LIFT: 21st century health care centres in the United Kingdom

Holmes, John; Capper, Graham; Hudson, Gordon

doi:10.1108/14725960610651197

Cited by 7 publications

(5 citation statements)

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“…Moreover, little specific research is available in PPP/PFI health care projects and it is mostly related to proving the advantages of hospital facilities development with PPP (Jefferies and McGeorge 2009). With this regard, Holmes et al (2006) state that the health care sector improves the quality of services by implementing privately financed initiatives. Also, Akintoye and Chinyio (2005) show that the usage of PPP in the health care field is increasing in the UK market in terms of number, capital value, and size of projects, and the main aim is to achieve a better risk management.…”

Section: Risk Modelmentioning

confidence: 99%

Risk and Value in Privately Financed Health Care Projects

Marco

Mangano

2013

J. Constr. Eng. Manage.

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An empirical study is presented to investigate the risk factors affecting the value for money that can be obtained from using the public-private partnership delivery system to develop social facility projects. Based on a model describing the main risks affecting a project, a linear regression analysis is conducted on a data set of privately financed health care projects in the United Kingdom to explore the main factors that might have significant relationships with the annual unitary charge payment. The results reveal that the economic and political environment, the hospital capacity, the construction duration, and the concession period are significant factors of the price paid by the granting authority. The study confirms that the unitary charge is not only affected by investment, operations, and financial life-cycle costs, but also by risk factors and the level of risk allocated to the private sponsors. The proposed methodology might help both public and private parties in improving a private finance initiative project's compensation design, in order to achieve a higher value in privately financed infrastructures. The given model might also support the process of better determining the amount of annual payment based on select drivers and appropriately transferred risk factors.

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Section: Risk Modelmentioning

confidence: 99%

Risk and Value in Privately Financed Health Care Projects

Marco

Mangano

2013

J. Constr. Eng. Manage.

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“…Table II shows C&D wastes that are reusable. Bet reuse of these materials is being intact and having an acceptable quality [12][13][14]. Some C&D wastes can be used in new construction projects only by imposing certain limitations.…”

Section: A the Proposed Methods For Reusing Canddsmentioning

confidence: 99%

“…Some C&D wastes can be used in new construction projects only by imposing certain limitations. These types of C&D wastes are shown in Table III [12][13][14].…”

Section: A the Proposed Methods For Reusing Canddsmentioning

confidence: 99%

Construction and Demolition Waste Management (Tehran Case Study)

Broujeni¹,

Omrani²,

Naghavi³

et al. 2016

Eng. Technol. Appl. Sci. Res.

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Increasing building construction raises concerns about construction and demolition (C&D) waste management. To assess this issue the building components, the collection schemes, their recycling and disposal should be investigated. In order to manage C&D wastes, paying attention to how this kind of wastes is disposed is imperative for their correct identification. Inattention, lack of organization and proper transport and sanitary disposal of construction and demolition waste lead to problems such as accumulation of construction waste in the streets. However, more than 90 percent of the potential for recycling and re-using as raw materials is provided. Environmental Protection Agency (EPA) has classified C&D wastes into three categories: non-dangerous waste, hazardous wastes and semi-hazardous wastes. Currently in Tehran, an average of about 50,000 tons per day of construction and demolition wastes are produced from which over 30,000 tons per day are dumped in landfills. According to this research more than 57% of these wastes are placed in the first category (non-dangerous waste) and have the potential for being recycled and reused. On the other hand, items that are placed in the second category shall be managed based on the existing laws. This article provides some management solutions including proposing methods for collecting and reusing construction waste in accordance with current market needs in Iran.

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“…The National Health Service (NHS) is one of the largest public sector clients in the United Kingdom government, having a considerable property portfolio [22]. With the aim of delivering better health outcomes for people in that country, the NHS has started a significant capital investment programme, including modernisations to its existing buildings, whilst also constructing new healthcare buildings.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Impact of Complex Healthcare Features on Construction Waste Generation

Domingo

2015

Buildings

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Over recent years, the British government has been investing billions of pounds in new and refurbished healthcare building projects. With the rapid growth in investment in healthcare infrastructure throughout the United Kingdom, a number of sustainability issues have been created, including construction waste generation. There is growing consensus in the literature that healthcare buildings are "complex", due to their unique functional and operational features, and are thus more prone to generating larger amounts of construction waste. However, no significant research has been undertaken to identify the relationships between complex features in building projects and construction waste production, which is the focus of this study. Twenty-five semi-structured interviews and a questionnaire survey were conducted among healthcare clients, contractors, and architects. A life cycle approach has been adopted in this study to holistically assess and evaluate the effects of complexities with construction waste causes in healthcare projects. The findings reveal that the complex shapes and sizes of rooms, and mechanical and electrical services, significantly impact waste caused by such things as: incomplete briefing, incorrect drawing details, complex designs, non-standard designs, and inadequate communication and coordination in the pre-design, design, and construction stages.

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LIFT: 21st century health care centres in the United Kingdom

Cited by 7 publications

References 0 publications

Risk and Value in Privately Financed Health Care Projects

Risk and Value in Privately Financed Health Care Projects

Construction and Demolition Waste Management (Tehran Case Study)

Assessment of the Impact of Complex Healthcare Features on Construction Waste Generation

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