Transcript Slide 1

Acute Services Redevelopment Project
Update 2014
The Outline Business Case
• Approved on 5th June 2013
• The OBC sets out a compelling vision for reshaping health
services across Dumfries and Galloway. A key component
of this is the provision of a new District General Hospital
within a modern, patient centred and highly efficient
environment. This will be underpinned by more effective
use of locally based services, including the cottage
hospitals.
• Clear Economic and Financial Cases
The case for change
• Demographic Projections
• Over 75s population will grow by 77% by 2035 –
from less than 15,000 people aged 75+ in 2010 to
over 26,000 in 2035
• Number of residents aged 90+ will increase from
around 1,100 to over 4,400 over same period
• Working age population will reduce by 22% from
90,000 in 2010 to 74,000 in 2035.
• Increase in demand for unscheduled care
How is the new hospital being paid for?...
Using the Non-Profit-Distributing procurement route
• Returns to private sector are capped
• No dividends payable to shareholders
• Surpluses are returned to public sector
Background to the Non-Profit-Distributing (NPD) Project
• November 2010: Commencement of NPD Programme across
all public sectors
• ASRD Project – the largest of 5 Healthcare projects in the
NPD Programme (>£250m including public funding) (292m
Euros)
Involvement of Scottish Government
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This is a public sector project
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NHS Healthcare is a devolved matter for SG
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Final decision on provision and level of unitary charge support will be
made by Scottish Ministers subject to confirmation from both the Board
and SG that project is affordable and offers value for money
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Programme being supported by Scottish Futures Trust; SFT approval
required at specific points (Key Stage Reviews)
Progress so far.....
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OBC Approved √
Planning In Principle √
Selection of Bidders √
Site Preparation Works Commenced √
Competitive Dialogue Completed √
Emphasis on Community Benefits
Social Clauses incorporated into the Project Agreement (contract)
and key areas below assessed as part of bidder’s submissions:
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Targeted Training and Employment
SME support
Social Enterprise Support
Stronger links with secondary, vocational and tertiary education
links (www.crichtoninstitute.co.uk)
Sustainability and Energy Efficiency and Effectiveness
What will change?
What will be different?
Wards based on 28 single
rooms.
Why single rooms;
• En suite facilities
• Reduces cross infection
• Improves privacy, dignity and confidentiality
• Reduces the noise level particularly at night
• Less movement/transfer of patients through gender specific
occupancy
• Minimise boarding/sleepers
Bedroom Design Study
NHS Dumfries & Galloway
Acute Services Redevelopment Project
NHS Dumfries & Galloway
Acute Services Redevelopment Project
NHS Dumfries & Galloway
Acute Services Redevelopment Project
Single Rooms
• There will be a socialising area within each ward and visiting
times will be more flexible
• All wards will have a very high level of visibility into and from
the rooms
• 8 rooms are configured into a horseshoe shape at the end of
the ward
• Decentralised model of care on the wards
New Models of Care
• A pivotal new Emergency Care Department
– CAU; ED; Out of Hours
• New Combined Theatre complex
– Day Surgery; Endoscopy; Theatres
• Consolidated Ambulatory Care
– Adjacent to Imaging
Transport & Travel
• Car Parking
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Free
980 spaces zoned for Patient/Visitors & Staff
‘Blue Badge Spaces’ protected by TRO
Well lit, safe separate routes for pedestrians and bicycles
• Walking & Cycling
• Working with DGC and Swestrans to ensure good walking and cycle
paths
• Staff Changing, showering, drying & bike storage facilities planned
• Public Transport
• Minimum 20 min bus service coming onto site
• Review of ticketing including salary sacrifice scheme for staff
Benchmarking; across the UK
The purpose ; to gain insight into;
• Planning process/Challenges/Lessons learned
Lessons Learned;
• Dedicated team
• Involve stakeholders and staff in planning/decisions
• High level of two way observation/visibility in wards
• Mock ups essential to detail
• Models of Care – Plan/implement/sustain
• Robust workforce planning essential
View of Ward Arrival
Current Project Timescales
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Preferred Bidder selected and announced September 2014
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Financial close in January 2015
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Anticipated construction to start by April 2015
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Construction commissioning and handover in December 2017
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Completion of service migration to the new hospital in Quarter 1 of 2018
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Commissioning and staff inductions in Spring 2018
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First patients at new hospital in Spring 2018
Site Works
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Compound started and completed in February 2014 – work carried out by local
company GTR
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Vegetation cleared last week in February (before bird nesting season) – work
carried out by Transport Scotland
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Route for strip of land for gas and electric agreed – work to be carried out by
Scottish Energy Networks
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Alterations to Garroch roundabout commenced in June
Communication & Engagement
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Communications Manager assigned to the project - in post October 2013
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Internal – dedicated page on staff intranet/Q/A facility/staff information
sessions/individual meetings on request.
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External – contact and meetings with various community groups with general
update, and also groups with a special interest requesting more specific
information.
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Press/Media – press releases issued and all enquiries responded to. Co-working
with Communications Manager in all companies working on the project.
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You can make enquiries about the project at any time with the Communications
& Engagement Officer : Kirsten Moffat [email protected]
Tel 01387 241680