• Guiding You through Your AFO Transformation Step By Step

    IHP has a unique specialisation – use its expert knowledge as the creator of the AFO model to help NHS, and Local Authorities set up and run their local AFOs


    We provide a turnkey solution with an IHP director project lead (Jason Kelder in Newham: http://www.newhamccg.nhs.uk/news/pioneering-work-to-build-new-health-facilities-in-newham-in-line-for-award/92151) and a myriad blend of needed support skills from our terrific team covering strategic planning, estates operations, business plans and commercial funding, acquisitions, developments and bank quality modelling. All team members have substantive experience in healthcare.


    IHP has developed a step by step process that ensures stakeholders are part of this exciting journey in creating an AFO. The AGO will best provide your local ambition and vision, be profitable at social levels of return, and be able to pass stakeholder governance and commercial due diligence tests (from the likes of KPMG, PWC, BDO)


    To implement a vision requires you to take the first step…

    …. but you retain full control of direction throughout the process

  • The Transformation

    Guiding You Through Your Transformation Step By Step


    Introductory Meeting

    Book an introductory meeting to see if the AFO model will enable you to deliver your healthcare vision. There is no cost and no obligation on either party.


    Strategic Outline Case

    The Strategic Outline Case (SOC) process brings together the overarching ambition, viability and readiness of the shareholder organisations, and will include an assessment of;
    - Population Need Forecasts
    - Development opportunities
    - Funding options
    - Social returns
    - Evaluates C-Del and R-Del impacts (the AFO is C-Del lite)


    Strategic Estates Plan

    The Strategic Estates Plan (SEP) is an assessment of the long term estate needs for the local population. IHP will work with the commissioners and providers to identify the core estate need and establish the construction programme. Subsequently, IHP will organise public consultations with PPG's, patients, staff and the community to make adjustments and gain support. The SEP will become an open document, signed off by boards and is an essential step in creating an AFO.


    Outline Business Case for the local AFO

    Once the SEP is signed off which outlines the health and social care estate vision, an Outline Business Case (OBC) serves to begin the joint venture creation.

    The OBC will;
    - Be based on the HMT-NHS 5 Case Model
    - Include Stakeholders due diligence on draft OBC
    - Include MOU’s between stakeholders
    - Address Governance structure
    - Provide draft Collaboration agreement
    - Provide Bank quality funding formulas
    - Compile Funding model and options to deliver the plan


    Full Business Case

    Once the OBC is approved and sign off by stakeholders, we develop a Full Business Case (FBC). The FBC will update and mitigate any concerns raised from due diligence process and will include;
    - Full commercial plan and funding setup
    - Establishment and installation of the Joint Venture
    - Site acquisition plan
    - The final development plan to enable the delivery of SEP
    - Evidence of social level of return


    Legal and Budgetary Set up of AFO

    IHP will work with stakeholder’s executive and lawyers to incorporate the preferred company structure, present a year one budget pack, and importantly support the creation of the collaborative arrangements between stakeholders.


    Initial Commercialisation and Delivery Programme

    Once incorporated, the AFO will start acquiring existing and new healthcare sites and start business plans on phase 1 of its 10-year build programme. IHP will front this workstream including negotiations and OBCs-Investment Cases taking the AFO to the demonstration of commercial viability and SEP delivery


    Ongoing IHP Support

    IHP is available should you require support in transitional management and running of the JV on a long-term basis or while the company recruits to positions.

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