The new Royal Adelaide Hospital PPP Project

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The new Royal Adelaide Hospital PPP Project

• Industry Briefing
• 19 June 2009

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WelcomeDr David PanterExecutive
DirectorStatewide Service Strategy
The new Royal Adelaide Hospital
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Acknowledgement of Country

• We would like to acknowledge this land that we
  meet on today is the traditional Lands for the
  Kaurna people and that we respect their spiritual
  relationship with their country. We also
  acknowledge the Kaurna people as the custodians
  of the greater Adelaide region and that their
  cultural and heritage beliefs are still as
  important to the living Kaurna people today.

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Agenda

• Deputy Premier and Treasurer keynote speech
• Minister for Infrastructure keynote speech
• Minister for Health keynote speech
• New RAH PPP Project
• New RAH Model of Care
• Questions

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Deputy Premier and TreasurerHon Kevin Foley MP
The new Royal Adelaide Hospital
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Minister for InfrastructureHon Patrick Conlon MP
The new Royal Adelaide Hospital
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Minister for HealthHon John Hill MP
The new Royal Adelaide Hospital
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New RAH PPP Project Damien WalkerMajor
Projects DirectorUrban Planning
The new Royal Adelaide Hospital
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Project Rationale Supporting SAs Health Care
Plan

• The new RAH is a key part of SAs Health Care
  Plan.
• The South Australian vision is to create an
  integrated health care system that will be
  recognised nationally and internationally as an
  example of best practice in
• patient centered care
• access
• integration
• safety and quality
• innovation and
• value for money.

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Project Objectives

• The State has set a number of Project Objectives
  that the Project must deliver, including to
• lead cultural change throughout the SA health
  system by creating an environment that encourages
  and supports staff to adopt new organisational
  values and systems of work that will lead to an
  optimally patient centred and outcome focused
  approach to care

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Project Objectives

• promote innovation in health care delivery,
  education and training through a Facility that
• embraces national and international design to
  encourage research and innovative practice,
  education and training and
• supports ultra modern, technically advanced,
  highly safe and efficient service delivery.
• be a hospital facility appropriate for the year
  2016 and the 70 years that follow through the
  delivery of a durable building with adaptable
  design features and construction processes that
  adapt to the generational changes in technology,
  clinical functions and relationships

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Project Objectives

• be fit for purpose through effective and
  efficient design that enables the provision of
  safe and effective care, provides the best
  possible environment for patients and staff,
  supports optimal use of technology, and has a
  post-disaster capability
• maximise delivery of the NRAH through application
  of VFM best practice project management
  principles of time, cost and quality delivery
  criteria and application of a sophisticated risk
  management approach and

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Project Objectives

• embrace environmentally sustainable practices and
  minimise the carbon footprint of the hospital by
• minimising consumption of power and water
• minimising the production of waste
• maximising opportunities to recycle and use the
  lowest impact renewable energy available and
• minimising unnecessary community travel to obtain
  the services required.

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Project Site

• The Site is located on an existing rail yard
  which will be decommissioned for the purposes of
  the Project.
• The Site is bound by the Morphett Street Bridge
  to the east, North Terrace to the south, the
  intersection of Port Road, West Terrace and North
  Terrace to the west, and the metropolitan rail
  system to the north.
• The periphery of the site includes areas of key
  interface, such as the
• Old Adelaide Gaol
• River Torrens and
• Adelaide west end.

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Project Site
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Project Site - Interface

• The Site will be bounded by significant
  development over the coming eight years,
  including
• Rail revitalisation electrification and
  concrete re-sleepering of the Adelaide rail
  network
• Coast to Coast extension of the tram along
  North Terrace and Port Road to the Adelaide
  Entertainment Centre and
• South Australian Health and Medical Research
  Institute.

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Project Site Unique Parkland Setting

• The proposed redevelopment of the Site will
  provide the opportunity to improve the transition
  and interaction between the city (west end and
  North Terrace edge) to the south of the Site, and
  the River Torrens corridor and parklands,
  including Torrens River Park to the north.
• Both boundaries provide different character and
  context that should be integrated with the design
  of the Facility.

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Services

• Services to be provided by Project Co
• Maintenance of the Facility and Site
• Provision of utilities and medical gases
• Cleaning and domestic services
• Patient support and orderly services
• Pest control
• Security
• Catering and
• Internal distribution logistics including
  internal distribution of bulk stores, linen and
  internal waste collection.
• The State is implementing shared services models,
  in relation to
• laundering services and
• provision of bulk stores to metropolitan Adelaide
  hospitals.

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New RAH Model of CareKaye ChallingerProject
DirectorClinical Service Planning
The new Royal Adelaide Hospital
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System Architecture
Clinical Networks Statewide Plans
GP, Private, NGO, Commonwealth and Community
Sector
Community individual capacity for own health
and wellbeing
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Service Profile

• Own local community
• Tertiary level services
• State-wide services
• Major burns
• Trauma
• Spinal
• Renal transplantation
• Neurosurgery
• Complex vascular and
• Hyperbaric medicine.

• By 2016/ 17
• 700 multi day beds including intensive care/ high
  dependency beds
• 100 same day beds
• Approximately 41,000 multi day and 42,500 same
  day admissions per year
• Average length of stay for multi day patients of
  5.6 days
• Assess approximately 86,000 emergency patients
  per annum and
• See approximately 400,000 out patients per annum

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Model of Care
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Design Objectives

• Create the next generation hospital
• Manage greatly increased activity
• Better functionality and improved productivity/
  efficiency
• Smart high level of ICT and automation
• Flexible
• Healing environment green Spaces
• Disaster capable clinical response
• Good for patients good for staff

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Patient Journey
ACUTE CARE
DIAGNOSIS INTERVENTION
INPATIENT CARE
ACCESS
EXIT
Planned Unplanned
Discharge Transfer Community Support
Inpatient Beds
Technical Suites
Emergency Care
Primary Health
Primary Health
Outpatients
TECH SYSTEMS
The new Royal Adelaide Hospital
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Model of Care Key Components

• Provision of safe care
• Reduced flow / volume through ED
• Multiple access points
• Critical clinical decision making points
• Fast tracked admissions
• Distributive imaging / clinical support
• Streamline elective surgery
• Ensure emergency surgery access
• Caring for patients by acuity
• Appropriate length of stay

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Model of Care Design Implications

• Multiple access points
• More care by the bedside
• Windows (able to open)
• Technical Suites
• Hot Floor Co-location of theatres
• Functional Relationships
• Clinical Organisation Clusters / Villages
• ICT Smart Hospital / Systems
• Logistics

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Space

• Green
• Embedded / Distributed
• Indoor / Outdoor
• Multiple Use
• Social
• Relaxation
• Therapy
• Meetings

• Blue
• Embedded / Distributed
• Individual and Group work spaces, teaching,
  research, multiple purpose rooms
• Multiple Use

NEW WAYS OF WORKING
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PPP Process and Project Procurement TimelineDr
David PanterExecutive DirectorStatewide Service
Strategy
The new Royal Adelaide Hospital
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PPP Process

• The next step is for EOI submissions to be short
  listed.
• Short listed candidates then participate in the
  Request for Proposals phase.
• The short listed candidates will submit their
  proposals, based on the Governments
  specifications, and a preferred proponent will be
  chosen.
• The Project Agreement will be signed and
  construction will begin.

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Project Indicative Timeline

• 2009
• July 17 - EOI submissions close
• Late September - Shortlist announced
• October - Release of Request for Proposals
• 2010
• Site will be vacated by the rail authority in
  September 2010
• Preferred proponent selected and contract signed
• 2016
• new Royal Adelaide Hospital opens

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Question Time
The new Royal Adelaide Hospital
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Further Information and Enquiries

• Further information on this Project is available
  at www.newrah.sa.gov.au
• Enquiries regarding the EOI should be directed
  via email to Dr David Panter, Executive Project
  Director, SA Health at NewRAHEOIEnquiries_at_health.s
  a.gov.au

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