Department of Health: The Paddington Health Campus Scheme

part oneThere were strong clinical driverssupporting the proposed PaddingtonHealth Campus1.2 The clinical case for the Paddington Health Campuswas based on a number of reviews into health provisionand specialised health services in London. In 1997 theTurnberg report set out a number of recommendations,all of which received Government acceptance, to definethe wider London healthcare strategy. The Turnberg reportargued for:nnnnna modernisation of London’s hospitals;integrated working both within the NHS and withother partners;alignment of specialist commissioning with Londonmedical school groupings;Imperial College being responsible for the academicfocus in north west London; anda more rational distribution of specialist services innorth west London.These points were all cited in the 2000 OBC forthe Campus.1.3 Subsequent clinical reviews of specialistservices indicated:nnthe need for a single specialist paediatric centre, toreplace the then current services fragmented overfive sites (the Boyd Report 1998); andthe desirability of concentrating heart services ontwo sites in west London, rather than four as was thecase (the English Report 1998).The original vision of the Campusfully addressed the main objectivesof the Campus partners1.4 In October 2000, following on from a StrategicOutline Case prepared in 1998, the then London RegionalOffice of the NHS, acting under delegated authority fromthe Department of Health, approved an OBC for thePaddington Health Campus drawn up under the auspicesof the West London Partnership Forum. Neither theDepartment nor HM Treasury played any rolein approving this business case. The intention of the2000 OBC was to address the recommendations made inthe Turnberg Report and subsequent specialist reviews andthe condition of the Trusts’ estates. The preferred optionwithin the OBC called for the:nnnrationalisation of specialist services (paediatric andheart and lung) centring on Paddington;redevelopment of St Mary’s Hospital; andinvestment in associated facilities byImperial College.1.5 The 2000 OBC had an estimated gross capitalcost of £300 million 5 and a completion date of 2006. Itinvolved separate hospitals for St Mary’s NHS Trust andRoyal Brompton and Harefield NHS Trust on the proposedhealth campus. A map of the then existing site is at Map Aand a map of the Campus vision is at Map B (see centrepage map section, page 28).5 The figure of £360 million usually associated with the 2000 OBC included capital expenditure on a number of other hospitals and equipment. The figure of£300 million is comparable in scope to the later scheme valuations used in this report.12The Paddington Health Campus scheme