1. 3T Programme 1:500 design 12 th March 2009

2. BSUH Strategic Vision Leading UK Teaching Hospital on two acute campuses, in partnership with BSMS, Deanery & Universities Reputation for excellence in specialist / tertiary care - hub of clinical networks across Sussex and the wider Region, in vital partnerships with QVH, SECAmb, KSSAAT, and DGHs Continue to provide excellent secondary care to local populations of Brighton & Hove and Mid Sussex Vision supported by Sussex PCTs and is consistent with LHC long term strategic direction since 2001: Central Sussex Partnership Programme, Best Care Best Place, Fit for the Future and Healthier People, Excellent Care All work underpinned by our core values

3. 3T Plan: Regional Services Establish RSCH as the Major Trauma Centre for Sussex, South Surrey and West Kent Trauma Network –Helipad –Enlarged A&E resuscitation –Imaging –Polytrauma / interventional theatre –Trauma ward Relocate Regional Centre for Neurosciences from PRH (Haywards Heath) to RSCH (Brighton) –Expansion of all services / capacity –Repatriation of Sussex residents referred out-of-county, in line with Sussex PCTs’ Tertiary Commissioning Strategy –Capacity to receive major head injuries from catchment (regardless of need for neurosurgical intervention), in line with NICE guidance –Integrated Spinal Surgery Unit

4. 3T Plan: Sussex-Wide Services Expand Sussex Cancer Centre’s non- surgical services –Radiotherapy (2 additional Linear Accelerators, in line with Sussex Cancer Network plan; imaging / planning) –Chemotherapy (expanded daycase unit) –Haematology / oncology (integrated / expanded inpatient unit, co- located / expanded haematology daycase unit) Dedicated HIV / Clinical Infection facility –inpatients (HIV, infectious pathologies) –HIV / CIS Outpatients

5. 3T Plan: Local Services Medical / Elderly Care & Stroke –Re-provide medical / elderly care beds in ‘fit for purpose’ accommodation –Additional bed capacity –Includes expanded hyperacute Stroke Unit co-located with Neurosciences –Planning aligned with PCTs’: demographics & morbidity, length of stay (new working practices, new technology), locus of care (‘demand management’) etc. Outpatients –Cancer, Neurosciences, HIV / Clinical Infection Service –ENT / OMF / Audiology (hearing aid service  community) –Fracture Clinic –Community-based MSK development: orthopaedic OPD, rheumatology OPD, physiotherapy OPD/gym Imaging –General Imaging Additional 1 MR, additional 2 CT Endovascular theatre –Nuclear Medicine Shell space for 1 PET & 1 SPET (subject to future business case) –Neuro-Imaging Additional 1 MR (in addition to Lister capacity at PRH), additional 1 CT

6. 3T Plan: Teaching, Training & Research Introduction –Role of 3T programme: ensuring clinical environment is conducive to – and providing appropriate facilities for – teaching, training and research –Opportunities for research afforded by 3T development (Prof Cohen): Academic oncology Academic neurosciences General Internal Medicine, eg. nephrology, chest medicine, infection, hepatology Imaging Complex multisystem disease (Possibly) academic surgical practice, eg. orthopaedics, vascular, oncology. –Opportunities to enhance pre- and post-registration education Infrastructure –Centre for Innovative Therapies (2,500m 2 ) funded / operated by BSMS –Additional multiuse teaching / training space (brief developed by Dr Kelly) – dispersed vs centralised –University Teaching Hospital ‘campus’ in design brief to architects Organisational Infrastructure –Academic Integration Strategy (Prof. Davies) –Refreshed Trust Research & Development Strategy –Academic Health Sciences Centre proposal (allied to FT application)

7. 3T Plan: Key Dates MilestoneExpected Date Outline Business Case approvalJuly 2009 Decant begins (subject to funding, proceed at risk)Autumn 2009 Planning applicationDecember 2009 Full Business Case submittedSpring 2010 Full Business Case approvedEarly Summer 2010 Build programme beginsLate Summer 2010 Stage 1 complete (Option 1), incl. trauma, Neurosciences, Wards, Imaging 2013/4

10. Level 1

11. Level 2

12. Level 3

13. Level 4

14. Level 5

15. Level 6

16. Level 7

17. Level 8

18. Level 9

19. Level 10

20. Level 11

21. Level 12

22. Level 13

23. Level 14

24. Level 15