Healthcare Capability statement v3

LENDLEASE CAPABILITY STATEMENT 1
HEALTHCARE
CONSULTING
Delivering Property And Asset
Solutions To Meet Client Needs

THE CONSULTING GROUP AT LENDLEASE
PROVIDES MULTIDISCIPLINARY
CONSULTANCY SERVICES FOR NEW
DEVELOPMENTS AND CURRENT ASSET
ENHANCEMENTS, FOCUSING ON THE
OBJECTIVES OF OWNERS AND THE ONGOING
REQUIREMENTS OF OCCUPIERS. WE ARE PART
OF THE LENDLEASE CORPORATION, ONE OF
THE WORLD’S LEADING FULLY INTEGRATED
PROPERTY AND INFRASTRUCTURE
SOLUTIONS PROVIDERS.
Lendlease “know” healthcare, we are uniquely
placed in that not only do we work for NHS
Clients, but we have designed, built and operated
eight concession Hospitals in the UK. This unique
situation strengthens our breadth of knowledge
and understanding of the sector and its
clients. Our varied portfolio of reconfiguration,
refurbishment and new build project experience
includes infrastructure, clinical and non-clinical
schemes from minor compliance works through
to major capital schemes. Whether clients are
looking for new developments or enhancing their
current assets we are able to provide specialist
consultants with experience of working in this
complex live environment.
More than any other time, the healthcare sector
must look for ways to reduce costs and, at the
same time, improve quality of patient care,
provide auditable value for money and make best
use of existing assets in line with Government
guidelines and reforms. In every engagement we
will advise, manage, monitor and deliver highly
functional and efficient facilities for our clients.
We can supplement our project and programme
management services with with CDM
compliance, principle designer and design
safety advice. Our full-time CDM compliance
and Principle Designer team is dedicated to the
pursuit of furthering safety through design. The
team comprises staff with the right combination
of technical and personal skills, and includes
building, engineering and safety professionals.
The Consulting group at Lendlease also has
experienced cost and commercial managers.
Our experience includes developing and
implementing commercial and procurement
strategies, long-term supply chain management,
developing and implementing performance
measurement and benchmarking.
We have a broad experience which includes
Hybrid Theatres, Specialist and General
Theatres, Head and Neck Centres, Ward
refurbishments as well as minor works delivered
under both P21+, traditional and PFI contracts.
We have also project managed infrastructure
upgrades and modifications, boiler replacements,
CHPs, Endoscopy units, Pharmaceutical
Manufacturing Units and a wide range of clinical
and non-clinical projects.
INTRODUCTION
TO CONSULTING

LENDLEASE CAPABILITY STATEMENT LENDLEASE CAPABILITY STATEMENT4 5
RESPECT
We respect the ideas,
cultures, views, knowledge,
health and safety of all people
INTEGRITY
Integrity is non-negotiable.
In particular, we will not
compromise on safety.
COLLABORATION
We redefine the way our
business works by truly
sharing knowledge, building
on this and drawing insights.
EXCELLENCE
We strive for excellence in all
we do.
INNOVATION
We challenge and seek to
find a better solution. We are
innovative and creative.
TRUST
We insist on transparency
and accountability from our
people so that our business can
achieve its goals.
Our Core Values and
Business Principles
OUR CORE
SERVICES
OTHER
SERVICES
PROGRAMME AND PROJECT MANAGEMENT
Our approach is to understand our client’s project
needs and to manage delivery of the solution. We
lead the client through the project, developing
the brief and gaining client approval as the
design develops along with the cost plan and
programme, ensuring the completed asset meets
the client’s expectations.
COST MANAGEMENT
We are adept in providing cost management advice
at all stages of a project’s life cycle. From providing
early feasibility budget advice through cost planning,
benchmarking, tendering, and negotiation of the
contract sum.
PRINCIPAL DESIGNER
Lendlease has an in-house Design Safety team
that provides expert advice and guidance on
health and safety in design and construction,
including the capability and experience to fulfil
the Principal Designer role, as set out in the CDM
2015 regulations.
Our team comprises qualified and experienced
professionals in building, engineering, and health &
safety. We also act as health & safety advisers, review
and prepare health & safety policies and procedures,
and undertake site safety reviews and audits.
EMPLOYERS AGENT
We act on our client’s behalf to manage the
successful delivery of Design and Build contracts.
From overseeing the transfer of design risk,
coordinating the preparation of Employers
Requirement and the procurement and contracting
process. Effective contract administration is essential
to protect the client’s interests, and enables delivery
of a quality asset, safely, to time and budget.
INFORMATION COMMUNICATION TECHNOLOGY (ICT)
ICT provides a single window for end to
end ICT solutions:
• Consultancy and project management services
• Optimally designed ICT solutions
• System integration
• Multi-vendor support
DEVELOPMENT MANAGEMENT
Our approach to development management will
ensure the proposed solution matches the client’s
requirements at all stages. This will be within
confines of the project business case and ultimately
delivers the business benefits.
PROJECT MONITORING AND DUE DILIGENCE
The Consulting group at Lendlease has established
a reputation for delivering a professional project
monitoring service, alerting clients to potential
risks/problems on their project and provides them
with practical and effective solutions.
As well as being applied to new-build and
refurbishment projects, we also have the capability
of applying the principles of project monitoring
to associated revenue expenditure and capital
expenditure on non-construction assets.
CONSTRUCTION DELIVERY
Our construction team has the knowledge and
expertise to deliver client requirements safely, to the
highest quality, on programme, and within budget.
BIM MANAGEMENT
Lend Lease has a proven track record of providing
successful Building Information Modelling (BIM)
Strategic Planning, Implementation, Information
Management, Audit, Training, and Model
Management through our in-house expertise.
Our collaborative BIM approach is fully aligned
with the UK Government’s strategic road map
including Collaborative processes, Common Data
Environment (CDE), Information Exchanges and the
UK BIM standards and protocols.

OUR
SKILLS
PROCUREMENT
CONTRACTOR SELECTION
• Prepare tender
documentation
• Clarifications
• Evaluate tenders
• Recommendation
• Contract award
• Procurement lead
-in times
IMPLEMENTATION
• Pre-commencement
meeting
• Commercial
management
• Programme
management
• Change control
• Progress reporting
• Construction
monitoring
• Quality monitoring
COMMISSION
COMPLETE AND
HANDOVER
• Commissioning
• Handover
• Training
• ICT systems
• Migration and
acceptance into
service
• ICT management
services
• Move management
REVIEW
AND CLOSE OUT
• Project audit
• Lessons learnt
• Close out
REAL ESTATE SERVICES
• Asset due diligence
• Site due diligence
• Project monitoring
• Change management
• Tenant fit-out review
PROJECT CONCEPT
DEFINITION
• Business case
• Funding appraisal
• Outline project brief
• Options appraisal
• Project budget and
milestones
• Stakeholder
requirement
• Appoint project team
FEASIBILITY
• Develop project brief
• Master programme
• Cost planning
• Client reporting
structure
• Procurement strategy
• Project execution plan
• ICT consultancy
DESIGN DEVELOPMENT
• Design team briefing
• Value management
• Cost planning
• Programme
development
• Construction
methodology
• Life cycle costing
• Risk management
• ICT functions
and technical
specifications
• Change control
• Safety review in
design
HEALTHCARE
Whether our healthcare clients are looking for new developments
or enhancing their current assets, we are able to provide specialist
consultants with experience of working in live, complex healthcare
environments.
COMMUNITIES
Our communities sector consulting team are driven by a belief we
share with our clients that communities are more than simply the
places where people live: they are the places they call home.
INFORMATION COMMUNICATION TECHNOLOGY (ICT)
Technology in property services, solution design, procurement,
implementation and support. We specialise in the provision of
sustainable and innovative ICT solutions which we deliver throughout
the full lifecycle of an asset, from conception to operation.
RAIL
Building and investing in a first class rail sector that has the vision,
people and capability to support the UK rail industry.
COMMERCIAL
We listen, understand and develop workplace solutions that allow our
clients to excel as developers, investors or owner / occupiers.
AVIATION
We provide strategic and delivery management in enhancing
international and regional airports as destinations of choice.
RETAIL
Our retail clients are able to draw on our unique ability and
experience as both client-side advisors and developer / owner of
retail developments globally. Our experienced consultant team offers
specialist advice to clients embarking on new retail or mixed-use
schemes in addition to driving value out of developing existing assets.
EDUCATION
We have a wealth of experience in the education sector and have
carried out a number of commissions for schools, further education
and higher education establishments to improve the quality of the
teaching experience.
We believe that successful projects
are delivered by building trusted
relationships and drawing on our
experience and skills to support
our client’s business needs

PARTNERING AND
RELATIONSHIPS Lendlease Consulting fully believes in the
benefits which long term Client relationships
and partnerships can bring in terms of efficiency,
delivery and Client satisfaction. A deeper, enhanced,
understanding and appreciation of longer term goals
can ensure all interim projects are sympathetic and
cognisant of the wider strategies. This partnering
approach also cultivates relationships and therefore
a mutual confidence and respect resulting in more
effective working in achieving the common goal.
An example of this is our long term relationship
with Calderdale and Huddersfield NHS Foundation
Trust. From our first commission in 2005, the
Consulting Business of Lendlease has established
and developed a long term partnership and
relationship with Trust. Providing Healthcare for
more than 435,000 people across Calderdale and
Kirklees the Trust continues to modernise and
invest in their estate and health services to build
upon their reputation. During our partnership we
have developed a strong working relationship with
a number of staff in a cross section of departments
and divisions both clinical and non-clinical and
closely work with Estates and Facilities, Finance,
Procurement and Supplies, THIS as well as Infection
Control, Manual Handling and Cleaning Services on
a regular basis.
We have undertaken commissions for a full range
of services from feasibility studies and option
appraisals, Business Case preparation, designs and
cost reviews, surveys, delivery Project Management,
CDMC, Principle Designer and Commercial
Services as well as commissioning and validation
works. Projects we have managed during this
time include a Pharmaceutical Manufacturing
Unit (PMU), Clinical Re-provision and Planning
Exercise, boiler replacement, Lifts Replacement
Scheme, Paediatric Assessment and Observation
Unit (PAOU), Emergency Generator Replacement,
Ward and Theatre refurbishments, Haematology and
Biochemistry Laboratory works, major demolition,
asbestos removal and land remediation, new
Endoscopy Unit car parking reconfiguration and
external works programmes.

DUAL HYBRID
THEATRES
Lendlease Consulting is proud to have
managed this state of the art facility from
early feasibility and consultation stage
through design, procurement, delivery,
commissioning, training and handover.
The Theatres are believed to have been
the first dual “true” Hybrid Theatre suite in
Europe, consist of two cutting-edge, fully
integrated, Hybrid Theatres and a general
women’s theatre.
A key feature of the Hybrid Theatres is the
inclusion of a robotic C-Arm as, normally,
a theatre tends to be designed purely for
surgical purposes, with radiology and
diagnostics scanning equipment located
separately. These true Hybrid Theatres
combined the two, resulting in quicker
diagnosis of patients, in situ scanning,
resulting in reduced procedure times,
patient movement as well as patient and
infection control risks.
The project proved a substantial challenge
in coordinating and integrating a number
of bespoke and technically advanced fea-
tures including skirtless ultra clean canopy
(UCV), “Variop” powder coated modular
walling system, fully integrated theatre
system and specialist medical equipment.
This was compounded by its location sur-
rounded by Theatres, wards and directly
over four live Ophthalmic Theatres.
The design and sign off phases were
helped immensely by the use of BIM
from the outset which not only aided
in the co-ordination of the building and
service elements but also in providing
the clinical users a better 3D under-
standing of the new facility during the
user group design meetings.

EMERGENCY
DEPARTMENT
This new Emergency Department project was the
result of the 2013 Keogh report and subsequent
Care Quality Commission visits. They identified
the Emergency Department as a key strategic area
requiring urgent attention to improve services, patient
care and comply with current best practice guidelines.
Due to the complexities of delivering this new
department in a live Healthcare environment and
ensuring continuity of service and patient care several
decants and phases were required.
This major acute project is utilising Building
Information Modelling (BIM) across the design team to
bring benefits of increased accuracy and efficiency to
the scheme.
Lendlease Consulting provided Executive Project
Management services, providing advice and
overseeing the project delivery team and stakeholders
to ensure early risk identification, mitigation and close
out and successful delivery of this complex scheme.

WARD
REFURBISHMENT
PROGRAMME
Lendlease Consulting has managed the
programme of annual major ward refur-
bishments. The Trust’s ward stock is, in
the main, existing 30-bed “Nightingale”
arrangements with little modernisation
since first constructed in the 1960s.
They are ageing and in need of recon-
figuration, modernisation and upgrade
to provide fully compliant patient care.
The existing arrangements also do not
offer flexibility and efficiency of service,
nor address single sex / privacy and
dignity issues. Through an ongoing
modernisation, reconfiguration and
refurbishment programme, the wards
are being brought in line with modern
day standards and service provision. The
refurbishments are carefully designed
and constructed to address their spe-
cific needs in terms of the number of
single rooms, multiple bedded bays and
bariatric services whilst providing and
allowing future flexibility.
To date the programme has addressed
the conversion of existing wards into
Oncology Day Case and OPD as well
as fully reconfiguring and modernising
the general complex elderly, dementia,
stroke rehabilitation, general surgical
and respiratory wards.

THEATRE
REFURBISHMENT
PROGRAMME
As part of the Trust’s strategic plan and ongoing
programme of departmental reconfiguration and
refurbishment works the Theatres, at over fifty
years old, are approaching the end of their useful
life. The six theatres undergoing reconfiguration,
refurbishment and modernisation provide General
Surgery, Vascular, Trauma & Orthopaedics, Acutes
(CEPOD), ENT, Urology and Plastics. The Trauma
and Orthopaedics Theatres also include Laminar
Flow Ultra Clean Canopies (UCVs) to ensure patient
safety and improve outcomes both during and after
implant procedures and fracture procedures.
Due to the existing theatre configuration and
physical building constraints, Lendlease developed
a complex sequence and logistics plan to allow
individual theatres to be refurbished in a “rolling
programme” whilst maintaining full service delivery
in the remaining five theatres.
Following their refurbishment the theatres will
be fully HTM 03 compliant, provide modern day
standard of service finishes and equipment, and
ensure future flexibility for the Trust and the services
they provide.

PHARMACEUTICAL
MANUFACTURING
UNIT
The new Pharmaceutical Manufacturing Unit (PMU)
was created to replace the existing, aging, unit which
had outgrown its previous location and required
future expansion space, bringing it up to modern day
standards and compliances.
The new unit was was created within a disused
copper winding mill which required full strip out
and decontamination works before the fit out could
begin. Full MHRA involvement was instigated in early
design stages and a series of facility and equipment
DQ documents prepared and developed as part of
the MHRA compliance requirements. Home Office
approvals also had to be sought due to the nature of
materials stored within the unit.
The new facility produces around 1000 different
product lines including high quality, special medicinal
products, to hospitals, retail pharmacy chains,
independent pharmacies, dental practices and
podiatrists. The PMU has an established nationwide
customer base of more than 1500 users, with a national
reputation for outstanding quality and service as well as
holding “lead unit” status.
Included within the PMU is Non-sterile Production
of 330 different types of products including creams
& ointments, oral solutions, pastes, re-packaging
of liquids and disinfectants as well as around 450,
one off extemporaneous preparations per month.
Tablet Packing, undertaking over labelling of original
packs, re-packaging of tablet and capsules from bulk
containers, needle & syringe packs, eye drop over
labelling, anaphylactic shock packs, combination packs
as well as packing over 550 different products to over
30 hospitals across the country. Sterile Manufacturing,
Viewing and Labelling Section - The Sterile Production
Unit makes over 190 different products including
Injections, intravenous fluids, eye drops, topical
solutions, disinfectants, pre-filled syringes as well as
sterile bottles and vials.
The new facility also includes a receipt and distribution
area, cold, bonded and controlled drugs stores,
laboratories as well as all associated office and
administration areas.

HEAD AND
NECK PROJECT
This flagship unit provides a dedicated Head and
Neck Centre including Oral & Maxillofacial Surgery
(OMFS), Ear Nose and Throat (ENT), Head and Neck
Surgery, Audiology and Cochlear Implantation (CI) and
associated admin and support services.
This facility was provided by reconfiguring and
refurbishing an ex Mental Health Inpatient facility
into a purpose designed Head and Neck Centre. It
consolidated the services in a dedicated building,
bringing together the associated services which
had previously been fragmented across the Hospital
Campus. This not only provided more efficient work
streams and interaction between the disciplines but
also maximised shared spaces and facilities as well as
offering the patients a significantly enhanced service
offering and patient experience.

Barking Havering and Redbridge University Hospitals NHS Trust
Basildon and Thurrock Hospitals NHS Foundation Trust
Brighton and Sussex University Hospitals NHS Trust
Cambridge University Hospitals NHS Foundation Trust
Cofely GDF Suez
East Lancashire Hospitals NHS Trust
Great Ormond Street Hospital
Hampshire Hospitals NHS Foundation Trust
Kent and Medway NHS and Social Care Partnership Trust
Medway NHS Foundation Trust
NHS Blood and Transplant
NHS Lothian
North Essex Partnership NHS Foundation Trust
Northumbria Hospital NHS Foundation Trust
Oxleas NHS Foundation Trust
Royal Brompton and Harefield NHS Foundation Trust
South West Kent NHS Trust or Kent
Community Health NHS Foundation Trust
Worcestershire Acute Hospitals NHS Trust
THE
VASCULAR
CENTRE
The project involved the conversion of
a redundant Ear Nose & Throat (ENT)
Department into a brand new Vascular
Centre providing the hospital with 46
additional surgical beds, some with en-
suite rooms, as well as increased office
space and ward support rooms. The pro-
ject was located on the first floor, with a
busy Outpatients department below, live
wards above and Theatres adjacent so
meticulous infection control measures
were put in place along with detailed
logistics plans. The existing internal
construction was completely stripped
out and new plant installed on the roof
and M&E services run down the façade
of the building in a new enclosure.
The project was successfully delivered
through the PFI contract where the
lifecycle elements were funded by
two separate organisations and the
enhancements funded by the Trust. This
effectively resulted in Lendlease Con-
sulting managing three individual clients
often with different objectives. Although
challenging, it was successfully over-
come through creating an environment
of inclusion and openness, and adopting
clear processes and procedures. This
ensured that the project was planned,
co-ordinated and delivered effectively
and efficiently whilst satisfying all stake-
holders requirements.

VARIATIONS
MANAGEMENT
Following the completion of Manchester Royal
Infirmary, the Largest PFI Scheme outside of London
at the time, Lendlease Consulting was appointed
to manage the delivery of variations under the PFI
contract. Secondments were made into both the SPV
Project Co. and FM team responsible for the design,
procurement and delivery of the variations.
Taking the Client brief we are then responsible for
procuring and managing the design, tender, cost,
programme and logistics plans into a firm proposal
for agreement and sign off. Once approved these
variations, which vary in size, complexity, scale and
cost between £50,000 and £20,000,000 are awarded
to the successful contractor(s) and the works managed
through the delivery, commissioning, training and
handover phases.

ENDOSCOPY
UNIT
Lendlease Consulting managed this new
build Endoscopy Unit located within an
enclosed cruciform courtyard of a live
Hospital site.
This complex project initially required
the relocation of both Trust Health In-
formatics Services (THIS) and Pharmacy
office space to newly refurbished loca-
tions to allow unhindered access and a
clear site to commence construction of
the new unit.
A new temporary MRI scanner base and
waiting room also had to be provided to
allow the siting of a tower crane to ser-
vice the enclosed and congested site.
Since its completion the purpose
designed facility has freed up much
needed space within the hospital and
provided a fully accredited, modern and
highly flexible healthcare facility serving
the local population.

The original boiler plant servicing the Trust’s site was,
despite providing a reliable service to the Hospital,
becoming increasingly labour intensive and costly
to run and maintain. The main drivers for the project
were the escalating maintenance costs, Corporate
Social Responsibility and associated environmental
concerns of Carbon (CO²) usage with associated
Carbon and Sulphur emissions.
Whilst participating in a Carbon Trust Carbon
Management Pilot Scheme, the boiler house and its
boilers were highlighted as a prime target for a CO²
reduction project. The project replaced some of the
last coal fired boiler sets in the NHS with new highly
efficient dual fuel gas and diesel powered boilers,
a new gas supply, infrastructure and a hundred and
twenty five thousand litre diesel storage backup tank.
The project was meticulously planned, requiring
several enabling schemes, to ensure a constant
supply and backup of both heat and steam from
temporary plant without interruption or impact on the
day to day running and servicing of the Hospital site.
ENERGY
CENTRE

JON PARRY
Head of Healthcare, Consulting
M: +44 (0) 774 0740088
E: jon.parry@lendlease.com
BARRY TAYLOR
Director, Consulting | Europe
M: +44 (0)7802 931 881
E: barry.taylor@lendlease.com
CONTACT
IMAGES REPRODUCED, WITH KIND PERMISSION OF:
AFL Architects / Infinite 3D Photography:
Head and Neck Project,Dual Hybrid Theatres Project, Partnering and
Relationships, Ward Refurbishment Programme, Theatre Refurbishment
Programme, Endoscopy, Pharmaceutical Manufacturing Unit.
MTX Contracts Ltd.:
The Vascular Centre.
Bowman Riley Healthcare:
Emergency Department.

Lendlease 20 Triton Street, Regent’s Place, London NW1 3BF
T +44 (0)20 3430 9000 F +44 (0)20 3430 9001 @LendLeaseGroup
LENDLEASE.COM

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