JAMAICA
Support for the Health Systems Strengthening for the Prevention and Care
Management of Non-Communicable Diseases Programme
Loan No: JA-L1049
Assignment Title: Quantity Surveyor
The Government of Jamaica has received financing from the Inter-American Development Bank (IDB) toward the cost of the Support for the Health Systems Strengthening for the Prevention and Care Management of Non- Communicable Diseases Programme and intends to apply part of the proceeds for consulting services.
The consulting services (“the Services”) is to assist in the tendering and budgeting process to ensure that the cost estimates from the Design Consultancy Firm coincide with the drawings, scope of works submitted for procurement. Additionally, overlapping with the necessary cost comparisons with a thorough examination of the bill of Quantities (BOQ) submitted by the bidders adhere to the requirement provided, hence minimizing the needs for variation(s). The assignment is for twelve (12) months.
The Ministry of Health and Wellness now invites eligible individual consultants to indicate their interest in providing the Services. The requirements are:
- BSc (Undergraduate Degree) in Quantity Surveying/Cost Engineering or related field
- Certificate in Construction or Project Management
- JIQS (Jamaica Institute of Quantity Surveyors) Certified or equivalent preferred
- At least five years of relevant experience as a Senior Quantity Surveyor, preferably in interior/ ground up, commercial / healthcare-related projects, new and refurbished buildings.
The attention of interested Consultants is drawn to paragraph 1.9 of the IDB’s: Policies for the Selection and Contracting of Consultants financed by the Inter-American Development Bank GN-2350-9, March 2011, setting forth the IDB’s policy on conflict of interest. A Consultant will be selected in accordance with the Selection of Individual Consultants method set out in the IDB’s Policies.
Expressions of interest in the form of an Application Letter and Curriculum Vitae must be delivered to the address below (in person, by mail, or by e-mail) by March 8, 2021. The detailed Terms of Reference for the Consultancy Service is available on the Ministry of Health and Wellness website at moh.gov.jm.
The Procurement Management Specialist
Support for the Health Systems Strengthening for the Prevention and Care
Management of Non-Communicable Diseases Programme
IBM Building 3rd Floor,
52 Knutsford Boulevard,
Kingston 5.
Tel: (876) 633-7934
E-mail: hsspproject@moh.gov.jm
Website: moh.gov.jm
We thank all applicants however please note only shortlisted candidates will be contacted.
TERMS OF REFERENCE (TOR)
Quantity Surveyor
SUPPORT FOR THE HEALTH SYSTEM STRENGTHENING FOR THE PREVENTION AND CARE MANAGEMENT OF NON-COMMUNICABLE DISEASE PROGRAMME
1. PROJECT BACKGROUND
The Government of Jamaica has received two loans from the Inter-American Development Bank (IDB) to support the Health Systems Strengthening for the Prevention & Care Management of Non- Communicable Diseases (NCD) Programme.The programme objective is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of Non-Communicable (Chronic) Diseases (NCDs) risk factors and improved access to an upgraded and integrated primary and secondary health network in prioritized areas with an emphasis on chronic disease management, that provide more efficient and higher quality care. This is a hybrid programme with a policy-based operation – a programmatic policy-based loan series (PBP) and an investment loan that will invest in the physical infrastructure and equipment of Jamaica’s health sector.
The Policy-Based Loan will look at policies that will consolidate regulatory measures to address the preventable causes of NCDs and to reorient health systems to address prevention and control of NCDs through a people-centred primary health chronic care model. The Investment Loan, in turn, will finance activities to consolidate integrated health networks and improve the management, quality and efficiency of health services. The Policy Based Loan will benefit the Jamaican population at-large, while the Investment Loan will have approximately 800,000 potential direct beneficiaries who reside in the catchment areas of the health services networks that will receive investments.
The Investment Programme being implemented by the Ministry of Health and Wellness (MOHW) has two (2) major components and an allocation to support programme administration and evaluation:
Component 1 – Organization and consolidation of integrated health services networks
This component will finance the purchase of medical equipment and the improvement of infrastructure for primary health care services in the catchment areas of three priority hospitals to increase their capacity in health promotion and disease prevention, especially regarding chronic, non-communicable diseases. The investments will focus on strengthening the diagnostic and screening capability as well as the clinical and resolutive capacity of health clinics. This Component will further finance the upgrading and or expansion of three (3) hospitals selected on criteria relating to strategic role in the national hospital network, supply-demand gap analyses, and physical needs assessment. The hospitals will benefit from infrastructure upgrading and or expansion as well as modernization.
Sub-Component 1.1 – Strengthening Primary Care
1.1 The purpose of this subcomponent is to increase the physical capacity for service provision at the primary care level in three (3) priority geographical areas. Approximately ten (10) health centres have been identified to receive investments in medical equipment and infrastructure refurbishment and expansion. The subcomponent will finance: (i) the preparation of building designs for the construction of new infrastructure on the sites of existing facilities (three centres), expansion of existing structures (four centres), and refurbishing (three centres); (ii) the physical works required for infrastructure improvement; (iii) the purchase of medical equipment including essential diagnostic and treatment items for NCDs, such as sphygmomanometers, electrocardiogram machines, pulse oximeters, defibrillators, computerized chemistry machines, etc.); (iv) engineering services for construction supervision; and (v) corrective and preventive maintenance of medical equipment
Sub-Component 1.2 – Increasing the Capacity and Efficiency of Hospital Services
This subcomponent will address urgent needs to enhance patient safety and services in three (3) hospitals whose catchment areas contain the health centres identified in subcomponent 1.1. Financing from this subcomponent will be allocated to:
(i) the building and engineering designs for the infrastructure improvement and expansion;
(ii) the construction in three hospitals according to contracted plans and designs;
(iii) the purchase of medical equipment to raise clinical capacity to partially account for existing demand;
(iv) the purchase of imaging equipment, including computerized tomography machines;
(v) purchase of industrial style laundry machines;
(vi) construction supervision services; and
(vii) the design and implementation of a corrective and preventive equipment maintenance programme.
Component 2 – Improvement of Management, Quality and Efficiency of Health Services
This component will provide technical assistance to design and implement the Chronic Care Model (CCM) in the participating health services networks; to review and develop care pathways and protocols; and to prepare change management, continuous quality improvement and social media marketing for behaviour change strategies. It will also finance the implementation of the fourth Jamaica Health and Lifestyle Survey. This component will further support:
- the creation of a strong foundation for a digital health ecosystem, including the adoption of standards for interoperability, system architecture, updated governance structure, and other key elements;
- the design and implementation of a sustainable Electronic Health Record (EHR) platform focusing on digitalization of key processes within the improved CCM;
- the strengthening of telehealth/telemedicine/telementoring capacity to include chronic care management, and the establishment of norms and processes for its institutionalization.
- the strengthening of telehealth/telemedicine capacity through the expansion of the ECHO model, the inclusion of chronic care in the platform, and the establishment of norms and processes for its institutionalization.
The Loan also supports Programme Administration and Evaluation:
This allocation will support the MOH in terms of strengthening its institutional capacity for project implementation. It will finance, inter alia, the consultants of the Project Execution Unit (PEU), specialized technical services, independent auditing, as well as surveys and studies regarding the implementation of the programme and evaluation of its impact. The PEU is structured to provide additional capability in the areas of project management, procurement, financial management, infrastructure upgrading, medical equipment specification, and health information technology. Technical and fiduciary staff from the MOH will work closely with the PEU specialists so that the MOH benefits from knowledge transfer and capacity strengthening
The Government of Jamaica (GoJ) and the Inter-American Development Bank (IDB) have negotiated a loan agreement to improve health system efficiency in Jamaica. The objective of the Support for the Health Systems Strengthening Programme (HSSP) is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of Non-Communicable (Chronic) Diseases.
2. OBJECTIVES OF THE CONSULTANCY
In keeping with Component 1 “Organization and consolidation of integrated health services networks’’, the Programme aims to improve health services delivery in three (3) hospitals and ten (10) Health centres namely:
Hospitals:
1) Spanish Town Hospital
2) St. Ann’s Bay Hospital
3) May Pen Hospital
Health Centres:
4) St Jago Park
5) Old Harbour
6) Greater Portmore
7) St Ann’s Bay
8) Ocho Rios
9) Brown’s Town
10) Chapelton
11) Lionel Town
12) May Pen West
13) Mocho
3. OBJECTIVES
The main objective of the TOR is to engage a highly experienced and relevant consultant who will be able to fill the position of Quantity Surveyor for future upgrade/expansion works at the thirteen (13) facilities under the HSSP project and other facilities as required.
The Objective of the Consultancy is to assist in the tendering and budgeting process to ensure that the cost estimates from the Design Consultancy Firm (DCF) coincide with the drawings and scope of works submitted for procurement and the necessary cost comparisons with thorough examination of the bill of Quantities (BOQ) submitted by the bidders adhere to the requirement provided, hence minimizing the needs for variation(s). The Quantity Surveyor may be asked to assess quantities at various other Health Facilities as the need arises.
4. DETAILED SCOPE OF WORK (SOW) AND DELIVERABLES
Main scope of work with deliverables required are given below.
4.1 Operational Management
- Review, examine and ensure that the BOQ, scope of works, drawings, specifications and other technical supporting documents coincide with the cost estimates
- Undertake thorough investigation of the BOQ submitted by the bidders to ensure that they fully adhere to the requirement provided, providing recommendations and QS report.
- Ensure that cost estimates are in accordance with current market rates.
- To assist, coordinate and monitor all evaluations and negotiations pertaining to procurement of goods, works and consultancies.
- Review and examine all variations prior to approval from National Contract Commission.
- The selected Quantity Surveyor should work closely with MOHW PEU, the internal MOHW and external stakeholders and shall coordinate and support the resolving of any quantity surveying related technical issues.
- Provide feedbacks and assist in the formulation of project implementation based on budgeting, cost planning and cost forecasting.
- Evaluate the costs of all MOHW HSSP projects including buildings and civil engineering works.
- Assist in the verification of RFI’s, quotations, invoices, receipts, change orders, variations, certificate of payments for contractors and submit to PEU Civil Engineer and/or Project Manager for processing and approval.
- Identify and communicate all quantitative discrepancies, problems or issues to the PEU Civil Engineer and/or Project Manager
- Assist with all estimating, scope of work, planning and all activities needed for a timely and cost-efficient project completion
- To represent MOHW PEU at meetings as required by PEU Civil Engineer or Project Manager.
- Review all contracts for implementation works, analyse them for relevant impact evaluation and to identify potential tailbacks and causes of variations in project implementation and make amicable resolutions.
4.2 Reporting
- To perform detailed and accurate monthly reports for submission to MOHW PEU as stipulated by the MOHW PEU Civil Engineer and Project Manager.
- Document and journal all construction activities with photos and videos, with detailed documentation of problems or issues
- Perform other duties as determined by the PEU Civil Engineer or Project Manager.
5. Key Task and Responsibilities
- Ability to prepare and conduct cost study analysis based on the architectural, engineering (mechanical, electrical, plumbing, civil) drawings, engineering and architectural estimates, materials required and the labour involved.
- Review and critically evaluate all that the DCF cost estimates submitted
- Evaluate tenders and contract documents submitted from contractors and sub-contractors and where appropriate assist the MOHW PEU with negotiations
- Assist in controlling all stages of projects within the predetermined budget and expenditure.
- Assist in monitoring and tracking the project progress from the planning stage through to the implementation stage
- Responsible for all quantitative measurement and valuations during the contract, for agreement of interim payments, through to final payment certificates for all HSSP projects.
- Commercial vetting of contractor tenders and contract documents
- Demonstrate and maintain effective and open dialogue with the project team regarding changes in work, job conditions, contractor/subcontractor relations and any deviation in the direction of the project;
- Work in partnership with the project management team and the project stakeholders to maintain an updated and accurate project schedule that reflects the changes in project status.
- Participate and attend weekly meetings, including PEU MOHW and contractor meetings;
- Continuously promote positive relations by dealing professionally and fairly with all project stakeholders
- Manage close out processes and warranty responses with PEU Civil Engineer and Project Manager
- Finalization of Technical Reports and Practical Completion Certificates
6. Reporting/ Supervision
The Quantity Surveyor will be supervised by the MOHW PEU Civil Engineer and Project Manager indirectly and will frequently liaise with:
Internally: All relevant members of staff of the MOHW as indicated by the Project Manager (Permanent Secretary, Administration, Procurement, Financial and Technical Officers)
Externally: IDB team and Funding Agencies representatives, Technical Officers, Contractors, Consultants, Suppliers, External Auditors, Representatives of the various beneficiary ministries and agencies.
7. Implementation Arrangement
7.1 The Consultancy Services will be implemented for a period of (1) one year with the possibility for extension or where otherwise determined under the relevant clause of the contract.
7.2 The contract amount will be distributed in (12) twelve monthly payments that will be dependent on satisfactory implementation of activities and delivery of required products, as agreed between the MOH/PEU and the consultant.
7.3 Ministry of Health through the PEU will be the executing agency and main recipient for the Consultancy Services with the Project offices as focal point in implementing the services.
7.4 Coordination meetings will be conducted between the PEU/Ministry of Health and the Consultant for the duration of the project, as may be needed, the expenses of which are to be charged to the Contract.
7.5 The PEU Civil Engineer and Project Manager will provide the Consultant with the necessary documents/support to enable the performance of the activities.
8. Cost of Consultancy Services
8.1 The contract for this consultancy is a fixed price contract, inclusive of tax and other incidental expenses and printing of reports / deliverables.
The cost shall cover the following:
8.2 Remuneration/professional fees;
8.3 Incidental expenses – which would include out-of-pocket expenses (e.g., supplies and materials, transportation/fuel, communication and coordination meetings)
9. Reporting/Deliverables and Payment Schedule
9.1. Billing for remuneration/professional fees shall be in accordance with the following delivery schedule and subject to the usual Government of Jamaica accounting and auditing requirements:
| ITEM | DELIVERABLES | FREQUENCY | DELIVERY DATE | SUPERVISION |
| 1.0 | 12 Status reports on the consultant’s above mentioned activities. (Reports to be accompanied by or include, Evaluation reports & Contract Documents, Complete Estimates , Site Visit Reports, Interim & Final Certificates for works) | Monthly | 5 calendar days after the end of the reporting month | Civil Engineer/Construction Specialist / PM |
| 2.0 | Detailed Site Report on all activities conducted as above mentioned on related Health Facilities | As required | As required | Civil Engineer/Construction Specialist / PM |
| 3.0 | Reports as requested by the PEU and the Bank concerning the project’s progress. | As required | As required | Civil Engineer/Construction Specialist / PM |
9.2 The deliverables shall be submitted by the Consultant in two (2) hard copies to the PEU/Ministry of Health for review. An electronic/soft copy in Microsoft Word Software or PDF to view (if not available to the PEU) shall be also submitted to PEU/Ministry of Health and Wellness.
10. Required Knowledge, Skills and Abilities
- At least five years of relevant experience as a Senior Quantity Surveyor, preferably in interior/ ground up, commercial / healthcare related projects, new and refurbished buildings.
- Must have a proven record of working on complex projects in occupied spaces in a quantitative capacity.
- Commercially astute, numerate, risk averse and able to accurately forecast costs within the current construction constraints.
- Multi-tasking, self-motivated, energetic team player with flexible and adaptable approach to work.
- Capable of managing/coordinating multiple quick turnaround projects simultaneously
- Demonstrate proficiency in reading and understanding commercial construction plans and specifications
- Willingness and ability to work effectively under pressure.
- Have excellent organization skills, planning of resources and programme scheduling will be an asset.
- IT literate and must be familiar with Microsoft Office (Word, PowerPoint, Excel), Microsoft Project Estimating and quantity take-off, Excel in particular, Autodesk AutoCAD
- Strong understanding and expression of written and verbal English
- Driver’s license in good standing,
- Own a reliable motor vehicle
- Knowledge in construction methods, practices, schedules, logistics and budgets
- Adept knowledge of civil, architectural, structural, mechanical and electrical works
- In-depth knowledge of the Master Builders JIIC Agreement and labour rates
- Adept knowledge of the Building Code of Jamaica Institute of Quantity Surveyors
- Knowledge of Project Planning & Management
- Knowledge of Contract Administration process and the established form of contract.
11. Qualification of Consultant
- BSc (Undergraduate Degree) in Quantity Surveying/Cost Engineering or related field
- Certificate in Construction or Project Management
- JIQS (Jamaica Institute of Quantity Surveyors) Certified or equivalent preferred.
Prepared by: Glaspole Christie, Civil Engineer/Construction Specialist
Approved by: Patrick Hunter, Project Manager