• Our Vision

    To facilitate and support Clinical Commissioning Groups, Local Authorities and STP’s to create, manage and operate locally owned AFOs, leaving a legacy where all their residents have equal access to the integrated healthcare services.


    Andrew Bulloch

    Managing Director

    Andrew has worked in the NHS and Central Government since 2009, managing and transforming estates exceeding £3bn asset value.


    Before 2009 Andrew spent 20 years in international FT100 & Private Equity companies that included multiple Joint Venture establishments and commercial property portfolio acquisitions & funding exceeding £1bn.

    Jason Kelder

    Finance & Operations Director

    Jason has led multiple estates and finance functions within PCTs, STPs and CCGs. Over the last ten years, he has successfully driven £29m of cumulative Qipp savings and built a reputation for delivering estate transformation and cost reduction across healthcare providers. Jason brings stakeholders along the journey and secures engagement with GPs, community & acute providers and PPG's.

    Urvashi Bhagat

    Non-Executive Director

    Urvashi is a Chief Executive Officer of Havering Heath GP Federation. Her leadership role supports the development of primary care networks in Havering.


    Urvashi has held several senior roles in Central Government. She joined IHP from her last position as Finance Director of National Savings & Investments. There, she played a crucial role in managing its £167bn funds and data analytics of its 25 million clients.


    She spent nine years in the NHS in senior transformation roles and supporting the establishment of new GP federations. Urvashi has also held several non-executive board position in health charities and brings a vast amount of experience and expertise.

    The Team

    Bronwin Mcdowall

    Admin and Relationship Support

    Bronwin comes from a private sector with expertise in administration and finance. Bronwin is in contact with around 400 practices as part of IHP’s monthly workflow and client engagement. Bronwin has developed excellent customer and practice manager relationships.

    Brian Wade

    Client Estate Management

    Brian has a background in PCT, CCG, NHSPS Estate Management and Local Authority Services. Brian is client focussed and provides a key role in compiling and assuring all property data at a suitable quality used for AFO modelling. This hands-on approach includes engagement with client and provider teams creating an early realisation of potential Qipp savings.

    Renier Oosthuizen

    Client Estate Management

    Renier has an Estates and Facilities Management background within NHS Estates, LIFT/PFI’s and the Private Sector. Renier is client focussed and provides a key role in compiling and assuring all property data at a suitable quality for AFO modelling. This hands-on approach includes engagement with client and provider teams creating an early realisation of potential Qipp savings.

    Bev Norton

    Strategic Estates Plan Lead

    Bev has worked across both Local Authorities and the NHS in delivering clinical and estates strategies and has extensive public and provider consultation experience. Bev is the lead in writing business cases for healthcare developments using the 5 Case Model.

    Jyoti Sweetman

    Modelling Manager

    Jyoti has considerable experience in public sector planning, project and financial control. She is responsible for IHP’s integrated client models, and the overarching AFO business and financial-funding model. They cover core property builds and enhancements, population & workload demographics, operational capacity need & risk.

    Soledad Calderon

    IHP Legal Counsel

    Soledad brings legal oversight and co-ordination to both commercial transactions and AFO structuring. She undertakes original site due diligence and manages external legal teams on business transactions. She also supports clients in developing Governance Structures, Collaboration Agreements and MoU’s that underpin the operating structure of AFO’s.

  • Innovation

    Innovation applied through practical property management are central to 'IHP's mantra. 'IHP's Alternative Finance Organisation model has provided an innovative and flexible new approach for commissioning health estate.

    We move from the current reactive and silo building solutions to building core sites for the population's clinical needs 20 years or more ahead. These are not considerations of 'today's landlords who only focus on profit-generating estate solutions and hold on to long term inflexible tenancy agreements.


    IHP in effect act as the client estates commissioner taking all aspects of population growth, clinical needs, integration of services and equally important, the capital and recurrent cost of estates into consideration when developing and planning for an AFO solution. These are the considerations of 'today's commissioners and those constructing the ICS plans. IHP is not a property-owning company; the creation of the AFO means Health and Local Authorities are the property owners. IHP structures the AFO to allow it to benefit from the procurement of construction and soft/hard operations managed by a small central team.


    Below itemised activity is an example of where IHP provides support to solutions that your normal landlord and current estate management do not provide or engage in.

    • It creates financial funding models on a portfolio of investments at bank-level quality to raise funds and works with partners to ensure each obtains a fair financial return
    • It enables mechanisms where organisations can work together locking in flexibility and commissioner-provider needs into the long term – legal, governance & collaborative
    • Models out Total population and workload into the very long run to anticipate the clinical needs which enable a planned development programme and selection of core sites
    • Impact on C-del and control totals
    • Provides the ICS with the first crystallisation of partners working together and experience shared that will aid future delivery

    The AFO vehicle will be able to own and retain health, essential worker accommodation and a solution to the increasing requirement for the quality provided care homes. IHP ensures that as part of the planning process, these areas are all addressed and considered.

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