Performance measurement for the strategic management of healthcare estates

Laura Rodriguez-Labajos*, Craig Thomson, Geraldine O'Brien

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)
    188 Downloads (Pure)


    The purpose of this study is to explore the role of performance measurement in current practices for strategic management of health-care estates.

    The research adopts a constructivist grounded theory approach, combining different methodologies of a pan-European qualitative questionnaire, interviews with international health-care providers and a case study of National Health Services (NHS) Scotland. Here, documentation analysis, observations and in-depth interviews involving NHS stakeholders were undertaken.

    The analysis shows evidence that measuring estate performance has limited value for individual NHS boards regarding strategic decisions related to long-term planning and investment. This was due to design issues and the prioritisation of clinical delivery, which contribute to the neglect of the estate as a consideration in long-term strategic planning. This misalignment results in a tool which is valuable for accountability but which is less helpful to NHS boards in shaping future decisions around the estate.

    Practical implications
    Responding to a gap in understanding of the application of performance measurement in the context of health-care estates, this research provides three recommendations to promote a more effective and relevant performance measurement system. These actively recognise the importance of the estate within strategic decision-making as helping to inform the long-term planning and management of the estate within the individual NHS boards.

    This paper shows the current role of performance measurement for the strategic management of health-care estates and identifies issues related to its applicability and value.
    Original languageEnglish
    Pages (from-to)217-232
    Number of pages16
    JournalJournal of Facilities Management
    Issue number2
    Publication statusPublished - 8 May 2018


    • decision making, healthcare
    • estates and facilities management

    ASJC Scopus subject areas

    • Business, Management and Accounting(all)
    • Engineering(all)


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