16/09/18 NASMIS Welcome & Introductions Site Option Appraisal Session 2 Agenda Who I Am 1300 - 1315 Introduction & Overview of Session 1 Norman Suth therland, RN, MBA • HGHCP Director (Healthcare) 1315 - 1445 Summary of Short-listed Options & Discussion • Associate Director (Healthcare Planner) • NHS Head of Capital Projects/Planning 1445 - 1500 Break • NHS Hospital General Manager • NHS Clinical/FM Services Manager 1500 -1600 Formal Scoring of Options • NHS Modernisation Consultant • Clinical Professional 1600 – 1620 Plenary Discussion: Preferred Site Option 1620 – 1630 Summary and Next Steps Introductions Anyone who wasn’t at the first session? Any specific comments or reflections on the first session… Review & Summary of Session 1 5 1
16/09/18 Session 1: In between Session 1 and Session 2 we have: Provided an update on the project Refined options on the “short-list” Agreed the “measures of success” (benefits Gathered relevant information on the short list of criteria) relating to preferred site selection options to inform the appraisal process “Weighted” these benefits criteria to determine Developed “block” drawings on how these options their relative importance might look/work in practice based on Keir’s block relationship diagrams Considered the main site options available Compiled a high-level SWOT (Strengths, weaknesses, Agreed which of these options were feasible and opportunities & threats) analysis for each option as developed a “short-list” of options for further the basis for discussion, debate and formal “scoring” consideration Attempted to understand what we all need to know about these options in order to be able to evaluate (appraise) them formally At this session we will: Remind everyone of the agreed “benefits criteria” Provide the opportunity to discuss and debate the short-listed options as appropriate Formally score these options based on the measures we agreed previously Begin to understand, all things considered, which option appears preferable and our preferred site Agreed Benefits Criteria Discuss what happens next! (Measures of success) Site Benefits Criteria CRITERIA Ability of an option to, E.g. ... (Emerging themes) Accessibility • Be easily seen/found • Be readily accessible by public transport Accessibility • Be easily accessed by car Disruption • Be easily accessed by pedestrians and cyclists • Be easily reached from a taxi drop-off point Future flexibility/sustainability Present ready emergency access • Planning/Legal issues and lead time • Present ready access to relevant (off-site) local amenities, e.g. Hotels Service-specific (NASMIS) Clinical/strategic “fit” • Maintain consistency with local and wider Site/environmental constraints travel planning/policy Wider (Woodlands view site) Clinical/strategic “fit” • Reduce overall distance travelled for the majority of those accessing it Be accessible for FM and Estates services, e.g. • Linen, mail, waste, supplies, etc. 2
16/09/18 CRITERIA CRITERIA Ability of an option to, E.g. ... Ability of an option to, E.g. ... Disruption Minimise the impact of construction on Future flexibility & Allow the development of flexible facilities • • sustainability existing clinical services, e.g. Noise. • Allow services to be delivered flexibly • Minimise the impact of construction on • Cope with future change/capacity needs existing support services, e.g. Location of the • Attract and retain an appropriately skilled site compound. workforce • Minimise the impact of construction on all • Optimise “out of hours” and wider staffing staff, patients and visitors requirements • Minimise the impact of construction on • Reduce “single points of failure” existing traffic flows and separation. Deliver flexibility and redundancy • • Minimise any preparatory/services work • … required … • CRITERIA CRITERIA Ability of an option to, E.g. ... Ability of an option to, E.g. ... Planning issues, legal • Reduce the impact of planning considerations Service-specific (NASMIS) • Deliver the NASMIS service as it is currently issues and lead time Clinical/strategic “fit” • Reduce the likelihood/impact of legal envisaged implications • Deliver an experience that NASMIS patients, • Reduce investigations/studies likely to be visitors and staff would choose required • Deliver optimal physical links/access routes to Reduce lead time overall relevant services on the Woodlands site in • • Optimise land values of the disposal site support of the NASMIS service • … • Optimise the use of collective clinical staff • Present the optimal topography to minimise the visible impact of essential security requirements • Appropriately balance privacy and isolation … • CRITERIA CRITERIA Ability of an option to, E.g. ... Ability of an option to, E.g. ... Site/Environmental • Deliver all required services, e.g. Water, Wider (Woodlands View) • Improve/enhance (or mitigate the negative Constraints Clinical/strategic “fit” power, drainage, etc impact of) NASMIS development on overall • Provide a discrete entrance site functionality • Provide an appropriate environment that is, • Deliver an experience that existing e.g. Free of background noise Woodlands View patients, visitors and staff Allow a design that can be naturally ventilated would choose, e.g. Not have a negative • • Facilitate a building that will support an impact on views appropriate BREEAM rating • Optimise the use of collective resources (support staff and facilities) … • 3
16/09/18 Understand the Challenge The Challenge Now: Determine the “Benefits Criteria” To discuss and debate short-listed options Session 1 To review and assess how well each option addresses “Weight” the Benefits each individual criteria E.g. “The extent to which Option Criteria X delivers accessibility as we have defined it” Agree the Options To formally score all options against all criteria /10 based Available on an established scoring matrix Score the Options To be able to present a rationale argument for scoring, Against The Criteria Session 2 e.g. We scored option X higher than option Y on accessibility because… Discuss the “Preferred Option” Scoring SCORING CRITERIA POINTS/10 Could not be better, perfection! 10 Excellent, almost perfect 9 Very good 8 Good 7 Quite good 6 Adequate – Neither good or bad 5 Options Less good 4 Poor 3 Very poor 2 Could hardly be worse! 1 The Process… Suggested scoring process… Norman will introduce the option Option 2 Option 3 1 n David Mason will summarise the main site considerations o t i p O We will all have the opportunity to discuss/debate the option and ask relevant questions in the context of the agreed benefits criteria We will reflect on the option and how we would personally SCORING CRITERIA POINTS/ 10 score it against the criteria already agreed (out of 10) Could not be better, perfection! 10 (Prompt sheets have been provided) Excellent, almost perfect 9 Very good 8 After we have heard all options, we will discuss our scores Good 7 within our group and agree group scores for each option Quite good 6 against each criteria Adequate – Neither good or bad 5 Less good 4 Poor 3 Very poor 2 Could hardly be worse! 1 24 4
16/09/18 Location Any questions on process? 25 Site Analysis Potential Development Zones Potential Development Zones 4 2 1 3 5A 5 5
16/09/18 WC Qu Qu 5 6 7 8 9 10 11 12 Qu st st st Bedrooms 1-12 4 3 Recreational 2 Therapy Covered Seclusion Recreation Courtyard Courtyard Sports 1 Area Staff areas inc Seclu. controlled entrances Service Gym Support Yard Dining Bev. Bev. Entrance Staff Change Admiss Option (Site) 1 Kit. Rec. Staff Learning Learning Unit Admin Office FM Support Key Building Blocks Potential Development Zones Option 1 - Overview 4 2 Site previously appraised 1 Size of proposed site remains as previously tested Close to Woodland View Discrete location to rear of overall ACH site 3 Potential views into woodland area Relatively easily developable 5A 5 Easily accessible Views to woodland sun path – indicative Site generally orientated Parking N/S and E/W r d d r a a t y y t u r u r o o C C Site generally flat with Service “artificial” mounding Access Direct Access from Drop Off Woodland 376m to Woodland Entrance Approx 2.20min @ 10km/h Prevailing wind from SW 6
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