Two substantial medical practices have been merged into a single practice. The larger of the practices consists of 40 surgeries, the smaller having 25 surgeries. You have taken up a new appointed as the practice facilities manager. Your remit covers the management of all properties and support services.

Employment rights of both sets of practice staff will remain equal, but as with any merger there is no guarantee that all jobs will be maintained, particularly where roles are duplicated or carried out by alternative means.

When reviewing building maintenance, cleaning and grounds maintenance a rather complicated picture emerges across the range of properties, with some tasks carried out by in-house staff while in other locations the same work is outsourced.

Explain the factors you will take in to consideration to help formulate the most appropriate arrangement/s for maintenance services to be provided, be they outsourced, in-house or combinations of both