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Harston Surgery Job No Harston Surgery Job No. 111637 FBC Author: A Folan-White Checked by: S Clarke Date: November 2020 Status: For comment OBC Harston Surgery Job No: 111637 - Date: November 2020 CONTENTS FBC – Harston Surgery Appendix No Document Description 1 Letter from Jan Thomas 2 Email from Jonathan Stone 3 Cost Estimator 4 Utilisation schedule 5 Notional Rent Reimbursement Determination Email 26.04.2019 6 Affordability document 7 Planning Approval 8 Site plans and design drawings 9 Alys Turner consultation email 10 Timeline 11 Working Group minutes 12 Confirmation of Section 106 funding 13 Confirmation of funding extension 14 Professional services fee letter 15 Previous Appendices from OBC Options Appraisal Value for money document Tender Analysis Tender submissions Project Appraisal Unit Capital Investment, Property, Equipment & Digital Technology proposals NHS England Project Appraisal Unit £1m - £3m Business Justification Template To be used for Capital Investment, Property & Equipment between £1m and £3m and complex schemes below £1m Sponsors and authors of documents seeking appropriate authority to fund or proceed with a scheme or project must consider whether the content or strategy to which the document applies at this stage is sensitive or may have commercial implications. If it is considered necessary, the document should be headed and watermarked appropriately. Document version Version No. Status Issue date Notes control (for use by Business Case sponsors) Add rows as required. Last entry should read: ‘Final submission for review and approval’ SCHEME DETAILS Harston Surgery Expansion 1. TITLE OF SCHEME TYPE OF SCHEME New build Yes Note. For £1m - £3m Digital Technology Business Cases, please Improvement Yes use the specific £1m - £3m Digital Technology Business Justification / Equipping Case Template. If other – specify and explain Scheme reference number and Reference source of number (organisation). Please ensure the relevant unique Confirm the Organisation reference (for all Schemes) is used in Harston Surgery issuing the all correspondence and reporting D81058 using appropriate format: e.g. XXX – reference YY - XXX (Org Code – 17 – 001) number. ANY OTHER APPLICABLE REFERENCE NUMBER (please clarify source in light blue box on right and insert number and, where necessary, explanantion in white box). PID reference D81058-18-001 number NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 1 of 19 PID APPROVAL AND ANY 8th February 2019 (Letter from Jan Thomas of CAPCCG RELATED CONDITIONS OF Appendix 1). Date th APPROVAL OBC approval e-mail from Jonathan Stone dated 24 September 2020 Appendix 2. (Append approved PID where it will List any None noted support the information provided in conditions this Business Case). Conditions Confirm that PID conditions have are fully met. been fully complied with in this If not, which Business Case. Explain which and and justify why if they have not. why. Details of The scheme has been developed further to demonstrate scheme accessibility and associated support spaces. change? Details of Costs for the proposed schemes are detailed in this FBC and IDENTIFY ANY SIGNIFICANT cost change? Appendix 3,6 and 14. Increase in costs of £46,126.12 DEROGATION IN THIS Unknown costs have come to light with existing heating, Reason for BUSINESS CASE FROM THE drainage following surveys undertaken after submission of change? APPROVED PID FOR THIS OBC. SCHEME. Who approved the (Significant deviation from the original change? approved PID, includes but are not Date of exclusively funding, cost, deliverables, procurement, client or change? use changes, etc.). Please provide evidence of authority to change. DCO OFFICE Lead Harston Surgery 2. SPONSORING NHS Sponsor 1: ORGANISATION(S) Sponsor 2: NHS England, Midlands and East (East) (or other such as GP) Sponsor 3: South Cambs District Council 3. LEAD SPONSOR AND SUPPORTING TEAM FOR THE SCHEME CONTACT DETAILS Title GP Partner Name Dr Chris Gee PROVIDE DETAILS OF LEAD Organisation Harston Surgery OFFICER FOR THE SCHEME Office tel. 01223 870250 Mobile tel. 07711 284924 e-mail [email protected] Title Director of Finance Name Daryl Cockman PROVIDE DETAILS OF LEAD Organisation NHS England Midlands and East (East) FINANCE OFFICER FOR THE SCHEME Office tel. 0113 825 4932 Mobile tel. 07824 457 93 e-mail [email protected] Title Head of Primary care Commissioning LEAD COMMISSIONER Name Dawn Jones NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 2 of 19 Cambridge and Peterborough Clinical Commissioning Group Organisation (CAPCCG) Office tel. 01480 387137 Mobile tel. 07908 068861 e-mail [email protected] Where applicable, 4. NHS ENGLAND FUNDING funding Section 106 and Premesies Improvement grant STREAM initiative Please confirm the NHS England name capital funding stream relevant to this Scheme investment e.g. BAU, etc. reference D81058-18-001 No. (Use standard NHS finance codes) Funding Where capital funding is from a stream special initiative e.g. ETTF, please use the first two rows opposite to Cost Centre denote initiative name and scheme reference number Subjective Code 5. ANY OTHER PROPOSED A significant level of developer contributions have already been secured through SOURCE OF CAPITAL? section 106 agreements signed between South Cambridgeshire District Council In addition to NHS England capital, and the respective land owners. explain if more than one source of funding is to be accessed, explain: The contributions secured are sufficient to cover most of the cost of the extension a) How it is to be obtained and internal improvements for which approval is being sought with the additional b) Obtained from whom? monies being sought by way of a Premesies improvement Grant c) Type of funding. These monies would allow the creation of accessible toilet spaces, entrance d) Certainty of funding doors and support the installation of ventilation equipment to provide statutory air changes within the minor procedure room. e) Is any element refundable or provided as a grant? The return of tenders indicates that the total build cost would be f) If yes to e) above, provide details £599,558.13, this would be broken down as below: g) Show amounts in table 1. below The details of these are as follows: Development Planning ref Amount £ Spend expected restriction Bayercropscience S/2308/06/O £206,499.88 May 2015 Spent May Hauxton 2020 – extension to May 2021 confirmed Cemex Barrington S/2365/14/OL £185,000 2022 10 years from receipt Station Rd S/2148/16/OL £6,000 2021 10 years Foxton from receipt Section 106 £10,000 acrued interest from Hauxton section 106 monies £407,499.88 Premises £192,058.25 Improvement grant / surgery Total £599,558.13 NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 3 of 19 a) Balance of capital cost is £192,058.25. This will be subject to a premises improvement grant application and surgery contribution (66/34% split £126,758.45 Grant / £65,299.80 surgery contribution) b). This will be subject to a premises improvement grant application c) Premises improvement grant funding d) Funding is guaranteed. e) Yes the £126,758.45 g) Totals are shown in Table 1 above Please note: Due to when we expect the S106 monies to be released we expect that this improvement will be done in two stages; the first stage to begin as soon as possible will enable use of the Bayercropscience money which needs to be used by May 2021. The second stage is dependent on the funds from the Cemex Barrington development. The S106 states that the funds must be paid to the District Council prior to the occupation of the 100th dwelling on the site. The site is not due to be released until 2021, so it is reasonable to expect that funds will be available for financial year 2022/23. The development of the second stage could be moved back to 2023/24 if the funds were not available at the time. The design takes account of both consulting and administration space for each stage. The proposals have been developed to provide the option of a phased approach to align with the expected availability of s106 monies: Phase 1 The main phase of works will construct the two-storey extension and include the internal re-modelling to install the new staircase and provide access to the new accommodation. At ground floor, this extension will ultimately provide 3 No. consulting rooms, however in the intervening period prior to Phase 2, one of these rooms will temporarily provide additional ancillary / administrative accommodation. A net increase of one additional consulting room will therefore be available at the end of phase 1 to accommodate the expected increase in population, and this phase would function as a stand-alone build should there be delays in the release of funding for phase 2. Phase 2 As additional s106 monies are released, funding will then be available to complete the single storey extension which will provide a refurbished dispensary and additional ancillary / administrative space. This additional space will allow the consulting room constructed in phase 1 to be brought into service and thus further expand the clinical capacity of the surgery to accommodate the increase in population related to the release of the final pot of s106 monies. Whilst a phased approach is achievable as demonstrated above, a single-phase build would provide efficiencies in cost and a shorter period of disruption for the surgery. NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 4 of 19 Table 1. CAPITAL VALUE AND PROPOSED CASH FLOW OF FUNDING: (add additional
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