C.3 Capital works

Introduction/overview

Capital works in ACT Health occur under the leadership of the Health Planning and Infrastructure Group. The group is responsible for delivering the:

  • Health Infrastructure Program, which is a significant investment in future health services for the ACT community and surrounding region
  • Strategic Accommodation
  • the Capital Upgrades Program. The Health Infrastructure Program, a major capital infrastructure program, responds to a complex mix of:
  • population growth and ageing
  • changing technology
  • changing provider and consumer expectations.

These factors 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 Health Infrastructure Program is a planned, comprehensive and structured response to these pressures. Underpinned by future health services demand projections, the Health Infrastructure Program encompasses reviewing 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 eighth year of the Health Infrastructure Program.

The Capital Upgrades Program is funded annually. It aims to maintain and improve the existing infrastructure supporting the directorate. Work priorities are 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.

Completed projects

Two projects were completed under the Health Infrastructure Program in 2015–16:

  • Calvary Car Park
  • Staging and Decanting (S&D) Bundle Package at Canberra Hospital.

Calvary Car Park opened on 18 December 2015. The car park provides 704 parking spaces over five levels, resulting in a net increase of approximately 515 spaces. The S&D Bundle Package at Canberra Hospital 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 now complete, including:

  • Refurbishing Building 1, Level 4 at Canberra Hospital: converting the former paediatric ward into an aged care unit and rehabilitation ward. Works were completed and handed over to ACT Health in January 2016. • Building 1, Level 8: design works were completed in May 2016.
  • Building 23 Level 2 and Building 6 Level 2: the fit outs were completed in October 2015.
  • Building 15: replacing the old Psychiatric Service Unit with a new demountable building for outpatient services. This was completed in October 2015.

Works in progress

Works in progress under the Health Infrastructure Program at 30 June 2016 are:

  • the Emergency Department and Paediatric Streaming Expansion project
  • the Adult Secure Mental Health Unit
  • University of Canberra Public Hospital (UCPH)
  • Ngunnawal Bush Healing Farm
  • The Canberra Hospital—Continuity of Services Essential Infrastructure (COSEI)
  • Canberra Hospital Essential Works – Infrastructure and Engineering (CHEWIE).

Emergency Department and Paediatric Streaming Expansion

The Emergency Department and Paediatric Streaming Expansion project will deliver:

  • nine more acute treatment spaces for patients with severe conditions
  • three more treatment spaces for patients with less severe problems
  • three more treatment spaces in the Emergency Medicine Unit (EMU), which provides care for short-term patients
  • two more paediatric treatment spaces
  • two more resuscitation treatment spaces
  • a new Mental HealthShort Stay Unit with two more treatment spaces and three additional ambulance bays
  • a dedicated treatment space for Clinical Forensic Medicine Service.

Works commenced on 4 May 2015 and will not interfere with the day-to-day operations of the Emergency Deparment. The work is scheduled to be completed in late 2016.

The project is co-funded with a contribution from the Commonwealth Government.

Secure Mental Health Unit

Richard Crookes Constructions is the appointed Head Contractor to complete the Final Sketch Plan (FSP) design and construction of the 25-bed Secure Mental Health Unit.

Main construction works commenced in July 2015 and will be completed in late 2016.

University of Canberra Public Hospital

The University of Canberra Public Hospital (UCPH) will provide 140 inpatient beds and 75 day places. Key services will include providing:

  • a neurological rehabilitation ward
  • a general rehabilitation ward
  • an older person’s rehabilitation ward
  • a slow stream rehabilitation ward
  • adult mental health rehabilitation
  • admitted day services.

On 20 November 2015, following a procurement process, the Design &Construct Contractand the Facility Management Contract for the project was announced. Brookfield Multiplex will design and construct the hospital, and Brookfield Global Integrated Solutions will provide ongoing facility maintenance.

Construction commencement was marked on 8 February 2016 by a sod turning ceremony and traditional smoking ceremony to cleanse the land.

The 100 per cent FSP design was completed and approved by the Health Infrastructure Program Strategic Committee in May 2016.

Ngunnawal Bush Healing Farm

Early works on the Ngunnawal Bush Healing Farm commenced in June 2015. Construction will be completed in the second half of 2016.

The Canberra Hospital—Continuity of Services Essential Infrastructure

Stage two of the Canberra Hospital—Continuity of Services Essential Infrastructure (COSEI) Project relates to Canberra Hospital’s in-ground services and forms the main stage of the works package. The project commenced on 3 August 2015, with the full program scheduled for completion by end 2016.

The following activities were completed:

  • On 29 February 2016, Hospital Road was opened to one-way traffic, flowing from Bateson Road to Gilmore Crescent.
  • Internal signage works were undertaken in the Centenary Hospital for Women and Children (CHWC), Building 10, the Southern Car Park and will be completed in late 2016.

COSEI works include extending the covered walkway along Hospital Road connecting to the Building 15 through to the multi-storey car park. This work will be undertaken when all Hospital Road works are completed in 2016.

Canberra Hospital Essential Works—Infrastructure and Engineering Shaw Building Group was appointed as the Head Contractor for this project in July 2015. Works completed to date include:

  • replacing fan coils in Building 1 Level 2
  • ordering new lifts, which are now being manufactured. Works underway and due for completion in 2017 include:
  • mechanical upgrade of fan coil units in Building 1, Levels 1, 2, 8, 9 and 10
  • replacing and upgrading fire detection systems in Building 1 and Building 10
  • modernising three public lifts in Building 1
  • replacing a lift in Building 5
  • upgrading lift controls in Buildings 5 and 7.

Capital Works Table – Health Directorate

Table 51: ACT Health Capital Works

Project

Proposed or Actual completion date

Original project value

$’000

Revised project value

$’000

Prior year expenditure

$’000

Current year (2015‑16) expenditure

$’000

Total expenditure to date

$’000

New Works

Canberra Hospital – More beds

Jun-18

2,475

2,475

0

0

0

Critical Hospital Infrastructure Systems - Enhancing patient and staff safety

Jun-17

1,646

1,646

0

303

303

Sterilising Services - Relocation and upgrade

Jun-19

17,290

17,290

0

32

32

Capital Upgrade Program Services

Building upgrades

Apr-17

2,180

2,180

0

1,046

1,046

Electrical, fire and safety upgrades

Dec-16

938

938

0

767

767

Mechanical and services infrastructure

Dec-16

923

923

0

456

456

Works in Progress

University of Canberra Public Hospital (construction)

Mar-18

200,000

200,000

13,591

13,591

13,591

Canberra Hospital Redevelopment

Jun-18

21,241

21,241

0

13,087

13,087

Canberra Hospital – Essential Infrastructure and Engineering Works

Jul-17

5,640

5,640

66

526

592

Secure Mental Health Unit

Sep-16

43,491

43,491

1,941

27,440

29,381

Health Infrastructure Program – Project Management continuation

Mar-17

27,706

27,706

8,258

10,756

19,014

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

Dec-17

16,517

16,517

2,354

8,641

10,995

Clinical Services and Inpatient Unit Design and Infrastructure Expansion

Nov-16

40,780

28,880

5,278

15,725

21,003

Staging and Decanting – Moving to our Future

Aug-16

22,300

20,880

13,123

7,402

20,525

Staging, Decanting and Continuity of Services

Jun-18

19,430

18,430

16,882

-11

16,871

Clinical Services Redevelopment – Phase 3

Jun-17

25,700

17,790

8,908

2,466

11,374

Aboriginal Torres Strait Islander Residential Alcohol and other Drug Rehabilitation Facility

Aug-16

6,883

11,731

2,248

6,342

8,590

Clinical Services Redevelopment – Phase 2

Jun-17

15,000

8,850

8,013

235

8,248

Provision for Project Definition Planning

Jun-17

63,800

58,040

57,130

-28

57,102

Major Building Plant Replacement and Upgrade

Apr-17

5,292

5,292

3,544

1,143

4,687

An E-Healthy Future

Jun-18

90,185

90,185

62,172

9,428

71,600

Physically but not financially completed

Calvary Public Hospital – Car park

Dec-15

16,872

16,872

6,077

8,275

14,352

Integrated Cancer Centre – Phase 2

Jul-14

15,102

20,412

20,331

55

20,386

Replacement of CT Scanner at the Canberra Hospital

Sep-13

2,893

2,893

2,505

4

2,509

Completed Projects – physically and financially complete

University of Canberra Public Hospital (Design)

Jun-16

8,252

8,252

614

7,638

8,252

Identity and Access Management

Jan-15

3,100

2,540

2,540

92

2,632

Tuggeranong Health Centre – Stage 2

Mar-14

14,000

14,000

13,871

12

13,883

Enhanced Community Health Centre – Belconnen

Sep-13

51,344

51,344

51,235

81

51,316

Electrical/Fire/Safety Upgrades

Jun-15

570

570

548

22

570

Women and Children’s Hospital

Nov-13

90,000

113,517*

113,463

48

113,511

Building Upgrades

Oct-15

710

710

341

369

710

Electrical/Fire/Safety Upgrades

Oct-15

700

700

312

388

700

Mechanical System Upgrades

Aug-15

715

715

196

519

715

Patient and medical Facility Upgrades

Sep-15

692

692

455

237

692

Upgrade of Medical and Administrative Offices

Sep-15

530

530

79

451

530

Workplace Improvements

Sep-15

595

595

230

365

595

Building Upgrades

Oct-15

705

705

457

248

705

Medical Facilities Upgrades

Nov-15

660

660

384

286

670

Facilities Improvements to Laboratory and Outpatients Area

Aug-15

890

890

389

500

889

Heating, Ventilation and Air Conditioning System Upgrades

Aug-15

375

375

257

118

375

Upgrade of Medical and Administrative Offices

Aug-15

646

646

438

208

646

Capital Works Table – Territorial

Table 52: Territorial Capital Works

Project

Proposed or Actual completion date

Original project value

$’000

Revised project value

$’000

Prior year expenditure $’000

Current year (2015‑16) expenditure

$’000

Total expenditure to date

$’000

New Works

Calvary Public Hospital - Expanded hospital services

Jun-17

3,079

3,079

0

141

141

Calvary Public Hospital - Operating theatre upgrade

Jun-17

5,627

5,627

0

38

38

Calvary Public Hospital - Upgrade of medical imaging equipment

Jun-17

3,722

3,722

0

0

0

Works in Progress

The Canberra Hospital Redevelopment  (Grant component)

Sep-16

3,022

3,022

151

1,843

1,994

Completed Projects – physically and financially complete

Calvary Public Hospital – Car park (Grant component)

Mar-16

2,208

2,343

431

2,047

2,478

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

May-16

1,605

1,470

1,144

187

1,331

Chilled water system upgrade

May-16

80

80

0

80

80

Essential power and body protection compliance upgrade

May-16

140

140

0

140

140

Ward upgrades

May-16

463

463

0

463

463

Xavier Building upgrades

Apr-16

120

120

0

120

120

Fire Safety System Upgrade

Jun-16

200

200

174

26

200

 

Reconciliation Schedule

Table 53: 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

142,286

428

0

-8,356

-7,149

127,209

ICT Capital Injections

18,926

1,853

0

-7,500

-6,156

7,123

Other Capital Injections

4,935

1,976

0

0

-2,944

3,967

Total Departmental

166,147

4,257

0

-15,856

-16,249

138,299

Total Territorial

9,236

635

0

-5,112

-3,546

1,213