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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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Figure 8.16: Approach to developing hub/health centre service models<br />

1<br />

Distribution of<br />

services<br />

Description of step<br />

▪<br />

Work with CCGs to confirm OOH vision, including specifying the distribution of<br />

services across different types of sites: hubs, nodes in a provider networks, or<br />

GP practices<br />

Estimate<br />

differential<br />

volume for<br />

each type of<br />

OOH site<br />

2<br />

Differential space<br />

requirements; build<br />

on previous OOH<br />

work<br />

Apportion differential<br />

3 requirement to<br />

xxx individual hubs<br />

4<br />

Space is in the right<br />

place; confirm quality<br />

▪<br />

▪<br />

▪<br />

For key OOH service lines, determine differential space requirements either by<br />

estimating volumes where possible or estimating room requirements directly;<br />

build on previous OOH work and update with latest CCG QIPP/intentions<br />

where required<br />

Apportion differential requirement to individual hubs and then to provider<br />

networks and GP practices overall based on the distribution specified<br />

Assess whether space is in the right place and confirm quality of space<br />

available overall and for hubs /priority sites (existing condition and spare<br />

capacity provided by DJD)<br />

Assess space<br />

requirements<br />

and feasibility<br />

5<br />

Capital requirements;<br />

capital released<br />

▪<br />

Assess capital requirements to make the estates fit to deliver OOH plans,<br />

based on condition and high-level estimates from the DJD estate review of cost<br />

to bring the building to an acceptable condition; estimate capital released as<br />

needed; develop performance standards to be linked to capital discussions<br />

▪<br />

Check high level affordability of the estates plan for each of the CCGs<br />

6<br />

High level affordability<br />

Differential requirements refer either to the incremental requirements estimated in the OOH strategy<br />

work or to additional changes contemplated by CCGs (e.g., moving GP practices to a common site)<br />

8c. Out of hospital estates 244

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