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Case study: Liverpool University Hospitals NHS Foundation Trust estates and facilities

Updated: Apr 15

Client: Aintree University Hospitals NHS Foundation Trust, now part of Liverpool University Hospitals NHS Foundation Trust


Date: July 2018 – February 2020


Challenges faced by the client: Aintree University Hospitals NHS Foundation Trust delivered a high-quality, largely in-house, Estates and Facilities service – including delivering support to a number of other Trusts in greater-Liverpool. The Service was ambitious to continue improving – delivering a high-quality estate to the patients of Liverpool and achieve financial sustainability for the Trust. In addition, the merger between Aintree and the Royal Liverpool and Broadgreen University Hospitals NHS Trust to create Liverpool University Hospitals NHS Foundation Trust on 1 October 2019 presented a new challenge to the service and how it integrated the two teams and looked to the future.


The service also wanted to consider how it could best respond to the challenges facing all Estates and Facilities services: recruitment and retention, staff satisfaction and commercialisation.

Support offered: Mutual Ventures supported the Trust to undertake an options appraisal and service review on the future of Estates and Facilities. Considering the long-term vision for the Service, especially in light of the merger, and determining the optimum delivery model to enable to Service to succeed and thrive.


This work included an options appraisal on optimum delivery model, growth strategies for the Service and the development of an Outline Business Case, in five case model, for Trust Board consideration.