Infrastructure Investment Plan 2021-22 to 2025-26: Major capital projects progress update (September 2022)

Sector: Health

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 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.

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

The total cost is now estimated at £244.8 million which is an increase to that at FBC and as previously reported and is due to delivery challenges and market conditions. The estimated operational dates are under review.

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

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

Construction continues with the operational date being August 2023 (as per September 2021 report).

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 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.

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

As stated in the September 2021 report, work on the FBC was paused pending the outcome of a clinically led review of the scope of the project. The review is concluding and will result in an amendment to site and a revisiting of the OBC. Revised dates for the project plan will be confirmed following the 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 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.

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

The FBC is still under development and updated costs and delivery dates will be confirmed as the FBC is further developed.

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

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

The FBC is under development and project is estimated to commence construction in June 2024 (as per September 2021 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 was anticipated to be operational by October 2022 (Frameworks Scotland is procurement route for project).

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

Additional funding was approved for design changes based on recommendations from the NHS Scotland Design Assessment Process taking cost to £43.3 million (as per September 2021 report).

Progress at September 2022: The estimated cost is now £43.6 million which is an increase from that previously reported and is due to conclusion of design changes, increased land purchase costs and conclusion of COVID-19 costs.

Construction continues with the estimated operational date now expected to be March 2023 which is later than that previously reported and which is due to the COVID-19 impact, material shortages and resourcing issues.

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

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

Construction continues and the project is planned to be completed late 2022 and be operational in January 2023 (as per September 2021 report).

An additional £0.2 million funding was agreed with the Scottish Government to cover a variety of requirements related to the design and the COVID-19 impact within construction. The total project cost is now estimated at £33.4 million.

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

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.

Progress at September 2022: The capital costs have now been confirmed as £11.1 million which is an increase from that at business case approved stage and which is due to the conclusion of design development.

The estimated project completion is now March 2023 which is later than that at business case approved stage and which is mainly due to unforeseen issues with existing utilities.

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

Progress at September 2022: Project development has been on hold since the September 2021 report when 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.

An amended business case is planned to be submitted to the Scottish Government Capital Investment Group (CIG) later in 2022 when updated costs and timescales will be presented.

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. The FBC outlined that the project is estimated to cost £71.7 million and that it is planned to be operational in July 2024 (Hub West Scotland is procurement route for project).

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.

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

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 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 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.

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

The estimated overall completion for project in construction is now November 2023 which is later that previously reported and is due to the extended market testing period for the last element of the programme in connection with current market conditions.

Contact for public enquiries: email: Lothian.Communications@nhslothian.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).

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.

Progress at September 2022: The FBC has been provided with supported status by NHS Assure and approval is expected imminently. Updated costs and programme to be finalised for incorporation into building contract to reflect inflation.

Contact for public enquiries: email: fraser.bell@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 would be operational by May 2021 (Frameworks Scotland is procurement route for project).

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.

Progress at September 2022: The total project cost is now estimated to be £10 million which is an increase in what was previously reported. This is due a variety of factors including provision of an alternative High Voltage cable route and the switchover process.

Construction continues and the estimated operational date is now January 2023 which is later that previously reported and is due to COVID-19 measures and construction market pressures which have affected both time and availability of construction materials.

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

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.

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

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 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.

Progress at September 2022: The project is progressing to FBC which is due to be submitted in March 2023. Indicative costs are currently £22 million which is an increase in what was previously reported. This is due to design development and an increase in scope for the facility which is greater than initially anticipated as well as a longer programme reflecting the greater scope and market rates which are subject to ongoing inflationary pressures. Costs are being further developed to reflect the detailed design.

The project is now estimated to be operational in 2025 which is later than previously reported and which is due to design development and an increase in scope for the facility which is greater than initially anticipated.

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