Better Acute Care in Lothian
St. John’s Hospital

Better Acute Care in Lothian
• Clinical drivers (Didi Welsh)
• Project Infrastructure (Gordon Reid)
• Project delivery (Doug Keillor, BAM)

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Mrs Didi Welsh
Project Sponsor

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Day Case Pathway
GP
OPD
Hospital Doctor
Pre Admission
Admission
Theatre
Recovery
Discharge
Home

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Total Day Case Elective Admission Cases
April 2007/March 2008
(RIE/WGH/St John’s)
51485 (61% overall elective activity)

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Future Service:
– 1 entry point
– Pre assessment for all patients
– Universal streamline pathway
– Robust administration system based on PFB
– Reduction of DNA rate
– Improved Theatre utilisation
– 3 Session
Days/weekends
– Flexibility
– Extended Roles

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Respiratory
Physicians
SSESC
Head and
Neck
General
Surgery
Musculoskeletal
Women & Children

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
By Providing a redesigned /new SSECS
–Optimise pre op assessment
–Optimise Bed numbers
–Optimise Theatre Utilisation
–Optimise Recovery Room

Better Acute Care in Lothian
Current Layout – Wards 5 6 & 7

Better Acute Care in Lothian
Proposed Plan in More Detail

Better Acute Care in Lothian

Better Acute Care in Lothian
Short Stay Elective Surgical Centre
Anticipated New Cases 3000
Specialty
General Surgery
Gynaecology
Orthopaedics
Urology
Totals
From WGH
200
800
1,000
From RIE
200
800
1,000
2,000
Total
400
800
1,000
800
3,000

Better Acute Care in Lothian
ST JOHNS: SHORT STAY ELECTIVE
SURGICAL CENTRE & THEATRES
UPGRADE
PROJECT LAUNCH
GORDON REID, PROJECT DIRECTOR

Better Acute Care in Lothian
• Ward 25
SSESC PROJECT LAUNCH
• Ward 19a
• Residencies
• Wards 5, 6 & 7
• Theatres

Progress Meetings
Communicating With St Johns
Phasing Plans
NHS Lothian
Daily Liaison
Weekly Liaison

Phasing and Segregation
Site Set Up – 22 nd March 2010
Start Works – 12 th April
Completed - 13th Dec 2010
Overall Duration 38 weeks
Phase of future car parking
Phase 1 Contractor’s Work Area
Phase 2 Contractor’s Work Area
Emergency Access to Dry Riser + Staff Fire Escape Routes
Heras Fencing
Compound And Work Area
Pedestrian Barriers
Access Route
Existing Dry Riser
Temporary Disabled Parking
Ward 25 Compound

Delivering Your Programme

Ground Floor
Phase 1
Ward 2 Patients Move to Residents Block
Ward 2 Move to
Residents Block
12 th April
Construction Works Zone

Ground Floor
Phase 1 – Ward 7 + Ward 6
Start: 12 th April
Duration: 35 weeks Complete:
13 th December
Construction Works Zone
Access Routes
Electric Hoist
Perimeter Scaffold
Bridging Scaffold
Access Stair
Existing Partitions to be Sealed
Temporary Sealed Partition

Lower Ground Floor
Phase 1- Ward 2 Works
Start: 12 th April
Duration: 11 weeks
Complete: 28 th June
Construction Works Zone Access Routes Existing Partitions to be Sealed Temporary Sealed Partition

First Floor
Phase 1- Ward 15 Works
Start: 12 th April
Duration: 11 Weeks
Complete: 28 th June
Construction Works Zone

Lower Ground Floor
Phase 1 - Ward 2 Upgrade Works
Ward 2 Upgrade Works
Start:7 th June
Complete: 28 th June
Duration: 3 Weeks
Construction Works Zone

Lower Ground Floor
Phase 1
Existing Ward 1 Moves into Existing Ward 2
Ward 1 moves to
Ward 2
5 th – 12 th July
Ward One Moves Into Ward Two
Ward One Moves Into Ward Two

Delivering Your Programme