IMPLEMENTATION (PHASE 3)

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1 WEST HERTFORDSHIRE HOSPITALS NHS TRUST Appendix 3 CAPITAL SCHEME MONITORING REPORT APRIL MARCH 2004 SCHEME DESCRIPTION Allocation IMPLEMENTATION (PHASE 3) BUILDINGS CONSTRUCTION/REFURBISHMENT MRI/Fracture Clinic/Deramtology Facility, HHGH KM Modular theatre, SACH (action on orthopaedics) KM Action on orthopaedics - other N/A Day surgery, WGH BH ACTION ON ENT - HPT SERVICE - Paediatric audiology WW Nurseries - WGH/SACH PM Bioengineering - refurbishment of accommodation PB Develop Ophthalmology at SACH TBC Hemel low risk birth centre WW Decontamination - sterilisation equipment (CJD funding) AH Decontamination - sterilisation equipment (03/04 decontamination funding) AH Fixed catheter laboratory 1,565 1, KM Rapid access chest pain clinic WW Schemes funded rom regional action team resources PM Upgrade to Katherine and Elizabeth wards PB Cancer development - 2 linear accelerators (LA4/5) 1, ,581 KM Refurbishment of Upper West, MVH - re-provision of accommodation PB Cancer development and plastics and burns re-development - proj mgt/design/enabling works KM LA3 bunker - refurbishment and one new linear accelerator 1,312 1,305 7 KM Develop new endoscopy suite at HHGH KM Replacement EST accommodation at HHGH KM Conversion to 6-bed bay - Sarratt Ward PB Pathology on-call room GF GP out-of-hours facility, SACH (STARDOC) WW Hanover ward - decant of diabetes nurses to refurbished accommodation WW sub-total - building construction/refubishment 8,653 5,867 2,786 BACKLOG MAINTENANCE Legionella remedials MB Hot and cold water systems MB Emergency lighting, PMOK, WGH BL Emergency lighting, maternity block, WGH BH Legionella technicians RS Radiator covers - Tudor HH, Moynihan SACH BH External guarding HHGH BH Fixed electrical testing, PMOK, WGH BL

2 Allocation Estates risk notifications previously notified KM Repair pump/controls - Tudor, HHGH KA Revise fire alarm network BH Repair water feed to boilers, WGH JD New gas connections, kitchen, WGH JD Replace emergency lighting, Windsor, HHGH KA Lead shielding, Estates office, HHGH KA Repair network - QE block building mgt system KA Multiple system,tudor block KA Wall repairs, pharmacy, WGH KA LG10 lift examinations KA Repairs GUM doors WGH KA Car Parking / Fence Repair - SACH BH Roof repairs - Cherry Tree House, WGH BH Roof repairs - OT, WGH BH Further funding - post mortem room ventilation, WGH KM Repair stretcher doors, PMOK KM Drain repairs, WGH BH Replacement flooring - delivery suite, WGH PB Replacement windows - Cherry Tree House BH Replacement elec control panel - mat block BH Replacement LV panel - mat block BH Radiator covers - PMOK/Mat blocks, WGH BH Building management system, WGH - feasibility study for renewal RS Support structure - mat block car park, WGH BH Renew fracture clinic ventilation - PMOK, WGH BH CAD surveys and drawings - all sites BH Replace boilerhouse instrumentation BH Feasibility study - clean steam BH Roof repairs/structural bracing/structural inv'n - Delamare, SACH BH External guarding - WGH/SACH BH Structural survy - maternity car park, WGH BH Electrical infrastructure testing, SACH,WGH BH Generators - electrical panels MH System clean - Verulum/Windsor, HHGH CH Lifts - WGH/HH BH sub-total - backlog maintenance 2,385 1,

3 Allocation EQUIPMENT Gamma camera SD Ultrasound - ante-natal, SACH AF Decontamination - instrumentation (CJD funding) AH Lifting and handling equipment RA Blood gas analyser - A&E, HHGH GF Request form scanner, pathology GF Haematology analyser, chemo suite, MVH GF Anaesthetic monitors AF Diathermies (7) IB Electronic ventilator - SCBU IB Haemofiltration machine IB Lab autoclaves (2) - microbiology JR Camera system - SACH theatres AF Ultrasound machines (2) - radiology WGH/HHGH SD Defibrilator - A&E, HHGH AF Tissue processor AF Operating tables (2) AF ECG recorders (3) IB ITU Monitor IB GU Flowmeter AF ITU ventilators AF NICU IB Microscope - immunology GF EMG machine JR sub-total - equipment 2,387 2, FACILITIES Road sweeping machines PM Maternity reception and bedstore PM Replacement flooring - Tudor restaurant, HHGH PM Switchboard upgrade, WGH PM CCTV, A&E HHGH PM Re-decoration PM Beds to replace those currently on rental PM Catering equipment, WGH PM Incinerator PM Replace outer doors, Verulum, HHGH PM sub-total - facilities

4 Allocation INFORMATION TECHNOLOGY Infrastructure developments - WHHT focus JD Pathology modernisation JD Infrastructure developments - national programmes JD Video-conferencing system - post-grad, WGH SW LIS JD sub-total - information technology 1,607 1, SUB-TOTAL - SCHEME IMPLEMENTATION 15,168 11,351 3,817 DETAILED DESIGN (PHASE 2)/STRATEGY DEVELOPMENT Dermatology suite, WGH (action on dermatology funds) KM Diabetes WGH/SACH DTC KM Development of other schemes in capacity and modernisation SOC KM Breast SACH WW Endoscopy HHGH WW Estates strategy survey - 6 facet RS Environmental survey RS Asbestos survey JD Estates strategy surveys - other KM Fire surveys - maternity block, WGH PB Fire surveys - PMOK, WGH PB Fire surveys - Moynihan PB Fire surveys - unallocated KM SUB-TOTAL - DETAILED SCHEME DESIGN HEALTH ECONOMY REVENUE CONTRIBUTION DL RESIDUAL SPEND - CLOSED SCHEMES CAPITAL PLANNING STAFF COSTS DL OVER/UNDER-COMMITMENT (-/+) DL TOTAL EXPENDITURE 15,812 12,641 3,171

5 Allocation FUNDING AVAILABLE NHS Funding Operational (Block) Capital 4,413 Action on orthopaedics 390 TCMF - Day surgery - funding announced TCMF - Day surgery - funding announced April TCMF - Day surgery - funding announced Oct Receipt from sale of land at St Albans City Hospital 1,000 Receipt from transfer of residences at St Albans City Hospital 800 Access funding from SHA 615 LA3 bunker refurbishment - DoH funding 115 Linear accelerator for the LA3 bunker - DoH funding 986 Fixed catheter laboratory 869 OMFS - recharge for expenditure previously incurred 0 Regional Action Team 80 Decontamination - SHA funding 48 Ante-natal screening - ultrasound machine 0 Pathology modrnisation - equipment/on-call rooms 76 Pathology modernisation - IT 296 Radiotherapy development - 3LinAccs 1,657 Radiotherapy development/plastics and burns re-development - preparation of FBC, project management and prelim costs 1,150 National Programme for IT (NPfIT) 431 HH nursery - Paradise scheme preliminary works 105 Further SHA funding - revenue contribution to health economy 1,000 NICU equipment 201 CRL undershoot 02/03 51 sub-total 15,116 Other Funding NOF - cardiac angiography X-ray equipment 696 LA3 bunker refurbishment - contribution from charitable funds 0 sub-total 696 TOTAL FUNDING 15,812

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