1.30 The Trust says that proposed bed numbers will initially be 434 compared to 424 on the old site. In addition, the design allows flexibility to vary bed numbers to meet changes in demand. By refurbishing existing ward accommodation as non-clinical accommodation, the Trust has retained the flexibility to re-provide ward space. The Trust considers that the design allows up to six additional wards (170 beds) to be provided. Some of this flexibility, probably two wards, may be used almost immediately if the current temporary beds used on the site become permanent. Delayed discharge of elderly patients is a key factor in driving the need for additional beds. Local social services have provided some intermediate care facilities that are expected to alleviate this problem.
1.31 The deal also allows some flexibility on reducing bed numbers. Where wards are taken out of clinical use, there will be some reduction in the annual unitary payment payable to Bywest. Where closures and reorganisations are great enough, additional land sales could then be made.