Consultancy

Feasibility study
The availability of a detailed feasibility study is often a key prerequisite for a successful project. Feasibility studies are typically required for hospital expansions, modernisations or for a green field new hospital to be constructed. But it can also be for the supply of medical equipment and systems, or a digital health project.

Our healthcare consultants, architects and financial and other specialists cooperate closely with the client to achieve predefined deliverables. Topics normally addressed are:

• Market analysis
• Medical and functional plan
• Conceptual design
• Staffing
• Financial model
• Financing structure
• Project implementation plan

A pre-feasibility study with reduced scope or depth is also possible.

Market analysis
A distinction is made between public and private projects.

For private/non-government projects, our market analysis takes an in-depth look at the relevant:

• Demographics
• Healthcare growth drivers
• Competitor analysis
• Health insurance market & ability to pay

For public projects, we also take into account:

• Public health needs
• Gaps in public service provision
• Existing referral systems

Medical and functional plan
Based on strategy and outcome of the market study, the medical portfolio to be offered will be defined, taking into account the local context and future demand. This includes capacity calculations. The medical portfolio is the basis for the functional plan and medical equipment plan. The functional plan describes all services that will be provided (clinical, clinical support, diagnostic, digital health, treatment, emergency, logistics, administration, maintenance etc.), the scope and type of customers that will be served and the relations to other facilities in the area.

Conceptual Design
Based on a site survey, workshops with the client and expert meetings, a Program of Requirements is developed based on which, a conceptual design of the hospital or clinic is established by our architects. The conceptual design is an important part of the feasibility study as it provides crucial input for the investment calculation.

Staffing
The staffing plan looks  at availability and training of professional staff for the facility.

Financial model
A dedicated financial model accurately represents the key-variables in the project. It is an essential part of the feasibility study and is necessary for successful funding.

Financing structure
We optimise the project, based on the client’s existing financial figures, the proposed investment and cash flow projections, to qualify for commercial finance, export finance, grants or concessional loans and include an analyses of various funding scenarios. For more details on possible financing structures and the implementation of the Funding Plan, see our Financing page.

Development phase
Once the feasibility of the project has been proven, the development phase starts. Our hospital architects create a preliminary design that meets international and local standards. The preliminary design shall have sufficient level of detail for procuring a Design-Build or EPC contract. This phase includes a more accurate investment calculation, legal aspects, a project implementation plan and social and environmental impact (ESIA) studies.

Medical Equipment Planning
The functional selection and budgeting of medical equipment, telehealth and other related systems can be done for an existing facility as a separate project or as an integral part of a hospital new build process. In case of a hospital new build design, our biomedical engineers perform an early analysis of (non) medical equipment requirements and budgets as this is relevant for the financing structure chosen and the technical interface with the hospital design. It also enables us to prepare a competitive and reliable procurement process later on in the project.

Project phasing and Master plan
For financing and risk control reasons, your long term plans are phased into individual projects and a Master plan ensures an integrated development of the total building structure.