SCOTTISH HEALTH & SOCIAL CARE FACILITIES CONFERENCE Crieff Hydro - - PowerPoint PPT Presentation

SCOTTISH HEALTH & SOCIAL CARE FACILITIES CONFERENCE Crieff Hydro Thursday 3rd 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
• f 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
• PSCP
• Communication between operations and projects.
• Stakeholder engagement at right level.
• Utilise the contract.
• Understand the client brief.
• Be prepared for interview.
• Communicate appropriately with client.

Scottish Health & Social Care Facilities Conference