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Oldham Primary Care Trust

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Oldham Primary Care Trust

Board Meeting

    7 September 2006

    LIFT PROGRAMME UPDATE

1 Purpose of Report

    The purpose of this report is to provide members of the Board with an update on the

    current progress of the Local Improvement Finance Trust (LIFT) Programme.

2 Summary

    The PCT continues to drive the delivery of the LIFT programme in conjunction with stit‟s partner Community 1 Oldham. When financial close is achieved on the

    Integrated Care Centre the PCT will have completed its first tranche of projects.

    Work is continuing to meet the challenges, particularly in relation to site availability,

    for the next schemes.

3 Recommendation

    Members of the Board are asked to note the contents of the report.

Sponsor: John Critchley, Director of Finance / Deputy Chief Executive

    Author: John Wareing, LIFT Project Director

1 September 2006

Page 1 of 5 LIFT Programme Update

    Document Reference: 06/09/0771 Oldham PCT Board meeting 07 09 06

    1. Purpose

    The purpose of this report is to provide members of the Board with an update on the current progress of the LIFT Programme.

    2. Background

     stThe LIFT Programme is a 25 year partnership with Community 1 Oldham primarily

    aimed at supporting the improvement of local services through the provision of improved physical infrastructure.

     stOldham PCT is a 20% shareholder in Community 1 along with Partnerships for

    Health, 20% and Equity Solutions, 60%.

    3. Project Development

Glodwick Primary Care Centre

    The construction of the new primary care centre at Glodwick is reported to be on 2programme and completion is expected in Spring 2007. The 3,100m facility will

    provide accommodation for self care, core primary care services, pharmacy, dentistry, minor operations and a range of community based clinics. The additional physical capacity in the centre will support the delivery of new services outside a hospital setting.

Issues relating to car parking have been raised by local residents. The PCT and stCommunity 1 are actively looking at solutions to alleviate any potential problems.

Integrated Care Centre, Oldham Town Centre

    The business case for the Integrated Care Centre has been submitted to the

    Strategic Health Authority in line with their requirements; approval of the case is expected at the September board meeting. The case has previously been approved by the PCT Board.

    Work over the coming months will focus on finalising legal, financial and technical documentation; financial close is expected in November 2006. A list of the key risks associated with the project is attached at appendix 1; at the time of this report the key risk to achieving financial close remains the resolution of the Grampian condition relating to car parking. However recent discussions with both OMBC and Community st1 have identified a way of resolving the issue and satisfying the condition.

Royton Primary Care Centre

    Recent discussions with OMBC and Oldham Community Leisure have seen the

    development of an outline scheme for a combined health / leisure facility in the area. This is seen as a precursor to a broader regeneration in Royton. The scheme is being developed in such a way as to allow the health centre to be developed as a first step to an integrated scheme.

    The next stage will be to bring forward the project to the Strategic Partnering Board for stage 1 approval.

Crompton Primary Care Centre

    To date a lack of suitable sites for redevelopment has hampered the ability to deliver stthis project. A review of land availability has been undertaken by Community 1 and

    Page 2 of 5 LIFT Programme Update

    Document Reference: 06/09/0771 Oldham PCT Board meeting 07 09 06

    to date no suitable sites have been identified. The option to redevelop the existing

    site is therefore being considered in detail.

    Werneth Primary Care Centre stCommunity 1 has made offers to OMBC to purchase sites around the Frederick

    Street area and we are awaiting formal responses from the Council. In the meantime stthe PCT and Community 1 are exploring other options for delivering the planned

    scheme. A feasibility report is to be submitted to the PCT imminently.

4. Key Programme Issues

    Strategic Services Development Plan (SSDP)

    In light of the changing policy context work to review the SSDP will need to take

    place over the Autumn/Winter 2006. The revised document will need to reflect not

    only the policies identified in the white paper but also any revised service delivery

    objectives of the partners ie PCT, Oldham Metropolitan Borough Council, North West

    Ambulance Service, Pennine Acute and Pennine Care.

    Following a recent workshop, the PCT is leading a response to the recently

    announced “Our health, our care, our community: investing in the future of

    community hospitals and services”. An update will be provided by the Chief

    Executive

5. Key Programme Risks

    The following risks have been identified against the following objective:

    „To deliver the LIFT Programme objectives as set out in the current Strategic

    Services Development Plan‟

ID Risk Mitigation Likelihood Impact

    1 Strategic drift M H ? Constant horizon

     scanning through

    Identified strategy does not regular strategy

    meet a changing or meetings.

    changed environment ? Annually revised

    leading to projects which SSDP.

    do not delver the intended

    service benefits.

    2 Programme Delivery M H ? Senior level review of

     resource allocation.

    Lack of coordination of and ? Robust project level

    focus on the individual risk assessment.

    projects means that ? Insist on good project

    projects are delayed. planning.

     ? Identify Programme

    milestones.

    3 NHS Structural Change H H ? Senior level review of

     resource allocation.

    Structural change may

    divert resources (financial

    and human) to other areas

    which may affect

    programme delivery

Page 3 of 5 LIFT Programme Update

    Document Reference: 06/09/0771 Oldham PCT Board meeting 07 09 06

ID Risk Mitigation Likelihood Impact

    4 Engagement of Partners M H ? Undertake Gateway

     Review (Strategic

    A lack of engagement Assessment).

    within the local partnership ? Reinforce the

    (SPB) means that the importance of the

    projects proposed do not Strategic Partnering

    delver the intended Board.

    benefits

    5 Funding L H ? Senior level review of

     resource allocation.

    Funding is diverted from ? Current funding

    identified LIFT resources to identified in the LDP

    combat other system 2006-08 refresh.

    pressures.

    6 Site M H ? Need to be proactive

     in the acquisition of

    Availability of sites land.

    prevents the delivery of the

    PCT‟s plans eg Shaw

6. Summary

    The PCT continues to drive the delivery of the LIFT programme in conjunction with stit‟s partner Community 1 Oldham. When financial close is achieved on the

    Integrated Care Centre the PCT will have completed its first tranche of projects.

    Work has been undertaken to develop the planned scheme at Royton and on a

    potential development at Werneth; site availability in Shaw remains an issue..

7. Recommendation

    Members of the Board are asked to note the contents of the report.

Page 4 of 5 LIFT Programme Update

    Document Reference: 06/09/0771 Oldham PCT Board meeting 07 09 06

Appendix 1: Integrated Care Centre: Risk Analysis

    ID Risk Mitigation Likelihood Impact 1 Design changes leading to cost and time PCT agreed to layouts and functional content post White Paper L H

    delay. review.

    2 Mandated changes to legal documents Having reached the initial financial close in November 2004 L H

    leading to the cost increases (risk pricing) model legal documents have been agreed.

    and delays. No contractual mechanism for mandating any changes to current

    documents exists.

    3 NHS policy changes leading to required Rely on effective horizon scanning. M M

    design changes which leads to cost Current design allows for room flexibility. stincreases and delays. Additional space currently at Community 1 risk.

    st4 Community 1 supply chain does not meet Rely on effective project management approach to co-ordinate L L

    the identified timetable. the supply chain.

    5 PCT cannot meet the identified timetable. Rely on effective internal project management to co-ordinate L L

    PCT responses.

    6 Third party space is not let. Additional space is comprised of two floors, pharmacy and café; H H

    currently a shareholder risk.

    Discussions with IS dental provider to form JV and let

    approximately 25% of the space.

    Letting of pharmacy and café space not considered problematic. 7 Planning condition re car parking is not met. Agreement in principal with OMBC to method of procurement of H H

    car park solution.

    Design work nearing completion.

    Commercial agreement to be finalised.

    8 GP refuse to relocate to the new premises. Commence discussions re occupation prior to financial close. L H

    Ensure GP agreements made before financial close.

    GPs have been involved in the design process to date.

    Page 5 of 5 (Part I) LIFT Programme Update

    Document Reference: Oldham PCT Board meeting [insert date]

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