Update on Capital Schemes April SIG Update April SARC/The Rowan 96k

Transcription

1 Update on Capital Schemes April SARC/The Rowan 96k 2. ED & 24 Bedded Ward at Antrim Area Hospital 1.1m + 406k for Pre-Assessment Area Design & Construction Work is on-going to complete a number of snagging items and the final account has yet to be agreed. HEIG are working with the Quantity Surveyor and design team to try and resolve this. Expenditure For 11/12 achieved our CRL spend of 260K The 12/13 allocation via the CRL was 1,500,000 and the full allocation has been spent. The CRL allocation for 13/14 was reduced from 176k to 96k as a result of the final account being in dispute and unlikely to be resolved until into the new financial year. Revenue Regular budget meetings are taking place with all key stakeholders represented. Commissioning Ward C7 & Pre Op Assessment Unit Post Project Evaluation completed for Pre- Operative Assessment Unit. Post Project Evaluation for Ward C7 is due to be completed by the end of April A meeting was held with HEIG Project Manager; Capital Development and clinical staff on the 27 th March Clinical and Capital Development Department staff from the Western Health &Social Care are coming to see ward C7 this month. Emergency Department Post Project Evaluation is due to be submitted to the DHSSPS in summer of Pedestrian Crossing white markings on the road; permanent signs and the beacons have been installed.. Upgrade of the Pneumatic Tube System, this work has been completed. Regulation and Quality and Improvement Authority under took an unannounced inspection of the new facility on the 5 Th March Feedback was positive. Some minor de-snagging is currently being completed. Construction Complete. Build was delivered in a 74 week contract.. Full CRL spend was achieved in 12/13. There was an allocation of 1.1m in 13/14 to complete the scheme + 406k for pre-assessment area. 3. Ballymena Health & Care Centre 906k SIG Update April 2014 Enabling Works Legionella works in hand, expected completion, April Main Scheme The contractor (O Hare and McGovern) took possession of the site on 3 February

2 The first Project Management Meeting was held on 19 th March 2014, a series of regular site and progress meetings have been arranged to manage the 15 month scheme. Project Team/Board Since the last report in January the Project Team has met on two occasions; 23 January and 25 March The Project Board met on 6 February 2014, with the next meeting scheduled for 8 April The project Highlight report was circulated on 4 February. Communications A Project Update newsletter was distributed to neighbours of the site on 28 February 2014 and again in early April. The internet and staffweb have been updated in line of the new developments in the project. Project updates are posted on noticeboards at strategic points on the site. Finance With regard to the revenue spend associated with the scheme a meeting will be held on 10 April 2014 to finalise the revenue position. The CRL for BHCC main scheme for 13/14 was 906k, and for 14/15 10m; expenditure on track. Gateway Stage 3 Health Check The recommendations of the Healthcheck (rated Green / Amber) are being taken forward by the project team, for example, a finance meeting is being held on 10 th April 2014, the risks and issues logs have been amended, and the sub-groups and remits have been reviewed. GPs sub group The first meeting with the GPs regarding the Heads of Terms for the lease took place on 12 February. The next meeting to progress this piece of work is scheduled for 16 th April The output from these meetings will be the Agreement to Lease Document which will be signed off prior to the GPs moving into the BHCC. 4. Ballee ISU (The Willows) 858k The Willows RQIA Inspections took place on 27 September and 1 October The Trust received formal approval of registration of inspection from RQIA and was able to take admissions on the evening of 22 October The Minister opened the Willows on Thursday 9 January 2014 and this scheme has now been completed. Reuse of Ballee The Business Case was submitted to SMT in February SMT have requested that this case is considered within the context of the vacated spaces that will be created following commissioning of the BHCC. A paper will be submitted to SMT in April. Expenditure Full CRL allocation of 577k was fully spent in 12/13. Forecast to spend full allocation in 13/14 of 858k SIG Update April

3 5. Replacement of the Existing Renal PFI Contract 6. Renal Services Causeway Hospital and Antrim Area Hospital Project Management Trust has reviewed existing PFI contract with Directorate of Legal Services. HEIG now have a copy to review. There will be a residual value payment of 1.742m at the end of the PFI contract. This has been raised with DHSSPS and is included in the SOC and business case. David Dunlop, Counsel instructed by DLS to review contract has advised the Trust that it cannot extend the contract directly with Baxter without going out to procure again competitively as it would be against Public Procurement Regulations. The Trust has informed Baxter of this decision. PFI is now not appropriate for a scheme of this size; the revised threshold is for schemes over 50 million. A handover meeting managed by Estate Services Department was held on 25 September. A separate project structure is in place to manage the end of the contract by April 2015 including a Project Team (monthly), Steering Group (6 weekly). At the Project Team meeting held on 9 January 2014, it was agreed that Baxter should replace HD machines in Discussion then took place on the procurement on consumables. The Steering Group meeting held on 14 January 2014 agreed the following need to be considered to determine the way forward. o The Trust need a statement regarding the compatibility of Baxter machines and generic consumables that will be considered alongside the SOC / BC to show that Baxter consumables / HD equipment is VFM. This needs to be over a suitable period of time. o HD Machines need to be replaced in 2014 as per contract and BAFO (Best and Final Offer). o The clinical side to draft narrative regarding compatibility. The SOC for the PFI Contract was tabled and approved by SMT on 18 February 2014 and was tabled at Trust Board on 27 February This has also been sent to the HSCB and the DHSSPS for their approval. The HSCB approved the SOC on 4 th April. The OBC for the PFI Contract was tabled and approved by Trust Board on 27 March 2014 and was subsequently sent to the HSCB and the DHSSPS on 28 March 2014 to obtain their approval. Project Management At the last Project Team meeting held on 13 February 2014, HSCB representatives attended namely, Dr D Corrigan, Consultant in Public Health Medicine, Mrs V Gillen, Commissioning Lead of Specialist Services and Mr J Russell, Finance. After discussion the HSCB suggested providing a revised number of patients for Causeway Hospital only. They asked for another option to be included in the OBC proposing no change at the Renal Unit, AAH and to include provision at Causeway Hospital. They also requested a review of the revenue costs to be minimised where possible. The next Project Team meeting is 10 April Mental Health Inpatient Beds (MHIP) Progress Update The Trust met with the HSCB on 15 January 2014 regarding the development of the MHIP OBC and specifically the revenue costs associated with this scheme. A further meeting was held on 12 February The Project Team last met on 12 December 2013 to discuss complete draft OBC. There has been ongoing sub group meetings addressing specific work associated with the OBC. SIG Update April

4 There was a Project Board meeting held on 13 March 2014 and whilst the OBC was approved in principle, the Director of Mental Health & Disability Services requested as part of the process to agree the affordability gap of the new MH Unit (from a revenue perspective) to initiate an exercise of identifying all of the staff within the Holywell Hospital site who will not be moving to the new MH Unit. It is anticipated that this exercise will be completed and the OBC will be tabled at SMT and Trust Board in April Public Consultation The OBC will be submitted in draft to Trust Board and once approved the consultation process will follow. 8. Phase 2 Current Pressures at Antrim Area Hospital 9. Orthodontics 67k Progress Update Work developing the Business Case has been paused while Ernest and Young complete the work they have been appointed to undertake including work on service reform. The out-workings of that should inform the Trust s strategic direction for acute hospital services. Business Case Business Case approved at Trust Board in August 2012 and by the DHSSPS in October Following a higher than anticipated tender return for the scheme an addendum is now required. It has been approved by Trust Board in March 2014 and was submitted to the HSCB (for information only) and DHSSPSNI on 28 th March 2014 and has been approved by the DHSSPS. Design & Construction The new building is to be constructed is off the current laboratory link corridor at the front of Antrim Hospital. Planning permission has been applied for and granted. The overall scheme design was signed off on Friday 21 st Sept 2012 Individual room designs were signed off on Friday 8 th June Infection Prevention Control, Administration and clinical staff have all been fully involved. The scheme was tendered in November 2013 but the returned prices were more than the funding available. The design team were asked to review the design in order to reduce the cost and the scheme was tendered again on 7 th February Trust Board will be asked to approve the contractor at April s meeting subject to the tender report being available within required timeframe. The current programme shows work on site in April 2014 with a nine month programme required to complete the build and a further commissioning period of 4-6 weeks. IPR Gateway 3 held on 3 rd April 2014 has been given a Green/ Amber (to be confirmed in writing). Expenditure CRL allocation of 67k for has been fully spent on statutory approvals and professional fees. 10. Purchase of Business Case Greenmount House Business Case currently approved to purchase Greenmount House building in Ballymena. Purchase was completed in year. for Finance Shared Expenditure Services Allocation for this year comprises of 500k specific funding and 228k general capital. SIG Update April

5 728k 11. Neonatal Troop Recommendations 813k 12. Additional OPD space, Level B, AAH 365k 13. Children s Services Centre (Ballymena) 14. Adult Centres for Ballymena (George Sloane) and Larne Contractor commenced on site on the 5 th August The last site meeting was held with the Contractor on the 3 rd April The last Project Team Meeting chaired by Ms Brenda McConville held on the 3 rd April On the 11 th March 2014, the M&E contractor working on the maternity electrical circuit caused a power outage in the hospital. An investigation is been undertaken and a SAI form is to be completed by NHSCT Estates. Following an unannounced Health &Safety site audit by Faith &Gould on the 13 th March 2014, the contractor was issued with a Suspension of Works. A re-audit was undertaken by Faith & Gould on the 26 th March 2014, the suspension of works notice was lifted as the contractor had addressed the issues highlighted on the first audit. The contractor was issued with an Employer s Warning notice on the 26 th March 2014, and has been given 14 days notice to address the specific points. At a previous Project Team meeting it was agreed that the Neonatal Unit would remain in the vacated Resus area of the old A&E department until the end of May Due to the Suspension of works, the scheme will not be completed by the 2 nd June 2014, as anticipated by the HEIG Project Manager. It is likely to be the end of June before neonates can move back up the refurbed unit. An OBC addendum for 95K for 2014/15 was approved by the DHSS&PS on the 30 th January The Business Case for this scheme was approved at Trust Board in May 2013 Detailed design has been completed and signed off by IPC, Administration and nursing staff Tender returns were received on 6 th September Contract was awarded to McConkey Construction. The scheme is projected to be 80% complete in 13/14 and will be finished in the first quarter of 2014/2015. This Project is presenting the case for a fit-for-purpose Children s Centre for Ballymena. (The services included in this proposal are currently provided from the Slemish Community Services Centre on the Braid Valley Hospital Site in Ballymena) The SOC was approved at Trust Board in November Board approval was received on and DHSSPS approval on The Business Case is in development with timeframe for submission to Trust Board being June The Business Case will assess a number of options including refurbishment of the current building and a new build. These projects present the case to develop fit-for-purpose Adult Centres in the Ballymena and Larne area, in line with the new service model and Bamford recommendations. The SOCs for both centres are due to be submitted to Trust Board in May SIG Update April

6 15. Modular Theatres for the provision of day surgery Day surgery is provided on four hospital sites Mid Ulster, Whiteabbey, Coleraine and Antrim Area. A SOC has been developed to expand the capacity at the Antrim Area Hospital and further expansion on the Causeway site is being considered. At present the Trust has insufficient capacity to meet demand. A relocation of services would require public consultation. SIG Update April