The Royal Thames Valley Hospital PUBLIC MEETING 21st Century Patient Care: Challenges & Opportunities A Vision of a Sustainable Healthcare Plan for the Thames Valley Dr Phillip Lee MB BS MSc (Oxon) BSc (hons) Member of Parliament for Bracknell Constituency 1

Building Sustainable Staff Access Key Figures: Projected capital fund of around £500 m Preferred option – single site M4 (J8/9) At least 70% funded via capital resale Expected pop. increase of 9% between 2008 & 2018 Key Figures: Projected capital fund of around £500 m Preferred option – single site M4 (J8/9) At least 70% funded via capital resale Expected pop. increase of 9% between 2008 & 2018 Care 2 BENEFITS OF NEW HOSPITAL PLAN Source:Site visits; Own Analysis Provide acute and specialist services on a single site Improve access to diagnostics such as lab. & imaging Appropriate treatment closer to home Improve financial resilience Improve efficiency and effectiveness of services Achieve lowest carbon footprint for UK hospital Optimising departmental & functional relationships Make patient processing more efficient Good parking facilities Public transport improvements Better location for larger population New infrastructure required to meet increasing healthcare demands Provide ‘state-of-the-art’ facilities fit for purpose Single en-suite bedroom for patients

3 CURRENT HOSPITAL MAP/ LOCATION OF NEW HOSPITAL Source:Own Analysis/ Autoroute Map Fragmented hospital landscape across region Larger hospitals mostly found on outskirts Inter-departmental services made more difficult by location disparities Long-term solution to fragmented hospital landscape is consolidation of acute hospital sites on to a single site Regional hospital situated on M4 most cost effective and efficient solution to tackle future healthcare demand in our region.

4 DEMOGRAPHIC ANALYSIS I Forecasted and total regional population estimates by district for 2011 and 2022 In 000’ 1.1% Source:Office for National Statistics: Sub-national population projections; East Berkshire Primary Care Trust, Annual Report 2010 Current hospital landscape showing difficulties in dealing with increasing population. It will have to adapt to its future trends.

DEMOGRAPHIC ANALYSIS II Percentage of the population aged 65+ in local authorities in England: estimates and projections, In % Population projections for area indicate that over period to 2019 an ageing pop. will lead to change in the nature and an increase in the type of health service provision required in future. Source:Office for National Statistics: Sub-national population projections; East Berkshire Primary Care Trust, Annual Report

6 FINANCING THE PROJECT I The total capital recovered is divided between Option 1 and Option 2: OPTION 1: Residential development on 70 per cent of the total site area OPTION 2: Residential development on the current building footprint The table on the next slide shows the estimated receipts that would be realised from consequent land sales and accommodation development. I acknowledge that land values can be volatile and uncertain. I have used the latest property development costs available. The actual property value varies according to land purchase price, which will have to be deducted from the total capital raised. Source: Own Analysis, Estimates based on current market values from Primelocation.com Notes: All numbers are estimates: Assuming that the properties would be converted into residential flats Average local area 2 bed flats valuation from Prime Location Assuming that 2 bed flat = 75m2

FINANCING THE PROJECT II Summary Capital recovered from Hospital Sales Hospital Gross Internal Area (m2) Land land ( Hectare ) Land area ( m 2 ) Develop 70% of land area Average 2 bed flat in the area Property Value Option 1 Property Value Option 2 Sell- off Option 1 Capital recovered Option 2 Capital Recovered Townlands Hospital 5, ,60020,700£300,00023,492,000110,400,0000%00 Upton Hospital 11, ,70012,525£225,00034,455,00050,100, % 22,395,75032,565,000 Heatherwood Hospital + Aggregate Site 27, ,300132,975£350,000126,387,333827,400, % 82,151,767537,810,000 Wexham Park Hospital 60, ,000183,000£300,000240,828,000976,000, % 240,828,000976,000,000 Wokingham Community Hospital 4, ,50013,875£275,00016,738,33367,833, % 10,879,91744,091,667 St Marks Hospital 6, ,10010,575£325,00029,679,00061,100, % 29,679,00061,100,000 King Edward IIV Hospital 3, ,0006,000£325,00016,076,66734,666, % 8,038,33317,333,333 Wycombe General 45, ,00050,250£300,000180,808,000268,000, % 117,525,200174,200,000 Marlow Community Hospital 1, ,1852,389£300,0005,688,00012,740,0000%00 Total Value 668,464,3332,395,500,000511,497,9671,843,100,000

8 RTVH PROJECT COST On the basis of the above analysis: Total cost of new acute hospital for the region would be in the region of £ million. Further expenditure required on community sites may take total cost to ~ £750 million. Funding could be secured from within region. Even if additional capital was required from central government, I believe that this would be more than justified for two reasons: Projected local increase in population over the coming decades would support a viable business plan within any future regional health economy Relative under-funding (when compared to other parts of country) of the region’s healthcare spending over the last decade (see comparison table 7 in the Appendix)

Summary of New Services at New Hospital Primary Trauma Centre 24 Hour Cardiac Unit 24 Hour Stroke Unit Enhanced Surgical Services 9

Summary of Enhanced Community Services Specialist Out-Patient Appointments Post-Operative Rehabilitation Chronic Care Treatment, e.g. renal dialysis Minor Injury Units 10

Conclusion Remember - total cost of project is <0.1% of central government’s annual NHS spending budget. This plan will help ensure that the very best healthcare is provided to >650,000 local people for the next 40 years. Hence, deciding to spend £750 million in one of the most affluent and economically-vibrant parts of Europe seems a modest investment to me. 11

Thank You 12