Mrs Maureen Kelly Western Health and Social Care Trust
Opened 21 June 2012 South West Acute Hospital
The Western Trust is responsible for the delivery of health and social care across 5 council areas Geography: 292,000 km² Employees: 12,000 staff Annual Revenue Budget: 500million Estate Portfolio: 700million
4 Service Directorates: Acute Services Primary Care and Older Peoples Services Acute Mental Health and Disability Services Women and Children s Services 4 Support Directorates: Medical Directorate Performance and Service Improvement Finance and Contracting Human Resources
Handover: 19 May 2012 South West Acute Hospital Capital Cost: 276 million 65,000 m ² ; 312 beds 30 Year PFI Contract; Design, Build, Finance, Operate, Maintain, with Building and Key Equipment Lifecycle Contract Award: Northern Ireland Health Group; FCC Elliott Healthcare, Interserve Investments (Hard FM)
1st 100% single room hospital in region Promotes safety, dignity and control of infection Most effective patient pathways Achieve high performance standards; Instant diagnostics, reduced Length of Stay, Initiatives i.e. Hospital at Night Attract Staff; Teaching Hospital, Education Suite, KWA
Investment of 28m in Latest Equipment Diagnostic Technologies; MRI, CT, Ultrasound, ECHO Enhanced Patient Monitoring incl. cardiac telemetry Pneumatic Tube System, Pharmacy Robot, Hoists Site Wide Staff Communication; Nurse Call, On the Move Security, Electronic Materials Management, Asset Tracking
Level 3 Level 2 Level 1 Level 0 Level -1 Level 3 Level 2 Block A - Ward 4 Not opening June 2012 Ward 10 Children's Social Services Medical Records Woman Health MFAU - Block B Plant rooms Education Centre Block C - Lecture Hall Block D Block F Block H Ward 5 Stroke (current Ward 9) Ward 3 Medical (Current ward 10) Neonatal Unit Maternity HR Out Patient s ENT/EYES/Audiology Block E Information Services - ICT Services Ward 6 Care of the Older Person (current Ward 8) Ward 2 Medical Maternity LDRP Outpatients Preassessment/Derm/ General - Block G - Administration Ward 7 Care of the Older Person (Current Ward 8) Ward 9 Surgical Ward 8 Surgical/Gynae (Current Ward 1) Ward 1 Medical and Surgical Assessment Unit Pharmacy Block J Plant room Administration SPV Level 1 Children s Ward Children s Day Care Restaurant Medical Library Day Procedures Acute Speciality Teams & Consultant Offices Day Procedure Unit Theatres Cardiac Unit Critical Care Unit/ HDU Level 0 Level -1 Children s Centre Paed Physio/OT/Speech - Main Entrance, Outpatients Reception, café, Retail Outlets, Satellite Pharmacy Social Services/ Discharge Planning Ambulatory Day Care Allied Health Professionals - Cardiac/Resp. Investigations Dental Imaging Laboratory GPOOH Emergency Dept. O.H. Imaging Pathology, Catering Mortuary, Equipment Library, FM Administration Block K Receipt and Distribution Laundry
Design Features
Design Features Single Room 19.5 m ² En suite 5.5 m ²
Design Features
South West Acute Hospital Design Features
Commissioning New Hospital Project Team (DBS) 2005 FM Strategic Meetings Soft FM Costing's Gap Analysis Staff Recruitment 2 days recruitment fair Double Running Erne Hospital/SWAH Staff Transition Plan/Communication/Training Staffing Change in Rotas/Working Hours Trade Unions HR Operational Procedures /Work Schedules
Staffing Levels Erne Hospital 19,000 South West Acute Hospital 65,000 m ² m ² Staffing Comparison Very High Risk Ward No: of Beds m ² Hours M F Sat/Sun Total Ratio to m ² Erne Hospital CCU/ICU/HDU 19 709 16.6 12 107 6.6 SWAH CCU/ICU/HDU 19 1905.35 24 20 160 11.9
Staffing Levels Staffing Comparison High Risk Ward No: of Beds m ² Hours M F Sat/Sun Total Ratio to m ² Erne Hospital Ward 9 27 627 10.6 6.5 66 9.5 SWAH Ward 6 24 1328.93 14 14 98 13.6 Erne Hospital Surgical 35 905 14.6 6.5 86 10.5 SWAH Ward 9 24 1226.89 14 14 98 12.5
Staffing Levels Staffing Comparison Moderate Risk Ward Erne Hospital Medical Imaging No: of Beds m ² Hours M F Sat/Sun Total Ratio to m ² 665 7 0.5 36 18.5 SWAH Medical Imaging 2311.52 9 3.5 52 44.5
New Ways of Working Technology Ride on scrubber/dryer machines Storage/Charging Points Tugs and Trailers Tunnel Area 340 m length Micro fibre Cleaning Small scrubber/dryers ward areas Storage Voicera Staff Communication Helpdesk Backtraq System Portering Discharge/Terminal Cleans Maximiser EC Audits Trialling Backpack Vacuum Cleaners Segway Scooters
Support Services Challenges Supervision of Staff Travel Distance Enhanced sink cleaning procedures Discharge Cleans/Infection cleans Pseudomonas Investigation Monitoring Staff Change Facilities Locations Support Services Recycling Waste Disposal Holds Interface Issues High Level Cleaning/Artwork Official Opening Royal Visit
Journey So Far Single Room/Easier to clean Less Clutter /Fewer Obstacles/Less Traffic Occupancy Pride Staff Moral/Sickness Very Pleasant calm environment Staff/Visitors Mixed views patient privacy/isolation Nursing staff Observations challenges Infection rates No analysis yet EC Audits Scores High
Summary Strong consistent Leadership whole project Engage Cleaning Management at design and build stage Involve all grades of staff prior to opening Greater buy in Rumours Team Working PFI/Hard FM/Nursing Managing Change Large Scale