Healthcare RMI Market - UK 2009-2013

Healthcare RMI Market - UK 2009-2013 published by AMA Research in November, 2009. This report consists of 61 pages and the price starts from US $ 1150.

Introduction

Abstract

INTRODUCTION and OVERVIEW

Key areas in the report:

• RMI expenditure trends among NHS Trusts in England since 2000/01 - Shares by sector.
• Buildings & engineering RMI expenditure levels by trust types e.g. acute hospitals, primary care etc
• Assessment of maintenance backlog costs in England, Scotland and Wales
• Analysis of structure, size and composition of NHS estates in England, Scotland, Wales & N Ireland
• Estimates of level of RMI expenditure by independent hospital and nursing homes operators
• National and large regional contractors - including dedicated RMI services companies and FM contractors.

AMA Research have published the 1st edition of its overview of the Healthcare RMI Market - UK 2009-2013. This unique report focuses on key market trends, structure and change within the NHS in England, Scotland, Wales and Northern Ireland, independent hospital and nursing homes sectors, together with a review of major hard FM / RMI contractors and procurement issues.

Underpinned by a chronic backlog of repairs in hospital buildings, the Healthcare RMI market - currently valued at over £1.25 billion - is expected to show steady growth over the long term as NHS organisations increase investment in RMI works on buildings to reduce their backlogs.

Areas of particular interest:

• Unique review valuing the healthcare RMI sector
• Valuation of healthcare RMI work - trends and forecasts
• UK healthcare RMI market mixes by country, mix of NHS vs independent
• Detailed analysis of Building and Engineering RMI
• Identification of leading contractors

Some of the companies featured include:

Balfour Beatty WorkPlace, BAM FM, Carillion Group, Ecovert FM, Emcor Facilities Services (EFS), GSL Integrated Services, Initial Facilities Services, Integral UK Interservefm, ISS Mediclean, John Laing Integrated Services (JLIS), Kier Facilities Services, MITIE Technical Facilities Management, OCS Group, Skanska Facilities Services, Sodexho Facilities Management.

Key areas covered in the report include:

OVERVIEW OF HEALTHCARE RMI MARKET

• Size of healthcare RMI market by contractors output - 2006/07 - 2008/09 with forecasts to 2012/2013.
• Non-housing public sector RMI output by work types - M & E services, roofing, glazing etc.
• Overview of market trends - factors driving growth.
• Market mix by types of establishment by contractors output.
• Healthcare RMI market size by sector - NHS England, Scotland, Wales, N.I., Independent Hospitals, Nursing Homes.

NATIONAL HEALTH SERVICE (NHS)

• Structure and size of the NHS estate in England - composition by types of trust, by types of facilities operated, by number of beds operated share by sector and size (gross internal floor area).
• Structure and size of the NHS estate in Scotland - composition by number and types of facilities operated, by number of beds operated and by size (gross internal floor area).
• Structure and size of the NHS estate in Wales and in Northern Ireland - by number and by types of facilities and by number of beds operated.
• Total NHS expenditure trends 2005 -2011.
• NHS estate in England - assessment of condition of buildings and maintenance backlog risk for each type of trust as of 2008, annual investment to reduce backlog - cost estimates by sector and risk rating (high, significant, moderate, low).
• NHS estate in Scotland - assessment of condition of buildings and maintenance backlog risk, age profile of estate, share by physical condition rating (A-D).
• NHS estate in Wales - summary of maintenance backlog risk.
• Expenditure on buildings & engineering RMI 2000 - 2008; estimate of mix in-house vs contracted delivery, expenditure levels on RMI by types of trust 2008. Review of key developments and trends in major markets.

INDEPENDENT HOSPITALS AND NURSING HOMES

• Overview of independent hospitals market by type of healthcare provision e.g. acute service, mental health services, NHS commissioning
• Structure and size of the independent hospitals sector - number of hospitals and beds, identification of key providers & market shares; assessment of hospital sizes by average bed numbers
• Assessment of expenditure on RMI services in independent hospital sector
• Structure and size of the independent nursing homes sector - by number of homes and bed numbers; identification of the top 10 providers and market shares
• Assessment of expenditure on RMI services in independent nursing homes sector

RMI SERVICES PROVISION

• Mix of in-house vs contracted services provision and supply routes e.g. PFI, LIFT, Procure 21
• Review of support services expenditure - building and engineering services, hotel services, IT, Grounds maintenance, storage etc.
• Identification of leading national and regional contractors offering RMI services to the healthcare sector
• Contractor profiles - key contractors operating in the healthcare market

Table of Contents

CONTENTS and LIST OF TABLES & CHARTS

1. INTRODUCTION 6

2. EXECUTIVE SUMMARY 7

3. ECONOMIC ENVIRONMENT 9

• 3.1 GDP 9
• 3.2 INFLATION & INTEREST RATES 10
• 3.3 UNEMPLOYMENT 11
• 3.4 HOUSEHOLD CONSUMPTION 11
• 3.5 HOUSING & CONSTRUCTION 12
• 3.6 STERLING 13
• 3.7 POPULATION PROFILE 14
• 3.8 CONCLUSION 15

4. UK HEALTHCARE RMI MARKET 17

• 4.1 DEFINITION 17
• 4.2 SUMMARY OF NEW WORK OUTPUT IN THE HEALTHCARE SECTOR 18
• 4.3 OVERVIEW OF NON-DOMESTIC RMI OUTPUT 19
• 4.4 HEALTHCARE RMI MARKET SIZE &TRENDS 20
• 4.4.1 Market Mix by Sector 23

5. NATIONAL HEALTH SERVICE (NHS) 25

• 5.1 INTRODUCTION 25
• 5.2 NHS ESTATE 26
  • 5.2.1 England 26
  • 5.2.2 Devolved Administrations 30
• 5.3 MARKET FACTORS 33
  • 5.3.1 Total NHS Expenditure 33
  • 5.3.2 Expansion of Primary Care Sector 34
  • 5.3.3 Condition of Estate Buildings & Maintenance Backlog 35
• 5.4 NHS TRUSTS EXPENDITURE ON RMI 40
  • 5.4.1 England 40
  • 5.4.2 Scotland 43
  • 5.4.3 NHS Wales 46
  • 5.4.4 Northern Ireland 46

6. INDEPENDENT HEALTHCARE SECTOR 47

• 6.1 INTRODUCTION & DEFINITION 47
• 6.2 INDEPENDENT HOSPITALS AND CLINICS 47
  • 6.2.1 Market Overview 47
  • 6.2.2 Size of Independent Hospitals Estate 48
  • 6.2.3 Expenditure 50
• 6.3 INDEPENDENT NURSING HOMES 50
  • 6.3.1 Market Overview 50
  • 6.3.2 Size of Care Homes Estate 51
  • 6.3.3 Expenditure 53

7. SUPPLY OF ' HARD FM' / RMI SERVICES 55

• 7.1 NHS - OVERVIEW 55
• 7.2 KEY CONTRACTORS PROVIDING ' HARD' FM / RMI SERVICES TO THE HEALTHCARE SECTOR 56

TABLES AND CHARTS

• TABLE 1 HEALTHCARE RMI MARKET £ MILLION 2006/07 - 2011/12 7
• CHART 2 INTEREST RATES AND INFLATION (CPI) FROM 1992-2013 10
• CHART 3 PDI & SAVINGS RATIO AT CURRENT PRICES 1992-2013 12
• TABLE 4 EXCHANGE RATE FLUCTUATIONS 2002-2009 - STERLING TO THE DOLLAR, AND THE EURO, SPOT RATES 14
• CHART 5 AGE DISTRIBUTION OF THE RESIDENT UK POPULATION MID-2008 (' 000) 15
• TABLE 6 CONTRACTORS OUTPUT OF HEALTHCARE SECTOR WORK (PUBLIC/PRIVATE) 2005 - 2008 (£M) 18
• TABLE 7 CONTRACTORS OUTPUT OF NON HOUSING NEW WORK & RMI 2003 -2008 (£M) 19
• TABLE 8 NON-RESIDENTIAL RMI OUTPUT BY WORK TYPES - GENERAL FABRIC, ELECTRICAL, PLUMBING, JOINERY, ROOFING, GLAZING, DECORATING, ETC - PUBLIC AND COMMERCIAL SECTOR SPLIT - 2007 (£M) 20
• TABLE 9 HEALTHCARE RMI MARKET £ MILLION 2006/07 - 2011/12 22
• CHART 10 HEALTHCARE RMI MARKET - SHARE BY SECTORS 2008 (NHS ENGLAND, SCOTLAND, WALES, NORTHERN IRELAND, PRIVATE INDEPENDENT SECTOR) 24
• TABLE 11 NHS ESTATE IN ENGLAND BY TYPES OF TRUST & FACILITIES - NO. TRUSTS, BEDS, WARDS, SITES, ORGANISATIONS, FACILITIES 28
• TABLE 12 NHS ESTATE IN ENGLAND - SHARE BY SIZE (SQ M GROSS INTERNAL FLOOR AREA & HA) AND TYPE OF ORGANISATION 29
• CHART 13 NHS IN SCOTLAND ESTATE - PROFILE AND MIX BY PREMISES TYPE (ACUTE, NON-ACUTE, HEALTH CENTRES / CLINICS, SUPPORT FACILITIES) 2008 30
• TABLE 14 NHS SCOTLAND - NO. OF HOSPITAL BEDSPACES BY TYPES OF FACILITY 2009 31
• TABLE 15 NHS WALES - NO. HOSPITAL SITES & BEDSPACES BY TYPES OF FACILITY 2007/08 32
• TABLE 16 NORTHERN IRELAND - NO. BEDSPACES BY TYPES OF FACILITY 2008/09 32
• CHART 17 VALUE OF UK NHS EXPENDITURE 2005-2011 (£ BILLION) 33
• TABLE 18 NHS ENGLAND CONDITION OF BUILDING BY TRUST TYPE - RISK BACKLOG COSTS BY TRUST TYPE & RATING (HIGH, SIGNIFICANT, MODERATE, LOW) £M AT MARCH 2009 37
• TABLE 19 TOTAL AMOUNT OF INVESTMENT TO REDUCE BACKLOG MAINTENANCE COSTS BY NHS TRUSTS IN ENGLAND 2004/05 - 2008/09 38
• CHART 20 NHS IN SCOTLAND ESTATE - AGE PROFILE AS OF 2008 38
• CHART 21 NHS IN SCOTLAND ESTATE - SHARE BY PHYSICAL CONDITION RATING (A-D) 2008 39
• CHART 22 NHS ENGLAND SUPPORT SERVICES EXPENDITURE BY TYPE (HOTEL SERVICES, BUILDING/ENGINEERING SERVICES ETC) 2008/09 41
• CHART 23 NHS ENGLAND SUPPORT SERVICES EXPENDITURE -SHARE BY IN-HOUSE AND OUTSOURCED 2008/09BY VALUE 41
• TABLE 24 NHS ENGLAND BUILDINGS & ENGINEERING RMI EXPENDITURE 2000/01 - 2008/09 42
• TABLE 25 NHS ENGLAND BUILDINGS & ENGINEERING RMI EXPENDITURE BY TYPE OF TRUST 2007/08 AND 2006/07 43
• CHART 26 NHS SCOTLAND ESTATES - OPERATIONAL COSTS BY CATEGORY - HARD FM, SOFT FM, ENERGY & WASTE ETC. - 2006/07 44
• CHART 27 NHS SCOTLAND ESTATES - RMI COSTS BY CATEGORY OF WORKS - BUILDING, ENGINEERING, GROUNDS MAINTENANCE 2007-08 45
• TABLE 28 NHS SCOTLAND - BUILDINGS AND ENGINEERING RMI EXPENDITURE BY TYPE OF FACILITY 45
• CHART 29 PRIVATE ACUTE HEALTHCARE PROVISION - % BY SECTOR BY TURNOVER (£ BILLION). ACUTE HOSPITALS/CLINICS, NHS COMMISSIONING, MENTAL HEALTHCARE 2007-2008 48
• TABLE 30 LEADING UK INDEPENDENT HOSPITAL GROUPS 2009 - NO. OF HOSPITALS AND SHARES BY BEDSPACES. 49
• CHART 31 INDEPENDENT HOSPITALS - MIX BY SIZE BY BED NUMBERS 49
• TABLE 32 TOTAL NUMBERS OF CARE INSTITUTIONS, PLACES & RESIDENTS 51
• TABLE 33 AVERAGE NUMBER OF PLACES IN RESIDENTIAL AND NURSING CARE HOMES FOR THE ELDERLY BY COUNTRY 52
• TABLE 34 UK CARE HOMES MARKET - SUPPLIERS MARKET SHARES BY NO. OF SITES & BEDSPACES 53
• CHART 35 CARE HOME OPERATING COSTS - SHARE AS % OF FEES - STAFF, CAPITAL , RMI, SUPPLIES & SERVICES, UTILITIES ETC 54
• CHART 36 PROVISION OF ' HARD' FM SERVICES - IN-HOUSE / OUTSOURCED BY VALUE 55

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