Transcript Master Template

New Hospital & Healthcare
Facilities
14th August 2014
Our community, we care, you matter ......
Working in partnership to
transform healthcare in Orkney
Cathie Cowan
Chief Executive
Our community, we care, you matter ......
Our Project
• This is not a routine contract / build. This is a legacy project that will
profoundly influence healthcare in Orkney for the next 60 years plus
• The quality of our solution will directly influence the safety of our most
vulnerable people and the perception of their experience. This will be
the most significant capital project the Board will undertake this century
• We are a small Board with limited numbers of senior managers and
senior clinical leaders. We’ve taken the decision to dedicate some of
the very best of these to this project. It is therefore an outstanding
team
Our community, we care, you matter ......
Our Project
• Throughout this process we will be assisted by Scottish Government,
Scottish Futures Trust, Health Facilities Scotland and external
professional advisors. We will also work with our local partners
notably Orkney Islands Council and Voluntary Action Orkney
• We will want to work with a ‘bidder’ that fully understands our
requirements and can demonstrate exceptional standards of
innovation, engagement and delivery
• Orkney has a tradition for outstanding architecture, many people over
the centuries have come to Orkney and left their legacies – now our
heritage, we want you to make the same impression
Our community, we care, you matter ......
Our Outline Business Case
• Sets out our vision for reshaping and investing in health
services as part of whole system health and care redesign
• The underlying impetus driving this investment is three-fold:
– Improving and redesigning clinical services
– Benefits for our patients, our staff and our communities
– Replacement of buildings
• Articulates our clinical service delivery model and proposals for
the replacement of our Rural General Hospital and related
healthcare facilities within a landmark building
Our community, we care, you matter ......
Our Strategic Context
OBC Benefits
National
Strategies
Local Context &
Strategies
Strategic Drivers
for Change
Our community, we care, you matter ......
Our Local Context
• The new hospital and healthcare facilities will provide the functions
both of a Rural General Hospital (RGH) for Orkney as well as two
primary care practices with their own entity and sense of place. Public
Dental Services, Scottish Ambulance Service and NHS24 will be colocated on site
• Kirkwall Hospital is the only acute health care facility in Orkney and as
such must manage all acute presentations. Unlike most mainland
Boards, irrespective of demand it cannot close to admissions which
reflects the need to have operational capacity both in terms of physical
resources (beds) and workforce
• Innovation to support health care delivery is vital to the success of this
project
Our community, we care, you matter ......
Our Local Context
• Our geography, our transport links and the need for our
staff to respond to every emergency presents situations
and opportunities to think and do things differently
• NHS Orkney relies significantly on visiting Consultants to
support specialist ambulatory care and outpatient
activity. Scheduling appointments, admission and
discharge time is dependent on air and ferry schedules.
Some patient groups (e.g. maternity) may have a longer
length of stay due to where they live and/or fixed travel
timetables
Our community, we care, you matter ......
Our Key Investment Objectives
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To improve capacity and access to health care services – ensuring the
health needs of the population are met
To provide facilities/services that are
 Fit for purpose
 Support safe and effective clinical working
 Improve clinical and functional relationships
 Enable the provision of modern NHS care
 Provide sufficient flexibility for future changes to service provision
To ensure that the hospital and services are developed in such a way as to
maximise performance and efficiency
To maximise benefits of shared facilities
To enable innovative ways of working
To develop an effective solution within an affordable financial envelope
having regard to the cost and time taken to procure NHS premises
Our community, we care, you matter ......
Our expectations
•
A partner who shares our values
•
A partner who is just as passionate about providing innovative health
service solutions as us
•
A partner who understands the importance of physical layouts and
interior ambience and how that impacts on our patients, our staff and
our visitors
•
A partner who respects and grasps our remote and rural context
•
A partner who acknowledges the importance of this Project and what it
means for our communities
•
Our record shows we are a Board that aims high and achieves. As our
partner, convince us that you share our ambition and demonstrate an
ability to deliver a solution – that will become a memorable and
outstanding legacy
Our community, we care, you matter ......
Mike Baxter
Deputy Director Scottish Government
Health & Social Care Directorates
Our community, we care, you matter
......
Importance of this project
• Future proofing and providing sustainable
services
• Supports a clinical service model that has
SG support
• Utilising investment to maximise efficiency
and value for money
• Generational opportunity which must be
maximised
NPD In Context
• Supplements our capital budget
• New South Glasgow Hospitals completion &
Legal Commitments
• Remaining net capital budget directed towards
maintenance/ equipment
• State of the NHSScotland Asset and Facilities
Report 2013
• Additional Investment supported by RDEL to
CDEL Transfers of up to circa £100m per annum
Delivering the NPD programme
• Tried and tested standard processes and
governance
• SG, SFT and Boards working together to
develop and deliver pipeline
• Parameters already set out by Scottish
Government – Letter to NHS Boards of 22
March 2011 http://www.pfcu.scot.nhs.uk
• Focus on development of proposals with robust
outline business cases
– Defined scope
– Affordability well developed
– Delivery confidence essential
Our Involvement in the Project
• Explicit Support for Orkney project as part
of Infrastructure Investment Plan
published in December 2011
• Project Board
• Capital Investment Group - Approval
• Independent Assurance -Key Stage
Review
• Approve Funding Conditions
Kerry Alexander
NPD Programme Director
Our community, we care, you matter
......
A programme perspective
Kerry Alexander
NPD Programme Director
www.scottishfuturestrust.org.uk
18 July 2014
www.scottishfuturestrust.org.uk
Major NPD projects status
August 2014
Project
Status
Procurement
Construction
Financial Close
Inverness College
Financial Close
√
May 2013
City of Glasgow College
Financial Close
√
August 2013
M8/M74/M73
Financial Close
√
February 2014
Ayrshire College
Financial Close
√
May 2014
NHS Ayrshire & Arran
Acute Mental Health and NACH
Financial Close
√
June 2014
SNBTS National Centre
Preferred Bidder
√
August 2014
NHS Lothian RHSC/DCN
Preferred Bidder
√
October 2014
Aberdeen Western Peripheral Route Preferred Bidder
√
October 2014
NHS D&G Acute Services
Redevelopment Project
Final Tender
√
January 2015
NHS Orkney New Healthcare
Facilities
OJEU
√
Spring 2016
www.scottishfuturestrust.org.uk
What makes this project different
Investment
Services
Procurement
timing
www.scottishfuturestrust.org.uk
Location
Lessons
learned
Drawing on lessons learned
• Design - being clear what works and what can
be improved on
• Preparation and clarity on dialogue approach
• Well resourced project team and bidder team
• Agile and pragmatic decision making
• Good stakeholder management
www.scottishfuturestrust.org.uk
Scottish Futures Trust
Funding
conditions
Key stage
reviews
Value
for
Money
Programme
management
Standard
contract
Finance
route
www.scottishfuturestrust.org.uk
Project
support/
governance
Expectations of bidders
• Addressing the need for great quality, highly
sustainable facilities, delivered with maximum
benefit to local communities
• Consideration of the NPD principles and risk
profile
• Pragmatic approach to dialogue and standard
contract
• Appropriate rate of return for risks taken
www.scottishfuturestrust.org.uk
Gerry O’ Brien
Deputy Chief Executive/
Director of Finance
Our community, we care, you matter ......
Your opportunity
• Development must:
– recognise the financial realities of the NPD
programme
– affordable and be delivered within cost cap
– avoid unnecessary embellishment and unproductive
space
– provides space for needs not wants
Our community, we care, you matter ......
Reference Design
• 12,900 m2 for hospital and primary care facilities
• Plus 1,500m2 for Clinical Support Facilities in separate onsite building
• Clinical Support facilities are office type accommodation
that we believe are more efficiently provided in a separate
on-site building
• We wish to explore the optimum solution for the Clinical
Support accommodation
• Circa 300 car parking spaces and extensive landscaping
Our community, we care, you matter ......
Reference Design
• Reference design:
– prepared to RIBA stage 2 we seek solutions to
enhance and improve this
– made available to bidders along with our internal
assessment using final bid evaluation criteria
• We want bidders to be bring their own ideas,
innovation and improvement, therefore limited
mandating
Our community, we care, you matter ......
Mandated Elements
• All inpatient beds to be on one level to achieve co-located inpatient
areas to facilitate the ability to flex beds and staffing when there are
peaks and troughs of inpatient numbers across the separate units,
without moving or boarding patients
• In-patient rooms to be designed with interlocking en-suite rooms
• Clinical adjacencies to be compliant with the 1:500 adjacency matrix
• Macmillan unit to have a dedicated entrance at ground level with
direct access to an external garden area
• The Schedule of Accommodation reflects the minimum space
requirements
Our community, we care, you matter ......
Facilities Management
• Standard form NPD Project Agreement provision
of hard FM and lifecycle maintenance
• No TUPE transfers envisaged
• NHSO is open to dialogue with bidders to
optimise FM delivery
Our community, we care, you matter ......
Energy
• We will adopt the standard NPD Project Agreement
position on energy provision
• Bidders will be aware of significant renewable energy
generation in Orkney which should provide opportunities
for achievement of low carbon facility
• Invite energy solutions that maximise operational energy
efficiencies
• BREEAM “excellent” rating against 2011 scheme
Our community, we care, you matter ......
Equipment and IT
• Project Co to be responsible for provision of group 1
equipment and installation of group 2
• Some group 1 may be specified by NHSO
• IT infrastructure must recognise that links to mainland
hospitals outwith Orkney and outlying islands are crucial
• Infrastructure to allow NHSO to be at the forefront of
telehealth developments
• Telehealth and IT decision making support is everyday
business
Our community, we care, you matter ......
Stephen Kemp
Regional Chair
Scottish Builders Federation
Our community, we care, you matter ......
New Hospital & Healthcare
Facilities
Orkney Supply Chain
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All groundworks, drainage, road installation
Cranage and haulage
Concrete and associated formwork & steelwork
Steel erection and cladding
Blockwork, render, roughcast
Windows & Ext doors
Insulation and sealants
Dry lining and internal finishing joiner trades
Ames Taping
Decoration
Electrical, mechanical and plumbing
Ground source including boreholes (MCS)
Solar thermal & PV (MCS)
Surfacing, paving, road marking
Landscaping
Full FM support
Ann McCarlie
Project Director
Our community, we care, you matter
......
PQQ Timetable
Stage
Date
PQQ Return Date
12 noon, Friday 5th September 2014
Number of Copies Required - 7 CD ROMs plus 3 Hard Copies
Shortlist Announced
Tuesday 28th October 2014
Debrief Reports Issued to Unsuccessful Monday 17th November 2014
Candidates
Our community, we care, you matter ......
PQQ Questions
Community Benefits (A19)
• We want to contribute to sustaining and
developing the wider Orkney community
– opportunities for training, employment and education
for the full term of the contract
• This will be a landmark public building and we
want the people of Orkney to identify with the
development
– the community should feel a sense of ownership of the
design and of any artwork and the landscaping
Our community, we care, you matter .....
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PQQ Questions
Comparable Experience (B4, B5 and B6)
• Covers PPP, Non PPP and remote and
rural projects in last 5 years
• 3 examples of PPP projects
• 3 examples of non PPP projects
• 2 examples of remote and rural projects
Our community, we care, you matter ......
PQQ Evaluation
• Appendix 1 of the PQQ provides the
proforma for completion in respect of each
case study submitted by candidates
• The evaluation methodology is set out in
Appendix 2
• Appendix 3 details the sections within the
PQQ and who should respond
• Appendix 4 gives the scoring for questions
B8 and C8
Short-listing
• The Board only intends to shortlist three
candidates
• The Board will shortlist those achieving the
highest scores following the detailed
evaluation
• The shortlisted Candidates will each receive
the Invitation to Participate in Dialogue which
will confirm the arrangements for next stage
of the procurement process and the award
criteria
Our community, we care, you matter ...
...
Competitive Dialogue
Timetable
Submission
Dialogue Session 1
Dialogue Session 2
w/c 17 Nov 2014
w/c 15 Dec 2014
Dialogue Session 3
w/c 26 Jan 2015
Interim Submission
w/c 02 March 2015
Meeting
w/c 24 Nov 2014
w/c 05 Jan 2015
w/c 02 Feb 2015
Feedback
Scope
Location
Technical & Design
Orkney
Legal & Financial
Edinburgh
Technical & Design
Orkney
Legal & Financial
Edinburgh
Technical & Design
Edinburgh
Legal & Financial
Edinburgh
w/c 30 March 2015
Edinburgh
Competitive Dialogue
Timetable
Submission
Meeting
Dialogue Session 4
w/c 13 April 2015
w/c 20 April 2015
Dialogue Session 5
w/c 11 May 2015
w/c 18 May 2015
Dialogue Session 6
w/c 08 June 2015
w/c 15 June 2015
Scope
Location
Technical & Design
Edinburgh
Legal & Financial
Edinburgh
Technical & Design
Edinburgh
Legal & Financial
Edinburgh
Technical & Design
Orkney
Legal & Design
Edinburgh
Final Submissions
Submission
Event
Date
Location
Presentation
w/c 06 July 2015
Orkney
Feedback Meeting
w/c 13 July 2015
Edinburgh
Final Report
w/c 27 July 2015
Edinburgh or via VC
Draft Final Submission
w/c 29 June 2015
Final Submission
w/c 31 Aug 2015
Preferred Bidder
Selected/Notified
w/c 19 Oct 2015
NHSO Project Team
Project Director
Ann McCarlie
Project Admin
Support
Sharon Smith
+ A N Other
Project Manager
Bruce Barron T&T
John Ord T&T
Commercial &
Financial
Albert Tait
Carla Tannous
Clinical & Operational
Rhoda Walker
Marthinus Roos
John Trainor
Sally Riddoch
Estates Lead
Gary Mortimer
NHS Grampian
FM Lead
Malcolm
Colquhoun
M&E
Alan Scott
Peter Henderson
HFS
IT Lead
Tom Gilmour
Equipment
Jim Taylor
Duncan Blue
HFS
External
Advisors
Legal
Technical
Financial
HC Planner
NHSO Competitive Dialogue
NHS Orkney Competitive Dialogue Team
November 2014 to July 2015
NHSO Project Team
Advisors
Technical
Sweett Group
Hulley &
Kirkwood,
Blythe & Blythe
Archial
Legal
McRoberts
Financial
Caledonia
Economics
with
QMPF
Equipment
HFS
Healthcare
Planners
Buchan &
Associates
Insurance
Willis
To Be
Consulted
Community Benefits
OIC
Others to be identified
Technical
Standards
HFS
Design
A+D Scotland
Additional NHS Input in CD Period
Infection
Control
Clinical
Teams
TCS
Team
Staff
Side
HR &
OD
Communications
and Public Patient
Involvement
GP &
Community
Services
SAS
Project Overview and
Summary
Cathie Cowan
Chief Executive
Our community, we care, you matter ....
..
Project Overview
• This NPD project will include a Hospital and Healthcare
facilities under one roof
• This NPD project is very different to other Hospital
Projects, it looks to deliver a Rural General Hospital
• This is very different from a District General Hospital in
that its main elective workload is ‘low’ risk, paradoxically
its emergency care activity is as potentially acute as any
tertiary care hospital
Our community, we care, you matter ......
Some of Our Unique Factors
• The most significant and unique factor of this project is that
whatever the circumstances the hospital cannot close to
admissions
• There are occasions when patients cannot be transferred off
the island due to bad weather and acutely ill adults and
children have to be cared for until transfer is possible
• The scheduling of appointments, admission and discharge
time is dependent on air and ferry schedules
• Inter-island and mainland tele-medicine / video conferencing
links are central to day-to-day clinical operations and must be
robust and resilient
Our community, we care, you matter ......
The Challenge
• To provide this unique facility within the cost cap
• To build a facility that:
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patients will feel at ease in
staff will enjoy working in
visitors will comment on its ambience
helps support the delivery of 21st century healthcare
the community will be proud of
• The community should feel a sense of ownership of
the design and it should utilise materials that look at
home in Orkney and that are suitable for our distinct
climate
Our community, we care, you matter ......
The Opportunity
• In short, we want a partner that can acknowledge that this is a
legacy project that will profoundly influence healthcare in
Orkney for the next 60 years plus
• We in return will promise a competent dialogue process that is
open, flexible and works to timetable
• We need you to recognise Orkney is special, people and
communities matter to us, because we care
• As a Board we aim high and achieve. As our partner convince
us that you share our ambition and together let’s deliver a
solution – that will become a memorable and outstanding
legacy
Our community, we care, you matter ......
Thank You