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WQ.264/2023
WRITTEN QUESTION TO THE CHIEF MINISTER
BY DEPUTY L.J. FARNHAM OF ST. MARY, ST. OUEN AND ST. PETER QUESTION SUBMITTED ON MONDAY 5th JUNE 2023
ANSWER TO BE TABLED ON MONDAY 12th JUNE 2023
Question
“Will the Chief Minister explain how the Government’s proposed new health facilities, as announced last week, will be more affordable than the previous plans for a single-site hospital at Overdale?”
Answer
The focus of this programme is on affordability: by spreading the programme into stages, we have more control on what we build when, and will tailor available funds to those areas with the highest risk and need.
As part of the OH Review, it was determined that a prudent risk management approach could be taken to deliver the programme through a different financing model and to spread the financial commitment over a longer period involving controllable, phased projects rather than progressing with a single large-scale and high-cost scheme with cost estimates for construction that fall outside the forecasts within the Outline Business Case.
By building on multiple sites and having a phased building programme, all the financial or construction risk is not placed into one solution and one delivery partner. By taking a phased approach, with smaller buildings, the Government of Jersey has the opportunity to engage local contractors and a wider spectrum of national level contractors, where possible, rather than one single contractor. We intend to take advantage of Modern Methods of Construction – this will mean a quicker construction and delivery, and reduced labour requirements. The combination of constructing smaller buildings, each representing smaller reduced square meterage and built in accordance with its Clinical requirements, means more efficient design. Using local contractors and modern methods of construction and phasing the construction and financial commitment over a longer period will also make the programme more affordable over its lifetime.
The NHF programme provides a plan for healthcare estate development, ensuring that those services that were not previously provided in the Our Hospital scheme are provided with the future facilities they need. These healthcare services did not form part of the OH Brief and so were to be delivered by different programmes, with a separate proposed budget. Business Cases have not however been progressed for those programmes.
Also, services being delivered over multiple sites to deliver a more appropriate scale of scheme, ensures that given our island context and that the broad range of services delivered by Jersey’s Health and Community Services continue to be delivered safely on-island but do not have the same degree of environmental or infrastructure impacts as a single-site scheme. From July, the NHFP team will develop the concept design of Phase One of the preferred multi-site option, which will enable costs to be more accurately estimated and funding models explored in the Outline Business Case for the Government Plan.