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The gap between policy ambition and delivery

Willmott Dixon Interiors recently brought together senior NHS estates professionals and specialists in design, project, and cost management to reflect on topics including planning risk, delivery capacity, decarbonisation, and digital readiness. Reflecting on these discussions, Will Walkinton, healthcare sector lead at Willmott Dixon Interiors, explores the growing gap between policy ambition and on-the-ground delivery across healthcare estates.

Having been at the centre of government discussion, investment in community care hubs reflects a commitment to the expansion of neighbourhood health infrastructure in a bid to reduce pressure on acute facilities. However, there are concerns over the gap between strategic ambition and delivery reality.

New, purpose-built facilities seem to be the focus, yet experts are clear that this is unlikely to be deliverable at scale. Planning, logistics, and time constraints all mean that refurbishment and reuse of existing buildings need to be the dominant approach.

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