4.10.22 Seminars

Following a number of high profile and costly faults in construction projects both within and outwith the health service, Eddie McLaughlan will discuss developments in NHS Scotland designed to ensure that future projects and the existing estate have much less risk of significant problems.  Mainly concentrating on engineering services and their implications for patients, staff and visitors, including Healthcare Associated Infection, Eddie will discuss how to balance the competing priorities of Time, Cost and Quality.  The development of NHS Scotland Assure will be described, including its evolution and purpose and efforts to implement its philosophy in live construction projects.  The importance of competence of staff and appropriate use of specialist expertise, including Authorising Engineers, and the work within IHEEM to develop and promote Authorising Engineers will be covered.

Following a number of high profile and costly faults in construction projects both within and outwith the health service, Eddie McLaughlan will discuss developments in NHS Scotland designed to ensure that future projects and the existing estate have much less risk of significant problems. Mainly concentrating on engineering services and their implications for patients, staff and visitors, including Healthcare Associated Infection, Eddie will discuss how to balance the competing priorities of Time, Cost and Quality. The development of NHS Scotland Assure will be described, including its evolution and purpose and efforts to implement its philosophy in live construction projects. The importance of competence of staff and appropriate use of specialist expertise, including Authorising Engineers, and the work within IHEEM to develop and promote Authorising Engineers will be covered.

The HCPs approach to sustainability, is a collaborative approach to ensure the principles of sustainability and social value are embedded across the Partnership.
• As a social value accelerator site, C&M are keen to harness the positives that came as a result of COVID and build back better, reducing reliance on the healthcare, and wider public services, by putting sustainability principles at the heart of all decision-making processes.
• The aim is to deliver an ethical framework of behaviours, resulting in long term behavioural changes as to how people use and view the NHS, and wider public sector Through working with colleagues across the Partnership we are aiming to ensure behavioural change can occur and people can change the way they currently access NHS (and wider) services and see an increase in community resilience.
• Our Social Value Charter launched in 2019, since then 35 organisations across Cheshire and Merseyside have signed up to the Charter. The Charter describes our local vision and principles for maximising the potential of social value locally, our principles include building on the strengths of people and our communities, enabling people to live a 'valued and dignified life'.
• Working together across sectors to achieve social value outcomes, foster innovation and reduce avoidable inequalities linked to the Marmot Principles: Protecting health and social care services for future generations; Giving a voice to local communities; Social Value will be embedded as core practice, behaviours and the way that we operate.
• The ICS is working with partners and the public to establish an Anchor Institute Charter with an agreed set of principles, anchored in local communities, for organisations across the region to adopt. The charter will be reflective of local needs and determine the organisational behaviour required to deliver them.e in Merseyside.

The national policy pace of change to drive down carbon emissions has accelerated in recognition of the climate crisis and is seeking action now. This has resulted in NHS targets to achieve an 80% reduction in carbon emissions between 2028 and 2032 and 100% by 2040.
- Here we will explain the Trust Green Plan and use of the current EPC project, coupled with the attractiveness of the Salix Public Sector Decarbonisation Fund (PSDS) enabling the Trust to refresh the technology in order to meet these targets

• Commercial Consideration
o Governance/ procurement and route to market
- Here we will explain the route map, to align the supply chain with the Trusts procurement, financial and estates teams
- We will explain the approach on how we created "Shovel ready" projects in time for the PSDS time constraints

• Hospital stakeholder benefits
o Hospital user benefits
- Here we will explain the benefits to the Hospital users due to the "whole building approach" being taken. This provides improved weather envelope and insulation and windows to improve the patients and visitors experience.
- We will explain the visual impact this has on the Hospital drawing interest and educating the staff and visitors on East Sussex Trust are doing to achieve Carbon Neutral status

• Technical solution
o How to achieve a Carbon Neutral status by 2040
- Here we will explain the use of Low Carbon technology and supporting measures, whilst balancing the impact to the Hospital electrical infrastructure capitalising on an ever-greening national grid.
• Reduce reliance on Gas for heat
• Reducing the grid reliance by installing solar PV and to mitigate higher utility costs
• Satisfying the requirements of the Salix fund award criteria metrics £325/tCO2
• Satisfying N+1 resilience
• Effectively managing and monitoring performance data

The session will review the data from the most recent NHS staff survey and what it means for us.  The session will also hear the words (anonymously provided) of professionals who have suffered from bullying and harassment in their workplaces and what it has meant for them.  There will also be time for discussion about what measures we can all take to reduce this.

Gloucestershire Health and Care NHS Foundation Trust's new community hospital will efficiently alleviate pressure on acute hospitals and provide integrated care systems that will transform local health provision.

The new hospital in the Forest of Dean will replace two older buildings (Dilke Memorial Hospital and Lydney Community Hospital) and will modernise the infrastructure to allow the NHS to provide sustainable high-quality in-patient and outpatient services for many years to come.

The design brings together a range of services: local urgent care/minor injury units and out of hours service, x-ray, radiology and ultrasound services, consulting and treatment rooms for outpatient clinics, a children's clinic area, endoscopy suite, clinic space for dentistry and/or podiatry and a purpose-built therapy gym for rehabilitation. As well as community areas within the hospital e.g. a group room and shop, the skate park (currently on the land) is being relocated nearby with other local improvements making the new hospital a central focus within the community.

Kevin Adams from Gloucestershire Health and Care NHS Foundation Trust will outline the extensive consultation and business case for replacing the two outdated hospitals with one new build using innovative features for the best possible sustainable local care, efficiency and cost control.

Abz Randera, Architect from ONE Creative environments (ONE) that received Architectural Practice of the Year at last year's Healthcare Estates awards, will share details of the design which creatively overcomes site challenges and includes a range of measures following the Pandemic to maintain infection control standards. Abz will also outline how sustainability is central to the design supporting the NHS' ambition of net zero carbon emissions with the design aiming for an Excellent BREEAM rating to help reduce energy consumption, carbon and ongoing costs.

Dr Matt Shepherd present how dated, siloed digital solutions can be inefficient and affect the patient and staff experience.

Due to task overload, it has been recognised that a fully digital end-to-end communication and collaboration solution was required that integrates the process, the people and technology to close the information gaps and provide a complete digital solution to assist the patient's pathway.

Ascom was commissioned to deploy a scalable healthcare platform to include critical alarm management, secure clinical messaging, clinical information software and an integrated mobility solution using a healthcare-specific smartphone.

Therefore, the hospital is advancing its digital status and Dr Shepherd (I) will share the Trust's excitement with the go-ahead of a revolutionary, fully digital exemplar ward, which is due to be opened in early 2023. This digital exemplar ward will include the expansion of the Ascom Healthcare Platform to include its advanced nurse call system, Telligence, and clinical information software platform, Digistat, to provide a patient response nurse call system, which will include workflow task management, EPR integration, medical device integration and collaboration from the side of the bed or whilst mobile. The aim is to improve clinical workflow efficiencies and the overall patient experience.

The Trust's long-term ambition is to be fully paperless and digital as per the NHS directive. The digital exemplar ward, utilising the Ascom Healthcare Platform, is a major contribution towards achieving the hospital's digital transformation programme.

Dr Matt Shepherd, Clinical Lead for IT and Deputy Chief Operating Officer, Harrogate & District NHS Foundation Trust

Rotherham has recently installed a multi technology estate wide energy project that includes on site-generation, energy efficiency and battery storage. The Estates team are using CEF Contract and Performance Assurance and its bespoke AttesPro software.
This system is currently in operation across 60 hospitals which extracts information from Measured Data Points, CEF currently collects 1,420 channels of data each transmitting at HH intervals, processing circa 25 million individual data values a year in its existing contracts. Data is scaled and checked against the contractual energy requirements, errors identified, corrections and missing data identified and stored to a verified database to be used for performance analysis. This is presented in a dashboard showing Ing the essential project information and the progress of the Trust in achieving it’s 2040 plan.
Whilst achieving Scope 1 and 2 targets Rotherham are seeking to co-develop the tool in a way that will be made available to all Trusts to monitor and report Scope 1, 2, and 3 and implement plans that can be managed through live data monitoring and understanding.
The Trust is seeking for the benefit of all to co-create and assess real time energy and Carbon savings so we as Estates professionals can best manage the ever-changing carbon intensity of the National Grid. This will ensure the best real time carbon savings are achieved within our existing cost envelope.
The Rotherham NHS Foundation Trust seek to talk at IHEEM for discuss the progress of the project and understand the requirements of its fellow IHEEM members to be incorporated to create a tool that works for all.

The NHS and healthcare providers can reap huge benefits from Digital Twins and Smart Buildings in their drive for net zero carbon emissions.

Using a healthcare project case study, Jason Whittall, Director, and Shelby Green, Associate, from ONE Creative environments (ONE), will provide a practical demonstration. This will show how ONE's innovative approach has combined Building Information Models (BIM) with the Internet of Things (IoT) to create easy-to-use and visually intelligent tools that drive insight into a facility's operation and performance.

The session will look at and explain:
• What is a digital twin?
• What makes a building smart?
• Why digitising your assets can unlock access to greater insights, data and analytics and support your journey to Net-Zero carbon emissions.

Through the practical demonstration of a healthcare project case study, the demonstrator will also help you to understand how Digital Twins can further benefit: the NHS, operators, owners, patients and wider society, providing additional opportunities for efficiencies and savings, while reducing risk and enhancing wellness.

The presentation will illustrate the importance and impact of utilising real-time data streams to support the efficient and safe operation of healthcare facilities and the ability to make meaningful interventions. Examples include:

• Critical asset performance monitoring
• Understanding building occupation (rooms, desks, beds)
• Monitoring indoor air quality
• Managing risks to safeguard occupants and property
• Energy management.

Integrated data and visual intelligence are really important aspects of managing the modern built environment efficiently, especially with increased demand for public services, pressure on budgets, the drive for net-zero carbon and data for public good. You cannot manage what you cannot measure!

The Government has repeatedly stated its commitment to Modern Methods of Construction (MMC) and specifically a platform-based approach. Both the Department of Health & Social Care and the New Hospital Programme have echoed this philosophy, the latter expressing a commitment to embracing a holistic approach to MMC and driving a platform-led kit of parts approach to achieve a step-change in productivity, cost-effectiveness, timeliness of delivery and carbon efficiencies. Whilst this trajectory has been clearly cast in policy, the implications and practicalities at an organisational and project level are somewhat less clear.

This presentation therefore demystifies the subject of MMC, outlining what a platform-based approach is, and its potential compatibility with the healthcare sector. We will review the profile of both the historical pipeline (commissioned by NHS Trusts) and the supply market over the past decade, to provide insight regarding the scale of adaptation required. Informed by data analysis of over 1,800 projects (equal to £20bn investment), we look backwards to see ahead the potential opportunities and challenges presented by this new way of working.