January 2024 | £8 Project update The Sycamore at Northgate Park Hospital is now completed Capital investment Industry reacts on proposed increase of NHS capital budgets Service Users NEW:A former service user gives his say on his lived experience Inside this issue:
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Editor’s Letter APRIL 2023 Letter header goes here Letter header goes here After years of lobbying by mental health providers and charities, the Government has finally unveiled plans to inject more than £150m into mental health services, including improvements to the buildings from which care is delivered and creating new facilities across the country. The investment, up to April 2025, includes £143m of capital funding for 150 projects. It will be invested in providing and improving a range of spaces, including new mental health urgent assessment and care centres and the redesign and refurbishment of existing mental health suites and facilities including in emergency departments, creating spaces outside of A&E, and the expansion of crisis lines. Programmes will also focus on preventative measures, including improvement of sanctuary spaces and community mental health facilities. This focus on improving the estate offers a range of opportunities for contractors, architects and product manufacturers working within the sector. In this edition of mhdf you can read about some of the latest capital projects, including a new inpatient facility in Liverpool and a crisis café in Ealing (p5). Features include a focus on dementia-friendly lighting solutions (p8) and the impact of sensory rooms on people with mental health conditions (p13). In the next edition of mhdf we will focus on interior design and outdoor spaces. If you can help contact [email protected] Editor Jo Makosinski Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby In this issue: 5 PROJECTS The latest mental health and dementia projects 15 DESIGN Exploring the benefit of sensory rooms in mental health settings 16 LIGHTING How smart lighting solutions are helping to support people living with dementia Cover image: Description and credit Best Wishes Jo Makosinski EDITOR [email protected] healthcaredm.co.uk 3 Editor’s Letter January 2024 New Year, new horizons Hello and welcome to a new edition of HDM, my first as new editor. Firstly, I’d like to wish you all a happy New Year on behalf of all the team at Stable. As you will see inside, 2024 sees new starts for the magazine, with some new content that we hope you will enjoy. We have included a new feature, profiling the experience of a service user following feedback from many of our readers and event delegates that this is an area that needs further information. Considering the experience of service users is a vital part of designing for healthcare in the modern world. And we hope that by providing this feedback that it will assist in the running of your businesses and to ensure that collaboration between all stakeholders continues to improve. Also inside, we will provide you with some of the sector’s views on the latest announcement calling for an increase in NHS capital budgets. Sourcing greater capital to invest into the estate can be no bad thing, and will ultimately provide business opportunities in the future. How this cwill happen remains another question though. A clear strategy from the NHS on how this can be achieved is something that could benefit all. NHS leaders say that increasing capital funding is their top financial priority ahead of the next election, alongside reform of how the capital regime operates. This will shape the future of opportunities in our sector, so further details will be awaited with bated breath. As always, we also bring you all the latest news, project updates, and this month will also highlight a sustainability case study from the Cromwell Hospital in London. Once again, we wish you a happy New Year and hope you enjoy the latest changes and content that we bring in 2024. We value your feedback. Contact [email protected] Editor Dan Colombini Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby Dan Colombini EDITOR [email protected] Sycamore at Northgate Park Hospital. Tyne and Wear NHS Foundation Trust, The publishers do not necessarily agree with views expressed by contributors and cannot accept responsibility for claims made by manufacturers and authors, nor do they accept any responsibility for any errors in the subject matter of this publication. Publishers Stable Publishing Limited, SBC House, Restmor Way, Wallington, Surrey SM6 7AH, England. t. 020 8288 1080 f. 020 8288 1099 e. [email protected]
In this issue.... JANUARY 7 NEWS A round-up of all the latest news from across the sector. 13 PROJECTS Why Modular Construction is helping CDC’s Revolutionise Community Healthcare James Withey, managing director at Algeco Offsite, looks at why latest platform design solutions are helping roll out the benefits of Community Diagnostic Centres faster than other construction techniques. 18 EVENT PREVIEW Find out all the latest information and details for the healthcare buildings forum Scotland, held at the Dunblane Hydro, Scotland on the 25th and 26th of April.
26 SERVICE USER’S SAY A new feature speaking to a former service user and their experience. This month we have Nick Smith, founder of Missing Peace Wellbeing & Support Community Interest Company. 19 PROJECTS A look at the development of Northumberland, Tyne and Wear NHS Foundation Trust’s Sycamore at Northgate Park Hospital. 22 NHS CAPITAL BUDGETS A section of the industry respond to a recent report urging a major increase in the NHS capital budgets 31 CASE STUDY Sarah Melia, general manager at Bupa Health Service takes a look at potential changes for London’s Cromwell Hospital
Fundraising reaches £56m for Cambridge children’s hospital 6 healthcaredm.co.uk NEWS The Fundraising Campaign to build a 35,000sqm children’s hospital in Cambridge has passed the halfway mark of its £100m target, reaching over £56m in pledges and gifts secured. The facility will be the first hospital designed to bring together the treatment of mental and physical health. With an embedded University of Cambridge research institute, the hospital is expected to have a regional, national and global impact. The news of the fundraising milestone comes soon after the project’s Outline Business Case was given approval in principle by the government. As a result, pre-construction works are due to begin on the site of the new hospital early next year, with full construction due to start in 2025. Launched just two years ago, the fundraising Campaign is a partnership between Addenbrooke’s Charitable Trust, Head to Toe Charity and the University of Cambridge, and is co-chaired by Dame Mary Archer, formerly chair of Cambridge University Hospitals, and Majid Jafar, a Cambridge alumnus and supporter of medical research. The Campaign is anchored by a cornerstone commitment totalling £20m from Majid and Lynn Jafar and the wider Jafar family. Majid and Lynn were inspired to give to the campaign by their experiences with their daughter who suffers from a rare neurogenetic disorder, and £10m of their gift will be dedicated to the research institute within the new hospital. More than 40 donors have committed major gifts to support the campaign during the early stages of this project, including: The Julius Jones Trust, The Thompson Family Charitable Trust, The Yusuf and Farida Hamied Foundation, The Charles Wolfson Charitable Trust, Garfield Weston Foundation, Lord Archer and Dame Mary Archer, Matchroom Charitable Foundation, Jerry Rowitch, the 2022 Gala Committee, Essex Glitter Ball Committee and many more. This was supported by contributions from a wider community of supporters, with many choosing to give due to their own lived experience or deep personal connections to children’s healthcare. Dame Mary Archer, co-chair of the Cambridge Children’s Hospital Fundraising Campaign, said: “Our grateful thanks to all the amazing donors and supporters for their vision and generosity, which have brought us to this important campaign milestone. We still have a long way to go but I am just delighted for everyone who has been championing this project over the last few years that we are now at this exciting point. Cambridge Children’s Hospital has been a long time in the making, so this is a huge moment for the 1.5 million children and young people in our region.” Majid Jafar, co-chair of the Cambridge Children’s Hospital Fundraising Campaign and cornerstone donor, said: “We are delighted to support this wonderful project. Having lived the experience of a child with a serious and life-long condition, my wife and I believe deeply in the power of research to make a difference in the lives of such children and their families. Cambridge Children’s Hospital will be unique in having an embedded Cambridge University research institute, and promises to transform children’s health worldwide by accelerating new treatments from bench to bedside.” Cambridge Children’s Hospital will be the first specialist children’s hospital for the East of England, the only NHS region without one. It will also be the first hospital truly designed to treat mental and physical health together, with integrated wards, single occupancy bedrooms, access to gardens and terraces, and a school. The hospital will be a national exemplar, delivering game-changing advances in life sciences research via the six research centres in the Cambridge Children’s Research Institute. Focusing on early detection and preventative medicine, the hospital will detect disease early or prevent it altogether, personalise health care and deliver it closer to home for children and young people across the East of England. The hospital will be the first hospital designed to bring together the treatment of mental and physical health Full construction is due to start in 2025
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8 healthcaredm.co.uk NEWS SOME 70 FIRM’S HAVE BEEN SELECTED FOLLOWING A TENDER PROCESS: • A. Connolly Ltd • Amber Construction Services Ltd • Arc Group London Ltd • Architectural Decorators Ltd • Aspect Group Services Ltd • Axis Europe Plc • AYM (Services) Ltd • BAAS Construction Ltd • Bell Group Ltd • Breyer Group Public Ltd Company • C.L.C. Contractors Ltd • Carroll Group Ltd • Chas Berger Ltd • Chigwell (London) Ltd • Clark Contracts Ltd • Combined Facilities Management Ltd • CTS Projects Ltd • DLP Services (Northern) Ltd • Ecosafe Heating Ltd • Emanuel Whittaker Ltd • Esh Construction Ltd • Etec Contract Services Ltd • Fortem Solutions Ltd • Frank Rogers (Building Contractor) Ltd • FWJ Ltd • Guildmore Ltd • Ian Williams Ltd • Jackson, Jackson & Sons Ltd • Jeakins Weir Ltd • Kier Services Ltd • Lawtech Group Ltd • LCB Group Holdings Ltd • Lovell Partnerships Ltd • M & J Group (Construction & Roofing) Ltd • M&R Heating Services Northwest Ltd • M&Y Maintenance & Construction Ltd • M.D. Building Services Ltd • Mascott Construction (Europe) Ltd • Maurice Flynn & Sons Ltd • Milestone Contracting Ltd • Morgan & Bond Ltd • Mulalley & Co. Ltd • Niblock (Builders) Ltd • Oxford Direct Services Trading Ltd • P. Casey & Co., Ltd • P. Casey (Land Reclamation) Ltd • P.K. Murphy Construction Ltd • Penny Lane Builders Ltd • PiLON Ltd • Piperhill Construction Ltd • Polyteck Building Services Ltd • Quinn (London) Ltd • R & M Williams (Holdings) Ltd • R. Benson Property Maintenance Ltd • Re-Gen (UK) Construction Ltd • Saltash Enterprises Ltd • Seddon Construction Ltd • SERS Energy Solutions Group Ltd • Sterling Services (Northern) Ltd • Surefire Management Services Ltd • Sustainable Building Services (UK) Ltd • T Brown Group Ltd • T.S.G. Building Services Plc • Thomas Sinden Ltd • Topcoat Construction Ltd • United Living (South) Ltd • Ups Building & Maintenance Ltd • Wates Property Services Ltd • Wright Build Ltd • WRPS Group Ltd FUSION21 SELECTS 70 SUPPLIERS FOR BUILDING IMPROVEMENTS FRAMEWORK Procurement firm Fusion21 has announced the suppliers successfully appointed to its national Building Improvements Framework worth up to £346 million over a four-year period. Following a competitive tender process, a total of 70 specialist firms – 74% being SMEs, have secured a place on the framework, which has been developed to support public sector organisations, including housing, education, and healthcare providers. The framework offers a wide range of internal and external improvement works from the installation of kitchens, bathrooms, windows and doors to roofing work. It has been enhanced to include four new dedicated lots covering damp and mould, external environmental improvements (such as fencing, driveways, walls, hard and soft landscaping), insulation, and aids and adaptations. Peter Francis, executive director of operations at Fusion21 said: “In response to member and supply chain feedback and in line with the proposed updates to the Decent Homes Standard, the renewed framework now covers even more aspects of building improvement. It is set up to help tackle problems such as damp and mould as well as issues with major components like roofs, windows, doors, kitchens and bathrooms, hard and soft landscaping and aids and adaptations. “In addition to working with a team of technical procurement experts, Fusion21 members accessing this offer will benefit from a compliant and efficient route to market, flexible call-off options and geographical coverage across the UK, down to a regional and local level. “As with all Fusion21’s frameworks, the Building Improvements Framework will also support our members to deliver social value to their communities, aligned to their organisational priorities.”
healthcaredm.co.uk 9 NEWS Altro has been appointed as a recommended supplier on ProCure23 (P23), the fourth generation of the ProCure framework for the design and construction of NHS capital projects. With extensive Altro product ranges approved within the scheme, NHS partners can access a comprehensive offering encompassing smooth and safety floors with adhesive-free options, hygienic walls, wall protection, doors, wash stations and resin floors. The P23 framework builds on the successes of three previous iterations of the ProCure framework that have delivered over £10 billion of projects for the NHS. Altro is an experienced partner having been an approved supplier on ProCure 21 and ProCure 22. The new P23 framework will provide more flexibility for contractors and bring the latest best practice in construction methods, modern methods of construction and digital infrastructure to the NHS. It has a focus on delivering greener facilities, reducing carbon emissions throughout the process and promoting social value. Sarah de los Rios, Altro’s Commercial and Marketing Director said: “We’re proud to be recognised once again as a trusted supplier and partner, with a truly comprehensive range of Altro products included in the new P23 framework. Altro has pioneered many products and developments over the years, and it is good news that as part of P23 these will continue to contribute to creating exceptional, cost-effective and durable spaces in health and social care environments.” ALTRO SELECTED AS SUPPLIER FOR PROCURE23 Manufacturing specialist Merit has been appointed by Norfolk Community Health and Care NHS Trust (NCH&C) to design and deliver its new 48 -bed modular unit on the Norwich Community Hospital site in Norfolk. The multimillion-pound modern facility, which has been designed with sustainability in mind, will be delivered in only 5 months. This follows NCH&C’s announcement in August 2023 that it was one of thirty NHS organisations awarded funding to provide more beds and increase capacity to help relieve hospital pressures and cut waiting lists. The therapy-led unit, named Willow Therapy Unit following a vote by NCH&C staff, patients, families, and local residents, will improve the transition of patients from hospital care to the community, helping to ease pressure on local acute hospitals. A multidisciplinary team of clinical professionals dedicated to patient recovery and wellbeing will be based at the new facility, which will play a key role in the delivery of patient-centred, supportive care in Norfolk and Waveney. The facility will include a combination of single and four-bedded bays, as well as treatment areas, an assessment kitchen and self-service café area where patients can make drinks for themselves and their families, staff amenities and a reception area. Merit’s in-house design team have curated a facility which prioritises ease of access whilst also catering to the footfall requirements of both patients and staff. Merit set to deliver 48-bed modular unit Artists Impression: The facility will include a combination of single and four-bedded bays, as well as treatment areas, an assessment kitchen and self-service café area
Project Delegates Join us to expand your professional network and stay updated on the latest developments in the industry. [email protected] Suppliers Meet with the decision makers delivering active projects in the healthcare building industry. [email protected] 25th – 26th April 2024 The Dunblane Hydro Hotel, Scotland The healthcare buildings forum - Scotland provides the perfect environment for NHS Trusts and private providers, mental health trusts, social care organisations, contractors, architects, M&E contractors, project managers & consultants to meet with leading industry suppliers, in a relaxed, sociable environment to create lasting business relationships. Tel: 020 8288 1080 www.hbf-scotland.co.uk meet. connect. do business. Pre-scheduled 1-2-1 meetings Select who you want to meet! Receive a bespoke meeting schedule prior to the forum, plus a printed directory with all attendee details. Gain industry knowledge Get exclusive entry to informative seminars, hosted by industry leading professionals discussing key topics in the industry. Extensive networking After a busy day of meetings, naturally extend your relationships over lunches, coffee breaks and networking drinks. Creating meaningful connections in business
healthcaredm.co.uk 11 NEWS Hull health centres boost sustainability Health centres in Hull, funded and operated through the NHS Local Improvement Finance Trust (LIFT) programme, are becoming some of the most sustainable in the country, thanks in part to an ambitious programme of lighting replacements. Healthcare estates management company Hull Citycare has been working with Sewell Facilities Management across their 13 health centres in the city to replace almost 7,000 light fittings with low-energy LEDs, dramatically reducing energy usage and costs, and lessening their carbon footprint. Health centres such as Bransholme Health Centre, the Orchard Centre and Wilberforce Health Centre now have every light replaced by an LED fitting, saving tens of thousands of pounds a year. As well as using less energy, LEDs are brighter than standard compact fluorescent lighting, give big savings on costs and last up to a decade, ten times as long as a normal light bulb. The final light of the programme was fitted by Sewell FM technicians Andy Richardson and Craig Webb at Elliott Chappell Health Centre on 14 December 2023, making Hull the only city to have all their health centres fully fitted with LEDs. Community Health Partnerships is the head tenant at 308 healthcare buildings, built under the LIFT programme in England. So far, 24 are fully LED lit (as of May 2023), and 13 of those are in Hull, so the city is leading the way in energy-efficient lighting. Community Health Partnerships is an NHS property company wholly owned by the Department of Health and Social Care. A complete wall protection package from Gradus has been installed at the Evelina London Children’s Day Treatment Centre, to create a fun and hygienic atmosphere for children who are undergoing treatment. The centre, part of Guy’s and St Thomas’ NHS Foundation Trust, has been built to provide more life-changing care to children and young people who don’t necessarily need to stay overnight. The project, delivered by construction company Morgan Sindall, saw Gradus collaborate with Art in Site – a London-based studio of artists and designers - and ADP Architecture, to utilise wall cladding to create a healing and engaging environment for the hospital’s young patients to thrive in. The space-themed designs were printed onto Gradus SureProtect Artworx cladding for an easy-to-maintain finish. The SureProtect range is specifically designed for use in areas where high levels of cleanliness are crucial. The smooth surface makes SureProtect Artworx easy to wipe clean while creating an impermeable barrier to moisture. It also provides an alternative to ceramic tiles as there is no grouting, which can often harbour bacteria. Alongside SureProtect, Gradus also supplied Stainless Steel Corner Guards throughout the Day Centre. Designed for use in areas likely to receive the most impact from pedestrians and wheeled traffic, Gradus’ Stainless Steel Corner Guards are hygienic, corrosion-resistant and incredibly durable. Gradus installs wall protection for London children’s centre
12 healthcaredm.co.uk Totally Cordless and Maintenance Free. Ideal for Hospitals, Clinics and Surgeries With a choice of magnetically operated or motorised blinds, our double glazed integral blind systems are suitable for both internal and external use. t. 020 8500 2200 www.betweenglassblinds.co.uk Office: 01246 474 242 | E-mail: [email protected] | www.beaconmedaes.com | www.mymedgas.com A solution for a net-zero future BeaconMedaes is the sole UK supplier of Medclair’s unique Central Destruction Unit (CDU), helping hospitals reach net zero. The low-energy unit eliminates 99% of exhaled nitrous oxide, making the surrounding environment safer for staff and patients without any reduction in the level of pain relief provided. CDU Explained • The CDU is a centrally installed nitrous oxide destruction unit that can handle up to 12 maternity or treatment rooms • The unit is compact and contains functionality for continuous real-time monitoring • Exhaled air is passed from the patients face mask into a climate-smart catalytic purification system, where the environmentally hazardous nitrous oxide gas is decomposed into harmless nitrogen (N2) and air (O2) and can be safely vented into the atmosphere
healthcaredm.co.uk 13 PROJECTS In recent years, the healthcare industry has been undergoing a transformation, with a focus on improving accessibility and efficiency of diagnostic services. James Withey, managing director at Algeco Offsite, looks at why latest platform design solutions are helping roll out the benefits of Community Diagnostic Centres faster than other construction techniques. Community Diagnostic Centres (CDCs) provide essential tests and scans to patients, allowing for faster and more accurate diagnoses. They have emerged as a crucial component of a modern healthcare system, aimed at providing patients with access to planned diagnostic care closer to home. These centres were recommended following the Review of NHS diagnostics capacity by Professor Sir Mike Richards, with the goal of improving patient experience and outcomes. CDCs play a vital role in improving population health outcomes by diagnosing health conditions earlier, increasing capacity in the diagnostic service, and reducing health inequalities by ensuring equal access to care for all individuals. Additionally, CDCs support more joined-up care across primary, community and secondary healthcare settings. Thirteen new CDCs have already delivered 742,000 additional scans, tests and checks a year. Demand for diagnostic tests continue to increase as more than 85 per cent of patients seeking NHS care now require this service. Finding out what is wrong with a patient is vital to treating them as early as possible and as of April 2023, around 1.6 million people in England were waiting for a diagnostic test. This waiting list has been growing steadily since 2008. Over the past 12 months, 24.6 million checks and scans have been carried out and the latest CDC’s have now contributed to more than 4 million towards this target. The national target is that 99 per cent of patients should wait less than six weeks for a diagnostic test. Why modular construction is helping CDC’s revolutionise community healthcare HELP IN THE COMMUNITY The UK currently has less diagnostic equipment than comparable countries; it has 8.8 CT scanners per million population, 25th out of 28 OECD countries, and the number of MRI units and PET scanners are also below average. NHS England estimates that demand for CT scans will rise by at least 100 per cent in the next five years. THE BENEFITS OF MODULAR CONSTRUCTION One of the primary advantages of modular construction when it comes to the roll out of CDCs is its ability to significantly reduce construction time. Traditional construction methods can be time-consuming and subject to delays on site, including shortage of skills. Ultimately, this leads to longer wait times for patients in need of diagnostic services. In contrast, platform-design modular construction systems allow for simultaneous off-site manufacture and on-site preparation of foundations and service connections, resulting in faster completion times. This means that CDCs can be up and running in a shorter timeframe, providing much-needed diagnostic services to patients promptly. The main benefit of a platform-design approach for manufacturing the building modules is that it makes full use of the latest in digital and manufacturing technologies. It delivers higher performing and better-quality buildings that can be mass produced and delivered within shorter timescales. On a practical level, the platform-design is a lightweight steel frame building module made up of standardised interoperable elements. In accordance with the Construction Innovation Hubs Platform rule book it provides unlimited configuration to enable the efficient construction of any building regardless of type or use. This platform-design approach can reduce construction costs by 33%, enable completion of projects 50% faster, and reduce emissions by 50%, all with zero compromise on build quality or
healthcaredm.co.uk 15 PROJECTS safety. The approach also meets the Government’s Construction 2025 targets. In terms of sustainability, analysis shows that the platform-design approach comprises 581.3 kg CO2e per m2, which is well below the Construction 2025 target of 1,300 kg CO2e per m2. In addition, because the CDC modules we supply can be reused, either by relocating to other sites or by refurbishing individual components and cassettes, it adds a 234 kgCO2e per m2 clawback. CASE STUDY: MODULAR CDCS An example of modular construction revolutionising delivery of healthcare building – in this case CDCs - is our partnership with Hygieia. This collaboration has led to the development of a new range of standardised CDCs using our platform-design modular construction system. Hygieia, a consortium of leading companies specialising in healthcare modular buildings, now offer three standard sizes for CDCs: small, medium, and large. These standardised formats provide a cost-effective solution for NHS Trusts and the private sector, allowing for rapid construction and delivery. The CDC’s are offered with a full design, delivery, construction, and finishing service, a comprehensive approach that allows customers to start using their CDCs from day one, eliminating the need for separate contractors. They also incorporate all necessary servicing, including specialised electronics needed for sensitive imaging equipment, further streamlining the implementation process. CDCs have had a significant impact on the healthcare landscape. ....continued from pg 13 CDC’s can provide a cost effective solution for the NHS and the private sector.
16 healthcaredm.co.uk PROJECTS Morgan Sindall Construction has been appointed to create a new Community Diagnostic Centre (CDC) at St Margaret’s Hospital in Epping. Procured under the ProCure 23 (P23) framework for the design and construction of NHS capital projects, the CDC is the main aspect of three streams of work the tier one contractor is delivering for The Princess Alexandra Hospital NHS Trust (PAHT). This phase of the project is to be completed in 2025, with plans for further services on the site to be confirmed. This will significantly improve access to important healthcare equipment and skills, shortening the amount of travel time for NHS patients in the area. In phase one, Morgan Sindall will refurbish and add an extension to a bungalow on the St Margaret’s Hospital site. PAHT has been allocated over £14m for this project, which ....continued from pg 15 Our ability to offer a full turnkey solution was achieved by partnering with some of the leading brands in the sector, such as Tata Steel, P+HS Architects and CAD21, amongst others. The CDCs are fully compliant with HTM / HBN requirements. THE WAY FORWARD The introduction of modular CDCs has had a significant impact on the healthcare landscape, addressing the growing demand for diagnostic tests and scans. These centres have played a crucial role in reducing waiting times for patients, diverting them away from hospitals and providing faster access to essential diagnostic services. Modular CDCs have also contributed to reducing health inequalities by ensuring equal access to care for all individuals. By bringing diagnostic services closer to communities, these centres eliminate the need for patients to travel long distances for essential tests, especially in areas with higher health risks. To find out more about Algeco CDCs and other healthcare solutions, visit: https://www.algeco.co.uk/temporary/sectors/healthcare MORGAN SINDALL SELECTED FOR EPPING CDC will enable the buildings to house MRI scanning facilities as well as outpatient services. This will be one of approximately 30 new centres in the UK, which are part of a government initiative following the COVID-19 pandemic to move diagnostics out of acute hospitals and into community sites to provide easier public access and earlier diagnosis. As part of its Intelligent Solutions approach to construction, Morgan Sindall will utilise its digital carbon analysis tool CarboniCa during the project. This will inform carbon related decisions throughout the design and construction phases to minimise the work’s emissions and ensure that it is as sustainable as possible. By retrofitting existing buildings rather than creating new ones, PAHT is significantly reducing its carbon footprint by avoiding the materials, waste, and resources that a new-build development would incur. The project will be procured under the P23 framework
WARDS Delivered in as little as 8 weeks Easily Procured via NHS Approved Frameworks ModuleCo Healthcare is an approved supplier on the NHS Shared Business Services Framework, the Crown Commercial Service Framework and the NHS Commercial Solutions Framework for the purchase and hire of bespoke modular healthcare buildings. Premium Healthcare Facilities Available for Hire HBN and HTM Compliant Contact us for a tailored proposal, free site survey or to arrange a visit to our manufacturing facility modulecohealthcare.co.uk [email protected] OPERATING THEATRES Immediately available to deliver Min. 62m2 OPERATING ROOM Our fixed term hire solutions can be tailored to meet available revenue budgets and financial requirements, with periods of hire structured over terms ranging from 6 months to 15 years. Our Managed Service Agreements offer NHS Trusts the option of having our high-specification clinical facilities installed, fully project managed and maintained to the highest standard throughout the service period, allowing hospitals to continue providing world-class healthcare services without the need for upfront capital. Hire and Managed Service Solutions
18 healthcaredm.co.uk PREVIEW What healthcare buildings forum Scotland 2024 When 25-26th April 2024 Where Dunblane Hydro, Scotland Web www.hbf-scotland.co.uk The perfect backdrop for networking amid the beautiful Scottish countryside We are pleased to announce that this year our sister company Stable Events will bring you the healthcare buildings forum Scotland at a new venue - the Dunblane Hydro. Held over the 25 and 26 April. we will provide the perfect backdrop for business, networking, industry learning, amid the beautiful Scottish countryside. This year’s seminar programme’s theme is ‘Delivering sustainable healthcare facilities fit for the future’. This unique networking event has been designed to bring together architects, specifiers, contractors, project managers, local authorities, NHS Trusts, care home & mental-health facility owners and operators with innovative industry suppliers in a relaxed and social environment. Over one and half days you’ll benefit from a tailored schedule of one-to-one meetings with your chosen healthcare building project delegates and the architects, contractors, project managers and consultants delivering projects in Scotland. For suppliers, we provide one-to-one scheduled meetings and planner, an abundance of networking opportunities, as well as access to informative speaker sessions. Project delegates can attend as our guests and learn about the latest trends and developments taking place across the rapidly evolving healthcare environment. The event comprises thought-provoking seminars, the opportunity to meet manufacturers and suppliers to find out about the latest innovations, products, and services – and, above all, gives delegates an opportunity to network and do business with peers. Confirmed speakers include: Alan Morrison, policy officer at the Scottish Sustainable healthcare HBF SCOTLAND Government, who will give an overview of Scottish healthcare estate and priorities for investment Rachel Hampson from Archus, who will discuss the opportunities available through the PFI handback process. John McDonald and Michael Meehan from Kier will speak about Golden Jubilee Hospital, which opened in November 2023 and was built specifically for people with visual disabilities. This is one of the first National Treatment Centres (NTCs) developed in Scotland to improve access to treatment and support regional working across health boards. Professor Anna Whittaker – University of Stirling - will discuss digital health technology to promote physical and social activity in older people. THE GOALD PROJECT The GOALD project is a three year interdisciplinary research project in Scotland and Southwest England delivering and evaluating digital resources to support physical activity in older people. All attendees are offered one or two nights’ accommodation, all meals and refreshments, plus drinks receptions and gala dinner-giving you extensive networking opportunities! There are still opportunities to speak at the event as part of our panel discussions, which will be attended by delegates from a broad section of the industry. For further information, contact: [email protected]
Sycamore at Northgate Park Hospital now complete The development of Northumberland, Tyne and Wear NHS Foundation Trust, Sycamore at Northgate Park Hospital has been completed, with the facility now open. The project was completed in September 2023. Patients moved into the building in late October 2023. Developed around the concept of a ‘village campus’, a new medium secure hospital at the heart of the £60m redevelopment of Northgate Park Hospital, provides a wide variety of indoor and outdoor settings for relaxation and activity, relieving boredom and addressing the risk of challenging behaviours and poor physical health. Designed by Medical Architecture and built by Sir Robert McAlpine for NTW Solutions - Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Sycamore at Northgate Park Hospital is vital to the future delivery of modern and effective forensic mental health services in the North East of England. The new facility is the catalyst to allow all secure services across the Trust to be brought together from previously dispersed sites, consolidated in a single, integrated secure centre of excellence. The entire redevelopment provides a total of 116 male inpatient beds, located in a combination of new and reconfigured existing buildings. The new-build element, named Sycamore, provides inpatient accommodation for 72 male patients with a range of forensic mental health needs, including patients with complex personality disorders and/or learning disabilities. The project, which was delivered through Cohort 1 of the NHS New Hospital Programme, fulfils one of the Trust’s key strategic priorities, forming part of their £72.6m Care Environment Development and Re-provision programme (CEDAR). The existing hospital site is a large open campus, containing a mix of buildings and facilities. Much of the eastern portion, which was earmarked for development, is neighboured by a broad area of mature woodland. Proposals set out to develop a portion of the land for the new building, with the remaining allocated for housing development. Early feasibility work demonstrated benefits to siting the new hospital where it would be flanked by an aspect of trees on three sides: the natural setting enhancing the therapeutic nature of the accommodation. It is well recognised that in secure mental health inpatient units, boredom leads to challenging behaviours and poor physical health. Therefore, a key driver for the design was to ensure a meaningful day for all patients, promoting recovery through activity. This is achieved in a range of settings that can be accessed autonomously, from bedrooms to living spaces, and sheltered gardens to open courtyards, with opportunities for both structured and unstructured sports and activities. Paul Yeomans, director at Medical Architecture, said: “It is fantastic to see this important project realised. The technical requirements for forensic mental health buildings, particularly with regards to security, can present challenges to the creation of supportive and recovery-focused environments. However, standing in the thriving central courtyard, it is hard to tell you are in the middle of a forensic hospital. That normalising of the accommodation will have such a positive impact on patient wellbeing.” Mark Gibson, healthcare sector managing director at Sir Robert McAlpine, said: “Working closely with CNTW NHS Foundation Trust and our outstanding team of specialists, we are delighted to have delivered these state-of-the-art mental health facilities. The Sycamore building provides healthcare excellence for the benefits and welfare of patients in the region and their families.” healthcaredm.co.uk 19 PROJECTS The project was completed in September 2023. The plans were developed around the concept of a ‘village campus’ A key driver for the design was to ensure a meaningful day for all patients, promoting recovery through activity
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healthcaredm.co.uk 21 PROJECTS Vinci and Assura complete Guildford cancer care facility A state-of-the-art cancer care facility in Guildford has reached practical completion. Representatives from Prime plc, VINCI Building and Assura gathered to mark the milestone, celebrating a major step forward in advancing healthcare in the region. Spanning 24,300 sq. ft, the £30.5m centre will offer highly advanced oncology treatments and patients with cancer will have access to the latest treatment options. These include highly targeted radiotherapy using a Magnetic Resonance Image Linear Accelerator (MR Linac), and Theranostics, an innovative and personalised treatment that combines diagnostic imaging and radionuclide therapy to seek and destroy advanced cancers without damaging healthy tissue. In addition to offering advanced cancer treatments to private patients, the centre will offer some NHS patients access to technology not currently available on the NHS. Phil Holland, Chief Investment Officer at Prime, said: “This project has been a testament to the collaborative efforts of our dedicated team, committed to constructing a world-class facility that will make a meaningful difference in the lives of cancer patients and their families. This centre stands as a beacon of hope, offering advanced medical care and cutting-edge technologies. Our vision for a patient- centric approach to healthcare has come to fruition, and we are confident that this facility will serve as a cornerstone in the fight against cancer, fostering healing, resilience and a brighter future for all those affected by this challenging journey.” Jason Griffiths, VINCI Building’s Regional Director, said: “VINCI Building are delighted to have successfully delivered the Guildford Cancer Centre and we are so proud to have been a part of the scheme. “The delivery of this amazing project has been the culmination of great teamwork and vision, and this facility will change the lives of so many people in Surrey.” Alastair Barlow, Senior Development Manager at Assura, said: “We have been delighted to work on this project and are very proud to see it reach completion. Facilities like this really do make a difference to people’s lives especially with the state-of-the-art technology and treatments that will be on offer from this centre. “It takes a lot of work from everyone involved to deliver a project as big as this and it will be fantastic to see it open to patients next year.” The installation of advanced medical equipment is now reaching final stages and the grand opening is scheduled for early 2024
22 healthcaredm.co.uk INVESTMENT NHS CAPITAL BUDGETS ‘MUST DOUBLE’ TO £14.1BN NHS capital budgets must double to £14.1bn if it is to clear the building repairs backlog and overhaul the estate to enable greater productivity and faster patient care, according to a new report. The report, ‘Investing to save: The capital requirement for a more sustainable NHS in England ‘- carried out by the NHS Confederation - looks at where the NHS is using capital investment to drive productivity, and makes the case for greater funding if the NHS is to meet stretching productivity targets of 2 per cent by 2030. The report also outlines examples of capital projects which have been transformational for patient care and productivity, along with numerous case studies of proposed cost-effective, forward-thinking developments which have been delayed, hindered or scrapped due to the lack of initial funding needed to get them off the ground. NHS leaders said that “increasing capital funding is their top financial priority ahead of the next election, alongside reform of how the capital regime operates”. This amounts to £6.4bn in all three years of the next Spending Review to help the NHS address its £10.2bn maintenance backlog, refurbish dilapidated buildings, upgrade equipment and turbocharge staff productivity. That would take annual NHS capital spending to £14.1bn per year, compared to the current level of £7.7 bn. The consequence otherwise will be long waiting lists and delayed care for patients, the report revealed. New analysis from the NHS Confederation sets out the impact that low levels of capital investment have had over the last decade, including the effect on productivity, and makes the case for greater funding if the NHS is to meet stretching productivity targets of 2 per cent by 2030. Yet capital budgets continue to be raided, with the latest raid being used to plug the rising deficits in the day-to-day NHS budget caused by strike action and other cost pressures. This was outlined in NHS England’s letter to NHS chief executives on 8 November, following the outcome of negotiations between the Treasury and Department of Health and Social Care ahead of the Autumn Statement. Leaders across the country have many ideas for how to transform care and increase productivity should funding allow. However, issues in accessing capital funding, with processes often labyrinthine in nature, and lack of funds are delaying innovative plans for transformation. But the NHS still doesn’t have a capital strategy and the next government must boost capital funding if the health service is to meet stretching productivity targets and become more financially sustainable, according to the report. Image: National Cancer Institute on UnSplash
healthcaredm.co.uk 23 INVESTMENT INDUSTRY THOUGHTS More substantial repurposing of buildings can act as an enabler of change Hannah Chamberlain, CEO, Design in Mental Health Network Image: Mimi Thian on UnSplash HANNAH CHAMBERLAIN, CEO, DESIGN IN MENTAL HEALTH NETWORK “The mental health acute and forensic estate in the NHS is suffering from long term under investment. At the same time, the structure of services has changed, with a requirement to join up, under the ICS system, to create multiple front doors via the community transformation agenda, and to accelerate patients through the acute system in order to meet rising demand. Without buildings that are fit for purpose we will not be able to support people to step up and down effectively to secondary services. This means investment in both the acute, primary and community settings – to have buildings that can deliver the vision in the NHS Long Term Plan. “Acute settings, which take so much of the strain of the rising demand, need to be supported by adequate community and step down environments. They also need to help people to recover a sense of self and form solid plans for social support out of hospital. In MerseyCare, the Life Room project made effective use of an integration between RiO and the social prescribing software Elemental. The project created a space that could function as an acute setting, with multiple supports in place to step up and down, and social care plans integral to the success stories of individual patients. “It is this sort of joined up thinking that needs to be put into play, so that acute settings don’t create revolving door patients with rapid re-entry and a lack of community support. As recent headlines showed, almost 5,000 people per year are re-admitted into acute settings within a month of discharge. Investing in new hospitals is a start, but that on its own does not go far enough. Unless the entire estate is overhauled with a clear strategy to support the Long Term Plan and a revisioning of the role of self management, peer led services, and community and voluntary sector support, the acute services will continue to be disconnected from their settings, and overwhelmed by demand. Following the announcement, we spoke to stakeholders and experts from the industry from the public and private sector to find out what the next steps may be… Image: Lukas-Blazek on UnSplash
healthcaredm.co.uk 25 INVESTMENT PAUL YEOMANS, DIRECTOR, MEDICAL ARCHITECTURE “The UK has had historically low levels of investment in capital compared to similar countries. This has been made worse in recent years by transfers from the capital budget to the revenue budget, which pays for the day-to-day running of the NHS. With plenty of infrastructure modernisation urgently required, the government’s room for manoeuvre is very limited. The UK public finances are in poor shape with borrowing already at the highest level for 30 years. “With limited scope for major new project investment, there is now a growing appetite for re-evaluating what can be achieved with existing health infrastructure. Not all NHS facilities are appropriate for reuse, so careful appraisal is needed to select the right project. However, given the large amount of poor estate the potential benefits are significant. There are wider sustainability benefits as this approach reduces waste and capitalises on embodied carbon in the existing fabric. “Modest interventions in unloved but functional hospital buildings can deliver a big impact. Small modifications to structure and services can improve flow and functionality, whilst improvements to internal environments have a direct impact on patient and staff perceptions, improving productivity and experience. “More substantial repurposing of buildings can act as an enabler of change, providing for new models of treatment and care where the cost and timescale required for new building would be prohibitive. These projects are sometimes the most challenging and rewarding. From a technical perspective, a project must meet the equivalent environmental standards of a new building; for the designer the objective is to provide a step change in environmental quality for the public, patients and staff. “We need strong leadership, skill and a concerted effort to secure short-term improvements whilst nurturing a long-term positive vision for our healthcare estates. This dual strategy entails building a pipeline of rapid, revenue driven, high impact improvements alongside strategic plans that will underpin a robust and appealing forward vision. New NHS facilities will integrate sustainable design, modern methods of construction, logistical automation and digital technologies to ensure our healthcare infrastructure is fit for the future.” MATTHEW TAYLOR, CHIEF EXECUTIVE THE NHS CONFEDERATION “Some of our members have parts of their estate that are barely fit for the 19th century, let alone the 21st, so any future Secretary of State for Health and Social Care must make the physical and digital condition of the NHS a priority, if the health service is to reduce backlogs and get productivity levels to where the government want them to be. “Lack of capital across different care settings, covering digital and physical infrastructure and mental and physical health, is clearly not just leading to missed opportunities to improve productivity, but actively undermining it and causing patient safety issues. Health leaders across England have endless ideas about how capital funding could drive large productivity increases. “Equipping staff with the right tools, and allowing them to operate in safe, modern, optimised environments will improve efficiency, meaning that an increase to the capital budget will help limit the need for growth in revenue spend, relieve pressure on wider NHS finances and services, and put the NHS on the path to longer-term financial sustainability. “This will require a significant increase to the NHS capital budget to make up for years of under-resourcing and repeated raids on capital that has left much of the estate broken. Based on the assessment of health leaders, this will need to be an increase of £6.4bn to take the capital budget to £14.1bn for each year of the next spending review in order to fully address the repairs backlog and realise some of the innovative transformation projects which have previously fallen by the wayside. The next government must grasp the nettle.” A DEPARTMENT OF HEALTH AND SOCIAL CARE SPOKESPERSON “We have invested significant sums to upgrade and modernise NHS buildings so staff have the facilities needed to provide worldclass care for patients, including £4.2bn last financial year and £8.4bn over the next two financial years. “Trusts are responsible for prioritising this funding to maintain and refurbish their premises, including the renewal and replacement of equipment. “This is on top of the £3.7bn made available for the first four years of the New Hospital Programme and a further £1.7bn for over 70 hospital upgrades across England alongside a range of nationally funded infrastructure improvements in mental health, urgent and emergency care and diagnostic capacity.” ....continued from pg 23 Modest interventions in unloved but functional hospital buildings can deliver a big impact. Small modifications to structure and services can improve flow and functionality Paul Yeomans, Director, Medical Architecture Equipping staff with the right tools, ... ...will improve efficiency of change.. Matthew Taylor, chief executive of the NHS Confederation
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