This document has been withdrawn. Find The efficient management of healthcare estates and facilities on the NHS websie. Health Building Note 00-08 Part B: Supplementary information for Part A Withdrawn October 2014 Health Building Note 00-08 Part B: Supplementary information for Part A Withdrawn Health Building Note 00-08 Part B: Supplementary information for Part A Withdrawn © Crown copyright 2014 You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www. nationalarchives. gov.uk/doc/open-government-licence/ or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: [email protected]. This document is available from our website at https://www.gov.uk/government/ collections/health-building-notes-core-elements ii Preface About Health Building Notes Health Building Note structure Health Building Notes give best practice The Health Building Notes have been organised guidance on the design and planning of new into a suite of 17 core subjects. healthcare buildings and on the adaptation/ extension of existing facilities. Care-group-based Health Building Notes provide information about a specific care group They provide information to support the briefing or pathway but cross-refer to Health Building and design processes for individual projects in Notes on generic (clinical) activities or the NHS building programme. support systems as appropriate. Core subjects are subdivided into specific The Health Building Note suite topics and classified by a two-digit suffix (-01, Healthcare delivery is constantly changing, and -02 etc), and may be further subdivided into so too are the boundaries between primary, Supplements A, B etc. secondary and tertiary care. The focus now is on delivering healthcare closer to people’s All Health Building Notes are supported by the homes. overarching Health Building Note 00-01 in which the key areas of design and building are The Health Building Note framework (see next dealt with. page) is based on the patient’s experience across the spectrum of care from home to Example healthcare setting and back. The Health Building Note on accommodation for adult in-patients is represented as follows: “Health Building Note 04-01: WithdrawnAdult in-patient facilities” The supplement to Health Building Note 04- 01 on isolation facilities is represented as follows: “Health Building Note 04-01: Supplement 1 – Isolation facilities for infectious patients in acute settings” iii Health Building Note 00-08 Part B: Supplementary information for Part A Health Building Note number and series title Type of Health Building Note Health Building Note 00 – Core elements Support-system-based Health Building Note 01 – Cardiac care Care-group-based Health Building Note 02 – Cancer care Care-group-based Health Building Note 03 – Mental health Care-group-based Health Building Note 04 – In-patient care Generic-activity-based Health Building Note 05 – Older people Care-group-based Health Building Note 06 – Diagnostics Generic-activity-based Health Building Note 07 – Renal care Care-group-based Health Building Note 08 – Long-term conditions/long-stay care Care-group-based Health Building Note 09 – Children, young people and maternity services Care-group-based Health Building Note 10 – Surgery Generic-activity-based Health Building Note 11 – Community care Generic-activity-based Health Building Note 12 – Out-patient care Generic-activity-based Health Building Note 13 – Decontamination Support-system-based Health Building Note 14 – Medicines management Support-system-based Health Building Note 15 – Emergency care Care-group-based Health Building Note 16 – Pathology Support-system-based Other resources in the DH Estates NHS Premises Assurance Model (NHS PAM) and Facilities knowledge series The NHS PAM is a tool that allows NHS organisations to better understand the Health Technical Memoranda efficiency, effectiveness and level of safety with Health Technical Memoranda give which they manage their estate and how that comprehensive advice and guidance on the links to patient experience. The NHS PAM has design, installation and operation of specialised two distinct but complementary parts: building and engineering technology used in the • Self-assessment questions: supporting delivery of healthcare (for example medical gas quality and safety compliance; pipeline systems, and ventilation systems). • Metrics: supporting efficiency of the They are applicable to new and existing sites, estate and facilities. and are for use at various stages during the inception, design, construction, refurbishment For further information, visit the NHS PAM and maintenance of a building.Withdrawnwebsite. All Health Building Notes should be read in conjunction with the relevant parts of the Health How to obtain publications Technical Memorandum series. Health Building Notes are available from the UK Goverment’s website at: https://www.gov.uk/government/collections/ health-building-notes-core-elements Health Technical Memoranda are available from the same site at: https://www.gov.uk/government/collections/ health-technical-memorandum-disinfection- and-sterilization iv Introduction to Part B HBN 00-08 Part B provides detailed advice about the active management of land and buildings used for healthcare services. By using this information, NHS foundation trusts (FTs) and NHS trusts (Trusts), together with NHS Property Services (NHS PS) and Community Health Partnerships (CHP), will be able to develop the opportunities to achieve efficiency savings plus reduced costs outlined in Part A. Also it will enable commissioners to understand and develop their own estate as well as assisting them when taking a strategic overview of the NHS estate for the development of NHS services. Part B includes advice on: • guidance and powers; • general management of property including commercial opportunities for the benefit of patients, visitors and staff, and town planning; • the selling of surplus property and where required, the buying of additional property. Withdrawn v Health Building Note 00-08 Part B: Supplementary information for Part A Contents Preface �������������������������������������������������������������������������������������������������������������������������������������� iii Introduction to Part B ����������������������������������������������������������������������������������������������������������������v 1.0 Guidance and powers ���������������������������������������������������������������������������������������������������������1 The fundamentals of decision-making 1 Principles of ethical business conduct 1 Powers to own land and property and carry out transactions 1 Procurement of new facilities and services 7 2.0 Management of land and property �������������������������������������������������������������������������������������9 Introduction 9 Leadership and governance 9 Understanding the estate 10 The preparation of an estate strategy 11 Improved efficiencies in running the estate 12 The costs of holding land and buildings 13 General management of the estate 14 3.0 Town planning and the NHS ����������������������������������������������������������������������������������������������32 Introduction 32 Legal background 32 Summary of the planning process 33 Local planning 33 Neighbourhood planning 35 Planning control Withdrawn 36 Special interests 43 Enforcement 46 4.0 Disposal of freehold land and property ����������������������������������������������������������������������������47 Introduction 47 Principles of disposal 47 Former owners’ rights (Crichel Down rules) 48 The business case 49 Managing the disposal team 49 Town planning 50 Decommissioning 51 vi Overage or clawback provisions 52 Disposal of partially surplus sites 53 Ransom strips 54 Joint venture with neighbours 54 Sale and leaseback 54 Sale of surplus property in PFI and LIFT schemes 55 Provision of new facilities in exchange for surplus land and property 55 Forward sale of land and property 55 Disposals that seek participation in development profit 56 Contracts conditional on planning permission 56 Phased-sale contracts 57 Setting the sale price 58 Sale methods 60 Post-completion 63 Financial credentials 63 Sale of surplus historic buildings 63 Disposal of burial grounds and war memorials 64 5.0 Disposal of leasehold land and property �������������������������������������������������������������������������65 Introduction 65 Disposal of long leasehold land and property 67 Disposal of short leasehold land and property 68 Contractual expiry of leasehold interests 70 6.0 Granting of leases (and licences to occupy) ��������������������������������������������������������������������72 Introduction 72 NHS organisation as landlord 72 Letting retail outlets 75 Joint ventures 75 Telecommunications leases 76 Letting of advertising hoardings 77 Letting of noticeboards 77 Arrangements with other NHS organisations Withdrawn 78 Arrangements with non-NHS organisations 79 Arrangements for university medical school facilities 79 Arrangements with educational establishments (embedded accommodation) 80 Concessionary leases 80 Post-completion 81 7.0 Acquisition of freehold land and property ������������������������������������������������������������������������82 Introduction 82 Delegated limits 82 Principles of acquisition and due diligence 82 The business case 83 vii Health Building Note 00-08 Part B: Supplementary information for Part A