Our changing hospitals – ward 11A and mortuary FBC presentation

Our Changing Hospitals
Phase 4 - Ward 11a & Mortuary
Projects
Full Business Cases
Presentation to FPC
15th December 2010

Ward 11a Reconfiguration Project
Dr Pin Patel
Project Director
Jan-Peter Ling
OCH Project Manager
Tim Pearce
Financial Consultant

Phase 4 Ward 11a reconfiguration
• Rationale: need for ward 11a
reconfiguration.
• Maintains phase 4 programme for
consolidation in 2014.
• Allows consolidation of Maternity services
November 2011 – (Gynae)
• Provides decant ward for future tower block
reconfiguration projects.
• Increase bed capacity to meet final
consolidation requirements of phase 4.

Phase 4 – ward 11a layout drawing

Phase 4 – ward 11a reconfiguration
Benefits Realisation
• Interim space for consolidation of Gynae
services in line with Maternity
consolidation Nov 2011
• Decant facility for refurbishment of other
areas
• Increase in single side rooms and ensuites
• Improved segregation of sexes (privacy &
dignity)
• Improved DDA access

Phase 4 – ward 11a reconfiguration
Risk to Trust if we do not proceed
• No decant space for tower block reconfiguration
wards 10a, 7a and ICU Phase 4
• Delay to consolidation of maternity services
(Phase 2) Nov 2011
• No improvement in bed capacity to achieve
consolidation
• No long term solution for future Tower Block
developments

Phase 4 – ward 11a reconfiguration
Project Costs
• Total Cost (inc. VAT) £2,224m
• Contingency & Optimism Bias (inc VAT)
£238k = 13.2% of works Also includes
£262k enablers
• Net Present Cost of scheme = £2.277m
(over 30 years)

Phase 4 – ward 11a reconfiguration
Option Appraisal
• the following options were considered
• Do nothing – would not provide bed capacity or allow consolidation
of maternity services (phase 2) onto Lister site
• New build – cost was outside of affordability envelope, no area has
been identified on the Lister site
• Refurbishment – considered to be the appropriate option as will
provide both future bed capacity and allow full consolidation of
phase 4 programme

Phase 4 – ward 11a reconfiguration
Affordability
Ward 11a is an enabler and as such no
savings have been assigned to the
scheme.
Capital charges and interest are estimated
to be £176,000k in first year

Phase 4 – ward 11a reconfiguration
Funding of scheme
• To be resourced by Interest bearing debt
with March Draw Down

Phase 4 – ward 11a reconfiguration
Project Management
• Project lead by service end users
(clinicians & support services)
• The 1:50 design signed off by users
• Equipment requirements signed off by
users
• OCH PM responsible for delivering project
on time & budget

Phase 4 – ward 11a reconfiguration
Programme
• Consideration by Trust Board – 22 nd December 2010
• Loan agreed by DH – March 2011
• Sign contract with PSCP – March 2011
• Enabling works commence – 13 th December 2010
• Enabling works completed – 3 rd February 2011
• PSCP Commence asbestos removal – 4 th February 2011 (Stage 3
works)
• PSCP commence main construction works – 24 th March 2011 (27
weeks)
• Ward fully operational – 22 nd August 2011
• Post Project Evaluation – November 2011

Phase 4 - Mortuary Project
Dr Samita Agarwal
Lead Consultant Histopathologist
Eilish Midlane
Diagnostic Services Manager
Mandy Shoben
Assistant Project Manager

Phase 4 - Mortuary Project
Rationale
• Expand Lister mortuary to support acute
consolidation
• Increase body spaces and provides bariatric
facilities
• New tables reduce health and safety issues
• Compliance with HTA and CPA requirements
• Continue to support coroner contract
• Reduced revenue spend on agency staff

Phase 4 - Mortuary Project
Description
• Provide 24 new body storage spaces inc 4
bariatric
• Relocate and enlarge viewing room within
department
• Partitioning off the waiting area for
increase privacy
• Installation of two new (existing) PM tables

Phase 4 - Mortuary Project
• Project Stages
• Stage 1 – Changes to Lister mortuary to
allow PM’s to be centralised
• Stage 2 – Migration of services to Lister
• Stage 3 – Full mortuary consolidation

Phase 4 - Mortuary Project
Changes from Pathology OBC
• Fridge configuration increasing fridges by
1 (to 24)
• Reconfiguration of ventilation to to meet
HTM and HBN
• Partitioning waiting area
• Extent of building works reduced and
equipment costs increase

Phase 4 - Mortuary Project
Capital costs summary
FBC OBC
£'000 £'000
Works cost 34 246
Fees 6 30
Equipment 37 12
Contingency 14 53
Optimism bias 13 50
VAT 18 69
Total cost at current MIPS 122 460
Inflation -3 -15
Total cost @ outturn 119 445
Contingency and Optimism Bias @ £27K = 35% of works costs inc
equipment & fees

Phase 4 - Mortuary Project
Benefits of early delivery
• Revenue benefits delivered on final
consolidation
• Reduction current dept revenue
overspends
• Tests activity modelling on body storage
• Installation of new adjustable tables
reducing health and safety issues

Phase 4 - Mortuary Project
Programme
• Relies on Interest Bearing Debt and March
draw down
• Commence works in April 2011
• Works complete June 2011
• Final consolidation 2013

Phase 4 - Mortuary Project
Project Management
• Project lead by clinicians and mortuary
team
• The 1:50 design signed off by users
• Equipment requirements signed off by
users
• OCH team responsible for delivering
project on time & budget