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2010/11 THE NHS ESTATE IN WALES Estate Condition and Performance Report THE NHS ESTATE IN WALES Estate Condition and Performance Report 2010/11 CONTENTS 1 INTRODUCTION 5-7 1.1 Background of the report 1.2 Purpose,format and scope of the report 1.3 Changes to the content of the report 1.4 Report validation 1.5 2010/11 Facilities Performance Report 2 EXECUTIVE SUMMARY 8-14 3 ESTATE PROFILE 15-19 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 E EstateSTATE PerformancePERFORMANCE 7 - 20 20-31 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 performance 55 E EnvironmentalNVIRONMENTAL Issues 20 - 23ISSUES 32-38 5.1 Waste 5.2 Transport 5.3 Water usage 66 A SummaryPPENDICES 24 - 25 39-110 Appendix I Health Board/Trust Risk Adjusted Backlog Costs Appendices II-X Summary of Health Board/Trust information Appendix XI Details of non-essential Health Board/Trust property Appendix XII Performance Indicators and Targets 1 INTRODUCTION 1.1 Background of the report 1.1.1 This is the 10th Estate Condition and Performance Report published by NHS Wales Shared Services Partnership – Facilities Services (NWSSP-FS) and its predecessor organisation,Welsh Health Estates. 1.1.2 The report is based on annual estate data returns submitted to the on-line Estates and Facilities Performance Management System (EFPMS) by seven Health Boards,Velindre NHS Trust and the Welsh Ambulance Services NHS Trust,and cove rs the period from April 2010 to March 2011. The system was introduced by the Welsh Government,formerly the Welsh Assembly Government (WAG),in April 2002 and is managed by NWSSP-FS. 1.2 Purpose, format and scope of the report 1.2.1 The report serves two main functions: O It provides the Welsh Government 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 prioritisation and allocation of resources. O It provides Health Boards/Trusts with data and information to enable them to compare their own individual performance with that of other Health Boards/Trusts,as well as against national trends. For each organisation the report includes data and information relating each of its hospital sites and the remainder of the estate aggregated into one group. The report,therefore,should be a driver in the process of i mproving the performance and efficiency of the health estate. 1.2.2 As in previous years,the report focuses on the condition and performance of the health estate measured against the following national performance indicators (PI): O Physical condition O Statutory and safety compliance O Functional suitability O Space utilisation O Energy performance In addition,performance data on Fire safety compliance compliance is included as a sub-set of the Statutory and safety compliance data. Whilst the Statutory and safety compliance PI includes costs associated with fire safety,more comprehensive data on fire safety standards and management is collated annually through the on-line Fire Audit Information System and the Fire and UwFS Incident Reporting System. Separate reports analysing this data are published by NWSSP-FS. 1.2.3 The report also recognises the importance of environmental issues and significant efforts have been made to evaluate the performance of the health estate in respect of waste,transport and Estate Condition and Performance Report 2010/11 5 INTRODUCTION water. Reference is also made to the Welsh Government’s Sustainable Development Action Plan, the UK Government’s Sustainable Development Strategy and any requirements and targets from these documents. 1.2.4 The format of the report is broadly the same as previous years. The 10-year milestone since the publication of the first Estate Condition and Performance Report,however,has provided an incentive to review some aspects of the report. Hence,the report cover has b een redesigned whilst retaining a familiar look; colour has been added to some of the charts; keys associated with the use of the traffic light system have been improved and the type of chart used to report some of the data has been changed. For example,pie charts have been included to express the age of the estate and to compare the 2010/11 profile with that in 2001/02. 1.3 Changes to the content of the report 1.3.1 Whilst the format of the report has remained broadly the same as previous reports,some important changes have been made to the content of the report,affecting national PIs and backlog maintenance reporting: Performance indicators 1.3.2 The following changes have been made to the national PIs: O The 2005/2008 target dates no longer feature. Performance is simply measured against the set targets agreed with the Welsh Government (more information can be found in Section 4.1.1). 1 O The previous statutory and safety compliance target has been amended to bring it in line with the physical condition PI target,that is,90% of the estate should achieve condition category ‘B’. This applies to buildings where statutory and safety compliance action will be needed in the current plan period to comply with relevant guidance and statutory requirements. O The three energy performance indicators have been replaced by a single one based on energy consumption per m2. This is considered to be a more meaningful performance measure. Furthermore,performance is expressed in terms of kWh/m 2 replacing the former GJ/100m3 indicators (more information can be found in Section 4.1.3). Backlog maintenance cost reporting 1.3.3 Over the last 10 years backlog maintenance costs have been a focal point of the annual estate performance reports. These are the estimated costs to bring the estate up to a condition known 2 as condition category ‘B’ . In 2004 a new risk based methodology for establishing and managing risks was introduced to the NHS in Wales. This recognised the importance of viewing backlog in terms of risk and required the overall backlog maintenance costs to be segregated according to risk bands and included a methodology for calculating the Risk Adjusted Backlog (RAB) costs. The RAB is 1 90% of the estate to achieve condition category ‘A’: this applies to buildings that comply with all statutory requirements and relevant guidance. 2 Condition category ‘B’ applies to buildings that are sound,operationally safe and exhibit only minor deterioration. 6 Estate Condition and Performance Report 2010/11 INTRODUCTION considered to provide a more realistic assessment of the overall condition of the estate since it is designed to focus attention on the high and significant risk elements of backlog. RAB costs were first included in the 2004/05 Estate Condition and Performance Report. It was anticipated at the time that this method of reporting backlog would eventually replace the one in use at that time. Seven years after the introduction of RAB,it is now considered appropriate for the 2010/11 and future annual performance reports to express backlog costs in terms of RAB costs only. 1.3.4 Whilst RAB cost reporting has served a useful purpose in drawing attention to the need to focus resources on high and significant risks,NWSSP-FS recognises that certain aspects of the 2004 methodology would benefit from reassessment in order to strengthen the effectiveness of the management of the healthcare estate. In particular,there is a need to provide Health Boards/Trusts with a more effective methodology to identify and prioritise critical failures that are likely to affect the safety of patients and other users or are likely to affect the viability of the services delivered by these organisations. Accordingly,an alternative methodology is currently being investigated and trialled for possible future roll-out across the NHS in Wales at some time in the future. 1.4 Report validation 1.4.1 Whilst NWSSP-FS has not carried out a systematic validation of data submitted by the Health Boards/Trusts,every effort has been made to identify and address anomalies. Responsibility for the accuracy of the data submitted to the EFPMS,however,rests ultimately with the Health Boards/Trusts. All the data used in the preparation of this report is available electronically from the NWSSP-FS intranet website. 1.5 2010/11 Facilities Performance Report 1.5.1 This Estates Condition and Performance Report is complemented by the 2010/11 Facilities Performance Report which focuses on ‘hotel services’ included in the EFPMS. These cover: O telecommunications O car parking O cleaning O catering O laundry & linen O security O portering O postal services The report is published as a separate,stand-alone document. As with the Estate Condition and Performance Report,all the data used in the preparation of this report is available electronically from the NWSSP-FS intranet website. Estate Condition and Performance Report 2010/11 7 2 EXECUTIVE SUMMARY 2.1 Context of the report This report addresses the condition and performance of the NHS Estate in Wales from April 2010 to March 2011. It has been compiled by NHS Wales Shared Services Partnership – Facilities Services (NWSSP–FS) and is based on the Estates and Facilities Performance Management System (EFPMS) data submitted by the following NHS organisations: O Abertawe Bro Morgannwg University Health Board O Aneurin Bevan Health Board O Betsi Cadwaladr University Health Board O Cardiff and Vale University Health Board O Cwm Taf Health Board O Hywel Dda Health Board O Powys Teaching Health Board O Velindre NHS Trust O Welsh Ambulance Services NHS Trust As well as hospital sites,the report includes data on other NHS sites,aggregated on the basis set down in the EFPMS data definitions.

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