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Points out that the development of health care has always been partially dependent on facilities and supporting services. Investigates the current level of integrated facilities management in NHS Trusts in England. Compares the findings of a 1997 survey with a smaller survey conducted in 1995 to show the growth which has occurred in two years. Reviews the extent to which directors of facilities management are in a position to influence their trust’s strategic development, business planning and policy decision making. It also investigates the seniority of directors of facilities management within their trusts and identifies the type of trust least likely to have integrated the various elements of FM support.

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