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市場調查報告書

英國的醫療設施建設市場分析:LIFT及P21體制下的勞務採購情形

LIFT and P21 Procurement in Healthcare Construction Market Report - UK 2014-2016 Analysis

出版商 AMA Research 商品編碼 311585
出版日期 內容資訊 英文 69 Pages
商品交期: 最快1-2個工作天內
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英國的醫療設施建設市場分析:LIFT及P21體制下的勞務採購情形 LIFT and P21 Procurement in Healthcare Construction Market Report - UK 2014-2016 Analysis
出版日期: 2014年08月28日 內容資訊: 英文 69 Pages
簡介

為了應對2012年的社會保障法的修改,英國的NHS(國民保險制度)試圖大幅改變。導入官民聯合、地區合作取向的各種計劃(LIFT、ExpressLIFT、PROCURE21(以下P21)、PROCURE21+),而且設施建築等資本投資的動向也正在改變。儘管如此,預計英國政府的NHS相關投資額持續擴大,2015/16年度將達到1151億英鎊。英國政府致力於資本支出抑制方案,不過應不會馬上實現。

本報告提供隨著近幾年的NHS(國民保險制度)的制度改革,英國的醫療機關取向建設市場的變化與今後預測相關分析、英國的醫療制度、醫療費、醫療機關取向資本投資趨勢,及近幾年的制度改革概要(官民聯合(PPP)、LIFT、PROCURE21(P21)等)、伴隨的設施建築勞務採購、訂單形態的變化、關聯的建設產業概況和變化的方向性等調查、考察。

第1章 簡介

第2章 摘要與未來展望

第3章 英國的公立醫院市場

  • NHS(國民保險制度)的新結構
    • 健康、社會看護法(2012年)
    • 在新的NHS體制下的新醫療供給者和患者
    • 緊縮財政狀態的NHS:設備的合理化
    • 一般開業醫生用設備(GP Premises)的未來性

第4章 英國國內的醫療費用支出額

  • NHS資金供給:英格蘭的情況
    • 基層醫療支出額
  • NHS資金供給:蘇格蘭的情況
  • NHS資金供給:威爾斯的情況
  • NHS的資本支出額
    • 英格蘭
    • 蘇格蘭
    • 威爾斯
  • 醫療部門建築產量
    • 醫療期間建築工作的未來展望

第5章 醫療設施建設工程的訂單情形

  • 一般開業醫生(GP)、醫療委託群組(CCG)採購途徑
    • NHS改革下的採購未來性
  • NHS LIFT(Local Improvement Finance Trust):地區衍生型官民合作體制
  • ExpressLIFT
    • 概要
    • LTFT及ExpressLIFT的投資
    • 方案的更新與到目前為止的轉變
    • 和LIFT合作夥伴
    • NHS的新運用架構下的ExpressLIFT的未來性
    • Hub Initiative(蘇格蘭)
  • PROCURE21/PROCURE21+
    • 關於Procure21(P21)
    • Procure21+關於(P21+)
    • P21/P21+的投資
    • P21/P21+的計劃、開發平台(管線)
    • PSCP(Principal Supply Chain Partners)
    • NHS的新運用架構下的P21+的未來性
    • 在威爾斯的Procure21
    • 在蘇格蘭架構
  • NHS客戶的,其他資金供給、採購選擇
    • LABV(Local Asset Backed Vehicle:地區資產抵押產業主體)
    • 合資企業(JV)
    • 剩餘土地

第6章 醫療部門的建築供給

  • 概要
  • 醫療部門的主要建築共同企業體
  • 醫療部門開發業者、投資者
  • 市場機會/競標

圖表一覽

目錄

INTRODUCTION and OVERVIEW

AMA Research are pleased to announced the publication of the 2nd edition of the report ‘LIFT and P21 Procurement in Healthcare Construction Market Report - UK 2014-2016 Analysis', which reviews the major changes currently taking place within the NHS, specifically reviewing the future of key construction programmes and procurement routes under the new NHS structure.

Key areas in the report:

  • Government reform of the NHS - analysis of new Operating Structure.
  • Implications of the Health & Social Care Act for the Construction Industry.
  • LIFT/P21 Procurement - programmes, capital values, consortia - forward project pipelines.
  • Analysis of NHS Revenue and Capital Funding to 2016 and capital funding arrangements under the new NHS Structure.

Areas of particular interest include:

  • Review of main procurement routes and construction programmes used in the healthcare sector and their future under the new NHS structure, focusing on: LIFT and ExpressLIFT; Hub Initiative in Scotland; Procure21/Procure21+; Designed for Life: Building for Wales (P21 in Wales) and Frameworks Scotland
  • Key schemes - capital budgets, status, consortia/contractors.
  • Review of major contractors and consortia, PSCPs (key contractors/framework partners). Key developers and investors involved in the healthcare sector - future opportunities for healthcare work and key issues for the construction industry.
  • Future Prospects - impact of a more rationalised estate and a move away from large healthcare developments, towards upgrading, refurbishing and extending the primary healthcare estate.
  • Forward project pipelines - schemes, capital values, key players etc.

Key areas covered in the report include:

PUBLIC SECTOR HEALTHCARE IN THE UK

  • Overview of the new Structure of the NHS - England, Scotland, Wales.
  • Legislative drivers and Government reforms in the NHS - Health Care Act 2012.
  • New Providers and Clients under the new NHS Structure - timetable, Clinical Commissioning Groups, NHS Commissioning Board, Independent Providers.
  • Estate Rationalization with the NHS - size of estate, £4bn maintenance backlog value, future of GP Premises - developments, funding issues etc.

HEALTHCARE SPENDING IN THE UK

  • NHS Funding in England, Scotland and Wales, Primary Care Spending.
  • Capital Spending in the NHS - England, Scotland and Wales - budgets 2011-2016, key projects.
  • Construction Output in the Healthcare Sector - forecasts to 2018. Healthcare RMI spending.

PROCUREMENT OF HEALTHCARE CONSTRUCTION WORK

  • Procurement routes for GPs and PCTs - Future of Procurement under the new NHS Structure.
  • NHS LIFT - Overview, investment 2004-14, scheme update & progress to date (waves, construction values etc.). Forward pipeline to 2016 (schemes, capital values, players etc.)
  • ExpressLIFT - overview, investment, scheme update & progress to date. Principal Consortia and LIFT Partners, review of 49 LIFTCOs - schemes, capital expenditure 2011-15. Future of ExpressLIFT under the new NHS Structure.
  • Procure21 - overview, investment, scheme update, project pipeline, PSCPs (capital values of current schemes 2011-2020).
  • Procure21+ - overview, investment, scheme update, project pipeline.
  • Future of Procure21+ under the new NHS Structure - preferred route?
  • PSCPs - key players and partners.
  • Procure21 in Wales - Designed for Life 2012-2016. Framework partners.
  • Frameworks Scotland /Hub Initiative in Scotland - HUBCOs, projects, values, status - development pipeline by region.
  • Other finance and procurement options for NHS clients - LABVs, Joint Ventures, Surplus Land (review by strategic authority - area, future use, date of disposal).

CONSTRUCTION SUPPLY IN THE HEALTHCARE SECTOR

  • Key Construction Companies and Consortia in the Healthcare Sector - estimated project values won in 2013/14.
  • Primary Healthcare Developers and Investors - by no. of primary care premised owned.
  • Major Consortia and Supply Chain/Framework Partners in the Health sector - by procurement scheme.
  • Healthcare Opportunities - key projects in the pipeline.

SAMPLE

Value of NHS Expenditure - 2009-2015 (£bn)

Table of Contents

1. INTRODUCTION

2. SUMMARY AND FUTURE PROSPECTS

3. PUBLIC SECTOR HEALTHCARE IN THE UK

  • 3.1. NEW STRUCTURE OF THE NHS
    • 3.1.1. Health and Social Care Act 2012
    • 3.1.2. New Providers and Clients under the new NHS Structure
    • 3.1.3. The NHS in an Age of Austerity - Estate Rationalisation
    • 3.1.4. Future of GP Premises

4. HEALTHCARE SPENDING IN THE UK

  • 4.1. NHS FUNDING - ENGLAND
    • 4.1.2. Primary Care Spending
  • 4.2. NHS FUNDING - SCOTLAND
  • 4.3. NHS FUNDING - WALES
  • 4.4. CAPITAL SPENDING IN THE NHS
    • 4.4.1. England
    • 4.4.2. Scotland
    • 4.4.3. Wales
  • 4.5. CONSTRUCTION OUTPUT IN THE HEALTHCARE SECTOR
    • 4.5.1. Outlook for Healthcare Construction Work

5. PROCUREMENT OF HEALTHCARE CONSTRUCTION WORK

  • 5.1. PROCUREMENT ROUTES FOR GPS AND CCGS
    • 5.1.1. Future of Procurement under the new NHS Reforms
  • 5.2. NHS LIFT
  • 5.3. EXPRESSLIFT
    • 5.3.1. Overview
    • 5.3.2. Investment in LIFT and ExpressLIFT
    • 5.3.3. Scheme Update and Progress to Date
    • 5.3.4. Principal Consortia and LIFT Partners
    • 5.3.5. Future of ExpressLIFT under the New NHS Operating Framework
    • 5.3.6. Hub Initiative Scotland
  • 5.4. PROCURE21/PROCURE21+
    • 5.4.1. Procure21
    • 5.4.2. Procure21+
    • 5.4.3. Investment in P21/P21+
    • 5.4.4. P21/P21+ Project Pipeline
    • 5.4.5. Principal Supply Chain Partners (PSCPs)
    • 5.4.6. Future of P21+ under the New NHS Operating Framework
    • 5.4.7. Procure21 in Wales
    • 5.4.8. Frameworks Scotland
  • 5.5. OTHER FINANCE AND PROCUREMENT OPTIONS FOR NHS CLIENTS
    • 5.5.1. LABVs
    • 5.5.2. Joint Ventures
    • 5.5.3. Surplus Land

6. CONSTRUCTION SUPPLY IN THE HEALTHCARE SECTOR

  • 6.1. OVERVIEW
  • 6.2. KEY CONSTRUCTION CONSORTIA IN THE HEALTHCARE SECTOR
  • 6.3. HEALTHCARE DEVELOPERS AND INVESTORS
  • 6.4. OPPORTUNITIES/TENDERS

TABLES AND CHARTS

  • TABLE 1: SUMMARY OF HEALTHCARE SECTOR BUDGETS & MAJOR CAPITAL SPENDING PROGRAMMES 2013-2016 - EXPRESS LIFT, P21, FRAMEWORKS SCOTLAND, BUILDING FOR WALES ETC.
  • CHART 2: STRUCTURE OF THE NEW NHS POST APRIL 2013
  • TABLE 3: NHS ENGLAND BUDGET 2014-15 - ALLOCATION OF RESOURCES BY SECTOR/PROGRAMME
  • TABLE 4: TOTAL SIZE OF NHS ESTATE BY FUNCTION (SQ. M.) 2010-13 - GIFA, OCCUPIED SPACE, UNUSED SPACE, BACKLOG MAINTENANCE COSTS
  • CHART 5: NHS SCOTLAND ESTATE - AGE OF PROPERTY AS AT 2013 (%)
  • CHART 6: VALUE OF UK NHS EXPENDITURE 2006 - 2016 (£BN)
  • TABLE 7: TOTAL HEALTHCARE SPENDING SCOTLAND 2010-16 (£M) - RESOURCE AND CAPITAL SPENDING
  • TABLE 8: NHS CAPITAL SPENDING - 2007-2016 (£BN)
  • TABLE 9: HEALTHCARE CAPITAL SPENDING SCOTLAND 2010-16 (£M) - CAPITAL AND RESOURCE BUDGETS
  • TABLE 10: HEALTHCARE CAPITAL SPENDING WALES 2010-16 (£M) - CAPITAL AND RESOURCE BUDGETS
  • TABLE 11: CONTRACTORS OUTPUT OF HEALTHCARE SECTOR WORK (PUBLIC/PRIVATE) 2007-2013 (£M)
  • CHART 12: HEALTH CONSTRUCTION OUTPUT FORECASTS 2008 TO 2018 - BY VALUE (£BN AT CURRENT PRICES)
  • CHART 13: CAPITAL INVESTMENT IN NHS LIFT 2004-2013 BY VALUE (£M AT CURRENT PRICES)
  • TABLE 14: NHS LIFT: FORWARD CONSTRUCTION PIPELINE 2014-2016 (SCHEMES, PARTNERS STATUS, CAPITAL VALUES, COMPLETIONS)
  • TABLE 15: 49 NHS LIFT COMPANIES - PROJECT DEVELOPMENTS TO DATE - COMPLETED SCHEMES, CAPITAL VALUES, PIPELINES
  • TABLE 16: HUB INITIATIVE SCOTLAND - HUBCOS (AREA, CAPITAL VALUES, DEVELOPMENT PARTNERS ETC)
  • TABLE 17: HUB INITIATIVE SCOTLAND - HEALTHCARE PROJECTS IN DEVELOPMENT - CAPITAL VALUES AND COMPLETION DATES
  • CHART 18: P21/P21+ - CAPITAL VALUE OF SCHEMES IN DEVELOPMENT 2011-2020
  • TABLE 19: PROCURE21 - FORWARD CONSTRUCTION PIPELINE 2014-2016 (NUMBER & VALUE OF SCHEMES, STATUS) BY REGION
  • TABLE 20: PROCURE21+ - FORWARD CONSTRUCTION PIPELINE 2014-2016 (NUMBER & VALUE OF SCHEMES, STATUS) BY REGION
  • TABLE 21: DESIGNED FOR LIFE - BUILDING FOR WALES2 FRAMEWORK PARTNERS
  • TABLE 22: FRAMEWORKS SCOTLAND - REGISTERED HEALTHCARE PROJECTS (NO. AND VALUES OF SCHEMES, STATUS) - BY HEALTH BOARD
  • TABLE 23: CURRENT NHS SURPLUS LAND BY STRATEGIC HEALTH AUTHORITY - AREA (HA), FUTURE USE AND DATE OF DISPOSAL (FROM FEBRUARY 2014)
  • TABLE 24: LEADING CONTRACTORS IN THE HEALTHCARE SECTOR BY GROUP TURNOVER AND VALUE OF HEALTHCARE PROJECTS WON 2013-14 (£M)
  • TABLE 25: MAJOR CONSORTIA AND SUPPLY CHAIN/FRAMEWORK PARTNERS IN THE HEALTH SECTOR - BY PROCUREMENT SCHEME
  • TABLE 26: PRIMARY HEALTHCARE DEVELOPERS & INVESTORS BY NUMBER OF PRIMARY CARE PREMISES OWNED
  • TABLE 27: HEALTHCARE PROJECTS IN PIPELINE 2014 - CAPITAL VALUES & STATUS
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