NHS GREATER GLASGOW & CLYDE ASR PHASE II NEW SOUTH GLASGOW HOSPITAL, NEW CHILDREN’S HOSPITAL AND NEW LABORATORY BUILD OUTLINE BUSINESS CASE FEBRUARY 2008 1. EXECUTIVE SUMMARY ........................................................................................................ 4 1.1 INTRODUCTION............................................................................................................. 4 1.2 THE CASE FOR CHANGE.............................................................................................. 4 1.3 ACUTE SERVICES REVIEW (ASR)................................................................................ 5 1.4 PROPOSED FUTURE SERVICES.................................................................................. 7 1.5 EXPECTED BENEFITS OF THE PROJECT ................................................................... 8 1.6 OPTION APPRAISAL – SITE AND DESIGN OF NEW SOUTH GLASGOW AND NEW CHILDREN’S HOSPITALS.............................................................................................. 9 1.7 LABORATORY SERVICES........................................................................................... 10 1.8 FINANCIAL ANALYSIS ................................................................................................. 10 1.9 ASSOCIATED CAPITAL WORKS ................................................................................. 11 1.10 PLANNING PERMISSION............................................................................................. 11 1.11 UNIVERSITY – WORKING WITH ACADEMIC PARTNERS ......................................... 11 1.12 FACILITIES, TECHNOLOGY, WORKFORCE............................................................... 11 1.13 REDESIGN OF SERVICES........................................................................................... 12 1.14 PROJECT MANAGEMENT ARRANGEMENTS............................................................ 12 1.15 PARTNERSHIP WORKING .......................................................................................... 12 1.16 COMMUNITY ENGAGEMENT...................................................................................... 12 1.17 GATEWAY REVIEW ..................................................................................................... 13 1.18 TIMETABLE .................................................................................................................. 13 2. PURPOSE AND LAYOUT OF THE OUTLINE BUSINESS CASE....................................... 14 2.1 PURPOSE..................................................................................................................... 14 2.2 LAYOUT OF THE DOCUMENT..................................................................................... 15 2.3 FURTHER INFORMATION ........................................................................................... 17 3. BACKGROUND AND STRATEGIC CONTEXT ................................................................... 18 3.1 OVERVIEW OF NHS GREATER GLASGOW & CLYDE ............................................... 18 3.2 ORGANISATIONAL STRUCTURE ............................................................................... 19 3.3 RESPONSIBILITIES OF NHS GREATER GLASGOW AND CLYDE ............................ 19 3.4 SERVICES AND ACTIVITY........................................................................................... 19 3.5 FINANCIAL PERFORMANCE....................................................................................... 21 3.6 DEMOGRAPHY ............................................................................................................ 21 3.7 HEALTH STATUS AND HEALTH IMPROVEMENT ...................................................... 23 3.8 WORKFORCE............................................................................................................... 26 3.9 UNIVERSITY LINKS – WORKING WITH ACADEMIC PARTNERS .............................. 26 4. THE NEW CHILDREN’S HOSPITAL DEVELOPMENT ....................................................... 28 4.1 CASE FOR CHANGE AND FUTURE STRATEGY........................................................ 28 4.2 DESCRIPTION OF OPTIONS CONSIDERED .............................................................. 29 4.3 DESCRIPTION OF THE CURRENT SERVICE AND FUTURE REQUIREMENTS ....... 30 4.4 DESCRIPTION OF FUTURE SERVICE REQUIREMENTS .......................................... 33 4.5 PROJECT OBJECTIVES .............................................................................................. 36 5. THE NEW SOUTH GLASGOW HOSPITAL DEVELOPMENT (NEW ACUTE ADULT HOSPITAL)............................................................................................................................ 41 5.1 THE CASE FOR CHANGE – ACUTE SERVICES WITHIN GLASGOW ........................ 41 5.2 OVERVIEW OF THE ACUTE SERVICE REVIEW (ASR).............................................. 43 5.3 DESCRIPTION OF THE CURRENT SERVICE AT SOUTHERN GENERAL................. 46 5.4 PROPOSED FUTURE DEMAND - BED MODELLING.................................................. 49 5.5 SERVICE RE-DESIGN.................................................................................................. 51 5.6 PROPOSED FUTURE NEW ADULT HOSPITAL SERVICES (NEW SOUTH GLASGOW HOSPITAL) ................................................................................................................... 54 5.7 PROJECT OBJECTIVES .............................................................................................. 58 5.8 BENEFITS..................................................................................................................... 60 New South Glasgow and New Children’s Hospitals and New Laboratory Build – Outline Business Case i 6. DESCRIPTION OF OPTIONS .............................................................................................. 62 6.1 BACKGROUND TO THE APPRAISAL PROCESS AND FORMAT OF THIS CHAPTER .. ...................................................................................................................................... 62 6.2 GREENFIELD SITE – (RE-PROVISION OF SOUTHERN GENERAL HOSPITAL SERVICES ON ANOTHER GLASGOW SITE) .............................................................. 63 6.3 POSITION OF THE NEW HOSPITALS ON THE SOUTHERN SITE ............................. 64 6.4 BUILD OPTIONS FOR THE NEW HOSPITALS – SEPARATE BUILDINGS OR INTEGRATED BUILDINGS? ......................................................................................... 65 6.5 PREFERRED DESIGN CONFIGURATION OF THE INTEGRATED BUILDING ........... 65 6.6 EXEMPLAR DESIGN .................................................................................................... 69 6.7 DESIGN QUALITY ........................................................................................................ 72 6.8 FUTURE PROOFING.................................................................................................... 72 6.9 SUSTAINABILITY AND ENERGY CONSERVATION ................................................... 72 6.10 OPTIONS FOR DELIVERING THE NEW SOUTH GLASGOW AND CHILDREN’S HOSPITALS AND ASSOCIATED WORKS ON THE SOUTHERN SITE ....................... 74 6.11 BENEFITS APPRAISAL ................................................................................................ 76 7. NEW LABORATORY BUILD ............................................................................................... 77 7.1 SUMMARY OF THE SHORTLISTED OPTIONS ........................................................... 77 7.2 ECONOMIC AND FINANCIAL APPRAISAL.................................................................. 78 8. RISK MANAGEMENT STRATEGY...................................................................................... 80 8.1 INTRODUCTION........................................................................................................... 80 9. FINANCIAL APPRAISAL ..................................................................................................... 81 9.1 VALUE FOR MONEY EVALUATION............................................................................. 81 9.2 AFFORDABILITY APPRAISAL ..................................................................................... 86 9.3 AFFORDABILITY OF PROPOSAL FOR NEW ADULT AND CHILDREN’S HOSPITALS IN CONTEXT OF NHSGG&C 10 YEAR FINANCIAL PLAN........................................... 86 9.4 10 YEAR FINANCIAL PLAN.......................................................................................... 95 10. PROCUREMENT .................................................................................................................. 97 10.1 PROCUREMENT OF BUILDING – PUBLIC FINANCE PROCUREMENT ROUTE ....... 97 10.2 PROCUREMENT OF EQUIPMENT .............................................................................. 97 10.3 PROCUREMENT OF IT ................................................................................................ 98 11. WORKFORCE ISSUES ........................................................................................................ 99 11.1 INTRODUCTION........................................................................................................... 99 11.2 CONTEXT ..................................................................................................................... 99 11.3 THE POPULATION PROFILE ....................................................................................... 99 11.4 WORKFORCE PLANNING ........................................................................................