News: The development at Lindenlaan 315

The condition of the building at Lindenlaan 315 – 323. This location is our property and the plot has a social purpose.

Social real estate is scarce and the development of, for example, medical centers is slow. We therefore intend to lead the development of social facilities. In addition, we want to handle the scarce private land in our city with care and utilize the space as much as possible. The aim is to give Amstelveners the opportunity to use these facilities sustainably. Economically sound initiatives are a prerequisite for this.

Negotiations have been ongoing for this location since January 2019. It is a medical center with general practitioners, physiotherapy and a pharmacy united in Medisch Centrum Lindenlaan BV. They are obliged to group, develop and intensify collaboration in primary health care. In addition, the Amsteloever Hospice Foundation is engaged in a hospice with six rooms for residents in their last phase of life. The pace of development has stagnated in the recent period due to various circumstances and developments. The initiators have conveyed their concerns about this to the municipality with a heartfelt shout. We see the social necessity and urgency of both developments.

(Amstelveen Municipality – 2021)

The interior design of the hospital and hospice at Lindenlaan in Amstelveen

From program of requirements to feasible construction plan. In May 2021, discussions with the promoters led to a program with requirements to coordinate the spatial arrangement of the two developments. The next step was to enter into letters of intent. Before an agreement is entered into, it is important to demonstrate the financial feasibility of the plans. In both plans, the promoters sought cooperation with external parties (developer and developer) to complete the financing. This is not in accordance with Didam’s assessment and our course, where the municipality takes the lead to sustainably ensure the realization of acute social facilities. We have discussed these concerns and the intention to change course with the promoters. In the future, we would also like to continue talking with the promoters to look at alternative scenarios and increase the possibility of a feasible plan.

Hospice: in discussion about a feasible building plan. The Amsteloever Foundation is committed to the type of hospice that is called an ‘almost home’. An almost home house has only a limited number of paid staff and also works a lot with many volunteers. In Amstelveen there is not yet an almost home. However, there are eight medical hospice places in the Zonnehuis. Amstelveen residents can also go to almost home houses in neighboring municipalities: the Jewish Hospice Immanuel (8 beds) in Buitenveldert, Hospice Zuider-Amstel (4 beds) in Ouder-Amstel and Thamer Thuis (2 beds) in Uithoorn.

The foundation’s current equity is no longer sufficient to cover the financing of the building plan. This is because since 2019 there has been coordination with Amstelveen Municipality regarding the realization of the Hospice on Lindenlaan, and during this period the construction costs have increased enormously and are expected to increase much further in the coming years. In addition, any start-up hospice has to deal with the fact that the Ministry of Health, Welfare and Sport provides subsidies from the 3rd year, as this is annually based on the average number of residents in the second previous year. In a growth scenario, the hospice therefore needs several years to ultimately receive the national VWS grant based on the expected annual full occupancy and thus demonstrate that an almost home-like home sufficiently meets the needs of the care-requiring residents in Amstelveen.

However, the budget deficit for the current plan for the hospice is greater than the gap due to the lack of the national grant in the first two years. The current challenge is to arrive at a building plan that fits in with the financial possibilities of both the hospice and the municipality. We are prepared to look at a limited financial contribution to bridge the feasibility of the first two years. It is important that, in addition to the structural subsidy from VWS, hospices can ultimately be financially independent. We therefore do not want to accept a structural grant from the municipality. The current building plan design in the form of low buildings and a large enclosed garden makes the current concept relatively expensive. Before long, we will discuss further with the initiators to look at alternative scenarios, which increase the possibility of an optimal and feasible plan.

The municipality can invest in the Lindenlaan medical center. We have an eye on the urgent additional need for housing for general practice at Keizer Karelweg 94c and the associated patient stop. The goal is therefore to facilitate the accommodation of cooperating primary providers from Keizer Karelpark at a faster pace: a general practitioner, pharmacy and physiotherapist. Since June 2020, the municipality has been in dialogue with the medical initiators regarding the preparation of their construction plan and the determination of the basic price. This process had the necessary challenges in terms of spatial implementation and financial feasibility.

In municipal (land) sales for the realization of medical homes, it is usual for the buyer to be a legal entity established by the medical assistants involved, with the specific purpose of providing housing for a medical home. This leads to sustainable utilization of the site as a district medical facility. Examples are De Marne Health Center and Zonnestein Medical Center.

In this case, the doctors have proposed to sell the land to a developer who takes care of the realization and operation of medical facilities and leases spaces to them. We see here a risk that the location is not used sustainably for primary care, but is rented out as commercial property and in the long term gets a completely different interpretation within the social destination. The municipality can then once again face the challenge that there is no space in the district for housing in primary care.

In light of the above, we intend to invest in the realization of the medical center and to lease it as social property to Medisch Centrum Lindenlaan BV for primary care and other supplementary primary care. In this way, we retain maximum grip and control over the sustainable housing for cooperating primary providers at Keizer Karelpark. The care providers may change over time, but the social offer remains the same. If the trend in care needs changes, we can respond by housing other functions.

Municipal direction. Together with both parties, we want to look creatively at opportunities to implement their plans as efficiently and optimally as possible. This can mean moving or adjusting plans without losing momentum.

In addition to the medical center and hospice, there is a great need for childcare on this site, due to the lack of other suitable locations in Keizer Karelpark and partly driven by the primary school’s pressing desire on the other side. of Lindenlaan. In addition, over a longer period of time we have studied care homes on the second part of the site. These socially important developments are currently on hold pending clarity on the hospice and medical center option. All this forces us to make urgent decisions about hospice and medical center. We do everything to find the best possible solution for all parties, which contributes to the social tasks.

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