Cost model: Evolving the design and build of community diagnostic centres

Ambulatory Diagnostic Centre-WMUH_Credit AECOM

Source: Aecom

The rollout of these centres is intended to cut long elective care waiting lists, provide value for taxpayers and decarbonise the NHS, but achieving all three is a challenge

Dialysis treatment

Source: Aecom

Visualisation of patients undergoing dialysis treatment in the new 拢73m ambulatory diagnostic centre being built at West Middlesex University Hospital in London. This is the largest capital project that Chelsea and Westminster Hospital NHS Foundation Trust has ever undertaken

01 / Introduction

黑洞社区 community diagnostic centres (CDCs) is a priority for NHS England. Right now, 13 new CDCs are being launched across the country 鈥 part of a 拢2.3bn plan to establish up to 160 centres by 2025. The primary goal is to reduce waiting times for NHS patients who need non鈥憉rgent care.

People are experiencing long waits to receive planned or elective healthcare. Emergency medicine takes precedence, and in 2020 the NHS paused all elective treatment to tackle covid. Four years on, elective diagnostics, operations and treatment plans remain to be worked through.

The NHS England elective waiting list stands at around 6.4 million people. At the end of last year, 337,450 people in England had been waiting more than a year to receive care.

Historically, diagnostic care 鈥 used, for example, to identify and monitor cancers and long鈥憈erm health issues 鈥 would be the preserve of acute hospitals in larger towns or cities. Now diagnostics are increasingly moving into separate buildings, off acute sites and even into temporary locations. This is to meet the needs of ageing, less mobile populations and to also achieve a key part of the NHS Long Term Plan, which includes a goal to deliver more care outside major acute hospitals.

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