Guidance for monitoring and evaluating implemented actions is provided in Step 4 (Climate Resilience Compliance Audit). The Climate Resilience Compliance Audit serves to inform how the Successful Proponent’s design sufficiently addresses climate risks and Project requirements, and confirm any equal-or-better alternatives. The intent is to establish a collaborative and iterative mechanism for the Successful Proponent, Health Authority, and Compliance Team (or Independent Climate Risk Auditor) to review the evidence base provided by the Successful Proponent and ensure that resilient design objectives are met.
In 2020, BC’s health authorities released the Climate Resilience Guidelines for BC Health Facility Planning and Design (version 1.1) to help ensure that climate risks are identified and reduced to acceptable levels in the early phases of a major capital project (approximately 10 years) such that the next 50-100 years of operations are set up well to manage residual, new and compound risks. The guidelines are intended to better equip BC’s health facilities and health system stakeholders with the data and information needed to help ensure that the present and increasing challenges of climate change have minimal impact on the health system’s ability to deliver services to the public. Their development was compelled by the fact that health facilities and services across British Columbia are already facing challenges from climate change that lead to strains, disruptions and cascading impacts on patients, health staff, and communities of care as a whole. The document is intended to guide the planning, procurement and implementation phases of a Design-Build project. Where needed, key elements may be modified and improved upon to serve other facility types, procurement models, and existing facilities. Lessons learned in implementing the guidelines will inform future iterations. The guidelines were developed with the input, support and guidance of an industry Task Force, a multidisciplinary Advisory Committee, a BC Health Authority Working Group, and a Steering Committee over an 18 month period. Special thanks to Integral Group and BC Housing for technical and financial support.