Herts Valleys Clinical Commissioning Group West Hertfordshire Hospital Trust Potential Redevelopment Final Report September 2016 Amec Foster Wheeler Environment & Infrastructure UK Limited 2 © Amec Foster Wheeler Environment & Infrastructure UK Limited Report for Copyright and non-disclosure notice David Evans The contents and layout of this report are subject to copyright Director of Development owned by Amec Foster Wheeler (© Amec Foster Wheeler Hertfordshire Valley Clinical Commissioning Group Environment & Infrastructure UK Limited 2016) save to the Hemel One extent that copyright has been legally assigned by us to Boundary Way another party or is used by Amec Foster Wheeler under Hemel Hempstead licence. To the extent that we own the copyright in this report, Hertfordshire it may not be copied or used without our prior written HP2 7YU agreement for any purpose other than the purpose indicated in this report. 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Amec Foster Wheeler excludes to the fullest extent lawfully permitted all liability whatsoever for any loss or damage howsoever arising from reliance on the contents of this report. We do not ................................................................................................................... ................. .............. ...... ........................... ... ... ...... however exclude our liability (if any) for personal injury or SeSSeaneanan NNicholsonicichoholslsonon death resulting from our negligence, for fraud or any other matter in relation to which we cannot legally exclude liability. ApprovedAppprp oved by Management systems This document has been produced by Amec Foster Wheeler Environment & Infrastructure UK Limited in full compliance with ............................................................................................ ........ ......... ... .......... .......... the management systems, which have been certified to ISO Angus Martin 9001, ISO 14001 and OHSAS 18001 by LRQA. Amec Foster Wheeler Document revisions Gables House Kenilworth Road No. Details Date Leamington Spa Warwickshire 1 Draft Report August 2016 CV32 6JX United Kingdom 2 Final Report September Tel +44 (0) 1926 439 000 2016 Doc Ref. 38457LEArr002i1 h:\projects\38457 whht hvccg greenfield site search\1 client\reports\for final report\herts valleys clincial commissioning group final september 2016.docx September 2016 Doc Ref. 38457LEArr002i1 3 © Amec Foster Wheeler Environment & Infrastructure UK Limited Contents 1. Introduction 5 1.1 Background 5 1.2 Structure of this Report 6 2. Policy Context 7 2.1 Introduction 7 2.2 National Planning Policy - Green Belt 7 2.3 Local Policy Context 8 2.4 City and District of St. Albans 10 2.5 Watford Borough 12 2.6 Hertsmere Borough Council Local Plan 13 2.7 West Hertfordshire Enterprise Zone 13 2.8 Minerals Local Plan 14 2.9 Conclusions 14 3. Identifying a Long List of Sites 17 3.1 Introduction 17 3.2 Sieve Mapping Exercise 17 3.3 Assessing Accessibility 18 3.4 The Long List of Sites 19 3.5 Analysis and Conclusions 20 4. Assessing the Shortlisted Site 32 4.1 Introduction 32 4.2 Limitations 32 4.3 The Preferred Option 32 5. Conclusions 40 Table 3.1: List of Exclusionary Criteria Relevant to the Study Area 17 Table 3.2: List of Discretionary Criteria Relevant to the Study Area 18 Table 3.3: Approach to Scoring of Sites 19 Figure 3.1 Project Data Review After page 2 Figure 3.2 Minerals Plan After page 2 Figure 3.3 Project Site Boundaries After page 20 Figure 4.1 Site 4a : Land East of A414 After page 3 Figure 4.2 Site 4 : East of A41 Development Principles Plan After page 3 September 2016 Doc Ref. 38457LEArr002i1 4 © Amec Foster Wheeler Environment & Infrastructure UK Limited Appendix A Short Note on Estimate of Size of Site Required Appendix B Accessibility of Options by Car Appendix C Highways and Vehicular Access Appendix D Note on Land Values from Budworth Hardcastle September 2016 Doc Ref. 38457LEArr002i1 5 © Amec Foster Wheeler Environment & Infrastructure UK Limited 1. Introduction 1.1 Background Herts Valley Clinical Commissioning Group (HVCCG) and its partners West Hertfordshire Hospitals NHS Trust (WHHT) Hertfordshire County Council (HCC) appointed Amec Foster Wheeler to undertake a feasibility and assessment / options review of potential greenfield sites to inform the further progression of the options analysis for acute hospital site locations to serve West Hertfordshire and the development of a Strategic Outline Case for the potential hospital redevelopment. WHTT is an acute hospital Trust providing a comprehensive range of emergency and planned care services to a population of around 500,000 people in West Hertfordshire. WHHT is a three site hospital, the main emergency centre is in Watford, with a Minor Injuries Unit, planned care, outpatients and intermediate care in St Albans, the Hemel Hospital site supports an Urgent Care Centre, Outpatients and diagnostic services. In general the overall estate has suffered from a lack of investment over recent years, following some initial investment after a strategic review which led to the centralisation of some services in 2007-8. Backlog maintenance levels are significant. Through the development of the Health and Social Care Strategy reflected in ‘Your care Your Future’ and the development of the WHHT Clinical Strategy it has become clear that the estate will require development alongside the changes in the models of care in order to ensure the estate and acute service provision is high quality and sustainable into the medium and longer term. Over the past year NHS partners, together with HCC, have undertaken a strategic review of local health and care services ‘Your Care, Your Future’ and produced a strategic outline case (SoC) that sets out a future model of care to deliver long term clinically and financially sustainable services for local residents. More detail can be found at www.yourcareyourfuture.org The future model of care focusses on: f More effective prevention; f Delivering more joined up care; f An approach to care that seeks to maintain stability and prevent escalation to more acute levels of care; f Centralised and rationalised care in modern facilities; and f A locality based, community focused model of care. A key element of the locality based, community model of care is the development of local ‘hubs’ which bring together health and care professionals from different organizations and provide appropriate accommodation for delivering and co-ordinating care for local residents. In the first instance there will be four such developments: Hemel Hempstead, Harpenden, South Oxhey and Elstree with the potential for further. There is an allied piece of work seeking to identify the most feasible route for redeveloping Hemel Hospital as a new local care facility. That piece of work runs alongside this which seeks to look at the potential site achievability of a new development in a central location. September 2016 Doc Ref. 38457LEArr002i1 6 © Amec Foster Wheeler Environment & Infrastructure UK Limited The Study Objectives for the greenfield site search are: f To provide West Hertfordshire Hospitals NHS Trust (as the current owner of the sites) and its partners with information on the possible sites which would be available as suitable and available locations for a new hospital location as set out in Option 1 in the ‘Your Care Your Future Strategy’; and f To provide information that can support the development of the redevelopment Strategic Outline Case and inform any public consultation that may be required. The site should be accessible to a population of around 500,000 people focussing mainly at the main population areas in Watford and Three Rivers, St Albans and Harpenden and Dacorum, but with some access from the population of Hertsmere. The site would need to accommodate up to 80,000 m2 of clinical space and 1,250 car parking spaces. The care provided would include emergency services, comprehensive women’s and maternity care, day surgery, cancer care, an outpatients department, diagnostics, children’s services and specialised care. Depending on the number of storeys the building has and the use of decked car parking a site of between 6.8ha and 15.3ha would be required. Appendix A to this report shows how the required footprint has been estimated. 1.2 Structure of this Report The remainder of this report is structured as follows: f Section 2 provides the policy context at the national and local levels and implications for this work; f Section 3 sets out the approach to the identification of an initial ‘long list’ of sites within the study area, the sites identified, a high level evaluation of these and findings in terms of whether or not sites should be taken forward for more detailed consideration; and f Section 4 sets out a detailed appraisal of the shortlisted site that should be included in the development of the redevelopment Strategic Outline Case. September 2016 Doc Ref. 38457LEArr002i1 7 © Amec Foster Wheeler Environment & Infrastructure UK Limited 2. Policy Context 2.1 Introduction This section considers the policy context at the national and local levels and implications for this work. The land within the study area outside of the built up area boundary of settlements is within the Green Belt and this is a major consideration in terms of the approach to site identification.