First published in 2013, the NHS Premises Assurance Model (NHS PAM) is a management tool that provides NHS organisations with a way of measuring how well they run their estate.
With the NHS operating over 1,200 hospitals as well as nearly 3,000 other treatment facilities (with a combined occupied floor space of 24.3 million m2!), it is essential, now more than ever, that the NHS provides a safe, high quality and efficient estate. To do this, assurance is required that appropriate actions and investment is taking place, which is where NHS PAM comes in, intended to decrease the gap between NHS boards and the operational detail of its day-to-day estates and facilities operations.
NHS Improvement highlights three main benefits/functions of using the model:
- the ability to demonstrate to patients, commissioners and regulators that robust systems are in place and to provide assurance that the premises and associated services are safe;
- helps trusts prioritise investment decisions in order to raise standards in the most advantageous way; and
- the ability to measure compliance against legislation and guidance across the whole NHS.
Recently it was further updated to ensure that it fully supported the NHS constitution – “You have the right to be cared for in a clean, safe, secure and suitable environment.” And as of April 2020, the NHS PAM was made mandatory, as set out in the Final Service Conditions –
“17.9: The Provider must complete the safety and the patient experience domains of the NHS Premises Assurance Model and submit a report to its Governing Body in accordance with the requirements and timescales set out in the NHS Premises Assurance Model and make a copy available to the Co-ordinating Commissioner on request.”
In addition, Annex A, 5.3 of the Premises Assurance Model states that “NHS England and NHS Improvement expect the NHS PAM to be updated and presented to the trust board for approval at least annually”.
So, if the model was not being used across all Trusts before, we can now expect to see it being implemented much more widely going forward.
Eastwood Park, in partnership with GK Group delivers a focused, one-day “Premises assurance model (PAM) & CQC” training course specifically for estates managers, operational directors and those responsible PAM assessments and audits.
The course gives a unique insight into PAM and CQC preparedness and improves understanding of the PAM return process, encompassing staff competence, the assessment and management of risk, the role of periodic audits as well as the review processes.
View the NHS Premises Assurance Model here