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There has been immense pressure exerted by healthcare service consumers and other stakeholders for trusts to purchase, manage and deliver care service at the optimum cost. Many are searching for sustainable strategic options which would proactively redesign, revitalise and manage the effectiveness of their clinical and non‐clinical services. This study evaluates how a facilities management partnering arrangement in the National Healthcare Services (NHS) trust could lead to cost savings and improved customer focused service provision in NHS trust hospitals. It investigates how a modern day approach of managing non‐core related services under one umbrella, facilities management, has brought about innovation, competitiveness, and entrepreneurial skills to reduce some of the escalating costs in the Derbyshire Royal Infirmary. Concludes that facilities management partnering arrangements can secure added value to the healthcare sector and therefore enhance service quality and improve the corporate image.

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