Clinical Premises Not to Be Used for NHS England Administrative Premises - See PID Type 2
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Appendix E.3 Project Appraisal Unit Capital Investment, Property, Equipment & Digital Technology proposals NHS England Project Appraisal Unit Project Initiation Document - Type 1 Clinical Premises Not to be used for NHS England administrative premises - see PID Type 2 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. Unless building and premises based PIDs are informed by sufficient detail and forward planning this can hinder a prompt and informed decision on PID approval. A PID is the first stage in the process, but there are fundamental issues to be considered before progressing to business case stage. This particular PID type for clinical premises is therefore designed to support authors in considering some of those important issues that need to be covered in the PID to inform local decision making. It is also acknowledged that at PID stage not all of the information asked for may be available. However, all PIDs for this type of proposal must be as complete as possible and, where information is not known, a brief explanation should be provided. Document version Version No. Status Issue date Notes control For final approval from Dr (for use by PID sponsors) 1 Draft 23/02/2018 Rahmin Add rows as required. For final approval from 2 Draft 26/0218 Last entry should read: SWCLT ‘Final for signatures’ 3 Final for signatures 02/03/2018 New Stretham Surgery to replace existing branch surgery premises and surgery 1. TITLE OF SCHEME premises at Haddenham. Scheme reference number and source of number (organisation). Reference No. Please ensure the relevant unique reference (for all Schemes) is used Confirm the in all correspondence and reporting Organisation using an appropriate format: e.g. issuing the XXX – YY - XXX (Org Code – 17 – reference 001) number. 2. DATE OF FORMAL PID Date 02/03/2018 SUBMISSION 3. IS THIS A RESUBMISSION Yes OF AN EARLIER PID? Reference No. This is a NHS supported project. Initial proposal not supported If so, provide details and reference due to size of building. no. IF YES: Please provide No it will not duplicate funding. Will this resubmission result details OR potentially result in a NHS England PAU. PID Type 1 Clinical Premises VF2 28/06/17 Page 1 of 13 duplicate funding application already covered by another PID, etc.? Is any element of this PID actually, or potentially funded through any other previous (already approved), parallel (current) or planned (future) application for funds? 4. NHS ENGLAND CAPITAL If applicable, FUNDING STREAM (from any funding Potential ETTF (for IT only) source) initiative name Scheme Please confirm the NHS England TBC capital funding stream relevant to reference No. this investment e.g. BAU, etc. Funding TBC Financial tables should clearly show stream the NHS England commitment. Where capital funding is from a Cost Centre TBC special initiative e.g. ETTF, please use the first two rows opposite to Subjective TBC denote initiative name and scheme Code reference number Total value of (IT costs) TBC when final building size and facility mix is Please use standard NHS finance NHS England codes when completing this section confirmed. funding. £ Funding Stretham and Wilburton Community Land Trust (CLT) source name Stretham and Wilburton Community Land Trust (SWCLT) is a volunteer-led, democratic organisation set up in October 2012 to develop and own assets for the benefit of the communities in both Stretham and Wilburton. It was granted planning permission in 2014 for a three phase development of 75 new Brief homes. This includes 23 affordable rented homes, 52 for 5. DETAILS OF ANY explanation of market sale and land that has been reserved for a new doctors’ ADDITIONAL CAPITAL funding surgery, workplaces and a new village green. FUNDING SOURCE (where applicable) The subsidiary received from the sale of the market houses Please confirm and briefly explain together with borrowing will fund the construction of the GP ANY additional capital funding surgery. stream relevant to this investment e.g. NHSPS Customer Capital. Is this funding to be used for The additional/alternative funding Construction of the doctor’s surgery building. a specific should be clearly shown in Table 3 purpose? below with relevant totals. Is any element Any borrowing will be from Charity Bank from where SWCLT The implications of the additional of this funding already receives funds. funding must be clearly shown in liable for the Economic and Financial repayment? sections of this PID. If yes, please give details including Amounts and dates to be agreed once final costs known. reason, amounts and dates. Total value of additional 1.5 million funding. £ NHS England PAU. PID Type 1 Clinical Premises VF2 28/06/17 Page 2 of 13 NHS England Midlands & East (East) Region 6. NHS ENGLAND REGION/LOCAL DIRECTOR Swift House, Colchester Road, Chelmsford, Essex. CM2 5PF OF COMMISSIONING and OPERATIONS (DCO) OFFICE DCO West Wing, Victoria House, Capital Park, Fulbourn, Cambridge. CB21 5XB 7a. SPONSORING Organisation Haddenham Surgery ORGANISATION No. 1 AND Title/position Senior Partner LEAD CONTACT Name Dr Amina Rahman Please include a named lead Office tel. 01353 741595 contact for this application who can answer any queries relating to this Mobile tel. PID e-mail [email protected] Organisation Stretham and Wilburton Community Land Trust 7b. SPONSORING ORGANISATION No. 2 Title/position Clerk to Stretham and Wilburton CLT (where applicable) Name Rachel Watts Please include a named lead Office tel. contact for this application who can 07762 040800 answer any queries relating to this Mobile tel. PID e-mail [email protected] Organisation NHS England (East) 7c. SPONSORING ORGANISATION No. 3 Title/position Head of Estates (where applicable) Name Kerry Harding 01138 249111 Please include a named lead Office tel. contact for this application who can answer any queries relating to this Mobile tel. 07730 380217 PID e-mail [email protected] Organisation 8. NHS PROPERTY SERVICES OR COMMUNITY HEALTH Title/position PARTNERSHIPS CONTACT Name (where applicable) Office tel. Please include a named contact as Mobile tel. appropriate e-mail CCG Cambridge and Peterborough CCG 9. OTHER LOCAL STAKEHOLDERS OR Local Authority East Cambridgeshire District Council TENANTS Peterhouse College Other (1) Please add further lines where required Other (2) Laragh Homes 10. SCHEME DESCRIPTION scope and content Include a brief description of the scheme, which should include, but GP services in Stretham are currently delivered in an inadequate surgery - a need not be limited to: poor quality 35m2 adapted bungalow where CQC standards are not achievable. scope and content The surgery is only open part-time. the scheme type - new build, refurbishment or a lease objectives and benefits – these may be financial and/or non- financial NHS England PAU. PID Type 1 Clinical Premises VF2 28/06/17 Page 3 of 13 location – address and name of The main Haddenham surgery is cramped and unable to absorb the increased the facility demand from existing patients, let alone from the increasing population (about NHSPS/CHP premises code 300 house starts expected in the next 3 years). where known and available wider stakeholders and their Both buildings are land locked so there is no scope for expansion onsite at either interest e.g. potential occupants location. indicative scheme value for approval purposes A brand new purpose build surgery (630 sq.m. in total over 2 floors) to replace confirm other stakeholders are both the existing Haddenham and Stretham GP’s surgeries is being proposed. It signed up to the general terms, will be leased from the Stretham and Wilburton CLT and located on the Manor costs and implications of the Farm development, off Newmarket Road, Stretham, East Cambridgeshire. proposal. Please see attached site plan and location map. confirm that where details are known, any proposed leases, are This would allow disposal of two GP practice buildings and enable the appropriate and acceptable to all consolation of services into a single fit for purpose centre. participants. if the scheme requires temporary Facilities in the new build include 6 treatment/consulting rooms for GPs, Nurses accommodation and HCA and trainees, a dispensary and private interview room. Improved staff if costs for enabling works are facilities (including a shower), admin space, kitchen and training room are required and, if so, included in provided on the first floor. The training room can be partitioned and will fit out to the overview costs. also serve as a web/tele consulting room. Externally in addition to pushchair and wheelchair mobility parking spaces, there is a parking area for cancer and other screening vehicles so these services can be provided locally. objectives and benefits Patient benefits: The new surgery will result in a full time service for Stretham patients, plus extra services being provided in a purpose build facility. The new surgery would have additional capacity and be able to accommodate the growth in demand from existing patients and the future population. It will enable a wider range of services can be provided to patients, and increase the way patients access GP services by enabling web and telephone based consultations. More local services allowing better surveillance of vulnerable patients including the elderly at risk of admission. As in most rural practices the most at risk tend to be well known to clinical staff. Clinical/practice benefits: Good quality treatment facilities allowing more clinical treatment and additional administrative area to facilitate support tasks. This will enable support staff to reduce the administrative burden on GPs. Staff benefits: The GPs and other staff will benefit from improved facilities and better working environment.