Emergency Department, Leicester Hospital
University Hospitals Leicester NHS Trust tasked us with increasing the capacity of their emergency department to accommodate 220,000 attendances per annum.
With a footprint of circa 7500m2 this development is one of the largest Emergency Departments in England.
IDP Project Management were commissioned by the Trust to fulfil the role of the Informed Client to lead on the delivery of the Emergency Department Estates Annex in support of the business case.
In addition, IDP Project Management took on the role of the Trust’s Major Projects Technical Director to strategic estates leadership in support of a programme of works. This included enabling works for the Emergency Department project, relocation of the Vascular Services, the development of a multi-storey car park and increased ICU capacity.
IDP Project Management maintained this role leading to a successful delivery of all projects, most of which involved extensive stakeholder engagement, up to and including, the “go live” of the new Emergency Department in May 2017.
Striking in appearance both externally and internally, the building provides a clean, calming and welcoming environment whilst responding to the key patient pathways, operational processes, addressing clinical efficiencies and delivering the key adjacencies for emergency care.
Observation, patient privacy and dignity issues have been addressed through the introduction of telescopic glazed doors to all majors cubicles.
The scheme also provides the client with future flexibility – structural design, staircases and lift cores have been designed to allow for an additional clinical floor to be created on the roof of the ED department and the IDP team have produced a feasibility study to illustrate how this could be achieved.
The preferred option for the Emergency Department scheme involved significant isolation and diversion of existing engineering services, including the relocation of two sub-stations serving a live acute hospital.
Working in a live Acute Hospital we delivered through 3 phases:
1. Enabling works, isolations, diversions and demolitions
2. New build development zone
3. Refurbishment of the existing Emergency Department to create assessment beds.
Following the isolation and diversion of services, an area equating to 20% of the whole site needed to be isolated from the rest of the hospital, public, patients and visitors to become a demolition zone.
The design process for the project had commenced prior to the involvement of IDP Project Management. Therefore, as well as progressing the phase one works, an early challenge was to ensure that the design was being developed inline with an operational brief and all functional requirements. This required our Project Management team to facilitate the production of an operational policy that provided a reference point for the design process. We did this utilising a tried and tested template contained within the IDP Project Management Plan.
This major capital investment was delivered through a period of challenging capital budgets including the government’s comprehensive spending review.
The Trust had set a budget inline with capital approval thresholds and required the IDP team to value engineer (remove cost without compromising functionality) the project to save £10m from the cost plan.
IDP also managed the process post FBC, including additions such as ICT changes (£1.3m) and equipment allocations (£1m), resulting in an approved overall project budget of £46.3m.