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Your NHS Estate Optimisation Guide

How to get the most out of your healthcare spaces.

Optimising the NHS estate for the future

Aside from funding, one of the biggest challenges that NHS leaders face is providing the right mix of places and spaces. Especially against a backdrop of change with the three shifts and 10 Year Plan. But are you taking a strategic approach to reviewing your space utilisation and optimising your estate?

Our recent Space Optimisation survey revealed that almost 9 out of 10 NHS leaders have a low to medium awareness of current space utilisation across their estate.

With sweeping reforms ahead – as well as the current, stretching cost-cutting targets – it’s never been more important to take the necessary steps to make the most of your buildings.

As part of the NHS, we know the challenges of using your spaces in the right way. That’s why we’re sharing practical advice to help you – from getting the right data and involving the right stakeholders, to understanding utilisation and making the most of your optimisation options.

So you can unlock value and provide better patient care.

Here are some of the biggest issues from our Space Optimisation Survey conducted with NHS leaders in Feb/Mar 2025...

 

36%

don't have the expertise to assess their current utilisation

45%

said a lack of shared understanding of utilisation hindered their ability to assess space

55%

lack complete data to make informed decisions about spaces

68%

don't have the budget needed to optimise their estate

Download your guide to optimisation

With our new NHS Estate Optimisation Guide, we provide a simple framework to help you best approach the process of assessing and adapting your spaces. You'll get step-by-step guidance and practical advice about data, stakeholders, timings and so much more.

The detailed guide is split into four chapters: Setting yourself up for success, Assessing space demand and property supply factors, Understanding your estate through utilisation monitoring, and finally, Assessing the data and reviewing your options.

 

Webinars: Unlocking NHS estate potential

Sign up to our webinars in Jul and Sep 2025. They'll explore real stories of estate optimisation and space utilisation.

Sign up to webinars

Handbook: Estate optimisation and space utilisation

Download our handbook to find out how we can help you.

Read handbook

Guide summary: NHS Estate Optimisation Guide

Get a short summary of the guide.

Read summary

Funding guide: Access more funding

Read the NHS Estate Funding Guide and other resources to unlock 8 different funding sources.

Read guide

Hear from the experts

Why is optimising your estate so difficult? Hear from experts from NHSPS and North Central London ICB.

Get help optimising your estate

If you're looking for more information about Space utilisation and Estate Optimisation, get in touch.

A few clicks is all it takes. Fill out the form and a member of our team will be in touch.