Critical Infrastructure Risk in NHS England: Predicting the Impact of Building Portfolio Age

Mills, Grant R.; Deka, Lipika; Price, Andrew D.F.; Rich-Mahadkar, Sameedha; Pantzartzis, Efthimia; Sellars, P

doi:10.3846/1648715x.2015.1029562

Cited by 9 publications

(13 citation statements)

References 15 publications

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“…Trusts with relatively low critical backlog are more able to keep it low, while those with a high starting baseline either: succeed in marginally lowering their critical backlog; or get into increasingly difficult situations). The same was concluded as part of the parallel quantitative study (Mills et al, 2015).…”

Section: [Insert Table Ii]mentioning

confidence: 89%

Sustainable management of NHS assets backlog maintenance

Pantzartzis

Deka

Price

et al. 2016

BEPAM

Self Cite

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Purpose -Lord Carter's 2015 'Independent Review' stated that to improve NHS England's efficiency, operational productivity should be targeted in four main areas, one being estates management. NHS England's estate includes a variety of buildings some of which are considered no longer fit-forpurpose, thus creating risk to patients and staff. These built assets require continuous maintenance, adding pressures to NHS England's precarious financial situation. The aim of this paper is to identify positive strategies and major constraints to achieving sustainable management of backlog maintenance across the NHS assets, and thus suggest balanced actions. Design/methodology/approach -The research adopts a qualitative approach and combines: literature review of current backlog maintenance methodologies; interviews with Estates and Facilities Directors from seven NHS Trusts on backlog maintenance strategies; and a NHS Trust detailed case study. Findings -The major finding is that sustainable management of backlog maintenance is achievable if there is a consistent, pro-active and long-term strategic approach where critical levels of backlog maintenance are prioritised. Additional issues (i.e. appropriate methodology, performance metrics and links with clinical service delivery strategies) also need to be considered. Practical implications -This study is relevant to the management of the NHS estate including development and adoption of sustainable strategies. Originality/value -This paper offers original insights to the factors influencing healthcare estates' backlog maintenance at a time when the UK policy agenda is targeting infrastructure operational efficiency and organisations are seeking more comprehensive methodologies.

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Section: [Insert Table Ii]mentioning

confidence: 89%

Sustainable management of NHS assets backlog maintenance

Pantzartzis

Deka

Price

et al. 2016

BEPAM

Self Cite

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“…An early example of a physical asset portfolio is a group of buildings (e.g. [67] and [68]). Other typical examples are portfolios of nuclear reactors (e.g.…”

Section: Origin and Usagementioning

confidence: 99%

“…For instance, Chan et al [180] investigated different pavements and proposed to make budget allocation decisions based on pavement damage index (PDI) -the index that can be applied to any asset in this pavement portfolio. Likewise, Mills et al [67] made suggestions on the amount of income that the National Health Service Trusts should reinvest to maintain their building portfolio. The authors made their suggestions using critical backlog levels as a criterion.…”

Section: Budget Allocationmentioning

confidence: 99%

A review of asset management literature on multi-asset systems

Petchrompo

Parlikad

2019

Reliability Engineering & System Safety

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This article gives an overview of the literature on asset management for multi-unit systems with an emphasis on two multi-asset categories: fleet (a system of homogeneous assets) and portfolio (a system of heterogeneous assets). As asset systems become more complicated, researchers have employed different terms to refer to their specific problems. With an objective to facilitate readers in searching conducive studies to their interests, this paper establishes a novel classification scheme for multi-unit systems in accordance with essential features such as diversity of assets and intervention options. Moreover, discerning differences in characteristics between cross-component and cross-asset interactions, we select three types of potential multi-component dependencies (performance, stochastic, and resource) and extend their notions to be applicable to multi-asset systems. The investigation into these dependencies enables the identification of problems that could exist in real industrial settings but are yet to be determined in academia. Ultimately, we delve into modelling approaches adopted by previous researchers. This comprehensive information allows us to offer the insights into the current trends in multi-asset maintenance. We expect that the output of this review paper will not only stress research gaps on multi-asset systems, but more importantly help systematise future studies on this aspect.

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“…A low rate of new-build replenishment (estimated at less than 4% of the total NHS estate) is an underlying problem. In reality, many existing healthcare buildings suffer from under-investment in maintenance and require significant upgrading (Mills et al, 2015). To deliver success, any healthcare building design quality improvement strategy must acknowledge these realities beyond association with only new-build hospital programmes.…”

Section: Imperative For An Emerging Strategic Responsementioning

confidence: 99%

Rethinking healthcare building design quality: an evidence-based strategy

Mills

Phiri

Erskine

et al. 2015

Building Research & Information

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Healthcare buildings play a significant role in delivering healthcare services and outcomes (e.g. quality, suitability, cleanliness, patient experience, value for money and risk mitigation). However, the current diffusion of responsibilities in England between central government and healthcare trusts has created gaps and weaknesses in the evidence base, knowledge, skills and tools for creating and assessing healthcare building design quality. How can a national healthcare building design quality improvement strategy be created? This question is explored in relation to policy, strategy and organizational issues. Four evaluation studies and four action research studies indicate the complexity and responsibilities in defining a design quality improvement strategy. It is found that the interdisciplinary development of national standards and tools requires centralized investment to facilitate nationwide learning and improvements in evidence and outcomes. In addition, the inevitable health policy changes made by successive governments require a sustainable and strategic response. The creation and maintenance of capacity and capabilities will require a dedicated team of professionals and a wide interdisciplinary network of long-term contributors who are motivated by a long-term desire to improve healthcare building design quality.

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Critical Infrastructure Risk in NHS England: Predicting the Impact of Building Portfolio Age

Cited by 9 publications

References 15 publications

Sustainable management of NHS assets backlog maintenance

Sustainable management of NHS assets backlog maintenance

A review of asset management literature on multi-asset systems

Rethinking healthcare building design quality: an evidence-based strategy

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