Map showing site locations and site plans

July 08

Royal Devon & Exeter Foundation Trust Emergency Care Strategic Outline Case

Appendix A: Map showing site locations and site plans

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July 08

Royal Devon & Exeter Foundation Trust Emergency Care Strategic Outline Case

Appendix B: Schedule of Accommodation

Version 3 Royal Devon and Exeter NHS Foundation Trust

SOC for Emergency Care Services 07038

Emergency Hub

1 Version Control2 Notes & Assumptions3 Project Summary4 Departmental Summary5 Base Schedule: Emergency Hub15 Standard Rooms16 Circulation & On Costs17 Existing Facilities

Document AuthorStrategic Healthcare Planning

Document CompilerHuw Lambert

Document OwnerHuw Lambert

Contents

Schedule of Accommodation

VERSION CONTROLROYAL DEVON AND EXETER NHS FOUNDATION TRUST

Developing a SOC for Emergency Care Services

Date No. Issued to RevisionBuilding

Gross (sqm)Impact of Change from Previous Version

Benchmark Gross (sqm)

Author Q/A

1 Version 1 created from a number of briefing Trust papers. 4,562.35

Benchmark taken as the combined gross departmental area of existing ED, CDU and MAU at 2,360 with the same whole hospital grossing factors as the SoA applied for plant and communication

3,000.00

Gross Hospital Area is 1562.35sqm over the Benchmark

2Version 2 updated following Workshop 19th December 2008. Main changes combine CDU with SAU/MAU and added consumerism and en suites

4,852.17 increases area by 289.8sqm


3Version 3 updated to reflect concerns raised at non-financial appraisal workshop 14th February 2008 and subsequent Trust review 10th March 2008

4,979.51 increases area by 127.3sqm


Area ApprovalsRevision

RD&EFT soa Hub master v3.xls

Strategic Healthcare Planning Limited1 of 1

NOTES ASSUMPTIONSROYAL DEVON AND EXETER NHS FOUNDATION TRUST


Notes

Document Author

Document Compiler

Document Owner

N001 General

N002 Colours

Linked Cells Cells derived from other parts of the Workbook

Reference Cells Cells used to populate other parts of the Workbook

Estimates Temporary or Estimated Value

Bespoke Rooms Bespoke Rooms as described within the Clinical Output Specification

Standard Rooms Standard Rooms utilised throughout the Project

SPV Rooms Room to be both "owned and operated" by the Private Sector

Existing Room Existing facility to be retained

Reduced Space Indicates a smaller number/size than in previous version

Increased Space Indicates a larger number/size than in previous version

Assumptions

ActivityNo dedicated provision within the Emergency Hub other than front door portal/super triage assessment for: Pre reported myocardial infarction, Obstetrics, Paediatrics, Gynaecology, Oncology, Renal, Ophthalmology, T&O

Standards"E" in the comments column

An existing space standard (E) has been used where it is deemed to be within reasonable toleranceas compared with current HBN recommendations;

Standards"E" in the comments column

A revised space standard has NOT been used where an existing space is deemed to fall outside areasonable tolerance compared with current HBN recommendations. In this case the appropriateHBN space allowance has been used instead. The existing space (E) is indicated either in thecomments column or on a separate row for comparison but hatched and zeroed in the quantumcolumn;

StandardsHBN 22 has been used for reference generally. Derogations from HBN 22 to be considered andagreed - see separate discussion paper;

Standards

HBN 22 cross-refers to HBN 4 for application to bedded areas, however, due to the limited length ofstay SHP has suggested a reduced level of ‘bedroom family and clinical support’ accommodation.These and other derogations from HBN 4 to be considered and agreed - see separate discussionpaper

StandardsHBN 22 recommendations for 90,000 attendances has been used based on Trust reported activity of between 200-300 admissions per day. In particular this has determined the number of resus bays

Colours have been used consistently within worksheets to both identify linked cells and highlight bespoke and generic rooms

This Workbook has been developed by SHP as an integrated suite of linked Worksheets and must be viewed as a co-ordinated product. Consequently the Version Control is attributed to the Workbook as a whole and not individual worksheets

Date of Endorsement


Strategic Healthcare Planning Limited 1 of 2

NOTES ASSUMPTIONSROYAL DEVON AND EXETER NHS FOUNDATION TRUST


On cost Opportunity for new dedicated theatre lift to be considered (not scheduled)

Op Policy No overnight accommodation for relatives

QualityShort LOS in CDU/SAU/MAU may justify bedrooms with no natural light and mechanical ventilation - consideration could be given to alternative 'feel good' quality provisions

Activity This schedule makes no additional spatial provision for any outpatient clinics

Issues The following clarifications are required

Op Policy Check if pathology samples are portered or conveyed by some other system such as pneumatic tube

Op Policy Is separate phlebotomy space required within Super Triage

StandardsThe schedule assumes single rooms having solid partitions, alternative, more flexible space dividers have not been considered

Op Policy Catering policy to be clarified, especially for night shift

Standards Further information on clerical staff requirements is anticipated

Op Policy Preferred pharmacy service configuration to be confirmed

A001 Switchgear

A002Engineering Allowance

A003 Plant Allowance

A004 Exiting Facilities



DEPARTMENTAL SUMMARYROYAL DEVON AND EXETER NHS FOUNDATION TRUST


Functional Zone Version 2 Version 3 Notes

Emergency Hub 3944.85 4048.38

Blank 2 Worksheet not used

Blank 3 Worksheet not used

Sum of Gross Departmental Areas

3944.85 4048.38

Plant 11.00% 433.93 445.32

Communication 12.00% 473.38 485.81

Gross Internal Area 4,852.17 4,979.51



BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST


Strategic Content Proposed Function CommentsProposed Unit Area (sqm)

QuantumTotal Area (sqm)

Sub Totals (sqm)

Date Raised ByDescription/Reason for Change

Approved By

Effect of Change on Area from previous version

Portal Ambulance bay, 2: External E 0.00 0 0.00 0.00

Ambulance bay, 4: ExternalTrust to confirm numbers and turn around arrangements 0.00

0 0.00 0.00

Walk in lobby E 12.00 1 12.00 0.00Ambulance lobby 12.00 1 12.00 0.00

Admissions reception, clerking and records

E. Check functionality / use of area labelled "S/H/R" with Trust 47.00

1 47.00 0.00

Wheelchair bay, 2 chair and 2 trolley

E12.00

1 12.00 0.00

Public telephone 1.50 1 1.50 0.00Public telephone - wheelchair accessible 2.00

1 2.00 0.00

Drinks dispenser 0.50 1 0.50 0.00Vending machine(s) 3.00 1 3.00 0.00Security base E 8.00 1 8.00 0.00

Shared Resources OfficeE. Check functionality / use with Trust 24.50

1 24.50 0.00

Care StoreE. Check functionality / use with Trust 5.50

1 5.50 0.00

Porter's Store E 6.50 1 6.50 0.00Major Incident Store E 6.50 1 6.50 0.00Decontamination, pass-through lobby

E6.50

1 6.50 0.00

Decontamination External provisions TBC 0.00 1 0.00 0.000.00 0 0.00 0.00

Sub Total (Net) 147.50

Super TriageWaiting Area: 40 places incl. 4 wheelchair places

E. Existing area is 61 sq m66.00

1 66.00 0.00

Counselling/Consulting / Interview room

E. Based on existing 'see & treat' pass through room configuration 9.00

6 54.00 0.00

C/E room - double sided access

Although described as rooms, these spaces may become cubicles; subject to design development 16.50

3 49.50 49.50

Version 3 Change ControlEmergency Hub







Sub Totals (sqm)


Approved By



Children's play & wait: 10 places

E18.00

1 18.00 0.00

Treatment / Examination, Paediatric

E. Pass through: Shared with Minors 11.00

0.5 5.50 0.00

Nappy change Existing area is 2.5 sq m 4.00 1 4.00 0.00WC - Independent wheelchair user 5.00

1 5.00 0.00

WC Male Ambulant E 6.50 1 6.50 0.00WC Female Ambulant E 6.50 1 6.50 0.00

0.00 0 0.00 0.00Sub Total (Net) 215.00

Walk in Centre Reception, 1 position E 7.00 1 7.00 0.00Security lobby E 5.00 1 5.00 0.00Waiting Area: 15 places incl. 1 wheelchair place


1 24.00 0.00

Children's play & wait: 3 places


1 8.00 0.00

O O H Doctor E 20.00 1 20.00 0.00

C/E - single sided accessE. Based on existing Consult rooms 13.00

3 39.00 0.00

Treatment room, with prepExisting Exam / Treat area room 13.5 16.50

3 49.50 0.00

Dirty utility - outpatient 12.00 1 12.00 0.00Sluice E 4.50 0 0.00 0.00Store: small E 6.00 1 6.00 0.00WC - Ambulant E 3.00 2 6.00 0.00WC - Independent wheelchair user

E. Also used by staff5.00

1 5.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 181.50

Minors Treatment room, with prep 16.50 6 99.00 0.00Examination / Treatment E 10.00 0 0.00 0.00Preparation / Sterile Supplies E 18.50 1 18.50 0.00Sub Wait (X-ray Return) E 5.50 1 5.50 0.00Treatment / Examination, Paediatric

E. Pass through: Shared with Super Triage 11.00

0.5 5.50 0.00

Treatment / Examination E. Closed room 8.00 0 0.00 0.00







Sub Totals (sqm)


Approved By



Examination room 9.00 2 18.00 0.00

Interview, 5 personsHBN 22 Social care & distressed / disturbed persons 11.00

1 11.00 0.00

Treatment / Examination, Ophthalmology/ENT

E16.50

1 16.50 0.00

Staff Base and Clerking E 14.50 1 14.50 0.00Clean utility - outpatient Existing area is 10.4 sq m 14.00 1 14.00 0.00Dirty Utility E 10.00 1 10.00 0.00

Disposal E. Existing pass thro from utility; review operational policy 1.00

1 1.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 213.50

Majors Treatment room, with prep 16.50 8 132.00 0.00Treatment / Observation E 9.50 0 0.00 0.00Examination room 9.00 4 36.00 0.00Nurse Base / Clean Supply E 11.00 1 11.00 0.00Drug / Alcohol / Recovery E 9.50 1 9.50 0.00Assisted bathroom/WC/WHB 16.00 1 16.00 0.00Assisted Bath/Specimen WC E 8.00 0 0.00 0.00Dirty utility - outpatient Shared with Resus 12.00 0.5 6.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 210.50

Resus Resuscitation, 3 bayExisting including mobile X-ray machine bay 71.00

0 0.00 0.00

Mobile X-ray machine bay 5.00 1 5.00 0.00Resuscitation, 5 bay 143.00 1 143.00 0.00Dirty utility - outpatient Shared with Majors 12.00 0.5 6.00 0.00

Disposal E. Existing pass thro from utility; review operational policy 1.00

1 1.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 155.00

CDU/SAU/MAU 48 Bed Unit 0.008 bedded room including nurse base

E93.50

0 0.00 0.00







Sub Totals (sqm)


Approved By



WCE. Included in SAU/MAU below 3.50

0 0.00 0.00

Dirty Utility E 5.00 0 0.00 0.00Clean Utility E 5.00 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.004 bedded room - acute CDU 61.00 2 122.00 0.00En Suite - Assisted Shower/WC/WHB 4.50

2 9.00 0.00

En Suite - Assisted WC/WHB 4.50 2 9.00 0.00Staff Base: 2 staff - inpatient Included in SAU/MAU below 4.00 0 0.00 0.00Assisted bathroom/WC/WHB Included in SAU/MAU below 16.00 0 0.00 0.00WC - Assisted Included in SAU/MAU below 3.50 0 0.00 0.00Clean utility - outpatient Included in SAU/MAU below 14.00 0 0.00 0.00Dirty utility - outpatient Included in SAU/MAU below 12.00 0 0.00 0.00

Office - Single personIs co-location with CDU essential or historical? 9.00

4 36.00 0.00

0.00 0 0.00 0.004 bedded room - acute SAU/MAU 61.00 2 122.00 0.00En Suite - Assisted Shower/WC/WHB 4.50

2 9.00 0.00

En Suite - Assisted WC/WHB 4.50 2 9.00 0.00En Suite - Assisted Shower/WHB 4.50

0 0.00 0.00

Single bedroom - acute with overnight 19.00

0 0.00 0.00

En Suite - Assisted Shower/WC/WHB 4.50

0 0.00 0.00

Single bedroom - acute (basic) 16.00

32 512.00 0.00

Bedroom family and clinical support areas 3.00

0 0.00 0.00

En Suite - Assisted Shower/WC/WHB 4.50

32 144.00 0.00







Sub Totals (sqm)


Approved By



Staff Base: 2 staff - inpatientAssumes a basic 1 per 12 bed nursing section 4.00

4 16.00 0.00

Resuscitation trolley bay 1.00 2 2.00 0.00

Office - Psychologist / Interview

Available for meetings16.00

1 16.00 0.00

Quiet room 10.00 1 10.00 0.00Waiting Area: 10 places incl. 2 wheelchair places 18.00

1 18.00 18.00

Reception, 1 position 6.00 1 6.00 6.00WC - Staff Ambulant 2.00 2 4.00 0.00Staff changing, with cubicle & handwash: 10 places 14.00

1 14.00 0.00

WC - Assisted 4.50 2 9.00 0.00

Assisted bathroom/WC/WHBShared with CDU subject to X infection control 16.00

1 16.00 0.00

WC - Independent wheelchair user

Shared with CDU subject to X infection control 3.50

0 0.00 0.00

Clean utility - inpatientShared with CDU subject to X infection control 14.00

2 28.00 0.00

Dirty utility - inpatientShared with CDU subject to X infection control 9.00

2 18.00 0.00

Linen trolley parking bay 2.50 1 2.50 0.00Mobile equipment bay 5.00 2 10.00 0.00Pantry: ward 12.00 1 12.00 0.00Food trolley parking bay 1.50 2 3.00 0.00Store: large 12.00 1 12.00 0.00

Disposal Assume segregation between clinical, domestic and returns 2.00

3 6.00 0.00

Cleaner's room 7.00 1 7.00 0.00Switchgear Room 2.00 1 2.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 1183.50

Support: Staff On call bedroom / office 13.00 1 13.00 0.00On call room E 8.50 1 8.50 0.00Staff Shower / WC / Wash 5.00 1 5.00 0.00Doctor's bedroom E 8.50 1 8.50 0.00







Sub Totals (sqm)


Approved By



Office - Single person E. Social Worker 11.00 1 11.00 0.00Office - Single person E. Clinical Tutor 9.00 1 9.00 0.00Office - Single person E. Interview 9.00 1 9.00 0.00Office - Single person E. Doctor 9.00 1 9.00 0.00Office - Single person E. Consultant 9.00 4 36.00 27.00Office - Single person E. Secretary 9.00 0 0.00 -9.00Office - Three person Secretary 15.00 1 15.00 15.00Office - Single person E. Senior Nurse 9.00 1 9.00 0.00Seminar / Training Room E 22.00 1 22.00 0.00Staff Rest E 23.00 1 23.00 0.00Staff pantry HBN 22 6.00 1 6.00 0.00

Staff Change (M&F)E. Separate provision is also scheduled in SAU/MAU 18.50

1 18.50 0.00

Staff Shower E 4.00 1 4.00 0.00Staff Shower HBN 22 2.50 4 10.00 0.00WC - Staff Ambulant 2.00 3 6.00 0.00

0.00 0 0.00 0.000.00 0 0.00 0.00

Sub Total (Net) 222.50

Support: Clinical Communications BaseTeam meetings and clinical handover for 20-25 person plus workstations 45.00

1 45.00 0.00

WC - Staff Ambulant 2.00 2 4.00 0.00Major Treatment Room E 19.00 1 19.00 0.00Near patient testing / Lab HBN 22 8.50 1 8.50 0.00Dirty Utility / Disposal / Urine Testing

HBN 2212.00

1 12.00 0.00Ultrasound trolley parking bay

HBN 22 1.00 1 1.00 0.00Plaster / Treatment room E 14.50 0 0.00 -14.50Plaster area, 3 bay E 35.00 0 0.00 -35.00Plaster area, single room E 7.00 0 0.00 -7.00Treatment room, with prep Plaster room 16.50 1 16.50 16.50Store: small Plaster room 6.00 1 6.00 6.00Pharmacy, satellite dispensary

Policy and space requirements TBC 22.00

1 22.00 0.00

Out of Hours Take Home Drugs Store 10.00

1 10.00 0.00

Laying out room / viewing E 10.50 1 10.50 0.00







Sub Totals (sqm)


Approved By



0.00 0 0.00 0.00Sub Total (Net) 154.50

Support: AncillaryRelatives Room & Beverage Point

Existing has one room at 21.5 sq m 16.00

2 32.00 0.00

WC - Independent wheelchair user

En Suite to Relatives Room5.00

2 10.00 0.00

Interview / Counselling HBN 22 9.00 1 9.00 0.00Store, Appliance E 4.00 1 4.00 0.00Store, Equipment E 10.50 1 10.50 0.00Store: small Existing area is 2.5 sq m 6.00 3 18.00 0.00Store, Ambulance HBN 22 6.00 1 6.00 0.00Store, Equipment / Supplies HBN 22 24.00 1 24.00 0.00Store, Sterile Supplies HBN 22 9.00 1 9.00 0.00Store, Gas Cylinders HBN 22 9.00 1 9.00 0.00Cleaner's room 7.00 1 7.00 0.00Cleaners E 2.50 0 0.00 0.00Switch HBN 22 4.00 1 4.00 0.00Battery / UPS HBN 22 9.00 1 9.00 0.00

0.00 0 0.00 0.00Sub Total (Net) 151.50

Net Departmental Area 2835.00Planning Allowance 5.0% 141.75

Sub Total 2976.75Engineering Allowance 3.0% 89.30Circulation Allowance 33.0% 982.33

Gross Departmental Area 1.43 4048.38



Documents

Map showing site locations and site plans