Infrastructure investment plan 2021-22 to 2025-26: major capital projects progress update – February 2025

Sector: Health

Project: NHS Ayrshire & Arran - Foxgrove (National Secure Adolescent Inpatient Service)

Business case approved stages: Project comprises 12 bedded medium secure adolescent inpatient facility for Scotland located in Irvine, North Ayrshire . The FBC outlined that the estimated cost of project was £18.7 million and that it would be operational by December 2023 (Frameworks Scotland is procurement route for project).

Progress at August 2024: The facility remains incomplete and handover has been further delayed due to a significant number of quality and health and safety items that have been raised with the Principal Supply Chain Partner (PSCP) (previous report estimated that facility would be ready to receive young people from mid-March 2024). The ongoing programme slippage and delay of handover of the facility to NHS Ayrshire & Arran continues to impact upon client commissioning activities planned for the post-handover period and the date whereby the health board will be able to admit patients. The latest programme issued by the PSCP is currently under review and dates remain unconfirmed. Key risks are about the completion of defects.

Following handover there will be an 8 week testing & commissioning period as well as an additional works programme to address issues not covered under the PSCP contract. Additional costs are being incurred due to prolongation and programme delay and these will be confirmed once all works are completed (previous report estimated cost at £18.9 million).

Progress at February 2025: As previously reported, the project has been delayed due to key risks relating to completion of defects.

Weekly project meetings are scheduled with the PSCP on site and separate weekly meetings are scheduled with key stakeholders to monitor progress. The Scottish Government are deploying additional monitoring resource to provide direct oversight of resolution of the issues.

The Scottish Government has also approved additional works to resolve the defects. It is now expected that completion of the build will be achieved in August 2025, with patients being admitted shortly thereafter. Final cost will be confirmed following completion.

Contact for public enquiries: email: fraser.bell@aapct.scot.nhs.uk

Project: NHS Grampian – Aberdeen Baird Family Hospital and ANCHOR Centre

Business case approved stages: Baird Family Hospital will provide a new facility to support maternity, gynaecology, breast screening and breast surgery services. It will also include a Neonatal Unit (NNU), accommodation for reproductive services, an operating theatre suite, a Community Maternity Unit (CMU), and research and teaching facilities. ANCHOR centre will be connected to the existing Radiotherapy Centre and together the single facility will provide a focus for all ambulatory care for oncology, haematology, and radiotherapy services in the north. The OBC outlined a cost of £163.7 million and indicated that the ANCHOR Centre was projected to be operational in 2021 and the Baird to be handed over in 2021 and be fully operational early 2022. The FBC outlined that the total project cost was £233.2 million as per FBC Addendum and that the operational date for the ANCHOR Centre was estimated for May 2023 with the Baird Family Hospital estimated for December 2023 (Frameworks Scotland is procurement route for project).

Progress at August 2024: No change to cost since the last report (as reported in March 2023 update, the cost was £261.1 million).

A number of cost pressures are however being managed and occupation dates for either facility are still uncertain (as reported in March 2023 update, the estimated operational date for the ANCHOR Centre was October 2023 with the Baird Family Hospital being September 2024). The designs for both buildings are currently being revisited to consider design assurance learning from recent projects which is impacting on the programme and forecast costs.

Progress at February 2025: No change to cost since last report.

Design reviews have recently concluded and a way forward has been agreed. Work is underway to implement several changes resulting from the design reviews and to understand the impact on cost and the timing of the programme.

Contact for public enquiries: email: gram.nhsgrampianfeedback@nhs.scot

Project: NHS Greater Glasgow and Clyde - North East Hub

Business case approved stages: Provision of a new build community hub, which will replace 10 different buildings across Glasgow North East area. Hub will include a number of services including GP practices, pharmacy, podiatry, physiotherapy, speech therapy, adult mental health services, sexual health, social work, staff, and community-training facilities, reprovision of Parkhead community library and wellbeing services including health improvement. The OBC outlined that the project was estimated to cost £67.3 million and that it was planned to be operational in June 2024. The FBC outlined that the project was estimated to cost £71.7 million and that it was planned to be operational in October 2024 (Hub West Scotland is procurement route for project).

Progress at August 2024: No change to FBC cost or timing since last report.

Progress at February 2025: No change to FBC cost since last report.

The new North East Hub building was completed in November 2024 and became operational in January 2025. This was later than that at FBC and as last reported which was due to a longer than expected commissioning period.

Contact for public enquiries: email: andrew.baillie@ggc.scot.nhs.uk

Project: NHS Forth Valley - National Treatment Centre

Business case approved stages: Project to increase Elective Care capacity was scheduled to be completed by end of 2022. The investment case was approved through the Scottish Government in 2019. Revenue costs around £9 million with capital costs around £10 million subject to final confirmation (forms part of the National Treatment Centres Programme).

Progress at August 2024: No change to cost since last report (as reported in September 2022 update, the capital costs were confirmed as £11.1 million).

The new ward continues to be delayed due to a number of construction issues primarily due to the incorrect installation of pipework and risks in relation to fire compliance measures (as reported in December 2023 update, the estimated completion was anticipated in 2024 but there was no confirmed date). All parties are working to develop a technical solution to resolve these issues. A further update is expected late September.

Progress at February 2025: No change to cost since last report.

The new ward continues to be delayed and an opening date is not yet confirmed for that ward. Work to agree a route to completion is ongoing. However, existing theatres (previously unused) have already been commissioned and in a phased opening, the National Treatment Centre began treating patients in October 2024.

Contact for public enquiries: email: scott.urquhart@nhs.scot

Project: NHS Greater Glasgow and Clyde - Radionuclide Dispensary

Business case approved stages: Project to create a modern Radiopharmacy facility to continue the manufacture of radiopharmaceutical medicines and distribution of them to Nuclear Medicine Departments throughout Health Boards in West Central Scotland and the West of Scotland. The OBC outlined a cost of £20.9 million and that the project was to be operational July 2025. The FBC outlines a cost of £21.4 million and that the project will be operational by May 2026 (Hub West Scotland replaced Frameworks Scotland as procurement route for the project following OBC approval).

Progress at August 2024: The FBC is to be presented to the Scottish Government Health Portfolio Capital Investment Group (CIG) in September 2024. Providing a successful FBC approval, the project will start construction in October 2024. This is later than that previously reported (June 2024) and is due to additional governance around the assurance process. The project cost is now £21.4 million which is an increase in that at OBC and as previously reported and is due to outcome of a market testing period.

Progress at February 2025: No change to cost or timing since last report.

The FBC was approved in October 2024 and the project is now in construction. The forecast cost of the project is £21.4 million with a planned completion of May 2026.

Contact for public enquiries: email: andrew.baillie@ggc.scot.nhs.uk

Project: NHS Lanarkshire - Monklands Replacement Project

Business case approved stages: Project will provide a replacement for the existing University Hospital Monklands in North Lanarkshire. The OBC was approved in July 2023 outlining an estimated cost of £1.344 billion and a planned operational date of 2031.

Progress at August 2024: Although the project’s OBC was approved in July 2023, as with all health capital projects it was under review to assess its affordability. FBC development work is continuing and discussions with NHS Lanarkshire on the impact of the budget settlement on the proposal to replace University Hospital Monklands are ongoing.

Progress at February 2025: The FBC development continues and is expected to be submitted to the Scottish Government in early 2026. Cost estimates are being developed and the expected operational date will be included in the FBC.

Contact for public enquiries: email: graeme.reid2@lanarkshire.scot.nhs.uk

Project: NHS Lothian - Reprovision of Eye Services

Business case approved stages: Project to re-provide eye services including those currently being delivered from the Princess Alexandra Eye Pavilion, Edinburgh (forms part of the National Treatment Centres Programme). The OBC outlined that the total project cost is £112.5 million and that project is anticipated to be operational by December 2026 (Frameworks Scotland is procurement route for project).

Progress at August 2024: N/A (as reported in December 2023 update, the business case was paused in common with all health capital investment projects in development until the necessary capital funding to complete the project became available).

Progress at February 2025: The 2025-26 Scottish Budget commits to progressing the work to replace the Princess Alexandra Eye Pavilion in Edinburgh and NHS Lothian is currently remobilising project team resources in order to take the project forward.

Contact for public enquiries: email: Lothian.Communications@nhslothian.scot.nhs.uk