Brighton and Sussex University Hospitals NHS Trust (BSUH) is the teaching Trust in the South East Coast region and a large provider of specialised and acute hospital care services.

The Trust operates from 2 main hospital sites, the Royal Sussex County Hospital in Brighton (including the Sussex Eye Hospital and the Royal Alexandra Children’s Hospital) and the Princess Royal Hospital (including Hurstwood Park Neurosciences Centre) in Haywards Heath.

The Trust commissioned Green & Kassab to review its existing FM arrangements and to develop a forward strategy for the outsourcing of these services. The exercise was undertaken within the context of significant service and financial demands which needed to be considered as part of this review for soft FM services valued at £18m per annum.

The Trust has a mix of service providers including three separate outsourced service arrangements as well as in-house provision of some services across its various sites.  With a number of the existing contracts which were due to expire mid-late 2012 there was an opportunity to consider consolidation of all these contracts and other allied services.

The resultant strategy developed by Green & Kassab included a number of elements and considered:

  • Scope - What services should be considered including Hard FM
  • Benchmarking to support recommendations
  • Assessment of the risk & dependencies associated with the strategy.
  • Proposals for governance & reporting arrangements.
  • Identification of route to market & resources required to undertake the negotiations.
  • Draft project plan.
  • Consideration & recommendations on an In-House Bid.
  • Consideration & recommendations on the approach to A4C Issues.
  • Implications of the Trust’s major site redevelopment plans.
  • Determining the level of involvement by the Unions.
  • Consideration & recommendations on how the BME/Diversity issues will be addressed.
  • Consideration & recommendations on how the sustainability issues will be addressed.

Supported by extensive benchmarking and cost comparison analysis, the strategy that was developed met all of the requirements of the Trust’s Finance, HR, Procurement and Facilities professionals.  The outsourcing strategy identified significant financial savings, based on the consolidation of contracts, which enable the Trust to meet its financial savings targets going forward.  At the same time, the proposed contract structure retained sufficient flexibility to ensure that the major capital developments could be incorporated without any significant contract variations and service levels, including the maintenance of all national standards in relation to cleaning and catering could be maintained within the new contract.

The presentation of the of the resultant strategy to the Trust Board was unanimously well received, where we received a number of compliments on the quality of the work undertaken.  The Trust’s Director of Estates & Facilities described the our report as “one of the very best (he had) ever come across”.