In Irkutsk, work began on the construction of a radiological building

2021

Start of works on filling of radiological building foundation

In Irkutsk, the construction of a radiological building with a PET center began. Laying the foundation began on December 2, 2021. The concession agreement for the construction was signed between the government of the Irkutsk region and Rusatom Healthcare JSC. The construction is planned to be completed in 2024-2025. This was announced on December 2, 2021 by the press service of the Ministry of Health of the region.

Photo: ogirk.ru

When the foundation is fully ready, seismic insulators will be installed in the structure. They will increase the earthquake resistance of the building and keep it from destruction. Builders emphasized that this technology is used for the first time in construction in Siberia.

Photo: ogirk.ru

Yakov Sandakov noted that the construction of a building for the region is a key event - the absence of a radiological service in the Irkutsk oncological dispensary does not allow the use of high-tech methods of radiation therapy in the treatment of malignancies. This is 80% of patients in need of cancer care. Specialists are already ready for unique work in Prianagrie - medical physicists, radiotherapists, biologists, radiologists, it remains to wait for the implementation of a large-scale project.

"Funds for the design of the building were allocated from the regional budget back in 2012. We fill the foundation at the beginning of winter 2021. Over 10 years, many obstacles have arisen - countless adjustments to the project, receiving all kinds of examinations, terminating contractual relations with the contractor, and finding a new one. We went through the heaviest torment in order to restore all this, and did it, "said Victoria Dvornichenko, president of the oncological dispensary[1]

2024 Completion Plan

Construction radiological the corps of the East Siberian oncological Center Irkutsk in will end in 2024, said at a session of the Legislative Assembly on October 20, 2021. Minister of Health Yakov Sandakov

In June 2021, it became known that the cost of the facility increased from 5.1 billion to 7.3 billion rubles.

According to Sandakov, in October 2021, "zero cycle construction" is underway: a plate is being prepared to accommodate seismic supports. The Military Construction Company operates at the facility.

The minister also explained that an additional agreement is under consideration in the OFAS, it is assumed that it will be signed by the parties in November 2021. Until 2021, the "zero cycle" will be completed, the construction itself is designed for 3 years - the deadline for delivery in 2024. The Minister explained that the construction cost was increased due to numerous approvals and examinations, in particular, the project was not originally intended for the seismic area, the features of fire safety on technical floors were not taken into account.

The amount reflects the true state of affairs, "the minister emphasized.

Deputy Minister of Economic Development Marina Petrova added that the additional agreement planned for signing retained the financing ratio: 48% - the grantor (3.5 billion rubles), 52% - the concessionaire (3.8 billion). Of the 7.2 billion, only 4.4 billion will be spent on the purchase of equipment. Until 2038, the facility will be operated by the concessionaire^[2].

Check of estimated cost of construction of radiological building by Glavgosexpertism of the Russian Federation

On June 8, 2021, information appeared that the Glavgosexpertiza of Russia had checked the reliability of determining the estimated cost of building a radiological building of the East Siberian Oncological Center in Irkutsk. According to the results of the state examination, a positive opinion was issued.

The construction of the center is carried out as part of a public-private partnership between the government of the Irkutsk region and Rusatom Healthcare JSC, a structure of Rosatom state corporation created to develop nuclear medicine and innovative technologies for processing products in Russia and abroad.

It is planned that due to accurate diagnostic technologies, the future cancer center will be able to detect 10% more malignant tumors at an early stage and increase the number of complex surgical operations in the region from 700 to 6,500. Also, thanks to the center, disability and premature mortality among the population of the region will decrease. The East Siberian Oncology Center will open a surgical building for 10 operating tables with a 180-bed hospital and a 30-bed department of pediatric oncology, as well as reconstruct the buildings of the old building of the Irkutsk Regional Oncology Clinic.

The radiological building, the reliability of determining the estimated cost of construction of which was checked by the Glavgosexpertiza of Russia, will be erected on the territory of the current oncological dispensary.

Financing constructions it is planned to be implemented at the expense of Rosatom and the budget. Irkutsk region The project documentation has been prepared. State Specialized Design Institute^[3]

Start of construction of the radiological building of the cancer center in Irkutsk

Rosatom began construction of the building of the radiological building of the East Siberian Oncology Center in Irkutsk after the corresponding project was approved by the Glavgosexpertiza of the Russian Federation. This was announced on March 17, 2021.

The building with an area of ​ ​ 23.97 thousand square meters is planned to accommodate stationary departments, as well as a radionuclide diagnostics department and a radiotherapy department equipped with gamma-therapeutic complexes for contact and remote radiation therapy, linear electron accelerators. To develop radioactive pharmaceuticals, a cyclotron-radiochemical complex will be created on the basis of the center.

It is planned to equip the medical institution with modern medical equipment that allows not only to detect oncological diseases in patients at an early stage, but also to provide highly effective therapeutic care, the press service of the Glavgosexpertiza of the Russian Federation reports.

Rosatom began construction of a radiological building of an oncological center in Irkutsk for 5.1 billion rubles

In addition, a backup diesel generator plant, a checkpoint, an emergency boiler room and local wastewater treatment facilities will be located on the territory of the oncological dispensary.

By March 2021, more than 24 thousand residents of the Irkutsk region and about 3 thousand patients from other regions of the Russian Federation receive treatment at the East Siberian Cancer Center annually in the dispensary. There is no full-fledged radiological service in the region - the radiological department operates on outdated equipment, Rosatom noted.

Preparations for the construction of the building were planned to begin back in 2018, then the deadline for the construction of the building was postponed until August 2020. Then the date of completion of construction was called the line of 2021 - the beginning of 2022. The volume of investments in the project is 5.1 billion rubles.^[4]

2020: Completion of the construction project of the state environmental expertise center

On July 3, 2020, it became known that the project for the construction of the radiological building of the East Siberian Oncological Center in Irkutsk is undergoing state environmental examination.

At a meeting in the video conference mode of Acting Governor Igor Kobzev with representatives of Rusatom Healthcare JSC, which is building the facility as part of a concession agreement, it was noted that the project is undergoing state environmental expertise in the interregional department of Rosprirodnadzor in the Irkutsk region and the Baikal natural territory. The term for issuing a conclusion is one month, provided that the submitted materials are correct. The next stage will be the passage of the project in the Glavgosexpertiza of Russia and receiving a positive conclusion there.

The head of the region believes that while passing all stages of the examination in Irkutsk, it is worth seconding a specialist from Rusatom Healthcare for more rapid interaction with state authorities.

The situation in the region is not easy with the level of oncological diseases, so it is extremely important for us to do everything to accelerate the start of the construction of the radiological building, "Kobzeva quotes.

A list of medical equipment has been formed, which is proposed to be purchased for further operation at the facility. The list includes 22 items. In the near future, it should be agreed and signed by all parties.

Already in August, it will be possible to start preparing the site and importing equipment. This is necessary to begin construction work, the report said with reference to the deputy general director for the development of infrastructure and equipment "Rusatom Healthcare" Vadim Semenov[5].

2019: Start of development of design documentation

On December 27, 2019, it became known that Rusatom Healthcare began developing design documentation for the construction of a radiological building on the basis of the current oncological dispensary of the Irkutsk region.

As the State Duma deputy from "United Russia" Alexander Yakubovsky said, the project was supposed to be ready back in 2018, but the regional government did not develop it. At the same time, the concession agreement of the government with Rusatom Healthcare was concluded until 2022.

By that time, the company should already build a building, so it took up the development of the project itself, the EP press service reports. I am sure that the experience of the company and the possession of advanced technologies nuclear medicine guarantee that the work will be carried out qualitatively and on time, and the equipment will be equipped according to the latest medical technology, "the deputy concluded.

In the summer of 2018, a chronograph was launched at the East Siberian Oncological Center of Irkutsk, counting the time until the construction of a radiological building with a PET center was completed. This radiological building will be built next to the existing buildings of the oncological center. The facility is planned to be equipped with modern medical equipment that allows not only to detect oncological diseases in patients at an early stage, but also to provide highly effective therapeutic assistance^[6].

2018

Signing of the Radiological Corps Agreement

On June 14, 2018, the Government of the Irkutsk Region and Rusatom Healthcare signed a concession agreement on the creation and operation of the building of the radiological building of the East Siberian Cancer Center in Irkutsk. The signatures under documents put the First Deputy Governor - the Prime Minister Irkutsk oblastiruslan Bolotov and the CEO "Rusatom Healthcare" Denis Cherednichenko.

Ruslan Bolotov and Denis Cherednichenko sign a concession agreement. Photo: Rosatom

Under the terms of the agreement, Rusatom Healthcare as a concessionaire will take over the construction of a radiological building, its equipment with specialized modern equipment, training of personnel and commissioning of the facility. According to the company, in addition to the radiotherapy department, equipped with gamma-therapeutic complexes for contact and remote radiation therapy, linear electron accelerators, as well as a wide range of diagnostic equipment for pre-radiation training of patients, a full-fledged radionuclide diagnostics department will appear in the radiological building. The Diagnostic Unit will provide FEC/CT and PET/CT services, and a cyclotron-radiochemical complex is planned for the development of radiopharmaceuticals.

Modern medical equipment, which will be available to the corps, according to Denis Cherednichenko, will not only detect oncological diseases in patients at an early stage, but also provide highly effective therapeutic care. As a result, this should contribute to reducing mortality and improving the quality of life of cancer patients in the Irkutsk region.

In turn, training and training of personnel will be carried out in accordance with qualification requirements and international standards, as well as with the involvement of foreign specialists and internships in the best clinics in the world, said the Governor of the Irkutsk Region Sergey Levchenko.

According to the Ministry of Economic Development of the region, the agreement was signed for a period of 15 years, of which three years were allocated for the construction of the building, 12 years for the operation of the building. As specified in Rusatom Healthcare, the parties plan to complete the creation of the facility and its launch at a accelerated pace by mid-2022.

Until the expiration of the concession agreement, Rusatom Healthcare will carry out operational management of the center in order to provide medical services in the amounts agreed with the Government of the Irkutsk Region. It is assumed that the bulk of such services to residents of the Irkutsk region will be provided as part of the state guarantee program for free medical care to citizens at the expense of the compulsory health insurance fund (compulsory medical insurance).

The issue of building a radiological building on the basis of the current oncological dispensary was discussed in February 2018 at a meeting between President of the Russian Federation Vladimir Putin and Governor of the Irkutsk Region Sergei Levchenko. Following the meeting, an agreement was reached on attracting federal funding for these purposes, among other things. The decision to conclude an agreement with the investor was made on May 23.

As explained in the Ministry of Health of the region, the goal of the project is to ensure the possibility of high-tech radiotherapy treatment and PET diagnostics with simultaneous savings and optimization of budget expenditures. It is planned to achieve this, according to representatives of the department, by using innovative approaches that guarantee increased accessibility, timeliness and quality of oncological care to the population of the Irkutsk region in accordance with the state strategy for the development of healthcare in Russia until 2030.

Plans for the construction of a radiological building in Irkutsk

In mid-March 2018, it became known about the plans of the company Rusatom Healthcare (structure) Rosatom to conclude Ministry of Economic Development of the Irkutsk Region with the concession agreement on the creation of a radiological building for the East Siberian Cancer Center in. Irkutsk As follows from the information provided on the official website of the Russian Federation for bidding, the company has already sent its proposal for the implementation of the project to the ministry.

The project for the construction of a radiological building in Irkutsk is estimated at 5.2 billion rubles. Photo: ircity.ru

According to the documentation, the project to create a radiological building as a whole is estimated at 5.195 billion rubles. Part of the amount, namely 2.7 billion rubles, Rusatom Healthcare is ready to allocate from its own funds. The remaining amount of about 2.4 billion rubles is expected to come from the regional budget.

In particular, the capital grant is expected to follow the following schedule:

• 2018 - 400 thousand rubles;
• 2019 - 800 thousand rubles;
• 2020 - 400 thousand rubles;
• 2021 - 800 thousand rubles.^[7]

The project involves the construction of a building of 6-9 floors with an area of ​ ​ 21.3 thousand square meters, as well as the supply of equipment for radiation therapy. After commissioning the facility, Rusatom Healthcare expects to take it for a period of 15 years.

The draft contract also contains the basic tariffs and cost of medical services in the radiological building, which the company intends to provide as part of the planned agreement with the Irkutsk region.

The Ministry of Economic Development of the Irkutsk Region should consider the proposal of Rusatom Healthcare by April 23, 2018.

As explained to Interfax-Siberia in the press service of the regional government, in accordance with the law, the private concession initiative Rusatom Healthcare is posted on the website in order to search for and identify other possible concessionaires. If they are found, the authorities will announce a tender for the choice of the concessionaire, otherwise the contract will be concluded with the Rosatom structure.

According to the information provided earlier by the Administration of the Irkutsk Region, the radiological building will include: the Department of Radiation Oncology (of five divisions), the Department of Nuclear Medicine for Radiodiagnostic PET and OFEKT studies (single-photon emission computed tomography), the Department of Medical Physics and Engineering, the operating unit and the hospital for 100 beds.

As of March 2018, more than 24 thousand residents of the Irkutsk region and about 3 thousand patients from other regions of the Russian Federation receive treatment at the East Siberian Cancer Center annually in the dispensary. At the same time, there is no full-fledged radiological service in the region - in the radiological department operates obsolete equipment.^[8]

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