ABSTRACT

We are told by Kate Priestley, Chief Executive of NHS Estates that ‘the NHS is the most complex organisation in Europe. Employing 1 in 20 of the working population in the UK, the NHS has an annual expenditure of £42.5 bn.’ The estate includes 11,000 GP surgeries. It is not surprising, therefore, that enormous challenges arise when fundamental changes are planned, such as modernising the procurement process for health buildings.