Item 11 for 5 Dec 14 New Women's Hospital and Cancer Centre Project

NHS GRAMPIAN

New Women’s Hospital and Cancer Centre

1.Actions Recommended

NHS Grampian has started to plan the development of a new Women’s Hospital and Cancer Centre on the Foresterhill Campus. This follows the approval to include the project in the next phase of the Scottish Government’s non-profit distributing investment (NPD) programme. In October 2014 the Board approved a proposal to fund the early stages of planning through the appointment of initial project staff and external support. Work has been undertaken to formulate the project management structure to take the developments to completion in 2020.

The NHS Grampian Board is asked to:

• Approve the project structure which has been developed in conjunction with the Scottish Government and the Scottish Futures Trust

• Approve the funding for the project structure which has been included in the Board’s financial plan

2.Strategic Context

In August 2014 the Scottish Government announced the provision of £120m in NPD investment for a new Women’s Hospital and Cancer Centre on the Foresterhill campus. The announcement of the new Women’s Hospital and Cancer Centre at Foresterhill is the result of the efforts of many staff in recent years, the development of good working relationships with the Scottish Government, and a clear strategic context as set out in NHS Grampian’s Healthfit 2020 vision and the Property and Asset Management Plan.

The developments will be part of the implementation of the Foresterhill Masterplan which was approved by the GrampianNHSBoard, the Scottish Government and Aberdeen City Council (as supplementary planning guidance) in 2008. The agreement of the masterplan has already resulted in significant investment in the campus i.e.

• in new buildings such as the Matthew Hay Building (ECC), Aberdeen Dental School and Hospital, Suttie Centre and the new Radiotherapy Centre, and

• in existing buildings including the outpatient facilities in the Rotunda, new operating theatres, and the £30m+ investment in backlog reduction in inpatient areas in the Phase 2 and East End buildings

The requirement to replace the existing Maternity Hospital was included in the Maternity Services Review approved by the Grampian NHS Board in 2012. The Cancer Centre has been planned for some time and has been developing on a staged basis – the new Radiotherapy Centre at Foresterhill completed in 2013 being the first stage of the Cancer Centre development.

A key aim of NHS Grampian is to maintain people in their own homes and communities as far as possible. If treatment and care in hospital is required it should be for the minimum time necessary in facilities that support clinical efficiency. The new Women’s Hospital and Cancer Centre will be planned on this basis i.e. within the context of the whole pathway of care for patients.

1. Scope and Location

Work has been done at a high level on the scope and location for both developments. More detailed work and options appraisal will be done to ensure that the service requirements and linkages with existing buildings are thoroughly examined and agreed.

• Cancer Centre: As indicated above the first stage of the Cancer Centre has already been completed i.e. the new Radiotherapy Centre which is located at the south of the east end of ARI. The Scottish Government announcement is for the development of the Cancer Centre which will include outpatient, daycase and academic/research facilities, together with a range of support facilities. The new building is likely to be to the south of the Radiotherapy Centre and physically linked to it.

• Women’s Hospital: This development will replace the existing Maternity Hospital, Neonatal Unit, gynaecology and breast services and otherfacilities for women. The Women’s Hospital will have corridor links to Aberdeen Royal Infirmary and the Children’s Hospital.

1. Planning and Procurement

The broad actions that will be taken to develop the project to completion are summarised below:

• A project governance and management structure (appendix 1) is being put in place which reflects the guidance issued by the Scottish Government and Scottish Futures Trust.A project team has been meeting since August and an interim project board met in November. The first full project board meeting will meet in January 2015.

• The project programme will be prepared and refined to guide the project to completion (appendix 2).

• There will be a comprehensive redesign and improvement process applied to cancer and women’s services to ensure that the new facilities are designed around the future needs of the services and patients, and the most clinically efficient way of working. This work will commence in December 2014 and will involve a high level of staff and public engagement, together with the involvement of relevant partner agencies including the University of Aberdeen and the voluntary sector.

• This redesign work will inform the preparation of clinical strategies, design briefs and specificationsfor the required accommodation i.e. a clinical output specification. The nature of the procurement process for these projects will require the service brief and building design to be agreed to a high level of detail prior to construction.

• An option appraisal will be undertaken to determine how best to deliver the service brief/specification taking account of the required links to other buildings at Foresterhill

• Business cases will be prepared and submitted to the Scottish Government – the business cases will be subject to a high level of scrutiny in relation to strategic fit, quality, safety and value for money

• There will be a tendering process to appoint a preferred bidder to design, build and maintain the new facilities and this will include “competitive dialogue” with a number of potential bidders before an appointment is made

Meetings have been held with clinical groups to discuss the process and confirm the need for a high level of clinical engagement to ensure that there is a clear strategic brief to guide the design of the facilities.

The method of procurement is through the Non Profit Distributing (NPD) model which is applied to new major projects in Scotland. This involves a specific procurement process which will require specialist planning, legal and financial advisers. The NPD process is overseen nationally by the Scottish Futures Trust on behalf of the Scottish Government.

1. Project Structure

A project management structure has been formulated (appendix 1) to ensure that robust processes are in place to take the developments to completion in 2020. The structure has been prepared taking advice from other similar projects in Scotland and with the guidance of the Scottish Government and Scottish Futures Trust. The costof theproject management structure,including directly appointed project staff, together with design, financial, legal and other external advisers,will be met by NHS Grampian from its core revenue allocation. The estimated cost of the project structure to the end of 2020 is estimated at £9.63m.Asummary of the costs is included in appendix 3.

1. Next Steps

The key actions are to:

• Appoint staff and advisers in accordance with the project management structure to ensure that programme progress is maintained

• Revise the planning and redesign structures to ensure that the clinical strategies and specifications can be formulated efficiently and integrated as far as possible with management processes

• Undertake a physical option appraisal to determine the specific location of the new facilities to ensure that early action can be taken in relation to any buildings on the Foresterhill campus that may be affected

1. Risk Mitigation

The development of the Women’s Hospital and Cancer Centre links to corporate risks 851 (Delivery strategies to meet the future health needs of the population) and 855 (Infrastructure to support the future provision of patient care).

The implementation of the initial actions outlined above will ensure that progress is made consistent with the outline project programme.

1. Responsible Executive Director and contact for further information

If you require any further information in advance of the meeting please contact:

26 November 2014

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Appendix 2

Outline Strategic Programme 5th Dec 2014

Note: outline draft programme only – option appraisal and site development issues may affect timescales

Appendix 3

Project Structure – Cost Summary

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