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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Option 8 - Purchase 2 volumetric theatres, construct 1 new theatre.Refurbish existing theatre block to provide 1 theatre, new recovery,upgraded staff changing and support accommodation.This option involves purchasing the 2 volumetric theatres. A third theatre wouldbe constructed. The fourth theatre would be provided by refurbishing within theexisting main theatre building. A new recovery ward, staff changing facilities,storage etc would be provided by refurbishing within the existing main theatre area.Option 9 - Construct 4 new theatres and new recovery ward. Refurbishexisting theatre block to provide upgraded staff changing and additionalsupport accommodation.This option involves the construction of four theatres and new recovery ward whichfully comply with the Department of Health building guidance. The proposed site iscurrently occupied by the histocytology laboratory and laboratory officeaccommodation. These 2 units would be re-provided prior to constructioncommencing. The staff changing facilities would also be upgraded and additionalstorage would be provided.Board Report, Outline Business Case for the Replacement of Theatres 1 – 4, CAH 8

4. EVALUATION OF OPTIONSThe five short listed options were evaluated using non financial appraisal and alsoquantifiable costs. A summary of the scoring and costing exercise is given in thetable below.Non Financial AppraisalScoreCapital Costs includingMIPS inflation uplift butexcluding OptimismBias (£)Baseline AverageCapital Charges(including thoseattributable to currentland, budilings andequipment)Additional Annualrecurring Revenue (£)Option 2 Option 3 Option 7 Option 8 Option 9500 735 750 770 7305 3 2 1 44,484,859 10,227,717 10,193,550 10,263,940 12,291,3991 3 2 4 5416,413 736,346 711,182 726,321 735,5740 79,376 92,792 80,085 97,756NPV Baseline (£000) 60,336 64,605 64,516 64,515 65,375NPV Adjusted forOptimism Bias (£000)60,883 66,010 65,934 65,951 66,973The Project Team considered the options and has concluded that the preferredoption is Option 8 – Purchase 2 volumetric theatres, construct 1 new theatre.Refurbish existing theatre block to provide 1 theatre, new recovery,upgraded staff changing and additional storage. This option has beenidentified as the preferred option for the following reasons: Option 8 has the highest non-financial benefit score of 770 and therefore willgenerate the greatest overall qualitative benefits in terms of providing four maintheatres, recovery and associated support accommodation which meetDepartmental standards; providing a clinically effective solution which has thecapacity for undertaking a wide range of procedures; minimises the disruptionto theatre and other support services; fits with the Trust’s strategic direction;and can be delivered within reasonable timescales; The capital costs (excluding Optimism Bias) associated with this option are£10,263,940. Whilst it ranks as 4 from a financial appraisal perspective themonetary difference between it and the higher ranking options 3 and 7 is notBoard Report, Outline Business Case for the Replacement of Theatres 1 – 4, CAH 9

Option 8 - Purchase 2 volumetric theatres, construct 1 new theatre.Refurbish existing theatre block to provide 1 theatre, new recovery,upgraded staff changing and support accommodation.This option involves purchasing the 2 volumetric theatres. A third theatre wouldbe constructed. The fourth theatre would be provided by refurbishing within theexisting main theatre building. A new recovery ward, staff changing facilities,storage etc would be provided by refurbishing within the existing main theatre area.Option 9 - Construct 4 new theatres and new recovery ward. Refurbishexisting theatre block to provide upgraded staff changing and additionalsupport accommodation.This option involves the construction <strong>of</strong> four theatres and new recovery ward whichfully comply with the Department <strong>of</strong> Health building guidance. The proposed site iscurrently occupied by the histocytology laboratory and laboratory <strong>of</strong>ficeaccommodation. These 2 units would be re-provided prior to constructioncommencing. The staff changing facilities would also be upgraded and additionalstorage would be provided.<strong>Board</strong> <strong>Report</strong>, Outline Business Case for the <strong>Replacement</strong> <strong>of</strong> <strong>Theatres</strong> 1 – 4, CAH 8

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