Reconstruction of the building of the KNP "Clinical Center for Oncology, Hematology, Transplantology and Palliative Care of the Cherkasy Regional Council" for the department of palliative care and rehabilitation at 4 Pakhariv Khutir St., in Cherkasy


Sector
Healthcare
Stream
Arrangement of safe conditions in healthcare facilities
Maturity level
78
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
Regional level of SPP
Implementation
Completion

General information

Description of the project

The project involves the reconstruction of the building of the KNP "Clinical Center for Oncology, Hematology, Transplantology and Palliative Care of the Cherkasy Regional Council" in order to create and equip a palliative care and rehabilitation department. The project plans to adapt the premises to the needs of patients with serious and chronic diseases, ensure barrier-free access, improve the conditions for patients and the work of medical personnel, as well as update engineering networks and medical equipment in accordance with current medical and building standards. The project is aimed at improving the quality of palliative and rehabilitation medical care, ensuring comprehensive patient care and increasing the efficiency of the healthcare facility.

The purpose of the project

Main Goal:

Increasing compliance with modern standards

Secondary Goal:

Capacity building, Improving the condition of infrastructure, Introducing innovations and energy-efficient solutions, Improving the quality of services, Meeting demand

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

The main goal of the project is to create a modern palliative care and rehabilitation department on the basis of the institution by reconstructing the existing building, taking into account the needs of patients with serious, chronic and oncological diseases. The implementation of the project is aimed at: ensuring accessible, high-quality and continuous palliative care; improving the quality of life of patients and their families; creating appropriate conditions for medical, physical and psychological rehabilitation; increasing the capacity of the healthcare institution to provide comprehensive medical services in accordance with modern standards; implementing regional and state programs in the field of healthcare. Ways to achieve the goal: reconstruction of the internal premises of the building with functional zoning for palliative care wards, rehabilitation rooms, doctors' offices, procedural and auxiliary rooms; adapting planning solutions to the needs of low-mobility population groups (ramps, elevators, widened passages, sanitary facilities); ensuring comfortable conditions for patients, including the possibility of long-term care, ensuring the modernization of internal networks and the appearance of the building, equipping it with modern equipment according to need, ensuring fire, sanitary and epidemiological safety, creating a favorable environment for patients, relatives and staff, etc. As a result of the project, a functionally complete palliative care and rehabilitation department will be created, which will ensure increased accessibility and quality of medical services, improved patient care conditions and increased efficiency in the use of the existing infrastructure of the healthcare facility.

Problems and solutions resulting from project implementation

And 1. Insufficient availability of palliative and rehabilitation care The limited number of specialized premises and the absence of a separate full-fledged department complicate the provision of comprehensive palliative care and rehabilitation services to patients with cancer and severe chronic diseases. Result of the solution: The creation of a specialized department of palliative care and rehabilitation will ensure the expansion of patients' access to quality medical services and improve coverage of the region's population. 2. Inconsistent premises with modern medical standards Problem: The existing premises do not fully meet the current requirements for functional zoning, sanitary and hygienic standards, comfort and safety of patients. Result of the solution: The reconstruction will bring the premises into line with modern healthcare standards, create comfortable wards, rehabilitation rooms and auxiliary premises. 3. Limited barrier-free access for low-mobility population groups Problem: Existing architectural barriers make it difficult for patients with disabilities and people with limited mobility to access. Solution result: Implementing a barrier-free environment will ensure equal access to medical services 4. Deterioration and inefficiency of engineering systems Problem: Existing engineering networks have a high level of deterioration and do not provide the required level of comfort and energy efficiency. Solution result: Modernization of engineering systems will increase the reliability of building operation, reduce energy consumption and operating costs. 5. Limited working conditions for medical staff Problem: Insufficiently functional workspaces and the lack of conditions for interdisciplinary work negatively affect the effectiveness of care. Solution result: Creating proper working conditions will increase the efficiency of staff work and the quality of medical services. 6. Insufficient integration of palliative care and rehabilitation Problem: Lack of a comprehensive approach to palliative care and rehabilitation of patients. Solution result: The formation of a single department will ensure a comprehensive approach to the treatment, care and rehabilitation of patients. As a result of the project, a modern palliative care and rehabilitation department will be created, which will ensure increased accessibility and quality of medical services, improved conditions for patients, optimization of the work of medical staff and increased efficiency of the functioning of the healthcare institution as a whole.

Socio-economic context

Indicator

Value

Number of people who will use the service

1000 human

Population in the geographical area of influence of the project

1000000 human

Number of IDPs in the geographical area of impact of the project

245000 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Arrangement of safe conditions in healthcare facilities

Strategic document

Регіональна стратегія розвитку

Task

3.3.3 Development and modernization of social infrastructure

Project objectives

Indicator
Base value
Target value
Number of specialized rehabilitation beds
40 beds
100 beds
Number of beds for groups with reduced mobility
40 beds
80 beds

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Оцінка потенційного попиту на послуги паліативної допомоги та реабілітації здійснюється на основі чисельності населення географічної зони проєкту (м. Черкаси та Черкаська область), вікової структури населення та поширеності онкологічних і хронічних захворювань.
[Response was provided in the Preliminary Investment Feasibility Study]

Has data from external sources been used in the demand assessment?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Does the demand forecast take into account the latest demographic and economic forecasts?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]
Indicator
Year
Demand
Annual demand for services/infrastructure
1
1000 human
Annual demand for services/infrastructure
2
1200 human
Annual demand for services/infrastructure
3
1500 human
Economic justification

Analysis of the project's impact on ecology and climate change

Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?

None of the options are applicable

Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?

None of the options are applicable

Is the proposed project expected to significantly harm any of the following climate or environmental objectives?

None of the options are applicable

Is the proposed project expected to significantly harm any of the following climate or environmental objectives?

None of the options are applicable

Have the greenhouse gas emissions or emission reductions (Scope 1-2) associated with the project been calculated for a typical year and the entire project period?

No
[Response was provided in the Investment Feasibility Study]

Does the project require an environmental impact assessment (EIA) in accordance with the Law of Ukraine "On Environmental Impact Assessment"?

Yes, not yet conducted
[Response was provided in the Investment Feasibility Study]

Project sustainability and inclusivity

Identify potential gender risks of the project and indicate possible ways to overcome them:

None of the options are applicable

Does the project provide for improving women's access to services?

The project will create jobs available to women (temporarily or permanently)
[Response was provided in the Preliminary Investment Feasibility Study]

Are civil society organizations representing women and vulnerable groups included in the consultation process?

No
[Response was provided in the Preliminary Investment Feasibility Study]

Were consultations held with representatives of target groups to take into account gender equality issues in the project?

None of the options are applicable

Have the gender risks and social impacts of the project been assessed?

All possible positive impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]
All possible negative impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]

Are there management and institutional mechanisms in place to ensure gender equality?

Mandatory training for project staff on gender equality and inclusion is provided
[Response was provided in the Investment Feasibility Study]

Documents

Name
Date
Economic analysis of the project.docx
13.12.2025
12:20:39 UTC

Alternative technical solutions

Technical Solution 1

Reconstruction of the building of the KNP "Clinical Center for Oncology, Hematology, Transplantology and Palliative Care of the Cherkasy Regional Council" for the department of palliative care and rehabilitation at 4 Pakhariv Khutir St., in Cherkasy

Technical Solution 2

Major renovation of the premises of the KNP "Clinical Center for Oncology, Hematology, Transplantology and Palliative Care of the Cherkasy Regional Council" for the department of palliative care and rehabilitation at 4 Pakhariv Khutir St., in Cherkasy

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)188'000'000 UAH55'000'000 UAH
For preparation8'000'000 UAH5'000'000 UAH
For implementation180'000'000 UAH50'000'000 UAH
Project operation and closure cost0 UAH5'010'000 UAH
For operation0 UAH5'000'000 UAH
For closing0 UAH10'000 UAH
Average annual costs5'000'000 UAH0 UAH
Project duration, incl.12 months29 months
Deadline for developing a FFS1 month5 months
Implementation period11 months24 months
Service life540 months96 months
Target indicatorsDefined Defined
Technical Solution Status
Active

[The technical approach was selected for further detailed analysis or implementation.]

Rejected

[The technical approach was not selected for further detailed analysis or implementation.]

Components of a technical solution
To components
1
To components
0

Commercial Justification

Supplier and contractor market assessment

Is the project likely to attract a sufficient number of bidders to ensure real competition that will encourage bidders to think innovatively and maximize the quality of their proposals?
No

[Response was provided in the Preliminary Investment Feasibility Study]

Is the project of interest to small and medium-sized enterprises?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

Will the project involve national or international suppliers and contractors?
No

[Response was provided in the Preliminary Investment Feasibility Study]

Has an analysis of available procurement options been conducted for the technical solution?
No

[Response was provided in the Preliminary Investment Feasibility Study]

What procurement strategy was chosen for the project implementation, and what justifies its feasibility in the context of the market and project objectives?
Для реалізації проєкту обрано процедуру відкритих торгів з особливостями, оскільки вона забезпечує високу конкуренцію на ринку будівельно-ремонтних послуг, скорочує строки проведення закупівлі, відповідає масштабам та комплексності робіт, а також гарантує прозорість і економічну ефективність. Такий підхід дає можливість обрати підрядника з оптимальним співвідношенням ціни, якості та досвіду, що є критично важливим для успішної реалізації проєкту.

[Response was provided in the Investment Feasibility Study]

What approaches are planned to be used to ensure transparency, competition, and efficiency in the procurement process?
Для забезпечення прозорості, конкуренції та ефективності закупівель передбачається використання електронної системи ProZorro, оприлюднення всіх документів, проведення відкритих торгів з особливостями, застосування незалежного технічного та закупівельного нагляду, чітких критеріїв оцінки, регулярного контролю якості та публічного звітування. Це гарантує відкритість процедур, рівний доступ учасників, ефективне використання коштів та зменшення ризиків порушень.

[Response was provided in the Investment Feasibility Study]

What types of procurement procedures are envisaged by the project (open tender, negotiated procedure, competitive dialogue, etc.)?
Open competitive bidding

[Response was provided in the Investment Feasibility Study]

Pre-market engagement
не може бути використане з урахуванням об"ємів та вартості робіт

[Response was provided in the Investment Feasibility Study]

Potential market participants
Ринкові консультації проводилися комплексно: через аналіз відкритих даних, прямі контакти з підприємствами та консультації з експертами. Отримані результати підтверджують наявність достатньої кількості кваліфікованих учасників та високий потенціал конкуренції, що дозволяє застосувати відкриті торги з особливостями як оптимальну закупівельну процедуру.

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Ринок у цілому є достатньо зрілим та конкурентним для реалізації проєкту капремонту лікарні. Доступні кваліфіковані підрядники, необхідні технології та матеріали. Основні бар’єри пов’язані з регуляторними вимогами, економічними коливаннями та технічними особливостями будівель медичного призначення — ці ризики є керованими за умови належного планування та контролю.

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget188'000'000 UAH60'010'000 UAH
Project cost (preparation and implementation)188'000'000 UAH55'000'000 UAH
For preparation8'000'000 UAH5'000'000 UAH
For implementation180'000'000 UAH50'000'000 UAH
Project operation and closure cost0 UAH5'010'000 UAH
For operation0 UAH5'000'000 UAH
For closing0 UAH10'000 UAH
Чи була під час уточнення орієнтовного бюджету використана Методика розрахунку вартості публічного інвестиційного проєкту, затверджена наказом Міністерства фінансів України №316 від 23.06.2025 р.?
Yes
[Response was provided in the Investment Feasibility Study]
Чи була під час розрахунку орієнтовного бюджету використана Методика розрахунку вартості публічного інвестиційного проєкту, затверджена наказом Міністерства фінансів України №316 від 23.06.2025 р.?
Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Average project cost per service recipient

Service UnitСередня вартість проєкту на одного отримувача послуги
Service Unit Cost112'871 UAH

Profitability of the project

Is the project expected to generate income?YesNo
Is the project self-sustaining?No

Availability of services

Has an analysis been conducted of the accessibility of services for consumers and their financial ability to pay the established tariffs?
Not applicable – the project does not provide for the provision of paid services or the establishment of tariffs

[Response was provided in the Preliminary Investment Feasibility Study]

Project Financing Mechanisms

Are funding sources and mechanisms identified?

Source and MechanismYesNo

Funding Sources

Approved Funds3'200'000 UAH0 UAH
Expected Funds3'200'000 UAH0 UAH

Public-private partnership

Has a qualitative and quantitative assessment of the project's suitability for implementation through a PPP mechanism been conducted?
The project does not fall under the PPP format by its nature/character

[Response was provided in the Preliminary Investment Feasibility Study]

Are there, after conducting an appropriate study, private investors interested in the possibility of implementing the project in the PPP format?
No

[Response was provided in the Preliminary Investment Feasibility Study]

Management Rationale

Team competencies

Determine which competencies/expertise required for successful project preparation and implementation can be provided by the project initiator's own project team (without involving external advisors)
Strategic justification - analysis of the strategic feasibility of the project

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - economic analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - communication with stakeholders

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - risk management

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - social and gender analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - public consultations

[Response was provided in the Preliminary Investment Feasibility Study]

Economic feasibility study - technical expertise

[Response was provided in the Preliminary Investment Feasibility Study]

Business case - analysis of available procurement options

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - legal support

[Response was provided in the Preliminary Investment Feasibility Study]

Strategic rationale - SDG compliance analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - working with international financial organizations (IFOs)

[Response was provided in the Preliminary Investment Feasibility Study]

Financial analysis - financial analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Strategic rationale - demand analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - environmental expertise

[Response was provided in the Preliminary Investment Feasibility Study]

Business case - analysis of the market environment

[Response was provided in the Preliminary Investment Feasibility Study]

Does the team have experience implementing similar projects?
Yes, successfully implemented 1 or more similar projects

[Response was provided in the Preliminary Investment Feasibility Study]

Identify which competencies/expertise required for successful project preparation and implementation need to be strengthened by engaging independent experts or consultants
None of the options are applicable
Is there an understanding of where to find relevant experts and consultants?
No, I need help.

[Response was provided in the Preliminary Investment Feasibility Study]

Is the project management structure defined: working group, chair, project team?
Yes

[Response was provided in the Investment Feasibility Study]

What categories of experts and consultants have already been involved at the project preparation stage?
Environmental experts

[Response was provided in the Investment Feasibility Study]

Financial consultants/modelers

[Response was provided in the Investment Feasibility Study]

Legal consultants

[Response was provided in the Investment Feasibility Study]

Commercial experts

[Response was provided in the Investment Feasibility Study]

Economic analysts

[Response was provided in the Investment Feasibility Study]

Strategic consultants

[Response was provided in the Investment Feasibility Study]

Technical experts

[Response was provided in the Investment Feasibility Study]

Management experts / project managers

[Response was provided in the Investment Feasibility Study]

Are there plans to involve experts and consultants for further implementation of the project?
No

[Response was provided in the Investment Feasibility Study]

Risk assessment

Financial riskDefinedUndefined

Organizational events

ResponseDefinedUndefined
Results of the feasibility analysis
Project Preparation Program Engagement and Funding Needs

Is there ongoing cooperation or support within the framework of international technical assistance (ITA) or from other donor or government agencies?

No
[Response was provided in the Preliminary Investment Feasibility Study]

Does the project require preparation assistance from Project Preparation Programs (PPF)?

Development of a full feasibility study;
[Response was provided in the Preliminary Investment Feasibility Study]
Finalization of existing documentation for the preparation of a preliminary feasibility study
[Response was provided in the Preliminary Investment Feasibility Study]
Development of design and estimate documentation (DED);
[Response was provided in the Preliminary Investment Feasibility Study]
Updating existing documentation regarding the preparation of design and estimate documentation (DED)
[Response was provided in the Preliminary Investment Feasibility Study]
Updating existing documentation regarding the preparation of the feasibility study
[Response was provided in the Preliminary Investment Feasibility Study]

Does the project require additional preparation assistance from Project Preparation Facilities (PPF)?

None of the options are applicable
Need for financing

Does the project require additional funding for preparation?

No
[Response was provided in the Preliminary Investment Feasibility Study]

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
15/12/2025SP-R-151225-09D9A263Regional SPInvestment Feasibility StudyIncludeThe project involves the reconstruction of the building of the KNP "Clinical Center for Oncology, Hematology, Transplantology and Palliative Care of the Cherkasy Regional Council" in order to create and equip a palliative care and rehabilitation department. The project plans to adapt the premises to the needs of patients with serious and chronic diseases, ensure barrier-free access, improve the conditions for patients and the work of medical personnel, as well as update engineering networks and medical equipment in accordance with current medical and building standards. The implementation of the project is aimed at improving the quality of palliative and rehabilitation medical care, ensuring comprehensive patient care and increasing the efficiency of the functioning of the healthcare institution. The project meets the requirements of the development of the healthcare industry and should be included in the SPI-
23/12/2025SPP-R-231225-F2A600DFRegional SPPInvestment Feasibility StudyInclude-78