NORTHERN HEALTH AND SOCIAL CARE TRUST Proposals for Capital Plan 2014/15 1.0 Introduction: This report details the high priority general capital bids across all the Directorates / Service areas and identifies those schemes, agreed by SMT on 6 th May, which are to progress in year. TB is now to approve this capital plan. The Trust has already submitted this draft 14/15 General Capital Plan (including MES) to the DHSSPS in early May. 2.0 Outturn for 13/14 The year-end capital position was an underspend of 292k. The final CRL was 20,989,149 which includes an allocation for general capital of 7.115m. The main areas of spend in 13/14 (specific and general) include: - ICT at 4.8m - SAMMD 1.67m - Clinical Environment 730k - TYC 500k - Support Services (inc Transport) 1.8m - Major capital development schemes 4.0m - Medical Devices 2.3m - MES 1.455m - Purchase of Greenmount House 728K. 3.0 Capital Allocation for 14/15 3.1 The 14/15 CRL is: Project Major Capital Schemes CRL 2014-15 Ballymena Health & Care Centre - Project Management Costs 124,000 Ballymena Health & Care Centre - Enabling and Main 10,000,000 Ballee Children's Home 40,000 SARC 40,000 Adult Orthodontics 1,884,525 AAH Neonatal Troop Recommendations 449,026 General Capital/ MES / SAMMD / CERI / Decontamination / Improvement in Clinical Environment General Capital / MES Allocation 3,962,150 1
Digital Mammography 931,511 ICU Trolleys 4,000 Total 17,435,212 Note the 3,962,150 include an allocation for MES of 792,438. Correspondence from the Investment Directorate has confirmed that there is no expectation of additional general capital being made available in 14/15 from within existing Departmental budgets due to the level of committed schemes. They will however bid to the centre under the June Monitoring Round but at this stage it would be imprudent to plan on any additional funding being made available. The following additional pots of funding should however be available in year but we have no confirmation as yet on the level of if indeed it will be available: CERI (Carbon Emission Reduction Initiative) CE (Clinical Environment bids to be returned to HEIG by 28 th May estimate 200k available this year compared to 800k last year). SAMMD (Strategic Asset Management of Medical Devices) Decontamination In addition there may be funds available through ERDF (European Regional Development Fund which promotes investment in research and technological development in an overall context of sustainable development the Trust s 13/14 schemes included ICT and telecoms projects). 3.2 MES The table below details the MES proposals of which the first one has already been approved - Holywell Asbestos removal. Scheme Title Holywell Ducts - Asbestos Removal AAH - Generator Fuel Storage and Delivery System Holywell - Galv Pipe replacement BVH - Legionella install secondary returns 14/15 New Schemes Notes 120,000 HSE Recommendation 75,000 Recommendation on SAI action plan, risk to life 50,000 Legionella works 40,000 Legionella works DHW tank replacement 20,000 Legionella works 2
Moyle - Legionella system rationalisation AAH Condensate Receiver G1 Plant room AAH Condensate Header Replacement B1 Upgrade / Remedial Works to Causeway Boiler Flues 30,000 Legionella works 25,000 10,000 25,000 Trustwide - Firecode Works 397,000 TOTAL 792,000 Significant risk to business continuity Significant risk to business continuity Renovate flues and re-paint supporting gantry 3.3 Remainder of General Capital Committed Capital 2,419,346 14/15 CRL 3,169,712 Available Capital 750,366 The following schemes are already committed: Refurb OPD Level B AAH Modular Haemodialysis Antrim Hospital Tissue Slide Storage - Laboratory SMT Move to Bretten Hall Services Services Services Chief Executive Office 81,500 293,266 14,077 178,978 Slemish windows Estates 67,434 Antrim H.C. Estates 52,000 Fern House Roof Estates 70,000 CH Theatre Ventilation Upgrade Estates 14,500 Modular Build, Antrim Hospital Services / CEO scheme 458,143 Finance Building / Greenmount Finance 271,000 Project support for B6 clinical nurse of ICIPS Reflooring of Dalriada Hospital & Conversion of X-ray Room Medical Devices 20,000 PCCOPs 135,000 3
Refurb of Dalriada Bungalow PCCOPs 132,704 Improvements to Millbrook & Mountfern MH and Dis 105,900 Improvements to Ferrard House MH and Dis 380,000 Holywell Elemental Schemes MH and Dis 18,750 Special Care Dentistry - conversion of current clinical areas to meet HTM 01-05 Underspend Estate Schemes eoy (not included above) Total committed Schemes c/f Children s 13,400 Estates 112,694 2,419,346 750,366 remains to be allocated. Each Directorate was asked to confirm from its total list of bids, its top 3-4 capital schemes (based on risk and then the reform and modernisation). This is summarised in the table below. The last column details the schemes that were approved by SMT on 6 th May to progress to BDL BC stage. The remaining schemes have been submitted to the DHSSPS as bids for the June monitoring round (the outcome of which will be known in July). Directorate Dir/ Service Area Priority Scheme Title 14/15 New Schemes Acute 1 Refurb of Maternity theatres at AAH 18,000 13/14 schemes not progressed Approved at SMT 6/5/14 18,000 Acute 2 Medical Photography Obsolete Poster Printer 7,000 Acute 3 Refurb of 4 Anaesthetic Rooms AAH Subtotal 25,000 Children's 1 SPOE for Children's Services 246,000 246,000 Children's 2 Children's 3 Conversion of Storage Space to Office Accommodation Glengormley Community Services Centre Refurbishment of SLT accommodation, Antrim Hospital Subtotal 246,000 Human Resources 1 Enhanced Facilities HR Directorate 300,000 140,000 approved for accommodation element only 4
Subtotal 300,000 Medical Devices 1 Low Volume Dento-Alveolar Cone Beam CT Machine 60,000 Medical Devices 2 Portable Bladder Scanners x 4 30,000 Medical Devices 3 Subtotal 240,000 Cardiac Monitoring System CCU Causeway 150,000 Mental Health 1 New beds for Holywell 108,000 108,000 Mental Health 2 Works at Mid-Ulster to accommodate staff from Cookstown. Mental Health 3 Mental Health Hub, AAH 29,000 Subtotal 137,000 Nursing & User Experience Nursing & User Experience 1 Temperature Monitoring System 12,500 2 Replacement vehicle for Mountfern AC 77,000 Nursing & User Experience 3 Refrigeration Alarm System - Holywell Hospital Catering 8,000 Subtotal 97,500 Pharmacy 1 Pharmacy Scheme MUH 335,710 Pharmacy 2 Air Con Unit Pharmacy Store AAH 10,000 Pharmacy =3 Causeway Pharmacy 42,100 Pharmacy =3 Antrim Pharmacy Dept. - Conversion of Community Services Dispensary area into a Controlled Drug & Clinical Trails Dispensary Subtotal 387,810 PCCOPS 1 PCCOPS 2 Fire Regulation Upgrades at Elderly Residential Units & Day Centres (Closing Devices ) to comply with DDA Floor Replacement - Westlands, Lisgarel & Pinewood Residential Units 166,000 40,000 166,000 PCCOPS 3 Lifts & Wheelchairs 295,000 Subtotal 501,000 SPPM 1 SPPM 2 Roofing Programme across Trust Buildings 100,000 Various ICT schemes - Trust wide 100,000 5
SPPM 3 Telecoms for AAH site 200,000 ED element approved at 70,000 SPPM 4 Refurb Ward 1 Whiteabbey Hospital 190,000 Subtotal 590,000 Total 1,752,600 771,710 Total 2,524,310 748,000 Below Delegated Limits Business Cases for the 6 schemes detailed above are being progressed for approval in June with the schemes delivered by 31 st March 2015. 6