Item 3 Appendix A Strategic Outline Case: update Health Scrutiny Committee 15 May 2019
Running order 1. Introduction & purpose 2. Overview and wider infrastructure development 3. Group discussions group one Q & A – safety and outcomes - group two Q & A – patient and carer experience - group three Q & A – workforce (satisfaction and sustainability) - group four Q & A – transformation and future flexibility - 4. Summary – 10 mins 5. Closing comments – 10 mins 2
1 Project update
Project update & next steps February First stakeholder panel meeting March Public meeting Second stakeholder panel meeting (scoring) Early May Qualitative assessment work complete Quantitative assessment work nearing completion 15 th May (pm) Stakeholder panel reconvened for update meeting June Public meeting to discuss emerging preferred way forward July Trust and CCG Board will confirm the preferred way forward in public, prior to submission to the regulators in summer 2019 4
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2 Development proposals
Watford Riverwell Project What is the Watford Riverwell redevelopment? This is the largest regeneration project in Watford transforming 70 acres of land to the south of Watford General Hospital and Watford Football Club. The area is being transformed into an exciting new neighborhood for 408 new homes, shops and will create up to 1,300 new jobs. There will be a primary school for 420 pupils, flexible workspaces, a community centre, and over 4.5 acres of open green space for everyone to enjoy. What has been done? The multi-storey car park has had its planning permission approved and is due for completion early 2021. It will provide around 1,400 spaces for staff, patients and visitors and its creation enables future redevelopment of land which is currently used for parking. Over £4 million has been spent removing pollution from the land to the south of the hospital and restoring River Colne. Since the clean up started, over one tonne of degraded polystyrene has been cleaned from the river; equivalent to over 82,000 disposable plastic cups. What else will happen in 2019? Work on the initial phases to the south of the Thomas Sawyer Way is underway. ‘Woodlands’ – the first new homes are due for completion in summer 2019 and this development includes 95 apartments. Currently, 70% of these homes have already been sold off-plan. 7
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Watford General Hospital Pathology & Car Park AAU , 6,600 m 2 2,400 m 2 Mid life refurb due 2022 Site 9.98ha Under option 1, this site would be vacated 2021 for new WACS & theatre blocks Temporary/Surge Buildings 6,000 m 2 Could be replaced with new build PMoK , clinical 23,400 m 2 Retained & refurbished in all options WACS Clinical Admin Block, 2,300 m 2 10,600 m 2 For all options: Grade 2 listed : Refurb likely to be practical Demolish & replace (all options) • Circa 1400 space car park to be built on Watford Borough Council land, scheduled to open in 2020. 10
St Albans City Hospital Moynihan Gloucester Inpatient wards Outpatients & theatres Site 3.9ha 5,300 m 2 7,400 m 2 Could be refurbished Could be refurbished Kitchen/ Runcie Admin Outpatients Support Services 2,600 m 2 1,000 m 2 Could be refurbished Could be refurbished Surrounding area to be used for new diagnostics services Site is too small to accommodate a combined surgical / medical planned care centre and provide full car parking requirement. If the planned care centre is chosen as a preferred way forward, an offsite car park solution would be required for the majority of staff and patients. 11
Tudor , 7,900 m 2 Hemel Hempstead Hospital Derelict with no plans to Mothballed, with no plans to bring back into use (not bring back into use (not practical or cost-effective) practical or cost-effective) Site 5.7ha Jubilee / Main QE 2 UTC/Diagnostics, 5,470 m 2 Office use, 1,800 m 2 Potential use differs across options No plans to bring back into use (not practical or cost-effective) Windsor Verulam Mothballed Outpatients/Community Beds The site has 40% of its space currently unoccupied. But this is 3,500 m 2 11,300 m 2 split across the site. All options involve consolidation. Differs across options Could be refurbished 12
3 Outline of qualitative & quantitative assessment
Qualitative assessment: stakeholder panel • An advisory group formed to consider options from a non-financial perspective • Members include clinicians and managers from NHS and partner organisations with patient representatives providing a lay person’s view and patient perspective • The proposed shortlist of options, and the evidence used to arrive at it, was considered by the stakeholder panel in February ‒ the panel supported the proposed shortlist with one panel member requesting that the option in which emergency and specialist care is provided from a greenfield site should be included on the shortlist • WHHT and HVCCG boards reviewed and confirmed the proposed shortlist. The additional option is not on the shortlist as it far exceeds the affordability criterion. • The panel met again in March and were asked to score each of the shortlisted options in terms of its ability to achieve the desired benefits • The views of the panel will form part of the feedback that is given to the WHHT and HVCCG Boards 14
Summary of feedback from public event in March • Some of the issues/considerations frequently mentioned include: - the option of a new single-site emergency & planned care hospital should be on the shortlist - investment in emergency & specialist care services at Watford to be prioritised - more detail to be available on the breakdown for build costs and potential revenue savings for different options - importance of planning for enough capacity in our hospitals - challenge of staying on budget over the years building/redevelopment - importance of ensuring GP provision is increasing in line with services being delivered in the community - importance of having sufficient car parking on all sites and travel/access in general 15
4 Group discussions
Group discussions • Group one Q & A – safety and outcomes • Group two Q & A – patient and carer experience • Group three Q & A – workforce (satisfaction and sustainability) • Group four Q & A – transformation and future flexibility 17
5 Conclusion
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