Active Projects

An evidence and model-supported approach to Strategic Asset Management

Project Facts

Start date: June 2011
End date: November 2013
Investigators Professor Andrew Price
Staff Employed Dr Grant Mills, Sameedha Mahadkar, Masoud Malekzadeh, Efthimia Pantzartzis
Status Complete

Project Partners

• Department of Health- Estates and Facilities
• Integra,
• The Bartlett, University College London
• European Investment Bank. European Centre for Heath Assets and Architecture.
• European Health Property Network (EuHPN)

NHS Leicester University Hospitals, NHS Leicestershire and Rutland PCT, NHS Leicester City PCT

Project Partners

Department of Civil and Building Engineering
Loughborough University
Ashby Road
LE11 3TU
T: +44 (0) 15 0922 2627

The new Universal NHS New Premises Assurance Model (PAM)

In 2009 the Department of Health (Estates and Facilities) recognised the need for a robust and evidence-based quality assessment tool for board-level assurance of healthcare premises. This was the result of growing incidences of non-compliance with national standards. The NHS Premises Assurance Model (PAM), a software-based tool, was developed to provide baseline quality assurance across NHS built assets, valued at almost £40bn with £7bn annual running costs. The Department of Health commissioned HaCIRIC to develop better ways to strategically manage and assure healthcare assets by improving PAM’s functionality, broadening the user base and integrating existing standards and toolkits. The work drew partly on the HaCIRIC project An evidence based investment appraisal process to be used within business case development.

The engagement with the Department of Health led to the co-production of the new Premises Assurance Model released in February 2013. The new NHS Universal PAM applies to all NHS organisations (Acute, Mental Health and Ambulance Trusts) and not just Acute Trusts, as in the initial version. It has also been adopted by NHS Property Services as a common means to manage its asset portfolio. NHS Property Services is adopting the PAM as part of its governance and assurance of more than 3,700 assets.

Peter Sellars, Department of Health stated that “With the launch of the NHS PAM, NHS Trust boards have the means for a nationally consistent approach to examining estates condition, performance, and efficiency, and for delivering assurance to commissioners that healthcare was being delivered from high quality, fit-for-purpose premises, consistent with national legislation designed to ‘empower patients’ and reward high-performing services … Using the model has enabled healthcare estates and facilities managers and their teams to identify best practice, both within their peer group, and high performing organisations, in turn supporting the spread of innovation and best practice”. 

David Flory, Deputy NHS Chief Executive who stated that “The unique benefit to providers is that for the first time a single methodology exists that is nationally consistent, peer comparable and aligned with the wider NHS management landscape. It reflects changes in legislation, technology and working practice as well as lessons learnt from the original version in its design”.

Additional impact-related activities were funded through Loughborough University EPSRC KTA 2011 and 2012 under the project title “Optimising healthcare infrastructure value through enterprise and knowledge transfer activities”. The main aim of this KTA was to exploit and thereby enhance the impact of the research.