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November 2007
NSW Health Infrastructure
A New Approach for Delivering the Major
Projects ProgramRobert Rust
Chief Executive Health Infrastructure
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Health Infrastructure – A New Approach
Overview of Health Capital Works Delivery
A New Approach
– Establishment of Health Infrastructure
– Organisational Delivery Structure
– Project Delivery Structure
– Current Progress
– Universal project objectives
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Auburn Health Services Redevelopment $45.2M
Bathurst Hospital Redevelopment $32.6M
Central Coast Access Plan (Gosford & Wyong) $12.3M
Central Sydney Area Resource Transition Program $23.0M
Liverpool Hospital Redevelopment (Stage 2) $22.5M
Nepean Hospital Allied Health Relocation $3.9M
Newcastle Strategy (JHH, Belmont, NCHC, Mater) $24.3M
Orange Hospital Redevelopment $12.2M
Queanbeyan Hospital Redevelopment $17.6M Redfern/Waterloo Community Health $3.6M Royal North Shore Hospital Redevelopment $37.3M Tweed Heads Hospital Clinical Education & Research $3.0M Western Sydney Strategy $18.4M
2007/08 Allocations - Major Works in Progress
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2007/08 - Works in Planning
Forward Asset Acquisition Program (AAP) Griffith Non-Acute Mental Health
Hornsby Hospital Adult Acute Unit
Hornsby Hospital Child & Adolescent Unit
POW Hospital PECC & PICU
Rural Hospitals & Health Services (Phase 4)
Bega Valley Health Service
Lachlan Valley Health Service (Forbes/Parkes)
Nepean Hospital Redevelopment (Stage 3)
Tamworth Hospital Redevelopment
Wagga Wagga Hospital Redevelopment
Narrabri Hospital Redevelopment
Northern Beaches Hospital
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Key Issues
Considerable pressure on the Asset Acquisition Program
– Number of large scale projects commencing construction resulting in significant cashflow requirements
– Building Cost Escalation
– Nationwide boom in Health capital development leading to issues with industry capacity and capability (eg Margorie Jackson-Nelson Hospital PPP, Adelaide - $1.7 billion)
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Health Infrastructure Board established 1 July 2007
Responsible for management of Health Infrastructure, and has absorbed former Major Projects Office
Objective is to develop:
- An improved asset management approach
- Better planning and project delivery
- A single interface with contractors on behalf of Health
Health Infrastructure
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Establishment of Health Infrastructure
Focus will be:
Establishing delivery relationship with Area clients and private sector project delivery industry
Planning and delivery management for major projects over $10m
Budget holder for major projects
Management of health facility planning standards and tools
Compliance and performance reporting on project delivery
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Organisational Delivery Structure
New Roles & Accountabilities – a partnership model– Health Infrastructure: centre of excellence and expertise on
capital works delivery
– Area Health Service: service accountabilities, planning input and site management
– DOH Asset & Contract Services: strategic asset management, reporting, oversight of capital program
Support Groups
– Statewide Services Development Branch (DOH)
– NSW Treasury
– Department of Commerce
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Project Delivery Structure
Contract methods– PPP’s
– Design & Construct (and Maintain)
– Managing Contractor
– Partnership Contracts
Contractual parties – Health Administration Corporation as the Principal
Performance Management – Strengthened role in respect of consultants and contractors
Relationships – strengthened role with client areas and private sector
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Current Progress
Currently Underway: Forensic Hospital Long Bay & Mater Newcastle
Proponent Selection: RNSH & Bathurst/Orange
Detailed Investigation: Wagga, Bega & Northern Beaches
The NSW Government will be spending more than $3 billion over the next 5 years, building and refurbishing public hospital facilities
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Universal Project Objectives
New models of service delivery that encourage more efficient work practices, and impact positively on human resource utilisation
New technologies that increase the quality of care
Cost efficiencies through design including consideration of whole of life costs when selecting plant and equipment
Future flexibility / adaptability and a ‘future-proofed’ new facilities
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Questions
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