Worcestershire Acute Hospitals NHS Trust & University Hospitals Coventry and Warwickshire Hospitals NHS Trust Worcestershire Oncology Project Radiotherapy Feasibility Review 110511 Radiotherapy Feasibility Report_v1.1 i 11/05/2011 Version 1.1 11th May 2011 Worcestershire Oncology Project Radiotherapy Feasibility Review DOCUMENT CONTROL SHEET Version Date File Name Status Version 1.0 9th May 2011 110509 Radiotherapy Final draft issued to Radiotherapy Feasibility Workstream for meeting on 11th May Report_v1.0 2011 Version 1.1 11th May 2011 110511 Radiotherapy Updated for conclusions as agreed at Feasibility Radiotherapy Workstream meeting on Report_V1.1 11th May 2011. Submitted to Project Team for approval on 13th May 2011 110511 Radiotherapy Feasibility Report_v1.1 ii Worcestershire Oncology Project Radiotherapy Feasibility Review Table of Contents 1. Executive Summary ...................................................................... 1 1.1 Introduction & Background .......................................................... 1 1.1.1 Introduction ...................................................................................... 1 1.1.2 Background ....................................................................................... 1 1.1.3 Programme of Work to Develop Oncology Services ......................... 1 1.1.4 Programme of Work for the Radiotherapy Workstream .................. 2 1.2 Requirements for a Radiotherapy Facility ..................................... 2 1.2.1 Linear Accelerators ............................................................................ 2 1.2.2 Overall Facility Requirements ........................................................... 3 1.2.3 Schedule of Accommodation ............................................................ 3 1.3 Site Selection ................................................................................ 3 1.4 Identifying the Long‐list of Options ............................................... 4 1.5 Shortlisted Options ....................................................................... 4 1.5.1 Building Design .................................................................................. 4 1.5.2 Location of Options on WRH and AH Sites ....................................... 6 1.5.3 The Options ................................................................................... 712 1.6 Non Financial Evaluation ............................................................ 13 1.6.1 Selecting the Evaluation Criteria ..................................................... 13 1.6.2 Weighting of the Options ................................................................ 13 1.6.3 Scoring the Options ......................................................................... 14 1.6.4 Results of the Non Financial Evaluation .......................................... 15 1.6.5 Sensitivity Analyses ......................................................................... 16 1.7 Financial Appraisal ..................................................................... 16 1.7.1 Capital Costs .................................................................................... 16 1.7.2 Lifecycle Costs ................................................................................. 17 1.7.3 Revenue Costs ................................................................................. 17 1.7.4 Economic Appraisal ......................................................................... 19 1.7.5 Sensitivity Analysis .......................................................................... 20 1.8 Overall Appraisal Results ............................................................ 21 1.8.1 Results ............................................................................................. 21 1.9 Conclusions ................................................................................ 22 110511 Radiotherapy Feasibility Report_v1.1 iii Worcestershire Oncology Project Radiotherapy Feasibility Review 2. Introduction & Background ......................................................... 23 2.1 Introduction ............................................................................... 23 2.2 Background ................................................................................ 23 2.3 Programme of Work to Develop Oncology Services .................... 24 2.4 Programme of Work for the Radiotherapy Feasibility Review ..... 25 3. The Requirements for a Radiotherapy Facility ............................ 26 3.1 Site selection .............................................................................. 26 3.2 Service Brief ............................................................................... 26 3.3 Linear Accelerators ..................................................................... 27 3.4 Overall Facility Requirements ..................................................... 28 3.5 Schedule of Accommodation ...................................................... 29 4. Identifying the Longlist of Options .............................................. 30 5. Shortlisted Options ..................................................................... 31 5.1 Building Design ........................................................................... 31 5.2 Location of Options on WRH and AH Sites .................................. 33 5.3 The Options ................................................................................ 34 6. Non Financial Evaluation ............................................................ 40 6.1 Selecting the Evaluation Criteria ................................................. 40 6.2 Weighting of the Options ........................................................... 42 6.3 Scoring the Options .................................................................... 42 6.4 Results of the Non Financial Evaluation ...................................... 43 7. Financial Appraisal ...................................................................... 45 7.1 Capital Costs ............................................................................... 45 7.2 Lifecycle Costs ............................................................................ 46 7.3 Revenue Costs ............................................................................ 47 7.4 Economic Appraisal .................................................................... 48 110511 Radiotherapy Feasibility Report_v1.1 iv Worcestershire Oncology Project Radiotherapy Feasibility Review 8. Overall Appraisal Results ............................................................ 51 8.1 Results ....................................................................................... 51 9. Conclusions ................................................................................ 53 Appendix A Clinical Services & Activity Brief .................................. 54 Appendix B Non Financial Evaluation Panel Membership .............. 55 Appendix C Information Provided to Evaluation Panel .................. 56 Appendix D Non Financial Appraisal Results .................................. 57 Appendix E Capital Costs ............................................................... 58 Appendix F Patient flow and travel time analysis ........................... 59 Appendix G Revenue Costs ............................................................. 60 Appendix H Economic Analysis ....................................................... 61 110511 Radiotherapy Feasibility Report_v1.1 v Worcestershire Oncology Project Radiotherapy Feasibility Review Table of Tables Table 1. Projected Fractions / Linear Accelerator Requirements .................................. 27 Table 2. Non Financial Evaluation Criteria ...................................................................... 40 Table 3. Criteria Weighting ............................................................................................. 42 Table 4. Non Financial Evaluation ‐ Weighed Scores and Results .................................. 43 Table 5. Non Financial Evaluation Results – By Stakeholder Group ............................... 44 Table 6. Capital Costs ...................................................................................................... 45 Table 7: Building and Engineering Asset Component Lives ............................................ 46 Table 8. Revenue Cost Analysis ...................................................................................... 48 Table 9. Economic Analysis Results ................................................................................ 49 Table 10. Sensitivity Analysis – Capital Costs .................................................................. 49 Table 11. Sensitivity Analysis – Revenue Costs ............................................................... 50 Table 12. Overall Appraisal Results ................................................................................. 51 Table 13. Sensitivity Analysis – Combined Results .......................................................... 51 Table of Figures Figure 1. Radiotherapy Facility Schematic – Options A, D, E, F & G ................................ 31 Figure 2. Radiotherapy Facility Schematic – Option C .................................................... 32 Figure 3. Site Options – Worcestershire Royal Hospital Site .......................................... 33 Figure 4. Site Options – Alexandra Hospital ................................................................... 33 Figure 5. Option A – A&E Car Park (WRH) .....................................................................