Clinical Functionality: Capacity Sample Clauses

Clinical Functionality: Capacity. Clinical Functionality Capacity issues have been identified as those problems associated with a lack of local space (area) that is essential to safe, effective and appropriately compliant service delivery. Needs identified within this category include: Historical re-development of the facility has meant that many areas originally designed to provide essential support functions have been lost in a drive to maximise clinical consultation space. This means that, whilst the facility technically has sufficient space to support baseline clinical activity, in reality it is unable to do this as a consequence of a chronic lack of storage, waiting, quiet / interview, phlebotomy, administrative and office space. In addition, the existing facility lacks any form of clean utility room, dirty utility room, disposal hold or Domestic Services Room (DSR) This is effectively demonstrated by comparing the baseline SoA of the current Lochgelly Health Centre with that proposed for a replacement facility that has been developed based on future capacity requirements and relevant health planning guidance. Such a comparison shows that, even although the number of consulting areas remains broadly similar, primarily due to improved clinical functionality and utilisation, the actual area required is substantially greater (1500m2 as compared to 760m2). This is as a result of including essential areas not present within the existing facility; addressing concerns over the size of areas that are currently present but inadequate; and making sufficient allowances for plant, circulation and communication spaces in line with national guidance. The existing facility lacks any defined flexible administrative areas to support the estimated 50 wte staff who currently operate out of it, resulting in the sub-optimal ‘in-session’ utilisation of clinical areas recorded elsewhere. The SoA developed for a replacement facility includes appropriate flexible administrative space based on agreed metrics related to the number of desks per professional / wte required. The absolute lack of access to administrative desk space for permanent and visiting staff attending Lochgelly Health Centre to deliver clinical services is identified as the main reason for the sub-optimal use of a number of the consulting spaces provided, i.e., these spaces are not being used for clinical consultation because they are instead delivering an administrative function, resulting in 100% room booking (session utilisation) but less ...