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Modernisation of Primary Care Estate

Modernisation of Primary Care Estate. Keith Houghton Associate Consultant (NatPaCT) Premises/Investment. Keith Houghton Associate Consultant (NatPaCT) Premises/Investment. NHS Plan/Targets. 500 One Stop Primary Care Centres (2004) 3,000 Refurbishment's (2004)

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Modernisation of Primary Care Estate

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  1. Modernisation of Primary Care Estate Keith Houghton Associate Consultant (NatPaCT) Premises/Investment Keith Houghton Associate Consultant (NatPaCT) Premises/Investment

  2. NHS Plan/Targets • 500 One Stop Primary Care Centres (2004) • 3,000 Refurbishment's (2004) • (MADEL) Doctors in Training (2004) • Disability Discrimination Act • Diagnostic and Treatment Centres • Expanding Out Patient Services

  3. Profile • 10,500 Premises • 40% Purpose Built • 80% Undersized • 5% Co-located with pharmacy • 50% ex-residential/shops

  4. Current Arrangements • Importance, quality, access, patient focus • Investment piecemeal • GP risk/responsibilities • Disincentives, leases, inner cities, negative equity

  5. Current Arrangements (Cont) • Under investment • Integration - social services/voluntary sector • Whole systems, local health community plans

  6. Challenges • Developing SSDPs • Underpinning Estate Strategies • New ways of working • Workforce planning • Whole system impact • Developing capacity

  7. Changing Patterns of Service Delivery • Flexible medical workforce • Wider use of other clinicians • Integrated teams • Larger practice cohorts • Market Competition

  8. Future Opportunities • Integrated care centre • Community Resource Centre • Redefining walk-in • DTC/OPC - community hospitals • Using Telemedicine/IT • Digital imaging • Teleradiology • Home monitoring/community teams • Re Engineering

  9. Investment Issues • LIFT - Progress • Local Partnerships • Third Party Development • Traditional - Cost Rent • Professional Engagement • Reluctance to change

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