New Children’s Hospital Option Appraisal Site Shortlisting Event
Jan 02, 2016
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