Infrastructure Investment Plan 2021-22 to 2025-26: major capital projects progress update - December 2023
The following information relates to projects with a capital value of £5 million or more which are at the outline business case (or equivalent) approved stage or beyond.
Sector: Health
Project: NHS Tayside - Electrical Infrastructure Zone 2 - Radiotherapy, Maternity and West Ward Block
Business case approved stages: Project will provide fully compliant primary electrical infrastructure, site resilience and dual unified supplies for the Radiotherapy, Maternity and West Ward block at Ninewells Hospital. The approved FBC outlined that the total cost of the project was £7.9 million and that it would be operational by May 2021 (Frameworks Scotland is procurement route for project).
Progress at March 2023: The total project cost is now estimated to be £12.4 million which is an increase in what was previously reported. This is due to further costs relating to the alternative High Voltage cable route as well as increased construction costs.
Construction continues and it is now expected that the project will become operational in June 2023 which is later that previously reported. This is due to the extended programme and delays associated with COVID-19 measures.
Progress at December 2023: No change to cost or timing since the last report and the newly installed infrastructure was operational in June 2023.
Contact for public enquiries: email: tay.projectinfo@nhs.scot
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 for project outlined that the total cost will be £80.9 million and that it is 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 March 2023: No change to cost since the last report (as reported in March 2022 update, the total cost of the project is estimated at £82.5 million).
The estimated completion date is now September 2023 with the operational date now December 2023. This is later than previously reported and is due to changes required to the Central Sterilisation Processing Department (CSPD) area of the building following a lessons learned review with NHS Orkney in relation to their decontamination project which was facilitated by NHS Scotland Assure.
Progress at December 2023: No change to cost since the last report.
The estimated operational date is now February 2024, which is later than previously reported. This is due to delays relating to the assurance of the technical commissioning of systems within the building.
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 approved FBC outlines that the estimated cost of project will be £18.7 million and that it will be operational by December 2023 (Frameworks Scotland is procurement route for project).
Progress at March 2023: The FBC was approved in September 2022 and construction commenced thereafter. Project completion and hand over of the facility is expected during September 2023. A period of 8-10 weeks testing and commissioning will follow with potential for the facility to be receiving young people from December 2023 onwards.
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. 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 at FBC. This is due to prolongation and programme delay as well as some compensation events within the period.
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 March 2023: No change to timing since last report (as reported in September 2022 update, the estimated overall completion for project in construction is November 2023).
The total cost of the project is now estimated at £23.3 million. This is an increase on that previously reported and is due to the market testing of the last element of the programme, the Cancer Assessment Unit (CAU).
Progress at December 2023: The estimated overall completion of project is now May 2024, which is later than previously reported. 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 that previously reported. This is due to additional costs relating to rectifying fire safety defects and the implications of the construction handover being pushed back.
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 Commercial Medicines 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 outlines that the total project cost is £233.2 million as per FBC Addendum and that the operational date for the ANCHOR Centre is estimated for May 2023 with the Baird Family Hospital estimated for December 2023 (Frameworks Scotland is procurement route for project).
Progress at March 2023: The project is in construction and making good progress. The total cost is now estimated to be £261.1 million. This is an increase to that previously reported and is due to the continuing challenging market conditions, increased costs in relation to quality assurance, and additional project and specialist resources to address and close off action plans.
The estimated operational date for the ANCHOR Centre is now October 2023 with the Baird Family Hospital now September 2024. This is later than that previously reported and is due to the quality assurance process which has led to programme elongation and construction changes.
Progress at December 2023: No change to cost since the last report.
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.
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 is estimated to cost £67.3 million and that it is planned to be operational in June 2024. The FBC outlined that the project is estimated to cost £71.7 million and that it is planned to be operational in October 2024 (Hub West Scotland is procurement route for project).
Progress at March 2023: No change to cost or timing since last report (as reported in March 2022 update, the project moved to FBC and commenced construction).
Progress at December 2023: No change to 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. The FBC operational date is planned for October 2024.
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 March 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 June 2023 with an operational date in August 2023. This is later than previously reported and is due to the quality assurance process and development of the detailed commissioning strategy. The revised dates by the principal contractor are subject to NHS Assure status.
Progress at December 2023: No change to cost since the last report.
The estimated project completion is now anticipated to be in 2024 but there is no confirmed date as yet. This is later than previously reported and is due to assurances around a number of construction issues. Project completion by the principal contractor is subject to NHS Assure status.
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 will be operational July 2025 (Hub West Scotland replaced Frameworks Scotland as procurement route for the project following OBC approval).
Progress at March 2023: The OBC was approved by the Scottish Government Health Portfolio Capital Investment Group (CIG) in April 2023. The project is progressing to programme and is estimated to commence construction spring 2024.
Progress at December 2023: No change to cost since the last report.
The project is now estimated to commence construction in June 2024 which is later than previously reported. This due to the change in procurement route from Frameworks Scotland to Hub West Scotland.
Contact for public enquiries: email: andrew.baillie@ggc.scot.nhs.uk
Project: NHS Grampian – National Treatment Centre
Business case approved stages: Development of elective care facilities in NHS Grampian including modern and fit for purpose outpatient and ambulatory care facilities, supporting a ‘one-stop’ model of outpatient provision (forms part of the National Treatment Centres Programme). The OBC outlined that the total project cost is estimated at £52 million and that the project is planned to be operational in June 2024 (Frameworks Scotland is procurement route for project).
Progress at March 2023: No change to status of project since last report (as reported in September 2021 update, work on the FBC was paused pending the outcome of a clinically led review of the scope of the project).
The clinically led review has been undertaken and cost and timings will be updated when work on FBC has concluded.
Progress at December 2023: In common with all health capital investment projects in development, this business case has been paused until the necessary capital funding to complete the project becomes available. The ongoing review of the infrastructure projects pipeline will determine whether this continues to be part of this reporting.
Contact for public enquiries: email: gram.nhsgrampianfeedback@nhs.scot
Project: NHS Lothian - National Treatment Centre
Business case approved stages: National Treatment Centre at St John’s Hospital in Livingston (forms part of the National Treatment Centres Programme). The OBC outlined that the total cost of the project will be £70.9 million and that it will be operational by spring 2023 (Frameworks Scotland is procurement route for project).
Progress at March 2023: The FBC is still under development and updated costs and delivery dates will be confirmed as the FBC is further developed. Revised project cost estimates will reflect current market conditions and revised requirements, which will drive a significant increase in forecast costs that will be confirmed through the business case process.
Progress at December 2023: In common with all health capital investment projects in development, this business case has been paused until the necessary capital funding to complete the project becomes available. The ongoing review of the infrastructure projects pipeline will determine whether this continues to be part of this reporting.
Contact for public enquiries: email: Lothian.Communications@nhslothian.scot.nhs.uk
Project: NHS Lothian - Reprovision of Eye Services
Business case approved stages: Project to re-provide eye services including those currently being delivered from the Princess Alexandra Eye Pavilion, Edinburgh (forms part of the National Treatment Centres Programme). The OBC outlined that the total project cost is £112.5 million and that project is anticipated to be operational by December 2026 (Frameworks Scotland is procurement route for project).
Progress at March 2023: No change to cost since the last report (as reported in September 2021 update, project is estimated to commence construction in June 2024).
The FBC is still under development and project cost estimates will be revised to reflect the impact of inflation, net zero carbon targets, plot change and updated clinical brief to align with national treatment targets.
Progress at December 2023: In common with all health capital investment projects in development, this business case has been paused until the necessary capital funding to complete the project becomes available. The ongoing review of the infrastructure projects pipeline will determine whether this continues to be part of this reporting.
Contact for public enquiries: email: Lothian.Communications@nhslothian.scot.nhs.uk
Project: NHS Ayrshire & Arran - National Treatment Centre - Ayrshire & Arran
Business case approved stages: Project will provide additional capacity that will deal with Orthopaedic procedures and reduce backlog of treatments in the west of Scotland (forms part of the National Treatment Centres Programme). The project is designed to progress through an accelerated Scottish Capital Investment Manual process and, in lieu of an OBC, an economic appraisal has been submitted and approved. Projected costs and timings of project were provided in September 2022 update (see below).
Progress at March 2023: No change to cost or timing since last report (as reported in September 2022 update, the costs are £22 million and project is estimated to be operational in 2025).
The project is progressing to FBC which will be submitted to the Scottish Government Health Portfolio Capital Investment Group (CIG) towards the end of spring 2023. The costs and the programme delivery reflecting the greater scope and market rates which are subject to ongoing inflationary pressures, will be updated as part of the FBC process.
Progress at December 2023: In common with all health capital investment projects in development, this business case has been paused until the necessary capital funding to complete the project becomes available. The ongoing review of the infrastructure projects pipeline will determine whether this continues to be part of this reporting.
Contact for public enquiries: email: fraser.bell@aapct.scot.nhs.uk
Project: NHS Tayside - Ninewells Electrical Infrastructure Zone 3
Business case approved stages: Project will provide fully compliant primary electrical infrastructure, site resilience and dual unified supplies for Zone 3 at Ninewells Hospital. The OBC outlined that the total cost of the project is £4.6 million and that it will be operational by 2021.
Progress at March 2023: No change to cost or timing since last report (as reported in March 2022 update, the indicative cost is around £8 million and project is estimated to commence construction in June 2023 and be operational in January 2025).
The FBC being developed will reflect lessons learned from Zone 1 and 2 projects, the latest construction costs, and inflationary pressures, as well as an extended programme.
Progress at December 2023: In common with all health capital investment projects in development, this business case has been paused until the necessary capital funding to complete the project becomes available. The ongoing review of the infrastructure projects pipeline will determine whether this continues to be part of this reporting.
Contact for public enquiries: email: tay.projectinfo@nhs.scot
Project: NHS Western Isles – Barra and Vatersay Community Campus
Business case approved stages: The overall Campus project includes replacement of existing Castlebay Community School and St Brendan's Hospital with a multi-use campus that will also include social care housing and community facilities. The OBC outlined a cost of £18 million for the Health and Social Care element of the Campus and that it will be operational in 2024. The Scottish Government is funding the £18 million Health and Social Care element (Hub North Scotland is procurement route for project).
Progress at March 2023: An amended OBC was presented to the Scottish Government Health Portfolio Capital Investment Group (CIG) on 25 January 2023. The next steps are being considered by the Scottish Government (as reported in September 2021 update, project development has been on hold as the construction delivery partner had indicated that there would be an increase in the overall £54 million Campus costs agreed earlier in 2021 as well as the overall delivery of the project).
Progress at December 2023: The Cabinet Secretary For NHS Recovery, Health And Social Care, confirmed in June 2023 that funding for the Health element of this project would not be available. Consequently, this project will therefore no longer be included within this report going forward.
Contact for public enquiries: email: debbie.bozkurt@nhs.scot
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