Developing a framework for whole of life costing in the national health service estate

Kirkham, R J and Boussabaine, A H (2000) Developing a framework for whole of life costing in the national health service estate. In: Akintoye, A (ed.) Proceedings of 16th Annual ARCOM Conference, 6-8 September 2000, Glasgow, UK.

Abstract

The NHS represents a major industry sector, employing well over one million people and incurring gross expenditure of some £33.4bn. It is estimated that 20% of this is apportioned to management of the estate (NHS 1999). The demands for increased accountability and value for money are some of the fundamental reasons why NHS Trusts should move towards a more holistic view of investment appraisal and this paper reports on a research project that it aiming to address the major issues. In collaboration with the Royal Liverpool University NHS Trust, this research aims to develop a robust and accurate method of collating, analysing and disseminating vital WLC information. Central to the research is considering the estate in its holistic nature and not just the systematic consideration of conventional costs-in-use. The research aims to relate all the features of the estate, quantitative as well as qualitative, with the aim of developing a set of key performance indicators and risk assessment profiles to facilitate effective investment appraisal. The paper reports on the current stage of the research and the how it will be developed over the next year.

Item Type: Conference Paper (Paper)
Uncontrolled Keywords: whole life costing; NHS estates; facilities management; uncertainty; cost-in-use; risk management
Index terms: facilities management, costing, value-for-money, whole-life costing, collaboration, risk assessment, investment appraisal, risk management, accountability, industry sector, key performance indicator, health service
Subjects: economic analysis, project delivery, risk assessment, industry analysis, occupational health, liability law, financial risk, evaluation, management, accounting and finance, public and environmental health
Topics: Legal Issues, Value Management, Organizational Design, Cost Management, Business Strategy, Health and Safety, Research Practice, Project Management, Risk Management
Descriptive scope: 3 PCA

N.B. Descriptive scope is a count of how many of the five facets of empirical research are indicated by the words used in title, abstract and keywords. It is not intended as a judgement on the research; merely a count of the kind of word we would expect to indicate Phenomenon, Concepts, Theoretical framing, Empirical techniques, Analytical techniques. If all five are present, then a code of “5 PCTEA” will indicate this. If you feel the coding for this record is questionable, we welcome discussion around the terms we matched or the way we categorized them. The facet you would expect may not be coded, or a facet may be coded inappropriately. This can also bear on a larger question, of which facets should be treated as defining in construction management research. Please get in touch, and we will look at it. More details here