West Hertfordshire Hospitals NHS Trust
Description: Delivering a Healthy Future Project Scope Watford General Hospital - Acute Admissions Unit, enhanced A&E, improved infrastructure and clinical support services. St Albans City Hospital - works to enable the enhanced delivery of day surgery including an admissions lounge, recovery beds and a discharge lounge. Hemel Hempstead Hospital - works to support estate rationalisation.
Procurement: ProCure 21
Value: £30 million
Programme: August 2006 - October 2008
Vision
To deliver the business case information and development control plans to support the consolidation and rationalisation of Acute services at Watford General Hospital, Hemel Hempstead Hospital and St Albans City Hospital.
Challenge
West Hertfordshire Hospitals NHS Trust (WHHT) had identified, as part of their financial recovery plan, the need to implement a number of services and associated estate reconfigurations. These changes, whilst their addressing service needs, broadly reflected the service principles as described in the wider programme of "Investing in Your Health".
Solution
Our approach was to break the master programme into a series of short stages, combining periods of intensive activity with regular reporting. Through very carefully managed process we were able to develop the business case components whilst the brief was still evolving. Regular reporting meant that the Trust was constantly able to reflect on the scope and aim of the scheme as it developed, and provided excellent material for consultation.
Benefit
Development control plans for all three sites enabled the Trust to review space utilisation, scope for future flexibility and clinical adjacencies. These DCPs, run in tandem with a detailed risk register supported the development of the business case and the GMP.
The approach has been recognised by the central NHS ProCure 21 team as demonstrating how a dedicated and managed P21 team can enable Trusts to achieve major service rationalisation in very challenging timescales.
Masterplanning: YRM
Architects: Murphy Philipps and BDP
Engineers: Paul Owen Associates and Mott MacDonald

