F.3 Capital Works
Capital works in ACT Health occur under the leadership of the Health Infrastructure and Planning Branch.
Health Infrastructure and Planning is responsible for the delivery of the Health Infrastructure Program (HIP), a significant investment in future health services for the ACT community and surrounding region, as well as Strategic Accommodation and the Capital Upgrades Program.
The HIP, a major capital infrastructure program, responds to a complex mix of population growth and ageing, and changing technology and provider and consumer expectations-all of which contribute to a significant increase in demand for health services in the ACT and to changes in the way services are delivered. Demand for health services is projected to increase rapidly over the next 10 years and beyond, and the HIP is a planned, comprehensive and structured response to these pressures. Underpinned by future health services demand projections, the HIP encompasses review of future requirements for models of care and service delivery, technology and workforce in conjunction with a significant capital works program. This reporting year marks the sixth year of the HIP.
The Capital Upgrades Program is funded annually. Prioritisation of work is determined under the following categories:
- building upgrades
- electrical, fire and safety upgrades
- mechanical system upgrades
- patient and medical facility upgrades
- workplace improvement upgrades
- medical and administration office upgrades.
Projects completed in 2013-14 under the HIP were as follows:
- Belconnen Community Health Centre (BCHC): physical works commenced in January 2012 and construction was completed in September 2013. The BCHC provides an increased capacity in traditional community health services such as dental, community nursing and community mental health services. It provides for an expanded range of clinical services previously provided on hospital grounds, such as renal dialysis, some specialist outpatient services and chronic disease management.
- A new Walk-in Centre was designed and installed in the new Belconnen Community Health Centre. Works commenced on the fit-out in September 2013 and were completed in June 2014. Clinical operations will commence at the Walk-in Centre in July 2014.
- Centenary Hospital for Women and Children, Stage 2, at the Canberra Hospital: this work involved a major refurbishment of the existing maternity building and was completed in December 2013. The completed hospital brings together the Centre for Newborn Care, Gynaecology and Women's Health, Maternity Services and Paediatric Services in one complex. The George Gregan Foundation Playground is located in the new building.
- Canberra Hospital Emergency Department (ED) and Intensive Care Unit (ICU) Extension (part of Staging and Decanting-Continuity of Services and partly funded by the Commonwealth): this was an amalgam of two projects, both located in Building 12. The extension included an additional eight treatment spaces in ED and seven beds in the ICU. Construction was completed in September 2013.
- Tuggeranong Community Health Centre (refurbishment and Stage 2): this project involved the refurbishment and extension of the physical infrastructure of the Tuggeranong Community Health Centre and the expansion and enhancement of the health services provided at the centre. The extension and refurbishment were designed to meet the future health needs of the local population. Physical works commenced in October 2012 and were completed in March 2014.
- Construction of a Walk-in Centre located at the Tuggeranong Community Health Centre was included as part of the overall construction works of the project. The construction works were completed concurrently with the community health centre works. The Walk-in Centre was completed in March 2014 and commenced clinical activity in June 2014.
Works in progress under the HIP at 30 June 2014 are:
- Refurbishment of Building 1, Level 5, at the Canberra Hospital (part of Staging and Decanting): refurbishment has been undertaken to a complete floor within the main tower block to provide 60 hospital beds, which will permit the decanting of existing wards in Building 3. Construction is nearing completion and the ward is expected to open in September 2014.
- Canberra Region Cancer Centre (CRCC): the new facility will provide an integrated treatment centre for cancer services for the Canberra region. A significant water leak occurred in the CRCC building in September 2013, resulting in extensive damage to three levels and causing a lengthy delay in the project program. Construction is now due for completion in July 2014, and the facility will commence clinical activity in August 2014.
- Emergency Department paediatric streaming is a component of the Clinical Services Inpatient Unit Design and Infrastructure Expansion (CSIUDIE) project at the Canberra Hospital. This project will deliver an independent triage and treatment area for Emergency Department patients up to the age of 16. Planning commenced in May 2013 and preliminary sketch plans are complete. A head contractor has been appointed to undertake construction, which is programmed to commence in November 2014. Building completion is due in September 2015.
- Another component of the CSIUDIE project is essential infrastructure works, including forward design for new clinical infrastructure at the Canberra Hospital. The development of the functional brief for the project to plan development of new Clinical Buildings 3 and 2 is ongoing and is expected to be completed in August 2014. In May 2014, a principal consultant was engaged to undertake both a proof of concept phase and preliminary sketch plan (PSP) design for the project. The proof of concept phase aims to prove the existing Concept Master Development Plan forming part of the future facility profile prepared by Aurora Projects in 2012. Once the proof of concept phase has been completed and has received approval from ACT Health, the principal consultant will develop the PSP. It is expected that PSP work will be completed by mid-2015. In addition to the forward design work, an audit of existing buildings 1, 10 and 12 is underway. The output of this audit process will inform the proof of concept and long term master planning for the campus.
- Calvary car park: The new Calvary car park will provide 704 parking spaces in a structured car park over five levels, resulting in a net increase of approximately 515 spaces on the Calvary Hospital campus. The tender evaluation process for the construction contractor was completed in May 2014 and at the time of writing negotiations were underway with the preferred tenderer. The sublease for the site is almost complete following Calvary Health Care's approval and it is expected that the territory's leasing, land titles registration and ACT Health's execution of the sublease will be completed in August 2014, before the award of contract. The design planning and procurement of enabling works are progressing. The new car park will be commissioned in the second half of 2015.
- Staging and Decanting Bundle Package at the Canberra Hospital: scope development has been undertaken for this project to relocate services from the existing Building 3. A head contractor was selected in May 2014 to undertake the planning, design, construction, commissioning and relocation of all functions to enable the complete decanting of Building 3 by 30 June 2016.
- Adult Secure Mental Health Unit-Forward Design and Finalising Design: a principal consultant was appointed in late 2013 to develop a preliminary sketch plan (PSP) design. The PSP design was completed in June 2014. At the time of writing negotiations were underway with a preferred tenderer to be appointed as head contractor to complete the final sketch plan (FSP) design and construction of the 25-bed facility. An amendment to legislation will facilitate the fast-track approval of this project. Construction is expected to commence in early 2015, with project completion scheduled for late 2016.
- University of Canberra Public Hospital: this will comprise 140 overnight beds, made up of 20 mental health rehabilitation and 120 general rehabilitation beds. The project has achieved a number of milestones, with a site on the University of Canberra campus identified as the preferred location for the facility. The service delivery plan to inform a concept design of the facility was developed based on user group and stakeholder consultation, and was released for community consultation in May 2014. The contract to appoint the principal consultant to undertake design was awarded in May 2014. Construction is expected to commence in mid-2015.
- Ngunnawal Bush Healing Farm: the project experienced delays relating to the development application (DA) process. During the reporting year, the model of care (phase 2) and both the preliminary sketch plans and final sketch plans for the facility were endorsed by ACT Health. Construction documentation in readiness for construction tender has been completed. In June 2013, ACT Health was advised that applications for a review of the May 2013 decision to approve the lease variation development application decision had been received by the ACT Civil and Administrative Tribunal. In April 2014, the ACT Civil and Administrative Tribunal upheld the lease variation decision under review, with two further amendments related to the need to submit a survey of the area proposed as a group or organised camp, and the need for ACT Health, as leaseholder, to accept full responsibility for maintenance and repair of the access track to the property. At 30 June 2014, the design and siting DA was pending. Land management activities on the Miowera property have been ongoing, and planning for construction has progressed.
- The Canberra Hospital-Continuity of Services Essential Infrastructure (COSEI): the procurement process for a contractor for this package of infrastructure works on the Canberra Hospital campus was completed in March 2014. The project has two stages. Stage 1 includes design of the main works package and the lump-sum delivery of a fire booster works package. It also includes a separate signage and wayfinding works package. Stage 2 includes the construction, upgrade and/or enhancement of a multiple discipline in-ground engineering services works package, including the completion of ring main infrastructure works undertaken in recent years to enable development on the southern and northern ends of the Canberra Hospital campus. The fire booster works were being completed in July 2014. Fabrication of the main external hospital signage will be prioritised and a phased construction process will commence, with the main signs starting in September 2014.
The following tables contain Health Directorate capital works project information and the reconciliation schedule required.
Capital works table-Health Directorate
|Project||Proposed or actual
|Calvary Hospital Car Park (Design)||July 2014||1,300||1,300||n/a||431||431|
|University of Canberra Public Hospital (Design)||July 2015||8,252||8,252||n/a||13||13|
|Continuity of Health Services Plan - Essential Infrastructure||August 2015||16,517||16,517||n/a||234||234|
|Clinical Services and Inpatient Unit Design and Infrastructure Expansion||June 2016||40,780||40,780||n/a||752||752|
|Capital Upgrade Program Services|
|Building Upgrades||January 2015||705||705||n/a||183||183|
|Electrical/Fire/Safety Upgrades||January 2015||570||570||n/a||435||435|
|Heating, Ventilation and Air Conditioning Systems Upgrades||January 2015||375||375||n/a||86||86|
|Medical Facilities Upgrades||January 2015||660||660||n/a||298||298|
|Facilities Improvements to Laboratory and Outpatients Area||January 2015||890||890||n/a||10||10|
|Upgrade of Medical and Administrative Offices||January 2015||646||646||n/a||163||163|
|Building Upgrades to address Condition Report findings including Works to Bathrooms, Plumbing and Other Works||November 2014||580||580||379||45||424|
|Ambulatory Care Improvements at the Canberra Hospital including the Respiratory Medicine and Gastroenterology Areas||December 2014||680||680||41||500||541|
|Augmentation of Medical and Administrative Offices to meet Organisational Change and Growth||November 2014||420||420||262||29||291|
|Works in Progress|
|Integrated Cancer Centre - Phase 2||July 2014||15,102||20,412||12,378||7,278||19,656|
|Adult Secure Mental Health Unit (Finalising Design)||April 2015||2,000||2,000||0||512||512|
|Staging and Decanting - Moving To Our Future||June 2016||22,300||22,300||247||4,506||4,753|
|Staging, Decanting and Continuity of Services||June 2016||19,430||19,430||5,580||4,944||10,524|
|Clinical Services Redevelopment - Phase 3||June 2016||25,700||18,690||2,040||5,685||7,725|
|Northside Hospital Specification and Documentation||July 2015||4,000||4,000||882||986||1,868|
|Aboriginal Torres Strait Islander Residential Alcohol and Other Drug Rehabilitation Facility||June 2016||6,883||8,933||2,166||77||2,243|
|Linear Accelerator Procurement and Replacement||August 2014||18,700||17,250||16,517||6||16,523|
|Health Infrastructure Program - Project Management||October 2014||19,319||19,319||4,225||11,265||15,490|
|Clinical Services Redevelopment - Phase 2||October 2014||15,000||8,850||7,781||212||7,993|
|HIP Change Management and Communication Support||December 2014||4,117||4,117||3,022||732||3,754|
|Mental Health Young Persons Unit||On Hold||775||775||121||0||121|
|Provision for Project Definition Planning||June 2015||63,800||58,040||55,490||1,082||56,572|
|Major Building Plant Replacement and Upgrade||December 2014||5,292||5,292||1,230||1,992||3,222|
|An E-Healthy Future||March 2016||90,185||90,185||46,814||7,501||54,315|
|Digital Mammography||November 2014||5,715||5,715||5,368||-288||5,080|
|Neonatal Intensive Care Unit - Video Streaming Services||September 2014||200||200||108||18||126|
|Projects - Physically complete but financially incomplete|
|Belconnen and Tuggeranong Walk-in Centres||June 2014||951||951||n/a||951||951|
|Fire/Safety/Security Upgrades to address outcomes of Fire reports, Improve Access Control to Plant Rooms, Upgrade Flooring and Other Works||June 2014||352||352||313||24||337|
|Mechanical Systems Upgrades to Building Plant and Equipment at the Canberra Hospital and other Health Facilities||December 2013||580||580||563||0||563|
|New Multistorey Car Park TCH||June 2011||29,000||42,720||41,978||218||42,196|
|Enhanced Community Centre Back Up Power||March 2014||3,540||2,340||250||1,092||1,342|
|Tuggeranong Health Centre - Stage 2||March 2014||14,000||14,000||1,424||12,249||13,673|
|National Health Reform||September 2013||15,098||10,088||8,732||1,329||10,061|
|Enhanced Community Health Centre - Belconnen||September 2013||51,344||51,344||39,025||11,544||50,569|
|Women and Childrenâ€™s Hospital*||November 2013||90,000||111,997*||103,235||8,762||111,997|
|New Gungahlin Health Centre||August 2012||18,000||18,000||17,426||114||17,540|
|Adult Acute Mental Health Inpatient Unit||March 2012||23,630||28,480||28,272||208||28,480|
|Identity and Access Management||June 2014||3,100||3,100||2,544||486||3,030|
|Completed Projects - physically and financially complete|
|Facilities Improvements to Patient Accommodation at the Canberra Hospital||December 2013||620||620||268||352||620|
|Central Sterilising Services||June 2014||17,270||275||255||16||271|
|Adult Secure Mental Health Unit (Forward Design)||June 2014||1,200||1,200||755||445||1,200|
|Integrated Capital Region Cancer Centre - Phase 1||June 2014||27,900||29,652||29,230||422||29,652|
|Refurbishment of Health Centre - Tuggeranong||March 2014||5,000||5,000||5,000||0||5,000|
Capital works table-Territorial
|Capital Upgrade Program Services|
|Building Management System Upgrade||July 2014||100||100||n/a||90||90|
|Fire Safety System Upgrade||December 2014||200||200||n/a||80||80|
|Installation of a Primary-Secondary Loop for the Environmental Cooling System to meet the needs of a Growing Hospital and Reduce Energy Costs||September 2014||200||200||0||48||48|
|Residential Accommodation Refurbishment - Calvary||December 2014||310||310||79||69||148|
|Completed Projects - physically and financially complete|
|Continuity of Health Services Plan - Essential Infrastructure||June 2014||3,850||3,850||n/a||3,850||3,850|
|Liquid Oxygen Vessel Upgrade||November 2013||15||15||n/a||15||15|
|Environmental Improvements to Cooling System||June 2014||300||300||n/a||300||300|
|Xavier Building Floor Replacement||May 2014||150||150||n/a||150||150|
|Improvements to Patient Safety - Expansion of Reticulated Suction System||February 2014||50||50||0||50||50|
|Improvements to Keaney Environmental Cooling System which will provide redundancy||February 2014||296||296||0||296||296|
|Installation of a Service Column in the Intensive Care Unit to Provide Reticulated Gas, Power and Data to a Cardiac Procedure Room||June 2013||80||80||39||41||80|
|Fire Safety Upgrades - Calvary||September 2012||300||300||224||76||300|
Reconciliation schedule-capital works and capital injection
|Approved Capital Works Program financing to capital injection as per cash flow statement|
|Original $'000||Section 16B
|ICT Capital Injections||18,338||-1,592||0||-5,926||-3,306||7,514|
|Other Capital Injections||8,066||7,630||234||-5,026||-2,294||8,610|