INTRODUCTION and OVERVIEW
AMA Research are pleased to announce the publication of the 6th edition of its overview of the Healthcare Construction Market in the UK, focusing on key market trends and major structural change within the NHS and private sectors, which should be of particular interest to healthcare providers and construction professionals involved in the healthcare sector.
The report reviews recent changes and provides insight on forward plans, including capital spending in the healthcare sector, key issues for the construction industry and anticipated opportunities for healthcare construction work over the next few years.
Key issues analysed include:
- Government reform of the NHS and implications of the Health & Social Care Act for the construction industry.
- New providers and clients under the new NHS Structure.
- Analysis of Capital Funding to 2016 and capital funding arrangements under new NHS Structure.
- Major contractors, consortia, developers and investors involved in the healthcare sector - construction pipelines, budgets, key schemes and players.
Particular areas of insight include:
- Potential impact of the government's 'NHS: Five Year Forward View', which outlines what needs to be done between 2015 and 2020 to improve the NHS - a 'blueprint' for the party that wins the 2015 general election, which sets out new models of care and could have significant implications for the NHS and its estate.
- Review of primary healthcare and GP estate and government funding to upgrade premises - GPs now firmly at the core of the NHS.
- Review of future of main procurement routes and construction programmes - PFI and Private Finance 2 (PF2), LIFT and ExpressLIFT; Hub Initiative in Scotland; Procure21+; Designed for Life: Building for Wales and Frameworks Scotland - construction pipelines, budgets, key schemes and players.
- Shift away from major new build hospital schemes towards local and primary health facilities and refurbishment schemes. ExpressLIFT and P21+ construction pipeline.
- Review of growing involvement of private sector and commercial providers in NHS primary care provision.
Some of the companies included:
Apollo Capital Projects, Assura, Balfour Beatty, Bam Construction, Bouygues, BMI Healthcare, Boots, Brookfield Multiplex, Care UK, Carillion, GPI, GTD (Go To Doc), HCA International, Integrated Dental Holdings Ltd, Interserve, IntraHealth, John Laing, Kier, Laing O'Rourke, Lend Lease, Malling Health, MedicX Fund, Nuffield Health, Octopus Investments, Primary Health Properties, Ramsay Healthcare, Robertson Construction, Ryhurst, Sainsbury's, Sir Robert McAlpine, Skanska UK, Spire Healthcare, SSP Health, Carlyle Group, Vinci, Virgin Care, Wates, Willmott Dixon.
Key areas covered in the report:
PUBLIC SECTOR HEALTHCARE IN THE UK
- Overview and new Structure of the NHS - England, Scotland, Wales - government reforms of the NHS and implications of new Health & Social Care Act.
- New Providers and Clients under new NHS Structure - CCGs, Foundation Trusts, NHSCB.
- Size and condition of the NHS Estate in England, Wales and Scotland - impact of NHS reforms on NHS estate rationalisation and upkeep.
- Overview of the Primary Healthcare Estate - Future of GP premises and primary healthcare services under the new Health Act and the 'NHS Five Year Forward View'.
- Healthcare Spending and Investment in the UK - primary care spending, NHS funding in Wales, Scotland and Northern Ireland, 2014 Autumn Statement, forecasts 2014-2016.
PRIVATE ACUTE HEALTHCARE SECTOR IN THE UK
- Private partnership with the NHS and analysis of private and corporate providers in the NHS.
- Acute private hospital provision and leading providers - number of facilities, key contracts.
- Private healthcare companies - key players, market size, including major groups; retail outlets moving into primary healthcare; private healthcare groups and property/ investment companies specialising in GP and primary care premises investment and development.
- Private dental care - major dental companies/practices.
CONTRACTORS OUTPUT IN THE HEALTHCARE SECTOR
- Analysis of Total New Work Construction Output - output by sector and for 2015 and beyond.
- Construction output in the healthcare sector - 2009-2019 - factors influencing forecasts.
- Healthcare construction work pipeline - key funding streams (PFI/PPP P21, P21+), programme budgets to 2017 and beyond, number of schemes, capital values.
- Capital expenditure in NHS - England, Scotland, Wales and N. Ireland - key developments.
PROCUREMENT OF HEALTHCARE CONSTRUCTION WORK
- Size/value of the PFI healthcare market and progress of schemes to date.
- Future of Healthcare PFI (Private Finance 2) - key schemes, values.
- Overview of NHS LIFT/ExpressLIFT/Hub Initiative Scotland/Procure21 & Procure21+/ Designed for Life: Building for Wales Framework/Frameworks Scotland - budgets, construction pipelines, progress to date, forecasts.
- NHS LIFTExpress and P21+ construction pipelines 2014-20 - values, schemes, status, players etc.
- Other finance and procurement options for NHS clients - LABVs, Joint Ventures, Surplus Land - open up the market considerably to smaller firms and suppliers.
CONSTRUCTION SUPPLY IN THE HEALTHCARE SECTOR
- Key construction companies in the healthcare sector - recent projects.
- Key consortia in healthcare sector - key players.
- Healthcare developers and investors.
- Current construction opportunities and tenders in the healthcare sector.
Health Sector Construction Output - 2010-2016 by Value