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PPPs For Health Lisbon 28 September 2005

PPPs For Health Lisbon 28 September 2005. The New University College Hospital, London Building on strong foundations. Peter Burroughs Director of capital Investment/ Executive Director University College London Hospitals NHS Foundation Trust. Today's Presentation.

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PPPs For Health Lisbon 28 September 2005

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  1. PPPs For HealthLisbon 28 September 2005 The New University College Hospital, London Building on strong foundations

  2. Peter BurroughsDirector of capital Investment/Executive DirectorUniversity College London Hospitals NHS Foundation Trust

  3. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History • Opening the New Hospital • The Challenges • The Success of PFI/PPP • Looking Forward - Investing in the Future

  4. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05

  5. UCLH Location of UCLH NHS Trust Hospitals

  6. The Existing Estate UCLH Trust comprises: • Eastman Dental Hospital • University College Hospital • National Hospital for Neurology and Neurosurgery • The Middlesex Hospital • Hospital for Tropical Diseases • Elizabeth Garrett Anderson & Obstetric Hospital • The Heart Hospital (Purchased from the Private Sector in 2001) • The Royal London Homoeopathic Hospital

  7. Facts and Figures • Annual Turnover £500M (€735m) • Staff numbers 6,000 • 70,000 A&E attendances per year • 33,000 planned operations per year • 400,000 outpatient attendances per year

  8. 2004/05 performance • 3 Star Trust fourth year running • One of only 16 Health Trusts to meet all nine key Government targets and achieve a rating of “high” in all three categories • Specific highlights include: A&E, cutting waiting times, reducing infection rates and developing women & children’s services

  9. Key achievements • Opening the new hospital • Becoming a Foundation Trust • Centre of excellence for training • National IT lead for EPR • Largest R&D programme in the UK

  10. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History

  11. The Project’s History • 1992 - Tomlinson Report • 1994 - Kenneth Clarke PFI • 1995 - Outline Business Case/PSC • 1996 - Feb - OJEC Advertisement • 1997 - (May) General Election • 1998 - (August) Planning Permission • 1998/99 - Property Issues • 1999 - Full Business case Published to Region • 2000 - (July) Financial Close/Contracts signed with PFI Partner

  12. Client 33.3% Stakeholder Equity Partners 33.3% Stakeholder Debt Finance 33.3% Stakeholder Design & Construction Facilities Management The Contract Structure

  13. Financial Fact Sheet Construction Cost Main Wing-Phase 1 £186m (€ 279m) EGA Wing-Phase 2 £ 39m (€ 59m) Unitary Fee Availability £ 21.9m (€32.8m) Service Fee £ 9.5m (€14.2m) Total £ 31.4m (€47.0m) Revert to the NHS 2038

  14. Key Dates : Phase 1 • Construction began July 2000 • Completion and handover April 19th 2005 • Occupation April - December 2005

  15. UCLH CAMPUS UCLH NHS Trust New Hospital Development Isometric UCLH Corporate Headquarters Tower Phase 1 Podium Phase 1 EGA Phase 2 Odeon Site Cruciform Cruciform Rosenheim Building Llewelyn-Davies

  16. Middlesex Tower The New University College Hospital FLOOR 16 GYNAECOLOGY/ONCOLOGY FLOOR 15 PRIVATE PATIENTS FLOOR 14 HAEM / ONCOLOGY BEDS FLOOR 13 HAEM / ONCOLOGY BEDS FLOOR 12 ADOLESCENT UNIT FLOOR 11 PAEDIATRIC UNIT FLOOR 10 GENERAL BEDS - MEDICAL FLOOR 9 GENERAL BEDS - SURGICAL FLOOR 8 INFECTION UNIT FLOOR 7 GENERAL BEDS/MONITORED BEDS FLOOR 6 GENERAL INPATIENTS FLOOR 5 NUCLEAR MEDICINE FLOOR 4 PLANT Podium Block FLOOR 3 CRITICAL CARE FLOOR 4 MEDICAL PHYSICS/PLANT FLOOR 2 AMBULATORY INT FLOOR 3 OP THEATRES FLOOR 1 ACUTE ADMISSIONS FLOOR 2 AMBULATORY INT FLOOR 1 OUTPATIENTS GROUND FLOOR ENTRANCE GROUND FLOOR A&E/ ENTRANCE LOWER GROUND FLOOR DIAGNOSTIC IM / MORT BASEMENT RADIOTHERAPY / MED. PHYS

  17. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History • Opening the New Hospital

  18. Acquisition of Adjoining Site

  19. Opening of new UCH

  20. Opening of new University College Hospital • On time, on budget - £422 million • First teaching hospital to be built in London for two decades • £26 million spent on 11,000 pieces of state-of-the-art equipment • Largest general critical care unit in NHS • In staff survey, 89% said new UCH would be better for patients

  21. Facilities Provided • 733 Beds (Including Phase 1 & 2, Rosenhiem) • 14 Theatres • 4 Day case Theatres • 35 Critical Beds • 10 Radiation protected Bedrooms • 15 Seminar Rooms • 61 Pneumatic Tubes • Over 2500 Workstations with Latest Information Technology

  22. Diagnostic and Interventional equipment 5 Linear Accelerators (2 with on board imaging) 3 MRIs 3 CTs (including 1 interventional machine) 2 PET/CTs 4 Gamma Cameras (including 2 with Hawkeye (x-ray) 18 Diagnostic Rooms

  23. National IT lead for Electric Patient Record • Near paperless operation Filmless on-line images, electronic record, on-line scheduling, accurate bed state on-line • Multiple access to single patient record to enable multidisciplinary care • Streamlined appointment system • EPR virtual notes to enable concurrent access • Appropriate data input e.g. hand-held terminals

  24. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History • Opening the New Hospital • The Challenges

  25. The Challenges • How Mature is PFI/PPP • Bidding Process / Competitiveness of PFI • Protracted bid period • How close is the Design Team to the End User (UCLH) • “Value for Money” testing • Solution must reflect the business priorities of all stakeholders as well as expectations of the public • Achieving affordability • Public Sector Clients want good ‘affordable’ designs

  26. Challenges for UCLH • Emphasis on Specification (radiation shielding) • Variation process (working with the process) • Value of 1:50 design (long build) • You get what you pay for • Compliance with HBN/HTMs • Medical equiping – wanting the very latest) • The role of the TWA (pre and post contract

  27. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History • Opening the New Hospital • The Challenges • The Success of PFI/PPP

  28. The Success of PPP • The private sector’s innovative solution • Risk transfer of Building Availability • Solutions developed by integrated team • Management of Change • Inclusion of interim services • No PPP - No new UCLH !!!

  29. Initial Clinical Improvements • Improved patient experience • Protocols, Integrated Care Pathways, • Evidence based Medicine • Multi-specialty, multidisciplinary working • Support for teaching and research • Large wards, fewer staff • Effective bed management • Reduced Length of Stays

  30. Today's Presentation • UCLH NHS Foundation Trust and Key Achievements in 2004/05 • The Project and some History • Opening the New Hospital • The Challenges • The Success of PFI/PPP • Looking Forward - Investing in the Future

  31. Strategic vision “UCLH is committed to delivering top quality patient care, excellent education and world class research” Lower waiting times Hi-tech modern, clean buildings State-of-the-art equipment Greater choice for the patient Best trained and qualified staff Collaboration to put research into practice

  32. External Lighting Proposal

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