Two substantial medical practices have been merged into a single practice. You have been appointed as the facilities manager with responsibility for all properties and support services.

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.