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Badenoch & Strathspey Re-design of Services
Development Group
12th May 2015
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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
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Design Statement
Heather Cameron
Senior Project Manager
NHS Highland Estates Department
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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)
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Design Statement
Process • How the statements will be used
• Statements drafted and circulated for comment
• Final draft circulated 6th May
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Design Statement
• Key discussion points:
– Stakeholder involvement going forward
– Visits to other facilities
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Site Selection
Heather Cameron/Kenny Rodgers
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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
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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
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Transport & Access
Nigel Small
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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
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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
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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
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Business Case Process &
Initial Agreement Document
Kenny Rodgers
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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
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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
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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
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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
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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
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Other key risks for successful delivery ?
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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
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Future Project Structure
Nigel Small
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Future project structure
Members to sit on Project Board
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Ongoing engagement
Maimie Thompson
Head of PR and engagement
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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
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Next steps & time-scales
Nigel Small
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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
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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
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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