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Backgound to the request for additional funding for Clinique Pinel

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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY THE DEPUTY OF ST. MARY

ANSWER TO BE TABLED ON MONDAY 12th SEPTEMBER 2011

Question

In order to provide members with the background to the request for additional funding for Clinique Pinel in the draft Annual Business Plan 2012 and in Amendment (10) to the Plan, would the Minister give members a brief complete year-by-year timeline of reports, assessments and evaluations of Clinique Pinel since its construction, together with a list of funding bids, to which bodies these bids were made, and how they were dealt with?

Would the Minister please give precise references to any documents or bids and state whether members can access them and, if so, where?

Can the Minister confirm whether the head of mental health services stated, in August 2009 when economic stimulus money was allocated for improving conditions for elderly dementia patients, that the state of the facilities was not affecting the level of care?

Answer

1998 – Health & Social Services Committee considered a report dated 24th November 1997 requesting planning votes for a number of projects including Clinique Pinel refurbishment. This was approved 7th January 1998 - Advanced planning votes 38/1/3/12(31)

1998 – Health & Social Services Committee approve report and proposition for £859,000 Capital project for Clinique Pinel upgrade on 16th November 1998. This was lodged "Au Greffe" with the States and subsequently approved.

2000 – Building contract subsequently awarded and signed 1st August 2000 and works carried out and completed by June 2001 (Work consisted of internal alterations/redecorating, replacement of windows and roof covering plus new insulated cladding to external walls of building)

2000 – Strategic brief produced for expansion of Clinique Pinel approved by Health & Social Services Committee requesting feasibility funding of £20,000 to produce bid for capital funding for 2005. Scope of work to be extension to provide space for 20 additional patients and refurbishment of existing building not upgraded in 2000 project.

2004 – Health & Social Services Committee make request to Finance & Economics Committee for funding in 2009 Capital Programme (Request approved by H&SS Committee in its Act No. A12 dated 4th February 2004)

Scope of proposed project "An extension to Clinique Pinel at St Saviours Hospital site to cater for the projected demographic increase in elderly mental health patients. The extension will provide an additional 22 beds with all necessary washing, toilet and lounge facilities. The existing kitchen will also be upgraded." Estimated total cost of project £3,630,000.

2005 – 2009 States of Jersey Resource Plan (page 22) included the Clinique Pinel Extension to take place in 2009 with an allocated sum of £4,556,000.

2006 – 2010 States of Jersey Business Plan (page 32) H&SS committee deferred the Rosewood House and Clinique Pinel Projects beyond 2010 for other H&SS projects following a fundamental review of H&SS capital requirements.

2007 – Survey carried out to identify potential legionella risks. Tender for remedial works issued August 2007 and works completed March 2009 (Approx value £30,000)

2008 – Infection control report September 2008 identified risks due to flooring, bathroom tiling, fixtures and fittings.

2009 – Present Minister for Health and Social Services invited the Minister of Treasury and Resources to visit St. Saviour 's Hospital in July 2009 and requests that proposal be put forward for refurbishment of Rosewood House and Clinique Pinel as a fiscal stimulus project

Scope of works produced and fiscal stimulus project for Rosewood House agreed and this work is currently in progress (included in this project was use of McKinstry ward at Overdale Hospital as a patient decant area)

Clinique Pinel refurbishment became ineligible for fiscal stimulus funding as the work could not be commenced until late 2011/early 2012 due to the need to use McKinstry ward as a decant ward. McKinstry was not available due to work on Rosewood House.

2011 – Capital bid for essential safety works only made by Health & Social Services Department on 23rd March 2011. Bid for work to be carried out in Clinique Pinel during 2012 includes:

  • Improved fire safety by installing sprinklers, fire doors, and improved fire escape stairs at both ends of the building.
  • Improved infection control by replacing ceilings and flooring throughout the building to comply with infection control standards.
  • Increase the number of bathrooms and shower facilities as currently each of the wards only have one bathroom and no showers for their patient group.

Members may approach the Service Manager for Older People who will be able to arrange for them to view the above documents.

In 2009 the Directorate Manager of Mental Health stated that "although the care offered at the wards (Beech and Cedar) is of a high standard, the building needs work". He went on to say "we are able to provide good nursing care within a safe environment, however the environment does not provide the best possible standards that we should be striving for. Patients are not at risk here at this moment in time."