Community Health Partnerships

Posted on October 26, 2009. Filed under: LIFT, Press/News Releases, Providers |

CHP website | accessed 26 October 2009

Community Health Partnerships (CHP) develops, creates investment in and helps deliver innovative ways to improve health and local authority services.

Its main activity has been to deliver the Local Improvement Finance Trust (LIFT) Initiative which provides clean, modern, purpose-built premises for health and local authority services in England.

So far it has developed public-private partnerships to establish 47 LIFT companies, covering two thirds of England’s population. They have delivered over £1950 million of investment in more than 250 buildings that are either open or under construction. More recently, CHP has developed developing new models of public-private partnership, such as Community Ventures and Social Enterprises, to improve health and social care.

Community Health Partnerships (CHP) – known until autumn 2007 as Partnerships for Health (PfH) – is an independent company, wholly owned by the Department of Health.

Community Health Partnerships is a national organisation, rooted in local delivery of better community health and local authority services.  

It has a proven track record of innovative thinking and practical on-time delivery of projects tailored to local need. It fosters continuous improvement as it brings together the financial and organisational skills of the public and private sectors.  

CHP’s experience in driving innovation and continuous improvement through the Local Improvement Finance Trust (LIFT) programme has prepared its staff well for broader public-private ventures.

Its goal is to become a recognised centre of excellence in:

  • Efficient and effective delivery of capital projects in the health and local authority sectors

  • Public-private partnerships across the NHS and local government

  • Innovative and creative solutions to procure and develop assets that enhance health and social care provision

Community Health Partnerships offers a number of financial, management and consultancy services including:

  • Building public-private partnerships

  • Collation and dissemination of best practice in public-private partnerships within the health and social care fields

  • Development of LIFT Companies (LIFTCos) – CHP sets up and generates investment in new LIFTCos

  • Development of new capital projects within PCTs with existing LIFTCos

  • Advice to LIFTCos seeking to work within non-LIFT areas

  • Advice to PCTs in non-LIFT areas that want LIFTCos to work on projects

  • Benchmarking, for the Department of Health, of LIFT costs

  • Reporting improvements developed in the LIFT programme for the cross-departmental Innovation Programme

  • Managing and promoting the Department of Health’s Social Enterprise Investment Fund

  • Support to Strategic Health Authorities for the allocation of funding for Community Ventures via the Community Hospitals Fund. CHP also works with PCTs on detailed project development of Community Ventures.

  • Work on Strategic Estate Development – the re-development of real estate in primary healthcare 

     

LIFT

Local Improvement Finance Trusts (LIFT) have secured a dramatic improvement in primary and social care services and facilities.

Together 47 LIFT companies have generated over £1950m in investment to develop more than 250 new integrated community facilities that are either open or under construction. 

These LIFT companies are partnerships of public-private finance and expertise. The partnerships are able to create integrated facilities more quickly, particularly in disadvantaged areas, in ways tailored to local needs, than is normally possible.

The LIFT concept has inspired partnerships, enabling true innovation and exciting community care models to be developed, such as incorporating housing and benefit advice, mental health services and voluntary agencies, within one building.

LIFT is breaking down the organisational silos that have traditionally existed between the primary and secondary healthcare sectors and between the NHS and social care.

LIFT establishes a public-private partnership company – a LIFTCo – which works with local organisations to provide bespoke, tailor-made facilities.

The LIFTCo is formed from three groups: 
– local public sector health and care organisations (including PCTs and Local Authorities), 
– the selected private sector organisation, 
– and Community Health Partnerships. 

A Strategic Partnering Board, including all key local health and social care organisations, is established to collate the service requirements of all local providers.  The Board plans and then delivers an integrated service strategy.

The LIFT model allows a range of buildings to be procured, from small GP practices to one stop centres to community hospitals and multi-million pound, multiple agency, health and social care centres.

LIFT assets are owned by the public-private partnerships, run by the LIFTCo and leased/rented to service providers. This frees up the public sector to concentrate on service strategy and commissioning. The public sector, however, still has a 40 per cent stake in the ownership of the assets through its shareholding in LIFTCo. So the assets are therefore NOT exclusively owned by the private sector.

Express LIFT

Following the successful establishment of 47 LIFT companies covering more than half of the population of England, Express LIFT has been developed to provide a ‘fast-track’ procurement route. A ‘private sector partner’ is selected from a nationally procured framework of pre-approved partners, without the need for a ‘traditional’ competition based around the design of sample schemes, making it more cost effective.

The difference between Express LIFT and a traditional LIFT procurement

In a ‘traditional’ LIFT procurement, bidders are required to provide fully costed designs for the sample schemes in competition. This is a time consuming and costly process for all bidders and PCTs. In Express LIFT, public sector participants will be required to have an outline SSDP which they will utilise assistance from their LIFT company to complete. This means that the LIFT company can have a far greater influence on what it is that the PCT is trying to achieve through its commissioning and estates strategy. There will be no competitive design element (which will significantly reduce both time and cost) and no obligation to establish a supply chain for delivery and maintenance of defined projects at this stage.

Procurements under the Express LIFT programme will be significantly shorter. PCTs will need to undertake a reasonable amount of preparatory work before commencing a competition and will, of course, have to be mindful of the logistics of obtaining all the requisite Board approvals, however, it ought to be possible for a PCT to run the competition process in less than three months.

National procurement

The Department of Health ran a national procurement, which resulted in the following seven companies being selected to join a national framework as prospective LIFT company partners in March 2009:

Subject to receiving the necessary approval, PCTs can now commence their local call-off procurements. All of the prospective partners have demonstrated that they are able to provide the partnering services in a manner capable of realising and demonstrating value for money.

Framework timeline

Under EU procurement rules, a framework contract can exist for a maximum of four years. Our intention is for the Express LIFT framework to run for two years with the option on the part of the Secretary of State to extend the framework for a further two years.

National competition

The Department of Health ran the national framework procurement on behalf of the Secretary of State for Health with the assistance of Community Health Partnerships and other external advisers.

For further details please see the following – Memorandum of Info for PCTs – April 2009

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