Making the best use of our buildings to help deliver excellent health and social care service

An improved, sustainable local health and social care system cannot be delivered without a credible estates plan to support it.

Estates refers to the buildings and land we own. After staff costs and medicines, the cost of occupying and maintaining our property is the next significant cost for health and social care. The role of the estates workstream is to identify ways we can get best value from our estate and to consider the accommodation we need to support new ways of working in health and social care.

Our objectives
We will:

  • Collate estates data from both providers and commissioners of services so we can develop a single database of health and care property in Kent and Medway
  • Benchmark property costs and identify opportunities to consolidate property in order to reduce costs through economy of scale and getting rid of duplication
  • Develop a future estate plan, identify any investment requirements and establish a funding framework to enable delivery and asset disposal.

What we have done so far

The workstream has formed a core working group that manages the three objectives. Separate task and finish groups have been formed that include people from across NHS trusts, local councils, clinical commissioning groups and NHS Property Services.

These groups are focussing on the following areas:

  • Baseline data: collation and improvement of the way we collect and use data to inform decision making
  • Estate efficiency: exploring contracting and service delivery arrangements for estate functions
  • Estate utilisation: looking at where we are under-occupying our buildings, where there is duplication and helping to plan for the efficient use of property through consolidation
  • Local care: looking at what estate we need to accommodate the delivery of integrated health and social care in our communities
  • Finance: exploring investment requirements and sources of funding.

What are the next steps?


  • To gain a better understanding of the performance of the estate by the end of the summer 2017, by undertaking a ‘data trawl’ exercise
  • To provide estate information to inform any plans for hospital and local care
  • To create a plan for consolidating property where there are appropriate opportunities in Kent and Medway.

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