What If … ??? The National Policy Framework Modernisation agenda Consumerism, design quality, sustainability To enhance the patients experience of healthcare.

What

If …???

The National Policy Framework

• Modernisation agenda• Consumerism, design quality,

sustainability• To enhance the patient’s

experience of healthcare

The NHS Plan

• To upgrade GP premises and create one-stop primary care centres

• Greater integration of primary and community, social services

• Pay attention to the comfort and convenience of patients

• Emphasis on privacy and dignity

Health Policy

• 3000 GP premises, 500 one-stop shops

• Millions more outpatients to be seen in primary care

• Advancing medical technology• Wider range of expertise in

primary care• Existing premises are insufficient

Primary Care Trust

Local Authorities

General Practitioners

Dentists

Opticians

Pharmacists

Allied HealthProfessionals

Diagnosticians

Volunteers

Job / advice centres

Midwives

Social Workers

Therapists

Nurses

Counselling & advice

Carers

Physical fitness/ leisure

Podiatrists

Ambulance services

Police

Link to schools

Chiropractors

Retail / commercial

Patient & Patient & FamilyFamily

One-stop shops

The result

• Greater integration • Benefit (i.e. welfare advice) services• Improvements to patients’ health and

social circumstances• Economic regenerationThis needs:Premises with capacity and innovative

design

Related providers

• NHS Direct (24 hours a day)• Walk-in Centres and Minor Injury

Centres (with interactive video links with A & E)

“However care is accessed patients should be viewed as customers with their needs put before those of the healthcare providers”

Privacy and dignity

• Reception• Consultation• Examination• Treatment

With particular attention for the increasing numbers of elderly managing chronic conditions

Other issues

• The development of patient pathways

• Facilities not being developed in isolation

• Grouping of single handed GPs• The development and updating of

the SSDP

Changing roles

• Nurses taking on GP tasks• Lifestyle changes (health promotion)• Social group fostering activities• GPs with special interests• Specialist outreach care• Telemedicine (teleradiology and

telepathology)• Near patient testing – smaller and more

automated equipment

Our role• To be aware and sensitive to this agenda• To fulfil the criteria for design quality and

sustainability as set out in AEDET and the CABE vision

• To understand the consumerism agenda• To create non-institutional & healing

environments• To radically improve the patient journey• Link design to patient recovery

To put one brick upon another. Philip Larkin

To put one brick upon another,Add a third and then a fourth, Leaves no time to wonder whether,What you do has any worth.

But to sit with bricks around youWhile the winds of heaven bawlWeighing what you should or can doLeaves no doubt of it at all

Public

Private

S.S.D.P

Estates Management

PropertyDevelopment

VISION

for theFUTURE