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NHS buildings: obstacle or opportunity?

There has been little real attention given to how the NHS estate could help to improve efficiency, move more care out of hospitals and exploit new technologies. This Perspectives piece demonstates how models of care are still designed around buildings, and asks whether re-thinking the way that the NHS uses its estate could catalyse change.

This is the first in a series of four papers that aim to crystallise ideas for change in areas where, we believe, new thinking is required. Subsequent papers will focus on the health and social care workforce; use of technology; and role of patients and service users. The papers draw on ideas generated by seminars, discussions with experts and feedback from the Time to Think Differently programme.