Unfreezing the assets : NHS estate management in the 1990s

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This report examines the history of the series of policy initiatives concerning the use of land and buildings in the NHS. It considers the political and managerial intentions which lay behind the 1983 Ceri Davies report, and charts the extent to which the series of proposals which it produced have been implemented. Over the last seven years implementation of the recommendations has been slow, but the NHS and Community Care Act 1990 will bring major changes: the scaling down of estate management departments at regional and district level; the introduction of capital charges. the report offers chief executives at both purchaser and provider levels to meet this challenge in a successful way.

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