SCOTTISH HEALTH & SOCIAL CARE FACILITIES CONFERENCE Crieff Hydro Thursday 3 rd November 2016 IPCU Case Study Alan Wilson Head of Estates NHS Fife
Scottish Health & Social Care Facilities Conference Key Strategic Requirements • A new eight bed Intensive Psychiatric Care Unit (IPCU) to be provided within Stratheden Hospital. • Provide care for vulnerable patients when they pose a heightened risk to themselves or others. • To meet the intentions and objectives of the national and local strategies • Essential that the facilities support the delivery of effective care in a safe and therapeutic environment. • The project to re-provide the IPCU is considered an essential component of the inpatient provision for those with a mental illness. • Provides a specialist service for those whose needs cannot be met or managed safely in an open ward environment. • The IPCU is a key element in the overall spectrum of care available for adults with a mental illness.
Scottish Health & Social Care Facilities Conference Key Clinical Requirements • A facility able to accommodate a minimum of eight patients in single rooms with en-suite facilities. • Facilities suitable for both male and female patients with the ability to provide flexibility in the necessary separation of care for female patients, if required. • Access to secure external space. • A design that supports ease of observation and supervision, but also provides patients with access to space affording individual privacy. • The provision of separate space to accommodate visitors, including appropriate toilets and welfare facilities. • An appropriate range of communal lounge and dining accommodation. • The provision of space suitable for therapeutic and rehabilitative activities. • Appropriate office and administrative space for nursing and medical staff. • The provision of a separate staff room and staff changing and welfare facilities
Scottish Health & Social Care Facilities Conference Key Operational Requirements • Wide corridors – 3 person wide, personal space, good line of site. • Robust materials – walls, resin flooring, sinks, toilets. • Reduced ligature risk – doors, lighting, ironmongery, curtains, ceiling height. • Natural ventilation – large opening windows, good air movement. • Sustainable build – BREEAM excellent, materials, PV installation, automated services. • Good water management – balancing valves, return on cold water, insulation, pipe runs. • Segregation of support services – no patient interface, delivery entrance, waste uplifts. • Services control – isolation of services , external access to drainage. • Secure ward – air lock, patient attack system, double swing doors. • Discrete entrance – night access, admissions.
Scottish Health & Social Care Facilities Conference Informed Client • Robust upfront stakeholder consultation – clinical, patient and public. • Informed brief – lessons learned and best practice from similar facilities. • Product research – research, attend events, supplier engagement. • Organisation – importance of governance, direction and team structure. • Costs – materials and equipment. Strict change/budget control. • Process management – change management within the project. • Frameworks 2 contract – knowledge of the contract and the roles within the NEC3 contract.
Scottish Health & Social Care Facilities Conference Design Development • Architect concept design – presentation from interview. • Establish floor plan – allows for costing against GIFA. • Material selection – allow for budgetary costs • Site visits – other similar NHS properties. • 3D modelling – aides decision making.
Scottish Health & Social Care Facilities Conference Target Cost Development • Joint Cost Advisor – not just for the client, access to PSCP • Programme – enough time, suitable time • Collaborative working – single accommodation, decision making, team ethics. • Affordability – design to budget • Market testing – comprehensive, minimum limits, agreed format. • Value engineering – why does this exist? Specification reduction? • Product awareness – costs, availability, suitability for project. • Framework fixed rates – saves time, designers awareness. • Risk reduction – cost risk, feedback into project, production of spend against lead times
Scottish Health & Social Care Facilities Conference Construction • Regular reporting - to inform good governance. • Diligent contract administration - to provide real-time cost and time estimates. • Early Warning procedures - to deal promptly with issues arising. • Collaborative “one team” culture. • Ongoing Stakeholder engagement - to keep all parties informed and maintain buy-in. • Regular NEC supervisory attendance – allows for technical queries to be resolved quicker • The importance of a good Site Manager.
Scottish Health & Social Care Facilities Conference Key to Success • Clinical Brief – comprehensive, right people involved, patient involvement. • Concept of design – knowledge of project team, willingness to change from all sides. • Target Price – rigid market testing, No over engineering, Knowledge of project team on products, utilisation of capped rates. • Construction – utilisation of contract, shared accommodation, good communication, good site management • Collaboration – integrated Estates/Projects, Project Director/PSC/PSCP • Informed Client – knowledge of products on market, visit other properties, lessons learnt. • Project – on time, gain share, target price set accurately.
Scottish Health & Social Care Facilities Conference Key to Success
Scottish Health & Social Care Facilities Conference Key to Success
Scottish Health & Social Care Facilities Conference Key to Success
Scottish Health & Social Care Facilities Conference General Feedback • NHS • Communication between operations and projects. • Stakeholder engagement at right level. • Utilise the contract. • PSCP • Understand the client brief. • Be prepared for interview. • Communicate appropriately with client.
Scottish Health & Social Care Facilities Conference
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