Purley War Memorial Hospital Development Project

1. Purley WarMemorial Hospital Development Project Project Update 8 Jan 2013 DRAFT 2nd November 2012

2. Introduction • Croydon Health Services NHS Trust is currently undertaking the full refurbishment of the Purley War Memorial Hospital site. • The Trust’s Full Business case was approved by NHS London in June 2012 and it received a capital grant of £11.15m • The site will be transformed into a centre for integrated care services for the communities in South Croydon. There will be improved access to a full range of primary, community and secondary health services to meet the ‘care closer to home’ principle. • Work commenced in November 2012 and will be complete in June 2013: • Existing services relocated back to Croydon University Hospital in Oct to allow for refurbishment work to start in Nov 2012. • On completion services will relocate to Purley War Memorial Hospital with clinics scheduled to re-commence in July 2013.

3. Project Overview • The project proposal meets 80% of the south Croydon population's (current) outpatient requirements. • Benefits are mainly indicated for the local population but it is important to note that the impact of transferred activity from the CUH site also provides improved access and patient experience for the wider Croydon population. • Greater access to services at Purley increases the range of current and prospective choices available to patients and achieves improved equality in access to services across the whole of the borough. • Refurbishment will increase delivery of outpatient and therapy-led activity: • A planned increase from 25,000 to 60,000 outpatient attendances per year. This is a shift of existing patients from the main Croydon University Hospital site. • Additional diagnostics and urgent care would bring total activity to approximately 90,000 annual attendances/contacts. • The majority of patients will be seen on a one-stop basis.

4. Project Overview Continued …. • Procure21+ (P21+) procurement framework is being used to provide assurance and performance management procedure that enhances transparency and assists good scheme management. It supports the delivery of sustainable developments and drives best practice. Miller HPS appointed as Trust partner. • Design process has included clinicians and support services. Their input is essential in ensuring successful delivery of the refurbishment and realising the benefits. • Patient/User representation on Project Board, working meetings and as part of wider engagement and dialogue has been an underpinning feature of the programme. • GP commissioners support the development. Commissioners were involved at stakeholder seminars and on the Project Board. The inaugural CCG Board approved and has committed to providing additional documented support to the Capital Management Group for 11 June 2012.

5. What Will Make This Project Distinctive? A popular community facility Brings care closer to home Improved experience for patients, visitors and staff A centre of clinical excellence Site sustainable for 25 years A fully integrated clinical services Will provide new facilities & services in S Croydon

6. Benefits

7. Range of services: July 2013 • Purpose built GP facilities • Urgent Care Services • Direct Access and supporting diagnostics • Full range of secondary outpatient services including: Total planned activity approx 90,000 attendances pa – meeting 80% of South Croydon’s registered population outpatient requirements

8. The Current Condition Current outpatients waiting room Existing corridors Rear of site - currently closed Current offices Corner of consultation room Rear of site –overgrown areas

9. Existing Site

10. Existing Layout – Ground Floor • Some of the Issues: • Rooms too small • Heating issues • Drinking water issues • Water ingress • Damp walls • Potential rot to rafters/joists • Potential infestation • Required Changes: • Potential new roof • Wall alterations • New doorways • New floor finishes • New furniture, fittings & equipment OUTPATIENTS X-RAY PHYSIO OUTPATIENTS UCC

11. New Entrance

12. New Reception

13. New Generic Consult Rooms

14. New Ground Floor

15. New First Floor

16. Public and Patient Engagement • Good public and patient engagement is being achieved. • Patient/User representatives have been involved from the start of the project on the Project Board, in the development of the project brief, in reviewing early drafts of the full business case, participating in benefits and risk appraisal workshops and design workshops; and a series of public engagement events including: • Local Residents Associations • The Bourne Society (local history society) • Croydon Natural History and Scientific Society (CNHSS) • GP patient groups • Further engagement sessions are planned including ‘Market place’ information sessions at local supermarkets • On the Trust’s website there is a dedicated project webpage providing regular updates and contact information

17. Secretary of State’s tests:Feedback on FBC following Project Board meeting “I am happy to confirm that, where appropriate, the document reflects the considerations and outcomes I have participated in” David Martin - Vice Chair CHS Patient Assembly Purley Project Board User Representative “You have PWRA’s full support on this project. The entire community will welcome major improvements as envisaged” Tarsem Flora - Chair Purley and Woodcote Residents Association (PWRA) Purley Project Board User Representative

18. Examples of evidence of listening to Public and Patient Feedback

19. Key Risks • Formal Risk Register is maintained. Key Risks include: • Construction Programme – mitigated by: • P21+ framework and GMP (includes risk share) • Risk ‘pool’ for revised specification/additional equipment • Clinical Services Programme- mitigated by: • Specialty/Pathway based specifications • Commissioner sign off re FBC activity assumptions • Delivery of ‘campus’ environment – mitigated by: • Agreements in principle with partners at FBC • Co-development of design • Sponsor Board sign off re FBC • Car Parking

20. Project Progress to date

21. Project Progress to date (1)

22. Project Progress to date (2)

23. Forthcoming Key Project Milestones

24. Validation of Good Practice 08/01/13

25. Any Comments / Feedback? • Please feel free to comment Your thoughts and concerns are important and will be accommodated in the project as far as practically and feasibly possible: Cerian Henshaw – Purley Project Manager cerian.henshaw@croydonhealth.nhs.uk • Further information …. On the Intranet and on the Internet: www.croydonhealthservices.nhs.uk