08/01/13 Purley War Memorial Hospital Development Project 2 nd November 2012 Project Update 8 Jan 2013 DRAFT.

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Purley WarMemorial Hospital

Development Project

2nd November 2012

Project Update8 Jan 2013 DRAFT

Introduction• Croydon Health Services NHS Trust is currently undertaking the full refurbishment of

the Purley War Memorial Hospital site.

• The Trust’s Full Business case was approved by NHS London in June 2012 and it received a capital grant of £11.15m

• The site will be transformed into a centre for integrated care services for the communities in South Croydon. There will be improved access to a full range of primary, community and secondary health services to meet the ‘care closer to home’ principle.

• Work commenced in November 2012 and will be complete in June 2013:

• Existing services relocated back to Croydon University Hospital in Oct to allow for refurbishment work to start in Nov 2012.

• On completion services will relocate to Purley War Memorial Hospital with clinics scheduled to re-commence in July 2013.

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Project Overview• The project proposal meets 80% of the south Croydon population's (current)

outpatient requirements.

• Benefits are mainly indicated for the local population but it is important to note that the impact of transferred activity from the CUH site also provides improved access and patient experience for the wider Croydon population.

• Greater access to services at Purley increases the range of current and prospective choices available to patients and achieves improved equality in access to services across the whole of the borough.

• Refurbishment will increase delivery of outpatient and therapy-led activity:

• A planned increase from 25,000 to 60,000 outpatient attendances per year. This is a shift of existing patients from the main Croydon University Hospital site.

• Additional diagnostics and urgent care would bring total activity to approximately 90,000 annual attendances/contacts.

• The majority of patients will be seen on a one-stop basis.

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Project Overview Continued ….• Procure21+ (P21+) procurement framework is being used to provide assurance

and performance management procedure that enhances transparency and assists good scheme management. It supports the delivery of sustainable developments and drives best practice. Miller HPS appointed as Trust partner.

• Design process has included clinicians and support services. Their input is essential in ensuring successful delivery of the refurbishment and realising the benefits.

• Patient/User representation on Project Board, working meetings and as part of wider engagement and dialogue has been an underpinning feature of the programme.

• GP commissioners support the development. Commissioners were involved at stakeholder seminars and on the Project Board. The inaugural CCG Board approved and has committed to providing additional documented support to the Capital Management Group for 11 June 2012.

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A popular community facility

A centre of clinical excellence

Brings care closerto home

Improved experience for patients, visitors

and staff

A fully integrated clinical services

Will provide new facilities & services in S Croydon

Site sustainable for25 years

What Will Make This Project Distinctive?

Benefits1. Quality Improvement in clinical effectiveness and safety of diagnostic and

assessment services provided by CHS2. Environment & User Experience

Improvement in the clinical environment and overall user experience for patients, visitors and staff

3. Integration The integration of primary, community, acute and social care services

4. Accessibility Increased range and volume of services 'closer to home' for patients living in south Croydon.

5. Broader Health Community Vision

Support to the vision for greater access to services and integrated care at Purley War Memorial Hospital.

6. Estates Improvement in the condition of the Purley War Memorial Hospital estate and site.

7. Future Proofing Equipping Purley so it supports existing demand and so it can respond effectively and flexibly to future, changing demands

8. Trust Reputation To improve the reputation and attractiveness of the Trust and protect market share.

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Range of services: July 2013

• Purpose built GP facilities

• Urgent Care Services

• Direct Access and supporting diagnostics

• Full range of secondary outpatient services including:

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Total planned activity approx 90,000 attendances pa – meeting 80% of South Croydon’s registered population outpatient requirements

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The Current Condition

Rear of site - currently closed

Rear of site –overgrown areas

Current outpatients waiting room

Corner of consultation room

Current offices

Existing corridors

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Existing Site

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Existing Layout – Ground Floor

X-RAY

UCC

OUTPATIENTS

Some of the Issues: •Rooms too small•Heating issues•Drinking water issues•Water ingress•Damp walls•Potential rot to rafters/joists•Potential infestation

Required Changes:•Potential new roof•Wall alterations•New doorways•New floor finishes•New furniture, fittings & equipment

OUTPATIENTS

PHYSIO

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New Entrance

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New Reception

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New Generic Consult Rooms

New Ground Floor

New First Floor

Public and Patient Engagement• Good public and patient engagement is being achieved.

• Patient/User representatives have been involved from the start of the project on the Project Board, in the development of the project brief, in reviewing early drafts of the full business case, participating in benefits and risk appraisal workshops and design workshops; and a series of public engagement events including:

• Local Residents Associations• The Bourne Society (local history society)• Croydon Natural History and Scientific Society (CNHSS)• GP patient groups

• Further engagement sessions are planned including ‘Market place’ information sessions at local supermarkets

• On the Trust’s website there is a dedicated project webpage providing regular updates and contact information

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Secretary of State’s tests:Feedback on FBC following Project Board meeting

“You have PWRA’s full support on this project. The entire community will welcome major improvements as envisaged” Tarsem Flora - ChairPurley and Woodcote Residents Association (PWRA)

Purley Project Board User Representative

“I am happy to confirm that, where appropriate, the document reflects the considerations and outcomes I have participated in”

David Martin - Vice Chair CHS Patient Assembly

Purley Project Board User Representative

Examples of evidence of listening to Public and Patient Feedback

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Feedback Action taken in project

Car Parking - Concerns over lack of adequate car parking

• Ensuring there is no loss in existing number of car parking spaces on site.• Prioritising patient car parking over staff car parking. Staff will be required to park off

site.• Developing a green travel plan to encourage a reduction in the number of cars by staff,

visitors and patients • Working with local residents association to improve knowledge and availability of local

car parking

Flooding – Concerns over threat of flooding to the hospital

• Contact has been made with the Major’s Office and the Greater London Authority to ensure that the most suitable and pragmatic solutions have been incorporated in the design

Historical features – concerns over their loss during the development

• The Bourne Society is included in work being undertaken to protect and later display historical features and artefacts on the site

Local flora and fauna - concerns over adverse impact during the development

• A detailed bat survey has been undertaken. None found to be present but regular checks will be made to make sure.

• Croydon Natural History and Scientific Society (CNHSS) will be included in signing off the reinstatement of the memorial garden and general plans for the grounds.

Formal Opening – desire to replicate original royal opening of the hospital

• An application has been made to invite the Queen to the formal opening of the hospital. The Trust is currently waiting to hear back from Buckingham Palace.

Key Risks• Formal Risk Register is maintained. Key Risks include:

• Construction Programme – mitigated by:

• P21+ framework and GMP (includes risk share)• Risk ‘pool’ for revised specification/additional equipment

• Clinical Services Programme- mitigated by:

• Specialty/Pathway based specifications• Commissioner sign off re FBC activity assumptions

• Delivery of ‘campus’ environment – mitigated by:

• Agreements in principle with partners at FBC• Co-development of design • Sponsor Board sign off re FBC

• Car Parking08/01/13

Project Progress to date

Task Deadlines Status

Draft FBC sign off by Project Board 27th April 12

Assurance & sign-up from Project Sponsor Group 2nd May 12

Commissioner support 15th May 12

Trust Board Approval 28th May 12

Recommendation by NHS London to SHA for approval of FBC 1st June 12

Funding decision from SHA 11th June 12

11/June/2012

Project Progress to date (1)

Task Deadlines Status

Appointment of P21 Partner (Miller HPS) 30 June 12

Detailed Design June - Oct 12

Dept Design sign-off By 15 Oct 12

Agreement of Guaranteed Maximum Price (GMP) & stage 4 contract 30 Oct 12

Purley Decant Programme 21-30 Oct

Works commence on site Nov 12

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Project Progress to date (2)

Task Deadlines

Appointment of P21 Partner End June 12

Detailed Design June - Oct 12

Agreement of Guaranteed Maximum Price (GMP) Oct 12

Works commence on site Nov 12

Completion of works on site June 13

Newly refurbished Purley Hospital in operational use July 13

Official opening of newly refurbished Purley Hospital Sept 13

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Forthcoming Key Project Milestones

Task Deadlines

Refurbishment phase 1 Nov 12

Diagnostic imaging service re-open at Purley Mar 13

Completion of all remaining refurbishment works June 13

Services move back to Purley July 13

Official opening of newly refurbished Purley Sept / Oct 13

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Validation of Good Practice

Any Comments / Feedback?

•Please feel free to comment Your thoughts and concerns are important and will be accommodated in the project as far as practically and feasibly possible:

Cerian Henshaw – Purley Project Manager

[email protected]

•Further information ….

On the Intranet and on the Internet:

www.croydonhealthservices.nhs.uk

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