NORTH DENBIGHSHIRE COMMUNITY HOSPITAL PROJECT
Decision Maker: Partnerships Scrutiny Committee
Decision status: For Determination
The Lead Member for Health and Social Care,
Councillor Elen Heaton, introduced the North Denbighshire Community Hospital
Project to the Committee. The Project was to develop the Royal Alexandra
Hospital (RAH) site in Rhyl.
The Lead Member expressed the importance of
the project due to the current pressures facing Ysbyty Glan Clwyd. The Project
was a vital development for Denbighshire and was of top priority. Project
Leaders were working closely with the Welsh Government along with working in
close and continuous partnership with Betsi Cadwaladr University Health Board
The Integrated Health Community (IHC),
Director of Operations thanked the Committee for being invited to the meeting
and proceeded to present a presentation which included the following details: -
The Capital Project was complex in provision
· There were
opportunities for the site to include additional services such as a Minor
Injuries Unit (MIU) through the Business Case process.
Business Case (FBC) was approved for BCUHB in March 2021.
Welsh Government confirmed in December 2021 that the project was sound and
approvable, funding now needed to be identified.
approved an Estates Strategy in January 2023 placing the RAH project within the
top 6 with a completed Full Business Case (FBC).
January 2023 the Welsh Government requested that the Health Board confirm that
the RAH was a priority and asked it to obtain support in principle from the
Regional Partnership Board (RPB). The
Health Board were compiling a response.
full approval for funding was given, the project would take 3 months to
mobilise and 31 months for the construction phase to complete.
The IHC Director explained that for every
development there was a detailed process that needed to be followed within the
Health Board. Although this had been a lengthy process, it had given the Health
Board the opportunity to ensure that it was accurate, including several
additional services of importance to be offered at the RAH site.
The approval process was explained to the
Committee as outlined below:-
Full Business Case- Funding could then be agreed.
The IHC Director thanked the Council for
their close partnership in aiding to deliver the project and welcomed questions
A discussion between Members lead to
questions being raised regarding the time that it had taken to get to this
stage of the Project, and how long it would take to secure funding from the
Welsh Government. Unfortunately, the IHC Director advised that she did not have
the information however, she reassured the Committee that there would be a
continued line of communication going forward.
Councillor Martyn Hogg expressed some
concerns regarding understanding the approval process and the steps involved at
each stage. He questioned if there was a flow chart that could be given to
illustrate this and to support members’ understanding of the process. The IHC
Director confirmed that there would be a flow chart that detailed the stages of
the approval process as stated above. She continued to explain that there was a
circuitous route for each of the stages outlined which afforded for questions
to be asked. The current stage of the project was that questions had been asked
by the Welsh Government of which needed to be responded to, this would then
form part of the finalisation of the Business Case which would lead to funding
being agreed. Over the coming weeks the IHC Director was hopeful that they
would be in the position where they had responded to the Welsh Government, and
this would then facilitate the final decision to be made.
Queries were raised around what the Royal
Alexandra Hospital would look like once the construction was completed and what
services had been agreed to operate from the site. The Joint Interim Head of Community Support Services stated that a Full
Business Case had previously been shared. This indicated the Services that
would be provided, including illustrations of the hospital once completed,
however he would ensure that the information was shared again with Members of
questioned if there was an opportunity for the Welsh Government to be
scrutinised over their decision making process, for
example how the Council and the Health Board could ensure that the project was
continually moving forward to the next stages. The IHC Director clarified that
they had been through a process with the Estates Strategy, and it was assumed
that this enabled continuous conversations with the Government and the Health
comments were made by Members regarding the length of time that it had taken
for the project to get to its current stage. Many local community hospitals in
Denbighshire were closed many years ago on the promise that this facility would
be a replacement.
Chair thanked the Officers for their update and welcomed a further update at
the Partnerships Scrutiny Committee meeting which would be held in September
At the conclusion of the discussion the Committee:
Resolved: - subject to the above observations and the provision
of the additional information –
to receive the information provided as part of
the Royal Alexandra Hospital Development Project Update presentation; and
to request that a further progress report on
all aspects of the Project’s development be presented to the Committee at its
September 2023 meeting.
At this juncture, as the Committee was ahead
of schedule, the Committee agreed with the Chair’s proposal to vary the order
of business and bring forward the Scrutiny Work Programme item.
Publication date: 09/02/2023
Date of decision: 09/02/2023
Decided at meeting: 09/02/2023 - Partnerships Scrutiny Committee