusts to gain access to data submitted by English Trusts, thus enabling them to compare their performance against a much wider database than has been possible until now. 1.2 Estate Condition and Performance Reports 1.2.1 Reports based on the EFPMS are intended primarily to provide the Welsh Assembly Government (WAG) with high level data and information on the condition of the health estate in order to monitor, year on year, performance trends, inform the strategic planning process and assist in the allocation of resources. The reports are also intended to provide NHS Trusts with information that will enable them to compare their own performance with that of other Trusts as well as against national trends. The reports, therefore, are intended to be a driver in the process of improving the performance and efficiency of the health estate. 1.2.2 In the EFPMS, the NHS in Wales has an all-Wales database that includes comprehensive environmental and facilities data, thus significantly widening the scope of the reports that can be generated from it. During its first year of operation, the EFPMS included some optional fields, mainly related to facilities data. These fields are now mandatory and, as a consequence, analysis of these topics can be carried out by the Trusts at a local level. 1.2.3 The 2002-03 Estate Condition and Performance Report includes comparisons between Trusts in Wales and Trusts of similar type which are included in the EFPMS dataset. These comparisons are illustrated in the graphs detailed in Appendix XVIII and cover the key performance indicators for all the Trust types in Wales. 1.2.4 This year the EFPMS includes information on all the Trusts’ properties, although the information relating to the non-hospital estate has been aggregated in clearly defined groups. WELSH HEALTH ESTATES - Estate Condition & Performance Report 2002-2003 5 INTRODUCTION It is envisaged that this will allow a more accurate analysis of the condition of the health estate to be carried out. 1.3 The 2002-2003 Estate Condition and Performance Report 1.3.1 This Estate Condition and Performance Report is based on EFPMS returns submitted by Trusts for the financial year 2002-03. It includes data and information relating to all the hospital sites and the remainder of the estate aggregated as follows: Aggregate 1: Freehold - Diagnostic & Treatment Centres, Health Centres, Clinics, Ambulatory Diagnostic Centres, One Stop Centres and Primary Care Units Aggregate 2: Freehold – all other sites Aggregate 3: Leased and fully serviced by the NHS Trust Aggregate 4: Leased and fully serviced by the Landlord Aggregate 5: Leased and part serviced by the NHS Trust/Landlord The aggregate categories were not all applicable to some of the Trusts. 1.3.2 The 2002-03 Estate Condition and Performance Report follows the same format as the 2001-02 report, in so far as the Estate Performance and Energy Performance Reports have been combined into a single report in order to cover the wide range of data contained in the EFPMS. Data relating to the facilities element of the EFPMS has been included in the EFPMS supplementary document and is also available in the EFPMS to be used by the Trusts. 1.3.3 Whilst WHE has not carried out a systematic validation of data submitted by the Trusts, every effort has been made to identify and address anomalies. Responsibility for the accuracy of the data submitted to WHE, however, rests ultimately with the Trusts. 1.3.4 The hospital sites that were in Powys Health Care NHS Trust have now been transferred to the new Powys Local Health Board and for the purposes of this report, and to enable a consistent approach to be taken with regard to the Performance Indicators and targets, the Powys Local Health Board is deemed to have the same status as the other Welsh Trusts. 6 WELSH HEALTH ESTATES - Estate Condition & Performance Report 2002-2003 2 EXECUTIVE SUMMARY 2.1 Context of the report This report addresses the condition and performance of the NHS Estate in Wales for the period 2002-03 and, for the first time, includes data and information based on the whole of the health estate rather than hospital sites only. The report has been compiled by Welsh Health Estates (WHE) based on Estates and Facilities Performance Management System (EFPMS) data submitted by 13 NHS Trusts and Powys Local Health Board, which replaced Powys Health Care NHS Trust in April this year. Due to its uniqueness amongst Trusts, the Welsh Ambulance Services Trust has not been included, though data was submitted and is available in the EFPMS for comparison purposes with other Ambulance Trusts in England. Data associated with non-hospital sites has been aggregated, based on five categories set down in the EFPMS. For the first time it has been a mandatory requirement for Trusts to submit hotel services data, including environmental cleanliness, catering, laundry, security and portering. However, since Performance Indicators and targets have yet to be identified, it has been decided not to include information relating to these services. The data, however, has been included in the 2002-03 EFPMS supplementary document. In April this year three Assembly Regional Offices took on the responsibility for managing the performance of the Local Health Boards and NHS Trusts. Accordingly, the report includes information by region, this year limited to a breakdown of backlog maintenance costs. The reliability of EFPMS data continues to be a priority matter for WHE. Accordingly, training focused on achieving accurate and consistent data input, based on the correct interpretation of data definitions, is being provided to Trust staff through the EFPMS User Group set up earlier this year. 2.2 Estate profile The profile of the estate remains largely unchanged, with more than half of it being over 25 years old and approximately a third over 50 years old. The modernisation of the health estate, therefore, continues to be an important priority for both the Welsh Assembly Government and the NHS. Key to the modernisation process is the development of estate strategies that support service plans, leading to the requirement for new buildings and the rationalisation of old stock. The identification of Essential and Non-Essential buildings, based on whether they have a health use exceeding five years, is designed to encourage Trusts to dispose of stock with a short term future as quickly as possible. Data submitted by Trusts points to the fact that WELSH HEALTH ESTATES - Estate Condition & Performance Report 2002-2003 7 EXECUTIVE SUMMARY 265,000m2 of building area have been identified as having a short-term future — an increase of 65,000m2 since last year. The rationalisation process involves also the disposal of Non-Essential land. According to the data provided, 270ha of land have a short-term future — an increase of 70ha since last year. It is anticipated that the implementation of Trusts’ estate strategies over the next year will realise a reduction in Non-Essential building area of approximately 60,000m2 with a corresponding reduction in Non-Essential land area of approximately 90ha. Early disposal of the Non-Essential estate is vital if scarce resources are to be directed where they can be used more effectively. This, combined with a commitment from the Assembly to start to address the shortfall in funding the NHS Estate over the last ten years, will go a long way to revitalise and modernise the estate. 2.3 Estate performance 2.3.1 General The NHS is committed to meeting a number of targets based on the following National Performance Indicators: Physical Condition Statutory and Safety Compliance Functional Suitability Space Utilisation Energy Performance The targets relate to the Essential estate and will develop over time to reflect national priorities and the quality aspect of the estate.