Internship Program

May 2018

Capital Planning Insights for 2014

November marks the end of a busy capital planning cycle for Agnew Peckham and our Ontario clients.  Our work has mainly focused on Stage 2 submissions (Functional Programs - 8 project submissions) and PSOS work (5 projects), including the development of PSOS for equipment requirements.  We’ve also assisted clients with Stage 1 Proposals (Master Programs/Business Cases and coordination – 5 project submissions) as well as strategic advice and clinical service planning and evidence-based research in facility planning for a provincial funding authority.  In the past year, we’ve been pleased to see the increased recognition of the importance of process flow redesign using Lean principles to facility planning, providing the opportunity for more structured, formal processes to be integrated into facility planning.  We’ve worked collaboratively with our clients and their teams in a variety of ways to ensure that facility layouts are founded on safe and effective process flows.  Geographically, our Ontario work has extended from James Bay in the north to the US border in the south.

For the 2014 planning year, we suggest the following capital planning strategies  

  • Incorporate process redesign (including Lean principles) early in facility planning processes, to ensure that the proposed facility solutions support safe, efficient and effective patient, staff and materials flows. 
  • Think deeply about future patient, family and staff experiences in the new/renovated facilities, using tools such as “day in the life” analysis.
  • Advance Ministry and LHIN priorities and demonstrating this commitment in both service delivery planning and the proposed  organization of space and facilities.
  • Understand the implications of Ministry benchmarks and expectations for your program and facility planning. 
  • Flexibility, flexibility, flexibility:  build in every opportunity to enhance long-term flexibility for changes in workloads, technology, and delivery practices.
  • Integrate planning and design, demonstrating the effectiveness of early integration of functional programming and equipment planning processes and block schematics. 

For more information, please contact Lucy Brun, Partner at