REPORT TO BOARD
Report Author: Julian Alexander, Head of Estates Management
Lead Director: Ben Sturgess, Acting Director of Finance and Information
Contact Details: 020 7716 7169. email@example.com
Date of meeting: 19th September 2007
Subject: UPDATE ON LAMBETH PCT STRATEGIC
CAPITAL DEVELOPMENT PROGRAMME,
INCLUDING LSL LIFT
The Board is asked to:
1. Note progress with the PCTs 2007/08 Strategic Capital Development
Programme as approved at the Board in March 2007, including the
status of individual capital development schemes (incorporating GP and
PCT premises, and premises to be developed through LSL LIFT).
2. Note progress in the Lambeth, Southwark and Lewisham LIFT initiative.
3. Note the progress update for the Lambeth, Southwark and Lewisham
Facilities Management Service, hosted by Lambeth PCT.
1.0 This paper updates the Board on progress with the PCT Strategic
Capital Development Programme for 2007/08, which comprises the
following three elements:
Maintenance of the PCT estate including reduction of backlog
maintenance, and investment in GP premises.
Development of new premises, meeting both the service vision
as detailed in the Strategic Service Development Plan (SSDP
2005), and NHS Plan targets.
Development of new premises through the LSL LIFT initiative.
2.0 The paper encompasses the whole of the PCTs Strategic Capital
Development Programme; including LIFT. It builds on the last report
presented to the Board meeting held on the 16th July 2007.
3.0 The paper includes the July progress update for the Lambeth,
Southwark and Lewisham Facilities Management Services hosted by
Resource Implications: Updated budget and forecast outturn positions
following March 2007 PCT Board approval to
the 2007/08 Strategic Capital Development
Programme, were reported to the last
Strategic Capital Group meeting which was
held on the 9th August 2007.
As at September 2007, planned capital
expenditure for 2007/08 totals £4.2 million and
includes Gracefield Gardens ICT & fit out,
Streatham Hill Sexual Health Clinic, IP
Telephony Business Case.
Revenue funding (rent and rates) has been
earmarked within the Strategic Capital
Development Programme for the following
schemes approved by the PCT Board,
following Business Case submission:
o Central Streatham/Gracefield Gardens
o Vassall Medical Centre
o Hurley Riverside
o Leigham Court Rd (Dr Ung)
o Streatham Vale/Woodgate Drive
o Norwood inc the Deerbrook Practice
o Streatham Hill Sexual Health Clinic
Detailed funding implications are included
within each scheme Business Case.
The Facilities Management Service total
source of funding for 2007/08 is £6.1m. The
overall budgetary framework for the Facilities
Management Service has now been agreed.
Public & User Patient and community involvement is included
Involvement: within the remit of the Steering Group for each
capital development scheme, and a separate
community group has been established for the
Myatts Field LIFT scheme.
Staff Involvement: Staff, GPs and clinicians are represented
within the Steering Group for each capital
Equalities & Diversity Improvements in the quality of primary and
and Health Inequalities community premises will support access to and
Implications: the quality of services to Lambeth residents.
Related Standards for C4E, C20A, C20B, C21. Monitored through the
Better Health PCT Strategic Capital Group and the LSL
Facilities Service User Group (SUG)
Board Meeting 16th July 2007
UPDATE ON LAMBETH PCT STRATEGIC CAPITAL
DEVELOPMENT PROGRAMME, INCLUDING LSL LIFT
1. Aim of paper
1.1 This paper aims to:
(i) Update the Board on the progress of the PCTs Strategic Capital
Development Programme for 2007/08 following approval at the
March 2007 PCT Board meeting. The Strategic Capital
Development programme is based on the following three
Maintenance of the PCT estate including reduction of
backlog maintenance, and investment in GP premises
Development of new premises meeting both the service
vision, as detailed in the Strategic Service Development
Plan (SSDP 2005), and NHS Plan targets.
Development of new premises through the LSL LIFT
(ii) Build on earlier reports to the Board, the last report having being
presented to the Board meeting held on 16th July 2007.
(iii) Update the Board on the status and progress made by the
Lambeth, Southwark and Lewisham Facilities Management
Services hosted by Lambeth PCT since April.
2. ESTATES MAINTENANCE, PCT AND GP PREMISES
2.1 Lambeth PCT currently has a legal interest in 25 premises which
require ongoing investment to ensure that they remain “fit for purpose”,
and comply with statutory and NHS regulations, including PEAT and
2.2 Within Lambeth there are 49 GP premises (including GP practices
within Health Centres) for which Lambeth PCT supports both in respect
of the reimbursement of rent and rates payments, and in the
improvement and development of GP premises meeting NHS and
Statutory guidelines and regulations
2.3 The 2007/08 Strategic Capital Development Programme is managed
through the Lambeth PCT Strategic Capital Group, and supported by
the Operational Capital and Environment Group and the Locality
Administration Managers (LAM‟s) Group. The Strategic Capital Group
meets every six weeks, with the last meeting taking place on the 9 th
2.4 The Strategic Capital Development Programme for 2007/08 was
approved at the March 2007 PCT Board. The Programme was based
on the following key overarching priorities:
Existing Rent and Rates
New rent and rates commitments as approved by the PCT
Non-recurrent scheme costs as already approved by the PCT
LIFT - continued LIFT development, including Project Director and
Compliance with statutory and NHS regulations, including PEAT
and Standards for Better Health
Investment in Planned Maintenance Programme (PPM), to reduce
reactive maintenance costs
Improvements/new developments meeting service need as detailed
in the PCT Strategic Service Development Plan
Meet NHS Plan objectives, including refurbishment of GP premises,
and the development of new Primary Care Centres
A full list of approved schemes was included within the Update
Paper presented to the March 2007 PCT Board.
2.5 The PCT is considering fast tracking its work on rolling out IP
Telephony across the PCT in support of the Customer Services
Review. The Shared Information Service and the PCT‟s Customer
Services Project Team have developed business case and the Board
meeting agreed that the business case would be approved through
Chairs Action in order that the PCT could deliver its IPT solution in line
with the PCTs Customer services review implementation and the
opening of Gracefield Gardens in Autumn 2007.
3. DEVELOPMENT OF NEW PREMISES.
3.1 Lambeth PCT currently has a substantial programme of developing
new health premises, and key areas of development since the last PCT
Board report are summarised as follows:
St Georges Wharf – Opened in March 2007, with the formal
opening taking place on the 29th June 2007.
Leigham Court Avenue (Dr Ung) – Opened on the 25th June 2007
Springfield – Building open to patients on the 16th July 2007
Gracefield Gardens (LSL LIFT) – Due to delays in the delivery
and commissioning of the electricity sub-station, the building will
now open to patients in November 2007.
Vassall Medical Centre – Due to delays on site, the opening date
has slipped into January 2008
Deerbrook practice – Final negotiations being concluded with
legal completion to take place in September 2007.
Streatham Vale – Final negotiations being concluded.
Mary Seacole House/Future Clapham – Preferred bidder to be
selected following receipt of final tenders in September 2007. A
separate paper and Business Case is to be presented to the
September 2007 PCT Board.
Clapham Park Regeneration – Meetings are taking place to
finalise the health requirements for the scheme.
A full report detailing progress of all the PCTs proposed capital
development schemes is available on request.
4. LSL LIFT.
4.1 Financial close was achieved on the 6th December 2006, establishing
a new joint venture company, Building Better Health Lambeth,
Southwark and Lewisham Ltd, otherwise to be known as LSL LIFTCo.
The LSL LIFTCo Board is now well established, meeting monthly.
4.2 The LSL LIFT Strategic Partnering Board (SPB) is fully established
following Financial Close, chaired by Colin Roberts. Angela Dawe is
the Lambeth PCT representative. There are a number of project groups
in place to oversee LSL LIFTCo, and to manage the development of
Lambeth PCTs new capital development schemes in accordance with
national guidance and with the service vision set out within the
Strategic Service Development Plan 2005.
The last meeting of the SPB took place on the 17th July 2007, and the
next meeting is planned for the 18th September 2007.
4.3 The Strategic Partnership Board is responsible for ensuring delivery of
the remaining four Tranche 1 schemes (three of which are in Lambeth).
The remaining four Tranche 1 schemes are:
Streatham Common Primary Care Centre (Lambeth PCT)
Myatts Field Primary Care Centre (Lambeth PCT)
Crown Dale Primary Care Centre (Lambeth PCT)
Dulwich Hospital (Southwark PCT)
4.4 Lambeth PCT commissioned Building Better Health Services Ltd
(BBHSL) to produce the Stage 1 Business Case for the three remaining
Lambeth PCT Tranche 1 schemes, and this was approved by the PCT
Board and LSL LIFTCo Board in March 2007. The Business case was
considered by NHS London Strategic Health Authority (SHA) Capital
Investment Committee on the 27th June 2007, where approval to the
development of the Myatts Field and Streatham Common Primary Care
Centre schemes was approved. The only conditions imposed on this
approval related to the Myatts Field scheme, where NHS London
wished to see more doctors based within the centre and provision for
4.5 In relation to the third scheme, Crowndale Primary Care Centre,
discussions have taken place between Lambeth PCT and NHS London
following the Capital Investment Committee meeting. The outcome of
these discussions is that NHS London may in principle support the
development of the Crowndale Primary Care Centre, linked to the
development of a new Neighbourhood Resource Centre/“hub”, to be
developed in Norwood. However, given that the proposal for a new
Norwood Neighbourhood Centre is still at an early stage, it was agreed
that Crowndale would be developed in a future tranche of schemes
alongside a new Norwood development. Accordingly, Crowndale has
been removed from the current Stage 1 Business Case.
4.6 With the removal of Crowndale, the Business Case has “materially”
changed from the one approved at the March 2007 PCT Board. The
Business Case has now been revised and a separate paper is to be
presented to the September 2007 PCT Board for approval of the
Business Case. The planned timetable for the Business Case is as
PCT Board approval: 19th September 2007
Planning application submission: November 2007
Receipt of planning approval: March 2008
Finalising financial and legal matters: March 2008 to July 2008
Financial Close: July 2008
Estimated construction completion: January 2010
4.7 Strategic Services Development Plan (SSDP)
Following approval by the three PCTs, the Strategic Partnering Board
(SPB) and the South East London Strategic Health Authority Capital
Review Group, the final version of the SSDP 2005 (which built on the
first SSDP produced in December 2002) was adopted in January 2006.
4.8 The Strategic Partnering Board (SPB) has agreed that the development
of a new SSDP 2006 is a priority, and a process for its production has
been approved, with Building Better Health appointed to lead the
process. The SSDP will be geographically focussed, and will be
informed by the PCTs Commissioning Strategy Plan, „A Picture of
Health’ and emerging London-wide thinking around service models.
4.9 A Steering Group has been established with Angela Dawe representing
Lambeth PCT. A series of meetings have been taking place to review
progress and to agree electronic mapping requirements for the new
SSDP, with meetings having taken place on 2nd and the 21st August
2007. It has been agreed that the timetable for the new SSDP be linked
to the further development of the PCTs 5 year Commissioning Strategy
5. LSL Facilities Management – Hosted Service
5.1 Under arrangements for taking forward the LSL Support Service
Review, the PCT Board approved that Lambeth PCT will host the
former SSP Facilities Service (FMS), led by Debbie Carson, Director of
Facilities, reporting to Andrew Eyres Director of Finance and
Information from 1st April 2006.
5.2 The hosted Facilities Management Service reports to an LSL-wide
Facilities Service User Group (SUG) comprising finance, estates and
service leads from each PCT. The last meeting took place on the 28 th
August 2007, where it was agreed that in future the group would meet
quarterly, as opposed to every six weeks. Dates for future meetings are
currently being arranged.
5.3 The Directorate‟s Service Delivery Plan gives full details of its 2007/08
Objectives. Actions to be completed in the first two quarters of 2007/08
Agreement of PCT 2007/08 Capital Programmes - completed
Access and training for the PCT‟s and Head of Estates to MICAD -
Implementation of site specific budgets – ongoing
Raising the profile of the PCTs procurement initiatives and
establishment of a new procurement working group - ongoing
Completion and communication of service reviews - ongoing.
Development of new strategic and operational key performance
indicators – ongoing
5.4 The 2007/08 Key Performance Indicator Report and Business Plan was
discussed at the Facilities SUG meeting held on the 17th July 2007, and
a copy of the report is available on request.
This report sets out the September 2007 position on the PCTs overall
Strategic Capital Development Programme, provides an LSL LIFT
update, and details progress with the Facilities Management Service
hosted by Lambeth PCT.
Head of Estates Management 5 September 2007