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Guidance: NHS Premises Assurance Model

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Updated: Updated the functionality in the NHS PAM self-assessment questions (reviewed and updated to reflect changes since the publication of the April 2013 version). Further information on the changes from the previous version made available in annex A of the NHS PAM document and the NHS PAM outline information.

The NHS PAM is a management tool that provides NHS organisations with a way of measuring how well they run their estate. It provides a nationally consistent approach to evaluating NHS premises performance against a set of common indicators. It is a basis for:

  • assurance on the premises where NHS healthcare is provided
  • improvements in premises-related performance throughout the health and care system
  • providing greater understanding of the vital role that NHS premises play in improved clinical and social outcomes

NHS PAM supports clinical leaders and Directors of Finance and Estates to make more informed decisions on the development of their estates and facilities. It also provides important information to commissioners for use during the commissioning process and regulators in identifying risks.

For further information contact pamhelpdesk@dh.gsi.gov.uk


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