1. NCCG’s Estates Strategy 2016 – 2026 creating quality environments 11 February 2016 Bev Norton, Estates Strategy Lead 1

2. Work to date Summer 2015:NHS England request all CCGs to prepare an Estates Strategy – looking forward 5 years Autumn 2015:Meetings and discussions with local stakeholders’ including GP cluster leads, representatives from LBN, acute and community trusts and patient participation group leads to provide input December 2015:Draft strategy prepared and presented to the Primary Care Commissioning Committee and NHS E 2

3. Creating quality environments for patients Estates are a valuable asset for the NHS, patients and the community but in Newham many properties are under-utilised and in poor condition. The strategy has been drafted to inform appropriate allocation of Primary Care Transformation Funds to identify the available resources and where there are gaps to help plan for the development of quality environments to improve patient experience and access and to enable the movement of appropriate services into the heart of the community 3

4. Principles to underpin estates transformation Maximise the use of existing facilities that are: in the right place for the community, in good condition of adequate size and meet health and safety requirements. Some need to align with clinical service requirements Ensure good value for the public spend 4

5. 5 Key drivers for change across NewhamImpact on estates 1.Population increase and shift in activity from hospital is likely to generate an additional 375.5k GP and hospital appointments across the borough Need more larger centres to accommodate services Many GP Practices too small to accommodate growth or the new models of care 2.Borough regeneration plansNeed new additional facilities in regeneration areas: Canning Town North, Canning Town South, Stratford New Town, Royal Docks, Beckton 3.Potentially too many small, old practice premises, which it is not economic to develop Many no longer fit for purpose List sizes too small to be flexible Cannot accommodate growth Cannot accommodate new models of care Need to consolidate into fewer larger premises 4.Underutilised existing facilitiesSir Ludwig Guttmann Centre in NW of the borough could be a Multi Specialty Community Provider (MCP) Centre for multiple boroughs – assessment underway Centre Manor Park being refurbished to create a Hub 5.New models of carePrimary Care Centres or Hubs need to provide a range of services including integrated social care/shared facilities closer to the community 6.Technology advancements More remote consultation and monitoring should reduce pressure on clinical and administrative space requirements

6. Page 6 Local Estates Strategy – potential hub locations Hubs could be: Existing practices with list size >7,000 Expanded/re-developed practices Consolidated GP practices New Buildings

7. Question Time Panel members Dr Prakash Chandra, Chair NCCG Steve Gilvin, Chief Officer, NCCG Bev Norton, Estate Strategy Lead NCCG/LBN Neil Hamer, Associate Director of Primary Care Commissioning, NCCG Chair Satbinder Sanghera, Director of Partnerships and Governance, NCCG 7

8. Next steps Further patient, public and stakeholder engagement on strategy during January and February 2016 Estates strategy to be aligned with the refreshed Primary Health Care Strategy April 2016 Developments and plans to be taken forward in line with approved strategy 8