Reconstruction of the building of the Ukrainian Scientific and Practical Center of Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine at Klovsky Uzvoz, 13-A, in the Pechersk District of Kyiv


Sector
Healthcare
Stream
Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
State Single Project Pipeline
Implementation
Completion

General information

Description of the project

Improving the quality and efficiency of specialized medical care for adult and pediatric populations with endocrine system diseases and their complications through the reconstruction and capital renovation of the building, modernization of infrastructure, and upgrade of the material and technical base in accordance with modern healthcare standards.The comprehensive modernization of the building and renewal of the material and technical base will ensure the effective operation of modern outpatient, diagnostic, and inpatient departments, significantly increase the bed capacity, and create comfortable and safe conditions for patients in line with current medical standards.The introduction of new medical services, particularly in the fields of surgery, intensive care, and endocrinology, will enhance the effectiveness of diagnostics and treatment and expand the range of specialized medical care, especially for patients with endocrine disorders.The implementation of the project will enable the facility to meet the growing demand for high-quality medical services, optimize the use of existing resources, ensure a multidisciplinary approach to treatment, and reduce the length of hospital stays. At the same time, the overall level of healthcare services will be improved, which will positively impact public health indicators and contribute to aligning the quality of medical care with European standards.The project also envisages the construction of new gas and rooftop boiler houses with an individual heating unit, the drilling of primary and backup artesian wells, and the implementation of a set of thermal modernization measures to ensure the facility’s energy efficiency, autonomy, and reliable operation. 

The purpose of the project

Main goal:

Increasing compliance with modern standards

Secondary goal:

Meeting demand, Improving the quality of services, Improving the condition of infrastructure, Increasing compliance with modern standards

Description of the purpose of the project and ways to achieve it

The purpose of the public investment project: preserving the endocrine health of the nation, reducing disability among the adult and child population, reducing disability among people of working age, by improving endocrinological care for the population of Ukraine, improving existing and introducing new high-quality medical services for the diagnosis, treatment, prevention of endocrine diseases and their complications based on modern evidence-based medicine, world and domestic experience, and our own scientific developments. Redevelopment of the dismantled premises of the 6th, 7th and 8th floors - with a total area of 3960 sq.m., and putting them into operation for the arrangement of a modern surgical department, an operating block with 5 operating rooms and an intensive care and anesthesiology department (ICU) with an additional 9th technical floor. Bringing the conditions of patients' stay in the hospital into line with modern standards to provide high-quality highly specialized medical care to a larger number of patients with endocrine pathology in accordance with the needs of the population of Ukraine. Modernization of the building and renewal of the material and technical base of the Center will allow to increase the bed capacity, introduce new medical services, increase the number and improve the quality of medical services, meet the growing demand for quality medical services, optimize the use of available resources, ensure an interdisciplinary approach to the treatment process and reduce the duration of patients' stay in the hospital. At the same time, the overall level of medical care will increase, which will have a positive impact on the health indicators of the population - reducing disability and disability, and will contribute to bringing the quality of medical care closer to European standards. The project also includes the construction of a new gas and roof boiler room with an individual heating point, the construction of a main and backup well, as well as a set of thermal modernization measures - in order to ensure energy efficiency, autonomy and reliable functioning of the medical facility as a whole.

Problems and solutions resulting from project implementation

The implementation of the project is necessary to increase the population's access to modern methods of diagnosis and treatment of diseases with endocrine pathology, improve the quality of clinical diagnosis and treatment of patients, identify causes and sources in diagnosis and treatment at all stages of medical care, improve the qualifications of doctors. compliance with the requirements of legislation, building codes, regulatory legal acts on labor protection, state standards and rules, including the requirements of standards on creating conditions for unhindered access for persons with disabilities and other low-mobility population groups, including taking into account national standards governing the design of specialized healthcare facilities based on DBN V.2.2-10-2022 and the State Sanitary Norms and Rules "Sanitary and Anti-Epidemic Requirements for Newly Built, Restored and Reconstructed Healthcare Facilities" approved by Order of the Ministry of Health of Ukraine dated February 21, 2023 No. 354.

Socio-economic context

Indicator

Value

Maintenance costs per year

100000 thous. UAH

Number of employees of the institution/institution/organization

336 human

Number of users from low-mobility population groups

2 thous. people

Number of IDP users

20 thous. people

Capacity

70 thous. people

Capacity

1000 human

Other functional

140 beds

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities

Strategic document

Strategy for the Development of the Healthcare System until 2030

Task

Strategic goal 1 Ensuring universal access of the population to quality medical services and tools for implementing the right to health

Project objectives

Indicator
Base value
Target value
Increasing the operating area for medical service locations
11140 m3
15100 m3
Number of jobs
336 units
388 units
Number of operations
3567 units
6461 units
Providing critical infrastructure (gas boiler room, well)
0 units
2 units
Bed fund
120 beds
142 beds
The share of the use of autonomous heat sources in the structure of energy consumption of the institution
0 %
100 %
% of medical services
100 %
70 %
The level of energy efficiency of the building (reduction in energy consumption)
0 %
-30 %
Average length of stay of a patient in the hospital
9 days
5 days
Number of new directions (medical)
0 units
9 units

Demand for the service and its dynamics

Indicator
Year
Demand
Annual demand for services/infrastructure
1
8 %
Economic justification

Alternative technical solutions

Technical Solution 1

Reconstruction of the building

Technical Solution 2

Current repair

Total costs2'712'550'010 UAH650'000'000 UAH
  • For preparation
  • 547'624'724 UAH2'500'000 UAH
  • For implementation
  • 2'064'925'286 UAH585'000'000 UAH
  • For operation
  • 50'000'000 UAH62'000'000 UAH
  • For closing
  • 50'000'000 UAH500'000 UAH
    Average annual costs113'022'916 UAH36'111'111 UAH
    Project duration, incl.24 months21 months
  • Deadline for developing a FFS
  • 1 month3 months
  • Implementation period
  • 23 months18 months
    Service life360 months60 months
    Target indicatorsDefined Defined
    Components of a technical solution
    To components
    29
    To components
    0

    Financial justification

    Total project budget

    Total preliminary budget2'712'550'010 UAH650'000'000 UAH
    Capital costs2'712'550'010 UAH650'000'000 UAH
    Operational costs0 UAH0 UAH

    Preliminary cost breakdown

    Operating costs for implementation0 UAH0 UAH
    For preparation547'624'724 UAH2'500'000 UAH
    For implementation2'064'925'286 UAH585'000'000 UAH
    For operation50'000'000 UAH62'000'000 UAH
    For closing50'000'000 UAH500'000 UAH

    Average project cost per service recipient

    Service UnitСередня вартість проєкту на одного отримувача послуги
    Service Unit Cost20'866 UAH

    Profitability of the project

    Is the project expected to generate income?

    ResponseNoNo

    Project Financing Mechanisms

    Are funding sources and mechanisms identified?

    Source and MechanismYesNo

    Funding Sources

    Approved Funds0 UAH0 UAH
    Expected Funds0 UAH0 UAH
    Management Rationale

    Risk assessment

    Technical riskDefinedUndefined
    Financial riskDefinedUndefined
    Economic riskDefinedUndefined
    Political riskDefinedUndefined
    Social riskDefinedUndefined
    Operational riskDefinedUndefined
    Market riskDefinedUndefined
    Environmental riskDefinedUndefined
    Other riskDefinedUndefined

    Organizational events

    ResponseDefinedUndefined
    Results of the feasibility analysis
    Economic Analysis
    Social benefits and costs
    Reduction of disability and loss of working capacity. Orientation to state order and guaranteed services of the National Health System. Increase in the number of medical services. Expansion of the range of free and socially oriented services. Active participation in the programs of the Ministry of Health for IDPs, military, children, etc.
    Environmental benefits and costs
    The project has a positive environmental effect, contributes to compliance with national and international environmental standards, complies with the principles of sustainable development, and is environmentally sound.
    Indirect benefits and costs
    1. Indirect benefits: 1.1 Social benefits: • Improving the quality of medical services through the renovation of premises, medical equipment, and patient conditions. • Reducing the average time of patient treatment through the introduction of modern medical technologies and diagnostics. • Improving the working conditions of medical personnel, which contributes to increased motivation, reduced stress, and the risk of professional burnout. 1.2 Demographic and public benefits: • Increasing the accessibility and quality of medical services for residents of the region and all of Ukraine, especially for vulnerable groups of the population. 1.3 Economic benefits: • Reducing the cost of long-term treatment and repeated hospitalizations, which indirectly reduces the burden on the healthcare budget. • Improving the general health of the population contributes to increased labor productivity in the region. 1.4 Image benefits: • Strengthening public trust in the healthcare system. • Increasing the attractiveness of the region for medical specialists and investors in the field of medicine (basis for the development of private partnerships, attracting grants, international assistance, etc.). 1.5 Environmental benefits: • Reduction of energy consumption and emissions after the implementation of energy-efficient solutions (thermal insulation, LED lighting, modern ventilation). • Improvement of conditions for the disposal of medical waste, which reduces risks to the environment and public health.2. Indirect costs: 2.1 Temporary inconvenience for patients and staff: • Restrictions on the operation of the medical institution during the reconstruction period (partial relocation of departments, reduced throughput, queues). • Temporary discomfort due to noise, dust, limited access to some premises. 2.2 Organizational costs: • The need to train medical staff to work with new equipment or in new conditions (may lead to a short-term decrease in work efficiency). • Possible rental costs/temporary relocation of services if part of the facility is decommissioned during the reconstruction. 2.3 Potential environmental risks: • Generation of construction waste, noise and dust during the reconstruction period. • Temporary increase in energy consumption and logistics costs associated with construction processes.