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Title: Stakeholder consultation practices within healthcare infrastructure planning: developing a strategic asset management approach
Authors: Mahadkar, Sameedha
Mills, Grant R.
Price, Andrew D.F.
Keywords: Business planning
Health care
Project management
Strategic asset management
Issue Date: 2012
Publisher: © Emerald Group Publishing Limited
Citation: MAHADKAR, S., MILLS, G. and PRICE, A.D.F., 2012. Stakeholder consultation practices within healthcare infrastructure planning: developing a strategic asset management approach. Journal of Built Environment Project and Asset Management, 2 (2), pp. 127 - 145.
Abstract: Purpose – With the advent of the Darzi review in 2008, and more recently the White Paper “Equity and Excellence: Liberating the NHS” (2010), the NHS in England is being redesigned to provide high quality, person-centred services with improved capacity and performance. In this change oriented scenario, stakeholder consultation has a critical role to play given the widespread advocacy in government policy and healthcare literature. In order to support informed decision making, the purpose of this paper is to: explore healthcare infrastructure planning through various approaches to stakeholder consultation within English Primary Care Trusts (PCTs); and develop a conceptual approach to strategic asset management (SAM) based on the findings of stakeholder consultation and engagement exercises. Design/methodology/approach – A multi-method triangulation approach including action research has been adopted to evaluate current stakeholder consultation practices with a local PCT and to explore their approach to healthcare infrastructure planning through: a literature review of stakeholder engagement and theory; evaluation of a local consultation exercise; and a web based document review of consultation practices within 149 English PCTs. Findings – PCT estate managers and healthcare planners have to operate within constantly changing dynamic healthcare environments and need to reduce uncertainty and indecision that often surrounds the debate of reconfiguration of healthcare facilities and services. Consultations by the PCTs vary in: the level of detail provided to the public; sample sizes; detail and transparency of the consultation; distribution and analyses of the consultation; and techniques and approaches. Practical implications – The findings of this study can be used by healthcare policy makers to: inform how clinical commissioning groups (CCGs) could be better involved during patient and public engagement; and determine practical ways of putting patients at the heart of General Practitioners (GP) commissioning. Originality/value – The research identifies gaps within current stakeholder consultation practices in English PCTs and develops a conceptual approach to SAM that accounts for stakeholder consultation; decision making levels within healthcare infrastructure planning within a wider competency based organisational view, which currently does not exist.
Description: This article was published in the journal, Built Environment Project and Asset Management [© Emerald Group Publishing Limited] and the definitive version is available at: http://dx.doi.org/10.1108/20441241211280882
Sponsor: The Engineering Physical Sciences Research Council (EPSRC) funded this research through the Health and Care Infrastructre Research and Innovation Centre (HaCIRIC).
Version: Accepted for publication
DOI: 10.1108/20441241211280882
URI: https://dspace.lboro.ac.uk/2134/12836
Publisher Link: http://dx.doi.org/10.1108/20441241211280882
ISSN: 2044-124X
Appears in Collections:Published Articles (Civil and Building Engineering)

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