1. New Children’s Hospital Option Appraisal Site Shortlisting Event

2. Robert Calderwood Acute Services Review Programme Director

3. Introduction  Purpose of the event  Overview of new Children’s Hospital  Site shortlisting process  Site presentations  Acute services strategy  Conclusion and next steps

4. Morgan Jamieson Medical Director New Children’s Hospital Project

5. The New Children’s Hospital Overview  The Royal Hospital for Sick Children is a national, regional and local centre of excellence in the provision of children’s health care  RHSC provides the widest range of tertiary care for children in Scotland  RHSC provides routine hospital care including Accident and Emergency services to Glasgow’s children

6. The Children’s Hospital as a Provider of National and Regional Services  Cardiac Surgery and Interventional Cardiology  Cleft Lip and Palate Surgery  Molecular Genetics  Renal Transplantation  Bone Marrow Transplantation  Paediatric Haematology/Oncology

7. Where do patients come from? -52% of patients are from within GGHB -48% of patients are from other Health Boards Patient Distribution* NHSGG (of which) North Glasgow 20% West Glasgow 25% South East Glasgow 18% South West Glasgow 20% East Glasgow 17% *Source: 2004/05 SMR Discharge data Other HBs (of which) Argyll and Clyde 28% Ayrshire & Arran 13% Forth Valley 8% Lanarkshire 36% Other non NHSGG HBs 15%

8. What does the new Children’s Hospital offer for patients? The Project is not just about new buildings – it’s about taking forward a New Model of Care Leading Edge Services providing the gold standard of triple co- location of adult, paediatric and obstetric services Expanded ambulatory care provision A seamless transition to adult services for adolescents with chronic health problems Integrating specialist services in hospital with community child health services Modern state of the art facilities Flexible estate to accommodate new technology and advances in medicine

9. The new Children’s Hospital advances the aims of the Kerr Report  Providing paediatric care to age 16  Treatment offered locally through the development of clinical networks  National networks for a number of highly specialised services  Use of telemedicine and e-health  Better access to specialist services

10. Our Aims  To have the needs of the child and the family as a central theme to the model of care  To recognise and meet the needs of particular paediatric sub specialty services  To co-locate adult, obstetric and paediatric services on one site  To meet the needs of parents and families  To provide an optimal working environment for staff and assist in the recruitment and retention of staff  To meet the needs of post graduate and undergraduate teaching and funded research and development  To create a healing environment

11. Taking forward our vision for the new Children’s Hospital The Planning Process – After Site Evaluation - We Will: –Establish the Project Team, appoint Architects and Technical Advisers –Engage with the community, Patients and Parent User groups on the design brief –Engage with paediatric staff, GPs, public health on the design brief –Incorporate the views of the service commissioners of paediatric services - West of Scotland Health Boards and the National Services Division

12. Timescales for the project 050607080910 1 Site Option Appraisal OCT 2 Clinical Stakeholder Engagement OCTMAR 3 Service Design JAN DEC 4 OBC NOVSEPT 5 Design & Facility Brief MAY/ DEC 6 FBC DECAPR 7 Design & Construction 8 Handover & Commissioning

13. Any Questions?

14. Catriona Renfrew Director of Planning and Community Care

15. Overview of process First Event  Part one reviews all available hospital sites with a view to shortlisting all of those which have available developable land  Part two sets out our acute services plans and reviews those sites against the requirement to achieve co- location with adult and maternity services

16. Overview of process Second Event  Considers each shortlisted site against key criteria  Criteria include clinical, access, and patients issues  Scoring undertaken by 90 people in groups  Generates a score for each site

17. Overview of process Ministerial Group  Considered this process at early September meeting  Agreed the process should proceed  Outcome to be reported back to end October meeting  Group consideration followed by public consultation

18. Site shortlisting process  Presentation of all hospital sites showing developable land  Timing considerations-land available at 2007  Space parameter 40,000 square metres

19. Timescales for the project 050607080910 1 Site Option Appraisal OCT 2 Clinical Stakeholder Engagement OCTMAR 3 Service Design JAN DEC 4 OBC NOVSEPT 5 Design & Facility Brief MAY/ DEC 6 FBC DECAPR 7 Design & Construction 8 Handover & Commissioning

20. 40,000 square metres  Present size of Yorkhill  Assume reductions for efficiency and clinical change  Assume expansions for national and tertiary services  Compare to other planned Children’s Hospital

21. Any Questions?

22. Peter Moir Deputy Head of Property and Capital Planning View maps on separate presentation

23. Any Questions?

24. Catriona Renfrew Director of Planning and Community Care

25. Need for change  Age and appropriateness of building stock and facilities  Training and working hours changes  Subspecialisation  Streaming emergency care  Total programme - £750 million  Additional Ministerial funding for children’s hospital - £100 million

27. Key strands  Acute services delivered from five sites: - Three inpatient sites - Two ambulatory care hospitals  Reduce A&E Numbers: - Closure of VI - Closure of WIG - Closure of Stobhill  Reduced orthopaedic sites: - Closure of VI - Closure of WIG  Reduced acute receiving sites: - Closure of VI - Closure of WIG - Closure of Stobhill  Reduced inpatient sites: - Closure of VI - Closure of WIG - Closure of Stobhill  Consolidation of smaller specialties

28. Revised pattern of inpatient services 1) Gartnavel General Hospital  GP Medical and Surgical Receiving  Breast Surgery  Ophthalmology  Post Acute Rehabilitation  West of Scotland Oncology Service  Care of the Elderly  Acute Psychiatry

29. Revised pattern of inpatient services 2) Glasgow Royal Infirmary  Accident and Emergency  Orthopaedics and Trauma  Medical Specialties  Care of the Elderly  Plastic Surgery  Colorectal Surgery  Upper GI Surgery  Maternity and Gynaecology  Acute Rehabilitation  Burns

30. Revised pattern of inpatient services 3) Southern General  Accident and Emergency  Orthopaedics and Trauma  Medical Specialties  Care of the Elderly  Acute Psychiatry  ENT  Acute Rehabilitation  Colorectal Surgery  Vascular Surgery  Renal Medicine and Transplant  Maternity and Gynaecology  Neurosciences and Surgery  Perinatal Mental Health  Maxillofacial Surgery  Spinal Injuries

31. Revised pattern of inpatient services 4) Other points  Children’s hospital would have remained at Yorkhill with a new children’s Accident and Emergency service  Urology will be provided at SGH or GRI  Cardiothoracic surgery is likely to be at the Golden Jubilee National Hospital

32. Building pattern and timings Phase 1 – complete 2007/08  West of Scotland Cancer Centre  New hospitals at Stobhill and Victoria  Total £267 million

33. Building pattern and timings Phase 2 – complete 2009/2010  Newbuild Southern General Hospital  Present maternity building upgraded and expanded  Modernised neurosciences and care of the elderly facilities remain  Total £320 million

34. Building pattern and timings Phase 3 – complete 2010/2011  Newbuild Glasgow Royal Infirmary  New maternity building in situ  Total £150 million

35. Building pattern and timings Phase 4 – complete 2012/2013  Newbuild Gartnavel hospital  New oncology facilities remain  Total £120 million

36. Acute services review conclusion  Three sites offer inpatient acute services  Only GRI and SGH offer maternity services

37. Any Questions?

38. Robert Calderwood Acute Services Review Programme Director Conclusion and next steps