SALISBURY NHS FOUNDATION TRUST

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1 SALISBURY NHS FOUNDATION TRUST PAPER SFT 3139 TITLE CAPITAL DEVELOPMENT REPORT TO THE TRUST BOARD FOR THE PERIOD FEBRUARY MAY 2011 PURPOSE OF PAPER The purpose of this paper is to up-date the Board on developments with some of the more significant capital schemes on the Salisbury District Hospital site since the date of the last report (January 2011). EXECUTIVE SUMMARY The main highlight of this report includes the handover of the final phase of the Emergency Department project. At the time of writing, handover of the new Paediactric Unit was expected to be completed by Friday 27 th May Updates are included for the other significant schemes in the approved capital programme. ACTION REQUIRED BY THE BOARD To note the progress of the Trust s significant capital building schemes. Laurence Arnold Director of Corporate Development

2 SALISBURY NHS FOUNDATION TRUST TRUST BOARD 6 June 2011 PAPER: SFT 3139 CAPITAL DEVELOPMENT REPORT The purpose of this report is to update the Board on developments with some of the more significant capital schemes since the last report (January 2011). Emergency Department (internal) reconfiguration A phased programme of difficult internal reconfiguration work is now completed. The work on site contracted to complete in December 2010 have overrun until late April 2011, due to a combination of client variations, poor contractor resourcing and inclement weather affecting site worker attendance in late November and December See Appendix A for further details. SDH redevelopment project (Phase 3 Paediatrics) The project on Levels 3 and 4 of the SDH North building is now completed. The work on site contracted to complete in December 2010 has overrun until the end of May Non-completion certificates have been issued by the architect as most of the current delays have been seen as the fault of Pearce and the Trust will be seeking damages accordingly. The service plans to be fully operational in SDH North by end of June See Appendix B for further details. Private Patients Unit The building contract to convert Ebble Ward on the lower ground floor of the Spinal Unit into a 4 bedded private patient facility was completed in December A further package of minor works is now complete. Final commissioning and equipping saw the new Unit operational by the end of January See Appendix C for further details. THIS IS THE FINAL REPORT ON THIS SCHEME NICU relocation and Parent s Accommodation At the April meeting the Trust Board approved a business case to relocate NICU and create transitional care beds, reconfiguring the postnatal ward to improve the environment and privacy, along with the creation of more single rooms. This scheme will also see parent s accommodation provided in the vacated NICU building funded through the Stars Appeal. See Appendix D for further details.

3 Maternity services A scheme is being developed which will see the transfer of antenatal and postnatal services into the current Pembroke Ward and Suite. A subsequent phase will bring forward the creation of a low risk birthing facility. This scheme will better equip the department to manage an increasing birth rate, centralise maternity services on one side of the SDH Central corridor and create opportunities to provide one central entrance point for Maternity. A business case for the whole scheme will be brought to the July Trust Board meeting. Spinal Unit outpatients reconfiguration This scheme will see outpatient based services in a dedicated facility with new patient hoists and an expanded clinical treatment space. The project is a waiting resourcing and initiation. Other SDH Site Redevelopment schemes Once the new Paediatric department is relocated in SDH North, the vacated accommodation in SDH Central will be available for review and optimum usage. Some space in the old Sarum Ward will continue to house administration offices for those Paediatric staff who have not been accommodated in the new Paeds along with some of the staff displaced from Level 3 and 4 (currently residing at SDH South). Limited funds are available this year as reflected in the Trust Board approved capital programme for 2011/2012. Work is continuing to investigate development opportunities for the vacated areas of SDH South. A meeting will be held on 31st May with the strategic planning arm of the Wilstshire Council to look at opportunities. Further steps to seek potential interest in the market will see a Memorandum of Information being issued in June. Other significant schemes in the Approved Capital Programme for 2011/2012 An update is attached in the Annex. Laurence Arnold Director of Corporate Development 24 May 2011

4 Other significant schemes in the Approved Capital Programme for The purpose of this Annex is to up-date the Trust Board on other schemes that make up a significant part of the current Capital Programme. Scheme and description Electricity at work regulations compliance (7828C0) Completion date Budget cost incl VAT Inspection and testing of fixed electrical installations across the SDH site following legislation and DH guidance. Excludes PFI buildings. Having slipped from 2010/11, this is now the first full year of a 3 years funding requirement March k Combined Heat and Power (CHP) (7670C0) A replacement CHP Unit was installated early in 2011 with interest free SALIX loan for 911k. The system is due to become operational on 4 th July July k Building Management System (BMS) upgrade (7814C0) A phased invest to save project to replace all of the outdated BMS outstations, operating system and head end hardware. (2nd year of 3 years funding requirement). Contractor (BAS) is carrying out the work. *Includes 188k slippage from 2010/11. Efficiency schemes (7703C0) March k* Funding available to support efficiency projects with rapid payback revenue savings identified during the period. March k Central Blocks hot water (7023C0) Moving the domestic hot water load from the Central to Spinal Unit boiler house will save energy, reduce legionella risks and improve efficiencies recycling accumulated heat. October k DSU theatres mechanical plant (7027C0) This scheme will see the 25 year old ventilation and chiller plant to Theatres A & B replaced. March k Sewer repairs generally (7024C0) This scheme will see various foul drainage blockages in the vicinity of SDH North investigated and repaired. A collapsed sewer close to the Nunton entrance has already been repaired (value 20k expended). March k

5 APPENDIX A CAPITAL DEVELOPMENTS 4 MONTHLY REPORTING TO TRUST BOARD PROJECT CURRENT STATUS CAPITAL JOB NO. EMERGENCY DEPARTMENT (INTERNAL) RECONFIGURATION COMPLETION OF CONTRACT 7408C0 COSTS ( ) APPROVED BUDGET SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO BUDGET ED SCHEME (11/12 ALLOCATION) 217,223 1,360 40, ,223 Spend to date is up to 30 April The Approved Budget excludes any remaining Stars Appeals contribution. The overall project budget is expected to show a saving, partly due to the lower than forecast tenders. TIMESCALES NEXT SIGNIFICANT MILESTONES: ORIGINAL PROGRAMME DATES ACTUAL DATES VARIANCE + / - TO ORIGINAL PROG. START ON SITE September 2009 February months OPERATIONAL DATE August st April months The original programme dates shown above are those given in the Options for the Emergency Department paper presented to the Board in May 2008 at Appendix D. The works on site were planned to take 44 weeks in 6 phases with contract completion 6 December Various delays and time for extra works (e.g entonox) have been mitigated by re programming to give a revised completion date of 17 December Final handover was 21 st April Non completion certificates have been issued against the main contractor for current delays. It is expected that the main contractor will be presenting a claim for loss and expense. PREPARED BY SUE BIDDLE PROJECT MANAGER 23 MAY 2011

6 APPENDIX B CAPITAL DEVELOPMENTS 4 MONTHLY REPORTING TO TRUST BOARD PROJECT PHASE 3 PAEDIATRICS CURRENT STATUS IN CONTRACT CAPITAL JOB NO. 7994C0 COSTS ( ) APPROVED BUDGET SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO BUDGET PAEDIATRICS SCHEME (11/12 ALLOCATION) 53,275 52, , ,000 Spend to date in is up to 30 April The Approved Budget for excludes any remaining Stars Appeals contribution. After taking into account VAT recovery at 28%, the final project cost is currently expected to exceed approval by 160,000. This may be mitigated (in part) by liquidated damages charged against the main contractor for delays.. TIMESCALES NEXT SIGNIFICANT MILESTONES: ORIGINAL PROGRAMME DATES ACTUAL DATES VARIANCE + / - TO ORIGINAL PROG. START ON SITE February 2010 February 2010 NIL OPERATIONAL DATE December June months The contract completion date of Phase 3 Paediatrics was 6 th December Final handover is expected on 27th May Non completion certificates have been issued against the main contractor for current delays. As expected, the main contractor has issued a financial claim for loss and expense. PREPARED BY SUE BIDDLE PROJECT MANAGER 23 MAY 2011

7 APPENDIX C CAPITAL DEVELOPMENTS 4 MONTHLY REPORTING TO TRUST BOARD PROJECT CURRENT STATUS CAPITAL JOB NO. PRIVATE PATIENT UNIT COMPLETED (THIS IS THE FINAL REPORT FOR THIS SCHEME) 7285C0 COSTS ( ) APPROVED BUDGET SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO BUDGET FUNDING (EXCLUDING EQUIPMENT) 393,296* 385, ,296 NIL Spend to date is up to 30 April Funding comprises: Main contract works (Castleway) 246,000 Post contract works (ETS in house) 17,000 IT works 10,000 Fees and other enabling costs 25,000 VAT (non recoverable) 52,000 Equipment and commissioning costs are also included. TIMESCALES NEXT SIGNIFICANT MILESTONES: ORIGINAL PROGRAMME DATES ACTUAL DATES VARIANCE + / - TO ORIGINAL PROG. START ON SITE September 2010 September 2010 NIL OPERATIONAL DATE January 2011 January 2011 NIL PREPARED BY SUE BIDDLE PROJECT MANAGER 23 MAY 2011

8 APPENDIX D CAPITAL DEVELOPMENTS 4 MONTHLY REPORTING TO TRUST BOARD PROJECT CURRENT STATUS CAPITAL JOB NO. NICU RELOCATION AND PARENT S ACCOMMODATION IN DESIGN 7004C0 COSTS ( ) APPROVED BUDGET SPEND TO DATE FORECAST OUT-TURN VARIANCE + / - TO BUDGET EXCHEQUER FUNDING PHASE 1 (EXCLUDING EQUIPMENT) STARS APPEAL PHASE 2 FUNDING (EXCLUDING EQUIPMENT) 380, ,000 NIL 300, ,000 NIL Spend to date is up to 30 April On completion of the design, the PMB is to make a decision on reuse or replacement of the existing heating system in Wilton Ward (considerations are cost, energy efficiency, maintenance and repair, future disruption/decanting) before tendering. TIMESCALES NEXT SIGNIFICANT MILESTONES: ORIGINAL PROGRAMME DATES ACTUAL DATES VARIANCE + / - TO ORIGINAL PROG. IN CONTRACT (PHASE 1 NICU RELOCATION) START ON SITE COMPLETION October 2011 January 2012 October 2011 January 2012 NIL IN CONTRACT (PHASE 2 PARENT S ACCOMMODATION) START ON SITE COMPLETION February 2012 May 2012 February 2012 May 2012 NIL This scheme will be tendered in the August 2011 and completed in two phases. Phase 1 will see the new NICU located in the former Wilton Ward in SDH Central. Following transfer of the service, Phase 2 will see the former NICU building (along with small extension) will be transformed into four ensuite parents bedrooms with supporting facilities (all funded by the Stars Appeal). PREPARED BY SUE BIDDLE PROJECT MANAGER 23 MAY 2011