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Table of Contents 04
Introduction
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Project Portfolio 08
University Hospital of North Staffordshire NHS Trust
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North Bristol NHS Trust
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The Royal Wolverhampton Hospitals NHS Trust
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Royal Worcestershire Hospital
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University Hospitals Coventry & Warwickshire NHS Trust
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University Hospitals Birmingham NHS Trust
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Papworth Hospital NHS Foundation Trust NHS Fife Health Board
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Royal Liverpool & Broadgreen University Hospitals NHS Trust Oxford University Hospitals NHS Trust
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Walsall Healthcare NHS Trust Wye Valley NHS Trust
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Barts Health NHS Trust
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Sandwell and West Birmingham Hospitals NHS Trust Whipps Cross University Hospitals NHS Trust Oxford University Hospitals NHS Trust (Churchill Hospital) Berrywood Hospital
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The SHP Team
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INTRODUCTION
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SHP have 20 years experience in PFI/PPP Public Sector and Private Sector Advisors SHP has been involved in the PFI process as healthcare planning and technical advisors for the NHS since its inception and has supported a number of Trusts through the complex technical and legal process. Examples of Public Sector schemes with which SHP have been involved are illustrated herein. SHP has also supplied Private Sector consortia with their bids to develop hospital facilities, playing a lead role in client and user group interface discussions, validation of designs, drafting ITN documentation and presenting healthcare planning solutions. Examples of Private Sector schemes with which SHP have been involved are also illustrated herein.
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Project Portfolio
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Strategic Healthcare Planning are committed to providing expert consultancy and planning services leading to more effective and efficient healthcare services across the world.
Our experience in PFI/PPP can be seen within this brochure.
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University Hospital of North Staffordshire NHS Trust Fit for the Future Project Consortium Builder Architect
Equion Laing O’Rourke Ryder / HKS
Scheme Content The scheme will consolidate the City General and North Staffordshire Royal Infirmary Hospitals together with the Central Out Patients and Pathology units into a single complex. It has a number of key features including that it incorporates the development of a satellite Community Hospital with specialist community focused services and it is a project that is clinically scoped around a whole health economy approach
SHP’s Role
Scheme Value
SHP acted as lead Technical
The Buildings and Equipment
Advisor to the NHS throughout
on the City General site cost in
the process from SOC to
excess of £350,000,000
occupation in 2012
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North Bristol NHS Trust Redevelopment of Frenchay and Southmead Hospitals
Scheme Content The proposals in North Bristol & South
These planned hospital improvements are
Gloucestershire are part of a city-wide plan to
supported and enabled by important changes in
improve and modernise health care in Bristol.
the range and quality of expanded primary and community health care services.
The aim is to provide high quality hospital facilities that significantly improve the care environment for patients and staff; are suited to modern clinical practice; and which are also more efficient.
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SHP’s Role
Scheme Value
SHP acted as lead Technical
The Buildings and Equipment
Advisor throughout the process
on both sites was estimated to
from SOC to OBC.
be in excess of £300,000,000
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The Royal Wolverhampton Hospitals NHS Trust Redevelopment of New Cross Hospital
Scheme Content A whole systems review of acute hospital
The current proposals reflect facilities for:
services for the Black Country focussed attention
• Women & Children’s Centre
on New Cross Hospital, Wolverhampton as
• Cancer Centre
a major tertiary centre with cardiac surgery,
• Cardiac Centre
ophthalmology, renal, paediatric and cancer
• Head & Neck Specialist Centre
specialties being key service deliverables.
• Treatment Centre
The project is to deliver a reconfigured site with
• Emergency Centre
accommodation that reflects the new models of
• Inpatient Centre
care with a 900-bed provision.
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SHP’s Role
Scheme Value
SHP acted as lead Technical
The Buildings and Equipment
Advisor throughout the process
on both sites was estimated to
from SOC to OBC
be in excess of £400,000,000
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Royal Worcestershire Hospital Worcestershire Acute Hospitals NHS Trust Consortium Builder Architect
Catalyst Bovis Lend Lease RTKL
A study was carried out by Strategic Healthcare Planning, as part of an overall Strategic Review being undertaken by Worcestershire Health Authority, to consider the Acute and Community Hospital service requirements for the future, and how services could be located to meet the needs of the population of the County. A sequential analysis was undertaken, considering in turn: • The volume of services that may be required; • A care models assessment; • The options for the location of services and the way in which the physical estate can respond to this need; • The potential financial implications of the various options. A detailed assessment model was used for Acute services that suggested, based on the assumptions made, that the overall bed requirement for the county, including Day Case Beds, was approximately 840. This was a reduction of approximately 225 from the existing level of beds. In order to determine the need for resources in the future one SHP took a view on: • The number of people who will need health care • The modes of treating them • The efficiency with which resources are deployed. Forecasting is not a precise science and furthermore, in the case of health care, it is not enough merely to forecast; the actions of the politicians, Trusts, Health Authorities and GPs all influence both demand for health care and the means by which it is delivered. 14
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There are many forces for change in the service, however some of the significant factors that needed to be considered include: •
Changing public expectations
•
Changes in Medical staff training
•
Improvements in medical technology
•
Increase in numbers of elderly in the population
In response to this level of forecast requirement, the Health Authority with assistance from SHP defined 5 options for the disposition of these services across the County. This altered the balance of bed and service provision dependent upon the exact services to be provided by each site. An assessment was made then on how the different options could be achieved in estates terms. With regards to Community Hospital provision, the situation was less clear, as there was no defined strategy or agreed model of care from which to develop such a strategy. The review sets out a range of options and a commentary on the issues that would require consideration. Finally the review provided estimates of the range of savings possible under the various options for both Acute and Community Hospital provision. Following the review the recommendations made were implemented and are now performing as required.
SHP continues to work for the Trust and Consortium to deliver change as required
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University Hospitals Coventry & Warwickshire NHS Trust Redevelopment of Walsgrave Hospital Consortium Builder Architect
Skanska Skanska Nightingale
SHP assisted Walsgrave Hospitals NHS Trust and Coventry Healthcare NHS Trust to seek prioritisation for the development of acute healthcare and mental health acute services to serve the people of Warwickshire.
The Walsgrave Trust is a major acute
The current cross-site dislocation of
facility serving Coventry and the west
services has a heavy revenue premium
of Warwickshire. There are advanced
of some ÂŁ2.5m (net) per annum. It is
postgraduate teaching facilities, and
inefficient in use of medical and nursing
undergraduate students from Leicester
manpower. Key clinical services, such
University are also accommodated.
as accident and emergency services and
Research and Development is
children’s services are split. Training
undertaken in principal partnership
recognition for the accident and
with Warwick University, which is
emergency services is to be withdrawn
currently itself seeking to develop a
as a consequence of their physical split.
medical school. The Trust has a number
The Do Minimum option developed
of regional speciality services and is a
proposed to utilise public capital to
designated Cancer Centre.
integrate Accident and Emergency services within the city, whilst keeping
The Trust is based on two sites in the
the amount of capital investment
City of Coventry, with buildings of
required to a minimum. It would be
varying age and condition. The majority
based on a four storey extension to the
even of the newer buildings, are in poor
main Walsgrave hospital building and
condition, as a result of their period and
adaptations to the facilities at St Cross
type of construction. Although ongoing
hospital in Rugby to provide sufficient
attempts have been made to address
accommodation for all of the services
the principle problems in a programme
currently located at the Coventry &
over a number of years, the backlog
Warwickshire hospital which could
maintenance requirement is estimated
then be vacated.
to pass ÂŁ40m within three years. 16
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Although this option would require
The Trust has therefore evaluated a
capital investment of £18.7m, it would
number of options, and progressed
produce annual revenue savings of
three to more detailed review. A non-
£2.6m. However, even this investment
financial evaluation indicated that
would still leave the Trusts with :
there was little to choose between the
• A major backlog maintenance
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options.
problem, rising to £40 million over three years. • Inflexible accommodation,
Implementation of the project would significantly redress a number of
militating against modern models
current areas of health care need. Key
of care.
elements are:
• Services split across a number of decaying buildings, with attendant manpower and safety problems. • Inconvenience to patients being
• Integration of accident and emergency services • Integration of children’s services • Re-provision of acute mental
treated in Rugby who would
health services in appropriate
previously have been treated in
accommodation
Coventry. • Mental health services located in inappropriate facilities with
• Facilities to support and promote research and development, education and training.
significant space wastage against current requirements. • Site access problems in terms of location of car parking and public
The proposal was approved by the Secretary of State for Health and the project implemented.
transport access. 17
University Hospitals Birmingham NHS Trust Redevelopment of Queen Elizabeth Medical Centre & Selly Oak Hospitals Consortium Builder Architect
Consort Healthcare Balfour Beatty BDP
Scheme Content The scheme achieves a 1185 bed University Teaching Hospital, a Clinical Science and Education Centre for the University of Birmingham, Royal Centre for Defence Medicine for the Ministry of Defence, 137 psychiatric beds for Adult, Older Adult and Speciality Services and two Adult Mental Health locality facilities in community settings.
SHP’s Role
Scheme Value
SHP acted as Healthcare
The Buildings and Equipment
Planning Concept Architects
on the sites was estimated to be
within a bidding consortia and
in excess of ÂŁ400,000,000
SHP previously acted as Trust advisor for the development of the OBC.
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IMAGES TAKEN FROM BDP WEBSITE? OKAY?
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NHS Fife Health Board “Fight for Fife”
Scheme Content This scheme will achieve a new specialist inpatient centre at Victoria Hospital, Kirkcaldy allowing the introduction of new models of care and reconfigured services. The new facility will provide a new wing to Victoria Hospital, including 11 operating theatres, an emergency care centre, 13 wards, surgical and medical assessment units, a maternity unit, a women and children’s unit, day intervention, critical care, coronary care and renal dialysis facilities.
SHP’s Role
Scheme Value
SHP acted as Healthcare Planners within a bidding consortia
The Buildings and Equipment on the sites was estimated to be in excess of
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£172,000,000
Papworth Hospital NHS Foundation Trust New Papworth Hospital
Scheme Content The Vision for the New Papworth Hospital is to build a 300-bed, purpose-built hospital, with 100% single rooms. The new hospital will be co-located with a research and education institute on the Cambridge Biomedical Campus. This project will ensure the Trust’s strategic aim to continue to be a centre of excellence in specialist heart and lung services.
SHP’s Role
Scheme Value
SHP is acting as Architectural and Healthcare Planning Advisors
The Buildings and
(in conjunction with Devereux Architects).on behalf of the Trust
Equipment on the sites was
for the development of the New Papworth Hospital
estimated to be in excess of £165,000,000
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Royal Liverpool & Broadgreen University Hospitals NHS Trust Redevelopment of Royal Liverpool Hospital Consortium Builder Architect
Horizon Interserve John Cooper Architecture
Scheme Content The new hospital will help the Trust to deliver their vision of world class services and hospitals that are recognised as those of choice for the people of Merseyside, Cheshire and beyond. As a major university teaching hospital, a new Royal will be key in facilitating the NHS research and development and education agendas locally and a new model of care will set out plans for providing both hospital and community health care services in the future.
SHP’s Role
Scheme Value
SHP acted as Healthcare Planners within a
The Buildings and Equipment on the sites was
bidding consortia
estimated to be in excess of ÂŁ450,000,000
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Oxford University Hospitals NHS Trust John Radcliffe Hospital Consortium Builder Architect
The Hospital Company Carillion RTKL
Scheme Content Relocation of services from the Radcliffe Infirmary to the John Radcliffe site. The project, which proposes to relocate Neurosciences and Specialist Surgery (Ophthalmology, ENT and Plastics), Children’s Services and University research facilities reached preferred partner stage in December 2002 and opened to patients in 2006.
SHP’s Role
Scheme Value
SHP acted as Healthcare Planners for the project and provided
The Buildings and
a team of senior professionals to liaise with the design team to
Equipment on the sites was
ensure that an appropriate understanding of the Trust’s clinical
estimated to be in excess of
models was incorporated into three design proposals.
£135,000,000 23
Wye Valley NHS Trust Hereford County Hospital Consortium Builder Architect
Skanska Skanska Stefian Bradley
Scheme Content New services at the Manor will include an Outpatient and Daycase Centre and combined Family Health and Diagnostics Centre linked to the existing Maternity Unit. A new Multi-Professional Education Centre will provide superb training facilities for NHS staff from within the Trust and across Walsall.
SHP’s Role
Scheme Value
SHP were commissioned as Technical Advisors to the Trust
The Buildings and
and worked closely with Clinicians throughout the Walsall
Equipment on the sites was
Health Economy to develop Models of Care for the people of
estimated to be in excess of
Walsall. These models are then translated into detailed Output
ÂŁ170,000,000
Specifications and Schedules of Accommodation. 24
Walsall Healthcare NHS Trust Redevelopment of the Manor Hospital Consortium Builder Architect
Mercia Healthcare Alfred McAlpine W S Atkins
Scheme Content The new County Hospital provides state of art facilities including General Inpatient accommodation, Maternity, Paediatrics, Accident & Emergency, Theatres, Imaging and Outpatients to the people of Herefordshire and Mid Wales on a single site
SHP’s Role
Scheme Value
SHP acted as Healthcare Planning, Architectural and Technical
The Buildings and
Advisor for the Trust throughout the Business case and
Equipment on the sites was
Procurement process.
estimated to be in excess of ÂŁ75,000,000
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Image taken from Wikipedia?
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Barts Health NHS Trust Redevelopment of Barts and the Royal London Consortium Builder Architect
Skanska / Carillion Skanska HOK
Scheme Content Barts Health Trust is replacing many of its ageing buildings with state-of-theart healthcare facilities to rival the best in Europe. The opening of the new hospitals will transform the experience of patients, staff and visitors, with outstanding new facilities and an exceptional environment for the delivery of patient care. Moves into the new Royal London hospital began on 6 December 2011 and by the end of February 2012, 110 wards and departments (and more than 3,000 staff members) will have relocated into the new building. In March 2010, one of Europe’s most advanced cancer centres was opened at Barts. The second phase at Barts will be a cardiac centre of excellence, due for completion in 2014.
SHP’s Role
Scheme Value
SHP was appointed by the healthcare planner
The Buildings and Equipment on the sites was
to the successful bidding team to assist in
estimated to be in excess of £900,000,000
liaising with the Trust over the detailed room requirements for the hospital. This included user group negotiations and agreement of detailed room layouts.
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Sandwell and West Birmingham Hospitals NHS Trust Midland Metropolitan Hospital
Scheme Content The hospital will provide A&E, Maternity, Children’s Services, Critical Care, Diagnostics and the full range of acute hospital services from modern facilities with the latest technology and equipment. The “Midland Metropolitan Hospital” will provide approximately 80,600 m2 of hospital space..
SHP’s Role
Scheme Value
SHP acted as healthcare planners and advisors to the Trust as
The Buildings and
part of a supply chain prior to the PFI scheme being launched
Equipment on the sites was estimated to be in excess of £750,000,000
Whipps Cross University Hospitals NHS Trust Redevelopment of Whipps Cross Hospital
Scheme Content The development will provide a larger hospital with an 8% increase in beds, more staff and an increase in clinical activity. The development will also provide new accommodation for key workers and medical students as well as a sports hall and premises for South Bank University.
SHP’s Role
Scheme Value
SHP acted as Healthcare Planners as part of a bidding consortia.
The Buildings and
(the scheme was later abandoned after the withdrawal of one the
Equipment on the sites was
potential PFI partners)
estimated to be in excess of £300,000,000
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Oxford University Hospitals NHS Trust Churchill Hospital
Scheme Content The Churchill Hospital will provide a Gerontology Triptych, Therapy Centre (including relocating services from the Radcliffe infirmary and integrating them with services already on the Churchill site) and a combined Cancer and Surgery & Diagnostic Centre.
SHP’s Role
Scheme Value
SHP acted as Healthcare planners as part of a consortium to
The Buildings and
develop and refine the Trust’s requirements and produced a
Equipment on the sites was
detailed Schedule of Accommodation. SHP also led the User
estimated to be in excess of
Group meetings in order to develop detailed proposals and a
£80,000,000
response to the ITN.
Northamptonshire Healthcare NHS Trust Berrywood Hospital
Scheme Content The scheme will achieve a 136 bed Adult Acute, Adult Continuous Care, Elderly Mental Health facility and also an Academic Centre.
SHP’s Role
Scheme Value
SHP acted as Healthcare Planners as part of a bidding consortia.
The Buildings and Equipment on the sites was estimated to be in excess of £36,000,000 29
The SHP Team
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Strategic Healthcare Planning have a team of consultants who are experts in both PFI & PPP.
The following pages show the team members involved in projects for the Public Sector.
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Stage reached
Value
Chris Wood
Project
Description
Worcestershire Royal Hospital
A PFI development project for a replacement acute hospital. The project consisted of 450 inpatient beds on an out of town site.
Occupation
£95m
County Hospital Hereford
A PFI development project for a replacement acute hospital.
Occupation
£76m
University Hospitals Coventry and Warwickshire
A PFI development project for a replacement acute hospital and tertiary centre including neurosciences, cancer centre, cardiac unit, renal unit, ophthalmology in addition to the general acute beds
Occupation
£359m
Walsall Manor hospital
A PFI development project for an ambulatory Centre to an existing acute hospital
Occupation
£170m
✓
University Hospital of North Staffordshire
A PFI development project for a replacement acute hospital and tertiary centre including neurosciences, cancer centre, cardiac unit, renal unit, ophthalmology in addition to the general acute beds
Occupation
£350m
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University Hospital Birmingham
A PFI development for a city centre replacement teaching hospital
Occupation
£400m
Birmingham Metropolitan Hospital
A PFI Development for the replacement of 2 city centre hospitals and community infrastructure
Ludlow Community Hospital
A PPP development for a new community hospital
Birmingham Dental Hospital
John Clarke
Jane McMahon
Helen Jarvie
✓
✓
Lisa Hollick
Huw Lambert
✓
✓
✓
✓
✓
✓
✓
✓
✓
£325m
✓
✓
Financial close
£28m
✓
✓
A PPP Development for a replacement specialist teaching hospital
Financial close
£49m
Papworth Hospital
A PFI Development to reproved the National Heart Centre
Awaiting NHS approval to PB
£168m
✓
North Bristol
PFI to redevelop Frenchay and Southmead Hospitals
Commissio ned to OBC
£300m
✓
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✓
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Chris M. Wood Bsc Hons, BArch, MAPM, RIBA
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Chris Wood is a partner of SHP a registered Architect and a member of the Association for Project Management with over 25 years of healthcare experience. Prior to the formation of SHP, Chris was an associate of Abbey Hanson Rowe for 12 years and previously as a principal architect with the North West Regional Health Authority. His responsibilities included co-ordination and preparation of hospital policies, standards and clinical planning. Chris’ current role includes working directly with healthcare personnel in the preparations of planning briefs, assessing functional content standards, detailing design and contract administration. He is acts as lead consultant coordinating the work of technical teams. In addition to the above, Chris has extensive experience in developing the estates component of major business cases and public sector comparators.
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John B. Clarke FIHEEM
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John Clarke is a partner of SHP and leads the facility planning arm of the business. John was, for 10 years, a partner in Temple Cox Nicholls Architects, one of Birmingham’s leading Architectural practices. Since the formation of SHP in 1996, John has concentrated on providing consultancy services to the wider healthcare industry. John has proven success in the implementation, planning and design of the full range of healthcare facilities including University Hospitals, District General Hospitals, Specialist Services Hospitals, Mental Health Facilities and Primary Care Facilities. John has also been actively involved in advising the Public Sector and its Private Sector Partners in the PFI arena since 1995, and has been acknowledged as one of the country’s leading advisors in this field.
Jane McMahon
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Post Grad Cert and Diploma in Managing Health and Social Care, PRINCE 2 – Foundation and Practitioner Levels
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Jane is a partner and has been with SHP since 2002. Her experience includes working with the NHS and their private sector partners across a spectrum of healthcare planning modernisation and investment initiatives. Her roles have included health facility planning, service and business planning, process re-engineering, policy development and service review. Her NHS experience included clinical administration and operational management within both primary and secondary care. Jane has also worked with multi-professional clinical teams.
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Project
Description
Stage reached
Value
Chris Wood
John Clarke
John Radcliffe Childrens unit
A PFI development to provide specialist accommodation for paediatric surgical specialties
Occupation
£135m
✓
Oxford Churchill
A PFI development for cancer services
Unsuccessful bidder
£80m
✓
Northern Batch
A PFI development to remodel Hope Hospital and Tameside
Occupation
£260m
Royal Liverpool & Broadgreen University Hospital PFI Project
A PFI development project for a replacement acute teaching hospital on a constrained city centre site. The project consisted of 684 inpatient beds with 25 theatres and an education centre over 99,000 sq..
Unsuccessful bidder
£450m
North Tees & Hartlepool
A PFI Development for a new acute hospital
Bidder Review
£300m
Birmingham & Solihull
A PFI Development for a new acute mental health unit
Whipps Cross Hospital
A PFI development to redevelop an existing site
Scheme cancelled by NHS
£300m
St Barts and the Royals
A PFI development to replace ageing estate
Engaged to liaise with Trust over 1:50 layouts
£900m
Northamptonshir e Healthcare
A PFI development to provide 136 bed acute mental health unit
Occupation
£36M
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Jane McMahon
Helen Jarvie
Lisa Hollick
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Huw Lambert
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Helen Jarvie
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B.A (Hon’s) Business Studies Helen is a senior healthcare planner and has been involved with SHP since February 2001 working across a broad range of service and capital planning projects supporting NHS organisations and their partners with the delivery of the modernisation agenda. Helen has extensive experience as an operational NHS Manager. She has worked within Acute Trusts at a senior level for over 10 years managing the majority of Medical and Surgical clinical services. Her key skills included project planning, facilitation and change management to deliver quality and efficiency improvements.
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! Lisa Hollick Lisa is a healthcare planner and has been with SHP since 2001. She has over that time been supporting projects in a technical and administrative capacity. Her experience includes leading clinical user group meetings, creating and validating schedules of accommodation, adjacency and flow diagrams and room data sheets. She has also undertaken site surveys and reported in relation to estate and site development strategies. Her background experience is in relation to assisting with the development of strategic documents and reports such as clinical specifications, estate strategies and business cases.
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Huw Lambert B.A (Hon’s), Diploma in Architecture, RIBA
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Huw is a qualified Architect and a partner of SHP and has been with SHP since 1997. He has considerable experience of the detailed planning and design of a full range of healthcare facilities including: University Hospitals; District General Hospitals; Community Hospitals; Mental Health Facilities; Health Education & Research Facilities and Primary Care Facilities. Huw’s project involvement covers all work stages from concept studies to the use of 3D graphic software to demonstrate and test design visions with users, through preparation of project briefs, option appraisal, feasibility reports, utilisation studies and estate strategies. Huw also has extensive experience of technical and administrative management and the coordination of the collective design and overall team effort at both pre and post contract stages. 35
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