1. Better Acute Care in Lothian St. John’s Hospital Welcome to the Project Launch of the Short Stay Elective Surgical Centre

2. Better Acute Care in Lothian SSESC Project Launch Agenda: Clinical drivers (Didi Welsh) Project Infrastructure (Gordon Reid) Project delivery (Doug Keillor, BAM)

3. Better Acute Care in Lothian Short Stay Elective Surgical Centre Mrs Didi Welsh Project Sponsor

4. Better Acute Care in Lothian Short Stay Elective Surgical Centre Day Case Pathway GP OPD Hospital Doctor Pre Admission Admission Theatre Recovery Discharge Home

5. Better Acute Care in Lothian Short Stay Elective Surgical Centre Total Day Case Elective Admission Cases April 2007/March 2008 (RIE/WGH/St John’s) 51485 (61% overall elective activity)

6. Better Acute Care in Lothian Short Stay Elective Surgical Centre Future Service: –1 entry point –Pre assessment for all patients –Universal streamline pathway –Robust administration system based on PFB –Reduction of DNA rate –Improved Theatre utilisation –3 Session Days/weekends –Flexibility –Extended Roles

7. Better Acute Care in Lothian Short Stay Elective Surgical Centre Head and Neck General Surgery Women & Children Musculoskeletal Respiratory Physicians SSESC

8. Better Acute Care in Lothian Short Stay Elective Surgical Centre By Providing a redesigned /new SSECS –Optimise pre op assessment –Optimise Bed numbers –Optimise Theatre Utilisation –Optimise Recovery Room

9. Better Acute Care in Lothian Current Layout – Wards 5 6 & 7

10. Better Acute Care in Lothian Proposed Plan in More Detail

11. Better Acute Care in Lothian

12. Short Stay Elective Surgical Centre Anticipated New Cases 3000

13. Better Acute Care in Lothian ST JOHNS: SHORT STAY ELECTIVE SURGICAL CENTRE & THEATRES UPGRADE PROJECT LAUNCH GORDON REID, PROJECT DIRECTOR

14. Better Acute Care in Lothian SSESC PROJECT LAUNCH Ward 25 Ward 19a Residencies Wards 5, 6 & 7 Theatres

15. Communicating With St Johns NHS Lothian Weekly Liaison Phasing Plans Daily Liaison Progress Meetings

16. Phasing and Segregation Compound And Work Area Heras Fencing Access Route Phase 1 Contractor’s Work Area Phase 2 Contractor’s Work Area Pedestrian Barriers Temporary Disabled Parking Ward 25 Compound Existing Dry Riser Emergency Access to Dry Riser + Staff Fire Escape Routes Phase of future car parking Site Set Up – 22 nd March 2010 Start Works – 12 th April Completed - 13th Dec 2010 Overall Duration 38 weeks

17. Delivering Your Programme

18. Ground Floor Phase 1 Ward 2 Patients Move to Residents Block Ward 2 Move to Residents Block 12 th April Construction Works Zone

19. Ground Floor Phase 1 – Ward 7 + Ward 6 Construction Works Zone Perimeter Scaffold Bridging Scaffold Access Routes Electric Hoist Access Stair Existing Partitions to be Sealed Temporary Sealed Partition Start: 12 th April Duration:35 weeks Complete: 13 th December

20. Lower Ground Floor Phase 1- Ward 2 Works Start: 12 th April Duration:11 weeks Complete:28 th June Access Routes Existing Partitions to be Sealed Construction Works Zone Temporary Sealed Partition

21. Start: 12 th April Duration:11 Weeks Complete:28 th June First Floor Phase 1- Ward 15 Works Construction Works Zone

22. Lower Ground Floor Phase 1 - Ward 2 Upgrade Works Ward 2 Upgrade Works Start:7 th June Complete: 28 th June Duration: 3 Weeks Construction Works Zone

23. Lower Ground Floor Phase 1 Existing Ward 1 Moves into Existing Ward 2 Ward One Moves Into Ward Two Ward 1 moves to Ward 2 5 th – 12 th July

24. Delivering Your Programme