RIJNSTATE SUSTAINABLE HOSPITAL CARE

Promoter – Financial Intermediary

STICHTING RIJNSTATE

Location

• The Netherlands

Description

The project entails the strategic investment plans of the Rijnstate Hospital, aimed at optimising its healthcare infrastructure, service delivery and energy efficiency at its main location in Arnhem. Background: Stichting Rijnstate is a top-clinical teaching hospital in the province of Gelderland, in the Netherlands. It operates three locations in the region of Arnhem (Arnhem, Zevenaar and Elst). The hospital serves a population of about 433,000 people, provides about 725 inpatient beds and offers a total of 28 medical specialities including one of the largest pain management centres in the Netherlands. With about 6,600 people (4,100 FTEs), Rijnstate is the area's largest employer and one of the largest healthcare providers in the Netherlands. The promoter faces the typical challenges of EU's health sector including a constant shortage of qualified staff, tightening budget constraints and a gradually increasing demand for care by an ageing population. To tackle these issues, Rijnstate has embarked a major investment programme (2024-2030) to adapt the existing facilities to the current medical requirements whilst increasing service quality and overall efficiency at its main location in Arnhem. Such programme also intends to significantly increase environmental sustainability in the first step (until 2030) and move to a completely carbon-free hospital at a later stage (by 2050), minimising the requirements of fossil fuels.

Objectives

The project aims to finance the extension and rehabilitation (about 55 000 to 60 000 m2) of the existing main campus in Arnhem including the entrance hall, outdoor areas, offices, laboratories, radiology, clinics and academic areas. In addition, various measures are going to be implemented throughout the campus to improve the energy efficiency as well as to prepare for the move from gas-fired boilers to heat pumps using geothermal power.

Sector(s)

• Health - Human health and social work activities

Proposed EIB finance (Approximate amount)

EUR 90 million

Total cost (Approximate amount)

EUR 200 million

Environmental aspects

Hospitals are not explicitly mentioned in the Environmental Impact Assessment (EIA) Directive 2011/92/EU as amended by 2014/52/EU, though the project is covered by Annex II of the Directive concerning urban development. The compliance with requirements of the EIA Directive 2011/92/EU, as amended by 2014/52/EU on EIA and Habitats Directive, will be verified during appraisal. It is expected that the project will bear comprehensive benefits to the community, as healthcare is an element of social cohesion and economic development.

Procurement

The promoter has been assessed by the EIB as being a private company not being subject to EU rules on public procurement or concessions. However, if during the project appraisal stage, the EIB were to conclude that the Promoter is subject to the EU public procurement legislation then this would require the promoter to apply those rules.

Status

Under appraisal - 7/03/2024