NHS premises assurance model

How to use the NHS Premises Assurance Model (NHS PAM).

This publication was withdrawn on

This edition of the NHS premises assurance model has been withdrawn as it is now out of date. You can view the current model and related documents on the NHS Improvement website.

Applies to England


NHS PAM self-assessment questions 2016


The 2016 NHS PAM was developed with the NHS. It is an update of the previous 2014 version and includes changes in policy, strategy, regulations and technology.

NHS PAM is a management tool that provides NHS organisations with a way of assessing how safely and efficiently they run their estate and facilities services. It is a basis for:

  • allowing NHS healthcare providers to assure boards, patients, commissioners and regulators on the safety and suitability of estates and facilities where NHS healthcare is provided
  • providing a nationally consistent approach to evaluating NHS estates and facilities performance against a common set of questions and metrics
  • prioritising investment decisions to raise standards in the most advantageous way

The NHS PAM supports boards, clinical leaders and directors of finance and estates to make more informed decisions on the development of their estates and facilities services. It also provides important information to commissioners for use during the commissioning process and regulators in identifying risks.

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Published 24 January 2013
Last updated 29 January 2016 + show all updates
  1. The NHS PAM self-assessment questions and guidance have been updated for 2016.

  2. The 2014 version of the NHS PAM has updated metrics to reflect the latest available data, as well as new and expanded Self-Assessment Questions.

  3. Updated the functionality in the NHS PAM self-assessment questions (reviewed and updated to reflect changes since the publication of the April 2013 version). Further information on the changes from the previous version made available in annex A of the NHS PAM document and the NHS PAM outline information.

  4. This update of the management tool improves on the January 2013 version. It includes updated and revised guidance, metrics, report template and self-assessment questions reflecting changes in legislation, regulations and technology relating to NHS Estates and Facilities.

  5. First published.