1. LIFT and the development of Primary Care Paul Benson General Manager East London LIFT Company

2. What is LIFT? How does it work? How LIFT will support your work

3. NHS Plan – July 2000 The NHS will enter into a new public private partnership within a new equity stake company – the NHS Local Improvement Finance Trust (NHS LIFT) – to improve primary care premises in England.

4. NHS Plan – July 2000 As a result of this NHS Plan: up to £1 billion will be invested in primary care facilities up to 3,000 family doctors premises will be substantially refurbished or replaced by 2004.

5. NHS Plan – July 2000 …. record investment will allow for a range of brand new types of NHS facilities, bringing primary and community services – and where possible social services – together under one roof to make access more convenient for patients.

6. NHS Plan – July 2000 New one-stop primary care centres will include GPs, dentists, opticians, health visitors, pharmacists and social workers. As a result of this NHS Plan there will be: 500 one-stop primary care centres by 2004

7. NHS Plan – July 2000 ……. a radical redesign of the whole care system. In future, social services will be delivered in new settings, such as GP surgeries, and social care staff will work alongside GPs and other primary and community health teams as part of a single local care network.

8. LIFT Prospectus – July 2001 NHS LIFT aims to: Deliver a step change in the quality of the primary care estate Remedy some of the deficiencies in the existing arrangements Contribute to the delivery of the investment targets in the NHS Plan

9. LIFT – policy into reality February 2002 – East London OJEU notice February 2002 – East London SSDP May 2002 – ITN published December 2002 – preferred bidder May 2003 – contracts signed

10. East London LIFT Three of the most deprived boroughs in the UK - but also wealth and commerce Newham Tower Hamlets Hackney City of London

11. East London LIFT

13. East London - context Estimated population of 627,000 Ethnically rich population - 46% from minority communities Young population – 25% under 15 Major health problems Mainly poor primary care infrastructure

14. East London – public sector City & Hackney PCT & LB Hackney Tower Hamlets PCT & LB TH Newham PCT & LB Newham East London & the City Mental Health Trust Partnerships for Health

15. East London – private sector Global Solutions Ltd Global Solutions Ltd Babcock and Babcock and Brown Balfour Beatty and supply chain

16. Private Sector Partners Property Development Project Management Project Finance Design & Construction Supply chain management Facilities Management

17. East London LIFT Company 60% private sector Global Solutions Babcock and Brown 40% public sector PCTs x 3 Mental Health Trust London Borough of Newham Partnerships for Health

18. LIFT – its not just bricks 1. LIFTCO – development company 2. Strategic Partnering Board 3. Strategic Service Development Plan 4. Service and Estate Strategies 5. PCTs, Acute Trusts, LAs 6. Whole system transformation

19. What LIFT will deliver Unprecedented investment in primary care infrastructure Strategic packaging of projects Support to wider regeneration Reduced procurement time & costs Reduced construction time and costs

20. What LIFT will deliver Long-term partnering and learning Innovative design through dialogue with users Guaranteed lease payments Guaranteed programmed maintenance

21. What LIFT will deliver ….the tools that will support you in the redesign and development of services!

22. LIFT – must dos Joint acute and primary care trust service strategies Whole-system approach to service redesign Engagement with Local Authorities Engagement with all stakeholders

23. Church Road, Newham (old)

24. …….a waiting room

25. Church Road, Newham (new)

26. Church Road - services 3 GP practices Community nursing School nursing Sure Start Pharmacy Psychology Optician Dentist Diagnostic imaging Womens services Cardiology Community cafe

27. Church Road – the future

28. ….questions