
In practical fitting terms, the shower is going to be almost directly over where there's currently some pipes boxed in below in the kitchen, which is being totally redone anyway, and the main waste is also right next to this, albeit on the outside of the house.
It'd be a run of perhaps 4m of pipe from the hot outlet to the intake of the new hot water tank, and about 2m to the cold of the new thermostatic shower control.
Any required maintenance should be easy so long as the boxing in is designed to accommodate at least removal of the top and bottom connections to the unit. I suspect that the swirly top part is the most likely to clog up, especially if sufficient long hair catching is not done at the shower drain.