Better Acute Care in Lothian St Johns Hospital

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

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

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

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

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)

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

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

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

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

Better Acute Care in Lothian Proposed Plan in More Detail

Better Acute Care in Lothian

Better Acute Care in Lothian Short Stay Elective Surgical Centre Anticipated New Cases 3000

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

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

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

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

Delivering Your Programme

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

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

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

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

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

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

Delivering Your Programme