The New University College Hospital, London

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PPPs For HealthLisbon 28 September 2005

• The New University College Hospital, London
• Building on strong foundations

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

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Today's Presentation

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

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Today's Presentation

• UCLH NHS Foundation Trust and Key Achievements in
  2004/05

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Location of UCLH NHS Trust Hospitals
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(No Transcript)
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• The Existing Estate

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

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Facts and Figures

• Annual Turnover 500M (735m)
• Staff numbers 6,000
• 70,000 AE attendances per year
• 33,000 planned operations per year
• 400,000 outpatient attendances per year

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2004/05 performance

• 3 Star Trust fourth year running
• One of only 16 Health Trusts to meet all nine key
  Government targets and achieve a rating of high
  in all three categories
• Specific highlights include AE, cutting waiting
  times, reducing infection rates and developing
  women childrens services

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Key achievements

• Opening the new hospital
• Becoming a Foundation Trust
• Centre of excellence for training
• National IT lead for EPR
• Largest RD programme in the UK

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Today's Presentation

• UCLH NHS Foundation Trust and Key Achievements in
  2004/05
• The Project and some History

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The Projects History

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

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The Contract Structure
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Financial Fact Sheet
Construction Cost Main Wing-Phase 1 186m (
279m) EGA Wing-Phase 2 39m (
59m) Unitary Fee Availability 21.9m
(32.8m) Service Fee 9.5m
(14.2m) Total 31.4m (47.0m) Revert to
the NHS 2038
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Key Dates Phase 1

• Construction began July 2000
• Completion and handover April 19th 2005
• Occupation April - December 2005

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UCLH CAMPUS
UCLH NHS Trust New Hospital Development
Isometric UCLH
Corporate Headquarters
Tower Phase 1
Podium Phase 1
EGA Phase 2
Odeon Site
Cruciform
Cruciform
Rosenheim Building
Llewelyn-Davies
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Middlesex Tower
The New University College Hospital
FLOOR 16 GYNAECOLOGY/ONCOLOGY
FLOOR 15 PRIVATE PATIENTS
FLOOR 14 HAEM / ONCOLOGY BEDS
FLOOR 13 HAEM / ONCOLOGY BEDS
FLOOR 12 ADOLESCENT UNIT
FLOOR 11 PAEDIATRIC UNIT
FLOOR 10 GENERAL BEDS - MEDICAL
FLOOR 9 GENERAL BEDS - SURGICAL
FLOOR 8 INFECTION UNIT
FLOOR 7 GENERAL BEDS/MONITORED BEDS
FLOOR 6 GENERAL INPATIENTS
FLOOR 5 NUCLEAR MEDICINE
FLOOR 4 PLANT
Podium Block
FLOOR 3 CRITICAL CARE
FLOOR 4 MEDICAL PHYSICS/PLANT
FLOOR 2 AMBULATORY INT
FLOOR 3 OP THEATRES
FLOOR 1 ACUTE ADMISSIONS
FLOOR 2 AMBULATORY INT
FLOOR 1 OUTPATIENTS
GROUND FLOOR ENTRANCE
GROUND FLOOR AE/ ENTRANCE
LOWER GROUND FLOOR DIAGNOSTIC IM / MORT
BASEMENT RADIOTHERAPY / MED. PHYS
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Today's Presentation

• UCLH NHS Foundation Trust and Key Achievements in
  2004/05
• The Project and some History
• Opening the New Hospital

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Acquisition of Adjoining Site
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Opening of new UCH
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Opening of new University College Hospital

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

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Facilities Provided

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

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Diagnostic and Interventional equipment

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

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National IT lead for Electric Patient Record

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

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Today's Presentation

• UCLH NHS Foundation Trust and Key Achievements in
  2004/05
• The Project and some History
• Opening the New Hospital
• The Challenges

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The Challenges

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

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Challenges for UCLH

• Emphasis on Specification (radiation shielding)
• Variation process (working with the process)
• Value of 150 design (long build)
• You get what you pay for
• Compliance with HBN/HTMs
• Medical equiping wanting the very latest)
• The role of the TWA (pre and post contract

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Today's Presentation

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

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The Success of PPP

• The private sectors innovative solution
• Risk transfer of Building Availability
• Solutions developed by integrated team
• Management of Change
• Inclusion of interim services
• No PPP - No new UCLH !!!

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Initial Clinical Improvements

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

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Today's Presentation

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

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Strategic vision

• UCLH is committed to delivering top quality
  patient care, excellent education and world class
  research

• Lower waiting times
• Hi-tech modern, clean buildings
• State-of-the-art equipment
• Greater choice for the patient
• Best trained and qualified staff
• Collaboration to put research into practice

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Looking forward investing for the future

• Approved
• Phase 2 of new hospital EGA wing
• 33 Queen Square redevelopment
• Proposed
• Ambulatory Cancer Care Centre Odeon site
• Eastman Dental Hospital regeneration of
  facilities and service redesign
• Plan to relocate Heart Hospital to main campus

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Location of UCLH NHS Trust Hospitals
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Location of UCLH NHS Trust Hospitals
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Location of UCLH NHS Trust Hospitals
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The New University College Hospital

• Winner
• Best Health Project (Above 20M)
• University College London Hospitals

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External Lighting Proposal