3. Board Report Refurbishment/Replacement of Theatres 1-4 ...
3. Board Report Refurbishment/Replacement of Theatres 1-4 ...
3. Board Report Refurbishment/Replacement of Theatres 1-4 ...
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2. ASSESSMENT OF NEEDAn assessment <strong>of</strong> need highlights the deficiencies with the current theatreaccommodation and clearly demonstrates a requirement to retain five main theatres atCraigavon Area Hospital.Condition <strong>of</strong> Existing Facilities The theatre ventilation plant (including design configuration and air changerates) does not meet Departmental standards; Theatre design does not meet Departmental standards in terms <strong>of</strong> space,layout or quality <strong>of</strong> finishes; There are significant electrical services issues including only one source <strong>of</strong>electrical supply; emergency back-up is fully loaded and the distributionnetwork contravenes standards.Demand Assessment The number <strong>of</strong> allocated theatre sessions is currently 48 per week out <strong>of</strong> anavailable 50; Main theatre activity has increased over the last three years, particularly interms <strong>of</strong> the numbers <strong>of</strong> more complex surgery. The number <strong>of</strong> surgicalepisodes with a procedure carried out has increased from 6,331 in 2005/06 to9,569 in 2008/09, an increase <strong>of</strong> 51%; Whilst the Trust is currently meeting the Priorities for Action target <strong>of</strong> 13 weeksfor inpatient and daycase treatment, this has required significant use <strong>of</strong> theindependent sector to provide additional capacity. In 2008/09 826 inpatient and3,005 day case episodes were provided by the independent sector; Planned service developments will give rise to the need to increase theatresessions further; Population demographics show a 2<strong>3.</strong>8% increase in the overall number <strong>of</strong>people in the Southern area by 2021 and more significantly an increase <strong>of</strong>4<strong>3.</strong>7% in those aged 65 years and over. This increase will have a considerableimpact on the requirement for theatre capacity because a large proportion <strong>of</strong>inpatient episodes are attributable to the 65+ age group; Projected inpatient surgical activity is forecast to increase to 12,024 FCEs by2020/21, a substantial increase <strong>of</strong> 25% between 2008/09 and 2020/21.<strong>Board</strong> <strong>Report</strong>, Outline Business Case for the <strong>Replacement</strong> <strong>of</strong> <strong>Theatres</strong> 1 – 4, CAH 6
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