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Lister changes presentation - East and North Herts NHS Trust

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Our changing hospitals –<br />

A virtual tour<br />

Friday 19 November


Welcome<br />

<br />

Today’s tour:<br />

We aim to give you an overview of the developments happening on<br />

site today which will lead to a better service for patients <strong>and</strong> better<br />

environment for staff by 2014<br />

The consolidation of services at the <strong>Lister</strong> Hospital is not the end of<br />

the story though…<br />

You have signed up to support us <strong>and</strong> to challenge us as public<br />

members when we achieve our ambition to become a Foundation<br />

<strong>Trust</strong>.<br />

Foundation <strong>Trust</strong> (FT) status will mean more accountability to the<br />

local community through elected public <strong>and</strong> staff governors <strong>and</strong><br />

more freedom to develop our services.<br />

We hope to have received approval from the Department of Health<br />

to be assessed to prove our readiness to become an FT by next<br />

summer.


<strong>Lister</strong> site <strong>changes</strong><br />

Phase 4.<br />

September 2013<br />

Endoscopy, DSU <strong>and</strong><br />

theatres<br />

Phase 4.<br />

Tower<br />

Refurbishment<br />

Critical care July<br />

2012<br />

Ward 11A October<br />

2011<br />

Ward 7A April 2012<br />

Ward 10A February<br />

2014<br />

Phase 4<br />

February 2013<br />

New ward block<br />

Phase 4<br />

May 2013<br />

A&E<br />

Phase 2<br />

November 2011<br />

Maternity <strong>and</strong><br />

neonatal<br />

Phase 4<br />

December 2012<br />

Ultrasound<br />

Phase 1<br />

April 2011<br />

<strong>Lister</strong> Surgicentre<br />

Phase 3<br />

Summer<br />

2011 car<br />

park<br />

Phase 4<br />

August 2013<br />

Chemotherapy


<strong>Lister</strong>: electrical upgrade works<br />

<br />

<br />

<br />

<br />

Essential to <strong>Lister</strong>’s<br />

redevelopment<br />

£5.0 million investment:<br />

<br />

<br />

<br />

Replacing current 40-year old<br />

main<br />

Upgrading emergency<br />

generator capacity<br />

Own dedicated link to the<br />

national grid (October 2010)<br />

Started January 2010 <strong>and</strong><br />

completion due 2011<br />

Outline business case for<br />

combined heat <strong>and</strong> power<br />

plant approved – ready 2012


<strong>Lister</strong> phase one: Surgicentre<br />

Delivered by <strong>Trust</strong>’s<br />

partner - Clinicenta<br />

Elective surgery –<br />

shared clinical pathway<br />

<strong>Trust</strong> <strong>and</strong> Clinicenta<br />

Day case <strong>and</strong> short stay<br />

orthopaedic surgery<br />

12,000 operations per<br />

annum<br />

Opens from April 2011


<strong>Lister</strong> phase two: maternity services<br />

Midwifery <strong>and</strong> consultant<br />

led units<br />

Home-from-home<br />

environment<br />

Designed to accommodate<br />

5,500 births annually<br />

All rooms have en-suite<br />

facilities<br />

New day assessment unit<br />

Expansion of existing neo-<br />

natal unit


<strong>Lister</strong> phase three: multi-storey car<br />

park<br />

<br />

<br />

<br />

<br />

<br />

667 car parking spaces,<br />

inc. 83 blue badge bays<br />

Pay-on-exit<br />

Protected from<br />

elements, direct link to<br />

hospital<br />

Green plaza<br />

Better pedestrian <strong>and</strong><br />

traffic flows


<strong>Lister</strong> phase three: public parking<br />

arrangements now<br />

<br />

<br />

<br />

<br />

<br />

Building started 13<br />

September<br />

Same amount of<br />

parking maintained<br />

Public parking in<br />

main staff car park<br />

Shuttle service<br />

Traffic signage <strong>and</strong><br />

management (speed<br />

bumps)


<strong>Lister</strong> phase three: staff parking<br />

arrangements now<br />

<br />

<br />

<br />

<br />

<br />

Temporary arrangements<br />

– no extra charge to staff<br />

250 space park-<strong>and</strong>-ride<br />

scheme<br />

Buses every 15 mins peak<br />

times<br />

Enhanced security <strong>and</strong><br />

lighting<br />

Permits valid every day of<br />

the week


<strong>Lister</strong> phase four: emergency <strong>and</strong><br />

inpatient services


<strong>NHS</strong> board approvals<br />

<br />

<br />

National review decision<br />

21 September<br />

Outline business case<br />

now approved:<br />

<br />

<br />

<br />

<strong>Trust</strong> – 22 September<br />

PCT – 29 September<br />

SHA – 30 September


Changes to outline business case<br />

<br />

<br />

No real <strong>changes</strong>, but<br />

adjustments made:<br />

<br />

<br />

<br />

<br />

VAT rise Jan 2011<br />

PCT’s commissioning plans<br />

Second cath lab being<br />

progressed separately<br />

New QEII hospital<br />

11 connected projects:<br />

<br />

implementation from April<br />

2011 to April 2014


11 interconnected projects<br />

Work stream Cost Ready<br />

Mortuary expansion £0.44m Apr 2011<br />

New health records service £0.48m Aug 2011<br />

Ward 11A reconfiguration £2.21m Oct 2011<br />

Ward 7A reconfiguration £0.86m Apr 2012<br />

Pathology hot laboratory refurbishment £2.25m May 2012<br />

Critical care expansion £2.05m Jun 2012<br />

New two-storey ward block £20.1m Jan 2013<br />

Emergency department expansion £19.1m May 2013<br />

Theatre <strong>and</strong> endoscopy block £20.8m Jul 2013<br />

Chemotherapy relocation £1.41m Aug 2013<br />

Ward 10A reconfiguration £1.82m Feb 2014


New QEII hospital


What’s proposed<br />

<br />

<br />

<br />

<br />

<br />

PCT-led project – outline business case<br />

ready by early 2011<br />

Full outpatients, diagnostics <strong>and</strong><br />

ante/post natal services<br />

A local A&E (no blue-light cases)<br />

Intermediate care beds?<br />

<strong>NHS</strong> <strong>East</strong> of Engl<strong>and</strong>-commissioned<br />

maternity services review

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