Healthcare Infrastructure Investment

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The changing health delivery environment and planning or reconfiguring health infrastructure requires making decisions based on many different and competing factors and using information from many different sources. This programme will enable participants to develop care service, estates and accessibility solutions which incorporate changes in health care delivery and infrastructure requirements.

Governments throughout the world are facing rising healthcare costs due to a variety of factors, including economic growth (which increases demand for treatment), changing demographics and epidemiological trends (aging populations and more chronic diseases), and advances in medical technology (leading to more expensive equipment and tests). Governments are struggling to meet these demands within their limited fiscal space and the lack the resources to provide healthcare to their citizens. This has generated a need to look at alternative funding sources to supplement government investment in infrastructure. This programme provides guidance on the use of private funding (Public Private Partnerships –PPP) as an element for the funding of healthcare infrastructure.

Course objectives

The programme will illustrate how strategic infrastructure management decisions will take account of trade-offs between care models, design, estates planning, transport and accessibility issues.
The relationship between tertiary, secondary and primary care will be explored and how to develop a strategic services model in tandem with the configuration of infrastructure which will meet the demand for service provision.

The course has three key aims:

  1. To help participants understand the complex relationship between the delivery of services and the need for infrastructure suitable for the delivery of those services
  2. To provide participants with the skills and tools for understanding the changes in health care created by growth in demand, an aging population and the growth in chronic disease
  3. To provide the tools for participants to understand how to identify and prioritise the infrastructure necessary to deliver care into the future through the use of Public Private Partnerships


Who should attend

  • Public Sector Officials
  • Healthcare and Public Sector Planners
  • Development Directors
  • Estates and Facilities Managers
  • Government and Public Service Officers
  • Service Providers and Commissioning Organisations
  • Investment Decision Makers
  • Commercial, Corporate and Investment Bankers
  • Contractors and Consultants



Central London Hotel Venue

All courses are held at four or five star venues in Central London, Zone 1. We strive to provide you with a training environment of the highest quality, to ensure that the whole learning experience exceeds your expectations.

Your training venue will be confirmed by one of our course administrators approximately 3-4 weeks before the course start date.

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Do you have five or more people interested in attending this course? Do you want to tailor it to meet your company's exact requirements? If you'd like to do either of these, we can bring this course to your company's office. You could even save up to 50% on the cost of sending delegates to a public course.

To find out more about running this course in-house:

Our Tailored Learning Offering

If you want to run this course at a location convenient to you or if you want a completely customised learning solution, we can help.

We produce learning solutions that are completely unique to your business. We'll guide you through the whole process, from the initial consultancy to evaluating the success of the full learning experience. Our learning specialists ensure you get the maximum return on your training investment.


We can offer any of our public courses delivered at your office or we can devise completely tailored solutions:

Read more about our offering or complete a call back request to speak to a learning specialist.



Day 1

  • Planning healthcare delivery
    • Introduction
    • Scene setting
    • Learning objectives

  • Review of context and good practice
    • International experience of healthcare development
    • Good practice
    • Economic impact
    • Benchmarks

  • Factors impacting on services delivery
    • Growing and ageing population
    • Increased prevalence of long term conditions
    • Demand on hospital beds
    • Clinical workforce supply
    • Service resilience
    • Improving productivity and value for money
  • Developing the strategic service model
    • Individual centred models
    • Using outcomes and quality evidence to shape services
    • Population-based planning of services
    • Providing the right care in the right place

  • Assessment of options for service delivery
    • Models of service delivery
    • Identifying key principles for service delivery
    • Options for change

  • Engagement for change
    • Meetings
    • Surveys
    • Workshops and media

Day 2

  • Infrastructure analysis
    • Infrastructure analysis (public and private)
    • Functional suitability
    • Deficiencies
    • Funding profile - maintenance and investment
    • Financial gap analysis - government funding/private finance
    • Prioritising projects

  • Key trends in infrastructure configuration
    • Facility configuration
      • GP facilities
      • Health and care centres
      • Community hospitals
      • District general hospitals
      • Tertiary hospitals

  • Strategic implementation plan
    • Creating a vision and goals for the future
    • Using the infrastructure goals to identify possible projects
    • Deciding who should pay for infrastructure
    • Moving from planning to action
    • Strategic investment plan

Workshop – Scenario planning to create the optimal estate solutions for future provision of care

Participants will work in groups and focus on planning health infrastructure based on a series of population statistics, estates information, services configurations, service demands and investment information
Where appropriate participants can (prior to commencement of the course) agree to use the afternoon session to work on participant specific information to begin to formulate a Strategic Service Model and infrastructure configuration appropriate to their organisation’s specific needs

Day 3

  • Funding PPP infrastructure
    • Principles of project finance
    • Financing structure
    • Debt/equity

  • Business case development 
    • Strategic context
    • Objectives and constraints
    • Identify and quantify the monetary costs and benefits of options
    • Assess risks
    • Non-monetary costs and benefits
    • Net Present Values
    • Assessing affordability

  • Procurement 
    • Pre- procurement
    • Planning and initial preparation
    • Contract notice to short-listing of bidders through PQQ
    • Selection of bidders and preparation for the dialogue stage
    • Dialogue
    • Post –dialogue
    • Submission of final tenders and bid evaluation
    • Bid clarification
    • Preferred bidder and contract close

  • Operation and contract management
    • Roles and responsibilities
    • Payment mechanism
    • Governance
    • Sustainability
    • Gateway review

Course summary and close

Why us

We have a combined experience of over 60 years providing learning solutions to the world’s major organisations and are privileged to have contributed to their success. We view our clients as partners and focus on understanding the needs of each organisation we work with to tailor learning solutions to specific requirements.

We are proud of our record of customer satisfaction. Here is why you should choose us to help you achieve your goals and accelerate your career:

  • Quality – our clients consistently rate our performance ‘excellent’ or ‘outstanding’. Our average overall score awarded to us by our clients is nine out of ten.
  • Track record – we have delivered training solutions for 95% of worlds’ top 100 banks and have trained over 250,000 professionals.
  • Knowledge – our 150 strong team of industry specialist trainers are world leading financial leaders and commentators, ensuring our knowledge base is second to none.
  • Reliability – if we promise it, we deliver it. We have delivered over 20,000 events both in person and online, using simultaneous translation to delegates from over 180 countries.
  • Recognition – we are accredited by the British Accreditation Council and the CPD Certification Service. In an independent review by Feefo we scored 96% on service and 95% on product