Centenary Hospital for Women and Children Expansion

Stakeholder Briefing

Canberra Health Services - vision, role and values

Our visionCreating exceptional healthcare together

Our roleTo be a health service that is trusted by our community

Our valuesReliable, Progressive, Respectful, Kind

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Centenary Hospital for Women and Children

The hospital is located on the Canberra Hospital campus and offers a range of

services for women, children and families:

� Children and Youth

� Newborn Care

� Maternity

� Women’s Health

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CHWC location and floorplan

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Background

The purpose of the project is to:

� Meet the projected service demands of the ACT and Southern NSW

� Improve clinical and operational outcomes

� Improve operational efficiencies

� Align the CHWC with the Territory-wide Health Services Redesign

� Embed a culture of teaching, training and research into the delivery of

clinical services

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We know current demand is growing

• Over 6,200 babies born in the ACT across multiple settings (public,

private and home-birth)

• In 2018, approximately 65% of public hospital births in the ACT were

at CHWC

• Population growth expected between 2018 and 2039 = 153,800

• Activity data shows significant increase in births over last ten years

• Growing demand for adolescent mental health inpatient services

• Patient needs are more complex due to changing demographics and

higher risk profiles

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Distributed Model of Care for the ACT

Delivering the right care, in the right place, at the right time by the right people

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Improved staff and patient outcomes

• New high quality and accessible health services – the project

increases the volume, range and quality of services offers

• Improvements to service delivery – creating a critical mass of

acute and tertiary services to allow health care professionals to

develop and maintain specialist care skills

• Improvements to patient experience – better co-location of more

services leads to better patient experience

• Improved staff training and education – modern teaching, training

and research facilities fully integrated with clinical care

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Clinical Engagement and Project Governance

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� Concept Design (Completed)

– Clinical Engagement – Prior to Concept Design

– Executive Review – Prior to Concept Design

– Clinical Engagement – During Concept Design

� Proof of Concept (Completed)

� Ongoing input and next stages of design

– Models of Care

– Design User Groups (Incl. clinical representation)

– Communications and stakeholder engagement

– Construction and Project Management

Expansion of Women, Youth and Children Services

Expanded CHWC services to be delivered

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Expansion of Adolescent Mental Health Services

Project Scope

CHWC Project ScopeFunctional Area Capital Solution

Beds / Spaces

Existing Project Growth Total

Adolescent Gynaecology Procedure Room (AdGPR)

A new dedicated procedure room in CHWC 0 1 1 1

Paediatric High Care Unit (PHCU) Improvements

Refurb of the existing 12 bed PHCU in CHWC 12 12 0 12

Postnatal Beds Refurb area for 15 postnatal beds * 15 15 15 30

Special Care Nursery (SCN) / NICU Beds

An additional 6 SCN Beds and 2 Rooming-in Rooms (RIRs) (part of SCN) in CHWC

36 (+2 RIRs)

6(+2 RIRs)

6(+2 RIRs)

42 (+4 RIRs)

Adolescent Mental Health Services

6 dedicated AdMHU beds (with 2 beds – up to 8) and new Day Service. AdMHU integrated with adolescent medical ward (12 to 14 beds overall) **

0 6-8 6-8 6-8

Maternity Assessment Unit (MAU) Relocation

Relocation of the MAU with an additional 4 spaces (as a result of AdGPR)

4 4 4 8

Expanded Family Support and CHWC Education

An expanded neonatology family support/admin area and new education precinct within CHWC

N/A N/A N/A N/A

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• Pending further discussions with RMH about relocation options;

** Note: The current 12 bed adolescent medical ward has 2 of its 12 beds allocated for adolescent patients with mental health conditions (not specialised mental health beds).

CHWC Expansion Project in a Snapshot

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[NEW BUILD]

Adolescent

Mental Health

Unit [+6-8 Beds]

and Day Service

Postnatal Beds

[+15 Beds]

Special Care

Nursery Beds

[+6 Beds / +2 RIRs]

High Care Ward

Improvements

[Refurb of existing]

[NEW BUILD]

Expanded Family

Support & Edu Space

• (due to SCN Beds,

MAU and AGPR)

‘BLOCK E’ Elements:

• Adolescent

Gynaecology

Procedure Room

• Maternity

Assessment Unit

[+4 spaces/beds]

RIRs – Rooming-in Rooms

Staging/Decanting

Modular building in

Courtyard

Staging/Decanting

Surge ward in Block F

Project Delivery Program

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Note 1

Key Deliverables Completion

Project Approval Apr 2019

Preliminary Sketch Plan Design Dec 2019

Development Application Approval (Package 1 and Package 3) Mar 2020

Package 1 - Expanded Special Care Nursery Beds and Neonatology

- Expanded Maternity Assessment Unit and Relocation

- New Adolescent Gynaecology Procedure Room, and

- Support Services (Neonatology Family Support and Expanded Education Facilities)

Jun 2022

Package 2 - Improvements to Paediatric High Care Unit

Apr 2020

Package 3 - Adolescent Mental Health Unit and Day Service

- Expand Postnatal Ward

Jan 2022

Project Completion Jun 2022

Package 1Expanded Special Care Nursery Beds and NeonatologyExpanded Maternity Assessment Unit and RelocationNew Adolescent Gynaecology Procedure Room, and Support Services (Neonatology Family Support and Expanded Education Facilities)

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Centenary Hospital for Women and Children – Level 3 (Block E)

NEW BUILD – Level 3,

(Block F)

PACKAGE 1 – Maternity Assessment Unit

PACKAGE 1 – Adolescent Gynaecological Procedure Unit

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Centenary Hospital for Women and Children – Level 2 (Block E)

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PACKAGE 1 – Neonatology Unit

Centenary Hospital for Women and Children – Level 3

Package 2Refurbish PHCU (line of sight upgrade)

PACKAGE 2 – Paediatric High Care Unit Refurbishment

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Centenary Hospital for Women and Children – Level 1 (Block C)

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PACKAGE 2 – Decanting for Paediatric High Care Unit

Centenary Hospital for Women and Children – Level 1 (Block F)

Package 3New Adolescent Mental Health Unit and Day ServiceNew Postnatal Ward

PACKAGE 3 – Adolescent Mental Health Unit

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Level 1 – Inpatient Unit (Entry Level)Level 0 – Day Service

PACKAGE 3 – Additional 15 Bed Postnatal Unit

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Centenary Hospital for Women and Children – Level 2 (Block A)

Next Steps for the Project

� Procurement of Principal Consultant

Commencement of Preliminary Sketch Plan Designs – August 2019

� Procurement of a Head Contractor for Early Works

Relocation of Paediatric High Care Ward to Paediatric Overflow Ward

Commencement of Paediatric High Care Ward Refurbishment – October 2019

� Submission of a Development Approval – March 2020

� Completion of Early Works package

Paediatric High Care Ward Refurbishment – April 2020

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Thank you