An Overview of the Company and the Hiltron Planning System

HILTRON An Overview

TABLE OF CONTENTS

1. COMPANY PROFILE ......................................................................................... 3

1.1 1.2 INTRODUCTION............................................................................................................ 3 EXPERIENCE ................................................................................................................ 3

2. THE HILTRON SYSTEM ................................................................................... 3

2.1 2.2 2.3 2.4 BACKGROUND ............................................................................................................. 3 BASIS OF THE SYSTEM ................................................................................................ 4 THE HILTRON DATABASE ........................................................................................... 4 USE OF THE HILTRON PLANNING SYSTEM IN PROJECTS ............................................. 5 2.4.1 Initial Conception/budgeting .......................................................................................... 5 2.4.2 General and detailed design ........................................................................................... 5 2.4.3 Tendering........................................................................................................................ 5 2.4.4 Purchase/Commissioning ............................................................................................... 5 2.4.5 Asset management .......................................................................................................... 6 2.4.6 Summary ......................................................................................................................... 6 2.5 USING THE PROGRAM IN THE NORMAL PLANNING PROCESS ...................................... 6 2.5.1 The Schedule of Accommodation .................................................................................... 6 2.5.2 Populating the Schedule of Accommodation .................................................................. 6 2.5.3 Reviewing the Data......................................................................................................... 7 2.5.4 Reports............................................................................................................................ 7

3 SERVICES FOR MEDICAL EQUIPMENT...................................................... 8 4 SERVICES FOR INFORMATION TECHNOLOGY....................................... 9

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HILTRON An Overview

1.
1.1

COMPANY PROFILE
INTRODUCTION
HILTRON LTD is a multi-disciplinary company formed to provide advice on medical equipment and information technology to government organisations, healthcare providers, project contractors and funders. The company also provides medical equipment and IT consultancy, planning assistance to architects and consulting engineers and managerial services for a wide range of healthcare facilities. The company is entirely independent and has no financial or commercial dependency on any manufacturer or supplier. Hiltron does not manufacture, supply or act as agent for any supplier.

1.2

EXPERIENCE
Hiltron is a medical equipment and planning consultancy organisation who have been contracted by major funding institutions, and public and private healthcare organisations in many parts of the World. The company has been in business for 20+ years and has worked on a large number of projects in the UK and in many other countries including Saudi Arabia, Cyprus, Malta, South Africa, Libya, U.A.E., Pakistan, Nigeria, Ethiopia, Portugal, Egypt, U.S.A. The company has been, and is, working in Malaysia, Cyprus, Saudi Arabia, Kuwait, Nigeria, Malawi, Dubai, Pakistan, Tanzania, Malta, Sierra Leone, Egypt, Qatar, The Russian Federation and several countries in Europe. Engagements have ranged from feasibility studies to complete project management. See Appendix 1: Hiltron Reference List For further detail on Hiltron services for both Medical Equipment and Information Management & Technology, please see Section 3 below.

2.
2.1

THE HILTRON SYSTEM

BACKGROUND
In addition to consultancy services, Hiltrons offers planning software which is used by many funding agencies, companies and organisations not only in the UK but in many of the Countries listed above. The service has been further extended by offering Clients internet connection to the Hiltron servers through a Citrix link. This allows continual access to the latest medical equipment database, a facility maintained by Hiltron as part of their medical equipment consultancy work. It also allows design teams, funding bodies etc to use the same project data whilst working from different locations, sometimes on different continents.

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HILTRON An Overview

The databases of the Hiltron Planning System (HPS) are designed for continued use in projects from initial inception, through various design phases, through the purchase phase and finally for asset management. There is no need for additional software. However if at any time the Client requires additional facilities the data can easily be exported since the databases are supported by Microsoft and satisfy all the requirements of open access.

2.2

BASIS OF THE SYSTEM

HPS is written in Visual Foxpro (VFP), a Microsoft development language, and is fully network compatible. It is usual for Clients to site the required databases on a main server with the executable files on local work stations. However there are many other possible variations. A feature of VFP is the small size and high speed of the databases, making the system very portable. VFP is a Windows based system, and the user throughout is presented with recognisable Windows style interfaces which makes use of the system to a large degree intuitive. All the usual copy, cut and paste facilities are implemented and the program directly exports to Excel and Word. The software is written and maintained by Hiltron and has been developed over 20 years to match the requirements of its consultancy which specialises in all aspects of the tendering, purchase and support of medical equipment. It has been developed for and used in all aspects of hospital work.

2.3

THE HILTRON DATABASE

The Hiltron Database is a means of storing and retrieving vast amounts of information. Over the years, Hiltron have accumulated information on over 15,000 items. Hiltron are constantly updating this information and adding new items. A large amount of information is stored about each item, including: Specification; An icon for use in loaded architectural drawings; Supplier information, including the items part number, its cost (with applicable currency and discount where appropriate); Dimensions and weight; Any services it requires, such as an electric spur or piped gas; Specific requirements of any services, such as water temperature and air pressure; and Details of who supplies, installs and maintains the item. The information is stored in a logical structure, depending on the class of item: Electrical (E), Mechanical (P), Architectural (A) or Medical Equipment (M).

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HILTRON An Overview

2.4

USE OF THE HILTRON PLANNING SYSTEM IN PROJECTS

In very simplistic terms projects can be thought as having the following phases: Initial conception/budgeting General and detailed design Tendering Purchase/Commissioning Asset management HPS has been developed to assist in all of these phases

2.4.1 INITIAL CONCEPTION/BUDGETING

HPS includes template rooms for a variety of types of medical facilities from small rural clinics to tertiary referral hospitals. It enables the user to rapidly schedule by copying from either that template or from any other previous project. The equipment database is costed and so budget estimates are available at the same time.

2.4.2 GENERAL AND DETAILED DESIGN

HPS user friendly interfaces allow simple modification and fine tuning of room by room data, perhaps during discussions with clinical users. The scope of the produced Room Data Sheets (RDS) allows integration of not just medical equipment but all aspects of the requirements of the room, such as size, maximum temperatures, air conditioning requirements etc. These can be separately input by the architect and mechanical and electrical consultant as required.

2.4.3 TENDERING
The equipment databases of HPS are structured to allow separation of equipment into appropriate tendering groups (Anaesthetic, Endoscopy etc) and the extensive print options makes the issuing of tenders an easy task. Also the databases include template specifications for medical equipment and furniture which can either be used directly or modified by the user in VFP or Microsoft Word.

2.4.4 PURCHASE/COMMISSIONING
The purchasing module of HPS is directly linked to the room by room equipment scheduling and gives the user the ability to show each item of equipment as being transferred or needing purchase. The module includes a version of the shopping basket approach well known on the internet and this can give outputs suitable for use by other financial auditing systems.

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HILTRON An Overview

2.4.5 ASSET MANAGEMENT

The project databases carry all fields necessary for the ongoing management of medical equipment and furniture. Our Clients have in the past requested a variety of forms to be displayed either on screen or in printed form tailored to their particular needs. The system is very flexible and since it is written and maintained by Hiltron any required special features can normally be easily included. However data such as manufacture, agent, tag/ID number, date of purchase, date of warranty, part number, serial number, dates of testing for national safety conformity, service history (memo fields), dates of required routine maintenance, dates and details of breakdown maintenance, spare parts required, users comments etc would normally be considered as standard.

2.4.6 SUMMARY
HPS is a simple to use and inexpensive solution to the various needs of Clients in the creation and maintenance of medical and other projects. It has an easy learning curve for users. Hiltron is an independent consultancy company registered in the UK for 25 years and is uniquely qualified to offer full support not only for the software but also the various processes it is meant to undertake. Hiltron provides and supports a specialized and proprietary computer system (the Hiltron System) that meets the medical equipment planning system requirements of its customers. This system includes a vast database of equipment and supporting information, including graphics, supplier information and specifications. Hiltron's consultants use the Hiltron System as an integral part of the planning process. The system also allows the creation and population of a project hierarchy with equipment and design data and to make global and specific changes.

2.5

USING THE PROGRAM IN THE NORMAL PLANNING PROCESS

2.5.1 THE SCHEDULE OF ACCOMMODATION

After detailed discussion with the client relating to the structure of the project and the types and level of information to be reported on, the schedule of accommodation is entered into the Hiltron Planning System in the agreed format.

2.5.2 POPULATING THE SCHEDULE OF ACCOMMODATION

Using our wide spectrum of current and recently completed projects (in conjunction, where available, with reviewing operational policies, etc) and consulting with the end-users, Hiltron make an initial schedule of: Equipment Fixtures and fittings (architectural, electrical and mechanical and plumbing)

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HILTRON An Overview

Design data (room dimensions, population of room, room relationships, operational notes, lighting and sound levels, ventilation requirements, temperature parameters, etc.) This initial schedule provides the first indication of the quantities and costs for equipment in the project at all levels of the agreed location hierarchy.

2.5.3 REVIEWING THE DATA

Once completed, the data is handed over to the client to be reviewed by the Equipment or Project working Groups (if these are not established, Hiltron can assist in establishing the appropriate number and membership of groups to best reflect the contents of the new project). Any changes can be discussed with and implemented by Hitron. This process is re-iterated until the client is satisfied with the data in the system.

2.5.4 REPORTS
Once information has been entered into the Hiltron system, it can be extracted in the form of various reports. This is an invaluable tool during the development and review stages. Available reports are: The Fixtures, Fittings and Equipment Report (Equipment and Furniture Schedule), which shows details of items in the selected location. The Bill of Quantities (Asset Bill), which shows quantities and, optionally, costs and suppliers, of items in the selected location. The Item Placement Report, which shows the location(s) of the selected item within the selected location. The Index of Rooms, which shows brief details of rooms in the selected location. Generic Equipment Specification Reports, which lists the generic (i.e. non-supplierspecific) specifications of items in the selected location. The Design Sheet Report, which shows detailed design and environmental information about rooms in the selected location. The Audit Trail Report, which shows changes to items in rooms in the selected location, for example items added or removed and who made the change. Documents that can be produced from the system and which are provided as samples include: Room by Room listing Room Bill of Quantities (BoQ) Departmental BoQ Tender BoQ Single Section

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HILTRON An Overview

Item Placement Single Item Room Design Sheet Room Environment Sheet Example Specifications See Appendix 2 Hiltron System Sample Documents.

SERVICES FOR MEDICAL EQUIPMENT

The company uses knowledge gained over many years to design and specify equipment and facilities suitable for the country under consideration with the knowledge that medical science in all countries is advancing rapidly. The services offered include a range of planning, advisory and management: Initial feasibility studies. Due diligence reviews including: o o o consideration of the viability of medical equipment managed services, equipment specifications and budgets, staff requirements etc..

Room by room design review including: o consideration of equipment requirements based on what is most suitable for the end users local environment, modern practice and discussions with the Clients medical team. o budget considerations; effect of change on present and future requirements. o o IT implications for EPR, RIS, HIS and PACS integration liaison with Architects and Engineering consultants on space, service and environmental criteria affected by medical planning and equipment requirements. Procurement support including: o o o construction of performance and payment mechanisms production of bills of quantity and equipment specifications. Realization of tender documents for local and/or international tender based on requirements of international loan authorities. o liaison with contractors on delivery and installation requirements.

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HILTRON An Overview

inspection and identification of equipment at manufacturers work or other appropriate location.

o o

liaison with shippers. provision of site personnel to supervise location, installation,

commissioning and handover of medical equipment. o preparation of operating documentation for equipment

Project support including: o o o condition surveys and valuation of existing equipment safety inspection of equipment preparation of upgrading requirements and other information

SERVICES FOR INFORMATION TECHNOLOGY

Hiltron is able to provide expert advice and support on a wide range of clinical IM&T issues impacting upon healthcare providers. Our consultants understand the needs of senior management and the imperative of delivering value and results. Hiltron advisors enable healthcare provider organisations to find their way through the clinical IM&T maze and to achieve best value from their IM&T capabilities and opportunities. Hiltron offers the following IT consulting services: IT Strategy Hiltron can provide advice, support and project management for the development, assessment and refreshment of IM&T Strategies. Hiltron can also review existing IM&T strategies across your organisation and support the achievement of improved cohesion and better value. IT Value Engineering help to get better value from IM&T spend. o Value Review determine current and potential value generated by existing IM&T capabilities and strategies for improving the value performance of IM&T expenditures and investments. o Integration Review determine the strategy for the achievement of best value in the achievement of integration across IM&T systems and between IM&T systems and medical equipment; this can include the specification of interfaces and the management of their development and deployment. o Infrastructure Review survey and assess your existing IM&T infrastructure including server, desktop and mobile hardware and network technology, to consider the interface capabilities of your medical equipment and to determine strategies for improving their current and potential value. Departmental IM&T Reviews focussed reviews for those departments and other areas for which IM&T can create greatest operational leverage; Pathology,

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HILTRON An Overview

Intensive care, and Radiology (Picture Archiving and Communications Systems (PACS)). A Hiltron Departmental Review provides a comprehensive assessment of existing IM&T capabilities and infrastructure and the requirements of and opportunities for interfaces with medical equipment and determines the optimum strategy for enhancing current and potential value. Procurement Support - Hiltron can provide input to, or review, processes for all aspects of the Bid Management process including: o o o o Requirements Definition 'Request for Proposal' Creation Tender evaluation and selection Implementation Planning

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Appendix 1: Hiltron Reference List

HILTRON Reference List Introduction

This paper describes the projects undertaken to date by Hiltron Limited. The list is split into three sections, Current Projects (ones still underway) Recent Projects (those completed in the last 2-5 years) and Historical Projects (those completed further in the past). The KEY table below explains the use of the various headings. Heading Project Name Location PFI Year Begun Key Tasks Sub Meaning The full name of the Hospital and the related project The country where the project is located Is the project based upon PFI funding? The year the project commenced Equipment Survey Arranging equipment transfer Preparing cost plans and total budgets, including scheduling of: equipment requirements, fixtures and fittings and architectural and environmental design data Identifying procurement options Preparing purchasing schedules Health Planning Room Data Sheet preparation Including Equipment, Environment, Design IT related tasks including strategy, procurement, negotiation and advice Provision of icons Writing specifications Use of the Hiltron Planning System Technical Advisors Technical Authoring

Y/N A B C D E H R IT G S HPS TA Tech

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HILTRON Reference List CURRENT PROJECTS

Client Inter-Medico GmbH Medizin + Technik Logo & Website Hospital or Project Name Use of the Hiltron planning System Location Bad Homburg, Germany PFI N Year Begun 2009 Key Tasks HPS Brief Description Hiltron Planning System Inter-Medico have signed an annual licence agreement for the use of the HPS for their projects in Russia. Hiltron will support their use of the system and will assist in other areas including the loading of existing project data into the system. Hiltron Planning System Hiltron have been retained by BroadwayMalyan Architects and HealthConsult to provide advice on and the production of Room Data Sheets using the Hiltron Planning System for the National Heart Centre, Singapore. Preparation of Room Data sheets incorporating Equipment, Architecture, Design elements of each room. In the second round of the design process the entire schedule of accommodation has been created, and two rounds of user meetings held to discuss the design thus far. Medical Equipment Advisors; Use of the Hiltron Planning System Appointed by the Project Board to schedule the fixtures, fittings, medical equipment and furniture for this development of the Mater Misericordiae University Hospital, Dublin. Assisted the project team in rationalising the schedules post- end user meetings. MCHD have recently signed an annual licence agreement for the use of the HPS for their project in Dublin. Hiltron will continue to support their use of the system. Stock counting and valuation for the Theatres complexes in St Georges Hospital (26 theatres). Stock count done twice, consumables valued and comprehensive reports produced using the Hiltron Planning System Production of Role Based User Manuals Hiltron was responsible for the production of producing a suite of procedures for users (ranging from surgeons to receptionists) of a hospital information system being rolled out throughout the Gauteng province of South Africa. Technical authoring of the Operational Policies and Procedures for the AMEtHST implementation of the Soarian Medsuite HIS and the Tiani Spirit implementations in the province. Included: production of a master document for the training staff to use to prepare (a) Operational Policies and procedures Documents; (b) Training manuals. Assistance in the preparation of the tender response; client management; preparation and delivery of Client Presentations, Sandpit Exercise; Negotiation of the Proof of Concept Contract; Assistance with the negotiation of the Main Contract; Development of Penalty Regime for the main contract Ongoing client relationship management.

BroadwayMalyan Architects, Weybridge, Surrey

www.inter-medico.de www.BroadwayMalyan. com

National Heart Centre, Singapore

Singapore

2009

CR HPS

Mater Campus Hospital Development Ltd (MCHD) www.mchd.ie St Georges Healthcare NHS Trust, Tooting, London AMEtHST (Pty) Ltd, Johannesburg, South Africa www.stgeorges.nhs.uk

Mater Misericordiae University Hospital, Dublin

Dublin, Republic of Ireland

2004

CR HPS

St Georges Hospital, Tooting Technical Authoring

South West London Johannesburg, South Africa

N N

2009 2008

A IT

AME International GmbH www.ameinternational.com

Gauteng Department of Health Tender Preparation & Management; Contract Negotiation

South Africa

2007

IT

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HILTRON Reference List

Client AME International GmbH www.ameinternational.com AME International GmbH www.ameinternational.com Capita Architecture, London www.capitaarchitecture. com Krasnodar Peri Natal Centre Russia N 2008 HCS Logo & Website Hospital or Project Name Free State Department of Health Tender Preparation & Management Ministry of Health Location South Africa PFI N Year Begun 2008 Key Tasks IT Brief Description Assistance in the preparation of the tender response; Preparation and delivery of Client Presentations

Egypt

2007

IT

Assistance in the preparation of the proposals for a Pilot Project for the Egyptian MoH Preparation and delivery of Client Presentations Assistance with the preparation and negotiation of MoUs with partners of AME; Client and partner management. Health planners, equipment schedulers for the refurbishment of a building to create a (proposed) 50 bed Peri Natal centre in Krasnodar, Russia. Review of existing protocols and procedures, existing building, assistance in the production of the initial planning brief. Assessment of the operational policies, whole hospital and departmental; Preparation of schedule of accommodation and the setup of the Hiltron Planning System for the production and maintenance of the Room Data Sheets. Assistance in the production of drawings at 1:500, 1:200 and 1:50 to include equipment Preparation of Schedule of Accommodation, Room Data Sheets and budgetary estimates, including Bills of Quantities. Medical Equipment Advice, Procurement, Evaluation King Hamad Hospital is located within the Kingdom of Bahrain and is a teaching hospital located adjacent to the Medical School (currently being constructed). The hospital will contain the key acute clinical services with a range of options appropriate for a teaching facility. It is anticipated that the hospital will provide a service for the immediate locality as well as complementary services to the existing hospital. Hiltron were appointed by Australian Hospital Design Company as medical equipment advisors to the Ministry of Works. Our role to provide : Scheduling of equipment in accordance with existing drawings Scheduling of additional equipment as required by the MOH Assistance to the MOH for the preparation of equipment specifications. Preparation of Pre-Qualification questionnaires for equipment providers Assessment and recommendation of pre qualifying companies for equipment providers Assistance with the preparation of tender documentation Assistance during the tendering process Evaluation of the Technical responses

Australian Hospital Design Group

King Hamad General Hospital

Bahrain

2006

CDE S HPS

www.ahdg.com.au

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HILTRON Reference List

Client Logo & Website Hospital or Project Name Location PFI Year Begun Key Tasks Brief Description Financial Evaluation of the submitted bids Final recommendation. Medical Equipment Advice; PFI Advice; Use of the HPS for Room Data Sheets Equipment advisors for a 753 bed PFI rebuild on the existing sites of the Pinderfields and Pontefract hospitals. Project Cost: 343 million. Responsible for all areas of equipment, including hard and soft facilities management, working as part of the project team. Also, provision of equipment icons for the 1:50 drawings. Responsibilities include: attendance at meetings, including user group meetings; loading of room equipment data and design operational data to 1:50 sign-off; advising on PFI schedules; production of equipment transfer list; equipment lifecycle analysis; preparation o documentation, including data sheets, bills of quantity and specifications (with reference to operational requirements, user training, safety and usage); ensuring compliance with health standards, Trust policies, etc; collation of information for Financial Close. Scope of Scheme: Facilities at the Pinderfields site include: A & E; critical care; a burns unit; radiology; thirteen theatres; child outpatients; child inpatients; a rehabilitation department including stroke inpatients, neuro-rehabilitation, intensive rehabilitation inpatients and spinal injuries; three inpatients wards comprising 358 beds; a maternity department including ambulatory maternity, ten birthing rooms, 36 beds, two theatres and a twelve cot special care baby unit; a general outpatients department including adult outpatients, a fracture clinic, neurophysiology, ophthalmology, cardio-respiratory investigations, ENT and oral and maxillo-facial areas; a day care unit including scoping, medical investigations, surgical short stay and oncology; a clinical support department (including mortuary, pharmacy and pathology); Facilities at the Pontefract site include: A & E; radiology; an ambulatory and delivery maternity unit; a rehabilitation suite; a general outpatients department including adult and child outpatients, cardio-respiratory investigations and ENT; a day care unit (including renal dialysis and a day surgery with four theatres) and oncology; pharmacy, pathology and appropriate support. Government of Libya Guys & St Thomas Hospitals NHS Trust www.guysandstthomas. nhs.uk Benghazi Medical Centre (BMC) (1,280 Beds) Benghazi, Libya N 2004 ACD E IT G S HPS TA Medical Equipment and IM&T Advisors Appointed by the Government of Libya, through Guys & St Thomas Hospitals NHS Trust, for the 1,280 bed Tertiary care Benghazi Medical Centre. To provide advice on: Health Planning, Equipment Strategy, IT Strategy,

Consort Healthcare

Pinderfields and Pontefract Mid Yorkshire (753 Beds)

UK

2002

ACD GRS HPS

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HILTRON Reference List

Client Logo & Website Hospital or Project Name Location PFI Year Begun Key Tasks Brief Description Procurement and Commissioning of Medical Equipment and IT

For IT, Hiltrons role was to provide: Advice and guidance on IT strategy Procurement support o Preparation of Prequalification Questionnaires; o Execution of the Pre Qualification process, including evaluation of the responses and submission of information to the IT Committee for evaluation and decision making; o Preparation of RFP documentation; o Execution of the RFP process, including evaluation of the responses and submission of information to the IT Committee for evaluation and decision making; Support during the contract negotiation process. The BMC aim is to implement a filmless and paperless hospital system, incorporating an Electronic Medical Record, PACS, Critical Care systems, integration with Medical Equipment, and supporting administrative systems, provided via a long term PARTNERING agreement with a supplier of standing and experience.

RECENT PROJECTS
Project Name Oxford Churchill PFI Project Location UK PFI? Y Year Begun 2005 Key Tasks TA Brief Description Technical Advisors to the Funders Hiltron were appointed in 2005 as Technical Advisors to the Funders, lead by MacQuarie's Financial Services, for the Oxford Churchill PFI Project, a large 109M development principally focused on Oncology and related services, including 5 linear accelerators and extensive diagnostic imaging. The duties involved contractual advice to Funders, and presence in contract negotiations, advice during pre and actual construction and certification of payments against delivery/Installation/Commissioning of equipment, most of this equipment being supplied under a managed equipment contract. The project was completed in late 2008. IM&T Advisors Hiltron were appointed as IM&T Advisors to the Board of the Queen Elizabeth Hospital (QEH). The QEH has approximately 600 beds and is the principal public hospital in Barbados and the only public facility offering specialist care, teaching and research. It is now governed by its own Board of Management. Hiltrons role was to provide: Advice and guidance on IT strategy

Queen Elizabeth Hospital, Bridgetown, Barbados (600 beds)

Barbados

2006

IT

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HILTRON Reference List

Project Name
www.qeh.gov.bb

Location

PFI?

Year Begun

Key Tasks

Brief Description Procurement support Preparation of Prequalification Questionnaires; Execution of the Pre Qualification process, including evaluation of the responses and submission of information to the IT Committee for evaluation and decision making; Preparation of RFP documentation; Execution of the RFP process, including evaluation of the responses and submission of information to the IT Committee for evaluation and decision making; Provision of initial basic contract material for the QEH to use with their lawyers to produce the required contract; Support during the contract negotiation process.

Royal Liverpool and Broadgreen Hospitals NHS Trust (568 Beds)

UK

2006

CDS

The QEH is aiming to implement a filmless and paperless hospital system, incorporating an Electronic Medical Record, PACS, Critical Care systems, integration with Medical Equipment, and supporting administrative systems, provided via a long term PARTNERING agreement with a supplier of standing and experience. Equipment advisors for a 568 bed new PFI build on the existing site of the Royal Liverpool hospital. Gross internal area of scheme: 120,000m2; project cost: 500 million. Responsible for all areas of equipment, including hard and soft facilities management, working as part of the project team. Also, provision of equipment icons for the 1:50 drawings. Responsibilities include: training the Trust in PFI-awareness; risk assessment; advising on procurement options; development of realistic costings; attendance at meetings, including user group meetings; management of the prequalification process; evaluation and assessment of bidders responses; development, ranking and pricing of long-list items and detailed development of short-listed options and preferred option; preparation of documentation, including change control sheets, room data sheets, bills of quantity and specifications; ensuring compliance with health standards, Trust policies etc. Scope of Scheme: Facilities include: fifteen 28-bed inpatient wards; a 32-bed intensive care ward; an infectious diseases ward with nine isolation beds; a radiology department; eight theatres; renal dialysis (5 beds and 30 renal dialysis stations); a 20-bed haematology ward; an endoscopy department; an accident and emergency department including 36 emergency beds and emergency imaging; an outpatients department including audiology, cardio respiratory investigations, a fracture clinic, GI unit, neurophysiology and sexual health departments; pathology; pharmacy; an education centre; and appropriate support.

Langbaurgh Hospital

UK

2006

CDS

Appointed by Langbaurgh PCT as consultants for redevelopment of primary care and community services This is a community hospital housing several GP practices plus community hospital facilities including imaging, day surgery, endoscopy, rehabilitation, minor injuries unit, in patient beds, day hospital, pharmacy and out patients. Hiltron's Role: To prepare a schedule of accommodation To prepare a schedule of fixtures and fittings and equipment based on the schedule of accommodation To prepare budget estimates Appointed by El Amara Consultants as equipment and Health Planning consultants

Al Houari Hospital Page | 6

Libya

2006

ACD

HILTRON Reference List

Project Name Location PFI? Year Begun Key Tasks E S TA Brief Description Al Houari hospital is a follow on from the MOH project and is a general hospital feeding the MOH referral complex, also located in Benghazi. Hiltrons role : Assess the current equipment provision at Al Houari Assess the current service provision Assess the current accommodation Make recommendations for changes to services and accommodation Prepare revised schedules of accommodation Liaise with contractors for the construction of changes to the building/accommodation Assist in the provision of decanting etc Prepare Schedules of Equipment Prepare budget estimates Prepare specifications Advise on procurement options Prepare tender documentation Undertake Pre-Qualification Manage the tender process Evaluate tenders Undertake tender negotiation Prepare Commissioning programme Oversee Commissioning process North Middlesex University Hospital UK Y 2004 CS Equipment advisors for a 150 bed PFI redevelopment of the existing North Middlesex hospital site. Responsible for all areas of equipment, working as part of the project team. Also, provision of equipment icons for the 1:50 drawings. Responsibilities included: attendance at meetings, including user group meetings; loading of room equipment data and design operational data to 1:50 sign-off; provision of initial IT advice; advising on PFI schedules (for example schedule 13); production of asset register and equipment transfer list; equipment lifecycle analysis; assessment of bids at the interim submission (2003); review of Trust equipment specifications and costs from the bidders; preparation of documentation, including room data sheets, bills of quantity and specifications (with reference to operational requirements, user training, safety and usage); ensuring compliance with health and safety standards, infection control, Trust policies, etc; reviewing of the payment mechanism; production of the bill of quantities for commercial close, with price verification; review of trust equipment quantities and groups for Public Sector Comparator (2006) and collation of information for Financial Close. Medical equipment advisors to the Trust; appointed to schedule the fixtures, fittings, medical equipment and furniture Medical equipment advisors to the Trust Appointed by the Project Board to schedule the fixtures, fittings, medical equipment and furniture for this new development. Assisted the project team in rationalising the schedules post- end user meetings. Appointed by the Project Team to assist with the scheduling of various small projects being undertaken by the Health Board

Essex Rivers Forth Valley Mater & Childrens Development Project, Dublin Mid Western Health Board Regional Page | 7

UK UK UK UK

Y Y

2004 2004 2004 2004

CS CS C C

HILTRON Reference List

Project Name Hospital, Limerick North Staffordshire Hospitals Ealing Schools Barts and Royal London Middlesex BeCAD Pinderfields and St Helens Addenbrookes Maidstone and Tunbridge Wells Havering/Catalyst St James University Teaching Hospital, Leeds Location PFI? Year Begun 2004 2004 2003 2003 2003 2003 2003 2003 2003 Key Tasks S CS C CS C C C C C Brief Description

UK UK UK UK UK UK UK UK UK

Y Y Y Y Y Y Y

Appointed by the Trust to write specifications for the Trusts Group 3 equipment excluded from the Trusts PFI project, to assist them in their future procurement. Provided scheduling assistance to Bouygues UK Ltd with their bid Appointed by GE Medical Systems to assist in the preparation of room data sheets for the bid Appointed by Bouygues UK Ltd and GE Medical Systems to create the room data sheets Appointed by Balfour Beatty to assist with the creating of RDS to give prompt and cogent costs for the equipment and to allow the QS to cost the M&E content of the bid Appointed by the Trust at to assist with their equipment planning during the PITN stage of the project Appointed medical equipment advisors to the Trust Appointed by Catalyst/Trust to assist equipment clarification Appointed equipment advisors to the Trust with Mott MacDonald for a new oncology wing. Responsible for all areas of equipment, working as part of the project team. Responsibilities included: attendance at meetings, including user group meetings; loading of room equipment data and design operational data to 1:50 sign-off; producing documentation, including room data sheets; helping the Trust produce all tender documentation and training Trust staff in the use of the Hiltron software. Appointed equipment advisors to the Trust with Mott MacDonald Carried out asset studies for the Trust Appointed by the Mid Essex Health Services NHS Trust as Trust advisors for equipment Appointed by Catalyst as equipment and room data sheet advisors. Worked with Catalyst, the Trust and end users to create a definitive list of medical and non medical equipment Preparing electronic interface for room data sheets and equipment purchasing Equipment advisors to preferred bidder Prepared a feasibility study for the first medical PFI in RSA on behalf of the Provincial Government of Kwazulu Natal, in association with PWC. Appointed by the Government of South Africa as finance, technical and procurement advisors for an 846-bed hospital. Hiltron provided the strategic advice, RFP preparation and evaluation for the medical equipment and the IT services. This hospital is the principal treatment, teaching and research hospital for the entire province of KZN in South Africa, providing services to more than 9 million people. Issued tender documents for the procurement, maintenance and replacement of equipment and IT. This 15 Year PPP Contract includes provisions for complete IT and equipment refresh and a novel State of the Art clause. It was tendered, adjudicated and signed within 18 months and the hospital was functioning within 6 months of financial close. Appointed by Carillion as health planners and medical equipment specialists for this project, a new hospital of approx. 1000 beds

Wolverhampton Kingston Hospital Broomfield Roehampton St Vincents University Hospital, Dublin Tiverton Inkosi Albert Luthuli Central Hospital (IALCH), Durban (846 Beds)

UK UK UK UK UK UK Durban, KwaZulu-Natal, South Africa

Y N Y Y N Y N

2003 2002 2002 2002 2002 2002 2001

C A C CS C C CDE IT

Walsgrave

UK

2001

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HILTRON Reference List

Project Name Nuffield Orthopaedic Centre Radcliffe Infirmary Roehampton Hospital Nuffield Orthopaedic Hospital Glasgow Royal Infirmary Mobile Hospitals Mercy Ships Newcastle General Hospital Worcester Royal Infirmary Royal Berkshire and Battle Hospitals New Coventry Hospitals Location UK UK UK UK UK Turkey UK UK UK UK Y PFI? Year Begun 2001 2001 2001 2000 2000 2000 2000 2000 2000 2000 2000 Key Tasks AC CDE ACD ABC DE C D IT C C C BC CDE C Brief Description Appointed to carry out a complete equipment survey and to place all equipment onto the database to assist the Trust with financial planning Appointed to carry out medical equipment planning Assisted Catalyst in equipment planning and scheduling Appointed equipment and procurement advisors Appointed scheduling/equipment/IT advisors Appointed by Smiths Industries to schedule and cost equipment Worked with Mercy Ships on a voluntary basis to schedule and assist with the charity procurement of the equipment for a new hospital ship Appointed by Norman & Dawbarn Ltd (Architects) as Health Planners Appointed by Worcester Royal Infirmary to assist with the checking of their original equipment list agreed with the PFI provider, the items bought by the Trust in the interim and the final requirements for the new hospital Appointed by the Trust to schedule the equipment requirements for a new Priority Care Ward within the community. Scheduled and agreed the equipment with the end users, raised tender documents, went out to tender, raised information for the Trust to place orders for the equipment. Assisted with the unpacking, checking and placement of the equipment. Appointed by Meredith-Windle Associates to assist with the Health Planning of the New Coventry Hospitals. This is a large project with three distinct elements. The Acute Hospital, the Mental Health Hospital and a Clinical Sciences Building. We have now reached BaFO stage and the brief has changed to include a Hospice, District Sterile Services Department and possible the replacement of the radiotherapy Department which was in the originally envisaged.

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HILTRON Reference List HISTORICAL PROJECTS

Project Name Durban Academic Hospital - Inkosi Albert Luthuli Central Hospital Princess Margaret Hospital, Swindon University of Bham South Tees Loakes Park Hospital, Amersham Hospital, Skopke International Diagnostic Centre Macedonia Cardiac Speciality Clinic Clinical International King Faisal Specialist Hospital and Research Facility, Riyadh Littlemore Mental Health Unit, Oxford Health Services Centre, Vilnius University Hospital Clinic North Western Asylum, Port Said Various Health Care Centres North Staffordshire Acute Psychiatric Unit Astana Medical Centre, Akmola Hamad Hospital, Haemotology/Oncology Ampang, Kuala Lumpur Location Kwazulu Natal, Republic of South Africa UK UK UK UK Year Begun 1999 1999 1999 1999 1999 1999 Saudi Arabia Portugal Saudi Arabia UK Kuwait Lithuania Egypt Trinidad and Tobago UK Kazakhstan Malawi Qatar Malaysia 1999 1998 1998 1998 1988 1988 1998 1988 1998 1998 1998 1998 1997 Key Tasks CD CE CE C ACDE C C CDE CDE ACDE ABCDE CDE CDE ABCDE CDE CDE ACDE CDE CDE Brief Description Appointed by the D.T.I. to write a report for the Government of Kwazulu Natal on the various procurement routes. Hiltron was subsequently one of the speakers on a D.T.I. tour of major towns in South Africa on the way forward in procurement for the Medical Sector Scheduled equipment, fixtures and fittings and design sheets on behalf of Whicheloe Macfarlane, Architects. Restructured data after the architects and M&E Consultants had updated the files electronically and manually. Scheduled and costed a Cardiac Intensive Care Unit for the architects Worked with Cyril Sweett to assist Mowlems with the costing of equipment Appointed to assist the South Buckinghamshire Trust with equipping Appointed by AIC International to schedule equipment and prepare budgets Appointed by AIC International to schedule equipment and prepare costed equipment bills of quantities and budgets Scheduled and planned equipment, with others, for a private hospital Scheduled and budget costed medical equipment and furniture Scheduled design requirements and costed medical equipment and furniture and fixtures and fittings Scheduled various high-tech areas Negotiated supply contracts of medical equipment Scheduled the medical equipment on behalf of an architectural practice Appointed with others to advise the Government of Trinidad and Tobago on their Health Reform Programme Scheduled medical equipment, fixtures and fittings and assisted in design planning Negotiation on behalf of the contractor for the medical equipment Appointed by the ADB with others to carry out a complete survey and make recommendations on health facilities Appointed as medical equipment consultant to Hamad Hospital for the specification and purchase of equipment and furniture Appointed by Abrar Health Services as consultants for a 500 bed hospital project, to schedule the hospital and negotiate the type of equipment with the Ministry of Health

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HILTRON Reference List

Project Name New Royal Infirmary of Edinburgh Medical City, Riyadh Akmola Medical Centre, Dartford & Gravesham Mzuzu Central Hospital Temerloh Leicester Royal Infirmary Location UK Year Begun 1997 1997 1997 1996 1996 1996 1995 1995 1995 1995 1995 1995 1995 1995 1995 1995 1994 1994 1994 1994 1993 1993 1992 Key Tasks CDE ACDE ACDE CDE CDE ACDE ABCDE ABCDE ABCDE ABCDE ACDE CDG CD ACDE CDE ABCDE A ACDE CDE CDE Brief Description Appointed by the Consortium to assist with their design and planning brief Scheduled the medical equipment and furniture for a 500 bed hospital with Payette Associates Scheduled medical equipment and furniture in association with Fitzpatrick International Ltd Equipment consultants for this 300 bed hospital Consultants for a 500 bed paperless hospital project

Kazakhstan UK Malawi Malaysia UK Northern Nigeria Lithuania Kuwait UK UK UK UK UK UK UK UK India Sierra Leone Oporto Saudi Greece

Appointed as Equipment Consultants for the Refurbishment of five General Hospitals in the State of Kaduna Appointed as Equipment Consultants Appointed by the Kuwait Government Ministry of Public Works as equipment consultants to totally rebuild and reorganise care of the mentally ill Appointed by Forest Health Care NHS Trust in conjunction with C.S.P.C. to specify, go out to tender, order and organise delivery for seven acute and community health schemes for the mentally ill. Appointed by C.S.P.C. to schedule equipment Appointed by the Trust to do a study of their current Radiological facility and to comment on their future needs and how these could be achieved within a given budget Appointed by BMI/Columbia owners of the five top London Private Hospitals to look at their equipment and to discuss with their appointed architect the feasibility of rationalising the various medical and surgical disciplines within the group Appointed by Team Vantage as Equipment Consultant to the new 900 bed hospital in Kuala Lumpur Appointed by the Trust to assist with their equipment rationalisation as they compress two sites on to one main site Appointed to carry out data entry and asset evaluation for the Health Authority Appointed by the Trust to survey their CSSD requirements and to assist in the design of the new department Appointed Medical Equipment and Planning Consultants to review existing facilities and make recommendations for the future Appointed by the World Bank to carry out an Asset Management Report on all the hospitals in Sierra Leone Appointed Purchasing Advisors to the 40 bed private hospital following our previous consultancy for medical equipment Aided a major Saudi Contracting Company to bid for the hospital at by preparing their Medical Equipment submission In conjunction with Greek Architects scheduled a new 200-bed hospital

Vilnius University Emergency Hospital Forest Health Care Hospitals New Royal Infirmary of Edinburgh Royal Berkshire and Battle Hospitals BMI/Columbia Private Hospitals Selayang Bahru Hospital Royal Berkshire and Battle Hospitals South West Thames Regional Hospitals West Dorset General Hospital Delhi Private Hospital Oporto Private Hospital Arabian Oil Company Hospital, Al Khafji Paediatric and Page | 11

HILTRON Reference List

Project Name Women's Hospital ,Jeddah National Guards Hospital, Jeddah Al Azhar University Teaching Hospital Location Year Begun 1992 1992 1992 1992 1992 1992 1991 1991 1990 1990 1990 1990 1990 1989 1989 1989 Key Tasks Brief Description

Greece Egypt Nigeria Jordan Kazakhstan Doha Sierra Leone Cyprus Gibraltar UK Tanzania Nigeria Portugal Libya Nigeria UK

In conjunction with International Hospitals Group we designed and scheduled a new Intensive Care and Coronary Care Unit Appointed as medical equipment and design consultants for the 700 bed hospital Carried out surveys on behalf of the African Development Bank and made budgetary recommendations for the refurbishment of hospitals in 3 states Aided in the design and scheduled the equipment for an I.V.F. Clinic Appointed as medical equipment consultants to the 300 bed hospital Appointed to carry out a medical equipment analysis and asset management programme Submitted Consultancy proposal with Turkpak for this 200 bed hospital; following the award of this project, continued working on the project until acceptance of a complete design proposal by the funding body Joined with the architect for the Consultancy. This involved a review of an existing feasibility study and the complete design of a new 570 bed hospital Provided design and equipment scheduling consultancy for a 150 bed private hospital Prepared equipment schedules and bills of quantity on behalf of IHG for a specialist Cancer Centre Prepared initial schedules and feasibility for the Medical Centre, including equipment register On behalf of the African Development Bank, prepared commissioning plan and equipment upgrading proposals for eight hospitals in Kwara State Carried out a medical equipment and design consultancy for a 40 bed hospital Provided scheduling and other documentation for the New Central Hospital In association with Norman & Dawbarn created departmental data sheets, specifications and tender documents for the new hospital Created Asset Registers of all medical equipment and furniture. For: Oldham District Hospital South West Thames Health Authority South Lincolnshire Health Authority Norfolk and Norwich Health Authority Southern Derbyshire Health Authority Birmingham Eye Hospital Haringey Health Authority With Fairclough Ltd. carried out design consultancy for a Private Hospital in Leeds With Nespak carried out a feasibility study including departmental layouts and room scheduling for the National Institute of Cardio Vascular Diseases Carried out preliminary design work and equipment planning in conjunction with Nespak In conjunction with Nespak created a plan for the provided equipment schedules etc for this 2000 bed complex

Zhezkazgan Medical Centre, Zhezkazgan, Hamad Medical Corp Freetown Hospital New Nicosia Hospital London Muhimbili Medical Centre Oporto New Central Hospital, Tripoli Gombe Hospital, Bauchi State

Bolan Medical College Jinnah Post Graduate Medical Complex

UK UK UK

1988 1988 1988 1988

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HILTRON Reference List

Project Name Armed Forces Institute of Dentistry Sandleford Hospital, West Berkshire Location Pakistan UK Nigeria India Al Shifa Trust Hospital Military Hospital, Rawalpindi Pakistan Pakistan Jamaica Therapy Hospital in Abu Dhabi United Arab Emirates Cyprus Saudi Arabia Saudi Arabia Saudi Arabia Saudi Arabia Sultan Qaboos University Hospital National Guards Clinic Mansoura University Hospital, Mansoura New Paphos Hospital Gisburn Park Hospital Greece Egypt Cyprus Sudan UK Ethiopia Year Begun 1988 1988 1987 1987 1987 1986 1986 1986 1986 1985 1985 1985 1984 1984 1984 1984 1984 1984 1984 1984 1984 1983 1983 1983 Key Tasks Brief Description Scheduled Medical Equipment Provided design and scheduling for extension of this hospital Scheduled and raised equipment bills of quantities and specifications for a 100 bed hospital for a private client Involved with an International Consortium in negotiating the design, build and equipping of a hotel, shopping and hospital complex in Hyderabad Worked in conjunction with Nespak on this hospital: internal redesign, room scheduling, equipment bills of quantities, specifications and assisted in writing staffing policies Joined Payette Inc. in conjunction with Nespak to do the scheduling, bills of quantities and specifications for this 2000 bed hospital Assisted a major UK manufacturer in the tendering for the equipping and supply of a CSSD department in Karachi Supplied Medical Equipment for a first aid area in a new hotel Worked with Philips Medical Systems to supply and install radiation equipment in this hospital. Purchased and installed all the equipment required Scheduled equipment and furnishings for the Royal Suite addition to a hospital For the Ministry of Health, Cyprus produced the schedules, bills of quantities and specifications for this hospital. Liaised with the architects on the departmental space plans, layouts and the room layouts Joined a team for the production of a design proposal for the design, build and equipment contract for this hospital Completed a tender for medical equipment for this hospital for Umedc Design and equipment for a concept of mobile clinics of various types for use in Europe and the Middle East Completed a tender for this hospital for a Saudi client Completed a tender for several G100 Hospitals for Metromed Quoted for medical equipment for Cementation UK Ltd Purchased, shipped, installed and commissioned medical equipment and furniture for G500 Hospitals in Abha and Mekkah for a Saudi client In conjunction with SAE and a Saudi client produced tender documentation for the design, build and equipping of this clinic In conjunction with the architect, produced the departmental design and room layouts for this 500 bed hospital and the scheduling, bills of quantities, specifications and tender documents for the project For the Ministry of Health, produced the scheduling, bills of quantities and specifications for this hospital. Space-planning for proposed 100 and 200 bed hospitals, including suggested departmental space plans Liaised with the architect to convert existing building into a private hospital and rehabilitation center European Economic Community health project in Mizan Teferi. Scheduling, bill of quantities and tender documentation, followed by adjudication on the tenders and awarding of the contracts on behalf of the EEC

New Limassol Hospital Hajjah Hospital Riyadh District Hospital Al Mishari Hospital Riyadh

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