CO-DESIGN OF INPATIENT FACILITIES


for males, females, and non-binary service-users.


l Southern Derbyshire Adult Acute at Kingsway Hospital, Derby: a 54-bed new-build purpose-built facility for males (re-provision of male services from the Radbourne Unit at the Royal Derby Hospital site).


Funding for a new PICU Derbyshire is, in fact, the only area in England that does not currently have a PICU. This means that people needing this level of support have to travel outside the county to access an appropriate bed, with an average of 14 male service-users being supported out of area at any one time. Throughout the application for


dormitory eradication funding, Derbyshire Healthcare remained committed to providing a PICU in Derbyshire for those service-users who are most unwell, with an ambition to build a facility adjoined to, and built concurrently with, the adult acute unit at Kingsway Hospital. The Making Room for Dignity Programme delivery team has been working closely with NHS colleagues nationally and locally to identify and secure the additional capital required to realise this ambition. The team recently received confirmation of a financial commitment to funding, which will be provided over the next two years, enabling PICU construction works to commence in line with the adult acute unit.


Unexpected ‘mitigation’


Cost pressures: Initially the programme encompassed six projects running concurrently – two adult acute units – for dormitory eradication; a PICU; relocation of older adult inpatients in the north of the county to a more suitable hospital, and two refurbishment projects. However, the unprecedented times faced, relating to the cost of living and hyperinflation, had a direct impact on the projects, creating affordability challenges, and in turn a slippage to some timelines. The day-to- day increases in the cost of living, with the increase in energy prices, meanwhile had an impact on the cost and availability of building materials. The war in Ukraine added even further to this, as many key raw materials such as steel come from Russia. The impact of these issues increased the level of funding needed to fulfil the six projects. This resulted in some amendments to the schedule of works, focusing on the two new acute builds and the PICU. However, the programme team continued to work with colleagues locally and nationally to secure the additional funding required (see panel, page 33).


Foundations: Following the unearthing of a well underneath the previous overflow car park at Kingsway Hospital, work had to take place to understand the impact on the programme. This resulted in changing from piling foundations to a raft foundation solution, which also delivered


THE NETWORK | FEBRUARY 2023


a cost saving to the programme. However, this caused a slight delay to practical completion timings.


The future The pre-foundation works for the adult acute unit in Chesterfield and the acute unit and PICU in Derby are now complete, with tower cranes on site, which will lead to the assembly of the main frame in the early spring of this year. The wider programme team is embarking on an ambitious recruitment


campaign to ensure that staff are adequately trained, and teams are formed, prior to the opening of the new facilities. This includes the further development of a schedule of recruitment activity for current ‘business as usual’ vacancies, and the additional vacancies required for the new model for the new wards. This is a once in a lifetime opportunity


to invest in Derbyshire’s acute inpatient facilities – giving service-users and staff an opportunity to shape the future of mental health facilities and environments. n


The Making Room for Dignity programme team


Geoff Neild, Programme director Geoff Neild is an experienced NHS Estates and Facilities professional, with extensive capital programme experience in both acute and mental health, and is the current Vice-Chair of the Health Estates and Facilities Managers Association (HEFMA).


Becki Priest, director of Quality and Therapies (chief AHP) Becki Priest has been a qualified Occupational Therapist since 2002, and has extensive experience across a range of mental health specialisms, including forensic, personality disorder, and crisis. She worked for five years in New Zealand as Professional lead for Occupational Therapy and Vocational Services.


Nick Richards, Project officer and Lived Patient Experience lead Nick Richards has worked within the NHS for eight years in IT roles, having previously worked in the private sector. He joined the programme team to be the voice of those with both physical and mental health needs.


Andy Harrison, Senior Responsible officer Andy Harrison has more than 20 years’ NHS Executive Director experience, and as Senior Responsible officer, has delivered significant estate infrastructure developments in community settings and a regional dental hospital.


Andy Donoghue, Associate director of Estates and Facilities Andy Donoghue is a qualified architect with more than 25 years’ NHS estates and capital experience across the acute and mental health sectors, with NHS Property Services, and in a Strategic Health Authority. He is also a qualified Better Business Case and BREEAM assessor.


Sifo Dlamini, Clinical Project manager Sifo Dlamini is a qualified Mental Health Nurse (RMN), and previously worked as a Specialist Complex Needs Nurse. He has experience of working in both quantity surveying and commercial property management. He provides the clinical voice for the ‘Making Room for Dignity’ programme.


Jayne Davies, Communications and Engagement Programme lead Jayne Davies is a communications professional with more than 15 years’ experience working in both private and public organisations, with a focus on public relations, stakeholder engagement, and crisis communications.


Lesley Watson, Capital Project manager Lesley Watson is a qualified architect, who gained over 25 years’ housing association and private practice experience before joining the NHS in 2011. In her 20 years in private practice she worked across a variety of sectors, including health and education, with a focus on disability access. She joined the ‘Making Room for Dignity’ programme team in July 2022 after retiring from the DHCFT as head of Capital, and returning part-time.


The team also includes: Non-Executive directors, Executive directors, staff-side reps, an HR/Workforce and Organisational lead, colleagues from Estates and Facilities, Integrated Health Projects (IHP) which includes colleagues from Vinci and Sir Robert McAlpine, Edge Property Services, Kier, Curtins, Ryder, CAD Consultants, and Chesterfield Royal Hospital.


35


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40