FULL BUSINESS CASE FOLESHILL PRIMARY CARE DEVELOPMENT NHS England & NHS Improvement and Coventry and Rugby CCG JUNE 2020 NHS England and NHS Improvement Version control Date of Version Commentary version Author change First draft created 1 Arcadis Comments incorporated from MJ and subsequent reiterations 1.1 Arcadis 1.2 References to Action list included and minor changes to numbering Arcadis 1.3 New map inserted to reflect Foleshill site location Arcadis Major updates to business case as per action log 2 3.10.18 Arcadis Various updates 3 Arcadis Various updates 3.1 Arcadis Various updates 3.2 Arcadis Major updates and client issue 4 19.11.18 Arcadis Update following client meeting 17.12.18 5 Arcadis Update following meeting with NHSE/I 7 30.01.19 Arcadis Update following client meeting 8 22.02.19 Arcadis Minor update 10 22.04.19 Arcadis Minor update 11 23.04.19 Arcadis PAU review 12 13.08.19 K Wathen WORKING DRAFT 13 Jan 2020 K Wathen 14 WORKING DRAFT Mar 2020 H Davis 15 FINAL Jun 2020 K Wathen 1 CONTENTS VERSION CONTROL .......................................................................................................... 1 1 EXECUTIVE SUMMARY ......................................................................................... 12 1.1 Introduction and Background ........................................................................................................... 12 1.2 Strategic Case ..................................................................................................................................... 13 The National View ............................................................................................................................. 13 The Regional View ............................................................................................................................ 14 The Local View ................................................................................................................................. 14 1.3 Economic Case ................................................................................................................................... 15 Non-financial option appraisal .......................................................................................................... 15 Quantitative benefits- economic appraisal ........................................................................................ 15 Identification of the preferred option ................................................................................................. 15 1.4 Commercial Case ................................................................................................................................ 16 Procurement route ............................................................................................................................ 16 1.4.2 Planning consent .............................................................................................................................. 16 1.4.3 Equipment ......................................................................................................................................... 16 1.4.4 Schedule of Accommodation ............................................................................................................ 16 1.4.5 Design Principles .............................................................................................................................. 16 1.4.6 DQI .................................................................................................................................................... 17 1.4.7 Drawings .................................................................................................................................................. 17 1.4.8 Valuation Office Agency (VOA) ............................................................................................................... 17 1.5 Finance Case ....................................................................................................................................... 17 1.6 Management Case .............................................................................................................................. 18 2 INTRODUCTION ..................................................................................................... 20 2.1 Introduction ......................................................................................................................................... 20 2.2 Background ......................................................................................................................................... 20 2.3 Project scope ...................................................................................................................................... 21 2.4 Wider Stakeholders ............................................................................................................................ 21 2.5 Approvals Required ............................................................................................................................ 21 2 3 THE STRATEGIC CASE ......................................................................................... 22 3.1 National Strategic Context ................................................................................................................. 22 3.2 Local Strategic Context: Organisational Overview ......................................................................... 23 The CCG ........................................................................................................................................... 23 Partnership Working ......................................................................................................................... 24 Equality and Diversity ....................................................................................................................... 24 3.3 Local Strategic Context: The Overarching Framework .................................................................. 24 Coventry and Warwickshire Sustainability & Transformation Partnership (STP) Plan ..................... 24 CCG Strategic Plan 2014 - 2019 ...................................................................................................... 25 Primary Care Strategy 2015 – 2019 ................................................................................................. 26 Commissioning Intentions 2019 / 2020 ............................................................................................ 31 QIPP Plans- 2018-2020 .................................................................................................................... 33 Joint Health and Well Being Strategy ............................................................................................... 33 3.4 Supporting high quality healthcare: the local estate ...................................................................... 35 3.5 Supporting high quality healthcare: meeting needs in Foleshill ................................................... 37 Profile of Foleshill ............................................................................................................................. 37 Health Needs: Foleshill ..................................................................................................................... 38 The Local Healthcare System........................................................................................................... 39 Malling Health Practice ..................................................................................................................... 39 3.6 The Case for Change .......................................................................................................................... 41 Service Limitations ............................................................................................................................ 42 Current lease arrangements ............................................................................................................. 42 Scope of Services ............................................................................................................................. 43 Capacity Planning ............................................................................................................................. 43 3.7 Stakeholder engagement and consultation ..................................................................................... 44 3.8 The proposal for Foleshill .................................................................................................................. 44 Expected services ............................................................................................................................. 45 Utilisation schedule ........................................................................................................................... 46 3.9 Conclusion .......................................................................................................................................... 46 Alignment of Foleshill Project to Local and National Priorities and Needs ....................................... 46 Investment Objectives & Benefits ..................................................................................................... 49 4 THE ECONOMIC CASE .......................................................................................... 51 4.1 Summary of the preferred option