2015/16 Property and Asset Management Strategy (PAMS) Image 1 - Artist Impression of NACH Scheme (Source: Balfour Beatty) Working together to NHS Ayrshire & Arran achieve the healthiest life possible for everyone in DRAFT 9 Ayrshire and Arran 17/06/2015 Property and Asset Management Strategy (PAMS) Contents Contents .............................................................................................................................. 2 1. Executive Summary ....................................................................................... 5 2. Introduction .................................................................................................... 7 3. Where are we now? ...................................................................................... 10 3.1. NHS Ayrshire and Arran ................................................................................................. 10 3.1.1. Health and Social Care Partnerships .............................................................................. 11 3.2. Current Developments................................................................................................... 13 3.2.1. Building for Better Care ................................................................................................. 13 3.2.2. Woodland View (Formerly Adult Acute Mental Health Community Hospital, NACH) .. 15 3.2.3. Focus for Investment – Property ................................................................................... 18 3.2.4. Disinvestment and Sales ................................................................................................ 18 3.2.5. Greening the Estate ....................................................................................................... 20 3.2.6. Greencode ..................................................................................................................... 21 3.2.7. Sustainability and Biodiversity ....................................................................................... 21 3.3. Estate Condition ............................................................................................................. 22 3.4. Statutory Compliance .................................................................................................... 24 3.5. Office Accommodation .................................................................................................. 25 3.6. Environmental Performance .......................................................................................... 26 3.7. Risk Profiled Backlog ...................................................................................................... 28 3.8. Third Party Estate........................................................................................................... 30 3.9. Performance of Assets ................................................................................................... 32 3.9.1. Medical Equipment ........................................................................................................ 32 3.9.2. Catering Services ............................................................................................................ 35 3.9.3. Vehicles .......................................................................................................................... 38 3.9.4. eHealth ........................................................................................................................... 40 3.10. Summary ........................................................................................................................ 43 4. Where do we want to be? ............................................................................. 46 4.1. NHS Ayrshire and Arran’s Service Plans ......................................................................... 46 4.1.1. Our Health 2020: A Health and Wellbeing Framework for Ayrshire and Arran ............ 46 4.1.2. Transform Services for Older People ............................................................................. 48 4.1.3. Acute Facilities ............................................................................................................... 50 Contents Page | 2 Property and Asset Management Strategy (PAMS) 4.1.4. Community Hospitals ..................................................................................................... 51 4.1.5. Adult Mental Health ...................................................................................................... 51 4.1.6. Primary Care .................................................................................................................. 52 4.1.7. Building for Better Care ................................................................................................. 54 4.2. NHS Scotland 2020 Vision .............................................................................................. 55 4.2.1. Organisation of Healthcare around Communities ......................................................... 55 4.3. Drivers for Change ......................................................................................................... 58 4.3.1. Reducing the Need for Inpatient Care ........................................................................... 58 4.3.2. Developing and Empowering Communities .................................................................. 59 4.3.3. Estate Condition ............................................................................................................. 60 4.4. Office Accommodation .................................................................................................. 62 4.5. Key Performance Indicators ........................................................................................... 63 4.5.1. Energy Benchmarking .................................................................................................... 65 4.5.2. Transport ....................................................................................................................... 70 4.5.3. eHealth ........................................................................................................................... 71 4.6. Reducing High and Significant Risk Backlog ................................................................... 71 5. How do we get there? ................................................................................... 74 5.1. Decision Process for Service Change ............................................................................. 74 5.2. Stakeholder Engagement ............................................................................................... 77 5.3. Future Investment ......................................................................................................... 77 5.4. Reducing Backlog ........................................................................................................... 79 5.5. Capital Investment Plan ................................................................................................. 80 5.5.1. Bringing our Infrastructure up to Modern Standards .................................................... 82 5.5.2. Investment in Strategic Health Priorities ....................................................................... 84 5.5.3. Investment in Communities ........................................................................................... 85 5.5.4. Workforce ...................................................................................................................... 86 5.5.5. Reducing Carbon Emissions ........................................................................................... 89 5.6. Estate Rationalisation and Masterplanning ................................................................... 91 5.6.1. Disposal of Surplus Assets ............................................................................................. 93 5.7. Summary ........................................................................................................................ 94 6. Implementation of PAMS ............................................................................. 98 6.1. Governance Process....................................................................................................... 98 6.2. Risks and Constraints in delivering PAMS .................................................................... 100 Contents Page | 3 Property and Asset Management Strategy (PAMS) 6.3. Asset Based Risk Reporting .......................................................................................... 101 6.4. Benefits of Implementing PAMS .................................................................................. 102 6.4.1. A More Efficient and Effective Asset Base ................................................................... 102 6.4.2. Better Utilisation of NHS and other Partner Assets ..................................................... 103 6.4.3. Aligning Assets ............................................................................................................. 103 7. Conclusion PAMS ....................................................................................... 106 8. Glossary & Key ........................................................................................... 107 9. Index of Inserts ........................................................................................... 110 Appendices 1. NHS Ayrshire and Arran Map 111 2. Sustainability