Trevor Payne Director of Facilities

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Trevor Payne - Director of Facilities
PFI in the operational phase Making the
partnership work.
London September 2006
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Elements to Consider

• The Clients Service Specification
• The Partnership
• Healthcare PFI
• Cultural fit
• Concession Contract Monitoring
• Lessons Learned - the Evidence Base
• Service variations
• Informed Client Structure

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Clients Specification

• Route map
• Identify understand healthcare customers
• Clarity, consistency customer facing approach
• Role of the helpdesk - communicate
• Flexibility in service delivery
• Recognise the importance of team individual
• Scheme lag operational impact

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PFI in Healthcare

• PFI - Toolkit
• Learn how to use the tools it provides
• Whole Life Cost focus lessons learned
• Champion FM Input into design and interface with
  design and construction
• Maximise operational performance
• Performance Regime payment mechanism
• Long concession periods partnership approach

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Partners recognised grouping
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Cultural Fit

• Partnership workshop
• Strategic/operational
• Shared values/vision
• Honesty
• Joint monitoring/reports
• Work at it .

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Trust Monitoring

• Joint Monitoring Board (JMB) Monthly
• Regular 11 with THC CSL
• FM OPS Monthly
• CE/DoEfM Walk round Weekly
• Senior Sisters Meeting - Monthly
• 116 audit activities drawn from Concession
  Agreement.
• Monthly x 4
• Quarterly x 102
• Annual x 10 PPM Life cycle
• Variation small works procedure

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Lessons Learned

• Post project review variety of feedback
• Long corridors - patient seats
• Maintainability - Wall protection
• Finishes matt paint/stainless steel
• Colour pallette
• Importance of trend analysis
• Design to delivery team churn
• Standardisation
• Understand manage variations

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• Analysis of top four reasons for Swindon
  variations
• Original design issue (omission) affordability
  36
• Clinical development/new working arrangements
  29
• Space planning /Churn/Health Safety 17
• Equipment or Technology 18

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Old Methods New Hospital
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Flexibility for the future
Physical contractual
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Experiences so far (positive)

• Early involvement for FM
• Hospitals are being built
• Improved environments for patients
• Both partners are learning real time
• Standardisation componetnts service delivery
• Lessons learned influencing design
• Refinancing as a lever for service improvement

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Experiences so far (negative)

• Staffing Unions ( in early schemes)
• Wheel re invention costly duplication
• Innovation percieved Vs received - flexibility
• Problems power failures lessons learned
• Gaining market knowledge in real time
• Informed client the day job
• Team churn both sides
• Variations

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Summary

• Informed Clients must
• Learn adapt
• Understand the specification/services and
  delivery environment
• Champion customer requirements BW
• Be alert to changing environment
• Be rigourous, innovative flexible
• Pick their battles
• Have an eye for quality attention to detail
• Be consistent
• Be open honest they do not have all of the
  answers
• Be prepared to learn
• Refinancing benchmarking - opportunities