of properties predate the NHS


of the NHS estate in east London was built within the last 12 years


maintenance backlog

Regeneration brings with it an opportunity to redesign integrated buildings for the future as part of major new developments.

Good buildings make everything work better for patients and staff. We know this from patient experience surveys of clinic visits, inpatients and outpatients and from staff who give their views in annual staff surveys.

We need to provide care in modern, fit-for-purpose buildings and to meet the capacity challenges that come with a growing population. Whether you work in a hospital trauma centre or in the community, we are enabling and encouraging people to work together across the range of health and care services. The focus will be on following patients, not patients following the service.

Where we can, we are looking to put local health and care, and other public services, in the same building. This isn’t just to save money, but to encourage closer working between them – and to stop people having to go to lots of different places.

East London has many modern facilities, but we also have buildings that are more than 100 years old and no longer fit for purpose. The main driver for the strategic estates plan which draws together the developing individual borough plans, is the clinical vision for north east London and the developing models for integrated health and care. It is very much a ‘living’ plan which will continue to evolve as the individual local estates plans are developed.

We want all of the essential infrastructure that supports care and health services to be up-to-date and ready for future advances in science and technology.

A greater use of digital technology will also help ensure services are provided in the right place. We want people to have greater flexibility over how and where they work so they can spend more time in local communities. It also saves money on costly building space, which can be better spent on patient care.

Technology brings other benefits too.

Using a digital device to constantly monitor someone’s heart, or providing a video link to a doctor or nurse will help to keep people at home, supported by the right people when they need it.

It will not only make care accessible and convenient, but more consistent and personal. It’s very likely you will see the same staff throughout your care rather than lots of different people.

If you would like to know more about local plans, contact your local clinical commissioning group or local council. Our citizen’s panel is a good way to get involved by contributing your comments and ideas on a range of issues, including estates. You can find out more here.

Updated: 13/09/2019