NHS Fife seeks to offer patients the best care in the best possible environments. However by 2015, recognising that the facilities used to provide elective orthopaedic surgery in the existing tower block at the Victoria Hospital in Kirkcaldy were no longer quite fit for purpose, the team undertook an option appraisal to consider carefully how the facilities could be re-provided. Options of refurbishment, use of existing NHS Fife estate and various new build options were all considered. However, the outdated infrastructure, showing signs of age was no longer seen as a viable option and this process then recommended a new build facility to be provided on the Victoria site. This would prove to be the best solution in terms of delivering a modern facility, protecting patient safety and with the capacity to support elective orthopaedic services over the subsequent 30 years.

With the support of the NHS Fife Board, an Initial Agreement report was developed and presented to the Scottish Government’s Capital Investment Group in November 2017. The project was supported by Scottish Government and was taken forward alongside the National Elective Treatment Centre programme. NHS Fife was given the green light to go ahead with the Fife Elective Orthopaedic Centre project.

In 2019, the Project Team was extended to include external partners who were procured to assist with the technical delivery of the project.

The site for the build is currently car park H (the area in red on the above image) on the Victoria site as this was felt to offer best proximity to related services on the main site. The affect of parking spaces lost through the build will be minimised by the provision of spaces elsewhere on the estate.

The new 3 floor facility will provide a dedicated centre for planned orthopaedic services to the people of Fife. It will be designed to be welcoming, accessible and easy to use and get around. The arrangement of each department allows for patient dignity by separating into public and private routes. This also provides the opportunity for the centre to be adaptable and flexible and allows for future expansion, if required. It will house an orthopaedic outpatients department and meeting rooms on the ground floor, a ward and short stay unit providing 33 patient bed spaces on the second floor, and a 3 theatre surgical complex on the top floor with an adjacent staff area on the top floor. There will also be a therapeutic garden as well as green spaces incorporated in the design.

It is anticipated that the development of this purpose built orthopaedic facility will allow a reconfiguration of services across Fife. This means that other services will also benefit from the delivery of this project as current orthopaedic clinical space is released as orthopaedic services transition to the new facility.
The Scottish Government has challenged the project to demonstrate innovation in how care will be delivered. The building design has taken this into consideration, to provide a workspace that will offer future flexibility to meet the changing demands of orthopaedic services. Work is ongoing regarding IT innovation within the new build, to create a paper-lite environment (minimise the need for paper).

Having a modern facility will also provide the opportunity to innovate in our patient pathways, to ensure the patients are at the centre of the decision making in their care.