(18:30-19:00*)
To receive a presentation from the Transformation Director of the University Hospitals Dorset NHS Foundation Trust New Hospitals Programme on the Strategic Outline Case.
Minutes:
The Transformation Director for the University Hospitals Dorset Foundation Trust (UHDFT) introduced the Strategic Outline Case. The main points raised during the presentation were as follows:
Stephen Killen – Transformation Director for UHD FT
Mike Kelly Dorset Healthcare – Head of MH
Jonathan Kempton – Head of Dorset Healthcare leading on this programme.
· The Strategic Outline Case was a £350 million capital opportunity. Following the clinical services review in 2017, the aim for better care and pathways of access, including care closer to home went through the local scrutiny process, a judicial review, an independent review panel and judgement from the Secretary of State.
· Members were reminded that the Dorset healthcare system and its work alongside the local authorities was in the top 10 nationally and was a Wave 1 care system.
· At the heart of the project was prevention, community investment, community services and care closer to home.
· £250 million funding would go toward the maternity and children’s services at the Royal Bournemouth Hospital and the advance theatre complex at Poole. This was alongside investment in pathology.
· The Health Infrastructure Plan (HIP) saw between £350-£500 million invested in the Dorset healthcare program.
· The HIP2 scheme would be another ambitious program that seeks to develop hubs in the BCP area.
· £90 million investment would go toward refurbishment in wards and hospital beds, with Poole Hospital receiving £80 million for wards, theatres and beds. St Anne’s hospital would also receive refurbishment of wards and beds.
· The HIP2 program builds upon the 2017 review and the extensive modelling of patient flow over a 5 year period. The first scheme focused on demand, capacity and division of beds across Dorset. Modeling identified that there were too many acute Mental Health beds in the West and not enough in the East. The outcome of the consultation and review was that the that Linden Unit should be closed (this site had 50 beds) and capacity moved to the St Anne’s Site. The review further identified that an additional 16 Mental Health beds were needed (4 in the West and 12 in the East). The Second scheme highlighted the issues faced by young people needing to access children and adolescent mental health services (CAHMS). The long waiting list, imbalance between supply and demand and the high number of of young people not able to access beds locally. Psychiatric intensive care beds for young people was a specific problem. The 2017 review identified low bed base in the South of England as a region wide problem. There are currently 8 beds available at the Psychiatric Intensive Care Unit Pebble Lodge. Pebble Lodge has an education provision rated outstanding by OFSTED. The Second Scheme would provide PICU beds for Dorset, Sussex, Hampshire and Isle of Wight. Unfortunately, a 2017 planning application for a new Bournemouth site was not successful but plans are being redrawn to submit soon.
· HIP3 is the redevelopment of the Thorston site in Dorchester which has 18 beds but doesn’t currently meet royal psychiatric standards.
· The key risks to this process were for the business case to be approved, delayed funding, cost inaccuracy, supply chain resilience, revenue impact and COVID19.
· Sustainability would be at the heart of the HIP and modern methods of construction and investment in local supply chains would be explored. This would be achieved by working with the Local Authority and Chamber of Commerce to seek local supply partners. The aim is for there to be net zero carbon at the heart of project.
· At present, the business case has been submitted to the NHS. It is supported by all partners in the Dorset system.
The Committee noted the update on the Strategic Outline Case.