The new building

What is the total number of beds in the new hospital?

The total number of beds being planned for the new facility is 233. There will be 154 RHSC beds, 12 CAHMS beds and 67 DCN beds. There will be 11 new beds added to the critical care department within the RIE for DCN patients. Not all these beds will be commissioned when the hospital opens to allow room for expansion. The facility is expected to open with 223 beds. Within the RHSC areas there will be a mixture of open wards and single room accommodation – 59 per cent will be single rooms. The specification for each child’s bed space includes a pull down bed for parents. The design of these spaces has still to be agreed. Within DCN there will be two four bedded bays in DCN Acute Care with the remaining beds all in single rooms.

Will there be a separate RHSC and DCN building?

There will be one new building incorporating services for RHSC, DCN and CAMHS.

Who will maintain the gardens?

Sedum grass will be used on the “green roof” areas and this needs very little maintenance to ensure it looks good. Our estates staff will ensure the gardens are maintained otherwise.

How many floors are there in the new building?

Six floors in total. A basement, ground floor, four upper floors and a helipad.

Are we moving art such as the stained glass windows from the RHSC to the new site?

Two stained glass windows from Sciennes will be incorporated into the new building; their location will be decided in the development of the arts strategy. The project team will work with staff, patients and charities and use the output from the artists in residence projects to decide what images and artefacts will take the culture of RHSC into the new build.

What will signage be like in the new building?

Signage and way finding is high on the agenda for the design of the new building. These designs are being developed by the architects and design team who will look at using colours, images and names as a means of familiarisation throughout the new hospital.

Does the new building have good natural light?

There will be good natural light throughout the building. HLM architects have ensured that they maximise light to rooms through undertaking extensive daylight analysis. Through this process they have also been able to increase the amount of natural light to patient rooms and communal areas. A skylight runs along the roof of the main atrium which links the RHSC + DCN entrances.

How will the temperature be controlled on the site?

Thermal modelling has been carried out and there are strict guidelines in place to ensure the temperatures are maintained to that standard. There will be a combination of natural and mechanical ventilation. There will be windows which can be opened throughout the new hospital.

Will the noise in rooms be controlled?

An acoustician has had an input into the design of the building to ensure that sound levels exceed the standards expected. The new building will use a concrete frame which will help control assist in this.

Will there be waiting rooms?

There will be designated waiting areas throughout the new building.

Are there any parent common rooms planned for the RHSC areas?

Parents will have access to the play/dining room in each ward, a family support area is planned for the ground floor and a family sitting room on the third floor. The Family Hotel will also provide space for parents to use.

Will there be over-night accommodation for staff to use?

There will be three on-call rooms for staff to access. An operational policy for staff to follow to gain access to these rooms will be agreed. There will be no fee paying accommodation for staff in the building.

Will there be staff break out areas?

Staff-only rest areas will be incorporated throughout the building. In addition there will be two ‘grab and go’ facilities, a cafe/shop on the ground floor and a restaurant on the 4th floor which staff can access.

Has a decision been made yet about the name of the hospital?

The name of the hospital/building has not been decided yet.

Integrated Health Solutions Lothian (IHSL)

Which companies are involved in IHSL?

Integrated Health Solutions Lothian is made up of Brookfield Multiplex Construction Europe Limited (construction), HLM (architects), Macquarie Capital Group Limited (finance) and Bouygues E&S FM UK Limited (Facilities Management provider).

How does the finance for the project work?

The NPD (Non Profit Distributing) model is significantly different from the RIE contract. NHS Lothian will pay our private sector partner an agreed annual fee for 25 years at which point the building will be owned by NHS Lothian.

What is the budget for the project?

The project’s capital, design and build value is estimated to be between £140m and £165m (excluding VAT).

Will the Scottish Government fund any of the cost of the build?

A significant percentage of the new hospital will be funded by the Scottish Government. Any additional revenue will need to be found from the NHS Lothian financial plan. NHS Lothian is in discussions with other boards to ensure funding of tertiary services.

Will IHSL pay UK Tax?

IHSL will be required under European/UK law to pay relevant taxes.

Who will carry out the maintenance of the new building?

Cleaning, waste management, security, portering and painting and decorating will be provided by NHS Lothian. Integrated Health Solutions Lothian will provide the ‘hard FM’ such as the maintenance of electrical and mechanical services, the external and internal fabric of the building.

Commissioning and service redesign

Why is CAMHS moving from the Royal Edinburgh Hospital?

CAHMS will be better aligned with children’s services because the new hospital will take children and young people routinely up to 16 years old and in some instances up to 18years old. It will allow for a joined-up service, better utilising staff skills and it will offer physical and psychological care under one roof. It will also help to remove stigma which is a key part of the NHS Lothian mental health strategy.

What services will move to accommodate Renal and Transplant Unit?

Discussions are ongoing with Laboratories, eHealth, SNBTS and clinical haematology to accommodate them in alternative suitable facilities.

Will all the equipment be new and funded by Scottish Government?

A percentage of equipment will transfer with services. The detail of this is still to be established and will be part of the commissioning process.

Are the children’s services currently based at St John’s Hospital moving into the new hospital?

No, NHS Lothian has committed to maintaining a 24/7 children’s ward facility at St John’s Hospital. As it does already, this will complement the services provided in the new building.

What is planned for the existing RHSC building?

Once the move to the new building has been completed the site will be sold.

What will happen to the current DCN building?

There are no plans agreed for the future of the current DCN building. It will be considered as part of the master plan for the WGH site which is being developed.

Is there still fundraising to be done?

Not for the building but charities are looking into how they could add value to the building e.g. with the family hotel, artwork etc.

RIE Campus Developments

What changes are being made to the RIE Emergency Department?

The resuscitation bays need to be moved to allow for the construction of the (two floored) link corridor from the new building into the RIE. The external entrance canopy will also be removed. This work will increase the number of resuscitation rooms and provide new state of the art facilities. During the construction work the RIE ED resuscitation bays have been relocated into the Surgical Observation Unit (SOU) and the SOU will has replacement facilities provided in temporary accommodation.

What is happening with critical care?

There will be 11 new beds added to the critical care department within the RIE for DCN patients. There will be a 16 bedded renal and transplant unit built at the RIE. A first floor link corridor will run between the RHSC and RIE for critical care patients and staff only.

Car parking, roads and travel

What will parking be like once the new hospital is built?

There are already 1,700 parking spaces at the RIE and we are adding an additional 312 spaces (approx). There will be 60 close proximity car park spaces adjacent to the RHSC and DCN building which will be free of charge with access to them managed by NHS Lothian. There will also be 50 secure cycle storage spaces for staff and 18 spaces for the public.

Will there be a place for discharged patients to be picked up?

Yes, the drop off spaces will be controlled by NHS Lothian and will also be able to be used to collect patients.

Will there be anymore car park provision on the RIE site?

Over 300 additional car park spaces will be provided within car park F.

Will there be charges for car parking?

The current car park tariffs will apply. The proximity car parking will be free. There is an established process in place for parents/patients to use that allows them access to free/reduced car parking fees.  The operational procedures for staff accessing parking permits have still to be defined.

Will there be cycle paths and cycle stands near the new hospital?

There will be cycle paths and stands to store bicycles located around the new hospital site. The exact location of these stands is still to be decided.

Will there be enhancement to cycle routes outside the new campus?

The roads out with the campus are controlled by the City of Edinburgh Council.

Last Reviewed: 25/04/2014