This is an EcoQUIP first time project. The County Hospital in Sucha Beskidzka provides healthcare services for over 80,000 inhabitants of the Sucha Beskidzka county and also for the neighbouring counties. The hospital has 442 beds in 19 hospital wards.
One of the national project coordinators has previously received training and coaching in innovation procurement through the LCB-HEALTHCARE project so was in a position to begin to transfer know-how to hospital staff. The other national coordinator had training in innovation procurement from the EcoQUIP management tram and both attended Peer Learning workshops and other EcoQUIP actions designed to develop learning exchange and collaboration.
The theory and practice of innovation procurement was presented to the staff by the national coordinators in a series of workshops and meetings. A Community of Learning visit to the UK was also organised to inspire and motivate procurement and clinical staff. On 4th to 6th February 2013 representatives of Sucha Beskidzka Hospital and Wadowice Hospital visited United Kingdom and visited innovative technology installations and partner hospitals.
The project adopted and adapted the Forward Commitment Procurement method. Working over a number of months the national project coordinators worked with other hospital staff to identify unmet needs and define their leader-led project. The County Hospital in Sucha Beskidzka provides healthcare services for over 80,000 inhabitants of the Sucha Beskidzka county and also for the neighbouring counties. The hospital boasts 442 beds in 19 hospital wards. The majority of patients’ rooms (nearly 70%) are the south-facing ones and therefore exposed to excessive sunlight, which leads to a build-up of heat, particularly intense during the summer months. Total surface of the south-facing elevation of the hospital building covers 2 580 m2, inclusive of 833,84 m2 of glazing.
The premises located throughout the south‐facing side of each of the eight floors cover 634 m2 of floor space. Particularly high temperatures are recorded in the rooms of the very sick, frequently elderly patients, in post-operative recovery rooms in the orthopaedics and surgical wards, urology ward and stroke unit premises. The temperatures recorded in these rooms in summer were up to 29ºC. The impact of high room temperatures on the staff and patients well-being and medical equipment are of increasing concern, and there is increasing evidence that heat-waves are likely to become even more common.
The Intergovernmental Panel on Climate Change (IPCC) has concluded that, based on observations and climate model projections, heat waves are very likely to increase in their frequency and intensity in the near future. The UK Climate Change Risk Assessment (CCRA) suggested that local healthcare provision might be affected, if temperatures in hospital wards are not effectively controlled, affecting both patient recovery and the performance of staff.
These concerns are reflected in the Ordinance of the Minister of Public Health, of June 29, 2012, which obligates all health care providers to install 'sun-blocking equipment in the patients’ rooms exposed to excessive sunlight' by Dec. 31, 2016.
A number of remedial actions has been taken by the County Hospital in Sucha Beskidzka in an attempt to have this problem resolved and they have concluded that the solutions currently available on the market, however, seem to fall rather short of specific expectations expressed by the Hospital Board. For example, even though the installed shutters and blinds (see opposite) provide shading from direct sunlight, they still fail to address the build-up of excessive heat and also reduce daylight and obscure the outside views and simulations show that using air conditioning in the rooms overexposed to direct sunlight would generate annual costs of PLN 93 050 PLN (EUR 23 260).
The team therefore developed the following outcome based requirement:
During a series of consultations with other hospitals and other public organisations it was determined that the requirements articulated by the County Hospital are actually in common to many other hospitals. In line with the above referenced Ordinance of the Minister of Public Health all healthcare providers are duly obligate to have the ‘sun-blocking equipment’ in place by the end of 2016. Eight other hospitals have already expressed interest in the outcome of the project, hence developing a potential wider market for forthcoming solutions.
In order to obtain information regarding possible solutions that could meet the hospital’s need, Sucha Beskidzka Hospital decided to use the process of technical dialogue. The hospital published a Prior Information Notice in the Official Journal of European Union and on its webpage (both in Polish and English). During the market sounding activities 209 potential suppliers from Europe and beyond were identified and invited to submit their access in the technical dialogue. 19 companies and consortia submitted proposals.
The first official meeting as part of the technical dialogue procedure took place on 3 March 2014. Sucha Beskidzka Hospital representatives described the hospital’s needs and expectations regarding the solutions of ‘cost-effective and low carbon solutions to maintain the thermal comfort of patients and staff’. Potential suppliers asked additional questions and participated in a tour of the hospital.
Between 13 March and 29 April 2014, 16 individual meetings between potential suppliers and technical dialogue commission took place. During those meetings companies presented their solution proposals. Those differed in proposed technology, costs, the scale of changes in hospital’s infrastructure and expected outcomes.
In the process of technical dialogue Sucha Beskidzka Hospital identified the use of photovoltaic awnings as the optimal solution to meet the needs of hospital. Having gathered all necessary information during the dialogue phase, Sucha Beskidzka Hospital decided to carry on with the choice of a supplier through open tender procedure. The procurement was announced on 17 October 2014 on the hospital’s website and Official Journal of European Union. There were many additional questions from suppliers, regarding the technical details of novel use of photovoltaic panels. Due to that the original deadline (25 November 2014) of proposals submissions was extended to 12 December 2014.
Six offers were presented and on 11 February 2015 the hospital announced the winner of the tender and signed the agreement on 17 February. The work is currently being carried out with the aim of being finished by the end of 2015.
Contact details for the leader led project coordinator Marcin Kautsch
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