NHS Lanarkshire Frameworks Scotland 2 Theatres/ICU Project
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1 NHS Lanarkshire Frameworks Scotland 2 Theatres/ICU Project
2 Frameworks History NHSL Frameworks Scotland PSCP Interserve Construction Value - 30m Frameworks Scotland 2, PSCP Graham Construction PSC, Currie&Brown (Lead advisor), Aecom (CDMC) Value million, spend to date 6m
3 WHY DO WE NEED TO DO THIS? Assets beyond their economic lifecycle presenting an EAMS significant risk for NHSL And principally compliance with SHTM SHFN 30 SHPN 27 At a cost currently estimated at 18m (awaiting not to be exceeded price)
4 WHAT S DIFFERENT Its not a typical refurbishment or new build A total of 7 theatres have to remain in operation during works 12 phases in the project over 4 years 75% downtakings Continuous Improvement? Business Continuity Planning to the n th degree Communication is key
5 SCIM (technical areas) MORE GATEWAY REVIEWS NDAP/ AEDET FBC SCIM OBC DEROGA TIONS PROFESSI ONAL ADVICE BREEAM
6 IS THERE ANYONE OUT THERE 1. Who else is doing this: 1. Extricate ourselves from Silo working, liaise with HFS, the 2010 report, who else has the same issues 2. NHS Highland at similar stage, 1. Same PSCP 2. Meeting set up, carried out and benefits discussed, next slide details outcome
7 Collaborative Working 1. Workshops to be arranged: a. Communications b. Health & Safety/Patient Safety c. Clinical to address Patient Safety/HAI Scribe/Business Continuity/Room Data Sheets/etc d. Commercial Workshop GC agreed to arrange this as one of the priorities focus on an integrated procurement plan e. M&E Workshop GC agreed to arrange this as one of the priorities Ian Storrar of HFS to be invited to attend f. HAI workshop Susan agreed to host this event in both Boards. g. Off site construction V on site (could be picked up, in part, at the M&E workshop) 2. Information to be shared: a. Approach to BREEAM pragmatic b. NHSL/NHSH to prepare and share a matrix on the mix of services in each of their theatres c. Lists of derogations d. Key design principles e. Pre Construction Information Pack f. Format of O&M Manuals. g. Risk registers (incl details on how the strategic & operational risks are managed and how residual risks are captured) h. HAI Scribe registers i. Gateway2 review reports j. Outputs from NHSL Gateway 3 Review Planning Meeting include list of documents required by the review team k. Outline Business Case l. Structure of FBC m. NHSL Business Continuity Plan. 3. FBC Actions a. Include details of the collaborative working between the two boards b. Reflect the benefits of a single PSCP provider at NHSL and NHSH c. FBC to state that EAMS will be updated on completion of the project 4. Insurances SB to check the current provisions, following on from comments re the NHSL roof leak into Theatres 5. BIM pull together a proposal on how this may be applied in part e.g. in relation to plan room co-ordination 6. NHSL Business Continuity Workshop Asite Folder to be set up for exchange of information
8 THE HOW A strong integrated team with high performing and committed members, led by can do leaders A clear understanding of what we are doing, tempered with the art of the possible Planning and engagement No doubt as to what to do if things go wrong
9 CRITICAL SUCCESS TOOLS CONSTRUCTION PROGRAMME COMMUNICATION PLAN INTEGRATED RISK REGISTER BUSINESS CONTINUITY PLANS TO COMPLEMENT RISK REGISTER CLIENT EDUCATION AND SUPPORT FROM CORE TEAM
10 Business Continuity Driven owned and led by SRO through to the frontline staff Core Team lead and invite key Users onto group Initiate workshops, facilitating and producing key content for draft BCP document and improving through further engagement Agree final content through sign off with Users SRO to take draft BCP document for approval to Improvement Board for approval BCP issued and the integration actioned of the risks identified with their Control Measures into Project Risk Register and assimilate into Construction and Communication Plans Joint risk workshop with Users and PSCP team to ensure clarity
11 Communication Produce Main Communication Plan in agreement with SRO Incorporate Communication Plan into all formal meetings Carry out the following to engage with staff, and other stakeholders: Workshops Information Technology use includes media twitter, facebook etc Posters, newsletters, staff briefing, electronic displays Drop in sessions Formal meetings lining up with construction phases Press Releases
12 NHSL FS2 Overarching Schemes Contract
13 Governance Arrangements NHSL capital and investment group (CIG) Monklands business continuity investment board Monklands business continuity project team (MKBC) Monklands WTO core team (excl. Theatres/ICU) Monklands Theatres/ICU core group Lanarkshire wide core group (LWBC) HM 2015 core group Page 13
14 Key Activity Dates Activity Dates FBC Stage NDAP Submission 27 October 2014 Gateway Review Planning Meeting 13 November 2014 Enabling Works November April 2015 Not to be exceeded price (incl VE) 14 November 2015 Gateway Review 2 December December 2014 Agree Target Price December 2014 NHSL OMC Approval of FBC (special meeting) December 2014 Submit FBC to SGHSCD 6 January 2015 SGHSCD CIG 3 February 2015 SGHSCD Approval (anticipated) 20 February 2015 Phased Construction Programme (11 Phases) April 2015 June 2018
15 Current Activities Complete Stage F design Progress BREEAM actions (Pre Assessment on Refurb BREEAM UK Refurb 2014) Engage with HFS on NDAP assessment Engaging with NHS Highland, sharing knowledge identifying synergies Value engineering exercise Prepare risk register Engagement with NCE3 Supervisors (Building & M&E) Prepare Stage 2 (phased) programme Prepare commissioning strategy/programme Stage 3 HAI Scribe Prepare Target Price (NEC3 Option C) Prepare Stage 2 Contract Preparation of Full Business Case (FBC) Preparation of Business Continuity Plan (BCP) Preparation of communications plan Agree Stage 2 delivery team Stage 2 project execution plan (PEP)
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