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PMC Pilot

Greenfield: building on a new site

A new hospital: connect the building to the care it must support

Illustrative fictional case: a healthcare provider considers a new hospital on an undeveloped site. The project team must connect a workable service model with a building that qualified staff can operate safely.

Start with the service need

Clarify the patient groups, proposed services and capacity assumptions before choosing a building size. Compare a new facility with adapting existing premises or developing services in stages. Record the preferred option, uncertainties and decision authority in the project charter. Land access, utilities and possible planning or healthcare approvals need investigation under the applicable local requirements.

Follow the whole delivery journey

Use the planning guide to connect feasibility, initiation, design, procurement and construction. Clinical users and competent designers define requirements for patient, staff and supply flows, infection prevention, accessibility and equipment interfaces. Coordinate long-lead equipment with building services. During construction, manage approved information and inspection records. Plan system testing, staff training, handover and closeout before the building is finished.

Make operational users part of the team

The sponsor confirms business decisions. Project management coordinates design, clinical representatives, infection-control specialists, procurement, contractors and facility operations. Assign authority for reviewing requirements and accepting evidence. A clinician defines service needs; a competent designer translates them into an appropriate technical solution. Neither role should silently inherit the other's responsibilities.

Watch the interfaces that can delay readiness

An equipment decision made late can change room layouts, power, ventilation or access. Track these dependencies and assess proposed changes before committing. Distinguish construction completion from readiness to provide services. Outstanding safety-critical issues require decisions by authorized competent parties; a completed checklist does not replace required approvals or demonstrate operational readiness by itself.

Choose documents that carry decisions forward

A requirements traceability matrix connects each agreed need to design responses and verification evidence. A handover plan identifies records, training and remaining responsibilities. The project management package supplies supporting structures. At closeout, assign unresolved obligations, archive approved records and capture lessons; the operator then reviews whether the intended service outcomes are being achieved.