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Estates 113Pp Clip/Web 2011/12 THE NHS ESTATE IN WALES Estate Condition and Performance Report THE NHS ESTATE IN WALES Estate Condition and Performance Report 2011/12 CONTENTS 1 INTRODUCTION 5-6 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 2011/12 Facilities Performance Report 2 EXECUTIVE SUMMARY 7-13 3 ESTATE PROFILE 14-18 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 19-29 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 EEnvironmentalNVIRONMENTAL Issues 20 - 23ISSUES 30-34 5.1 Waste 5.2 Transport 5.3 Water usage 66 ASummaryPPENDICES 24 - 25 35-108 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 11th 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 covers the period from April 2011 to March 2012. 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: ❖ 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. ❖ 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 improving 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): ❖ Physical condition ❖ Statutory and safety compliance ❖ Functional suitability ❖ Space utilisation ❖ Energy performance In addition, performance data on Fire safety compliance is included, measured separately from general Statutory and safety compliance data. 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 energy, waste, transport and water. Reference is also made to the Welsh Government’s Sustainable Development Scheme One Wales: One Planet and its Climate Change strategy and Action Plan for Wales and any requirements and targets from these documents. Estate Condition and Performance Report 2011/12 5 INTRODUCTION 1.2.4 The format of the report is broadly the same as previous years and, in line with the decision taken last year, backlog maintenance costs are reported only in terms of Risk Adjusted Backlog (RAB) costs. As mentioned in last year’s report, NWSSP-FS recognises that 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 considered in conjunction with the Welsh Government for possible future roll-out across the NHS in Wales at some time in the future. 1.3 Changes to the content of the report 1.3.1 Whilst the format of the report has remained broadly the same as in previous years, some minor changes have been made to the content of the report with the inclusion of the following new waste fields: Non-infectious Offensive Waste weight Non-infectious Offensive Waste cost 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 2011/12 Facilities Performance Report 1.5.1 This Estates Condition and Performance Report is complemented by the 2011/12 Facilities Performance Report which focuses on ‘hotel services’ included in the EFPMS. These cover: ❖ telecommunications ❖ car parking ❖ cleaning ❖ catering ❖ laundry & linen ❖ security ❖ portering ❖ 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. 6 Estate Condition and Performance Report 2011/12 2 EXECUTIVE SUMMARY 2.1 Context of the report This report addresses the condition and performance of the NHS Estate in Wales from April 2011 to March 2012. 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: ❖ Abertawe Bro Morgannwg University Health Board ❖ Aneurin Bevan Health Board ❖ Betsi Cadwaladr University Health Board ❖ Cardiff and Vale University Health Board ❖ Cwm Taf Health Board ❖ Hywel Dda Health Board ❖ Powys Teaching Health Board ❖ Velindre NHS Trust ❖ 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. As in previous years, a number of the above mentioned organisations were not able to commit the data by the deadline of 30th June 2012. This, combined with an extensive high-level data 1 verification exercise by NWSSP-FS that revealed a substantial number of anomalies requiring rectification, added to the pressure to publish the report in a timely manner. As stated in previous years, the effectiveness of the EFPMS is largely dependent upon the reliability and consistency of its data. The problems encountered again this year remain, therefore, an issue of concern. The 2011/12 report generally follows the format of previous years 2.2 Estate profile The two new pie charts introduced last year comparing the ‘then and now’ age profiles of the all- Wales health estate have been updated in Section 3.2 and graphically demonstrate the level of estate development activity during the last 11 years. By focusing on the extremes of the age profile it can be seen that the proportion of the estate built since 1995 has increased from 8% to 27% while the proportion of the estate pre-dating 1948 has shrunk from 32% to 19%. This comparison also provides a useful reminder of the importance of implementing, on the one hand, a robust disposal programme of the surplus estate and, on the other hand, investing in the modernisation of the health estate. Full details of the age profile can be found in Section 3.2. 1 Responsibility for the accuracy of the data committed to the EFPMS rests with the Health Boards/Trusts. However, in the interest of publishing a robust report, NWSSP-FS undertakes informal verification checks. Estate Condition and Performance Report 2011/12 7 EXECUTIVE SUMMARY The disposal of surplus building stock and the modernisation of the health estate continue to be important priorities for both the Welsh 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, where appropriate, the refurbishment of old stock. The identification of essential and non-essential buildings, based on whether or not they have a health use exceeding five years, is designed to encourage NHS organisations to dispose of stock with a short-term future as quickly as possible. Data submitted by the NHS indicates that 228,060m2 of building area has been identified as non-essential – an increase of 59,862m2 since the previous reporting year. The rationalisation process also involves the disposal of non-essential land. According to the data provided, 94 ha of land have only a short-term future – a decrease of 6 ha since the previous reporting year. This is mainly accounted for with plans to dispose of HM Stanley, Cardigan, Hill House, Gellinudd, Cefn Coed, St Tydfil’s, and Rookwood Hospitals. Following the recent openings of Ysbyty Ystrad Fawr in Ystrad Mynach, Ysbyty Cwm Cynon Neighbourhood Hospital in Mountain Ash and Merthyr Health Park in Merthyr Tydfil, there are plans to dispose of Aberdare Hospital, Seymour Berry Health Centre, Hollies Health Centre and Hirwaun Health Centre.
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