Positive Outcomes 2

2010 | Volume #02

POSITIVE OUTCOMES

New market realities and how clients are responding In this volume Page 02 - Improve your business margins - An immediate approach Page 05 - Life after Lehmans: Joint ventures can work Page 08 - Could your supply chain be your secret weapon?

Page 10 - The big utilities challenge Page 13 - Silver Linings: Corporate property, I.T and the cloud Page 15 - Medical makeover: 10 steps to a new kind of healthcare

Positive Outcomes: New market realities and how clients are responding

Welcome to POSITIVE OUTCOMES #02 ‘The old rules no longer apply’ is a common enough phrase during times of change and we all appreciate that doing the same thing will achieve the same result at best. However, in the aftermath of unprecedented market turbulence, it is a brave business that doesn’t work hard to understand how they must respond in order to survive and then succeed.

New rules are written, replacing the old ones at speed but with an added expectation that new solutions will not only serve key project objectives, but also drive business and organisational growth. They are seeking to improve and deliver the best possible outcome from investment expenditure.

For us, it is delivering these outcomes that drives our efforts: the achievement of clearly defined and desired results that our clients demand from their expenditure on built assets. We are experiencing an extraordinary increase in demand for help from clients who are seeking to improve what they do and beat the market.

‘New market realities and how clients are responding’ also brings together the views of our industry - leading sector specialists on issues of real and pressing relevance to global business, as well as ongoing learnings from some 4,000 commissions we’re engaged on worldwide.

I hope you find the articles thought provoking, and would invite you to share your feedback with us by registering at echarris.com/positiveoutcomes, or by contacting our sector specialists directly using the contact details at the end of each article.

Wishing you every success in these challenging times.

In this second issue of Positive Outcomes, we take a close look at some of these challenges and the steps we’ve been taking to help our clients meet them. We’ve gathered experiences from a selection of sectors to offer you tested and measurably effective examples of how companies are facing up to new market challenges.

David Sparrow Board Member - Client Solutions

01

Positive Outcomes: Improve your business margins - An immediate approach

IMPROVE YOUR BUSINESS MARGINS AN IMMEDIATE APPROACH.

02

With oil barrel prices fluctuating and profits down, oil, gas and chemical companies need their assets to be as efficient and productive as they can be. But it’s not always the big business changes that make the most immediate difference. In fact, more and more companies are finding that the best opportunities to rapidly improve their business margins lie within identifying and ‘cashing in’ the low hanging opportunities found within operational and business processes at the work place.

Getting operational costs down: The aim

A good start; do you know where you stand?

If you think about the aspects of your business - things like asset management and equipment maintenance - it’s easy to find a huge number of places where inefficient processes could have developed.

And if you leave one inefficient system in place, the knock-on effect can lead to slower production, more labour hours for staff, and huge amounts of money being wasted on unnecessary activities.

A short diagnostic review using a qualitative and quantitative ‘3 cost pillar` study is where most companies begin.

It tells you where you could make easy, practical improvements to your site processes and how much money you’re likely to save.

Depending on the size of the asset a 1% increase in the productivity level could represent a saving of over $1 million a year. Mark Howard Although these areas might seem too far down the system to make much of a difference, they can be crucial in helping you optimise your operational expenditure, the combination of lower quantum, higher efficiency and a reduction in rates. When assets are large and complicated, this balance can be difficult to achieve. Get it right, and you could cut your OPEX costs by up to 30%.

In order to visualise the areas of potential improvement, the next step would be to use a gap analysis to acknowledge where you are in terms of your asset, business and peer group and identifying opportunities for improvement.

Of course, to make the most of these opportunities, you need to put long-term changes in place. But by highlighting and implementing these ‘quick-fix’ solutions companies have made immediate substantial savings - some of over $50 million on OPEX costs. Mostly, savings can be achieved by improving site maintenance approaches - from planning and scheduling all the way through to execution.

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Positive Outcomes: Improve your business margins - An immediate approach

‘Time on Tool’ the smart method

Cost Pillar Overview

TO BE

Illustrates the gap between as-is and to-be for each of the 3 pillars of cost.

4.5

BEST PRACTICE

4.0 3.5 3.0 2.5 2.0

AS IS

1.5 1.0 0.5 0 Quantum

Efficiency

There are a number of techniques which can be implemented. A simple way to identify inefficiency is a ‘waste walk’ - literally walking a site, noting anything that doesn’t seem as efficient as it could be.

A more advanced technique is a system and methodology developed to assess productivity called the `Time on Tool` method. It measures achieved work against planned work, to see where efficiency is falling short. By using this technique, companies can identify where work processes aren’t running smoothly - particularly between the planning and implementation stages.

Help’s at hand Most businesses that turn to us for help in these areas are running cost efficiency rates of 30 - 40%. And they’re not unusual.

We can help your business identify where it’s losing money, then find real, practical solutions to improve your margins.

Depending on the size of the asset a 1% increase in the productivity level could represent a saving of over $1 million per year.

In the past, we’ve helped with assets of all sizes, and in all areas - from oil and gas to manufacturing, utilities to the aviation sectors and we’ve set ‘best in class’ productivity levels for Europe, the Far East, USA and Middle East.

Rate

Cost pillar scores are normalised to a best practice score of 5.

Get it right and you could cut OPEX costs by up to:

30%

Putting the theory into practice Once you’ve seen where systems and processes are inefficient, the next stage is to re-engineer them to increase productivity.

It can also be a good chance to see where a lack of communication between departments is causing inefficiency - and to put new systems in place to encourage your planners to talk to the people on the ground.

Some companies take the Time on Tool method one step further, setting productivity targets for individual areas, like mechanical pipe work, scaffolding, insulation, electrical, instrumentation, static and rotating equipment. Using Time on Tool shows what should be possible.

It’s then up to managers to set incentives for suppliers and contractors to make sure they reach those levels of efficiency.

For more information on how to improve business margins please contact:

Mark Howard Head of Oil, Gas & Chemicals e mark.howard@echarris.com

Or visit our website: echarris.com/oilandgas

04

Positive Outcomes: Life after Lehmans: Joint ventures can work

LIFE AFTER LEHMANS: JOINT VENTURES CAN WORK. Just a few short years ago, real estate joint ventures in high-growth markets looked like the holy grail for getting access to market and high returns, fast. Speed to market was everything - all too often, at the expense of due diligence...

Then Lehman Brothers collapsed and turned the financial world on its head.

The impact on the JV partnerships meant disagreements about contributing equity against a now flawed business plan.

This meant the international funds were not able to deliver the high capital returns anticipated. According to our research, 75% of the real estate investor JV partnerships in the pre-Lehman investor days, did not deliver the promised returns - and it’s a similar story for other asset classes.

Despite that, JVs will remain critical for different reasons. They are a key route to sourcing assets for investors and for developing new market growth for enterprises (just ask the international real estate funds sourcing deals in China!). Despite the evidence of their previous failings, we believe JVs can still deliver the necessary returns. This is by focusing on the assets during critical steps at every phase of the process.

05

Positive Outcomes: Life after Lehmans: Joint ventures can work

Operations Model

Exit Plan

The three phases

Restructure Capital

EXPECTED RETURNS

PHASE THREE - ASSET MANAGEMENT Delivery Plan Capability Gap Review

Constructor Guarantees

Project Controls

Sales Plan

Tenant/Buyer Defined Procurement Asset Needs Strategy Expertise Milestones

JV AGREEMENT

PHASE TWO - ASSET DEVELOPMENT Asset Return Business Plan Share Structure of JV

Finance Source

Team IRR Target

Key Assumptions JV Partner Sensitivity of Remuneration Revenue Streams

Target Partner Market Solutions

Asset Type

Political Fit

FUND INVESTMENT RETURN NEED

PHASE ONE - ASSET PLAN

In each phase, the overall chances of success go up if the partners can agree on a number of key steps.

06

You can split the process up into three distinct phases: asset planning, asset development and asset management. In each phase, the chances of success go up if the partners can agree on a number of key steps. In fact, our research suggests that almost half of JVs that fail, do so because one of these stages is overlooked.

Phase one: asset planning Phase one is about laying the right foundations; from picking the right partner, market and asset class, to agreeing on a business plan, deciding on accepted levels of risk and ultimately - signing on the dotted line. These are some of the most important activities, particularly when it comes to analysing the sensitivity of your revenue streams and management strategies. Our advice is that this ought to be done by someone, without a financial or emotional investment in the venture.

The risk is that overly long deliberations may see you missing out on the most exceptional returns. Today, taking any more than 6 months to get your partnership off the ground is too long.

Phase two: asset development The second phase is all about making sure that your assets are delivered in line with your business plan and risk levels, a process that involves setting procurement strategies and milestones, to the agreement of project control and sales plans. It’s also about making sure both partners’ needs are being met, and resolving any potential conflicts or stumbling blocks.

Phase three: asset management As the returns start to come in, you’ll need to agree on either an exit or hold strategy to make sure you get the most value from your partnership. Both partners will need to agree on criteria to know the right time to move on from the outset.

75%

of the real estate investor JV partnerships did not deliver the promised returns

Putting theory into practice One of our investment bank clients recently acquired a developer in an emerging Central Eastern European (CEE) market. Their goal was to transform it from a politically well-connected but immature local player to a ‘best in class’ regional developer in 18 months.

An investment bank is reporting IRR returns of more than 20%.

Matthew Cutts

We started by determining the ideal outcome and working our way backwards through each stage. We looked at the best performing developers in the CEE market their team, structure and performance.

Then we used those benchmarks to work out the fine details of the JV agreement.

After the agreement was signed, we worked with the bank’s new partner to train up their staff and bring them up to ‘best in class’ standards.

Today, the developer is renowned for being the best in the region. And the investment bank is reporting IRR returns of more than 20%, all of which is real proof that although there is still life after Lehmans for JVs, their success rests on diligence at every step.

To discuss how to maximise joint ventures please contact:

Matthew Cutts Head of Lenders & Investors e matthew.cutts@echarris.com

Or visit our website: echarris.com/ lendersandinvestors

07

Positive Outcomes: Could your supply chain be your secret weapon?

COULD YOUR SUPPLY CHAIN BE YOUR SECRET WEAPON?

Retailers and manufacturers have already discovered how a leaner and meaner supply chain can give them the critical edge over their competitors, whether it’s by cutting costs, improving time-to-market or speeding up response times. The same advantage exists for all kinds of organisations, from developers to energy companies, but it is missed by many.

Reaping the rewards For retailers, smarter packaging helps to cut handling, storage and shipping costs (and keeps their increasingly eco-conscious customers and shareholders happy).

For manufacturers, integrated planning can make production smoother, which in turn means there’s no need to keep stock as a safety net.

There are other kinds of businesses that can also benefit from a more proactive approach to managing their supply chain. Developers for example, can challenge their suppliers to do things like improve delivery time or cut out defects and waste. Financial institutions can team up with service providers to deliver more services with fewer in-house costs, and some aviation companies have saved up to 50% on the cost of materials by cutting out the middleman.

The practicalities may be different for every sector, but the overall message is clear.

Taking control of your supply chain can help your business perform better by making it more agile and competitive.

08

Getting the right blend

Putting theory into practice

Most companies focus on certain parts of their supply chain over others. Asset-rich businesses (like oil and gas or utilities) tend to focus on cutting procurement costs - while neglecting the opportunity to understand the Total Cost of Operation (the Capex and Opex lifecycle). Or they focus on the optimisation of asset performance including maintenance, with longer-term or less obvious consequences. They also focus on the top tier of suppliers, turning a blind eye to the lower levels of the supply chain which could account for up to 70% of total procurement costs.

This ‘tunnel vision’ is one of the reasons we see so many of these businesses outsource their operations, only to bring them back in-house within a few years.

After casting a critical eye over their supply chain, a UK steel company decided to focus on their coated steel building products.

First steps A Forensic Cost Analysis (FCA) is a good starting point. It’s an easy way to pick up on any overlooked costs in your supply chain, so you can find ways to fix them.

They realised that their processes were geared towards clients with continual demand, rather than ‘spot’ customers with less predictable needs. In response they came up with a new short lead-time production process, so now the spot customers can still get the range of colours and coatings they want at short notice and track the whole order in real-time.

Simpler production and better service.

To find out how to make the most of a supply chain, please contact:

Adam Sutton Group Head of Service Strategy & Transformation e adam.sutton@echarris.com

Or visit our website: echarris.com

Or there’s the example of a major developer in the Middle East that was using three different contractors for concrete delivery. All three contractors were getting their concrete from the same supplier - but there was up to 50% difference in their delivery times, unlike their biggest rival, who’d stolen a march on their competitors by putting well-defined supplier management and metrics in place.

It is also worth remembering that a responsive supply chain is built on collaboration, transparency and cost-efficiency.

A responsive supply chain is built on collaboration, transparency and cost-efficiency. Adam Sutton

There are four key ways to make your supply chain more responsive: 1 Strategic Alignment: Making sure your supply chain and overall business strategy match up 2 Integrated Planning: Using consistent planning processes across every part of your business 3 Improved Processes: Regular reviews and ongoing improvement

We can help In our experience, most businesses come up with initiatives to try and improve their supply chain. But, all too often, they’re centred too heavily on procurement, at the expense of other essential areas. We can help you strike the right balance to suit your own business plans, sector and markets.

4 Managed Complexity: Delivering more for your customers without complicating things behind-the-scenes.

09

PositiveOutcomes:Thebigutilitieschallenge

THE BIG UTILITIES CHALLENGE. The UK utility regulators have set out the industry’s challenges for the next five years. As well as improving efficiency - something the regulators always demand - utility companies must now focus on three key areas.

These areas are; 1 Capital investment levels 2 Operation costs 3 Prescribed WACC (Weighted Average Cost of Capital).

It’s a huge ask for any utility company - even the frontier performers. Is it possible to live up to the standards the regulators set, while still achieving the efficiency savings demanded?

In recent years the industry has seen new and innovative business arrangements which have helped improve efficiency by between 5 and 15%. But if it’s to catch up with other industries, individual utility companies need to adopt new business models and smarter ways of working.

The view from other industries To see what exceptional performance looks like, many companies are now turning to national benchmarks. Whilst those benchmarks show that some world-class utility companies are working at high levels of efficiency, what’s surprising is the huge variation between the upper and lower quartiles.

In fact, based on our estimations, the difference between the capital delivery performance of companies in the upper and lower quartiles could be as much as 30%. This suggests that many companies still have a long way to go and even companies with a good track record need to work harder to catch up with the industry leaders.

10

When you compare the utilities industry with other sectors like oil and gas and retail, the opportunity to improve performance levels becomes even clearer. Companies in these industries consistently perform much higher than their equivalents in the utilities industry.

The Middle East; an even bigger opportunity to improve Looming water shortages, coupled with high levels of water consumption, mean governments in the Middle East have needed to commit huge amounts of money to water projects.

In the United Arab Emirates - which has one of the highest demands for water per capita - governments are poised to invest over $60 billion in water projects over the next five years in everything from desalination to wastewater treatment.

In Abu Dhabi, where population growth is expected to bring water shortages as soon as 2012, the government investment in utility projects is unprecedented.

With such huge projects comes huge responsibility. How can those governments make sure each project runs on time and on budget in the most efficient way possible? Although each country faces its own challenges, most are now realising that they can’t afford to let efficiency slip at such an important time.

30% is the difference between the capital delivery performance of companies in the upper and lower quartiles

The ingredients for success

In brief, this means:

Wherever utility companies are based, and whatever their specific challenges, they are all working towards one goal: to give people safe and available utilities at a fair price. To do this, in a sustainable and consistent way, companies must use a successful delivery model.

1

In other sectors, organisations have achieved this by adopting a commercial approach to programme management.

Creating robust programme delivery vehicles that are able to connect up multiple projects whilst being fully aligned to strategic objectives

2 Optimising the blend of different delivery partners to ensure they are working towards the same goal 3 Securing the right balance between client control and collaboration in the delivery model

4

Successfully balancing resource capacity and capability between the client and delivery providers so that ‘man marking’ and ‘cost to serve’ are reduced

5 Committing time to properly transition clients and delivery providers to new programme models 6

Making sure effective programme management is in place, from the start, to afford the visibility and appropriate control of performance from the outset.

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Positive Outcomes: The big utilities challenge

CONSTRUCTION

£1.20 £1.05 £0.90 £0.81 £0.79 £0.65 £0.57 £0.56 £0.55 £0.42

SCHEME DEFINITION AND DESIGN

What is the £ in the ground worth in the Utility sector?

£1 £1 £1 £1 £1 £1 £1 £1 £1 £1 10 UK UTILITY COMPANIES

Achieve the performance difference By adopting a portfolio mindset, utility companies will optimally manage panorganisational risks and interdependencies through an environment of stronger corporate governance. This is achieved by clearly defined accountability, consistent delivery and stakeholder confidence and maximum efficiency in the supply chain.

When you compare the utilities industry with other sectors, the opportunity to improve performance levels becomes even clearer. Terry Povall

Delivery of complex programmes of work, in a highly multi-faceted industry, is challenging at the best of times. A high-performing commercially focused programme management team can be a catalyst for developing improved business performance. Therefore, getting the strategic programme management approach right - before the start of the investment - is key. Not only will this ensure improved efficiency, certainty, speed and control of the overall programme but there is also potential to generate significant savings.

Achieving these efficiency gains will enable utility organisations to become world-class and aid the delivery of multi-billion dollar expenditure programmes across international boundaries.

At EC Harris we enable ‘best in class’ delivery of expenditure programmes through performance transformation.

For more information on our work in the Utilities sector, please contact

Terry Povall Head of Utilities e terry.povall@echarris.com

Or visit our website: echarris.com/utilities

12

Positive Outcomes: Silver Linings: Corporate property, I.T and the cloud

SILVER LININGS: CORPORATE PROPERTY, I.T AND THE CLOUD. From world wars to booms and busts, business has always had to reinvent itself to respond to major shifts in the wider world.

The latest global recession is no different.

Businesses of all shapes, sizes and sectors need to embrace new business models if they’re to survive the latest financial storm.

Real estate is one area that’s under more pressure than most.

In the new economy, it’s the ‘real estate lite’ companies like Google and Amazon who’ve rocketed to the top of the tree, with traditional offices and shops becoming increasingly obsolete. The rise of mobile or ‘cloud’ computing is a further development helping occupiers to make the shift away from the traditional bricks and mortar workplace.

The difference is clear. Those who adapt have the strongest chance of survival.

As usual, the spoils will go to those who embrace these opportunities first.

13

Positive Outcomes: Silver Linings: Corporate property, I.T and the cloud

New challenges After two years of economic turmoil, businesses of all kinds are under mounting pressure to ‘trim the fat’. They need to find ways to cut costs, improve efficiency and root out waste of any kind.

partnerships, to total property outsourcing.

There is no one right answer, the skill lies in blending these solutions to create what’s right for a particular business.

In the new economy, it’s the ‘real estate-lite’ companies like Google and Amazon who’ve rocketed to the top.

Most face the same four big challenges: 1 Agility: Being ready to react to changes in the market right away

Oliver Jones

2 Cost: Spending less and streamlining more 3 Risk: Spotting, mitigating and managing threats to profits, business models or reputation 4 Liquidity: Freeing up cash for core business activities or contingency.

Today, businesses need the freedom and flexibility to enter and exit new markets at short notice. They’re less keen to put their money into illiquid fixed assets when alternative solutions that do not consume cash are available.

True value The value of property for business can no longer be measured in relation to square metres alone. All corporate real estate professionals - advisors, project and property managers - need to make a paradigm shift. They need to consider their clients’ business needs, not just the market value or apparent real estate-related costs or returns. In the short term, for example, a business might be keen to shed excess property from its portfolio but needs to have future expansion options retained to cope with quick growth. Similarly, on a commercial level, outsourcing can often be an appealing short term fix, but the wider impact on the business has to be addressed in structuring any long term deals.

The good news is that there are now plenty of tried and tested options that support achieving the balance between occupancy costs and productivity. From serviced offices, to ‘property operator’

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Fresh focus It’s time for a step change. Not long ago, it was the norm to have long term, fixed locations in static markets with a standard working model. Today, businesses need a blend of short and long term locations, in fast and slow-moving markets, with people working dynamically and itinerantly - beyond the four walls of the traditional office.

For corporate real estate professionals, it’s a ‘do or die’ moment. It’s time to embrace the new world order, or be left behind.

For more information on our approach to Corporate Real Estate please contact:

Oliver Jones Head of Corporate Real Estate e oliver.jones@echarris.com

Or visit our website: echarris.com/cre

Positive Outcomes: Medical makeover: 10 steps to a new kind of healthcare

MEDICAL MAKEOVER: 10 STEPS TO A NEW KIND OF HEALTHCARE. Governments the world over are pouring money into healthcare, with many already spending more than 10% of their GDP on its delivery. In the USA, it’s moving towards 20% and the demand will only grow, as people live longer and expectations of the quality of care increase.

To avoid requiring 35% more investment into developed health systems, productivity improvements are paramount.

Healthcare is not just one of the world’s largest industries, it’s also one of the biggest employers and a sector that touches everyone at some point in their lives. So the pressure to squeeze maximum value from minimal resources - whilst improving patient outcomes - is tremendous. There is a universal need to unlock value and enable opportunity within the healthcare arena. Before we look at how this can be done, let’s look at some of the reasons this is such a major and pressing challenge: 1 Longer lives, more healthcare With new drugs and technology giving critically ill people longer to live, the average life expectancy is nearly double what it was 150 years ago. This means the healthcare industry is having to provide care for people for many more years.

2 Higher expectations The internet has made people more aware of what technology and treatment is

available - putting greater pressure on health systems to provide upto-the-minute products.

3 Unsustainable spending Given current trends and the way money is being spent in the sector, healthcare schemes will need 35% more funding in real terms by 2050. That would mean some economies having to deliver growth at somewhere between 3.5 and 6% of their GDP, which is clearly unrealistic. History tells us that straightforward investment isn’t enough, with too many examples of increased expenditure failing to deliver better outcomes.

What is needed is a new model for healthcare that makes better use of all the available technology, talent and space to create entirely new, more efficient ways of working. Only then, will the money being spent make a difference.

Ten steps to efficient healthcare From our research, we’ve come up with ten steps for healthcare organisations to follow to become more efficient. We realise that some of these are not easy to introduce, but all are necessary if healthcare systems are to change.

Step one: streamline clinical care pathways This means thinking about which services are being offered, then making sure patients are moving through those services quickly and efficiently. If patients are getting caught up in lengthy processes, or going through the same process in each department they visit, then something needs to change.

Future health leaders will ensure value for their organisations by undertaking strategic asset reviews across staff, FM, estates and all processes to enable opportunity and maximise returns. Conor Ellis 15

Positive Outcomes: Medical makeover: 10 steps to a new kind of healthcare

Governments are pouring money into healthcare.

Are they doing it efficiently?

Simulation models can help identify ways of streamlining pathways and I.T systems, and can help build up a strong business case for change.

Step two: become more patient-focused Just like retailers, healthcare organisations need to start thinking more about what patients need and want, so they can be sure they’re spending their money in the right places.

9.4

For example, hospitals in USA, Germany and Sweden, have responded to growing expectations from patients with systems like e-booking. They’ve also redesigned patient and staff areas, and made sure working environments are low-risk.

Healthcare spend in 2009 as % of GDP Source: OECD

10.1%

16%

9.3%

9.1%

8.9%

11%

9.4%

Step four: operational performance Every healthcare provider needs to squeeze the most out of their assets to deliver against the efficiency agenda, but let’s not lose sight of the carbon footprint too.

Many health organisations could unlock millions by making better use of their property, leading to dramatic operating cost reductions over the long term.

For example, the Karolinksa Clinic in Sweden has a new sustainable building that they can easily adjust over the next 30 to 40 years to cope with changes in healthcare. With standardisation of rooms, extra service risers and deep ceiling voids, there’s plenty of ready space to change and install new equipment as it comes onto the market. Building this flexibility into the fabric of the place will save millions of pounds in the future.

The other steps to consider are; 5 I.T and equipment strategies 6 Service and estate10.1 strategy review % 7 Review FM services and supply chain %

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8 Change of land and estate options 9 Multi-use of space 10 Sustainability implementation.

Step three: good governance Health is a high-risk industry. Poorly designed care pathways, unproven clinical techniques, lack of training and supervision, poor FM performance, negligence and bad sanitation, cost tens of thousands of lives every year.

All healthcare providers and commissioners need to understand how they measure up to national and international benchmarks.

For example, our research shows that by adopting commercial management techniques the NHS could raise the efficiency of its properties by 7% plus.

16

For the final six steps and EC Harris’ track record of delivering better healthcare outcomes more efficiently, contact:

Conor Ellis Head of Health e conor.ellis@echarris.com

Or visit our website: echarris.com/health

9.3%

Sustainability

Capacity review Demand and capacity review, underpinned by benchmarking against peer group best practice which can be evidenced by simulations and ‘what if ’ scenario modelling. The review will also cover benchmarking productivity of all staffing groups.

A sustainability audit. Overall, hospitals have to reduce their carbon footprint and improve energy efficiency. Not only are there a number of valuable tool kits, but external benchmarking should drive sustainable services and lower estates and operating costs.

Good governance and minimising risk

Consumer - centric experience

Organisational and Statutory Governance - An essential part of any review is to use data and an external review, to drive the provision of high quality and risk free environments for both patients and staff.

Healthcare needs to become much more consumer centric. It could benefit from following the lead of the retail industry; using I.T as one of the enablers and reconsidering clinical processes to be more sensitive to clients’ needs.

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Positive Outcomes | 2010 | Volume #02

SECTOR OVERVIEW

WORLDWIDE FEE TURNOVER All amounts shown in GBP(ÂŁ).

Energy & Manufacturing

Transportation

Manufacturing

Aviation

Nuclear

Highways

Power Distribution

Rail

2010

245m

Power Generation Renewable Energy Property

2009

Public

Corporate Real Estate

Central Government

Commercial Development

Education & Children’s Services

Hotels, Leisure & Entertainment

Health

Lenders & Investors

Local Government & Communities

Residential Private

Regeneration & Growth

Retail

Residential Affordable

306m 2008

250m 2007

Oil, Gas & Chemicals

Utilities

Chemicals

Waste Management

Oil & Gas

Water

197m 2006

For more information contact: positiveoutcomes@echarris.com

174m 2005

161m

DELIVERING THE BEST POSSIBLE OUTCOME FROM MONEY SPENT ON BUILT ASSETS Asset Performance and Facilities Management

Strategy and Transformation

Cost, Commercial and Risk Management

- Asset Management - Asset and Facilities Management Consultancy - Asset Portfolio Management - Building Surveying and Technical Due Diligence - Energy, Sustainability and Environment - Facilities Engineering - Health, Safety and Statutory Compliance - Property and Estates Management - Shutdown and Turnaround Management Operation - Total FM Delivery.

- Asset Strategy - Forensic Cost Assurance - Healthcare Planning - I.T Solutions - Organisation, People and Capability Development - Performance and Change Management - Strategic Asset Maintenance - Supply Chain Organisation and Management - Workplace Solutions.

- Commercial Management and Quantity Surveying - Cost and Value Management - Dispute Avoidance, Resolution and Expert Witness - Strategic Procurement and Contract Strategy - Risk and Opportunity Management - Taxation and Capital Allowances - Whole Life Costing.

Asset Investment and Finance - Development Management - Financial Modelling - Investment Management - Structured Finance including PPP - Technical Investment Risk Management.

Programme and Project Management - Design Management and Assurance - Employer’s Agent and Contract Administration - Forensic Programme Analysis - Logistics Management - Operational Readiness - Planning and Scheduling - Programme / Project Controls - Programme Strategy - Project and Portfolio Management - Project Management Construction - Technical Site Supervision.

Map View

Owned Entities Areas covered through Affiliates and Client Project Locations

Owned Entities Europe Croatia Czech Republic England France Germany Hungary

Ireland Italy Latvia Northern Ireland Poland Portugal Romania Russia Scotland

Serbia Slovak Republic Spain The Netherlands Turkey Wales

Asia China Hong Kong India Indonesia Macau Singapore Taiwan Thailand

Middle East

North Africa

USA

Affiliates

Abu Dhabi Dubai Kingdom of Saudi Arabia Qatar

Egypt

Atlanta Houston New York

South Africa South Korea

Current Project Locations Australia Austria Azerbaijan Bahrain Belgium Brazil Bulgaria

Canada Denmark Finland Gibraltar Greece Japan Libya Morocco Oman

Philippines Sweden Syria Trinidad and Tobago Tunisia Ukraine