Department of Health: The Paddington Health Campus Scheme

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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
part oneThe report will consider why theCampus scheme collapsed andwas cancelled1.6 In May 2005 the Campus scheme collapsed asthe Royal Brompton and Harefield NHS Trust did notrecommend an Addendum to a revised OBC forapproval by the Strategic Health Authority afterfive years and £14.9 million in direct costs. The StrategicHealth Authority then recommended that the scheme becancelled and in June 2005 the Minister at the Departmentconfirmed that the project could be formally cancelled.The scheme did not proceed as far as the selection of a PFIpartner or exchange of contracts so, given that there wasno deal, it is not possible to comment on the valuefor money of any proposed procurement route.1.7 This examination was prompted in part bycorrespondence from four Members of Parliament in 2005expressing concern at the cancellation of the Campusscheme and what they felt was a lack of clarity onaccountability for the collapse.1.8 The study scope is limited to the immediate andunderlying causes for the collapse of the scheme inMay 2005, rather than the chronological story of how thescheme progressed from Strategic Outline Case in 1998to cancellation in June 2005 (a chronology of events is atAppendix 1). The report considers:nnnthe risks faced by the Campus partners and how theyapproached the task (Part 2);the progress made by the Campus partners inimplementing the 2000 OBC (Part 3);roles and accountability in the scheme (Part 4); andn the way ahead for all parties (Part 5).1.9 The report is based on documentary evidence from,and interviews with, all relevant stakeholders and alsodraws on the findings of a number of external reviewsof the scheme, including the Independent Review Panel’s‘Lessons Learned’ Report commissioned by the North WestLondon Strategic Health Authority in July 2005and published by the Strategic Health Authority inOctober 2005 6 (Appendix 2). The full methodologyis at Appendix 3.6 Final Report to the North West London Strategic Health Authority from the Independent Review Panel: Lessons Learned from the Paddington Health CampusProject http://www.nwlondon.nhs.uk/featuredInformation/download/board18Oct05/PHCLessonsFinal.doc.The Paddington Health Campus scheme13
Page 1 and 2: department of healthThe Paddington
Page 3 and 4: DEPARTMENT of healthThe Paddington
Page 5: Part 3The Campus partners were unab
Page 8 and 9: summary8 While the Campus partners
Page 10 and 11: summary21 Ultimately, in addition t
Page 12 and 13: part onePart oneThere was a strong
Page 16 and 17: part twoPart TwoThe way the Campus
Page 18 and 19: part two2.6 Securing planning permi
Page 20 and 21: part twoRisk management2.14 The NHS
Page 22 and 23: part two2.28 Public support for the
Page 24 and 25: part three3.1 The Royal Brompton an
Page 26 and 27: part three3.12 The PDCL negotiator
Page 28 and 29: part three3.24 All Campus partners
Page 30 and 31: part threeThe changing proposals fo
Page 32 and 33: part three6A comparison of capital
Page 34 and 35: part fourAccountability for the sch
Page 36 and 37: part four4.8 Some of the advice and
Page 38 and 39: part five5.1 Both NHS Trusts contin
Page 40 and 41: glossaryLondon Regional OfficeMemor
Page 42 and 43: appendix oneAppendix oneChronology
Page 44 and 45: appendix one2004 (continued)JulyChi
Page 46 and 47: appendix two7 It was the view of th
Page 48 and 49: appendix fourAppendix fourThe oppor
Page 50 and 51: appendix fiveDepartment of Health:

Department of Health: The Paddington Health Campus Scheme

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