Infrastructure Investment Plan 2021-22 to 2025-26: major capital projects progress update - March 2022

Sector: Health

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

Business case approved stages: 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 costs 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 September 2021: No change to cost or timing since the last report. The estimated costs are as per FBC Addendum and operational dates are as per FBC.

Progress at March 2022: No change to cost since the last report.

The project is in construction and making good progress. The estimated costs of £233.2 million as per FBC Addendum is unchanged but under review due to market conditions.

The estimated operational date for the ANCHOR Centre has moved out to August 2023 with the Baird Family Hospital now estimated to be March 2024. This is later than previously reported and is updated to reflect brief amendments and the impact on the contractors’ programme of market, supply chain and labour issues that have presented to date.

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

Project: NHS Highland - Redesign of Services for Skye, Lochalsh & South West Ross

Business case approved stages: The FBC for the project outlined that the total cost of the project will be £28.5 million with the new £24.8 million Community Hospital in Skye to be operational by May 2021. The total cost relates to the reconfiguration of existing health and care premises in addition to the new hospital. The overall completion of the full programme of service redesign, including reconfiguration of existing premises is February 2023. The new hospital is being delivered under one contract in conjunction with Badenoch and Strathspey Community Hospital (Hub North Scotland is procurement route for project).

Progress at September 2021: No change to cost since the last report. The operational date of the new Community Hospital in Skye is now expected to be January 2022. This is 3 months later than previously reported and is due to COVID-19 related delays and impact of the forthcoming festive period. Completion of full programme of service redesign, including reconfiguration of existing premises is still estimated at June 2023 (as stated in September 2020 report). As previously reported, potential additional costs are yet to be finalised and the remainder of the programme of work for north Skye is currently under review.

Progress at March 2022: No change to cost since last report.

The new Broadford Hospital became operational from 8 March 2022. This is 2 months later than previously reported and is due to the impact of COVID-19 and staffing pressures. The remaining elements of the Redesign programme as described in the FBC are the extension to Broadford Health Centre which is expected to complete in Q3 2023 which is later than previously reported. This is due to additional pressures relating to staff absences, COVID-19 related delays plus additional works required at the new hospital following an evolution of the renal service requirements which have meant the Board have been unable to progress with alterations to the health centre to the previously planned programme. Planned works in North Skye are subject to review and redesign as part of a separate programme of service redesign.

Contact for public enquiries: email: heather.cameron2@nhs.scot

Project: NHS Highland - Redesign of Services for Badenoch and Strathspey

Business case approved stages: The FBC for the project outlined that the total cost of the project will be £27.7 million with the £23.6 million new Community Hospital in Aviemore to be operational by May 2021. The total cost relates to the reconfiguration of existing health and care premises in addition to the new hospital. Overall completion of the full programme of service redesign, including reconfiguration of existing premises is February 2022.

Project is being delivered under one contract in conjunction with the Skye, Lochalsh & South West Ross Community Hospital (Hub North Scotland is procurement route for project).

Progress at September 2021: No change to cost or timing since the last report.

Construction of the new Badenoch & Strathspey Community Hospital in Aviemore is now complete and the hospital is operational as of 27 September 2021. The remaining infrastructure elements of the redesign include an extension to Kingussie Medical Practice and alterations to Ian Charles Health Centre in Grantown-on-Spey.

Progress at March 2022: No change to cost since last report.

Other elements of the overall redesign including additional beds to Grant House and Wade Centre Care Homes and extension of Kingussie Medical Practice are also now complete and operational with redundant buildings now closed and being readied for disposal.

The remaining element of the redesign project is the extension and upgrade of Ian Charles Health Centre in Grantown-on-Spey, which is programmed to complete in Q3 2023. This is later than the June 2023 date (as per September 2020 report) and is due to work which has taken longer to agree, given changes in practice due to COVID-19 and the requirement to integrate net zero carbon commitments into the previously agreed design.

Contact for public enquiries: email: heather.cameron2@nhs.scot

Project: NHS Greater Glasgow and Clyde - Clydebank Health & Care Centre

Business case approved stages: The FBC for the project outlined that the total cost of the project will be £21.7 million (revenue funded element £20.4 million) and that it will be operational by June 2021 (Hub West Scotland is procurement route for project).

Progress at September 2021: No change to cost or timing since the last report.

The project which is in construction, will be operational in November 2021.

Progress at March 2022: No change to cost since the last report.

The project became operational in December 2021. This is later than previously reported and was due to a delay with the contractor issuing certification of remediation works to Planning Authority.

Contact for public enquiries: email: john.donnelly@ggc.scot.nhs.uk

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

Business case approved stages: The 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 of the project 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 September 2021: The project commenced construction in November 2020.

The completion date is now June 2023 with the operational date now to August 2023. This later than at FBC and is due to two Endoscopy Rooms being added which have required a redesign of Level 2 of the building.

Progress at March 2022: No change to timing since the last report.

The total cost of the project is now estimated at £82.5 million which is an increase from that at FBC and the previous report. This is due to the requirement to provide two additional Endoscopy Rooms and the associated redesign.

Contact for public enquiries: email: john.scott@gjnh.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 September 2021: Work on the FBC has been paused pending the outcome of a clinically led review of the scope of the project. Revised dates for the project plan will be confirmed following completion of this review.

Progress at March 2022: No change to status of project since last report.

However, the review is concluding and revised dates for the project plan will be confirmed following completion of this review.

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 September 2021: Following a pause to understand the impact of the re-provision of Eye Services on the project scope, the FBC is now under development including review of the service model and building design.

Updates on revised costs and timeframe will be provided when fully understood as part of the FBC process.

Progress at March 2022: No change to cost or time since the last report.

The FBC is under development and updated costs and delivery dates are expected mid-2022.

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 September 2021: The OBC was approved in September 2021 the FBC is now under development.

The project is estimated to commence construction in June 2024.

Progress at March 2022: No change to cost or timing since the last report.

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

Project: NHS Highland – National Treatment Centre

Business case approved stages: New National Treatment Centre providing orthopaedic elective care services and a complete ophthalmology service (forms part of the National Treatment Centres Programme).

The FBC outlined that the total project cost is £41.3 million and that the project is anticipated to be operational by October 2022 (Frameworks Scotland is procurement route for project).

Progress at September 2021: The project is in construction and is progressing to programme. Additional funding of £1.9 million has been approved, for design changes based on recommendations from the NHS Scotland Design Assessment Process.

Progress at March 2022: No change to cost or timing since the last report.

Contact for public enquiries: email: kevin.minnock@nhs.scot

Project: NHS Fife - Elective Orthopaedic Centre

Business case approved stages: Reprovision of elective orthopaedic services at Victoria Hospital, Kirkcaldy that will provide a standalone all-encompassing elective orthopaedic service (forms part of the National Treatment Centres Programme).

The FBC outlined that the total project cost is estimated at £33.2 million and that the project is planned to be completed in September 2022 and operational in November 2022 (Frameworks Scotland is procurement route for project).

Progress at September 2021: The project is in construction and is now planned to be completed in October 2022 and in light of December break, operational in January 2023. This is later than that at FBC and is due to services in the ground (contractor risk) and impact of COVID-19 (isolation of contractors and material availability).

Progress at March 2022: No change to cost or timing since the last report.

Contact for public enquiries: email: ben.johnston2@nhs.scot

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 are around £9 million with capital costs being around £10 million subject to final confirmation (forms part of the National Treatment Centres Programme).

Progress at September 2021: Project is being progressed and Phase 1 Design Development is currently concluding. Contract sums and proposals are currently being reviewed. The project to increase Elective Care capacity in NHS Forth Valley is scheduled to be completed by end of 2022.

Progress at March 2022: No change to cost or timing since last report.

Two operating theatres in place and delivering additional capacity. The majority of planned workforce already recruited and in-post. The construction of a new 30 bedded ward facility is expected to complete by end of 2022.

Contact for public enquiries: email: scott.urquhart@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 September 2021: The construction delivery partner has indicated that there will be an increase to the overall £54 million Campus costs that were agreed earlier in 2021 as well as the overall delivery of the project. This is due to an increase in key construction costs and inflation, location issues around supply chains and market conditions, as well as project scope changes.

As a result, project development is currently on hold until Hub North Scotland undertake a review and report back to the Scottish Government.

Progress at March 2022: No change to status of project since last report.

Contact for public enquiries: email: debbie.bozkurt@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 (Hub West Scotland is procurement route for project).

The FBC outlined that the project is estimated to cost £71.7 million and that it is planned to be operational in July 2024.

Progress at September 2021: The OBC was approved in February 2021. Project estimated to commence construction in March 2022.

Progress at March 2022: The project has moved to FBC and is now in construction. The FBC outlines that the project is estimated to cost £71.7 million and that it is planned to be operational in July 2024.

The FBC cost is an increase to that at OBC and as previously reported. This is due to the design and pricing having been developed against the backdrop of COVID-19 challenges and at a time of market volatility around labour and material availability and costs.

The operational date is later than that at OBC and is due to the movement by one month of the financial close date.

Contact for public enquiries: email: john.donnelly@ggc.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 outlines that the total cost of the project is £20.6 million and that the project will be operational by November 2022 (Frameworks Scotland is procurement route for project).

Progress at September 2021: The project commenced construction in December 2020 and the expected operational date is now April 2023. This delay reflects the delay of governance approvals to FBC and resultant delay to construction commencing.

Progress at March 2022: The overall estimated programme cost is now £23.1 million which is an increase to that at FBC and as previously reported. This is due to market testing of the Ward 1 element which increased by £1.1 million and a benchmarking exercise undertaken for Clinical Assessment Unit (CAU)/Wards indicated a further £1.4 million increase in this element. The exact figure will be confirmed following the target cost agreement in early Autumn 2022.

The estimated operational date is now October 2023 which is later than previously reported. This is due to the outturn duration of the detailed design and alignment with the NHS Lothian/Scottish Government governance dates as well as the development of the phasing and access strategy.

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

Project: NHS Ayrshire & Arran - 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).

Progress at September 2021: FBC approval is pending the outcome of the NHS Scotland ASSURE process. The NHS Scotland ASSURE report is to be submitted to the Scottish Government Capital Investment Group (CIG) in October / November 2021.

Progress at March 2022: The FBC is currently awaiting supported status from NSS Assure. It is anticipated that supported status will be gained during summer 2022 when cost and timings will be finalised.

Contact for public enquiries: email: iain.fairley@aapct.scot.nhs.uk

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 will be operational by May 2021 (Frameworks Scotland is procurement route for project).

Progress at September 2021: The project commenced construction in February 2021 and the expected operational date is now April 2022. The delay is due to the ongoing COVID-19 situation (this has affected both time and availability of construction materials) and onsite unknown operational issues with the existing Ninewells infrastructure.

Progress at March 2022: The total project cost is now estimated to be £8.9 million which is an increase to that at FBC and as previously reported. This is due a variety of factors including provision of an alternative HV (High Voltage) cable route.

The expected operational date is now July 2022 which is later that previously reported due to the COVID-19 situation which has affected both time and availability of construction materials.

Contact for public enquiries: email: tay.projectinfo@nhs.scot

Project: NHS Tayside - Children's Theatre Suite Project including the Multi Storey Plant Room

Business case approved stages: Project will create a dedicated Children’s Theatre Suite (CTS) comprising a pre-assessment / waiting area, 2 operating theatres and a 10-bedded ward area. The Multi-Storey Plant Room will provide the CTS accommodation and provide plant room space for CTS, the Neonatal Intensive Care Unit and Electrical Infrastructure Zone 2 - Radiotherapy, Maternity and West Ward Block.

The FBC outlined that the total cost of the project is £11.5 million and that it will be operational by October 2020 (Frameworks Scotland is procurement route for project).

Progress at September 2021: The project commenced construction in August 2019.

The total cost of project is now estimated at £12.9 million, which is an increase to that as outlined at FBC. The revised contract completion date is now February 2022, which is later than that outlined in FBC. The delay is due to the interdependencies with the Zone 1 project delays, the ongoing COVID-19 situation (this has affected both time and availability of construction materials) and onsite unknown operational issues with the existing Ninewells infrastructure.

Progress at March 2022: No increase in cost of project since the last report.

The total cost of project is now £12.8 million which is a slight reduction to that previously reported due to revised costs at completion.

The facility opened to patients in May 2022 which is later that previously reported and was due to issues that delayed the handover of the facility which took place in April 2022. These issues related to recovery ventilation balancing, medical gas commissioning and the completion of general snagging.

Contact for public enquiries: email: tay.projectinfo@nhs.scot

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 outlines that the total cost of the project is £4.6 million and that it will be operational by 2021.

Progress at September 2021: N/A

Progress at March 2022: The current indicative cost is around £8 million based on very high level estimates to take account of inflationary and other price increases since the OBC. The Design Team are currently preparing designs (incorporating lesson from zone 1 and zone 2) and technical solutions to confirm location.

The project is estimated to commence construction in June 2023 and be operational in January 2025. This is later that at OBC and is due to the ongoing synergies with the Zone 2 project which is currently on site.

Contact for public enquiries: email: tay.projectinfo@nhs.scot

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.

Progress at September 2021: N/A

Progress at March 2022: The project is being progressed through an accelerated Scottish Capital Investment Manual process. A Strategic Initial Agreement has been approved. In lieu of an OBC, an Economic Appraisal has been submitted and approved.

The project is progressing to FBC which is due to be submitted September 2022. Indicative costs are between £10 million to £20 million and project is planned to be operational summer 2024.

Contact for public enquiries: email: debbie.kirk@aapct.scot.nhs.uk