Infrastructure Investment Plan 2021-22 to 2025-26 Major capital projects progress update (August 2024)

Sector: Health

Project: National Waiting Times Centre Board – Hospital Expansion Programme – Phase 2

Business case approved stages: Project is the second phase of the Golden Jubilee Foundation Hospital Expansion Programme (forms part of the National Treatment Centres

Programme). The FBC outlined that the total cost was £80.9 million and that it was estimated to be completed in December 2022 and operational on a phased basis up to end of March 2023 (Frameworks Scotland is procurement route for project).

Progress at December 2023: No change to cost since the last report (as reported in March 2022 update, the total cost of the project was estimated at £82.5 million).

The estimated operational date is now February 2024, which is later than the previously reported December 2023 (as reported in March 2023 update). This is due to delays relating to the assurance of the technical commissioning of systems within the building.

Progress at August 2024: No change to cost since the last report.

The project began a phased opening in August 2024 to allow for processes to be embedded before the surgical centre is fully operational. This was later than previously reported due to the handover being later than estimated owing to technical commissioning issues.

Contact for public enquiries: email: john.scott@gjnh.scot.nhs.uk

Project: NHS Ayrshire & Arran - Foxgrove (National Secure Adolescent Inpatient Service)

Business case approved stages: Project comprises 12 bedded medium secure adolescent inpatient facility for Scotland located in Irvine, North Ayrshire (Frameworks Scotland is procurement route for project). The FBC outlined that the estimated cost of project was £18.7 million and that it would be operational by December 2023 (Frameworks Scotland is procurement route for project).

Progress at December 2023: The facility will now not be ready to receive young people until the middle of March 2024, which is later than previously reported at FBC. This due to contractor programme delays to the completion and the 8 week testing and commissioning period has been delayed as a consequence.

The estimated project cost is now £18.9 million which is an increase to that in FBC. This is due to prolongation and programme delay as well as some compensation events within the period.

Progress at August 2024: The facility remains incomplete and handover has been further delayed due to a significant number of quality and health and safety items that have been raised with the Principal Supply Chain Partner (PSCP). The ongoing programme slippage and delay of handover of the facility to NHS Ayrshire & Arran continues to impact upon client commissioning activities planned for the post-handover period and the date whereby the health board will be able to admit patients. The latest programme issued by the PSCP is currently under review and dates remain unconfirmed. Key risks comprise the completion of defects.

Following handover there will be an 8 week testing & commissioning period as well as an additional works programme to address issues not covered under the PSCP contract. Additional costs are being incurred due to prolongation and programme delay and these will be confirmed once all works are completed.

Contact for public enquiries: email: fraser.bell@aapct.scot.nhs.uk

Project: NHS Lothian - Oncology Enabling Projects, Edinburgh Cancer Centre

Business case approved stages: Project relates to upgrading the Edinburgh Cancer Centre at the Western General Hospital. The FBC outlined that the total cost of the project was £20.6 million and that the project would be operational by November 2022 (Frameworks Scotland is procurement route for project).

Progress at December 2023: The estimated overall completion of project is now May 2024, which is later than the previously reported November 2023 at the March 2023 update. This is due to further phases of the project encountering unanticipated issues with the condition of the existing buildings.

The total cost of project is now estimated at £24.7 million which is an increase to the previously reported £23.3 million in the March 2023 update. This is due to additional costs relating to rectifying fire safety defects and the implications of the construction handover being pushed back.

Progress at August 2024: No increase in cost or timing since last report.

The overall project completion and service operational date was achieved in April 2024. All individual projects within the programme are now concluded. The total finalised project cost was £24.6 million.

Contact for public enquiries: email: Lothian.Communications@nhslothian.scot.nhs.uk

Project: NHS Grampian – Aberdeen Baird Family Hospital and ANCHOR Centre

Business case approved stages: Baird Family Hospital will provide a new facility to support maternity, gynaecology, breast screening and breast surgery services. It will also include a Neonatal Unit (NNU), accommodation for reproductive services, an operating theatre suite, a Community Maternity Unit (CMU), and research and teaching facilities. ANCHOR centre will be connected to the existing Radiotherapy Centre and together the single facility will provide a focus for all ambulatory care for oncology, haematology, and radiotherapy services in the north. The OBC outlined a cost of £163.7 million and indicated that the ANCHOR Centre was projected to be operational in 2021 and the Baird to be handed over in 2021 and be fully operational early 2022. The FBC outlined that the total project cost was £233.2 million as per FBC Addendum and that the operational date for the ANCHOR Centre was estimated for May 2023 with the Baird Family Hospital estimated for December 2023 (Frameworks Scotland is procurement route for project).

Progress at December 2023: No change to cost since the last report (as reported in March 2023 update, the cost was £261.1 million).

The project is in construction and making good progress. There are continuing challenging market conditions and as noted in the previous update, increased costs in relation to quality assurance and additional project and specialist resources to address and close off action plans, mean that the total project cost will be higher than set out in the FBC.

A potential opening date for either facility is uncertain until the outcome of the ongoing design review is known, including an assessment of the feasibility, cost and programme impact of any required changes (as reported in March 2023 update, the estimated operational date for the ANCHOR Centre was October 2023 with the Baird Family Hospital being September 2024).

Progress at August 2024: No change to cost since the last report.

A number of cost pressures are however being managed and occupation dates for either facility are still uncertain. The designs for both buildings are currently being revisited to consider design assurance learning from recent projects which is impacting on the programme and forecast costs.

Contact for public enquiries: email: gram.nhsgrampianfeedback@nhs.scot

Project: NHS Greater Glasgow and Clyde - North East Hub

Business case approved stages: Provision of a new build community hub, which will replace 10 different buildings across Glasgow North East area. Hub will include a number of services including GP practices, pharmacy, podiatry, physiotherapy, speech therapy, adult mental health services, sexual health, social work, staff, and community-training facilities, reprovision of Parkhead community library and wellbeing including health improvement. The OBC outlined that the project was estimated to cost £67.3 million and that it was planned to be operational in June 2024. The FBC outlined that the project was estimated to cost £71.7 million and that it was planned to be operational in October 2024 (Hub West Scotland is procurement route for project).

Progress at December 2023: No change to FBC cost or timing since last report.

The FBC operational date had previously been incorrectly reported as July 2024 which is the handover date of the facility following construction completion. The FBC operational date is planned for October 2024.

Progress at August 2024: No change to FBC cost or timing since last report.

Contact for public enquiries: email: andrew.baillie@ggc.scot.nhs.uk

Project: NHS Forth Valley - National Treatment Centre

Business case approved stages: Project to increase Elective Care capacity is scheduled to be completed by end of 2022. The investment case was approved through the Scottish Government in 2019. Revenue costs around £9 million with capital costs around £10 million subject to final confirmation (forms part of the National Treatment Centres Programme).

Progress at December 2023: No change to cost since the last report (as reported in September 2022 update, the capital costs were confirmed as £11.1 million).

The estimated project completion is now anticipated to be in 2024 but there is no confirmed date as yet. This is later than the previously reported June 2023 (operational date August 2023) in the March 2023 update, and is due to assurances around a number of construction issues. Project completion by the principal contractor is subject to NHS Assure status.

Progress at August 2024: No change to cost since last report.

The new ward continues to be delayed due to a number of construction issues primarily due to the incorrect installation of pipework and risks in relation to fire compliance measures. All parties are working to develop a technical solution to resolve these issues. A further update is expected late September.

Contact for public enquiries: email: scott.urquhart@nhs.scot

Project: NHS Greater Glasgow and Clyde - Radionuclide Dispensary

Business case approved stages: Project to create a modern Radiopharmacy facility to continue the manufacture of radiopharmaceutical medicines and distribution of them to Nuclear Medicine Departments throughout Health Boards in West Central Scotland and the West of Scotland. The OBC outlines a cost of £20.9 million and that the project was to be operational July 2025 (Hub West Scotland replaced Frameworks Scotland as procurement route for the project following OBC approval).

Progress at December 2023: No change to OBC cost since the last report.

The project is now estimated to commence construction in June 2024 which is later than the previously reported spring 2024 in the March 2023 update. This due to the change in procurement route from Frameworks Scotland to Hub West Scotland.

Progress at August 2024: The FBC is to be presented to the Scottish Government Health Portfolio Capital Investment Group (CIG) in September 2024. Providing a successful FBC approval, the project will start construction in October 2024. This is later than that previously reported and is due to additional governance around the assurance process. The project cost is now £21.4 million which is an increase in that at OBC and as previously reported and is due to outcome of a market testing period.

Contact for public enquiries: email: andrew.baillie@ggc.scot.nhs.uk

Project: NHS Lanarkshire - Monklands Replacement Project

Business case approved stages: Project will provide a replacement for the existing University Hospital Monklands in North Lanarkshire. The OBC was approved in July 2023 outlining an estimated cost of £1.344 billion and a planned operational date of 2031.

Progress at December 2023: N/A

Progress at August 2024: Although the project’s OBC was approved in July 2023, as with all health capital projects it was under review to assess its affordability. FBC development work is continuing and active discussions with NHS Lanarkshire on the impact of the budget settlement on the proposal to replace University Hospital Monklands are ongoing.

Contact for public enquiries: email: graeme.reid2@lanarkshire.scot.nhs.uk