Emergency Department and MRI Extension
HEALTH CASE STUDY
Chesterfield Royal Hospital
Emergency Department and MRI
Project
Client
Chesterfield Royal Hospital
Value
£4.5 million
Timescales
January 2017 to September 2018
Procurement Route
ProCure 21+
Form of Contract
NEC ECC Option C
Role
Cost Manager
Responsibilities
- Cost management
- Contract Administration
- Risk management
- Business case support.
This scheme comprised two individual projects; the extension to the existing emergency department to increase capacity and create a GP streaming service, and the extension and internal reconfiguration of the MRI department to create an additional MRI scanning suite. Both projects were to be constructed in close proximity to each other over a similar period on site.
The development sites were at the front of the hospital adjacent to the main pedestrian and vehicle access routes, including the local bus services and blue light routes. This presented additional logistical challenges associated with site access / egress and the ability to maintain access to both the ED and MRI departments throughout the works. Similarly, both departments needed to remain operational throughout the build with minimal disruption to clinical activity; the ED was a 24/7 live operational department.
The ED extension was originally progressed via a design and build route and the MRI as a traditional tender. Both projects were being separately funded and governed by separate divisional project boards.
Upon appointment, we highlighted the logistical challenges and health and safety risks associated with having two separate contractors working in close proximity to each other at the same time at the busiest part of the hospital estates. We also highlighted the contractual risks associated with concurrent delays and additional co-ordination this approach would present. Following this we produced a procurement paper highlighting the options available to procure the projects. This recommended a combined procurement with a single contractor.
The ED extension was originally progressed via a design and build route and the MRI as a traditional tender. Both projects were being separately funded and governed by separate divisional project boards.
Upon appointment, we highlighted the logistical challenges and health and safety risks associated with having two separate contractors working in close proximity to each other at the same time at the busiest part of the hospital estates. We also highlighted the contractual risks associated with concurrent delays and additional co-ordination this approach would present. Following this we produced a procurement paper highlighting the options available to procure the projects. This recommended a combined procurement with a single contractor.
Benefits to Client
- Challenging the existing procurement decisions resulted in both projects being procured as one combined project reducing the health and safety risks and logistical challenges highlighted, whilst also maintaining the Trust project timescales and budget aspirations
- Development of robust works information and contract documents to articulate the risks associated with working methodology and constraints and requirements for both departments to remain operational throughout
- Development of bespoke cost reporting tools to report the costs associated with each element of the projects to the separate divisional project boards.
