C.3 - Capital Works

Introduction/overview

Capital works in ACT Health occur under the leadership of the Health Planning and Infrastructure (HPI) Group.

HPI is responsible for delivering the:

  • HIP, which is a significant investment in future health services for the ACT community and surrounding region
  • Strategic Accommodation and the Capital Upgrades Program (CUP).

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. 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 seventh year of the HIP.

The CUP is funded annually. It aims to maintain and improve the existing infrastructure supporting the directorate. Work priorities are determined for 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.

Completed projects

Projects completed in 2014–15 under the HIP were as follows:

  • Canberra Region Cancer Centre (CRCC): Officially opened on 6 August 2014, with clinical services commencing on 18 August 2014.
  • Staging and Decanting: Building 1 Level 5, Canberra Hospital refurbishment works were completed and handed over to ACT Health on 28 July 2014. Operations commenced on 2 September 2014 with the relocation of the Orthopaedic Ward 11B from Building 3 Level 2.
  • Calvary Hospital—15 additional beds: A Territory Grant provided for an additional 15 beds at Calvary Hospital. The beds opened in March 2015.
  • Continuity of Services Essential Infrastructure (COSEI): Upgrading external signage at Canberra Hospital.
  • Upgrading Southern Generator on Canberra Hospital campus: Completed March 2015.
  • Upgrading kitchen switchboards at Canberra Hospital: Completed June 2015.

Works in progress

Works in progress under the HIP at 30 June 2015 are:

  • Refurbishment of Building 1, Level 4 at Canberra Hospital (part of staging and decanting): Converting the former paediatric ward into an aged care unit and rehabilitation ward to allow for the decanting of wards 11A and 11B from Building 3 to Building 1. This is programmed for completion in November 2015, and operational in February 2016.
  • Emergency Department and Paediatric Streaming Expansion: This project will deliver an additional:
    • nine acute beds for patients with severe conditions
    • three beds or cubicles for patients with less severe problems
    • three beds in the Emergency Medical Unit, which provides care for short-term patients
    • two paediatric treatment spaces
    • two resuscitation bays
    • new Mental Health Assessment Unit (MHAU) with two more beds
    • three ambulance bays
    • dedicated treatment space for Clinical Forensic Medicine.
  • This will take the total of the number of treatment areas in the Emergency Department from 54 to 75. Works commenced on 4 May 2015 and will not interfere with the day-to-day operations of the Emergency Department. The work is scheduled to be completed in late 2016. The project is co-funded with a contribution from the Commonwealth Government.
  • Calvary car park: The new Calvary car park will provide 704 parking spaces in a structured car park over five levels. This will result in a net increase of approximately 515 spaces on the Calvary Hospital campus. The Head Contractor, ADCO Pty Ltd, was appointed in September 2014. Construction commenced in September 2014 and is due to be completed in late 2015.
  • Staging and Decanting (S&D) Bundle Package at Canberra Hospital: This project is funded through three appropriations:
    • S&D –Moving to our Future (Phase 2)
    • S&D – Continuity of Service (Phase 1)
    • Canberra Hospital Redevelopment (Phase 3).

A number of sub projects are progressing concurrently, including:

  • Building 1 Level 4: Design activities completed with asbestos-containing materials removed and early construction commence.
  • Building 1, Level 8: Design works placed on hold pending decision of Budget Cabinet for funding of eight additional beds.
  • Building 1 Levels 9 and 10: Completed design activities.
  • Design works: Completed to allow office areas to relocate staff from Building 3, including Level 2 Building 23, and Building 20.
  • Head Contractor selection: A Head Contractor was selected in May 2014 to plan, design, construct, commission and relocate all functions, to enable the complete decanting of Building 3 by 30 June 2016. To accommodate clinical and office space, the old Psychiatric Services Unit (Building 15) has been demolished. A new modular building has been designed and is under construction. The demolition of the old Building 15 was completed in December 2014. Construction activities for the new building commenced in February 2015, with the new Building 15 due for completion in September 2015.
  • Adult Secure Mental Health Unit (SMHU): Richard Crookes Constructions was appointed as Head Contractor to complete the Final Sketch Plan (FSP) design and construction of the 25-bed facility. FSP was completed in May 2015. Early site works have commenced, with main construction works of the facility programmed to commence in July 2015.
  • University of Canberra Public Hospital (UCPH): This will provide 140 inpatient beds and 75 day places. Key services will include:
    • general and adult mental health rehabilitation and identified aged care services provided in inpatient units
    • admitted day services
    • outpatient services.
  • The reference design, on which public consultation was sought, reflects the Preliminary Sketch Plan (PSP), which is used to inform the current tender process for the Head Contractor. Car parking for the UCPH site is currently subject to Budget Cabinet consideration.
  • Ngunnawal Bush Healing Farm (NBHF): The project met some significant milestones in 2014–15:
    • The Development Application was ‘called in’, with conditions, by the Minister for Planning on 5 October 2014.
    • Bridge strengthening works were completed in January 2015.
    • A traditional smoking ceremony was held at ‘Miowera’, site of the NBHF, in March 2015.
    • St Hilliers Pty Ltd was awarded the contract for site remediation and construction in April 2015.
    • Site remediation works commenced in May 2015 and as at 30 June 2015, are ongoing with construction programmed to commence in July 2015 for completion in late 2016.
  • Canberra Hospital — Continuity of Services Essential Infrastructure (COSEI): Stage 1, design of the main works package and the lump-sum delivery of a fire booster works package, was completed in July 2014. The external signage and wayfinding package was completed in early 2015. Internal signage and wayfinding will be updated and installed in late 2015. Stage 2 includes constructing, upgrading and/or enhancing a range of in-ground engineering services works package, including completing ring mains infrastructure works undertaken in recent years. This will enable development on the southern and northern ends of the Canberra Hospital campus. Stage 2 is programmed to commence in August 2015.
  • Canberra Hospital Essential Works – Infrastructure and Engineering: The project will upgrade lifts, fire, mechanical and electrical services across a number of Canberra Hospital buildings. The proposed works will address compliance and replacement requirements for plant and equipment within the hospital.

Capital works tables

Table 52 shows the ACT Health Capital Works table.

Table 52: ACT Health Capital Works

Project

Proposed or actual completion date

Original project value

$’000

Revised project value

$’000

Prior year expenditure

$’000

Current year (2014-15) expenditure

$’000

Total expenditure to date

$’000

New Works

Calvary Public Hospital – Car park

Feb-16

16,872

16,872

0

6,077

6,077

Health Infrastructure Program – Project Management continuation

Jun-17

27,706

27,706

0

8,258

8,258

Secure Mental Health Unit

Sep-16

43,491

43,491

0

1,941

1,941

Canberra Hospital – Essential Infrastructure and Engineering Works

Feb-17

5,640

5,640

0

66

66

Canberra Hospital Redevelopment

Jun-16

21,241

21,241

0

0

0

Capital Upgrade Program Services

Building Upgrades

Oct-15

710

710

0

341

341

Electrical/Fire/Safety Upgrades

Oct-15

700

700

0

312

312

Mechanical System Upgrades

Aug-15

715

715

0

196

196

Patient and medical Facility Upgrades

Sep-15

692

692

0

455

455

Upgrade of Medical and Administrative Offices

Sep-15

530

530

0

79

79

Workplace Improvements

Sep-15

595

595

0

230

230

Building Upgrades

Oct-15

705

705

183

274

457

Medical Facilities Upgrades

Nov-15

660

660

298

86

384

Facilities Improvements to Laboratory and Outpatients Area

Aug-15

890

890

10

379

389

Heating, Ventilation and Air Conditioning System Upgrades

Aug-15

375

375

86

171

257

Upgrade of Medical and Administrative Offices

Aug-15

646

646

163

275

438

Building Upgrades to address condition report findings including works to bathrooms, plumbing and other works

Aug-15

580

580

424

121

545

Works in Progress

University of Canberra Public Hospital (Design)

Jun-16

8,252

8,252

13

601

614

Continuity of Health Services Plan – Essential Infrastructure (less previously completed Territorial works)

Jul-16

16,517

16,517

234

2,120

2,354

Clinical Services and Inpatient Unit Design and Infrastructure Expansion

Sep-16

40,780

40,780

752

4,526

5,278

Staging and Decanting – Moving to our Future

Jul-16

22,300

20,880

4,753

8,370

13,123

Staging, Decanting and Continuity of Services

Jun-16

19,430

18,430

10,524

6,358

16,882

Clinical Services Redevelopment – Phase 3

Jun-16

25,700

17,790

7,725

1,183

8,908

Aboriginal Torres Strait Islander Residential Alcohol and other Drug Rehabilitation Facility

Jun-16

6,883

11,731

2,243

5

2,248

Clinical Services Redevelopment – Phase 2

Jan-16

15,000

8,850

7,993

20

8,013

Provision for Project Definition Planning

Jan-16

63,800

58,040

56,572

558

57,130

Major Building Plant Replacement and Upgrade

Mar-16

5,292

5,292

3,222

322

3,544

An E-Healthy Future

Dec-16

90,185

90,185

54,315

7,857

62,172

Identity and Access Management

Jan-15

3,100

2,540

3,030

-490

2,540

Physically but not financially completed

Integrated Cancer Centre – Phase 2

Jul-14

15,102

20,412

19,656

675

20,331

Tuggeranong Health Centre – Stage 2

Mar-14

14,000

14,000

13,673

198

13,871

Enhanced Community Health Centre – Belconnen

Sep-13

51,344

51,344

50,569

666

51,235

Women and Children’s Hospital

Nov-13

90,000

113,517*

111,997

1,466

113,463

Electrical/Fire/Safety Upgrades

Jun-15

570

570

435

113

548

Replacement of CT Scanner at the Canberra Hospital

Sep-13

2,893

2,893

2,455

50

2,505

Completed Projects – physically and financially complete

Calvary Hospital Car Park (Design)

Dec-14

1,300

1,300

431

869

1,300

Belconnen and Tuggeranong Walk-in Centres

Jun-14

951

951

951

-10

941

Adult Secure Mental Health Unit (Finalising Design)

Jun-15

2,000

2,000

512

1,488

2,000

Health Infrastructure Program – Project Management

Oct-14

19,319

19,319

15,490

3,829

19,319

Enhanced Community Centre Back up Power

Mar-14

3,540

1,342

1,342

0

1,342

Linear Accelerator Procurement and Replacement

Mar-15

18,700

17,250

16,523

727

17,250

HIP Change Management and Communication Support

Dec-14

4,117

4,117

3,754

325

4,079

Northside Hospital Specification and Documentation

Jun-15

4,000

4,000

1,868

2,132

4,000

National Health Reform

Sep-13

15,098

10,088

10,061

27

10,088

Mental Health Young Persons Unit

N/A

775

142

121

21

142

Adult Acute Mental Health Inpatient Unit

Mar-12

23,630

28,480

28,480

0

28,480

New Gungahlin Health Centre

Aug-12

18,000

17,540

17,540

0

17,540

New Multistorey Car Park TCH

Jun-11

29,000

42,720

42,196

524

42,720

Fire/Safety/Security Upgrades to address outcomes of fire reports, improve access control to plant rooms, upgrade flooring and other works

Jun-14

352

352

337

15

352

Mechanical Systems Upgrades to Building Plant and Equipment at the Canberra Hospital and other Health Facilities

Dec-13

580

580

563

17

580

Ambulatory Care Improvements at the Canberra Hospital including the Respiratory Medicine and Gastroenterology Areas

Oct-14

680

680

541

139

680

Augmentation of Medical and Administrative Offices to meet Organisational Change and Growth

Jun-15

420

420

291

129

420

Clinical Equipment for Calvary Hospital

Jun-15

3,500

3,500

3,341

159

3,500

Mobile Dental Clinic

Jun-15

600

575

91

484

575

Digital Mammography

Dec-14

5,715

5,715

5,080

635

5,715

Neonatal Intensive Care Unit - Video Streaming Services

Jun-15

200

200

126

74

200

 * Revised project value includes $937,000 in donation revenue from external sources.

Table 53 shows the Territorial Capital Works table.

Table 53: Capital Works Table - Territorial

Project

Proposed or actual completion date

Original project value

$’000

Revised project value

$’000

Prior year expenditure

$’000

Current year (2014-15) expenditure

$’000

Total expenditure to date

$’000

New Works

Calvary Public Hospital – Car park (Grant component)

Nov-15

2,208

2,208

0

431

431

The Canberra Hospital Redevelopment (Grant component)

Dec-15

3,022

3,022

0

151

151

Capital Upgrade Program Services

Fire Safety System Upgrade

Jul-15

200

200

80

94

174

Physically but not financially completed

Calvary Public Hospital – Refurbishments for more beds (Grant component)

Jul-15

1,605

1,605

0

1,144

1,144

Completed Projects – physically and financially complete

Floor Finishes Phase 2

Jun-15

200

200

0

200

200

Primary/Secondary Loop Phase 2

Jun-15

395

395

0

395

395

Public toilet Upgrade

Jun-15

189

189

0

189

189

Building Management System Upgrade

Jul-14

100

100

90

10

100

Installation of a Primary-Secondary Loop for the Environmental Cooling System to meet the needs of a Growing Hospital and Reduce Energy Costs

Feb-15

200

200

48

152

200

Residential Accommodation Refurbishment – Calvary

Aug-14

310

148

148

0

148

Reconciliation schedule

Table 54 shows the ACT Health Reconciliation schedule, capital works and capital injection.

Table 54: ACT Health Reconciliation schedule – capital works and capital injection

Approved Capital Works Program financing to capital injection as per cash flow statement

 

Original $’000

Section 16B $’000

Variation $’000

Deferred $’000

Not drawn $’000

Total

$’000

Capital Works

104,783

10,086

-1,093

-58,758

-1,061

53,957

ICT Capital Injections

18,500

3,305

0

-8,000

-1,853

11,952

Other Capital Injections

8,968

2,060

0

-894

-2,002

8,132

Total Departmental

132,251

15,451

-1,093

-67,652

-4,916

74,041

Total Territorial

7,619

0

-162

273

500

6,684