Oxford University Hospitals NHS Trust:
New Radiotherapy Services at Swindon - Estates Annexe
January 2014
Oxford University Hospitals
Oxford University Hospitals
Contents
Introduction 3
Planning & Development Context 4
Option 1 - Do Minimum 6
Site Analysis 7
Masterplan
8
Adjacencies 9
Layout Design 10
MEP Services Strategy 11
Structural & Civil Engineering Strategy 12
C - Sheets 14
Concept Sketches and External CGI’s 17
Elevations and Precedents 18
Internal CGI’s
19
Appendices:
– Schedules of Accommodation
– Estates Risk
– Implementation Plan
– OB form for preferred option
– Optimism Bias
22
24
26
28
30
2
Introduction
Great Western Swindon
Our team have developed this design document on
behalf of Oxford University Hospital NHS Trust for
inclusion into the outline Business Case for a new
Satellite Radiotherapy Unit at Swindon Hospital
Strategic Context
Development Control Plan
Currently the DoH report major shortcomings in
radiotherapy activity due to inadequate service
provision and increasing demand, reported by the
National Radiotherapy Advisory Group (NRAG) 2012 report. This is reflected locally within the SOC
that proceeded this document that making clear the
projections for demand of fractions into 2026 not
only for Swindon, but also Bedfordshire, Oxford and
Milton Keynes.
The team has considered the demand for services
in relation to future-proofing and overall site
masterplanning to ensure the likely demographic
has adequate access provision in relation to local
transportation and infrastructure.
We have captured the latest thinking in relation to
technological developments to ensure the flexibility
to integrate a range of specialist equipment and at
the same time ensure an environment suitable for
an improved patient experience.
Oxford University Hospitals
Design Principles
We recognise design and the environment we
create is vitally important for patient care in a
radiotherapy unit.
This team are aware of the highly specialised form
of patient treatment offered in these types of
facilities, and for the need to have an approach to
design that offers patients and visitors a reassuring,
calming and welcoming environment to allow
for the effective delivery of this highly complex
healthcare treatment.
The approach to design has considered the overall
site masterplanning and considerations that take
advantage of opportunities for the relationship
of the internal areas of the buildings and external
spaces that may be accessed by patients waiting for
treatments.
We have worked closely with a range of internal
and external stakeholders to develop a design that
is clinically functional at the same time as being a
pleasant and conducive to healing.
The designs have also been developed
collaboratively with the team using the latest BIM
software to ensure an integrated approach to
design is adopted from the outset.
Materials and finishes have been considered in
relation to the local context and fitness for purpose
for state-of-the-art radiotherapy facilities as well as
the corporate identity required for Oxford satellite
healthcare services.
Churchill Hospital Oxford
Great Western Swindon
3
Planning & Development Context
Oxford University Hospitals
In our experince of the key factors to the success of any
project is the effective management and identification of
all the key stakeholders connected to the project. This
is achieved through communication, collaboration and
teamwork from inception to completion.
Trust Board
Management Executive
Steering Group
Our approach has been to engage with the stakeholders at
the earliest opportunity, which was achieved by:
• Organise an introduction meeting with all the stakeholders
to the meeting where introductions are made, roles are
clarified and expectations are discussed and understood.
• Introducing the design teams key account holder and
supporting staff as the single point of contact for the
duration of the project.
• Pre-arrange project and design team meetings on a
regular basis to monitor, report and control all aspects
of the works. This has engendered participation within a
team-working environment and encouraged ownership of
the project.
• Arrange both individual meetings and collective
workshops with key decision making personnel and
specialist advisors at all stages of the works.
• Making available (free of charge) a portal link for all project
related information to relevant parties to encourage timely
feedback and design development, made available by AFL
IT department.
Project Stakeholders
Our Multi-Disciplinary Team and Your
Multi-Disciplinary Team
- Radiotherapists
- M+E Engineers
- Civil/Geotechnical Eng
- Physicist
- Structural Engineers
- Radio pharmacist
The Core Project Team
- Clinicians
- Nurses
- Commissioners
- Occupation Therapist
- RPA Advisors
- Support Workers
- Clinical Rep
- Finance Rep
- Capital/Estates rep
- Information rep
- Quality rep
- Macmillan
- Fire Engineer
- WT Lead
- AFL Lead
Patients
- Arup Lead
- Wareham &
Associates Lead
- Interserve
- Ecologist
- CDM Co-ordinator
- WT resources
- AFL resources
- W
areham & Associates
resources
- Counsellors
• Trust Development Agency • Swindon & Marlborough
Foundation Trust
• NHS England - Specialised
Commissioning
- BREEAM Assessor
- Arup resources
- O
ther Charitable
Organisations
• MK Foundation Trust
- Acoustic Consultant
• Clinical Commissioning
Group
• Security
• Moving and Handling
Co-ordinator
• DDA Co-ordinator
• Fire Officer
• Domestic Services
• FM Providers
• IT Management
• Waste Management
• Governors
• Planning Department
• Highways
• Environmental Department
• Fire Authority
• Local Resident
• Community Groups
• GP’s
• Specialist Advisors
• Contractors
• Adopting a flexible approach to stakeholder’s
requirements by sharing the design teams expertise of
similar projects. Taking on board alternative views and
solutions towards finalising the design.
• Develop 3-D visuals for mood boards to improve the
clarity of communication with stakeholders who sometimes
have difficulty in spatial awareness or 2-D drawings.
Oxford University Hospitals
Individual project web portal - Free of charge
Ideas Board
4
Planning & Development Context
RADIOTHERAPY
Planning request form
submitted electronically
All Planning and treatment
appointments scheduled from
either GWH or OUH
Oxford University Cancer Centre – Satellite Radiotherapy Service Mould Room
Required
NO
• A
ccess - Access to the campus, the dedicated parking areas, drop-off and
entrance would be from existing internal roadway’s of the main hospital
site. The building has been designed to have a dedicated pedestrian and
vehicular drop-off main entrance.
YES
Operational Policy Patient has thermoplastic shell made at
GWH for individual immobilisation
Patient goes to CT
scanning
Patient leaves
department
Treatment Intent
Palliative
Radical
Dr contourning undertaken at GWH or OUH
Virtual Simulation Undertaken at
either GWH or OUH
Dosimetry – create plan mainly at
OUH but possibly at GWH
Virtual sim check at GWH
Dr approval if
required
Data entry/trt prep @ GWH
Plan Check – mainly at OUH but
possible for some at GWH
Draft: Rev 7 18.11.2013 Patient arrives for 1st treatment
appointment at GWH
Data entry/trt prep – preferable at
satellite unit
Patient Pathway Radiotherapy
Oxford University Hospital
Satellite Service:
Page 1 of 24 Operational Policy
Patient attends for subsequent
treatments at GWH
Great Western Hospital – Swindon
(No CT Scanner on Site)
Patient arrives for 1st treatment
appointment at GWH
RADIOTHERAPY
Follow up appointment given to
patient at End of Treatment
(EOT)
LDF
End of Treatment letters
produced at GWH
Patient attends for subsequent
treatments at GWH
Planning request form
submitted electronically
Follow up appointment given to
patient at End of Treatment
(EOT)
All Planning and
treatment appointments
scheduled from OUH
Patient reports to reception for
planning appointment at OUH
End of Treatment letters
produced at GWH
Swindon Borough Local Development Framework
Swindon Borough Core Strategy and
Development Management Policies 2026
Patient & relative taken by radiographer to interview room:
- Explain Procedure
- Confirm consent
- Take photograph ID etc.,
- Patient given all treatment appts
Patient Pathway Diagram, with CT Scanner
Mould Room
Required
Swindon: Planning for our future
NO
YES
Revised Proposed Submission Document
www.swindon.gov.uk/corestrategy
Patient taken to Mould Room for individual
immobilisation to be made
March 2011
Patient goes to CT
scanning
Patient leaves
department
• L
andscape - Internal patient’s courtyards and careful consideration of the
public realm has been integrated into the landscape design to enhance
both the patients experience, and the overall impact of the development
within the context of the hospital site. Additional parking to compensate for
increased activity on the site would be required, but this is expected to be
only around 24 additional spaces, a relatively modest increase.
• M
aterials - The suggested use of mainly natural tones and materials is
intended to continue with the relaxing ambience created internally, along
with textures and finishes that age and weather. The use of colour and light is
controlled to allow important features to be recognized without dominating
the immediate surroundings of the hospital estate which is equally natural
and understated.
Patient reports to reception for
planning appointment at GWH
Patient & relative taken by radiographer to interview room:
- Explain Procedure
- Confirm consent
- Take photograph ID etc.,
- Patient given all treatment appts
Great Western Hospital: Swindon • S
cale and Massing - The unit will be no more than 2 storey’s (plus lift
machine room) in height and will not be of greater height than other parts
of the existing estate. Support areas are planned around the treatment
spaces to break-up the mass and allow the building to read as a relatively
modest and subtle addition to the estate but still to respond to the scale
of surrounding buildings particularly the renal satellite unit to the northern
boundary
• D
esign Principles - Outpatient facilities have been designed as essentially
low-activity clinical facilities with a design that aims to enhance the patient
experience and assist staff in the delivery of care quality by creating a
compassionate and caring environment. The layout and overall aesthetics
are intentionally soft and domestic in scale with the treatment bunkers being
softened by curved elevation treatments that continue to wrap around
surrounding support facilities. The main entrance is intended to contrast
with a strong statement allowing the heavily glazed entrance atria to be
understood as the natural entrance to the unit. As the entrance to the unit is
from the northern rear end of the unit, the northern and western elevations
have been animated to give a more active frontage to this side of the unit,
and lead to the natural entrance on the south.
Great Western Hospital – Swindon
( CT Scanner on GWH Site)
The designs have been developed with an understanding of the material
considerations that would affect a Decision Notice following Full Planning
Submission:
• P
rinciple - The proposed site reside within the current healthcare campus of
Swindon Hospital, and as such there would therefore be no change of land
or building use for the development of the Satellite Radiotherapy Unit.
Patient Pathway Radiotherapy
Oxford University Hospital
Satellite Service:
Satellite Unit: Great Western Hospital -­‐ Swindon Section ?:
“Underpinning the Spatial Vision for Swindon is a themed set of ‘Strategic
Objectives’ based on the strategies of the Borough and its partners, and
developed through consultation….By 2026 the need for community and health
facilities arising from growth and demographic change in the Borough will have
been met as and when they occur. Flexible design and service co-ordination
will maximise the potential of facilities. ….Health, social care and emergency
service needs will be met and provided as follows: Great Western Hospital will
be expanded. Enhanced and new social care and local healthcare facilities A
reorganisation of existing fire infrastructure and provision of new fire stations”
Oxford University Hospitals
Treatment Intent
Palliative
Radical
Dr contourning undertaken at GWH or OUH
Virtual Simulation Undertaken
Immobilisations
and other relevant
information to
GWH
?Transport
method
Dosimetry – create plan mainly at
OUH but possibly at GWH
Virtual sim check
Dr approval if
required
Data entry/trt prep @ GWH
Patient arrives for 1st treatment
appointment at GWH
Patient attends for subsequent
treatments at GWH
Follow up appointment given to
patient at End of Treatment
(EOT)
End of Treatment letters
produced at GWH
Plan Check – mainly at OUH but
possible for some at GWH
Data entry/trt prep – preferable at
satellite unit
Patient arrives for 1st treatment
appointment at GWH
Patient attends for subsequent
treatments at GWH
Follow up appointment given to
patient at End of Treatment
(EOT)
End of Treatment letters
produced at GWH
01
Patient Pathway Diagram, without CT Scanner
5
Option 1 - Do Minimum
Oxford University Hospitals
Oxford University Hospitals - Do Minimum Option REV A 28th Nov 13
Schedule of Accommodation
Sign-Off SOA: TBC
Sally Burnie
Room
Treatment
Radiotherapy Treatment Room, Bunker, Maze
Control Room Serving Radiotherapy Treatment
Planning Lab
Area (sqm)
Number req
Total (sqm)
145
20
34
2
2
1
290
40
34
First Floor Total (sqm)
HBN
54
54
Comment
130sqm 15MV machine, 145 25MV machine to be confirmed
Existing Radiotherapy Workshop subdivided (6 person)
290
Plant
Sub Total
Circulation space @ 33%
Planning space @ 5%
Engineering space @ 3%
Gross Level Sub-Total (sqm)
Gross Departmental Total (sqm)
364
120.12
18.2
10.92
290
513
803
290
6
Site Analysis
Oxford University Hospitals
Options 2a, b and c
Option 3
existing
proposed
Challenges
Opportunities
• Site infrastructure for servicing new unit
• Opportunity to make visual statement & identity
• External wayfinding (at rear of large PFI site)
• Prominent position from approach
• Complexity of linking to the existing estate
• Relatively Flat site
• Pedestrian access from public transport links not ideal
• Good access and parking provided
• Outlook to North & West against major PFI / other
developments. South & East mainly to car park,
although reasonable as noted
• Site shape able to be driven (within reason) by design
• Community & Third party links limited
Area previously green field site prior to recent car park
construction. Archaeological risk?
• Reasonable out look to the South & East
• Existing site car park part re-landscaped. May require
deepening of foundations into natural strata
• U
nlikely to have major planning constraints
(principles, location, massing, access, ecology)
• Future flexibility opportunities good
• No demolition required, only car park relocation)
• No historic development of site evident since circa 1885
• Existing HV, Gas, BT and PHE services run in road/margin
adjacent to site
• F
ounding in Gault Clay at 112.00 should provide good
bearing for traditional/spread foundations
• Site located in area of drinking water abstraction
safeguard zone. Pollution control/precautions
• N
ot in area of flood risk based on EA mapping however
such areas do exist within 500m
• N
o evidence of landfill on site based on EA mapping
Sites exist within 1km due south
• N
o evidence of significant drainage attenuation or
infiltration structures beneath site
7
Masterplan
Oxford University Hospitals
Options 2a, b and c
Option 3
Key
Proposed Radiotherapy Building
CT Department
Future 3rd Linac expansion
Future Chemotherapy expansion
and hospital bridge link
8
Adjacencies
Oxford University Hospitals
Options 2a, b and c
Option 3
9
Layout Design
Oxford University Hospitals
Swindon
10
MEP Services Strategy
Oxford University Hospitals
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
Notes for Swindon Infrastructure
Drawing
Existing Installations
1
1.
2.
Notes for Swindon Infrastructure Drawing
Great Western Hospital was developed as a PFI
hospital approximately 10 years ago and has been
extended several times.
There is a substantial energy centre at the rear of
the site with boilers, standby generation, oxygen
VIE, etc.
3.
The Hospital has an agreed electrical maximum
supply of 3.8MVA and is regularly drawing
3.4MVA. The inference from the Trust is that the
electrical supply is at full capacity.
4.
The energy centre includes 4No 2MW LTHW
boilers arranged in an N+1 configuration.
2
Proposed Installations
5.
3
Existing Installations
The electrical supply to the new Radiotherapy Unit
has been estimated at 500kVA. A new 500kVA
sub-station will be included in the new
Radiotherapy Unit development, connected to the
Regional Electricity Company's HV network. The
HV connection is likely to originate from adjacent
to the GWH Energy Centre, but it may be possible
to connect to the HV supply to the adjacent
development.
6.
The new Radiotherapy Unit will not be provided
with standby generation.
7.
The new Radiotherapy Unit will connect into the
existing GWH site water and drainage systems.
The Domestic water simultaneous demand has
been estimated at 1.5l/s.
8.
The cooling load has been estimated at 130kW,
being facilitated by a chiller installed on the roof of
the development.
9.
The heating and hot water will be generated from
two gas fired boilers located in the roof plantroom.
The heating load has been estimated at 270kW
J:\Pre-Possible-Jobs-\1 Buildings & Infrastructure\CRM755823 Oxford Radiotherapy\M&E Drawings\ME-500-GWH1.dwg 18 Nov 2013 15:54:44
A0
4
1. Great Western Hospital was developed as a PFI hospital
approximately 10 years ago and has been extended several
times.
10. A new gas supply will be required from the Wales
and West Infrastructure network. The connection
is likely to originate from adjacent to the GWH
Energy Centre.
5
Pay
on foot
Machine
foot
on
Pay Machine
11. Two new diverse fibre-optic broadband
connections (BT and Virgin Media) will be brought
into the new development to facilitate ICT
connections. There will also be a fibre link into the
existing local data hub within the DTC.
STOP
BUS
foot
Pay on
Machine
foot
Pay on
Machine
12. Piped medical gases will not be required.
Pay
on
Machine
foot
6
door
8
conc
base
Approximate route of main below ground
services including HV cables, foul drainage
surface water drainage & water supply
bicycle
store

lp
grass
substation
concrete
base
gate
AMBULANCES

DTL hub
sign
post
ONLY
9
gate
cps
Main energy
centre for GWH
tac
3. The Hospital has an agreed electrical maximum supply of
3.8MVA and is regularly drawing
14. It is possible that 10% of the energy usage for the
development will need to be generated by
renewable technologies, in accordance with the
local planning requirements.
CCTV
2. There is a substantial energy centre at the rear of the site
with boilers, standby generation, oxygen VIE, etc.
13. CCTV, intruder alarm and fire alarm systems for
the new development will be linked to both the
GWH Security Control Room and OUH
CES
AMBULAN
7
Control room
(security & fire alarm)
Node 1 hub
(lower ground floor)
rack
bicycle
building
Refuse
Gas
and
Bottle
canopy
concrete
paving
SAND
concrete
paving
slabs
door
door
/ GRIT
CCTV
camera
Cycles
chan
ramp
door
Gen.
Elec.
security
barrier
10
ramp
door
lp
ramp
canopy
lp
TANKS
door
ramp
building
canopy
door
OIL
STORE
door
door
door
emergency
gas
cylinder
store
generator
flower
bed
M
Gas meter for GWH
11
VEHICLE
COMPOUND
soil
27
temporary
fence
Herras
3. 4MVA. The inference from the Trust is that the electrical
supply is at full capacity.
12
HV supply
HV supply to GWH
Gas supply to GWH
P1
06/11/13
S.H.
I.A.H.
I.A.H.
Chkd
Appd
Preliminary Issue.
Issue
Date
By
13
4th Floor, New Oxford House
30 Barkers Pool, Sheffield, S1 2HB
Tel+44(0114) 272 8247 Fax+44(0114) 275 9553
www.arup.com
N
compacted
4. The energy centre includes 4No 2MW LTHW boilers
arranged in an N+1 configuration.
Client
soil
Oxford University Hospitals
14
Job Title
Swindon Satelite Radiotherapy Unit
15
Infrastructure Proposals
For New Radiotherapy Unit
M
Scale at A0
Main water meter for GWH
5. The electrical supply to the new Radiotherapy Unit has
been estimated at 500kVA. A new 500kVA sub-station will
be included in the new Radiotherapy Unit development,
connected to the Regional Electricity Company’s HV
network. The HV connection is likely to originate from
adjacent to the GWH Energy Centre, but it may be possible
to connect to the HV supply to the adjacent development.
16
1:500
MEP
Job No
Drawing Status
233695
Preliminary
Drawing No
Issue
ME-500-GWH1
P1
© Arup
Do not scale
A1
A
B
C
D
E
F
G
H
I
J
K
L
The following notes provide a brief description of the works required
for each building services system within the satellite radiotherapy
units.
1

6. The new Radiotherapy Unit will not be provided with standby
generation.
High Voltage Distribution
o A new 500kVA substation will be created for the project


HTM 04-01.


Fire Alarm
o An automatic fire detection and alarm system will be

8. The cooling load has been estimated at 130kW, being
facilitated by a chiller installed on the roof of the
development.

units in an N+1 configuration. The external condenser units
will be mounted on the roof.
Nurse Call
o A standalone nurse call system will be provided

ICT

o Wherever practical, the ventilation will be via opening
windows.
o In areas requiring mechanical ventilation, a ducted system
will be provided from the air handling units in the roof
plantroom.
o The air handling units will utilise heat recovery to reduce
heating costs.


Trust data hub
L2a and local planning conditions.
for the development
o Local planning conditions may impose a requirement of 10%
of the energy usage being produced from a renewable source.
o A feasibility report on the inclusion of renewable
technologies will be provided following OBC. Practical
renewable solutions would be air source heat pumps and
solar thermal hot water generation
CCTV system
o A fixed camera CCTV system will be installed to cover the
exterior and vulnerable interior areas. This will be linked to
the local security office and to OUH

Sustainability
o The main drivers for sustainability will be BREEAM, Part
o It is understood that BREEAM 'Very Good' will be required
Intruder Alarm
out-of-hours protection to the unit. This will be linked to the
local security office and to OUH

BMS
o A complete BMS system will provide control of the building
services within the satellite Radiotherapy unit

o An intruder alarm system will be incorporated for
5
9. The heating and hot water will be generated from two gas
fired boilers located in the roof plantroom. The heating load
has been estimated at 270kW
Medical Gases
o Piped medical gases are not required.
o The BMS will be linked to the system at OUH
Access Control
o Access control with electromagnetic door magnets and swipe
card readers will be provided to prevent unwanted access into
staff areas

Ventilation
o A full fresh air ventilation system will be provided in
accordance with HTM03-01.
o A number of hub rooms will be required as part of the
development:

One in each of the Linac Control Rooms for the
Linac Data Hub

Primary OUH Trust Data Hub with incoming BT
fibre connection and fibre connection to the Host
Trust comms room

Secondary OUH Trust Data Hub with incoming
Virgin Media fibre connection.
o Each communications hub room will be complete with
cabinets, patch panels, switchers and active hardware.
o A structured Cat6A cabling system will be installed
throughout the development.
4
Cooling
o A chiller will be located on the roof of the Radiotherapy
o The data hub rooms will be cooled via 'split' air conditioning
communicate back to OUH.
3
Heating
o Space heating will generally be provided by wall mounted
emitters or duct mounted heating coils.
o The heating system will be low temperature hot water
(LTHW) from either the existing plant or new boilers in the
roof plant room.
development to provide chilled water to the cooling coils of
the air handling units.
provided in compliance with BS5839 type L1 and HTM
05-03.
o The system will interface with the local hospital system and
7. The new Radiotherapy Unit will connect into the existing
GWH site water and drainage systems. The Domestic water
simultaneous demand has been estimated at 1.5l/s.
Domestic Hot Water
o The hot water system will be designed incompliance with
o Any DHW plant will be installed within the roof plantroom
Low Voltage Distribution
o An LV distribution system will be provided, incorporating a
main switchpanel within a dedicated switchroom in the first
floor, distribution boards throughout the development,
supplies to fixed items of equipment (linacs, mechanical
plant, etc), and associated cabling/containment.
o IPS/UPS powered outlets will not be required.
o Standby generator for essential power will not be required.
2
N
Domestic Cold Water
o A new compliant DWS/CWS system will be provided in
compliance with HTM 04-01. A two compartment storage
tank will be installed in the roof plantroom.
o Plumbed water fountains with permanent drainage will be
provided in the waiting areas.
Refer to drawings ME-500-MK1 and ME-500-GWH1 for the
infrastructure proposals associated with the two satellite
units.


M

J:\Pre-Possible-Jobs-\1 Buildings & Infrastructure\CRM755823 Oxford Radiotherapy\M&E Drawings\ZME-500-SK1.dwg 26 Nov 2013 16:39:49
Created using CADplot http://www.oasys-software.com/cadplot/
Proposed Installations
Discipline
Entertainment systems
o A PC and aerial linked TV system will be provided to the
waiting areas with a music system linked into the Linac
bunkers
6


10. A new gas supply will be required from the Wales and West
Infrastructure network. The connection is likely to originate
from adjacent to the GWH Energy Centre.
Vertical transportation
o A lift is not required
Lighting
o A complete lighting and emergency lighting scheme will be
provided in accordance with CIBSE LG2:2008. The lighting
scheme will be functional while being sympathetic to the
interior design philosophy.
o An emergency lighting self-test system is recommended
o Dimmable lighting will be provided in the Linac bunkers and
Control Rooms
o Wherever practical, the lighting will be controlled by
7
presence detection sensors

External Lighting
o The external lighting will be designed in accordance with
CIBSE LG6 and will generally comprise of building
mounted luminaires.
11. Two new diverse fibre-optic broadband connections
(BT and Virgin Media) will be brought into the new
development to facilitate ICT connections. There will also
be a fibre link into the existing local data hub within the
DTC.

outlets and ancillary power supplies as required.
o Each desk will have 3No twin power points and 2No double
data outlets.
8

Roof Chiller Compound
Linac data hub
Small Power
o A complete small power system will be provided with socket
P1
18/11/13
S.H.
I.A.H.
I.A.H.
Chkd
Appd
Preliminary Issue.
Linac data hub
Issue
Date
By
Equipment
o The building services systems associated with the Linacs and
potential CT scanner will be developed in a flexible manner
to accommodate the Trust's procurement process

Lightning protection
4th Floor, New Oxford House
30 Barkers Pool, Sheffield S1 2HB
Tel +44 (0)114 272 8247 Fax +44 (0)114 275 9553
www.arup.com
o Lightning protection will be provided in accordance with
BSEN 62305:2006
Client
Oxford University Hospitals
9
12. Piped medical gases will not be required.
First Floor Plantroom 290m
2
Including air handling units, boilers
and LV switchroom
13. CCTV, intruder alarm and fire alarm systems for the new
development will be linked to both the GWH Security
Control Room and OUH
Linac Bunker 2
144 sqm
Job Title
Milton Keynes Hospital
Satelite Radiotherapy Unit
10
MEP Outline Proposals
Created using CADplot http://www.oasys-software.com/cadplot/
Scale at A1
14. It is possible that 10% of the energy usage for the
development will need to be generated by renewable
technologies, in accordance with the local planning
requirements.
Discipline
1:100
Electrical
Job No
11
Substation 20m
Riser
Do not scale
Drawing Status
Preliminary
2
Drawing No
Issue
ME-500-SK1
P1
© Arup
11
Structural & Civil Engineering Strategy
Oxford University Hospitals
12
Structural & Civil Engineering Strategy
Oxford University Hospitals
DW
DataBase:
13-831-RAM model2a
11/28/2013 09:35:58
13-831-RAM model2a
11/28/2013 09:38:08
DW
DataBase:
13
C - Sheets
Oxford University Hospitals
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


WKT920
CLO005


CLO005


©o
tA
h
rig
y
p
.C
0
2
B
D
n
w
4
CHA002
©o
B
D
tA
h
rig
y
p
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w
C
A
BOA012
WKT920
© rig
B
D
tA
h
y
p
C
n
w
o
D
B
WKT920
WKT920
CHA002
CHA002
CHA002
C
CAB025
CHA002
© rig
B
D
tA
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C
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MSW014
©w
B
D
tA
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rig
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C
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Control Room
20.0 m²
MSC263
MSC262
Elevation A
Elevation B
1 : 50
1 : 50
MSC262
ILL011
© rig
B
D
tA
h
y
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C
n
w
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.4
0
2
MSC263
Plan
ILL011
ILL011
1 : 50
CAB025
CAB025
MSW014
MSC263 MSC262 MSC262 MSC263
WKT920
CHA002
BOA012
MSC263
Elevation C
Elevation D
1 : 50
1 : 50





ADBCode
BOA012
CAB025
CHA002
CLO005
COM033
COM046
ILL011
MSC262
MSC263
3D View
MSW014
WKT920
01 - CT Control Room
ADBDescription
BOARD, display/notice, wall mounted, 900H 600W
CABINET, filing, 4 drawer, 1320H 465W 620D
CHAIR, height adjustable, medium back, swivel, 5 star base, on castors
CLOCK impulse, wall mounted
COMPUTER KEYBOARD
COMPUTER MONITOR, 15 in.; TFT, digital flat panel display, desk top
ILLUMINATOR, x-ray film, triple, wall mounted
CABINET/DRAWER features, base, 400mm facing, 3 drawer, on plinth, o/a height
900, HTM71
CABINET/DRAWER features, base, 400mm facing, 4 drawer, on plinth, o/a height
900, HTM71
WORKTOP, for 4x 400mm facing inserts cabinets, 1820W 700D nominal, HTM71
WORKTOP, 2000w 650d

ADBGroup
2
3
3
1
3
3
2
1
Count
1
1
2
1
2
2
1
2
1
2
1
1
1
1
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
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










3D View



   

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


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14
C - Sheets
Oxford University Hospitals


STF286
DIS013
HOL004
DIS030
DIS011
BAS101
STF286
STF290


REF091
HOL006
WKT152


RAC196
TRO310
STF286
STF286
STF290
REF091


REF091
©C
B
D
tA
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ro
HOO020
©C
B
D
tA
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ig
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HOO020
33.0 m²
©C
.4
0
2
B
D
tA
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y
p
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w
ro
CT Scanner
A
MIR002
HOO020
HOO020
SYR001
©w
B
D
tA
h
rig
y
p
o
C
n
D
DIS030
B
DIS011
DIS013
LIG081
LIG081
WKT152
WKT152
HOL006
C
IMG088
TRO310
IMG066
HOL004
TRO133
BAS101
IMG088
©w
B
D
tA
h
rig
y
p
o
C
n
© rig
.4
0
2
B
D
tA
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y
p
C
n
w
o
© rig
.4
0
2
B
D
tA
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yw
p
o
C
n
CHA017
Elevation A
Elevation B
1 : 50
1 : 50
HOO024
HOO024
HOO024
©B
.4
0
2
ig
D
A
tC
h
y
p
n
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ro
©2
.4
0
B
D
tA
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y
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w
ro
C
©2
.4
0
B
ig
D
A
tC
h
y
p
n
w
ro
Plan
1 : 50
STF286
SYR001
HOO024
HOO024
HOO024
DIS011
IMG088
IMG066
TRO133
MIR002
TRO133
Elevation C
Elevation D
1 : 50
1 : 50







ADBCode
BAS101
CUP912
IMG066
IMG088
LIG081
MIR002
STF286
STF290
TAP892
TRA900
WKT152
DIS011
DIS013
DIS030
HOO020
HOO024
RAC196
REF091
CHA017
HOL004
HOL006
SYR001
TRO133
TRO310
02 - CT Scanner
ADBDescription
BASIN, medium, hospital pattern, vitreous china, no tap holes, no overflow, integral back outlet, 500W 400D. HTM64LBHM
CUPBOARD, 1 shelf, lockable, on plinth, 850H 1200W 500D
TABLE PATIENT - CT imager, floating top, (Part of IMG061)
IMAGER, EXTREMITY MAGNETIC RESONANCE IMAGING (MRI), Type 2
LUMINAIRE fitted with single fluorescent lamp with switch, below drug cupboard, 8watt, 400mm
MIRROR, wall mounted, 900H 300W
STORAGE UNIT, upper, cupboard, medicine, 2 door, lockable, 550H 600W 300D, HTM63
STORAGE UNIT, upper, cupboard, controlled drugs, 1 door, lockable, with warning light, 550H 600W 300D, HTM63
TAP, bib, 2x8 mm thermostatic mixer, automatic action, sensor operated, non-touch, HTM 64 TBH6
CURTAIN TRACK, 1500X1700mm
WORKTOP, cantilevered from wall, 2400W 650D, HTM63
DISPENSER, barrier cream, disposable single cartridge, wall mounted
DISPENSER, paper towel, wall mounted
DISPENSER, soap, disposable single cartridge, lever action, wall mounted
HOOK, single, large, wall mounted
HOOK, hat and coat, 1
RACK, x-ray lead apron, 5 hangers hinged, wall mounted
REFRIGERATOR, drug, capacity 35 litre, external temperature gauge, lockable, wall mounted, 510H 380W 445D
CHAIR, upright, upholstered, stacking
HOLDER, sack, with lid foot operated, small, freestanding
HOLDER, sack, with lid foot operated, medium, freestanding, 875H 430W 385D
SYRINGE INJECTOR, automatic, hi pressure injection, contrast media
TROLLEY, dressing/instrument, stainless steel, buffered, 870H 750W 450D
TROLLEY, emergency/resuscitation, complete with defibrillator, 955H 825W 575D

ADBGroup
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
3
3
3
3
3
Count
1
2
1
1
1
1
2
1
1
1
1
1
1
1
2
3
1
1
1
1
1
1
1
1















3D View



   







15
C - Sheets
Oxford University Hospitals


MST005


ro
C
©
opyrightA
nC
w
B
D
ro
C
©
opyrightA
nC
w
B
D
TRO133
MSC197


MSC197
CHA063


A
DIS435
D
DES022
B
DIS435
HOL014
C
DIS011
DIS013
DIS030
BAS101
HOL014
CHA063
TRO133
CHA017
COM033
CHA017
CHA063
COM033 DES022
DES022
CHA017
COU007
Consult Exam
16.5 m²
HOL006
CHA017
Elevation B
1 : 50
1 : 50
CLO005
© rig
B
D
tA
h
.4
0
2
yw
p
o
C
n
©o
B
D
tA
h
rig
y
p
n
w
C
LIG058
Elevation A
Plan
1 : 50
CLO005
MSC197
DIS435
LIG058
COU007
DIS013
DIS011
DIS030
BAS101
DIS435
DIS013
LIG058
DIS011
HOL014
MST005
HOL006
CHA017
BAS101
Elevation C
Elevation D
1 : 50
1 : 50









3D View
ADBCode
BAS101
CHA017
CHA063
CLO005
COM033
COM046
COU007
DES022
DIS011
DIS013
DIS030
DIS435
HOL006
HOL014
LIG058
MSC197
MST005
TAP892
TRO133
03 - Consult Exam
ADBDescription
BASIN, medium, hospital pattern, vitreous china, no tap holes, no overflow, integral back outlet, 500W 400D. HTM64LBHM
CHAIR, upright, upholstered, stacking
CHAIR, height adjustable, with arms, high back, swivel, 5 star base, on castors
CLOCK impulse, wall mounted
COMPUTER KEYBOARD
COMPUTER MONITOR, 15 in.; TFT, digital flat panel display, desk top
COUCH, examination/treatment, (2 section), with paper roll holder, variable height, retractable wheels
DESK, cantilever, single pedestal 3 drawer, cable management, modesty panel, 1600W 800D
DISPENSER, barrier cream, disposable single cartridge, wall mounted
DISPENSER, paper towel, wall mounted
DISPENSER, soap, disposable single cartridge, lever action, wall mounted
DISPENSER, disposable gloves, set of 3, wall mounted
HOLDER, sack, with lid foot operated, medium, freestanding, 875H 430W 385D
HOLDER, sack, with lid foot operated, large, capacity 120 litre, mobile
LUMINAIRE examination, adjustable, 1000 lux, wall/trunking/rail mounted
CABINET top, 600mm facing, with 1 shelf, 1 door hinged right, wall mounted, HTM71
TROLLEY, small, half size, with 5 sets of runners, 400mm facing, 850H 445W 350D nominal, HTM71
TAP, bib, 2x8 mm thermostatic mixer, automatic action, sensor operated, non-touch, HTM 64 TBH6
TROLLEY, dressing/instrument, stainless steel, buffered, 870H 750W 450D
ADBGroup Count
1
3
3
1
3
3
3
3
2
2
2
2
3
3
1
1
3
1
3
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

















   







16
Concept Sketches and External CGI’s
Oxford University Hospitals
17
Elevations and Precedents
Oxford University Hospitals
18
Internal CGI’s
Oxford University Hospitals
Courtyard
19
Internal CGI’s
Oxford University Hospitals
Reception
20
Internal CGI’s
Oxford University Hospitals
Staff Room & Seminar Courtyard
21
Appendices
Oxford University Hospitals
Schedule of Accommodation Do Minimum
Oxford University Hospitals - Do Minimum Option REV A 28th Nov 13
Schedule of Accommodation
Sign-Off SOA: TBC
Sally Burnie
Room
Treatment
Radiotherapy Treatment Room, Bunker, Maze
Control Room Serving Radiotherapy Treatment
Planning Lab
Area (sqm)
Number req
Total (sqm)
145
20
34
2
2
1
290
40
34
First Floor Total (sqm)
HBN
54
54
Comment
130sqm 15MV machine, 145 25MV machine to be confirmed
Existing Radiotherapy Workshop subdivided (6 person)
290
Plant
Sub Total
Circulation space @ 33%
Planning space @ 5%
Engineering space @ 3%
Gross Level Sub-Total (sqm)
Gross Departmental Total (sqm)
364
120.12
18.2
10.92
290
513
803
290
22
Room
4
2
6
10
Ancillary
Cleaner
Switchgear cupboard
Disposal Hold
Hub Room
Plant room etc
Server room
18
6
4.5
3
2.5
25
16
Staff areas general
Rest Room with Beverage Bay
Staff Changing with cubicle and hand wash
Staff Changing with cubicle and hand wash
WC and handwash, ambulant
Shower, ambulant, (non patient)
Seminar room 15 person
Medical Physics Room for 4 people (incl. 2 hot desk)
Sub Total FF
Sub Total GF
Sub Total FF
Sub Total
Circulation space @ 33%
Planning space @ 5%
Engineering space @ 3%
Gross Departmental Total (sqm)
12
2
2
10
10.5
4.5
9
8
16.5
14
8
9
3.5
11
50
12
8
2.5
2.5
4.5
12
18
25
14
1
9
12
3
9
20
20
15
9
1
9
15
3
9
5
Office lead radiographer
Staff WC male
Staff WC female
Consult Exam Suite Staff support facilities
Reception 2 staff
Reception and staff offices
Nurse Base
Waiting area
Waiting play area
Consulting and examination rooms: both sides
Consulting and examination rooms: single side general
Multi-use hot desk room for 2
Interview and Counselling
Physical measurement bay
Treatment Room with preparation area
Assesment Area with Clinical support 4 bays
Clean Utility
Dirty Utility
WC, handwash, semi ambulant male
WC, handwash, semi ambulant female
WC and handwash, wheelchair assisted
Treatment Room complimentary Therapy
Information centre with beverage bay
Group Support facilities 15 persons
Fittings room
Parking Bay, resus trolley
Store, general sterile equipment and linen
Store, equipment
Store, stationery
Data room
Consult Exam Suite
Radiotherapy Store support etc
Mould Room impression and fitting
Mould Machine and Workshop
Mould Machine and Workshop, dirty area
Medical physics workshop
Parking Bay, resus trolley
Store, general sterile equipment and linen
Medical Physics, Store, equipment Store
Store, stationery
Office medical physics office
Machine room ( Photocopier)
1
0
1
0
0
1
0
1
1
1
1
0
1
1
2
1
1
1
1
0
0
0
0
0
0
0
0
1
0
1
0
1
0
1
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
33
4.5
20
14
0
1
18
CT facilities
CT Room
Patient change assisted
Control Room serving CT
Meeting Room
CT Ante-Room, patient prep, also mould impressions
Parking Bay, resus trolley
Store, Mould Room including general equipment
3
1
2
0
1
1
21
10
10
30
10
8
9
4.5
5.3
2.5
6
5.3
9.2
Patient change
WC and handwash, wheelchair assisted
WC unsiex
Patient change, stretcher/trolley
Patient change assisted
Interview Counselling : 5 persons
0
0
1
1
1
0
1
2
2
10
4.5
25
10
11
8
Radiotherapy facilities
Patient Support and Change Areas
Reception 2 staff
Nurse Base
Sub Wait
Waiting Bay patient trolleys / transfere
storage for patient trolleys
Waiting/play area
0
0
0
0
0
1
0
0
1
1
7.5
0
1
0
1
1
Number req
20
145
20
1.5
2
1.5
4
5.5
15
3
6
10
30
2
2.5
4.5
Public telephone booth
Public telephone booth accessible
Locker bay
Nappy change with hand wash
Infant feeding room
Cafe bar - small store - and seating
Vending machine
Parking bay push chairs
Patient Information centre 'pod'
Waiting Area
WC, handwash, semi ambulant unisex
WC, handwash, semi ambulant f/m- now unisex-see above
WC and handwash, wheelchair assisted
Treatment Planning Room, 2 workstations
Radiotherapy Treatment Room, Bunker, Maze
Control Room Serving Radiotherapy Treatment
Server Room
Plant room
Radiotherapy Treatment Room, superficial treatment
Control Area, serving superficial treatment room
Generator Room, serving superficial treatment room
Radiotherapy Treatment Room, Orthovoltage
Control Area, serving orthovoltage room
Generator Room, serving orthovoltage room
Data Room- location in radiotherapy zone
Medical Physics Room for 4 people (incl. 2 hot desk)
0
10
12
Area (sqm)
Entrance facilities
Draft Lobby
Reception 2 staff
Reception and staff offices
Waiting and Reception Areas
As designed 21 11 13
768.3
0
768.3
254
38
23
1083
4
2
6
10
0
6
4.5
6
2.5
25
16
12
0
0
0
0
0
0
0
0
14
0
9
0
11
0
12
8
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
9
0
0
15
0
0
0
0
0
0
0
0
0
0
20
290
40
33
0
20
0
0
1
0
13.5
5.3
5
0
5.3
9.2
0
10.5
25
10
11
0
0
0
0
0
0
15
0
0
10
30
15
0
4.5
0
10
12
Ground Floor Total (sqm)
738
0
738
244
37
22
1041
7
2
6
10
0
6
4.5
4
2.5
30
16
12
2
2
0
0
0
0
0
0
13.5
0
9
0
10
0
12
8
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
9
0
0
15
0
0
0
0
0
0
0
0
0
0
18
290
40
33
0
20
0
0
1
0
7.5
4.5
5
0
4.5
9
0
0
9
10
9
0
0
0
0
0
0
15
0
0
18
22
10
0
4.5
6
10
10.5
Area (sqm) as Rev E
20
290
310
First Floor Total (sqm)
Schedule of Accommodation
Total sqm
12
12
12
12
12
12
12
12
12
12
54
Total sqm
12
12
12
Total sqm
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
Total sqm
12
12
12
12
12
12
12
12
12
12
12
12
12
Total sqm
54
54
54
Total sqm
54
54
54
54
54
54
12
54
54
54
54
54
54
12
54
Total sqm
54
12
Total sqm
12
12
12
54
12
12
12
12
12
12
Total sqm
12
12
12
12
12
12
12
12
12
12
12
12
12
12
HBN
22
60
12
55
24
350
54
94.8
96.5
ASC-20-001 Rev F As Designed: Radiotherapy Unit Oxford University Hospitals - Swindon and Milton Keynes. 21st November
Area increased to 10 sqm 14.11.13
Area reduced to 2 sqm 14.11.13
1 shower - 14.11.13
increased to 30sqm combined with Staff and beverage
increased in size at user meeting 10th October -with staff faciliteis
Combined with Seminar room
5 staff - area reduced at 14.11.13
5 staff- area reduced at 14.11.13
Increased in size and combined with Medcal Physics 14.11.13
removed 14.11.13
removed 14.11.13
not required
not required
not required
added at user meeting 10th October location changed 17.10.13
not required
Linen storage in this room- area changed 14.11.13
area chaned 14.11.13
see main entrance facilities
see main entrance facilities
see main entrance facilities
from a shared facility ?
see main entrnace facilities
not required - measurements in treatment rooms
requested 03 10 13, reduced 14.11.13
see main entrance facilities
see main entrance facilities
see main entrance facilities
see main entrance facilities
removed at user meeing 10th October
omitted 14.11.13
1 omitted , 1 at 13.5 sqm single sided 14.11.13
added 17/10/13- omitted 14.11.13
added at user meeting 10th October
Omitted 17/10/13
removed at user meeing 10th October
General store added 15 sqm 14.11.13
area in reception office
omitted 14.11.13 combined with Lead radiographer
dedicated room removed at user meeting 10th October
location in radiotherapy zone
location in staff facilities
See 'below the line'
See 'below the line'
area reduced to 18 sqm
130sqm 15MV machine, 145 25MV to be confirmed
CT ( with simulator ?) attachment see guidance 6.16
omitted 14.11.13
Associated with control room
Omitted user meeting 17/10/13
omitted 14.11.13
added at user meeting 10th October
omitted 14.11.13
1 Assisted WC as agreed with client 31 10 13
2 unisex wc's added as agreed with client 31 10 13
No patients on trolleys
Patient change agreed with client 31 10 13
1 per simulator minimum 1 per linear see 6.9. 1 acceptable
In main entrance
removed at user meeting 10th October
5 person 1 wheelchair
Increased in size at clients request 31 10 13
seperate room not curtained added 31 10 13
3 children play area - not required ?
removed at user meeting 10th October
removed at user meeting 10th October
lockers in staff room
not required
not required
added at user meeting 10th October
removed at user meeting 10th October
not required
info pod, req meetin (03/10/13). 17 10 13- local groups to influence
33 as guidance for 6 exam consult suite x 2/3
added at user meeting 10th October
added at user meeting 10th October
requested site meeting see minutes 03 10 13
as requested from previous minutes, photocopier in here-no room
Comment
Appendices
Oxford University Hospitals
Schedule of Accommodation Radiotherapy
23
Ref
Counter-­‐measure
Linac supplier not confirmed early enough to enable adequate design co-­‐ordination between PSCP and supplier.
Failure to agree bunker construction with RPA
14 Unanticipated on-­‐costs
Rigorous site investigation together with appropriate allocation of risks in procurement. Discovery of unforseen contaminants during demolition.
Presence of existing services or Risk passed to PSCP post GMP.
drains under development site that have to be relocated.
Concrete density does not achive Risk passed to PSCP post GMP.
design specification/bunker fails RPA radiation test, requiring remedial work to increase shielding.
Disruption to existing services e.g. through noise, dust & vibration.
15 Planning permission -­‐ potential extra Early discussion already held with planners and also make clear costs from planning constraints
to local authorities that this threatens ability to have the facility at all
Ownerous mandatory sustainability requirements stipulated by planners (BREEAM etc).
15a Delay to construction programme
Commissioning programme does not adequately co-­‐ordinate with PSCP construction & commissiong.
Delay in obtaining Trust sign-­‐off of 1:100's
Delay in sign-­‐off of 1:50's.
Trust fail to decant existing functions MK only
within agreed timeframe, causing delays to start-­‐on-­‐site
Site delays to demolition due to MK only
asbestos removal
Trust fail to decant existing car Swindon only
parking within agreed timeframe, causing delays to start-­‐on-­‐site
Adverse weather -­‐ delays to Risk passed to PSCP.
programme e.g. pouring of concrete
Delay due to outstanding legal agreements, SLAs, etc.
Implementation
16 Delay meaning capacity not in place Good project mgmt etc + contingency -­‐ ie explore use of private in time
capacity, + extended working hours -­‐ different issue -­‐ core business GWH, NGH withdrawl KM
17 Unable to achieve planning Early discussion already held with planners permission
18 Unable to attract competitive [Needs further investigation -­‐ depends on constraints of MES]
proposals for equipment
19 Infufficient project resourcing
OBC establishes clear project management arrangements and resourcing
Conflict between M&E systems used in OUH and MK/GWH in e.g. fire & security alarm, access control, CCTV etc.
Conflicts between Trust specification docs between OUH and MK/GWH.
Scope for expanding working hours, and for adding additional bunkers at satellite sites
2 Demand overestimated -­‐ for example Likely trend is for longer fractionation times. Also would aim at if no of fractions per patient reduces wider population, approach private patient market, and reduce staffing to mitigate
3 Charitable funding campaign too Start campaign ASAP. Identify capital funding contingency within slow
LTFM
4 Charitable funding campaign does As for item above, plus could implement satellites with only 1 not hit minumum target
LinAc to start with, and reduce staffing to match
5 Additional staffing not available
Develop early staffing plans and work with HR at both Trusts to develop proactive recruitment -­‐ campaigns and increase recruitment to training programmes locally. Ng Northants staff + move current staff
6 Private radiotherapy units take NHS E specification for radiotherapy makes it clear satellite units business or other NHS provider have to be linked to cancer centre. NHS E support for activity and develops satellites
income assumptions will be obtained for OBC.
7 Staffing costs underestimated -­‐ CIPS Staffing model agreed on basis of good practice guidance
8 Changes to service specification This is a general risk for all NHS services, and would need to be adding to costs without extra income managed by working together with other radiotherapy providers to negotiate with NHE E
9 Ineffective joint working with MKH OBC establishes strong governance arrangements, and there will and/or GWH
be clear SLAs and legal agreements
10 Tariff reductions beyond those This is a general risk for all NHS services, and would need to be assumed
managed by working together with other radiotherapy providers to negotiate with NHE E
11 Patients not taking treatment because of journey time to Oxford
Design/build
12 Cost of construction increases above Benchmarked costs, design to budget approach implemented, assumed levels
rigorous time control, contringency linked to risk register
Lack of full co-­‐ordination on design Risk passed to PSCP.
drawings leading to increase costs post GMP.
Unknown costs not captured within Risk passed to PSCP post GMP.
cost plans.
Original spatial allowance for Plant & Largely tested at OBC stage.
Circulation transpires to be inadequate
13 User specification changes and Change control for scope increases, + user involvement in initial increases costs
design
Discrepancies between Trusts' Clinical Policies e.g. infection control, health & safety, privacy & dignity etc
Business/operational
1 Demand exceeds capacity
Risk
Main Business risks and service risks for all options
4
1
3
4
1
2
3
2
4
4
1
3
3
2
5
4
4
1
1
1
4
3
4
4
3
1
4
3
4
2
2
2
1
Negative impact after mitigation
4
Probability after mitigation
6
12
5
0
4
8
4
4
6
4
6
4
4
12
12
12
4
4
Risk Score
Appendices
Oxford University Hospitals
Main Business risks and service risks for all options
24
Tariff reductions beyond those assumed
Patients not taking treatment because of journey time to Oxford
10
Conflict between M&E systems used in OUH and MK/GWH in e.g. fire & security alarm, access control, CCTV etc.
Conflicts between Trust specification docs between OUH and MK/GWH.
Ownerous mandatory sustainability requirements stipulated by planners (BREEAM etc).
15a Delay to construction programme
Commissioning programme does not adequately co-­‐ordinate with PSCP construction & commissiong.
Delay in obtaining Trust sign-­‐off of 1:100's
Delay in sign-­‐off of 1:50's.
Trust fail to decant existing functions Not applicable to GWH
within agreed timeframe, causing delays to start-­‐on-­‐site
Site delays to demolition due to Not applicable to GWH
asbestos removal
Trust fail to decant existing car parking within agreed timeframe, causing delays to start-­‐on-­‐site
Adverse weather -­‐ delays to Risk passed to PSCP.
programme e.g. pouring of concrete
Delay due to outstanding legal agreements, SLAs, etc.
Implementation
16 Delay meaning capacity not in place Higher risk for projects at GWH because they might be delayed in time
due to inter organisational issues, and delays in obtaining charitable funding
17 Unable to achieve planning Same for all options permission
18 Unable to attract competitive [Needs further investigation -­‐ depends on constraints of MES]
proposals for equipment
19 Infufficient project resourcing
GWH options this applies more because of need for resourcing for charitable funding campaign
Total risk
Linac supplier not confirmed early enough to enable adequate design co-­‐ordination between PSCP and supplier.
Failure to agree bunker construction with RPA
14 Unanticipated on-­‐costs
Same for all options Discovery of unforseen contaminants Not applicable to GWH
during demolition.
Presence of existing services or Risk passed to PSCP post GMP.
drains under development site that have to be relocated.
Concrete density does not achive Risk passed to PSCP post GMP.
design specification/bunker fails RPA radiation test, requiring remedial work to increase shielding.
Disruption to existing services e.g. through noise, dust & vibration.
15 Planning permission -­‐ potential extra Same for all options costs from planning constraints
13
12
This is primarily about palliative patients who are less likely to be prepared to undertake a longer journey to Oxford. It is greatest under the Do Minimum, as they have to travel for every treatment, but there is also a differential between the two GWH options as the risk does not exist where CT is local, but is there if it is not
No risk for Do Minimum. Same level of risks for both GWH options
No differentiation between options
Design/build
Cost of construction increases above The current Do Minimum costing is much higher level than that assumed levels
for the satellites, and so there is a higher risk of scope increate. Also the nature of the PFI contract will make controlling the overall capital costs harder
Lack of full co-­‐ordination on design Risk passed to PSCP.
drawings leading to increase costs post GMP.
Unknown costs not captured within Risk passed to PSCP post GMP.
cost plans.
Original spatial allowance for Plant & Circulation transpires to be inadequate
User specification changes and Same for all options increases costs
Discrepancies between Trusts' Clinical Policies e.g. infection control, health & safety, privacy & dignity etc
Ineffective joint working with GWH
11
Relative risks between options
Business/operational
Demand exceeds capacity
Risk does not vary between options
Demand overestimated -­‐ for example The Do Minimum has less mitigation potential as the extra if no of fractions per patient reduces capacity is all at Oxford, so it would be harder to bring in work from other geographies
Charitable funding campaign too Not relevant for Do Minimum. Highest for option with CT as more slow
funding needed
Charitable funding campaign does Not relevant for Do Minimum. Highest for option with CT as more not hit minumum target
funding needed
Additional staffing not available
Do Minimum least attractive for recruitment and retention because has smaller geography to attract pool of staff, and poor transport times for commuting.Option with CT at GWH most attractive to staff as offers more interesting roles
Private radiotherapy units take Do minimum is substantial risk -­‐ likely that GWH would consider business or other NHS provider partnering with another centre to enable a local services. Private develops satellites
units are lower risk because of lack of links with cancer centres
Staffing costs underestimated -­‐ CIPS No differentiation between options
Changes to service specification No differentation between options
adding to costs without extra income
Risk
9
7
8
6
5
4
3
1
2
Ref
Relative risk assessment of options
3
2
1
1
2
2
2
3
0
12
16
4
6
0
6
8
2
1
4
5
4
3
3
1
3
2
12
3
115
1
5
included above
included above
1
PSCP risk
PSCP risk
3
4
5
5
included above
included above
2
included above
included above
5
included above
included above
5
included above
included above
included above
included above
included above
4
included above
4
4
included above
included above
1
PSCP risk
PSCP risk
4
PSCP risk
PSCP risk
4
included above
included above
4
included above
included above
4
included above
included above
included above
included above
included above
4
included above
8
1
included above
included above
4
included above
included above
4
PSCP risk
PSCP risk
4
2
3
4
4
3
4
4
4
4
1
2
PSCP risk
1
3
0
8
4
2
4
6
131
6
12
5
10
4
4
8
4
4
6
6
8
4
6
4
8
12
12
4
4
GWH site 2 Linacs
Probability Negative Risk after impact after Score
mitigation
mitigation
PSCP risk
4
2
3
0
4
3
4
4
0
0
1
3
1
1
1
2
1
2
4
2
0
1
2
4
3
0
0
4
2
Do minimum
Probability Negative Risk after impact after Score
mitigation
mitigation
2
3
1
2
1
1
2
1
1
1
2
2
1
2
1
1
4
4
4
2
3
4
5
5
included above
PSCP risk
included above
included above
included above
included above
included above
included above
4
4
included above
PSCP risk
PSCP risk
included above
4
included above
included above
included above
included above
included above
4
included above
PSCP risk
PSCP risk
4
1
3
4
4
3
4
4
4
4
1
2
130
6
12
5
10
4
4
8
4
4
1
6
8
4
6
4
4
16
16
4
4
GWH site 2 LinAcs + CT
Probability Negative Risk after impact after Score
mitigation
mitigation
Appendices
Oxford University Hospitals
Relative risk assessment of options
25
4w
4w
4w
Option Approasal/ Site Masterplanning
3-D massing
1:500/200 Layout Design
25
26
27
28
20/02/2014 12/03/2014
20/02/2014 19/03/2014
20/02/2014 19/03/2014
20/02/2014 19/03/2014
24/02/2014 28/03/2014
24/02/2014 28/03/2014
24/02/2014 28/03/2014
06/03/2014 26/03/2014
10/03/2014 28/03/2014
10/03/2014 28/03/2014
10/03/2014 28/03/2014
17/03/2014 28/03/2014
17/03/2014 28/03/2014
3w
4w
4w
4w
5w
5w
5w
3w
3w
3w
3w
2w
2w
1:50 Room Loaded Plan
Reflected Ceiling Plan
Fire Strategy/Compartmentation/Security
Strategy
Long Sections 1:200/100
1:100 Elevations
Typical Strip Sections
Room Data Sheets
External material mood boards
Outline Specification
Architectural BREEAM Credit
report/AEDET or Design Review
External/ Internal Axonometric CGI's
Designers Risk Assessment Schedule
Stage D Report
36
37
38
39
40
41
42
43
44
45
46
47
48
49
3w
3w
3w
4w
Final Co-ordinated GA Plans/RDS
Final Coordinated Reflected Ceiling Plan
Final Co-ordinated Fire/Security/partition
types etc.
1:50 Sections
56
57
6w
55
Design: Technical Design
Planning Application Decision Notice
54
53
52
51
26/06/2014 23/07/2014
19/06/2014 09/07/2014
19/06/2014 09/07/2014
19/06/2014 09/07/2014
19/06/2014 30/07/2014
25/07/2014 25/07/2014
03/04/2014 23/07/2014
20/02/2014 05/03/2014
2w
GA Plan and Elevations sub-station (if
req) or alts
15w
20/02/2014 05/03/2014
2w
GA 1:200 Plan Roof/First/Upper Floors
35
03/04/2014 25/07/2014
20/02/2014 05/03/2014
2w
GA 1:200 Plan Ground Floor/
34
15w 1d
20/02/2014 05/03/2014
2w
Cut/Fill Excercise- FFL setting out
33
Full Planning submission and
Approval Process
Planning Application / Design & Access
Statement
20/02/2014 05/03/2014
2w
Site Sections Proposed
32
50
20/02/2014 05/03/2014
2w
20/02/2014 12/03/2014
3w
Site Sections Existing
20/02/2014 28/03/2014
5w 2d
23/01/2014 19/02/2014
23/01/2014 19/02/2014
23/01/2014 19/02/2014
31
30
Design: Concept / Design
Development Stage C/D
Existing Site/ Location
Plan/Topographical/Demolition
4w
Concept Sketches/ Clinical Adjacency
Diagrams
29
23/01/2014 19/02/2014
4w
Schedules of Accommodation
24
23/01/2014 19/02/2014
23/01/2014 19/02/2014
23/01/2014 19/02/2014
4w
4w
Functional Content List/ Relationship
Diagrams
Stage A/B
23
22
09/09/2015 09/09/2015
Detail Design Main Scheme
09/07/2014 09/07/2014
TDA Approval
09/07/2014 09/09/2015
Submit FBC to Trust Board
58w
21
Full Business Case
22
28
27
26
25
24
23
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
29
18
07/03/2014 07/03/2014
20
19
17
05/03/2014 05/03/2014
18
Appoint PSCP
17
15
Open Day
Preparation for Open Days
16
14
13
12
51
50
12
11
16
19/02/2014 19/02/2014
Receive HLIP Responses
15
9
5
26/02/2014 28/02/2014
05/02/2014 05/02/2014
14
2d 4h
22/01/2014 22/01/2014
Issue HLIP
13
22/01/2014 07/03/2014
Register Scheme with DoHP21 Centre
& Recieve HLIP Pack
6w 2d
21/03/2014 21/03/2014
OBC Approval from TDA
11
PSCP Selection
22/01/2014 22/01/2014
OBC Approval from Trust Board
10
12
22/01/2014 22/01/2014
Submission to Trust Board
9
10
08/01/2014 08/01/2014 8
Submission to Executive Management
Team
8
6
4
3
2
03/01/2014 03/01/2014 7
03/01/2014 21/03/2014
4
1
Completion of Document
31/01/2014 31/01/2014
06/01/2014 31/01/2014
06/01/2014 31/01/2014
06/01/2014 31/01/2014
Outline Business Case
11w
Finish
06/01/2014 31/01/2014
Start
7
Preperation of detailed project plan / PID
5
4w
4w
4w
4w
Duration
6
Establish Project Team
Establish OUH Radiotherapy Investment
Programme Board
Establish GWH Partnership Project
Board
Project Organisation
Name
4
3
2
1
Line
Oxford University Hospitals Satellite Radiotherapy
Great Western Hospitals, Swindon
20
57
56
55
54
53
20
52
19
28
36
44
52
60
68
76
84
21
92
100
108
116
124
132
140
148
156
2014
2015
2016
J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D
Author: HE
Rev. date : 10/01/2014
Date: 10/01/2014
Drawn : 04/12/2013
Revision no : 003
Prog no. 001
164
2017
J F
Appendices
Oxford University Hospitals
OUH - Radiotherapy at Swindon MCP
26
03/07/2014 30/07/2014
10/07/2014 30/07/2014
10/07/2014 30/07/2014
10/07/2014 30/07/2014
19/06/2014 30/07/2014
17/07/2014 30/07/2014
10/07/2014 30/07/2014
19/06/2014 30/07/2014
17/07/2014 30/07/2014
19/06/2014 30/07/2014
4w
3w
3w
3w
6w
2w
3w
6w
2w
6w
Group 1, 2,3 (incl new-transferred equip)
Equipment Schedules
Specialist/ Curtain wall details
External Plan/Section Details 1:5
Mansafe/Canopy/Rainwater Goods
Details
Interior design mood boards
Architectural BREEAM Credit Report
(updated)
3-D Fly-through (off AFL Revit model)
C-Sheets (typical rooms)
Designers Risk Assessment Schedule
(updated)
NBS Specification
68
69
70
71
72
73
74
75
76
77
3w
3w
4w
4w
2w
3w
3w
3w
3w
3w
4w
4w
4w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
3w
Retaining Wall Sections and Details
External Works GA Plan
Hard/ Soft Landscape Details (with
Landscape Architect)
External Furniture Details
Car Parking/Kerb Setting-out plan
Structural Grid Setting Our Plan
1:50 Setting out plans, roofplan
Drainage pop-up plan
Ceiling Setting-Out Plan
Wall protection plan
1:50 Setting out elevations
Manifestation
Room Elevations
Lock Suiting
Finishes Schedule and Details (inc
graphics)
IPS Details
Reception Desk Details
Fitted furniture details
Specialist Joinery Details
Fire Fighting Equipment/Patresses
Wall Protection/Handrail Details
Builders work, Artwork fixing details
Ceiling and bulk head details
Signage Schedule and Details
Balustrade Details
Construction stage Architectural
BREEAM report
Cleaning and maintenance strategy
Design Criteria Report
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
11/09/2014 01/10/2014
11/09/2014 01/10/2014
11/09/2014 01/10/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
04/09/2014 24/09/2014
28/08/2014 17/09/2014
28/08/2014 17/09/2014
28/08/2014 17/09/2014
28/08/2014 17/09/2014
21/08/2014 17/09/2014
21/08/2014 17/09/2014
21/08/2014 17/09/2014
21/08/2014 10/09/2014
14/08/2014 03/09/2014
14/08/2014 03/09/2014
14/08/2014 03/09/2014
14/08/2014 03/09/2014
14/08/2014 27/08/2014
31/07/2014 27/08/2014
31/07/2014 27/08/2014
31/07/2014 20/08/2014
31/07/2014 20/08/2014
31/07/2014 20/08/2014
31/07/2014 13/08/2014
Hospital Commissioning
13w
69w
Construct
117
118
4w
Mobilisation
116
Commissioning
85w 3d
Main Scheme
115
Onsite Works
04/04/2016 01/07/2016
28/10/2014 04/04/2016
01/10/2014 28/10/2014
01/10/2014 01/07/2016
25/09/2014 01/10/2014
3w
External Stairs/Ramp Plans, Sec and
Det
84
31/07/2014 13/08/2014
25/09/2014 25/09/2014
2w
External Wayfinding
83
1w
2w
Site Setting Out Plan
82
31/07/2014 13/08/2014
Client Approval
2w
Wheel washing/external access details
81
31/07/2014 13/08/2014
31/07/2014 13/08/2014
Guaranteed maximum price
2w
Phasing plan (co-ordinated with GWH)
80
114
2w
Contractors compound/access plan
79
113
9w
Pre-Construction: Tech Design /
Production Info
78
31/07/2014 01/10/2014
03/07/2014 30/07/2014
4w
Finishes Schedules
67
03/07/2014 30/07/2014
4w
Saniratyware Schedules and Typical IPS
03/07/2014 30/07/2014
66
26/06/2014 23/07/2014
4w
Ironmongery Schedule and Details
65
4w
Rooflight schedule and details
64
26/06/2014 23/07/2014
4w
Glazed Screen Schedule and Details
63
26/06/2014 23/07/2014
Louvre Schedule and Details
62
4w
External Door Schedule and Details
61
26/06/2014 23/07/2014
Window Schedule and Details
60
26/06/2014 23/07/2014
Lift Pit/Stair Core Sections and Details
59
4w
Strip 1:20 Sections
58
4w
Finish
26/06/2014 23/07/2014
Start
4w
Duration
26/06/2014 23/07/2014
Name
4w
Line
4
Oxford University Hospitals Satellite Radiotherapy
Great Western Hospitals, Swindon
12
20
77
75
72
36
116
115
114
113
112
111
110
109
108
107
106
105
104
103
102
101
100
99
98
97
96
95
94
93
92
91
90
89
88
87
86
85
84
83
82
81
80
79
78
76
74
73
71
70
69
68
67
66
65
64
63
62
61
60
59
58
28
117
44
52
60
68
76
84
92
100
108
118
116
124
132
140
148
156
2014
2015
2016
J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D
Author: HE
Rev. date : 10/01/2014
Date: 10/01/2014
Drawn : 04/12/2013
Revision no : 003
Prog no. 001
164
2017
J F
Appendices
Oxford University Hospitals
OUH - Radiotherapy at Swindon MCP
27
Appendices
Oxford University Hospitals
OUTLINE BUSINESS CASE FOR PREFERRED OPTION
COST FORM OB 1
TRUST / PROVIDER UNIT*....................................................
Oxford University Hospitals NHS Trust
OUTLINE BUSINESS CASE FOR PREFERRED OPTION
COST FORM OB 2
TRUST / PROVIDER UNIT*....................................................
Oxford University Hospitals NHS Trust
SCHEME: .....................................................................................
Satellite Radiotherapy Units - Great Western Hospital, Swindon
SCHEME: .....................................................................................
Satellite Radiotherapy Units - Great Western Hospital, Swindon
PHASE............................................................................................
all
PHASE............................................................................................
all
Option 2b - Swindon with Space for Future CT
CAPITAL COSTS : DEPARTMENTAL COSTS AND EQUIPMENT COSTS
CAPITAL COSTS SUMMARY
Cost Excl.
VAT
1
Departmental Costs (from Form OB2)
2
On Costs (from Form OB3)
3
Works Cost Total
4
(Tender Price index level 1975 = 100 base)
Provisional location adjustment (if applicable)
(1+2) at
530 MIPS FP
(3.00 % of Works Cost)
Sub Total (3+4)
6
Fees
£
3,893,985
(38.08% of Departmental Cost)
5
Option 2b - Swindon with Space for Future CT
VAT
Cost Incl.
£
VAT
£
778,797
4,672,782
1,482,739
296,548
1,779,287
5,376,724
1,075,345
6,452,069
161,302
32,260
193,562
5,538,026
1,107,605
6,645,631
(c)
(d)
7
724,563
LAND PURCHASE
9
Planning contingency
(1.28% of Departmental Cost)
7.5%
10
TOTAL (for approval purposes) ( 5+6+7+8+9 )
10a
Optimism Bias
10b
Total (10+10a)
11
Inflation adjustments (f)
12
FORECAST OUTTURN BUSINESS CASE
Cost Allowance
(2)
Area
HPCG Version 2
2 linacs
N
1,351
Satellite Radiotherapy Facility
Equipment Cost
3,893,985
50,000
xxxxxxxxxxxx
724,563
Linear accelerators
2 linacs
CT simulator - space only
incl above
included elsewhere
incl above
excluded
xxxxxxxxxxxx
OTHER:
Equipment Costs (from Form OB2)
Functional Units/Space N/A/C (2)
xxxxxxxxxxxx
LAND SALES
8
Notional
Requirements (1)
Major medical equipment:
(b)
(13.08% of sub-total 5)
Non-Works Costs (from Form OB4) (e)
Functional Content
187
85,000
17,000
102,000
50,000
10,000
60,000
479,819
95,964
575,783
6,877,408
1,230,569
8,107,977
6,877,408
1,230,569
8,107,977
552,204
97,834
650,038
7,429,612
1,328,403
8,758,015
TOTAL (10b+11)
Proposed start on site ( M Y ) ( g )
Proposed completion date ( M Y ) ( g )
Cash Flow
Year
EFL
SOURCE
OTHER
£
PRIVATE
GOVERNMENT
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
2015/16
2016/17
2017/18
2018/19
2019/20
This form completed by:..........................................................
WT Partnership, Worcester
Telephone No:..............................................................................
01905 23 330
Date :
..................................................................................
29 November 2013, revised 5 December 2013
Checks:
Total cost
Cashflow
Notes :
* Delete as appropriate
(a) On-costs should be supported by a breakdown of the percentage or a brief description of their scope (form OB3 may be used if appropriate)
(b) Adjustments of national average DCA price levels & on-costs for local market conditions
(d) Not applicable to professional fees - VAT reclaimable EL (90 ) P64 refers
(e) Non-works costs should be supported by a breakdown & include such items as contributions to statutory & local
authorities ; land costs & associated legal fees
(f) Estimate of tender price inflation up to proposed tender date ( plus construction cost for VOP contracts only )
(g) Overall timescale including any preliminary works
MIPS 530
Equipment 124
50,000
Less abatement for transferred
equipment if applicable
-
% (4)
Departmental Costs & Equipment Costs to Summary
1,351
3,893,985
50,000
(Form OB1)
28
Appendices
OUTLINE BUSINESS CASE FOR PREFERRED OPTION
Oxford University Hospitals
COST FORM OB 2 (CONT)
OUTLINE BUSINESS CASE FOR PREFERRED OPTION
COST FORM OB 3
TRUST / PROVIDER UNIT*....................................................
Oxford University Hospitals NHS Trust
This form completed by:...................................................................................................
WT Partnership, Worcester
Telephone No:....................................................................................................................
01905 23 330
Date:
3,893,985
SCHEME: .....................................................................................
Satellite Radiotherapy Units - Great Western Hospital, Swindon
PHASE............................................................................................
all
Option 2b - Swindon with Space for Future CT
CAPITAL COSTS: ON COSTS
.....................................................................................................................
29 November 2013, revised 5 December 2013
Notes:
Percentage of
Cost
Departmental
(exc. VAT)
1
2
Cost allowances should be based on Departmental Cost Allowances where appropriate and include
allowances for essential complementary accommodation and optional accommodation and services
where details not available.
Identify separately any proposed adjustment (over or under cost allowances) justifiable in value for
money terms (details to be provided).
* Delete as appropriate
1. State area and rate if departmental cost allowance not available.
2. Insert:
N for new build.
A for adaptions for alternative use or
C for upgrading existing building retaining current use.
3. Insert relevant version number of Healthcare Capital Investment, listing of Departmental Cost
Allowances and Equipment Cost allowances.
4. Provide details where appropriate.
Estimated
Communications
a.
Space
b.
Lifts
£
%
Included on OB2
''External'' Building Works (1)
a.
Drainage
b.
Roads, paths, parking
c.
Site layout, walls, fencing, gates
d.
Builders work for engineering
services outside buildings
3
Cost
408,225
10.48
241,250
6.20
77,500
1.99
755,765
19.41
1,482,739
38.08
''External'' Engineering Works (1)
a.
Steam, condensate, heating, hot
water and gas supply mains
b.
Cold water mains and storage
c.
Electricity mains, sub-stations,
stand-by generating plant
d.
Calorifiers and associated plant
e.
Miscellaneous services
4
Auxiliary Buildings
5
Other on-costs and abnormals (2)
a.
Building
b.
Engineering
Total On-Costs to Summary OB1
Notes:
£
Must be based on scheme specific assessments/measurements; attach details to define scope of works as appropriate.
Identify separately any proposed additional capital expenditure justifiable in value for money terms (details to be provided).
*
Delete as appropriate.
(1)
''External'' to Departments
(2)
Identify any enabling or preliminary works to prepare the site in advance e.g. demolitions; service diversions; decanting
costs; site investigation and other exploratory works.
This form completed by:.............................................................................................................
WT Partnership, Worcester
Telephone No:...............................................................................................................................
01905 23 330
Date:..................................................................................................................................................
29 November 2013, revised 5 December 2013
29
Appendices
Oxford University Hospitals
Optimism Bias
Oxford
Oxford
University
University
Hospitals
Hospitals
NHS Trust
NHS Trust
Development
Development
of Radiotherapy
of Radiotherapy
Services
Services
in Oxford,
in Oxford,
Swindon
Swindon
and Milton
and Milton
Keynes
Keynes
Oxford University Hospitals NHS Trust
Development of Radiotherapy Services in Oxford, Swindon and Milton Keynes
Optimism
Optimism
Bias Bias
- Upper
- Upper
Bound
Bound
and Actual
and Actual
Optimism Bias Mitigation
Optimism
Optimism
Bias - Bias
Upper
- Upper
BoundBound
Calculation
Calculation
for New
forBuild
New Options
Build Options
Lowest
Lowest
% Upper
% Upper
BoundBound
Mid %Mid %
UpperUpper
%
%
ActualActual
% Upper
% Upper
BoundBound
for this
for
project
this project
13%
40%
80%
16%
13%
40%
80%
16%
Build complexity
Build complexity
Choose
Choose
1 category
1 category
LengthLength
of Buildof Build
ActualActual
% Upper
% Upper
BoundBound
for this
for
project
this project
Mitigation
Mitigation
for this
for
project
this project
%
%
16% 16%
43% 43%
ActualActual
% for this
% for
project
this project
6.9% 6.9%
ScopeScope
of scheme
of scheme
< 2 years
< 2 years
2 to 4 years
2 to 4 years
Over 4Over
years4 years
Choose
Choose
1 category
1 category
Number
Number
of phases
of phases 1 or 2 Phases
1 or 2 Phases
3 or 4 Phases
3 or 4 Phases
More than
More4 than
Phases
4 Phases
X
X
X
X
X0.50% 0.50%
0.50% 0.50%
2.00% 2.00%
0
0
5.00% 5.00%
0
0
X0.50% 0.50%
0.50% 0.50%
2.00% 2.00%
0
0
5.00% 5.00%
0
0
Choose
Choose
1 Category
1 Category
Single Single
site* site*
X
X2.00% 2.00%
2.00% 2.00%
Number
Number
of sitesofinvolved
sites involved
2.00% 2.00%
0
0
(i.e. before
and after
(i.e. before
and after 2 Site 2 Site
change)
More than
More2 than
site 2 site
5.00% 5.00%
0
0
change)
* Single
* Single
site means
site means
new build
newisbuild
on same
is on site
same
assite
existing
as existing
facilities
facilities
Location
Location
Choose
Choose
1 Category
1 Category
New site
New
- Green
site - Green
field fieldNew build
New build
New site
New
- Brown
site - Brown
Field Field
New Build
New Build
Existing
Existing
site site
New Build
New Build
or
or
Existing
Existing
site site
Less than
Less15%
thanrefurb
15% refurb
Existing
Existing
site site
15% - 15%
50% -refurb
50% refurb
Existing
Existing
site site
Over 50%
Overrefurb
50% refurb
X
X
3% 0 3% 0
8% 0 8% 0
5% 5%
5.00% 5.00%
6% 0 6% 0
10% 010% 0
16% 016% 0
8.00% 8.00%
Choose
Choose
1 category
1 category
Facilities
Facilities
Management
Management
Hard FM
Hard
only
FM
oronly
no FM
or no FM
Hard and
Hard
soft
and
FMsoft FM
Choose
Choose
1 category
1 category
Equipment
Equipment
Group Group
1 & 2 only
1 & 2 only
major Medical
major Medical
equipment
equipment
All equipment
All equipment
included
included
Choose
Choose
1 category
1 category
IT
IT
No IT implications
No IT implications
Infrastructure
Infrastructure
Infrastructure
Infrastructure
& systems
& systems
Choose
Choose
more than
more1 than
category
1 category
if applicable
if applicable
External
External
Stakeholders
Stakeholders
1 or 2 local
1 or 2NHS
localorganisations
NHS organisations
3 or more
3 orNHS
moreorganisations
NHS organisations
Universities/Private/Voluntary
Universities/Private/Voluntary
sector/Local
government
sector/Local
government
X
X
X
X
X
Gateway
Gateway
Choose
Choose
1 category
1 category
RPA Score
RPA Score
Low Low
Medium
Medium
High High
X
Progress with Planning
Approval
4
2
Early liaison carried out. Planning authority generally supportive of project.
Other Regulatory
4
3
Building regulations only.
3
2
Some existing detailed knowledge of site conditions, but fully detailed site investigation to be
carried out as part of next phase.
4
3
Design detaiI is well developed for the stage of the project.
3
1
Number of similar recent projects undertaken, including a number by the design team for this
scheme.
Design complexity
4
2
Not a complicated building, other than the concrete bunkers. A contractor will be chosen who has
significant experience of constructing these.
Likely variations from
Standard Contract
2
0
None. Will use standard NEC3, option C completed to standard ProCure 21+ guidance.
3
1
Team chosen for their capabilities, particularly the design of similar projects.
2
1
Contractor will be chosen for their capabilities, particularly the design of similar projects.
2
2
None to date, but use of ProCure 21+ will allow contractor involvement from the beginning of the
next stage.
Client capability and capacity
(NB do not double count with
design team capabilities)
6
2
Client has estates team with relevant experience.
Robustness of Output
Specification
Depth of surveying of
has this type of project/design
X0.50% 0.50%
0.50% 0.50%been undertaken before)
1.50% 1.50%
0
0
5.00% 5.00%
0
0
0.00% 0.00%
0
0
X1.50% 1.50%
1.50% 1.50%Design Team capabilities
5.00% 5.00%
0
0
Contractors’ capabilities
(excluding design team
covered above)
X1.00% 1.00%
1.00% 1.00%
Contractor Involvement
4.00% 4.00%
0
0
0
8.00% 8.00%
0
X
% Factor
Contributes
site/ground information
X
X0.00% 0.00%
0.00% 0.00%
Detail of design
2.00% 2.00%
0
0
Innovative project/design (i.e.
Service
Service
changes
changes
- relates
- relates
to service
to service
delivery
delivery
e.g NSF's
e.g NSF's
Choose
Choose
1 category
1 category
Stable Stable
environment,
environment,
i.e. no i.e.
change
no change
to service
to service
Identified
Identified
changes
changes
not quantified
not quantified
LongerLonger
time frame
time service
frame service
changes
changes
Contributory Factor to
Upper Bound
% Factor Mitigation Factor
Contributes
after
mitigation
25
8
Scheme brief well developed, including detailed schedule of accommodation and agreed with users.
Involvement of Stakeholders,
5%
5.00% 5.00%including Public and Patient
Involvement
5
2
Stakeholders fully involved, including initial involvement of patient representatives.
Agreement to output
specification by stakeholders
5
1
Stakeholders fully engaged in drawing up scope of project.
New service or traditional
3
1
Traditional service.
Local community consent
3
1
Local community supportive of project.
20
10
Policy environment is stable in relation to this service.
2
1
Project is likely to attract significant interest from ProCure 21+ PSCPs.
100
43
X 5%
10% 010% 0
20% 020% 0
X 0% 0%
0.00% 0.00%
Stable policy environment
2% 0 2% 0
5% 0 5% 0
Likely competition in the
market for the project
8.00% 8.00%TOTAL
30