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Page 1: Sutton CCG · Brief overview of area (pop growth, socio economic) 2.6 Grove Road is situated close to Sutton Town Centre where there will be significant population growth over the

Sutton CCG

Feasibility Study:

Henderson development

(Ref.: PID SWL 17)

March 2016

Version No: 0.1

Issue Date: 08.03.2016

VERSION HISTORY

Version Date

Issued

Brief Summary of Change Owner’s Name

0.1 08.03.2016 First Draft Creation Andrew Grimes

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Contents 1. Executive Summary ...................................................................................................... 3 2. The Strategic Case (The Case for Change) .................................................................. 5 3. The Economic Case (The Options) ............................................................................. 10 4. The Commercial Case (Procurement and Risks) ........................................................ 15 5. The Financial Case (Capital and Revenue Implications and Options)......................... 16 6. The Management Case ............................................................................................... 16 7. Key Findings and Recommendations .......................................................................... 17

Appendix 1: Henderson scheme drawings Appendix 2: Planning application transport assessment Appendix 2: Transport for London bus spider Map for Belmont Station

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1.1 This feasibility study assesses the potential for a primary health care development

at the Henderson hospital site on Homeland Drive. What is the need?

1.2 To fund project management support in order to review the submitted BC and to, if

felt appropriate, to conduct a feasibility study into the relationship between this project which has a submitted business case and, if felt strategically appropriate, to consider the thinking/findings of a parallel study to be undertaken on the opportunities for primary care in central Sutton. This is particularly relevant in the context of significant residential growth in central Sutton especially at the southern end of the High Street. The Henderson site was jointly owned by Sutton Council and SWL and St Georges Mental Health Trust. Consideration also needs to be given to the needs of the Belmont branch surgery.

Brief description of current building and services 1.3 The business case submitted for the Henderson Hospital site outlines the

significant capacity problems being experienced by 2 practices in Sutton as follows:

the Grove Road surgery

and

the branch surgery of the Benhill/Belmont practice.

1.4 Grove Road surgery currently works from a converted house with no future scope

for extension/improvement. This is situated close to Sutton Town Centre and over the last few years the practice has been involved in discussions about a possible move to an extended Robin Hood Lane HC and the landlord, a major primary care developer has undertaken a number of feasibility studies as to how this might be achieved. Robin Hood lane HC is very close to Sutton Town Centre and the high rise residential developments currently under construction.

1.5 Grove Road is significantly below the GIA which its list size would justify and the 2 sites currently occupied by Benhill/Belmont are also significantly below the GIA which the practice list would justify. The main surgery is to the east of Sutton Town Centre and the branch at Belmont is much further south towards the LB Sutton boundary with Surrey.

1.6 The Benhill /Belmont practice has a branch surgery sited adjacent to Belmont

Station which is close to the Sutton/Surrey border. Although originally a purpose built surgery it is not big enough for a growing list and has little or no scope for extension. Of the 2 practices Belmont is the closer to the Henderson site.

Brief overview of area (pop growth, socio economic)

1. Executive Summary

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1.7 Grove Road is situated close to Sutton Town Centre where there will be significant population growth over the next few years. Construction has already started on the gas works site to the South of Sutton High Street and there are further residential projects in the pipeline. The Henderson site is adjacent to a large housing estate.

1.8 Sutton Town Centre is expected to be developed as an area of tall buildings between 2015 and 2026 resulting in an additional 3,000-4,000 residents.

1.9 The southern wards of Sutton (Sutton South and Belmont) are anticipated to grow

by up to another 1,000 persons above the town centre figures. Brief overview of discussions so far 1.10 A formal Business case was submitted to SWL Sector/Sutton PCT in 2013 but no

progress has been made in pushing the proposal forward. Whilst accepting the clear need to improve the premises for Grove Road (and of course the Benhill/Belmont branch) the need to look at the best way to achieve this in a more strategically viable site has not been formally pursued although there have been meetings with both practices and NHS England which have not resulted in a clear mutual consensus as to the best way forward.

Who are the stakeholders? 1.11 The CCG, NHSE and the 2 practices. What is CCG asking for: 1.12 Project management resource to analyse the business case and to cross refer it to

a parallel study into the health needs in Central Sutton including potential expansion of Robin Hood Lane Health Centre.

. 1.13 The study intends:

To identify capacity requirements for the Grove Road and Belmont practices;

To identify the strategic needs of the area and the preferred option to progress;

Identifying timescales;

Development partners.

1.14 Key risks:

Lack of a co-ordinated plan for the town centre area leads to poor solutions being developed by individual practices and land owners and benefits of co-operation are lost.

NHSPS organisational delays in supporting the plan lead to loss of opportunity and poor solutions being developed by individual practices and land owners.

1.15 NHS costs:

The area includes a deficit in GP capacity and most capacity is provided in older house conversions with undersized floor space. Any redevelopment will involve moving to new property with greater floor space.

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However, development partners recognise that there are caps to rent level for new property in the local market.

1.16 The key recommendations of the Study are as follows:

The scale of the Henderson scheme is dependent on the preferred Sutton town centre option.

3 options have emerged for providing capacity in Sutton Town Centre.

The Henderson options are deliverable by 2020.

The scheme supports local issues.

The scheme supports the CCG Estate Strategy by making best use of existing public estate.

The scheme should be included in the South West London Estates Programme.

To identify a PCTF budget to support progressing the scheme.

To select a preferred option.

To require the Sutton Town Centre Project Manager to facilitate progress on the scheme at 0.2 WTE for 1 year.

To prepare a bid for PCTF monies.

2.1 This feasibility study assesses the potential for a primary health care development

at the Henderson hospital site on Homeland Drive. Brief description of current building and services 2.2 The business case submitted for the Henderson Hospital site outlines the

significant capacity problems being experienced by 2 practices in Sutton as follows:

the Grove Road surgery

and

the branch surgery of the Benhill/Belmont practice.

2.3 Grove Road surgery currently works from a converted house with no future scope

for extension/improvement. This is situated close to Sutton Town Centre and over the last few years the practice has been involved in discussions about a possible move to an extended Robin Hood Lane HC and the landlord, a major primary care developer has undertaken a number of feasibility studies as to how this might be achieved. Robin Hood lane HC is very close to Sutton Town Centre and the high rise residential developments currently under construction.

2.4 Grove Road is significantly below the GIA which its list size would justify and the 2 sites currently occupied by Benhill/Belmont are also significantly below the GIA which the practice list would justify. The main surgery is to the east of Sutton Town

2. The Strategic Case (The Case for Change)

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Centre and the branch at Belmont is much further south towards the LB Sutton boundary with Surrey.

2.5 The Benhill /Belmont practice has a branch surgery sited adjacent to Belmont

Station which is close to the Sutton/Surrey border. Although originally a purpose built surgery it is not big enough for a growing list and has little or no scope for extension. Of the 2 practices Belmont is the closer to the Henderson site.

Brief overview of area (pop growth, socio economic) 2.6 Grove Road is situated close to Sutton Town Centre where there will be significant

population growth over the next few years. Construction has already started on the gas works site to the South of Sutton High Street and there are further residential projects in the pipeline. The Henderson site is adjacent to a large housing estate.

2.7 Sutton Town Centre is expected to be developed as an area of tall buildings between 2015 and 2026 resulting in an additional 3,000-4,000 residents. Healthy Urban Development Unit (HUDU) estimates show that the area has limited major housing sites and most development will consist of intensification especially around the town centre and adjacent wards.

2.8 The southern wards of Sutton (Sutton South and Belmont) are anticipated to grow

by up to another 1,000 persons above the town centre figures.

2.9 A total of 14 bus services including 3 night services run through the town centre passing within 200 m of Robin Hood Lane Health Centre and Old Court House Surgery on the town centre one- way road system. These bus services provide access to all communities within 2 miles of the town centre.

2.10 Sutton town centre is accessible and has land development opportunities within

the control of the NHS, NHs landlords and the borough council.

Brief overview of discussions so far 2.11 A formal Business case was submitted to SWL Sector/Sutton PCT in 2013 but no

progress has been made in pushing the proposal forward. Whilst accepting the clear need to improve the premises for Grove Road (and of course the Benhill/Belmont branch) the need to look at the best way to achieve this in a more strategically viable site has not been formally pursued although there have been meetings with both practices and NHS England which have not resulted in a clear mutual consensus as to the best way forward.

2.12 Grove Rd is one of the Sutton town Centre practices and its condition is similar to at least on other site.

2.13 The GP practices in and around Sutton town centre include 3 converted houses, 1

converted court house and 2 practices, one a branch surgery and the other being a main surgery, in the purpose built Robin Hood Lane Health Centre adjacent to the London Borough of Sutton (LBS) owned Sutton Centre for Independent Living and Learning (the SCILL Centre).

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2.14 Robin Hood Lane Health Centre provides Community Health Services including a fixed Breast Screening mammography service, a fully engineered Paediatric Audiology assessment suite, Podiatry and Post-natal services.

2.15 The Health Centre is one of three large health centres in the borough and serves the centre and west of the borough. The other two centres are the Jubilee Centre in Wallington serving the east and Green Wrythe Lane on the St. Helier estate serving the north.

2.16 The Robin Hood Lane community clinic is the smallest of the 3 whilst serving the

largest population (Census, 2011) as shown below:

Name Wards Population

1 Robin Hood Lane Health Centre

Sutton Central, Sutton West, Cheam, Sutton South, Belmont, Nonsuch and 50% of each of Sutton North, Carshalton Central and Carshalton South & Clockhouse

Circa 77,157

2 Jubilee Health Centre Beddington North, Beddington South, Wallington North, Wallington South and 50% of each of Carshalton Central and Carshalton south & Clockhouse

Circa 51,703

3 Green Wrythe Lane Health Centre

Wandle Valley, The Wrythe, St. Helier, Stonecot, Worcester Park and 50% of each of Sutton North, and Carshalton Central

Circa 61,287

Total all wards 190,146

2.17 The town centre practices are within 1 km of Sutton High Street. Other practices

located outside this distance are considered to be part of other localities within the borough of Sutton.

2.18 The practices in the town centre area are listed below.

Practice Address Accommodation List Size (Workforce 2014)

1 Ben Hill & Belmont

Ben Hill Avenue Converted house 6,753 (60% of 11,255)

2 Old Court House

Lodge Place/ Throwley Way

Converted court house

12,763

3 Old Court House

Robin Hood Lane HC Modern Health Centre

4 Dr. Seyan Robin Hood Lane HC Modern Health Centre

11,072

5 Mulgrave Rd 48 Mulgrave Rd Converted House 8,476

6 Grove Road 83 Grove Rd Converted House 8,696

Total 47760

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2.19 The practices in converted residential accommodation are already looking for

ways to improve their facilities. Grove Road is proposing to move further away from the town centre to the Henderson Hospital site on Homeland Drive which it proposes to share with the Belmont branch of the Benhill and Belmont Practice.

2.20 Planning permission has already been granted to Assura Plc for the 1300 sq m development.

2.21 Previous reviews have identified significant development potential at the Old court House and Robin Hood Lane.

2.22 The 3rd Party owners of Robin Hood Lane HC are now considering its development potential as the SCILL Centre has become available. It may be feasible to extend the Health Centre into the SCILL Centre to provide additional capacity and quality of accommodation without significant disruption to existing services.

2.23 The Old Court House, which has circa 900 sq m of space, forms part of the Lodge Place development area which is within the Sutton Tall building development area. The adjoining site at Winsor House has already been granted planning permission for a 6 storey (ground floor plus 5 floors) residential accommodation development.

2.24 The owners of the Old Court House (Medicx Fund Ltd) have previously considered options to rebuild the surgery to the maximum permissible height of up to 5 storeys. LBS have included the Old Court House development in the Lodge Place Supplementary Planning Document allowing up to 4,500 sq m of development. i.e. a gain of circa 3,500 sq m

2.25 Such additional capacity could be used to resolve a number of issues for the town

centre practices and community health services using existing public land and buildings.

2.26 Discussions have been held over the last few years with some of the Central Sutton practices about options to move particularly regarding Robin Hood Lane Health Centre (RHL). Discussions have also taken place with LB Sutton regarding the additional population.

2.27 Previous discussions have been held to consider relocating the Grove Rd, Mulgrave Rd and Benhill Avenue practices into redeveloped sites at the Old Court House and Robin Hood Lane.

2.28 However, due to uncertainty in delivering these schemes, the Grove Rd practice has been developing the Henderson scheme through Assura PLC with the Benhill and Belmont Practice (Appendix 1).

2.29 The practices have identified under capacity as shown in the table below based on current list sizes

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Practice List Size (Workforce 2014)

Current GIA sq m

Target GIA sq m

Additional space required

1 Ben Hill & Belmont (Ben Hill)

6,753 292 563 271

Ben Hill & Belmont (Belmont)

4,502 155 375 220

2 Old Court House 12,763 966 966 0

3 Old Court House (RHL)

130 130 0

4 Dr. Seyan 11,072 847 875

28

5 Mulgrave Rd 8,476 298 708 410

6 Grove Road 8,696 278 722 444

Totals 47760 2966 4339 1373

2.30 To accommodate a further increase in population to 2025 of 3000 to 4000 persons would require a further 333 sq m of capacity. Therefore, a net increase in local floor space of 1706 sq m is required by 2025.

2.31 Replacement of the house conversions and added capacity to meet new population requirements requires the provision of 2701 sq m of new build floor space and removal of 1023 sq m.

Practice Target GIA sq m Removed floor space GIA sq m

Ben Hill 563 292

Belmont 375 155

Grove Rd 722 278

Mulgrave Rd 708 298

New capacity 333 0

2701 sq m 1023

2.32 Three schemes have been identified to which could provide additional capacity:

Scheme New floor space GIA sq m

Net additional floor space GIA sq m

Status

1 Rebuild Old Court House

4,500 3,500 Concept stage

2 Extend Robin Hood Lane

1,500 1,500 Landlord identified project

3 Develop Henderson Hospital

1,300 867 Ready for approval Planning approved

6,017

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2.33 The table indicate that the relocation of the Belmont and Grove Road practices should require a space of 1097 sq m GIA for their combined lists of 13,198 patients. The proposed scheme at the Henderson is for 1300 sq m or approximately 200 sq m more than would be required by Primary Care.

2.34 The business case has proposed that this additional space could be used for out of hospital services for the 19,647 people of South Sutton and Belmont. As paragraph 2.16 shows the model for out of hospital clinic services in Sutton is based on the three health centres at Robin Hood Lane, Green Wrythe Lane and the Jubilee Health Centre in Wallington.

2.35 The health centres are located at focal points in their districts in town and local

centres with good transport links to their catchment areas. 2.36 The Henderson site is more than 400 m from the nearest bus stops on Brighton

Road (a measure of access to bus services) with a PTAL rating of 1b (Appendix 2) and is not suitable for access by public transport. It is also 1000 m south of the Grove Road practice without any direct public transport links or direct roads.

2.37 All of this proposed space would be at extra cost to Sutton CCG in the future and

therefore the selection of options to maximise value for money is a critical issue.

2.38 New space will be provided at rents in the £235 - £250 per sq m range whilst house conversions will be costed in the range £100 - £150 per sq m.

2.39 The impact of delivering 2700 sq m of new build would be a cost pressure for rent reimbursement in the order of £550,000 at current costs subject to confirmation at project development stage.

3.1 Several options have been identified for providing additional capacity in Sutton town centre and these are reviewed below. These options impact on the Henderson scheme as 2 propose a smaller development at the Henderson to upgrade the Belmont surgery and one supports the full size development as a local primary and community care facility.

3.2 All options provide additional capacity at increased cost to the CCG.

3.3 All options rely on delivering capacity at Robin Hood Lane which can be used immediately or as temporarily decanting space.

3.4 The assessments have not factored in options to improve utilisation once the

clinical estate reaches a level of capability and compliance that allows it be used more intensively and for a wider range of services.

Option1: Least cost

3. The Economic Case (The Options)

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3.5 The least cost approach assumes that the Henderson scheme could be scaled back to only include an enlarged Belmont practice.

3.6 The major investment would occur at Robin Hood Lane for the Ben Hill Practice and Grove Road Practice.

3.7 Mulgrave Road Practice would remain in their current premises.

3.8 The scheme would be deliverable in planning terms as LBS has already approved

a larger development at the Henderson and is agreeable to redevelopment of the RHL/SCILL centre site.

3.9 The owners of the RHL site (Primary health Properties plc) have agreed to work

with LBS on development of the SCILL centre if the NHS will support the scheme.

Scheme New floor space GIA sq m

Status

1 Extend Robin Hood Lane

1,500 Landlord identified project

Provide accommodation for: Grove Rd Benhill Avenue Town Centre growth

722 sq m 563 sq m 215 sq m

The scheme would be delivered without disruption to existing services in a central location accessible to both practices patients.

2 Develop Henderson Hospital

493 sq m Ready for approval Planning approved

Provide accommodation for: Belmont Growth

375 sq m 118 sq m

The scheme would resolve issues of capacity in Belmont and south Sutton and the site is ready for development. Assura may continue to offer extra capacity at their own risk.

3.10 The Henderson scheme would deliver local improvements for the Belmont

practice.

3.11 This scheme minimizes additional cost reimbursement.

3.12 The scheme includes external capital backing form PHP and Assura and the investment could be covered through GP cost reimbursement with 30 year leases.

3.13 This scheme could be delivered by 2020.

Option 2: Resolving town centre issues 3.14 This option assumes the Henderson scheme proceeds as currently scoped. The

scheme has planning permission and capital funding is available from Assura Plc.

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3.15 Major investment would occur at Robin Hood Lane for the Ben Hill Practice and Mulgrave Road Practice.

3.16 The scheme would be deliverable in planning terms as LBS has already approved

a larger development at the Henderson and is agreeable to redevelopment of the RHL/SCILL centre site.

3.17 The owners of the RHL site (Primary health Properties plc) have agreed to work

with LBS on development of the SCILL centre if the NHS will support the scheme.

3.18 The scheme result in the closure of all three town centre house conversion sites.

Scheme New floor space GIA sq m

Status

1 Extend Robin Hood Lane

1,500 Landlord identified project

Provide accommodation for: Mulgrave Rd Benhill Avenue Town Centre growth

708 sq m 563 sq m 229 sq m

The scheme would be delivered without disruption to existing services in a central location accessible to both practices patients.

2 Develop Henderson Hospital as scoped

1,300 sq m Ready for approval Planning approved

Provide accommodation for: Belmont Grove Road Growth

375 sq m 722 sq m 203 sq m

The scheme would resolve issues of capacity in Belmont and south Sutton and the site is ready for development.

3.19 The scheme provides approximately 100 sq m of excess capacity at the Henderson which could be used for additional Community Health Services team bases or visiting clinical services such as ante-natal and post-natal clinics.

3.20 The Henderson development should be used solely for local primary care and local community services. Area wide community clinics would be focused at Robin Hood Lane.

3.21 The Henderson is more than 400 m from the nearest bus stops on Brighton Road

(a measure of access to bus services) and is not suitable for access by public transport. It is also 1000 m south of the Grove Road practice without any direct public transport links or direct roads.

3.22 It is located 600 m north of the Belmont Surgery. However, the existing surgery is

on the southern periphery of it population and the relocation will place it closer to the centre of the population.

3.23 The existing Belmont surgery is well located for local bus journeys as it is adjacent

to the terminus of the high frequency 280 service from Sutton and Tooting and the

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local S1 and S4 Hopper buses which travel through the residential areas of south Sutton (Appendix 3).

3.24 However, the Grove Rd practice population is generally located in west Sutton and

Cheam which have higher levels of car ownership and wealth and lower housing densities.

3.25 The scheme includes external capital backing form PHP and Assura and the

investment could be covered through GP cost reimbursement with 30 year leases.

3.26 The scheme could be completed by 2020.

3.27 The CCG would additional rental costs.

Option 3: Maximizing opportunity 3.28 This option assumes there is a window of opportunity to maximise long term health

care capacity in Sutton town centre with limited disruption.

Scheme New floor space GIA sq m

Status

1 Extend Robin Hood Lane

1,500 Landlord identified project

Provide accommodation for: OCH decant Mulgrave Rd Grove Rd Town Centre growth

708 sq m 722 sq m 70 sq m

The scheme would be delivered without disruption to existing services in a central location accessible to both practices patients.

2 Develop Henderson Hospital

493 sq m Ready for approval Planning approved

Provide accommodation for: Belmont Growth

375 sq m 118 sq m

The scheme would resolve issues of capacity in Belmont and south Sutton and the site is ready for development. Assura may continue to offer extra capacity at their own risk.

3 Develop Old Court House

2000/3000 sq m Supported by planning policy.

Provide accommodation for Old Court House Benhill Avenue Growth Additional services

1068 sq m 563 sq m 145 sq m 224 sq m/ 1224 sq m

Focuses required development in the town centre, manages the decant programme and provides for additional services in the future.

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3.29 Redeveloping it as part of the town centre programme would allow the NHS to complete the portfolio of buildings by 2022 through:

Redevelopment of Robin Hood Lane;

Improved local provision at the Henderson;

Increased capacity at the Old Court House as part of a mixed healthcare/residential development.

Use of Robin Hood Lane’s new capacity as decant space for the Old Court House surgery

3.30 All three sites are suitable for development and 3rd party finance is available.

3.31 Developer Capital would be recovered through long term leases.

3.32 The scheme is expensive but provides a future proofed solution to Sutton town

centre needs.

3.33 The CCG would incur additional cost reimbursement costs.

Summary of advantages and disadvantages

Option Description Key Advantages Key Disadvantages

1 Least cost Simple to implement Least cost No issues with Mulgrave Rd Retains Grove Rd close to town centre

Potential issues with Assura over costs at Henderson

2 Resolving town centre issues

Simple to implement No issues with Assura

Requires Mulgrave Rd participation. No further options

3 Maximising opportunity

Provides a long term solution Provides opportunity for additional services

Requires Mulgrave Rd participation. Dependent on using RHL new capacity for decant Completion 2022 Potential of oversizing the project in the near term.

Timeframe 3.34 Options 1&2 could be completed by 2020 but option 3 could take a further 2 years.

However, some new capacity at the Henderson would be available in 2020.

3.35 If the impact of decanting during rebuild is discounted the Old court House element of option 3 could be taken forward at any time in the future. The option is based on a smaller Henderson scheme which can’ be easily redeveloped once built.

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Key Dependencies of Successful Programme Delivery 3.36 The following factors are critical to the project’s success:

Appointment of a Project Manager to get the project to commercial close;

Selection of the preferred option for Sutton town centre.

Finalising the scope of the Henderson proposal. Options Appraisal 3.37 All the proposed options are deliverable.

4.1 There is a clear justification for the improving the size and quality of GP premises in Sutton town centre and Belmont.

4.2 The options appraisal indicates that there are opportunities to develop a scheme.

4.3 The appraisal also indicated risks to developing the scheme. The risks are shown in the table below with an unmitigated score:

No. Risk Description Impact Likelihood RAG Score

S1 Failure to select the town centre option leads to wrong or delayed solution

4 3 12

S2 Lack of overall desire to progress 2 3 6

S3 Stakeholder objections to particular options 2 3 6

Overall 6

4.4 S1 is mitigated gaining an early commitment to a preferred town centre solution.

4.5 S2 can be mitigated by appointing a Project Manager to lead the programme.

4.6 S3 is mitigated by early engagement to determine the preferred option.

4. The Commercial Case (Procurement and Risks)

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5.1 At this stage it is only feasible to indicate high level costs as the scope of the

projects are not yet defined. It is expected that all the options will be developed through lease agreements between the developers and GPs and should not require other NHS input.

5.2 Commissioners will need to support growth capacity.

5.3 Some funding for the schemes may come from Community Infrastructure Levy payments and this will need further work on how the funds can be deployed.

5.4 The commissioners through the PCTF may need to fund IT infrastructure and

some furniture and equipment. The high level indicative changes to cost reimbursement (rent only) are shown below:

Option Description Increased costs @ £240 p/sq m

Reduced costs @ £150 p/sq m

Net impact

1 Lowest Cost

1993 sq m £478,320 p.a.

725 sq m £108,750 p.a.

£369,570 p.a.

2 Town Centre

2800 sq m £672,000 p.a.

1023 sq m £153,450 p.a.

£518,550 p.a.

3a Maximum opportunity

3993 sq m £958,320 p.a.

1989 sq m £298,000 p.a.

£660,320 p.a.

3b Maximum opportunity

4993 sq m £1,198,320 p.a.

1989 sq m £298,000 p.a.

£900,000 p.a.

5.5 Accurate costs will be determined in the business case

6.1 The CCG should appoint a Project Manager equivalent to 0.5 FTE for 12 months

to move the scheme forward.

6.2 The project manager should confirm the preferred option.

6.3 Early agreement is required between GPs, landlords and LBS to move the project forward with an agreed scope.

6.4 A project programme of 12 months should cover the delivery of the business case including relevant planning applications.

5. The Financial Case (Capital and Revenue Implications and Options)

6. The Management Case

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7.1 The key recommendations of the Study are as follows:

The scale of the Henderson scheme is dependent on the preferred Sutton town centre option.

3 options have emerged for providing capacity in Sutton Town Centre.

The Henderson options are deliverable by 2020.

The scheme supports local issues.

The scheme supports the CCG Estate Strategy by making best use of existing public estate.

The scheme should be included in the South West London Estates Programme.

To identify a PCTF budget to support progressing the scheme.

To select a preferred option.

To require the Sutton town centre Project Manager to facilitate progress on the scheme at 0.2 WTE for 1 year.

To prepare a bid for PCTF monies.

7. Key Findings and Recommendations