SALISBURY NHS FOUNDATION TRUST PAPER SFT 1868 TITLE CAPITAL DEVELOPMENT REPORT TO THE TRUST BOARD FOR THE PERIOD FEBRUARY 2008 MAY 2008 PURPOSE OF PAPER The purpose of this paper is to up-date the Board on developments with some of the more significant capital schemes on the Salisbury District Hospital site since the date of the last report (January 2008). EXECUTIVE SUMMARY The main highlight of this report includes the near completion of the GUM relocation project. Updates are included for the Laundry storage, Cardiac Catheter Unit and the Emergency Department development, along with other significant schemes in the approved capital programme for 2008/2009. An update on progress with Phase 3 and the associated enabling scheme is included in line with Trust Board s request when the OBC was approved in July 2007. ACTION REQUIRED BY THE BOARD To note the progress of the Trust s significant capital building schemes. Peter Hill Acting Chief Executive Page 1 of 11
SALISBURY NHS FOUNDATION TRUST TRUST BOARD 9 June 2008 PAPER: SFT 1868 CAPITAL DEVELOPMENT REPORT The purpose of this report is to update the Board on developments with some of the more significant capital schemes since the last report (January 2008). Emergency Department redevelopment (Phase 2) To afford all the requisite improvements in the Emergency Department (ED), a third phase will be required to supplement the funding in the current capital programme for 2008/09. A separate paper was approved by the Board at their May 2008 meeting, that to achieve the additional clinical space to meet the User s key requirements within the existing ED footprint, some further new build is a priority. This will also enable a phased programme of building work to proceed without major decant of the emergency service. See Appendix A for further details. Cardiac Catheter Lab This scheme will see a Cardiac Catheter laboratory containing two treatment rooms and supporting accommodation built above the existing Orthopaedic Clinic at SDH North. Only one of the treatment unit will be equipped initially, transferring the existing equipment from the existing laboratory within Endoscopy. The proposed extension to the Emergency Department (as noted above) is sited adjacent to the Cardiac scheme and will be procured together under a design and build contract. See Appendix B for further details. Relocation of GUM service This scheme will see the GUM service relocated at the top of the SDH Central corridor, close to the Green by the bus stop. It will displace the Community Child Health offices that will temporarily move to the former Speech Therapy building, pending a permanent location being sourced. Following further option appraisal and consultation, this scheme replaced the original plan to relocate GUM in the Old Pharmacy Block. See Appendix C for further details. Page 2 of 11
Laundry storage This scheme has seen secure cabins provided close to the dirty end of the laundry for temporarily holding dirty linen. In addition, a double storey height extension will be linked to the clean end of the Laundry. This will replace the need for using the former Winterslow ward at SDH South. See Appendix D for further details. SDH redevelopment project (Phase 3 Paediatrics) The project has formally moved into the sketch design stage from February 2008. The enabling project to move the library from SDH North into the former Wilton ward is under review in the light of the 13 week RTT. The ward needs to remain in use for the foreseeable future. An alternative location for the library is under consideration. Final completion of the paediatrics part of Phase 3 is scheduled for the summer of 2010, as set out in the approved OBC. See Appendix E for further details. Spinal Unit refurbishment This scheme will see areas of the Spinal Unit upgraded, redecorated and flooring replaced. Infection control improvements will see wash hand basins installed on the wards and the assisted bathroom upgraded. See Appendix F for further details. Medical Records expansion This scheme will see space in level 1 of the PFI building occupied as medical records storage. See Appendix G for further details. Other significant schemes in the Approved Capital Programme for 2008/2009 An update is attached in the Annex. Peter Hill Acting Chief Executive 29 May 2009 Page 3 of 11
Other significant schemes in the Approved Capital Programme for 2008/09 The purpose of this Annex is to up-date the Trust Board on other schemes that make up a significant part of the current Capital Programme. Scheme and description Flexible endoscopes replacement programme (7213) Phase 1 successfully completed. Phase 2 to be implemented during 2008/09 Phase 3 to follow during 2009/10 Child Health to Old Kitchen (7217) Completion date March 2008 March 2009 March 2010 Budget cost incl VAT 645k 255k The structural repairs and clearance works to part of the former old kitchens building at SDH Central (adjacent to the Renal Dialysis Unit) are complete. This area will be refurbished and equipped for administrative/storage during this year. No decision has been made on the eventual occupants. March 2009 300k Demolition (7249) For asbestos removal and demolition of redundant wards on SDH South prior to redevelopment for a nursing home and/or radiotherapy unit or the like. Former Medical Physics reuse of area (7413) Level 4 of SDH North Sector 16 was vacated with Medical Physics moving to SDH South in March 2007. Utilisation of Level 4 space is awaiting proposals from Genetics. Site signage (7229) To be confirmed Level 4 To be confirmed 200k 235k A project to review, replace and update signage across the whole of the hospital site, internally and externally. As part of a phased project, this year will see the project scope and action plan developed, along with some quick fix signage improvements. On going 50k Efficiency schemes (7703) Funding available to support efficiency projects with rapid payback revenue savings identified during the period. On going 300k Page 4 of 11
APPENDIX A EMERGENCY DEPARTMENT RECONFIGURATION FEASIBILITY 7408C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 997,000 0 997,000 Nil Following the approval to a third phase of the ED project, an amount of 1m has been provisionally allocated to the draft 2009/2010 capital programme. START ON SITE September 2009 September 2009 Nil OPERATIONAL DATE August 2010 August 2010 Nil The dates shown above are those given in the Options for the Emergency Department paper presented to the Board in May 2008 at Appendix D. This was based on a full design team approach. Using a design and build contract for the new ED extension in combination with the Cardiac Unit, it is probable that the complete ED reconfiguration can be achieved earlier than that given in the paper. PREPARED BY SUE BIDDLE MANAGER 27 MAY 2008 Page 5 of 11
APPENDIX B CARDIAC CATHETER LAB IN DESIGN 7212C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 700,000 NIL 500,000-200,000 Expenditure of 700k is for 2008/09 only. Funding for 2009/10 has yet to be confirmed. The extension for ED will now been added to this scheme and the funding will need to be adjusted. START ON SITE November 2008 January 2009 + 2 months OPERATIONAL DATE September 2009 November 2009 + 2 months There has been good progress with regular User team meetings to firm up the Cardiac project brief. There will be a minor delay to overall completion of the Cardiac Unit due to the decision to combine this project with the ED extension. PREPARED BY SUE BIDDLE MANAGER 27 MAY 2008 Page 6 of 11
APPENDIX C RELOCATION OF GUM SERVICE CONSTRUCTION NEARING COMPLETION 7438C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 339,518 5,501 339,518 NIL Works on site nearing completion. RELOCATE COMMUNITY CHILD HEALTH OFFICES End February 2008 End February 2008 NIL OPERATIONAL DATE GUM RELOCATED End June 2008 30 th June 2008 NIL The move of the existing GUM service from Block 21 at SDH South will free up part of the site being investigated for a nursing home. PREPARED BY SUE BIDDLE MANAGER 27 MAY 2008 Page 7 of 11
APPENDIX D LAUNDRY STORAGE ALTERNATIVE SCHEME DESIGN TO BE RE-TENDERED 7779C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 518,926 306 518,926 NIL Discussions with PB regarding linking the new extension to the existing building are ongoing with ETS. Relocation of existing engineering plant as enabling work was completed in 2007/08. START ON SITE (STORE EXTENSION) OPERATIONAL DATE (STORE EXTENSION) End February 2008 To be determined NIL End May 2008 To be determined NIL Full planning permission (S/2007/2433) was granted on 18 January 2008 for the repositioning of bike and smoking shelters and construction of laundry storage building together with 3 no. storage containers. An alternative design is being considered to maximise storage space which will require re-tendering and a new planning approval. PREPARED BY JERRY HENDERSON MANAGER 27 MAY 2008 Page 8 of 11
APPENDIX E PHASE 3 PAEDIATRICS IN DESIGN 7994C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO PAEDIATRICS SCHEME (08/09 ALLOCATION) 575,000 26,713 575,000 NIL RELOCATE THE LIBRARY 175,000 0 175,000 NIL TOTAL APPROVAL 08/09 750,000 26,713 750,000 NIL Spend to date is for preliminary design fees. Enabling scheme is to relocate the library from Level 3. Location to be determined. PAEDIATRICS SCHEME START ON SITE March 2009 March 2009 NIL START ON SITE ENABLING WORKS (MOVE LIBRARY) OPERATIONAL DATE (MOVE LIBRARY) To be confirmed To be confirmed NIL To be confirmed To be confirmed NIL Paediatrics scheme first phase commences on site in the New Year and is the first of three phases within Sectors 5 and 6 of SDH North. PREPARED BY LAURENCE ARNOLD MANAGER 27 MAY 2008 Page 9 of 11
APPENDIX F SPINAL UNIT - UPGRADE AND REFURBISHMENT IN CONTRACT 7202C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 302,000 0 302,000 NIL Main building contract award to Castleway Construction Ltd ( 113,761). Numerous other small works being carried out e.g. double glazing, medical gases, patient lighting and patient entertain systems etc. START ON SITE 9 th June 2008 9 th June 2008 NIL OPERATIONAL DATE 8 th August 2008 8 th August 2008 NIL Dates reflect main building works contract. PREPARED BY EMMA GULLIVER MANAGER 27 MAY 2008 Page 10 of 11
APPENDIX G MEDICAL RECORDS EXPANSION TENDER EVALUATION 7236C0 COSTS ( ) APPROVED SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO APPROVAL 381,000 0 381,000 NIL Tender returns received from racking suppliers and are being evaluated. Floor loading information has been given to Parsons Brinkerhoff for comment. START ON SITE August 2008 August 2008 NIL OPERATIONAL DATE November 2008 November 2008 NIL Dates dependant on securing agreement from the PFI Consortium. PREPARED BY LAURENCE ARNOLD MANAGER 27 MAY 2008 Page 11 of 11