Ysbyty Glan Clwyd Project Update December 2011
Ysbyty Glan Clwyd Project Update October 2011
15.08.2011 - The Outline Business Case has been presented to the Welsh Government
After approval by the BCUHB Board, the Outline Business Case (OBC) was submitted to the Welsh Government on the 27th June 2011.
The OBC is the second of the three business cases needed. The OBC updated the information given in the Strategic Outline Case (SOC), to show the option giving best value for money. It gave more detail on how the project will be managed, how we will work with contractors and the funding which will be required.
The next step is for the Welsh Government to comment on the case and ask for any further information if needed.
We will submit the last business case, the Full Business Case (FBC) to the Welsh Government in November 2011.
The OBC contained some significant changes from the initial SOC. The business case to fund the redevelopment of the Emergency Department is now included in the overall OBC, as was the work done at the Venue Cymru meetings in April 2011 on the layout of the hospital.
The overall phasing plan has been given to the Health and Safety Executive.
After approval at the July Project Board, the overall plan for how the work will be phased over the next seven years was submitted on the 30th July 2011 to the Health and Safety Executive.
The phasing plans which have been submitted are strategic plans and the CPGs will be heavily involved with the details of actual individual departmental and ward phasing. Some departments will have their work done within the next two to three years, but some work will be nearer the end of the project from 2016-1018. We will give departments an actual plan with timings when this is ready. The detailed phasing is the next biggest piece of work to be done.
The overall strategy is driven by both clinical needs and construction needs and has taken into account the work already done at Prince Charles Hospital in Merthyr Tydfil both in terms of what has worked well there and the problems that they have come across. The strategy:
1. Uses the work done at the Venue Cymru meetings on where departments would be located within the hospital.
2.Completes the asbestos strip within six years.
3. Limits disruption and allows the hospital to continue to function safely.
4. Has as few ‘decants’ as possible, limiting departments to one move only, as far as is possible.
5. Limits disruption to electrical, water and waste services.
6. Minimises the risk of any adverse incidents.
More of our total number of beds will be on the ground floor in a newly created assessment bed area which will be part of the ‘Emergency Quarter’.
The wards will be closed and decanted in groups of three, one vertical ‘tower’ at a time. Beds will be decanted initially onto the ground floor and then into newly refurbished wards.
The three wards in each tower will have the asbestos stripped simultaneously over a 12 month period followed by a six month period of refurbishment.
The work on the wards will continue into 2017 with refurbishment continuing into 2018.
Some Design updates
The latest plans show Therapies and Out patients taking the area to the right of the main Entrance.
One ward floor will be used for offices to keep clinical staff close to in-patient beds.
Theatres 7&8 will move up to the first floor once the pathology area is cleared of asbestos.
Design Groups’ progress
Ground floor: Asbestos removal is continuing here. A temporary theatre equipment storage area and a temporary Post Room are being created in an area from which asbestos has already been cleared so that we can start to clear the asbestos from the old Medical Records area.
Theatres: The removal of asbestos from the existing theatre area is going well and is on schedule. The design for the new refurbished theatre suite is now progressing rapidly and the group has signed off the plans for the content and layout of the individual rooms. The group is also planning the move of theatres 7 and 8 up to the first floor.
Wards: The 1:200 plans for the layout of the generic ward areas have been signed off. These take into account comments made by staff, patients and relatives. The group has not yet looked at the approach corridor to the wards. Detailed ward design will also involve individual departments.
Pathology:Plans are again progressing well.
Mortuary:The layout of the department has been agreed. It has now been agreed that Bereavement services will be located within the Mortuary in a Bereavement suite.
The Unscheduled Care Group (chaired by Dr Brian Tehan
, Assistant Medical Director) is giving a strategic lead to the design of this area.
The design of area has been split into the responsibility of three individual user groups: the Emergency Department and GP ‘Out of Hours’ service ‘Front of House’ area; the ‘Resuscitation and Majors’ area; and the Assessment beds area group.
The user groups have agreed the initial diagrams which show the relationships to other clinical departments and are now considering possible departmental layouts.
Radiology: An initial meeting has been held to discuss the particular issues relating to the structure and layout of the x ray department.
Medical Investigation and Treatment Area: This area is a newly proposed development. Meetings have started with CPGs to discuss what kind of, and how much work, previously done in wards, could be carried out in this area, and the necessary staffing and funding for this, before going on to actual design.
There are a number of issues which affect the whole hospital, such as office accommodation. The project will start to look in more detail at these issues after the summer.
Project next steps:
Detailed Phasing plans: This is the next biggest piece of work to be done and is a very important step. This will be the ‘road map’ of the project which will tell construction workers, staff, patients and visitors when each step of the work will be done.
Project Governance arrangements: This will set the strategy for and give guidance on decision making within the project over the next seven years.
02. 06.2011 - First Plans for Ysbyty Glan Clwyd Released
The initial plans of where some departments could be located have now been agreed.
26.05.2011 - Initial plans to redevelop Ysbyty Glan Clwyd Approved
Initial plans for a major re-development of Ysbyty Glan Clwyd, Bodelwyddan, have been approved, Health Minister Lesley Griffiths announced today [Thursday 26 May].
The Welsh Government has earmarked almost £77million for the development.
The hospital has already benefited from £7.1million to remove asbestos and for fire safety measures and £5.44million for new operating theatres and a urology day care unit. The Welsh Government has funded these developments.
When the hospital was built in the late 1970s asbestos use was commonplace as a fire retardant coating on structural steelwork.
The new plans by Betsi Cadwaladr University Health Board – which runs Ysbyty Glan Clwyd – aim to ensure the hospital meets the latest fire and health and safety standards and provide opportunities to remodel the hospital to bring together services that are currently spread over the site.
The Health Board will develop its proposals further in the Outline Business Case.
Ms Griffiths said: “Ysbyty Glan Clwyd has, and will continue to have, a key role in delivering health services in North Wales
. Once completed, this investment will significantly improve the care for patients and the working environment for staff.
“We are maintaining our investment in the health service across Wales
in cash terms over the next three years – despite the impact of the UK Government’s cuts to the Welsh budget.”
Chair of Betsi Cadwaladr University Health Board Professor Merfyn Jones added: We are delighted that the Minister has given her approval for these developments. This is an exciting once-in-a-lifetime opportunity for us to make great improvements to patient care at Glan Clwyd Hospital
. This project will allow us to redevelop and improve the hospital so that our staff can continue to deliver high standards in modern healthcare facilities.”
07.04.11 - Second Stakeholder Event
The second of two stakeholder events was held on 7th April. At the first event health, local authority, CHC, the voluntary sector and patient representatives discussed how Ysbyty Glan Clwyd (YGC) might be redesigned.
The feedback from that day was presented to set the scene for the presentation of potential designs of the hospital following the necessary planned removal of the asbestos from the main building.
The Project Team presented three potential illustrations of how the main clinical departments might be arranged to increase the amount of space available for clinical care, protect ward spaces for inpatient use only and get better patient, staff and communication flows.
The aim of the event was to get an understanding of the strengths and weaknesses of these illustrated approaches so that a decision can be made on how the hospital might be laid out.
The event was again very well attended by a wide cross section of people and generated healthy and useful debate where people were able to share their views on the approaches developed following the previous event in March.
These views will help form a plan for how the hospital might look in the future. This will form the basis of the outline business case to be submitted to Welsh Assembly Government in June 2011. There will also be further and more detailed discussions with individual departments and with service users before submission of a full business case later in the year.
This is one of the major investment projects for Betsi Cadwaladr University Health Board but other projects are also planned for the other District General Hospital
and community sites across North Wales
A website has been launched and will be further developed over the coming weeks, months and years to keep staff and the public informed of developments and will give people a way of continuing to share their views: http://www.wales.nhs.uk/sitesplus/861/page/51556
17.03.11 - Update from the Stakeholder Event
The first of two events to discuss how Ysbyty Glan Clwyd (YGC) might be reprovided in the future was held today (March 17th 2011).
Over 150 people from health, Local Authority, CHC, Voluntary sector and patient representatives shared their views on how we can make the most of this opportunity to redesign the hospital following the necessary planned removal of the asbestos from the main building.
This is one of the major investment projects for Betsi Cadwaladr University Health Board but other projects are also planned for the other District General Hospital and community sites across North Wales.
The purpose of the day was to provide information regarding the design process and progress to date and to gather views on issues such as what is good about the current building and what could be improved to support high quality, modern health care into the future.
People were able to share their views on the location and size of departments, which departments need to be group together, and what would best minimise disruption to patients during this necessary work.
The views from this very productive day will be analysed and used to inform the potential options for the layout and design of the building in the future.
These options will be shared on the second stakeholder day on April 7th 2011.
The results of the two days will inform the business case that will be submitted to the Welsh Assembly Government in June 2011.
14.03.11 - Initial Discussions to be Held with Staff and Stakeholders
The first of two events to discuss how Ysbyty Glan Clwyd might be redeveloped in the future is to be held this week. The need to remove asbestos from the main building has offered the opportunity to redesign the hospital so that it is better equipped to provide high quality, modern healthcare.
Over 200 staff, GPs and partner organisations have been invited to the event, which aims to capture ideas and develop a set the principles upon which the hospital will be redesigned. There will be an opportunity to discuss how patients should flow through the building and where different departments might be best located.
Some departments will have to remain where they are – for example X-ray and theatres - but a lot can be done in rearranging how departments and wards are grouped together so that the to building supports the delivery of modern healthcare.
The redevelopment project includes the original hospital building. Later developments such as the cancer centre, maternity unit and the education centre are not affected.
Dr Eileen Williams
, Consultant Anaesthetist and Clinical Lead for the project said: “We need to remove the asbestos from Ysbyty Glan Clwyd and this gives us the chance to discuss how we want the inside of the hospital to be developed. We want to redesign the building so that we can both improve patient care, and make the whole experience better for patients. We want to make better use of the space we have and make the most of our resources. We do not often have a chance to redesign a hospital and this is a huge opportunity.”
Following the event, the project team will take account of people’s views and work with the health planners, designers and architects to develop options for the redevelopment of the site. These will be presented at a second meeting to be held on 7th April.
The Health Board is also very keen to gather the views of patients and the public on how the hospital could be improved. Those who wish to share their views can do so via the Health Board’s website: http://www.wales.nhs.uk/sitesplus/861/feedback/
or by writing to:
Ysbyty Glan Clwyd Project
Ysbyty Glan Clwyd