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Hospital Cost Model - Cost breakdown
The cost model illustrates the type of capital investment which the Procure21 route will focus upon, with an acute trauma facility comprising out-patient facilities, consulting rooms and treatment rooms and care beds. The scheme does not include operating theatres or other specialist space.
The scheme, with a gross internal floor area of 3253 m2, comprises three storeys of accommodation together with roof level plant. It is based on a scheme built on an existing urban health campus.
Rates in the model are at fourth quarter 2003 price levels, based on outturn costs for a project let on a two stage, lump sum contract, located in south-east England. Demolition and site preparation, type 2, 3 and 4 equipment, professional fees and VAT are excluded.
Rates in the model may need to be adjusted to account for specification, site conditions, procurement route and programme. Care should be taken in applying general location factors to health service projects with a high proportion of specialist systems and proprietary equipment.
Substructure253,30077.874.13%
Reinforced insitu concrete column bases and ground-floor slab with edge beams; vapour barrier; blinding; limited excavation and disposal 1,058 m2 @ 185
Lift pit and walls; including formwork 18 m2 @ 3,200
Frame278,20085.524.53%
Structural steel frame; standard and cellular beam sections; equivalent to an allowance of 72 kg/m2; erection on site 232 t @ 1,060
Steel frame fire protection; rigid intumescent fire boarding to beams and columns; to receive decorative finish 718 m @ 45
Upper Floors215,20066.153.51%
Composite construction; 350 thick reinforced concrete on metal deck; power floating deck 2,152 m2 @ 100
Roof239,50073.623.90%
Composite construction; 350 thick reinforced concrete on metal deck; power floating; bitumen primed; felt vapour barrier; insulation 1076 m2 @ 115
Three layers polymeric roof covering; membrane; insulation; boundary work, walkways and rainwater pipes and gutters 925 m2 @ 105
Standing seam aluminium roofing; 0.9 mm coated profiled outer sheet; foam insulation; 0.5 mm profiled white faced aluminium liner sheet 219 m2 @ 70
Mansafe system Item @ 3,300   
Stairs85,80026.381.40%
Precast concrete stairs and half landings; 4.2m rise 5 @ 6,400  
Balustrades; 1.1m average high ; galvanised steel balustrade and handrail 62 m @ 320
Handrails; galvanised steel 77 m @ 140   
Safety balustrade to roof; polyester powder coated steel 12 m @ 100
Miscellaneous metalwork; cat ladders; open mesh flooring in risers etc Item @ 22,000
External walls561,400172.589.15%
Aluminium faced insulated composite cladding panels; including secondary steel supports and internal proprietary liner panel 1812 m2 @ 290
Free standing screens to roof plant; louvre panels as required 46 m @ 780
Windows and external doors342,000105.135.57%
Entrance door unit; aluminium framed glazed doors; automatic operation 1 @ 17,000
Curtain walling; aluminium framed stick system with sealed double glazed units; manifestation strip 495 m2 @ 550
External doors; aluminium framed; polyester coated; to match windows 3 @ 4,800
Brise soleil 137 m @ 280   
Internal Walls and Partitions346,200106.425.64%
Plasterboard partitions; metal stud with proprietary impact resistant boarding; including acoustic insulation and support for fixed equipment 1211 m @ 230
Plasterboard partitions; metal stud with proprietary impact resistant boarding; acoustic insulation; support for fixed equipment; including lead lining for use in X-ray areas 41 m @ 680
Plasterboard dry lining to internal face of external walls; proprietary impact resistant boarding on metal furrings 398 m @ 100
Internal doors202,50062.253.30%
Flush doors; solid core; paint grade; vision panels; wrot softwood frame; 30/30 fire resistance; stainless steel door furniture; decorations 150 @ 1,350
Wall finishes50,60015.550.82%
Emulsion paint to wall surfaces 1700 m2 @ 4   
Eggshell paint to wall surfaces 5100 m2 @ 5   
Asceptic sterile proprietary two coat surface finish to clinical and procedure areas 600 m2 @ 25
Wallpaper 300 m2 @ 11   
Floor finishes229,20070.463.74%
Screed; 50mm thick; quick drying; levelling; including surface DPM 2704 m2 @ 25
Vinyl sheet flooring; to general areas; including stairs, stair nosing and edge trims 2161 m2 @ 41
Vinyl sheet flooring; slip resistan 181 m2 @ 39   
Vinyl sheet flooring; electrostatic conductive 90 m2 @ 50  
Carpet; 32oz broadloom 272 m2 @ 70   
Epoxy floor paint to plantroom areas 549 m2 @ 13
Skirtings 2902 m @ 8    
Allowance for entrance barrier matting Item @ 12,000   
Ceiling finishes143,00043.962.33%
Suspended ceilings; 600 drop; resin bonded glasswool tile; exposed grid 2305 m2 @ 42
Plasterboard suspended ceilings; generally 400 m2 @ 47
Ceiling bulkheads; plasterboard 300 m2 @ 75   
Painting to MF ceilings and bulkheads; generally 700 m2 @ 7  
Furniture and fittings419,800129.056.84%
Supply and install Group 1 medical equipment (fixed furniture); fit only Group 2 and 3 medical equipment (loose furniture) 3253 m2 @ 90
Trolley crash rails and corner protection Item @ 23,000 
Reception counter and nurse stations 4 @ 12,500   
Window blinds Item @ 54,000   
Sanitaryware137,70042.332.24%
Sanitaryware generally 153 @ 900   
Disposal Installations66,80020.531.09%
Sanitary plumbing, soil and vent pipework 153 @ 400   
Syphonic rainwater installations Item @ 5,600   
Hot and cold water installations57,90017.800.94%
Cold water storage tank Item @ 5,000   
Direct fired gas water heaters 2 @ 3,500   
Hot and cold water distribution pipework, insulation; total length 2100 m 153 @ 300
Heat source33,00010.140.54%
220 kW gas-fired boilers; roof level; flues and accessories 3 @ 11,000 
Air treatment and ventilation601,000184.759.79%
Air-cooled chiller Item @ 42,000   
Four pipe fan coil units; distribution measured separately 2,226 m2 @ 11
Chilled water pipework, insulation, trace heating 2,226 m2 @ 23
Variable temperature heating circuit; ceiling-level perimeter radiant panel heater system; LST radiators; pipework, valves, pumps, insulation and trace heating 3,253 m2 @ 32
Air curtains and door heaters; generally Item @ 6,700
Air-handling units; total combined capacity 9.2 m3/s; including vibration mountings and attenuation to one air-handling unit Item @ 52,000
Duct mounted cooling and heating batteries 2,226 m2 @ 2
Supply and installation of ductwork, grilles, diffusers and dampers 2,226 m2 @ 98
Thermal insulation to ductwork 2,226 m2 @ 36   
Dirty extract system 2,226 m2 @ 8   
Electrical Installation346,400106.495.65%
Incoming mains supply, containment, associated earthing etc. 538 m @ 69
Standby generator; 1 no 200 kVA Diesel Generator; switchgear, controls and cabling; diesel oil booster set and break tank Item @ 63,000
Main LV system: essential and non essential distribution; incoming and outgoing MCCB’s; incoming on-site generator supply; automatic changeover switch; energy monitoring meters Item @ 29,000
Sub mains low voltage system: essential and non essential distribution; sub mains distribution boards, cabling and trunking 14 @ 1,250
Lighting: including standard luminaires, wiring, containment, accessories 559 @ 185
Emergency lighting: including luminaires, wiring, containment, accessories 178 @ 245
Small power: essential and non-essential small power, including cabling, trunking and socket outlets 3,253 m2 @ 11
Electrical supply for mechanical services Item @ 17,000  
Gas Installations13,0004.000.21%
Incoming gas supply, including steel pipework, valves etc 1 item @ 13,000
Lift installations176,00054.102.87%
Electro-hydraulic bed lift; serving 3nr floors Item @ 176,000
Protective installations11,5003.540.19%
Lightning protection system Item @ 3,500   
Earthing and bonding Item @ 8,000   
Communication installations229,00070.403.73%
IT pathway and infrastructure Item @ 16,700   
Security system; security access points; wiring and equipment 77 @ 450
Intercom system 5 @ 1,800   
Nurse call system to bed heads 56 @ 1,500   
Public Address system 3 @ 450   
Induction loop system Item @ 5,400   
TV system to bed heads 52 @ 360   
Fire alarm points 245 @ 160   
Fire alarm panels Item @ 20,000   
Specialist Installations178,10054.752.90%
Medical gas system: including oxygen manifold and vacuum plant; distribution pipework and fittings, AVSU and associated equipment 106 @ 420
Pneumatic tube system; stations and receiver cabinets 3 @ 12,000
Building management and automatic control systems 3,253 m2 @ 30
Builder's work in connection71,60022.001.17%
Forming holes, chases etc 3253 m2 @ 22   
Preliminaries and contingencies848,000260.6813.82%
Management costs, site establishment and site supervision
Contractor's preliminaries @ 16% Item @ 848,000
Total construction cost – Building only6,136,7001886.45100%
Location Factors
The cost breakdown is based on a price levels current in the South East and should be adjusted by the following location factors for schemes in other regions. Care should be taken in applying locatiuon factors to projects with a high proportion of specialist systems and proprietary equipment.
Inner London1.13
Outer London1.06
South-east1.00
South-west0.93
East Midlands0.91
West Midlands0.91
East Anglia0.95
Yorkshire & Humberside0.88
North-west0.91
Northern0.90
Scotland0.91
Wales0.91
Northern Ireland0.72