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 LothianBetter Acute Care in Lothian

St. John’s Hospital

Welcome to the Project Launch of the Short Stay Elective Surgical Centre


SSESC Project LaunchAgenda:

• Clinical drivers (Didi Welsh)• Project Infrastructure (Gordon

Reid)• Project delivery (Doug Keillor,

BAM)


Short Stay Elective Surgical Centre

Mrs Didi Welsh Project Sponsor



Day Case PathwayGP

OPDHospital Doctor

Pre AdmissionAdmission

Theatre Recovery

Discharge

Home



Total Day Case Elective Admission Cases April 2007/March 2008

(RIE/WGH/St John’s)

51485 (61% overall elective activity)



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



Head and Neck

General Surgery

Women & ChildrenMusculoskeletal

Respiratory Physicians

SSESC



By Providing a redesigned /new SSECS

–Optimise pre op assessment–Optimise Bed numbers–Optimise Theatre Utilisation–Optimise Recovery Room


Current Layout – Wards 5 6 & 7


Proposed Plan in More Detail




Anticipated New Cases 3000

Specialty From WGH From RIE TotalGeneral Surgery 200 200 400Gynaecology 800 800Orthopaedics 1,000 1,000Urology 800 800Totals 1,000 2,000 3,000


ST JOHNS: SHORT STAY ELECTIVE SURGICAL CENTRE & THEATRES

UPGRADE

PROJECT LAUNCH

GORDON REID, PROJECT DIRECTOR


SSESC PROJECT LAUNCH

• Ward 25

• Ward 19a

• Residencies

• Wards 5, 6 & 7

• Theatres

Communicating With St Johns

NHS Lothian Weekly Liaison

Phasing Plans

Daily Liaison

Progress Meetings

Phasing and Segregation

Compound And Work Area

Heras Fencing

Access Route

Phase 1 Contractor’s Work Area

Phase 2 Contractor’s Work Area

Pedestrian Barriers Temporary Disabled Parking

Ward 25 Compound

Existing Dry RiserEmergency Access to Dry Riser + Staff Fire Escape RoutesPhase of future car parking

Site Set Up – 22nd March 2010

Start Works – 12th April

Completed - 13th Dec 2010

Overall Duration 38 weeks

Delivering Your Programme

Ground Floor Phase 1

Ward 2 Patients Move to Residents Block

Ward 2 Move to Residents Block

12th April

Construction Works Zone

Ground Floor Phase 1 – Ward 7 + Ward 6

Construction Works Zone Perimeter Scaffold

Bridging ScaffoldAccess Routes

Electric Hoist Access Stair

Existing Partitions to be Sealed

Temporary Sealed Partition

Start: 12th AprilDuration: 35 weeks Complete:

13th December

Lower Ground Floor Phase 1- Ward 2 Works

Start: 12th AprilDuration: 11 weeksComplete: 28th June

Access Routes Existing Partitions to be SealedConstruction Works Zone Temporary Sealed Partition

Start: 12th AprilDuration: 11 WeeksComplete: 28th June

First Floor Phase 1- Ward 15 Works


Lower Ground Floor Phase 1 - Ward 2 Upgrade Works

Ward 2 Upgrade WorksStart:7th JuneComplete: 28th JuneDuration: 3 Weeks


Lower Ground FloorPhase 1

Existing Ward 1 Moves into Existing Ward 2

Ward One Moves Into Ward Two Ward One Moves Into Ward Two

Ward 1 moves to Ward 2 5th – 12th July

Delivering Your Programme

Documents

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