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Healthcare estates and infrastructure consultancy transforming health services through the built environment

Welcome to Rackstraw Limited. Tony Rackstraw (Director) is a healthcare estates specialist and experienced project and programme director who has held executive director positions in global management and construction consultancies before setting up Rackstraw Limited with Rebecca Rackstraw in 2016.

Tony has over 30 year’s project and programme management, consultancy, and operational management experience across the health sector with a proven track record in leading teams to deliver challenging, high profile and sensitive projects with executive accountability at a local, regional and national level.

Rackstraw Limited collaborate with a number of partners to deliver solutions to health sector, local authority and university clients, bringing together a range of skills to support the delivery of projects and programmes that make an impact on the health and wellbeing of populations.

Principle Specialisms

Project Director - Major projects and commercial programmes
Strategy - Estate optimisation and transformation
Health Advisory - Estate supporting service transformation
Commercial, contract management, and business support

"Tony is an experienced director with a demonstrated history of working in the public sector, in particular the NHS. As interim estates director and estates programme director Tony has been integral to successfully embedding the estates team and building relationships across SEL through the formation of the ICS and continues to have a lead role on several high-profile programmes of work for us, his proactive approach continues to add significant value through delivery"

Tim Borrie - ICS Strategic and Operational Director of Estates

“Tony has demonstrated that he is focussed on outcomes and the needs of our clients as variation project manager within the CHP Developments team, helping to streamline the variation process whilst working with several CCGs to help transform services, improve building utilisation, and reduce void costs”

Eugene Prinsloo - CHP Director of Developments

“We have brought three practices together and transformed the way we deliver services to the local population through the implementation of the Primary Care Home as part of our future development plans which include a new health and wellbeing hub within a significant developer led scheme in Lewes, Tony continues to provide invaluable support helping us realise these plans despite a number of challenges with the delivery of the building”

Dr Phil Wallek - Clinical Director Foundry Healthcare PCN, GP Partner, Director GP Networks

Key Experience and Services

Project Director
Project and Programme management
ICS Estates and infrastructure strategy
Primary care transformation and infrastructure plans
Business case
Commercial structuring
Stakeholder engagement
Design, procurement, construction management
Supporting health service development, collaboration, and integration
Commercial, contract management and business support

Project Snapshots

Foundry Health Care - Phoenix Health Hub

Project specialist - health consultancy - contract

Supporting development and implementation of carbon positive health and wellbeing hub within major developer led town regeneration scheme

Estates and project support North Street Quarter Phoenix Health Hub

Engagement with Lewes District Council

CCG/GP Project governance and approvals

Supporting the merger of the three existing practices and development of Foundry Healthcare

Primary Care Home/PCN development inc. Community and mental health services engagement

Business transformation support

Community Health Partnerships - LIFT variation project management

Variations project manager - contract

Working for CHP to deliver a range of complex and challenging variations to existing buildings/LIFT contracts across the South of England.

Helped standardise process and reduce transaction costs by circa 50%.

Schemes developed with CCG’s, acute, primary care, and community providers to increase building utilisation, reduce CCG void liability, and support service transformation.

University of Sussex - New Health and Wellbeing Centre

Project specialist - health consultancy - contract

Development and delivery of a new Health and Wellbeing Centre including primary care and student wellbeing/therapeutic services.

Health consultancy and advice including liaison with the GPs, mental health services, CCG/ICS, and district valuer.

Estates/property support and advice, project leadership, organisational development and service transformation

SEL ICS Interim director of estates and programme director

Interim director of estates - contract - job share

Establishment of the Integrated Care System (ICS) programme plan and governance through the merger of the 6 CCGs and implementation of the ICS.

Recruitment and development of the substantive team.

Fostering collaborative working across the SEL ICS inc. providers and local authority teams, refresh of the local estates forums, engagement with regional estates team, vaccination programme estates lead.

PCN estates and infrastructure plans.

Project director on a number of critical ICS and STP Wave 4 projects, local estates forum development, estates lead SEL Community Diagnostics Centre,

STP W4 SEL optimisation programme lead, net zero implementation plan, business case due diligence.

Aston University - Health Services Hub

Health specialist - consultancy

Providing health consultancy, estates and property advice, and link with NHS partners for world class University Health Services Hub.

Engaging with ICS commissioners and heath partners to develop the services and facility for Aston University providing a range of primary care, community and mental health services to including training, innovation suite, clinical trials, research and development.

Collaborative model including University medical school and existing university departments underpinned by NHS services.

Working with Property Directors Limited

London Estates Delivery Unit - NHS and local authority engagement

Consultancy - ICS engagement with local authority and report

Understand how Local Government are engaged with the NHS and other public sector partners (across the 32 London Boroughs + the City of London).

To describe how Local Government integrates with both the ICS and borough-based local estates forums and how local health partnerships are integrated with local government, NHS and social care partners.

To find out how public partnership estate planning and the housing agenda fits together. Identify how joint opportunities exist to maximise the potential of recycling public sector land for alternative use including housing but also how health infrastructure needs to develop to support the growth in housing.

Working with Property Directors Limited

Wealden District Council - Hailsham Health Centre

Health specialist - consultancy

Providing health consultancy, estates advice and link with NHS partners for town centre regeneration scheme underpinned by a primary and community services health hub with long NHS leases.

Engaging with the ICS estates team and health partners to deliver a health and wellbeing hub, co-located with leisure facilities.

Joint NHS and council appointment, and technical lead for general practice

Working with Property Directors Limited.

Lewes District Council - Newhaven Health Hub

Health specialist consultancy

Providing health consultancy, estates advice and link with NHS partners for Town Centre regeneration scheme underpinned by a primary care services health hub with long NHS leases.

Engaging with the ICS estates team and health and leisure partners to deliver a health and wellbeing hub, integrated with leisure facilities.

Protek and Protek ESP Limited

Business support, property advice, commercial

Providing business leadership, management and advisory services, commercial management, and property support.

Supporting joint venture and new project/product development and launch.

Protek

Protek ESP Ltd.