Community 1st News

Last year Community 1st celebrated 20 years of working in partnership with the local NHS in two of our LIFT areas, Cornwall and Oldham, and we celebrate the same milestone this year for Sheffield. 

The Community 1st team is largely the  team that was in place when the three separate LIFT companies were established. These teams include our strategic and operational planners, our design team and our multi-skilled building service engineers, project managers and capital works and construction team members. 

When these milestones come around it provides a clear reminder to our teams of the positive impact that their incredible hard work in developing and maintaining the Community1st LIFT estate has had and continues to have on the delivery of health services to the local communities that they serve. 

The benefits of the wider LIFT estate were further highlighted in the recent PWC report commissioned to understand the relative costs and benefits against the wider NHS portfolio and commercial alternatives. This report can be found here.

In the most recent DHSE publication ‘Reforming elective care for patients’ which sets out the aspirations for transforming care ahead of the 10-year Health Plan, it’s important that we continue to recognize the valuable opportunities that the existing LIFT estate can deliver.  

As our NHS partners continue with the challenges of the growing backlog maintenance bill, and an estate that will clearly not support the aims and aspirations for improving access to services, we should look further at the capabilities that already exist in the LIFT estate. 

Each Community 1st LIFT Facility was developed and located in areas with a higher than the UK average for deprivation, and health need. They are inherently flexible in design, meeting all HTM and HBN standards, and maintained through a robust Lifecycle plan, providing long-term access to fit for purpose accommodation and cost certainty for tenants. This ensures that the LIFT estate can respond to changes in service demand for many years whilst avoiding adding to the growing backlog maintenance issue on the wider NHS estate. 

The recent recognition and categorization of each of our LIFT facilities as Core estate, required for the continued delivery and expansion of primary and Community Care services demonstrates that the estate is vital in achieving a shift to providing greater access and choice to patients in their local community. 

With our continued work to support NHS Partners in their long-term strategic and operational service planning, we have demonstrated opportunities for greater and expanded service delivery in every LIFT area. Our in-house team who intrinsically know these facilities can demonstrate the capacity that already exists within these facilities. Working with NHS service delivery teams we can provide options for accommodation layouts, requiring minimal adaptations to support additional and enhanced service delivery.  

These options include the use of space that is currently underutilized to support strategic planning discussions with Integrated Care Boards and the head tenant. Or options for the utilisation of expansion space designed in originally and that sits outside of the head tenant demise and available for fit out according to the service providers requirements, along with flexible lease arrangements. 

Greater utilisation of the existing LIFT Portfolio can act as the catalyst for long term change to service delivery, the capability to offer enhanced services such as diagnostics and point of care testing in local communities, in facilities that already exist, capable and are fit for purpose, and will remain as such for many years.  

We need to see the LIFT estate do exactly what it was designed to do, evolve. 

 

Kate Edwards 

Health Development Director  

Last week, students from Five Islands School visited our site on the Isles of Scilly, getting hands-on experience in sustainable construction. As part of a student-led design competition, they’ll transform recycled materials from our Integrated Health and Social Care Facility project into a covered walkway and seating area, with guidance from our design team to bring their vision to life.

Stay tuned as the students unveil their designs, we can’t wait to see their creativity in action and announce the winning concept.

At Community 1st, we’re committed to social value and building a sustainable future.

We’re partnering with the Five Islands School on the Isles of Scilly for a student-led design competition, using recycled materials from our project at the new Integrated Health and Social Care Facility to create a covered external walkway/seating area. With guidance from our design team, the winning concept will be brought to life, giving students hands-on experience in sustainable construction.

We’re also collaborating with TMS, METS, and local businesses to rebuild the schools’ outdoor amphitheatre which has collapsed and create a cover to prove shade and shelter.

By reusing site materials that would otherwise be transported off the island, we’re reducing waste and reinforcing our commitment to sustainability.

We’re calling on our network, can you support us with materials or expertise? Let’s build something meaningful together.

We are almost at the end of February already! Having just reached the huge milestone of the module installation for the new Integrated Health and Social Care facility on the Isles of Scilly and knowing what a huge impact this development will have for islanders, it’s hard not to be disappointed by the Government announcement for the revised timetable for the New Hospital Programme. But whilst I and many others are disappointed, I am sure I am not alone when I say I am not surprised. 

I could add to the commentary from my colleagues across the sector regarding the impact of this announcement, but the issues are well documented and glaringly obvious. Especially for NHS colleagues (currently still in the throes of dealing with ‘Winter Pressures’) who are now facing the prospect of continuing to provide and, be expected to improve service delivery from a crumbling NHS estate that does not match the vision of a Health Care system that is supposedly being ‘rebuilt’. 

Instead, I want to reflect on our achievements over the last 12 months to ensure the successful delivery of this much needed facility for the Isles of Scilly. Not only will this deliver new and improved inpatient and outpatient facilities, but will also provide access to a wider range of services not only for health but social care too.  

One of the main successes of this project is how it demonstrates that if all key stakeholders are aligned, then progress can be very rapid.  

In a little over 12 months with the collaborative efforts and hard work of the project team, Health and Social Care system partners, along with the wider design team we have achieved NHSE business case approval, planning permission, commenced works on site, along with the the first module install completed this month, all which will result in the delivery of a new model of care for the island, all delivered from the new Integrated Health and Social Care facility.  

The enhanced outpatient facilities will include digital consulting capability, whilst the inpatient facilities will have a new palliative care room, and adjacent quiet space for relatives. Other accommodation improvements will include a new and more appropriately located birthing suite, and an improved operational layout for the MIU facilities along with ambulance service accommodation. 

To enable the move to this new model of care the existing St Mary’s Hospital will be extended to provide new residential care accommodation. This allows the only care home on the island to relocate from a facility with a challenging layout that is not suitable for the delivery of modern social care services to the new facility providing 12 residential, ensuite bedrooms and associated support spaces. 

The design of this single site facility recognizes the quite different accommodation requirements between Health and Social care, but at the same time it will act as an enabler for staff teams to work collaboratively to provide seamless health and social care services for the benefit of patients, residents and staff. 

The benefits will be many, less travel to the mainland for island residents, improved fit for purpose facilities with new point of care testing, and diagnostic capabilities, improved staff facilities and operational layout that will enable and facilitate collaboration between teams. 

As a long-term partner for the NHS, we contemplate what the delay in the New Hospital Programme means for the NHS Teams up and down the country. These very teams who have worked so hard on developing new models of care, business cases and proposals that will now be pushed into the long grass, not seeing the benefits that the Local Health Economy will see in Cornwall and the Isles of Scilly, for many years, if at all. 

So, whilst disappointed with the announcement of the delay, and in part magnified by seeing and realizing the benefits of such projects like the one on the Isles of Scilly, it is very much part of what drives us to look for innovative and novel solutions to bridge the gap and continue to support our NHS Partners. 

The NHS Confederations recent report on capital efficiency (read here) puts a focus the current NHS capital regime and calls for urgent reform to enhance productivity and support economic growth. The report advocates for enabling systems to raise private investment to support the NHS estate needs. Whilst new funding models are being considered by the Government, Community 1st will continue to champion the benefits of the LIFT model as a successful public private partnership model, which has proven over the last 20+ years to deliver high quality facilities. Facilities all deemed as ‘Core NHS Estate’ with no back log maintenance issues , inherently flexible in design, enabling facilities to be easily adapted when needed to support changing health service needs.  

With the success of this model as a showcase, Community 1st is an invested long-term partner, committed to provide alternative solutions to achieve strategic estate priorities that will ignite long term meaningful change for our NHS and Social Care partners. 

Community 1st LIFT company is an existing Joint Venture partnership structure that is tried and tested and has access to capital funding ready to support minor to major estate improvement projects.  

It’s not broken, so why fix it! We could instead evolve the LIFT model and use this procurement cleared entities to support rapid project investment and delivery.  

Kate Edwards 

Health Development Director  

The first batch of modular units for this new NHS project have been successfully installed this week, marking a significant step forward in enhancing healthcare services for the island community. This state-of-the-art facility provide comprehensive care, bringing together health and social services under one roof.

The project is being managed by Community 1st on behalf of the NHS, supported by partners: METS, TMS, Premier Modular and Bluesky Architects.

Stay tuned for more updates as we continue to build a healthier future for the Isles.

Read more here: https://www.cornwallft.nhs.uk/news/major-milestone-for-islands-health-and-social-care-facility-9851

The team behind the development of St Mary’s Hospital on the Isles of Scilly has made remarkable progress despite the logistical challenges. Their dedication and hard work are driving the project forward, ensuring that the community will benefit from upgraded healthcare facilities.

To9 find out more see attached link: https://www.linkedin.com/feed/update/urn:li:activity:7289640576801546240

The St Austell Elective Surgical Hub is the region’s first bespoke surgical unit outside the main Acute hospital.

This scheme was project managed by Community 1st Cornwall, with support from our supply chain. The design of the facility incorporated innovative modular construction solutions provided by Moduelco. The project also included important electrical infrastructure upgrades to the main community hospital site to provide capacity for the new surgical hub to be situated here.

This state-of-the-art facility is part of the local NHS strategic plan to transform patient care and streamline surgical procedures.

Read more here.

We’re delighted to show the progress with the slab now in place for the hospital at St Marys ready for the new Isles of Scilly Integrated Health and Social Care facility! While there’s still a lot of work required early in New Year before the modules can be landed in place, all the onsite teams have been moving forward with great momentum.

After the Christmas break, tms and METS Ltd teams will be back and busy ensuring all the works required is taking place ahead of  the installation of the modules, which is due to commence before the end of January.

We’re excited to be a part of this journey and look forward to seeing the next phase of the Health and Social Care Facility come to life!

Wishing you all a very Merry Christmas and a Happy New Year from everyone here at Community 1st. 

We look forward to working with partners old and new in 2025. 

#MerryChristmas #WorkingTogether #ThankYou #NHSEstateServices #facilitiesmanagement  #propertymanagement #assetmanagement 

While the new labour Government continue to review options for much needed capital investment into public sector assets, a new report recently published by PWC finds the NHS LIFT (Local Improvement Finance Trust) programme, established back in 2001 as a public private partnership investment model, is standing the test of time and continuing to provide value and long-term cost certainty for community-based health infrastructure.

The report explores the value of the LIFT model and a host of qualitative and quantitative benefits.

Community 1st is the long-term LIFT partner in Oldham, Sheffield and Cornwall, delivering 19 state of the art community-based health buildings to date. These facilities continue to deliver best in class accommodation for the delivery of community based services in areas of high health needs through our joint venture partnership with the NHS.

Our locally based estate management teams work 24/7 all year round to ensure that our health estate is always fit for purpose, and able to respond to any change in service need quickly and efficiently, supporting the long-term goals of our NHS partners.

You can read the full report here.

CommunityHealth HealthcareInfrastructure NHSPartnerships LongTermValue SustainableInvestment CommunityFocus BuildingForTheFuture

Over the past 20 years, Community 1st Oldham (C1O) has been working in partnership with the local NHS to deliver much-needed investment into primary healthcare buildings tailored to the specific health needs of the local community.  

This partnership came to life in 2004 with the development of our first scheme, Moorside Medical Centre, which opened in early 2006, followed by four other state-of-the-art primary care facilities in Oldham including the flagship Oldham Integrated Care Centre, one of the largest centres of its kind in the UK. The partnership also developed Chadderton Wellbeing Centre, which includes a 25-metre swimming pool, a gym and fitness suite, and library. 

These facilities are great examples of our understanding of the NHS Long Term Plan, ensuring each facility has a flexible design that has been able to adapt to evolving health requirements over the years whilst continuing to provide safe, modern, and compliant spaces for the original building users. 

Community 1st has a responsibility to maintain these facilities for the NHS. Our supply chain partner, Blue Support Services, provides operational facilities management via their locally based skilled team, generating long-term employment opportunities. Our proactive maintenance approach means these buildings continue to look as good today as they did when they were first built.  

Jon Keegan, General Manager of Community 1st Oldham, said, ‘Community 1st is proud to be a long-standing partner of the NHS in Oldham. With a well-established local team, we understand the area and the priorities of our NHS partners. The enduring legacy of this partnership is evident in the positive impact these community health facilities have on their local communities.” 

Zoe Openshaw, Business Manager at Blue Support Services, said, “As a local employer, Blue Support Services is committed to maintaining the Community 1st NHS Health facilities to the highest standards. These facilities are valuable assets for our communities, providing essential healthcare services to many. Blue Support delivers facilities management, statutory compliance services, and supports backlog maintenance projects across the broader NHS network. We are proud to assist our front line NHS colleagues by ensuring their facilities are safe, compliant and well maintained at all times.” 

Primary care has seen substantial change at both local and national levels in recent years. We take pride in our strong partnerships and ties with the local community, who have worked alongside us to adapt quickly and effectively to these changes. 

Our buildings host a wide array of primary care and community services, offering award-winning facilities to neighbourhoods across Oldham. However, our work goes beyond new construction projects. 

For over 20 years, we have managed a variety of capital projects—both large and small—throughout the local health estate on behalf of the NHS, delivering a comprehensive range of professional estate services. 

We are committed to collaborating closely with our local GP and NHS partners to meet the evolving needs of these facilities. As a procurement-approved partner, we’re also ready for immediate appointment when needed. 

In these challenging times, we look forward to continuing to provide a flexible, responsive estate service that supports the goals of the NHS Long Term Plan and adapts to changing local service priorities. 

This event brought together professionals from across the NHS, private mental healthcare, and care home sectors to explore the latest advancements in the design, construction, and management of mental health and dementia care facilities.

Over the two days, we were given valuable insights into newly developed Mental Health projects and enjoyed the wide range of networking opportunities. The event was a great opportunity to connect with industry leaders, exchange insights, and bring back new ideas to elevate the quality-of-care environments.

Across Community 1st primary care facilities, we have worked closely with our NHS partners responsible for delivering a wide range of Mental Health services, allowing more community based mental health services to be delivered closer to patients homes, from best in class premises.

As we continue to explore new opportunities for the delivery of Mental Health services, we look forward to working with all our colleagues across the Mental Health sector.