DISCRETIONARY CAPITAL ALLOCATION AND EXPENDITURE REPORT. Author: Assistant Director of Planning, Capital Planning & Estate Management
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1 DISCRETIONARY CAPITAL ALLOCATION AND EXPENDITURE REPORT Executive Lead: Director of Planning Author: Assistant Director of Planning, Capital Planning & Estate Management Financial impact Quality, Safety, Patient Experience impact Healthcare Standard Number 12 CRAF Reference Number 8.1, 6.4, 6.6 and 6.8 Equality Impact Assessment Completed: Yes / No / Not Applicable RECOMMENDATION The Board/Committee is asked to: CONSIDER and NOTE the process/management of the UHB Discretionary Capital Programme SITUATION The purpose of this report is to provide: An overview of the allocation process for discretionary capital. An overview of the management arrangements to monitor and manage the programme. An overview of the current status of the UHB s Discretionary Capital Programmes including funding, progress, project issues and financial position. Details of the additional discretionary funding approved by WG in the sum of 5.5m ( 2.108m recurring and 3.392m non-recurring). An update on the UHB Capital Resource Limit (CRL) as agreed with Welsh Government (WG) together with details of any additional allocations and income generated through the disposal of property. Land and property acquisitions and disposals update funding and programme commitments BACKGROUND The purpose of this report is to provide the committee with details of the process and governance arrangements in place to manage the UHB discretionary capital programme, and to understand the impact of the funding on the estates and Discretionary Capital Allocation 1 of 17 People, Performance and Delivery Committee
2 equipment issues previously considered by the Committee. The paper provides assurance to the Committee that appropriate management and monitoring is being undertaken to ensure the discretionary capital programme is delivered with minimal risk to the UHB and is being targeted to the priorities and risks. The report provides details of the most recent Capital resource Limit (CRL) agreed with WG dated 7 th January 2015 (Appendix 1). The UHB has a potential discretionary capital funding total of m for which includes discretionary capital funding 15,300m, and 0.387m and 0.566m for property disposals and planned property disposals respectively. ASSESSMENT Capital Resource Limit (CRL) The latest total potential capital allocation available to the UHB is m. This consists of discretionary capital m, approved capital projects m and forecast capital projects without approved funding of 3.044m. Further detail of the latest CRL statement (7 th January 15) is provided in Appendix 1 Discretionary Capital monthly monitoring The management of the UHB discretionary capital programme is the responsibility of the Director of Planning. Each month, reports are prepared and submitted to the following: Dashboard Report to Welsh Government (WG) Capital Management Group (CMG) Discretionary Capital Management Group (DCMG) The membership of both CMG and DCMG ensure that all areas of UHB are represented, including IM&T, capital planning and estates, Clinical Boards, Finance Reports submitted to the Groups highlight all changes to programme for both funding and expenditure. In addition, a monthly dashboard report (see appendix 4) is submitted to WG which provides full detail of the discretionary capital programme. Discretionary Capital Allocation 2 of 17 People, Performance and Delivery Committee
3 Discretionary Capital Approval and Amendment of the Programme The current discretionary capital program was approved by CMG (and included in the IMTP which was approved by the Board) and noted by PPD in April The program was compiled under the following headings: Schemes brought forward Statutory Compliance Annual Commitments IMTP IM&T Other Schemes were considered for inclusion into the programme via Clinical Board IMTP capital templates, schemes prioritised within the UHB 10 year capital plan*, and schemes already underway from the previous year. *The UHB 10 year capital plan which has been submitted to WG sets out the UHB capital priorities for the next 10 years, under the following heading 1) Statutory Compliance 2) Critical Service Continuity (backlog maintenance, IT replacement, equipment replacement) 3) Support Tier 1 Delivery 4) Statutory Duty of Financial Sustainability 5) Strategic Imperative 6) Patient Acceptability / Environment 7) Service Development Discretionary Capital Allocation 3 of 17 People, Performance and Delivery Committee
4 8) Functional suitability and Modernisation Within the capital programme a contingency allocation of 0.503m was allocated to address urgent issues as and when they arise. The 'bids' are submitted to the CMG for approval prior to inclusion into the overall programme. With regard to urgent medical equipment replacement a separate process has been agreed, a flowchart for which is included in Appendix Discretionary Capital Funding The UHB receives its discretionary capital allocation direct from Welsh Government (WG). In recent years, the UHB allocation has been reduced by around 30% resulting in an initial discretionary capital allocation for of 7.806m. The UHB is able to generate further capital funds via disposal of UHB land and property. As can be seen in the table below, in the UHB plans a generate a further 0.953m through the disposal of Carville House, Trowbridge HC and land adjacent to Carville House. Further items have been funded by WG during the year (listed below), in addition WG has transferred to the UHB an increase in discretionary capital funds of 2.108m and 3.392m on a recurring and non-recurring basis. Further detail is provided later in the paper The total discretionary capital funding currently available to the UHB is provided below: Source m m Initial Allocation WG Additional In-Year Funding: Rookwood essential works WG Sale of Carville House UHB NATO WG EU Equipment WG I2S Electronic Prescribing for Hospital Outpatients WG DRSSW replacement camera WG Automated Drug Ward Storage System WG Sale of Trowbridge HC UHB Urology Robot Second Console (transfer to C&V) WG Discretionary Capital Allocation 4 of 17 People, Performance and Delivery Committee
5 WG Discretionary Capital Recurring WG WG Discretionary Capital Non-Recurring WG Total Planned Further Funding Opportunities: Sale Proceeds from disposal of Carville House Land Revised Total Funding Additional 5.5m Discretionary Capital Funding Received from WG WG has increased the UHB discretionary capital allocation by 2.108m and 3.392m on a recurring and non-recurring basis respectively. WG advised the UHB that the/re was an expectation that part of the additional funding would be allocated to key priorities including: m Post Anaesthetic Care Unit Cardiac surgery HDU Medical equipment replacement (notified to WG) Total The remainder of the budget could be allocated by the UHB. The additional funds have been allocated based on the UHB 10 year capital plan submitted to WG. The plan provides the UHB capital priorities for the next 10 years. The allocation of funds have been approved by the CMG at their last meeting held in December The following table provides the allocation of additional 5.5m discretionary capital funds received from WG. Funding: Recurring Non-Recurring m m Total Funding Discretionary Capital Allocation 5 of 17 People, Performance and Delivery Committee
6 Allocation: Current Discretionary Capital Over-commitment PACU Statutory Compliance Revenue / Capital Cardiac equipment Medical equipment: CE Letter to WG Urgent replacement contingency UHW Isolation Rooms x UHW Ward Bathrooms BMT Database Community premises (high risk areas) Accommodation moves Long Cross House move into CRI Endoscopy Total Allocated Balance Remaining Additional Funding from Land and Property Disposals The UHB is anticipating land and property disposals in totalling 0.953m. The net increase to the UHB capital programme has resulted from sale of Carville House ( 0.147m), Trowbridge HC ( 0.240m) and sale of land adjacent to Carville House ( 0.566m) which is due to complete shortly Discretionary Capital Expenditure Planned Expenditure m Schemes B/F Annual Commitments Discretionary Capital Allocation 6 of 17 People, Performance and Delivery Committee
7 IMTP IM&T Statutory Compliance Other Latest Total Planned Expenditure A detailed analysis of the above is included in Appendix 1. Programme Issues Robot AGENDA ITEM 1.9 A decision is awaited from Cardiff University confirming or otherwise the funding of 0.228m for robot. If Cardiff University confirm funding then 0.228m can be reallocated within the programme Medical Equipment The following table provides the latest position with regard to the UHB Contingency allocation within the Discretionary Capital Programme. The table highlights there is a 0.039m balance for the remainder of the financial year. Estates Statutory Compliance Discretionary Capital Allocation 7 of 17 People, Performance and Delivery Committee
8 The following table provides the latest position with regard to the Estates Statutory Compliance capital allocation. Estates Statutory Compliance (CDP7) m Funding Discretionary Capital Programme WG Additional Funding Expenditure Annual asbestos/legionella works Dedicated Compliance Team Statutory surveys Remedial Works It should be noted a further 1.1m is being expended on estates statutory compliance surveys within the Estates revenue position. IM&T The following table provides the latest position with regard to the IM&T discretionary capital allocation. The delivery of the schemes is currently reported on programme. IM&T (CDR8) Opening m Adjust m Total m Cardiac Services Hard/Software Platforms Virtual Server infrastructure Switchboard servers & Wifi equipment Storage Infrastructure The upgrading of the core data network Replacement of PARIS (Comm M.Health Sys) Server SQL software Switchboard servers Discretionary Capital Allocation 8 of 17 People, Performance and Delivery Committee
9 UHB wi-fi Infrastructure & Environmentals Total Land and Property The following table summarises the land and property disposals for It should be noted that the planned disposal of Radyr Health Centre and UHL Land, Cardiff Road have now both slipped to Property Status Capital m Revenue m Disposals : Carville House Sold Sale Proceeds received Trowbridge HC Sold Sale Proceeds received Land Adjacent to Carville House Sold Awaiting completion Sub-Total Disposals : Radyr HC UHL land, Cardiff Road CRI West Wing tbc tbc Sub-Total Discretionary Capital Commitments The pressure on the Discretionary Programme will continue for the foreseeable future given the level of backlog issues identified by the UHB and the requirements proposed by each of the Clinical Boards in their IMTP s. Medical Equipment 112m Estates IM & T 99.2m 31.9m Discretionary Capital Allocation 9 of 17 People, Performance and Delivery Committee
10 The table below provides details of the annual commitments funded from Discretionary Capital, together with schemes previously approved and incomplete which will be carried forward into the next financial year. There has been no allowance included for any of the backlog issues identified above and for information in 2014/15 the UHB committed to a total of 2.4m on IM&T and has approved over 1m on emergency medical equipment failure. The Planning teams are reviewing the latest IMTP s to ensure that a comprehensive schedule of requirements is developed, which will be considered and prioritised by the CMG. m m Funding WG Annual Funding Planned Property Disposals: Radyr HC UHL land, cardiff road CRI West Wing tbc Total Funding Expenditure Annual Commitments: UHB Capitalisation of Salaries UHB Director of Planning Staff UHB Revenue to Capital UHB Accommodation Strategy UHB Misc / Feasibility Fees Other (schemes commenced in ): PACU Isolation Rooms Ward Bathrooms Ward moves (various) tbc Discretionary Capital Allocation 10 of 17 People, Performance and Delivery Committee
11 Statutory Compliance: Dedicated Team Asbestos / Legionella UHB Plant Replacement / Surveys Total Expenditure Balance to be committed Discretionary Capital Allocation 11 of 17 People, Performance and Delivery Committee
12 Appendix 1 Discretionary Capital Allocation 12 of 17 People, Performance and Delivery Committee
![Appendix 2 Comment [1]: Discretionary Capital](/docs-images/75/72864199/images/13-0.jpg "Allocation 13 of 17 People, Performance and Delivery")
13 Appendix 2 Comment [1]: Discretionary Capital Allocation 13 of 17 People, Performance and Delivery Committee
14 Appendix 3 Process for Approval of Medical Equipment Over 125k Discretionary Capital Allocation 14 of 17 People, Performance and Delivery Committee
15 Process for Approval of Medical Equipment Under 125k AGENDA ITEM 1.9 Discretionary Capital Allocation 15 of 17 People, Performance and Delivery Committee
16 Appendix 4 Discretionary Capital Allocation 16 of 17 People, Performance and Delivery Committee
17 Discretionary Capital Allocation 17 of 17 People, Performance and Delivery Committee
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