Minutes of Planning Committee Aneurin Bevan Community Health Council Meetings Room, Raglan House, Llantarnam Business Park, Cwmbran Tuesday 12th February 2019 PART A – PUBLIC SESSION Members Present: Mrs Janet Griffiths Chair Mr George Clemow Cllr Alan Davies Mr Brian Kember Mrs Sonia Stainer Co-opted Members Present: Mr Ian Blackburn Mr Robert Dutt Mr Edward Watts In Attendance: Mrs Angela Mutlow Chief Officer Miss Jemma McHale Deputy Chief Officer Dr Gareth Oelmann Vice Chair, Gwent Local Medical Committee Mrs Nicola Prygodzicz Director of Planning, Aneurin Bevan University Health Board Mr Andrew Walker SCCC Project Director Planning, Aneurin Bevan University Health Board Ms Jan Wall Administrative Officer Apologies: Mrs Pat Cory Cllr Mrs Mandy Moore Mrs Sue Sandham Absent: Mr John Pearce Cllr Julian Simmonds 1 P.18/76 WELCOME AND APOLOGIES ACTION The Chair welcomed all Members to the meeting; with a special welcome given to Mrs Ann Vincent who had recently joined the Aneurin Bevan Community Health Council.; Dr Gareth Oelmann, Vice Chair, Gwent Local Medical Committee, Mrs Nicola Prygodzicz, Director of Planning and Mr Andrew Walker, Specialist Critical Care Centre (SCCC) Project Director of Planning, Aneurin Bevan University Health Board. Apologies were received from Mrs Pat Cory, Cllr Mrs Mandy Moore and Mrs Sue Sandham. P.18/77 CHAIR’S ANNOUNCEMENTS a) Planning Committee meeting format The Chair explained the new format of the Planning Committee meetings. All future meetings will be held in two parts. Part A will be open to the public and Part B will be a private session. A separate set of minutes will be produced for each part. The Chair announced that there were no members of the public present at today’s meeting. i) Meeting Timings The Chair requested that; due to the time constraints of the new meeting format, any questions from members following presentations given by the Aneurin Bevan University Health Board should be kept short, sharp and relevant. The Chair informed Committee that if any members require additional clarification on their question then this can be discussed with herself or the Chief Officer at a later date. ii) Planning Committee member The Chair informed Committee that Mr George Planning PART A - 12.02.19 FINAL JW 2 Clemow, Chair of Council was attending his last ACTION Planning Committee meeting today as he has elected to join the Scrutiny Committee going forward. P.18/78 DECLARATION OF INTEREST Mr Brian Kember declared an interest in item 4 on the agenda: Presentation from Mr Andrew Walker on the integrated Health and Well-Being Centres in Tredegar and Ringland. P.18/79 PRESENTATIONS FROM ANEURIN BEVAN UNIVERSITY HEALTH BOARD Mrs Nicola Prygodzicz, Director of Planning and Mr Andrew Walker, Specialist Critical Care Centre (SCCC) Project Director of Planning gave a presentation to Committee on the Clinical Futures – Estates Strategy. a) Clinical Futures - Estates Strategy Mrs Prygodzicz stated that the Aneurin Bevan University Health Board are keen to make sure that the estates needs are maximised to support the delivery of the clinical service models and to make sure that the estates are fit for purpose. A plan for the current/future development and management of the estate strategy in the next 5 – 10 years is very important and includes far more than the new Grange University Hospital. Mr Walker continued and stated that the presentation would cover the following areas: i. Where are we now? ii. Where we want to be? iii. How do we get there? i) Where are we now? Mr Walker updated Committee on the current and future health care needs and condition of all hospital sites and the key issues at each site. Planning PART A - 12.02.19 FINAL JW 3 1. Three acute hospitals - Royal Gwent Hospital, ACTION Nevill Hall Hospital and Ysbyty Ystrad Fawr. i) Key Issues: Mr Walker stated that the total floor area of the Aneurin Bevan University Health Board estate is just under 300,000 m2 with the Grange University Hospital covering 55,000 m2, which will significantly increase the Aneurin Bevan University Health Board’s footprint. The total operating estate costs is £56 million. Significant replanning/rationalisation will be required at the Royal Gwent, Nevill Hall and St Woolos Hospitals. St Woolos Hospital being key when inpatient beds are planned to be moved to the Royal Gwent Hospital when the Grange University Hospital opens. There will be little change at Ysbyty Ystrad Fawr but full utilisation of the site will be addressed. There is a plan at this site for a breast unit. Most of the high significant backlog maintenance of £17.6 million is across the acute hospital sites. There is a large amount of office based services on these sites and car-parking is a problem, but following the opening of the Grange University Hospital the hope is to free up parking space, on these sites particularly at the Royal Gwent and Nevill Hall Hospitals. 2. Three owned Community Hospitals – County Hospital, Ysbyty Aneurin Bevan and St Woolos Hospital. i) Key Issues: 13% (8,000m2) of the Community Hospitals estate is underutilised or empty. There is a high and significant risk backlog of £3.2 million. St Woolos is largely not fit for purpose and will need major rationalisation following the opening of the Grange University Hospital. County Hospital is not fit for purpose with major redevelopment required. There will be little change at Ysbyty Aneurin Bevan but full utilisation of the site will be addressed. Planning PART A - 12.02.19 FINAL JW 4 3. Two Private Finance Initiatives (PFI) Community ACTION Hospitals - Chepstow & Monnow Vale. i) Key Issues: Chepstow and Monnow Vale hospitals will need little change but full utilisation will be addressed as Chepstow and Monnow Vale hospitals have very high leasing costs of £2 million per year. 4. Mental Health Hospitals – St Cadoc’s Hospital, Llanfrechfa Grange Hospital, Maindiff Court & Ysbyty Tri Chwm. 8 units and 5 Learning Disability (LD) Residence. i) Key Issues 41% (22,000 m2) of the Mental Health Hospital estate is underutilised or empty. St Cadoc’s Hospital is an older estate and is not fit for purpose with significant empty space. Llanfrechfa Grange Hospital and Maindiff Court are not fit for purpose and also has significant empty space with little clinical use. Agile working will need to be considered for the administration staff at both these sites. Ysbyty Tri Chwm is a relatively modern building with a plan for the mental health beds to be accommodated at Nevill Hall Hospital. The future of Ysbyty Tri Chwm is to be confirmed although there is potential to convert this site to a health and well- being centre for the Ebbw Vale area. 5. 161 Primary & Community Care sites, 26 owned, 18 leased, 117 GP owned i) Key Issues 32% (4,000 m2) of the owned estate is underutilised or empty. There are 160 premises in total i.e. 25 Aneurin Bevan University Health Board owned premises; 117 GP owned premises and 18 leased premises. There is more work required on utilisation and disposition of all units in the context of GP and other public sector premises. Planning PART A - 12.02.19 FINAL JW 5 6. Nine Non-Clinical Leased Premises ACTION ii) Where do we want to be? Mr Walker summarised the strategic drivers and objectives required to provide longer term health strategy, environmental strategy and estate performance criteria. Strategic Drivers 1. Continued implementation of Clinical Futures 2. Grange University Hospital – Catalyst for major service and infrastructure change 3. Rationalisation and Centralisation of certain services 4. More services provided in primary and community settings 5. Health and Well Being Centres / Hubs 6. Mental Health becoming a priority 7. Technology 8. Advent of the “Agile” workforce 9. Integration with Public Sector partners Strategic Objectives: 1. The reconfiguration of and rationalisation of Royal Gwent Hospital as a Local General Hospital, Elective Care Centre and Centre of Excellence for Care of Older People. 2. The reconfiguration and rationalisation of Nevill Hall Hospital as a Local General Hospital, Cancer Centre and Day Case Surgery Centre. 3. To ensure that existing services at Ysbyty Ystrad Fawr are appropriate, sustainable and fully utilised in the context of the new clinical models and develop proposals for a Centralised Breast Unit. 4. The reconfiguration of services on the St Woolos Hospital site following relocation of inpatient services to Royal Gwent, potential disposal/demolition of older site or whole site. 5. To review service provision required on the County Hospital site in the context of primary care/community services required in that area Planning PART A - 12.02.19 FINAL JW 6 followed by consideration of redevelopment ACTION potential on a smaller scale. 6. To ensure existing services and facilities at Ysbyty Aneurin Bevan, Chepstow and Monnow Vale are appropriate and fully utilised in the context of new clinical models. The Chepstow lease ends in 2025. 7. To review and understand existing Private Finance Initiatives (PFI) arrangements for Chepstow and Monnow Vale hospitals to ensure value for money. 8. To pursue the potential further development of St Cadoc’s as a “specialist” Mental Health Centre for Aneurin Bevan University Health Board via the Strategic Outline Case currently with Welsh Government. 9. To explore the potential for disposal/demolition of the older St Cadoc’s estate if the above is achieved. 10. To relocate in-patient services from Ysbyty Tri Chwm to Nevill Hall Hospital and explore the potential for the hospital to be re-used for other primary care and community based services. 11. To explore the potential for disposal of the whole or vast majority of the Maindiff Court site.