Badenoch & Strathspey Re-design of Services

Development Group

12th May 2015

Outline Agenda

1. Welcome and introductions 2. Up-date on progress:

– Design statement – Site selection – Transport and Access Group

3. Business case process and Initial Agreement 4. Future project structure 5. Ongoing engagement (public, partners, staff) 6. Next steps and timescales 7. AOCB

Design Statement

Heather Cameron

Senior Project Manager

NHS Highland Estates Department

Design Statement

Process • Workshop 1 – AEDET – Achieving Excellence Design

Evaluation Toolkit: 26th Feb 2015 (Led by Susan Grant, Principal Architect, Health

Facilities Scotland) • Workshop 2 – Design Statement: 10th Mar 15 (Led by Heather Chapple, Head of Design Forum,

Architecture and Susan Grant)

• Workshop 3 – Design Statement: 10th Mar 15 (Led by Heather Chapple)

Design Statement

Process • How the statements will be used

• Statements drafted and circulated for comment

• Final draft circulated 6th May

Design Statement

• Key discussion points:

– Stakeholder involvement going forward

– Visits to other facilities

Site Selection

Heather Cameron/Kenny Rodgers

Four short-listed sites A - Granish Farm B –Milton C – Technology Park D – Pony Field On qualitative factors 1st = Technology 2nd = Grainish 3rd = Pony Field 4th = Milton

Quantitative Factors

• Other important factors such as:

– development costs

– land purchase

– suitability of the land for construction also have to be considered

• Initial Site Assessment produced by hub North Scotland Ltd, 7th May 2015

Transport & Access

Nigel Small

Working Group

• Group established in September 2014 and has met four times most recently in April 2015. Members include:

– Badenoch & Strathspey Access Panel – Badenoch & Strathspey Transport Company – Cairngorms National Park Authority – Community representatives – Highland Council elected members and officials. – NHS Highland – Scottish Ambulance Service, – Youth representatives

Actions

• Identifying the existing budgets and spend on services

• Looking at how resources can be shared and used collectively

• Liaising with commercial providers about potential new routes

Investment

• Local Transport Company has been successful in securing funding from the Bus Investment Fund for new investment and infrastructure over the next 5 years

• NHS Highland and other partners have match funded this to provide ~£500,000 to support improved transport arrangements as part of this business proposal

Business Case Process &

Initial Agreement Document

Kenny Rodgers

Three stage process

• Stage 1 – Initial Agreement – establishing the case for change and preferred way forward.

• Stage 2 – Outline Business Case – Examine the IA options in more detail including value for money, affordability and procurement.

• Stage 3 – Full Business Case – Finalising the preferred option prior to financial and legal close

IA Document

• Builds on all the preparatory work, options appraisal and public consultation

• Need to demonstrate that we can facilitate whole-system redesign capitalising on integration of health and social care services plus collaboration with partner agencies, third and independent sector

• Be clear on the future benefits and how these will be assessed and measured

Key sections

• Much of the document reflects work already presented

- Consultation & Major Service Change process

- Option Appraisal & preferred service solution

- Site option appraisal

- Design statement

Key sections

• The document also includes key sections members may not be so familiar with:

– Strategic risks

– Constraints and dependencies

– Outline commercial case

– Outline financial case

– Outline project management case

Issues & Risks

• Business Case Process is time consuming

– Lot of work behind the scenes

• Still got to develop the detail around care-at-home and community services

– Will bring confidence to deliver

• People want to know what will happen to the hospitals – needs to be sensitively managed

• Still got to agree a site

Other key risks for successful delivery ?

Formal IA sign-off process

– NHS Highland Asset Management Group – 26th May 2015

– NHS Highland Board – 2nd June 2015

– Scottish Government Capital Investment Group – 30th June 2015

Future Project Structure

Nigel Small

Future project structure

Members to sit on Project Board

Ongoing engagement

Maimie Thompson

Head of PR and engagement

Next steps

• Continue with development group

• Appoint members to Project Board

• Stakeholders on working groups

• Further round of meetings with community councils, local groups and committees

– Would this be helpful?

• Project team continue to be available and make information available

Next steps & time-scales

Nigel Small

OBC Next Steps

• Complete site appraisal

– Site investigations into ground conditions

– Development costs

– Planning conditions/constraints

• Complete initial scoping work and make recommendations re physical dependencies:

– Grantown Health Centre/Ian Charles

– Kingussie Medical Practices/St Vincent’s

Service delivery & evaluation

• Further detailed clinical discussions and service specifications: what, where, how

– Number of beds

– Community infrastructure

– Care-at-home

– Out-patients

• Set-up evaluation with established baseline measures and predictions

Business Case Process

• Appoint HubCo Oct 2015

• Outline Business Case May 2016

• Full Business Case May 2017

• Site Commencement Jul 2017

• Service commencement Jan 2019