New Children’s Hospital Option Appraisal Site Shortlisting Event

New Children’s Hospital

Option Appraisal Site Shortlisting Event

Robert Calderwood

Acute Services Review Programme Director

Introduction

Purpose of the event

Overview of new Children’s Hospital

Site shortlisting process

Site presentations

Acute services strategy

Conclusion and next steps

Morgan Jamieson

Medical Director New Children’s Hospital Project

The New Children’s Hospital Overview

The Royal Hospital for Sick Children is a national, regional and local centre of excellence in the provision of children’s health care

RHSC provides the widest range of tertiary care for children in Scotland

RHSC provides routine hospital care including Accident and Emergency services to Glasgow’s children

The Children’s Hospital as a Provider of National and Regional Services

Cardiac Surgery and Interventional Cardiology Cleft Lip and Palate Surgery Molecular Genetics Renal Transplantation Bone Marrow Transplantation Paediatric Haematology/Oncology

Where do patients come from?

- 52% of patients are from within GGHB- 48% of patients are from other Health Boards

Patient Distribution*

NHSGG (of which)

North Glasgow 20%West Glasgow 25%South East Glasgow 18%South West Glasgow 20%East Glasgow 17%

*Source: 2004/05 SMR Discharge data

Other HBs (of which)

Argyll and Clyde 28%Ayrshire & Arran 13%Forth Valley 8%Lanarkshire 36%Other non NHSGG HBs 15%

What does the new Children’s Hospital offer for patients?

The Project is not just about new buildings – it’s about taking forward a New Model of Care

• Leading Edge Services providing the gold standard of triple co-location of adult, paediatric and obstetric services

• Expanded ambulatory care provision

• A seamless transition to adult services for adolescents with chronic health problems

• Integrating specialist services in hospital with community child health services

• Modern state of the art facilities

• Flexible estate to accommodate new technology and advances in medicine

The new Children’s Hospital advances the aims of the Kerr Report

Providing paediatric care to age 16 Treatment offered locally through the development of

clinical networks National networks for a number of highly specialised

services Use of telemedicine and e-health Better access to specialist services

Our Aims

To have the needs of the child and the family as a central theme to the model of care

To recognise and meet the needs of particular paediatric sub specialty services

To co-locate adult, obstetric and paediatric services on one site

To meet the needs of parents and families To provide an optimal working environment for staff and

assist in the recruitment and retention of staff To meet the needs of post graduate and undergraduate

teaching and funded research and development To create a healing environment

Taking forward our vision for the new Children’s Hospital

The Planning Process – After Site Evaluation -

We Will:– Establish the Project Team, appoint Architects and

Technical Advisers– Engage with the community, Patients and Parent User

groups on the design brief– Engage with paediatric staff, GPs, public health on the

design brief– Incorporate the views of the service commissioners of

paediatric services - West of Scotland Health Boards and the National Services Division

Timescales for the project

05 06 07 08 09 10

1 Site Option Appraisal OCT

2 Clinical Stakeholder Engagement

OCT MAR

3 Service Design JAN DEC

4 OBC NOV SEPT

5 Design & Facility Brief MAY/ DEC

6 FBC DEC APR

7 Design & Construction

8 Handover & Commissioning

Any Questions?

Catriona Renfrew

Director of Planning and Community Care

Overview of process

First Event

Part one reviews all available hospital sites with a view to shortlisting all of those which have available developable land

Part two sets out our acute services plans and reviews those sites against the requirement to achieve co-location with adult and maternity services

Overview of process

Second Event

Considers each shortlisted site against key criteria

Criteria include clinical, access, and patients issues

Scoring undertaken by 90 people in groups

Generates a score for each site

Overview of process

Ministerial Group

Considered this process at early September meeting

Agreed the process should proceed

Outcome to be reported back to end October meeting

Group consideration followed by public consultation

Site shortlisting process

Presentation of all hospital sites showing developable land

Timing considerations-land available at 2007

Space parameter 40,000 square metres

Timescales for the project

05 06 07 08 09 10

1 Site Option Appraisal OCT

2 Clinical Stakeholder Engagement

OCT MAR

3 Service Design JAN DEC

4 OBC NOV SEPT

5 Design & Facility Brief MAY/ DEC

6 FBC DEC APR

7 Design & Construction

8 Handover & Commissioning

40,000 square metres

Present size of Yorkhill

Assume reductions for efficiency and clinical change

Assume expansions for national and tertiary services

Compare to other planned Children’s Hospital

Any Questions?

Peter MoirDeputy Head of Property and

Capital Planning

View maps on separate presentation

Any Questions?

Catriona Renfrew

Director of Planningand Community Care

Need for change

Age and appropriateness of building stock and facilities

Training and working hours changes

Subspecialisation

Streaming emergency care

Total programme - £750 million

Additional Ministerial funding for children’s hospital - £100 million

Key strands

Acute services delivered from five sites:- Three inpatient sites- Two ambulatory care hospitals

Reduce A&E Numbers:- Closure of VI- Closure of WIG- Closure of Stobhill

Reduced orthopaedic sites:- Closure of VI- Closure of WIG

Reduced acute receiving sites:- Closure of VI- Closure of WIG- Closure of Stobhill

Reduced inpatient sites:- Closure of VI- Closure of WIG- Closure of Stobhill

Consolidation of smaller specialties

Revised pattern of inpatient services

1) Gartnavel General Hospital

GP Medical and Surgical Receiving

Breast Surgery

Ophthalmology

Post Acute Rehabilitation

West of Scotland Oncology Service

Care of the Elderly

Acute Psychiatry

Revised pattern of inpatient services2) Glasgow Royal Infirmary

Accident and Emergency

Orthopaedics and Trauma

Medical Specialties

Care of the Elderly

Plastic Surgery

Colorectal Surgery

Upper GI Surgery

Maternity and Gynaecology

Acute Rehabilitation

Burns

Revised pattern of inpatient services3) Southern General

Accident and Emergency

Orthopaedics and Trauma

Medical Specialties

Care of the Elderly

Acute Psychiatry

ENT

Acute Rehabilitation

Colorectal Surgery

Vascular Surgery

Renal Medicine and Transplant

Maternity and Gynaecology

Neurosciences and Surgery

Perinatal Mental Health

Maxillofacial Surgery

Spinal Injuries

Revised pattern of inpatient services4) Other points

Children’s hospital would have remained at Yorkhill with a new children’s Accident and Emergency service

Urology will be provided at SGH or GRI

Cardiothoracic surgery is likely to be at the Golden Jubilee National Hospital

Building pattern and timingsPhase 1 – complete 2007/08

West of Scotland Cancer Centre

New hospitals at Stobhill and Victoria

Total £267 million

Building pattern and timingsPhase 2 – complete 2009/2010

Newbuild Southern General Hospital

Present maternity building upgraded and expanded

Modernised neurosciences and care of the elderly facilities remain

Total £320 million

Building pattern and timingsPhase 3 – complete 2010/2011

Newbuild Glasgow Royal Infirmary

New maternity building in situ

Total £150 million

Building pattern and timingsPhase 4 – complete 2012/2013

Newbuild Gartnavel hospital

New oncology facilities remain

Total £120 million

Acute services review conclusion

Three sites offer inpatient acute services

Only GRI and SGH offer maternity services

Any Questions?

Robert CalderwoodAcute Services Review

Programme Director

Conclusion and next steps