Procurement Strategy. NHS Highland will lead on the procurement of the building solutions. The designated procurement vehicle for community health care projects exceeding £750k is the Scottish Futures Trust hub initiative, and for acute facilities it is Frameworks Scotland. • The reconfiguration and refurbishment of Caithness General Hospital in Wick is proposed to be delivered by Frameworks Scotland as a design and build capital solution (Frameworks 3 contract). • It is proposed to deliver the new Health and Wellbeing Hubs in Wick (new build) and Thurso (part refurbishment, part new build) as a single contract with hub North Scotland Ltd. This would be either a design and build capital scheme or a design, build, finance and maintain revenue funded solution, to be determined by availability of capital funding and NHS Scotland strategy at Outline Business Case. Alternative procurement options for the Health and Wellbeing Hubs, to be fully explored at Outline Business Case are: • Delivery of elements of the Care Village concept, such as Assisted Living Accommodation, in conjunction with an independent partner; and • Potential for the Highland Council to lead through the Council Borrowing Powers, as these buildings have a significant social care element. In finalising the procurement and funding options, NHS Highland will continue to work closely with our Community Planning Partners including the Highland Council, and Dounreay, to select the final agreed procurement and funding routes for the Care Hub / Villages. In addition to the above permanent solutions which are dependent on approval of the Full Business Case, some interim work has already or is in the process of taking place:
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Sources: Initial Agreement, Initial Agreement