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Master Template

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Title: Master Template


1

New Hospital Healthcare Facilities 14th
August 2014
Our community, we care, you matter ......
2
Working in partnership to transform healthcare in
Orkney
  • Cathie Cowan
  • Chief Executive

Our community, we care, you matter ......
3
Our Project
  • This is not a routine contract / build. This is a
    legacy project that will profoundly influence
    healthcare in Orkney for the next 60 years plus
  • The quality of our solution will directly
    influence the safety of our most vulnerable
    people and the perception of their experience.
    This will be the most significant capital project
    the Board will undertake this century
  • We are a small Board with limited numbers of
    senior managers and senior clinical leaders.
    Weve taken the decision to dedicate some of the
    very best of these to this project. It is
    therefore an outstanding team

Our community, we care, you matter ......
4
Our Project
  • Throughout this process we will be assisted by
    Scottish Government, Scottish Futures Trust,
    Health Facilities Scotland and external
    professional advisors. We will also work with
    our local partners notably Orkney Islands Council
    and Voluntary Action Orkney
  • We will want to work with a bidder that fully
    understands our requirements and can demonstrate
    exceptional standards of innovation, engagement
    and delivery
  • Orkney has a tradition for outstanding
    architecture, many people over the centuries have
    come to Orkney and left their legacies now our
    heritage, we want you to make the same impression

Our community, we care, you
matter ......
5
Our Outline Business Case
  • Sets out our vision for reshaping and investing
    in health services as part of whole system health
    and care redesign
  • The underlying impetus driving this investment is
    three-fold
  • Improving and redesigning clinical services
  • Benefits for our patients, our staff and our
    communities
  • Replacement of buildings
  • Articulates our clinical service delivery model
    and proposals for the replacement of our Rural
    General Hospital and related healthcare
    facilities within a landmark building

Our community, we care, you matter ......
6
Our Strategic Context
Our community, we care, you matter ......
7
Our Local Context
  • The new hospital and healthcare facilities will
    provide the functions both of a Rural General
    Hospital (RGH) for Orkney as well as two primary
    care practices with their own entity and sense of
    place. Public Dental Services, Scottish
    Ambulance Service and NHS24 will be co-located on
    site
  • Kirkwall Hospital is the only acute health care
    facility in Orkney and as such must manage all
    acute presentations. Unlike most mainland
    Boards, irrespective of demand it cannot close to
    admissions which reflects the need to have
    operational capacity both in terms of physical
    resources (beds) and workforce
  • Innovation to support health care delivery is
    vital to the success of this project

Our community, we care, you matter ......
8
Our Local Context
  • Our geography, our transport links and the need
    for our staff to respond to every emergency
    presents situations and opportunities to think
    and do things differently
  • NHS Orkney relies significantly on visiting
    Consultants to support specialist ambulatory care
    and outpatient activity. Scheduling appointments,
    admission and discharge time is dependent on air
    and ferry schedules. Some patient groups (e.g.
    maternity) may have a longer length of stay due
    to where they live and/or fixed travel
    timetables


  • Our community, we care, you matter ......

Our community, we care, you matter ......
9
Our Key Investment Objectives
  • To improve capacity and access to health care
    services ensuring the health needs of the
    population are met
  • To provide facilities/services that are
  • Fit for purpose
  • Support safe and effective clinical working
  • Improve clinical and functional relationships
  • Enable the provision of modern NHS care
  • Provide sufficient flexibility for future changes
    to service provision
  • To ensure that the hospital and services are
    developed in such a way as to maximise
    performance and efficiency
  • To maximise benefits of shared facilities
  • To enable innovative ways of working
  • To develop an effective solution within an
    affordable financial envelope having regard to
    the cost and time taken to procure NHS premises

Our community, we care, you matter ......
10
Our expectations
  • A partner who shares our values
  • A partner who is just as passionate about
    providing innovative health service solutions as
    us
  • A partner who understands the importance of
    physical layouts and interior ambience and how
    that impacts on our patients, our staff and our
    visitors
  • A partner who respects and grasps our remote and
    rural context
  • A partner who acknowledges the importance of this
    Project and what it means for our communities
  • Our record shows we are a Board that aims high
    and achieves. As our partner, convince us that
    you share our ambition and demonstrate an ability
    to deliver a solution that will become a
    memorable and outstanding legacy  

Our community, we care, you matter ......
11
Deputy Director Scottish Government Health
Social Care Directorates
Mike Baxter
Our community, we care, you matter ......
12
Importance of this project
  • Future proofing and providing sustainable
    services
  • Supports a clinical service model that has SG
    support
  • Utilising investment to maximise efficiency and
    value for money
  • Generational opportunity which must be maximised

13
NPD In Context
  • Supplements our capital budget
  • New South Glasgow Hospitals completion Legal
    Commitments
  • Remaining net capital budget directed towards
    maintenance/ equipment
  • State of the NHSScotland Asset and Facilities
    Report 2013
  • Additional Investment supported by RDEL to CDEL
    Transfers of up to circa 100m per annum

14
Delivering the NPD programme
  • Tried and tested standard processes and
    governance
  • SG, SFT and Boards working together to develop
    and deliver pipeline
  • Parameters already set out by Scottish Government
    Letter to NHS Boards of 22 March 2011
    http//www.pfcu.scot.nhs.uk
  • Focus on development of proposals with robust
    outline business cases
  • Defined scope
  • Affordability well developed
  • Delivery confidence essential

15
Our Involvement in the Project
  • Explicit Support for Orkney project as part of
    Infrastructure Investment Plan published in
    December 2011
  • Project Board
  • Capital Investment Group - Approval
  • Independent Assurance -Key Stage Review
  • Approve Funding Conditions

16

Kerry Alexander NPD Programme Director
Our community, we care, you matter ......
17
A programme perspective Kerry Alexander NPD
Programme Director
18
18 July 2014
19
Major NPD projects status August 2014
Project Status Procurement Construction Financial Close
Inverness College Financial Close v May 2013
City of Glasgow College Financial Close v August 2013
M8/M74/M73 Financial Close v February 2014
Ayrshire College Financial Close v May 2014
NHS Ayrshire Arran Acute Mental Health and NACH Financial Close v June 2014
SNBTS National Centre Preferred Bidder v August 2014
NHS Lothian RHSC/DCN Preferred Bidder v October 2014
Aberdeen Western Peripheral Route Preferred Bidder v October 2014
NHS DG Acute Services Redevelopment Project Final Tender v January 2015
NHS Orkney New Healthcare Facilities OJEU v Spring 2016





20
What makes this project different

21
Drawing on lessons learned
  • Design - being clear what works and what can be
    improved on
  • Preparation and clarity on dialogue approach
  • Well resourced project team and bidder team
  • Agile and pragmatic decision making
  • Good stakeholder management

22
Scottish Futures Trust

23
Expectations of bidders
  • Addressing the need for great quality, highly
    sustainable facilities, delivered with maximum
    benefit to local communities
  • Consideration of the NPD principles and risk
    profile
  • Pragmatic approach to dialogue and standard
    contract
  • Appropriate rate of return for risks taken

24

Gerry O Brien Deputy Chief Executive/ Director
of Finance
Our community, we care, you matter ......
25
Your opportunity
  • Development must
  • recognise the financial realities of the NPD
    programme
  • affordable and be delivered within cost cap
  • avoid unnecessary embellishment and unproductive
    space
  • provides space for needs not wants

Our community, we care, you matter ......
26
Reference Design
  • 12,900 m2 for hospital and primary care
    facilities
  • Plus 1,500m2 for Clinical Support Facilities in
    separate on-site building
  • Clinical Support facilities are office type
    accommodation that we believe are more
    efficiently provided in a separate on-site
    building
  • We wish to explore the optimum solution for the
    Clinical Support accommodation
  • Circa 300 car parking spaces and extensive
    landscaping

Our community, we care, you matter ......
27
Reference Design
  • Reference design
  • prepared to RIBA stage 2 we seek solutions to
    enhance and improve this
  • made available to bidders along with our internal
    assessment using final bid evaluation criteria
  • We want bidders to be bring their own ideas,
    innovation and improvement, therefore limited
    mandating
  • Our community, we care, you matter ......

28
Mandated Elements
  • All inpatient beds to be on one level to achieve
     co-located inpatient areas to facilitate the
    ability to flex beds and staffing when there are
    peaks and troughs of inpatient numbers across the
    separate units, without moving  or boarding
    patients
  •  In-patient rooms to be designed with
    interlocking en-suite rooms
  • Clinical adjacencies to be compliant with the
    1500 adjacency matrix
  • Macmillan unit to have a dedicated entrance at
    ground level with direct access to an external
    garden area
  • The Schedule of Accommodation reflects the
    minimum space requirements
  •  

Our community, we care, you matter ......
29
Facilities Management
  • Standard form NPD Project Agreement provision of
    hard FM and lifecycle maintenance
  • No TUPE transfers envisaged
  • NHSO is open to dialogue with bidders to optimise
    FM delivery

Our community, we care, you
matter ......
30
Energy
  • We will adopt the standard NPD Project Agreement
    position on energy provision
  • Bidders will be aware of significant renewable
    energy generation in Orkney which should provide
    opportunities for achievement of low carbon
    facility
  • Invite energy solutions that maximise operational
    energy efficiencies
  • BREEAM excellent rating against 2011 scheme

Our community, we care, you matter
......
31
Equipment and IT
  • Project Co to be responsible for provision of
    group 1 equipment and installation of group 2
  • Some group 1 may be specified by NHSO
  • IT infrastructure must recognise that links to
    mainland hospitals outwith Orkney and outlying
    islands are crucial
  • Infrastructure to allow NHSO to be at the
    forefront of telehealth developments
  • Telehealth and IT decision making support is
    everyday business

Our community, we care, you matter
......
32

Stephen Kemp Regional Chair Scottish Builders
Federation
Our community, we care, you matter ......
33
  • New Hospital Healthcare Facilities
  • Orkney Supply Chain

34
  • All groundworks, drainage, road installation
  • Cranage and haulage
  • Concrete and associated formwork steelwork
  • Steel erection and cladding
  • Blockwork, render, roughcast
  • Windows Ext doors
  • Insulation and sealants
  • Dry lining and internal finishing joiner trades
  • Ames Taping
  • Decoration
  • Electrical, mechanical and plumbing
  • Ground source including boreholes (MCS)
  • Solar thermal PV (MCS)
  • Surfacing, paving, road marking
  • Landscaping
  • Full FM support

35

Ann McCarlie Project Director
Our community, we care, you matter ......
36
PQQ Timetable
Stage Date
PQQ Return Date 12 noon, Friday 5th September 2014
Number of Copies Required - 7 CD ROMs plus 3 Hard Copies Number of Copies Required - 7 CD ROMs plus 3 Hard Copies

Shortlist Announced Tuesday 28th October 2014

Debrief Reports Issued to Unsuccessful Candidates Monday 17th November 2014
Our community, we care, you matter ......
37
PQQ Questions
  • Community Benefits (A19)
  • We want to contribute to sustaining and
    developing the wider Orkney community
  • opportunities for training, employment and
    education for the full term of the contract
  • This will be a landmark public building and we
    want the people of Orkney to identify with the
    development
  • the community should feel a sense of ownership of
    the design and of any artwork and the landscaping

Our community, we care, you matter ......
38
PQQ Questions
  • Comparable Experience (B4, B5 and B6)
  • Covers PPP, Non PPP and remote and rural projects
    in last 5 years
  • 3 examples of PPP projects
  • 3 examples of non PPP projects
  • 2 examples of remote and rural projects

Our community, we care, you matter ......
39
PQQ Evaluation
  • Appendix 1 of the PQQ provides the proforma for
    completion in respect of each case study
    submitted by candidates
  • The evaluation methodology is set out in Appendix
    2
  • Appendix 3 details the sections within the PQQ
    and who should respond
  • Appendix 4 gives the scoring for questions B8 and
    C8

40
Short-listing
  • The Board only intends to shortlist three
    candidates
  • The Board will shortlist those achieving the
    highest scores following the detailed evaluation
  • The shortlisted Candidates will each receive the
    Invitation to Participate in Dialogue which will
    confirm the arrangements for next stage of the
    procurement process and the award criteria

Our community, we care, you matter ......
41
Competitive Dialogue Timetable
Submission Meeting Scope Location
Dialogue Session 1 w/c 17 Nov 2014 w/c 24 Nov 2014 Technical Design Orkney
Dialogue Session 1 w/c 17 Nov 2014 w/c 24 Nov 2014 Legal Financial Edinburgh
Dialogue Session 2 w/c 15 Dec 2014 w/c 05 Jan 2015 Technical Design Orkney
Dialogue Session 2 w/c 15 Dec 2014 w/c 05 Jan 2015 Legal Financial Edinburgh
Dialogue Session 3 w/c 26 Jan 2015 w/c 02 Feb 2015 Technical Design Edinburgh
Dialogue Session 3 w/c 26 Jan 2015 w/c 02 Feb 2015 Legal Financial Edinburgh
Interim Submission w/c 02 March 2015 Feedback w/c 30 March 2015 Edinburgh

42
Competitive Dialogue Timetable
Submission Meeting Scope Location
Dialogue Session 4 w/c 13 April 2015 w/c 20 April 2015 Technical Design Edinburgh
Dialogue Session 4 w/c 13 April 2015 w/c 20 April 2015 Legal Financial Edinburgh
Dialogue Session 5 w/c 11 May 2015 w/c 18 May 2015 Technical Design Edinburgh
Dialogue Session 5 w/c 11 May 2015 w/c 18 May 2015 Legal Financial Edinburgh
Dialogue Session 6 w/c 08 June 2015 w/c 15 June 2015 Technical Design Orkney
Dialogue Session 6 w/c 08 June 2015 w/c 15 June 2015 Legal Design Edinburgh
Final Submissions Submission Event Date Location
Draft Final Submission w/c 29 June 2015 Presentation w/c 06 July 2015 Orkney
Draft Final Submission w/c 29 June 2015 Feedback Meeting w/c 13 July 2015 Edinburgh
Draft Final Submission w/c 29 June 2015 Final Report w/c 27 July 2015 Edinburgh or via VC
Final Submission w/c 31 Aug 2015
Preferred Bidder Selected/Notified w/c 19 Oct 2015
43
NHSO Project Team
44
NHSO Competitive Dialogue
45
Project Overview and Summary
  • Cathie Cowan
  • Chief Executive

Our community, we care, you matter ......
46
Project Overview
  • This NPD project will include a Hospital and
    Healthcare facilities under one roof
  • This NPD project is very different to other
    Hospital Projects, it looks to deliver a Rural
    General Hospital
  • This is very different from a District General
    Hospital in that its main elective workload is
    low risk, paradoxically its emergency care
    activity is as potentially acute as any tertiary
    care hospital

Our community, we care, you matter ......
47
Some of Our Unique Factors
  • The most significant and unique factor of this
    project is that whatever the circumstances the
    hospital cannot close to admissions
  • There are occasions when patients cannot be
    transferred off the island due to bad weather and
    acutely ill adults and children have to be cared
    for until transfer is possible
  • The scheduling of appointments, admission and
    discharge time is dependent on air and ferry
    schedules
  • Inter-island and mainland tele-medicine / video
    conferencing links are central to day-to-day
    clinical operations and must be robust and
    resilient

Our community, we care, you matter ......
48
The Challenge
  • To provide this unique facility within the cost
    cap
  • To build a facility that
  • patients will feel at ease in
  • staff will enjoy working in
  • visitors will comment on its ambience
  • helps support the delivery of 21st century
    healthcare
  • the community will be proud of
  • The community should feel a sense of ownership of
    the design and it should utilise materials that
    look at home in Orkney and that are suitable for
    our distinct climate

Our community, we care, you matter ......
49
The Opportunity
  • In short, we want a partner that can acknowledge
    that this is a legacy project that will
    profoundly influence healthcare in Orkney for the
    next 60 years plus
  • We in return will promise a competent dialogue
    process that is open, flexible and works to
    timetable
  • We need you to recognise Orkney is special,
    people and communities matter to us, because we
    care
  • As a Board we aim high and achieve. As our
    partner convince us that you share our ambition
    and together lets deliver a solution that will
    become a memorable and outstanding legacy  

Our community, we care, you matter ......
50
Thank You
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