MARCH 2024 | £8 Projects The latest updates from around the country Supplier stories Flooring, humidity and more... Also in this issue: Feel the freeze What will the Scottish government’s decision to halt NHS construction projects in Scotland mean for the industry?
BATH-OVER-BATH SHOWER-OVER-SHOWER Hospitality Health Multi-unit Cruise ships Student Accommodation Military Assisted living Council housing CONTACT US FOR MORE INFORMATION 020452 52255 BATHFITTER.CO.UK +353 01 592 1717 BATHFITTER.IE A BETTER WAY TO RENOVATE For 40 years, Bath Fitter has revolutionized bath renovation. Our process puts a new bath or shower in place in as little as one day, with no messy demolition. Best of all, our product is built to last for a lifetime. INDUSTRIES SERVED
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 MARCH 2024 Editor Dan Colombini Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby FC Image: University Hospital Monklands 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] Times they are a changing Welcome to another edition of HDM. I’d like to extend my thanks to the team and to various members of the industry who have welcomed me in to the new role and offered their support. Going forward, we hope to engage with the sector as much as we can to collaborate on providing you with the best content possible to assist you, whatever your business. Please do get in touch if you are interested in working with us. This edition, we feature the announcement from the Scottish government on its decision to put a hold on NHS construction projects. This is a worrying turn of events for the industry and creates uncertainty at a time when it is least needed. How this plays out remains to be seen, but investors are known to frown upon uncertainty such as this. And those already involved may be wondering where this leaves them. But, as ever, we look at projects that are advancing in other areas of the country. We also take a look at some vital supplier-based projects that have improved healthcare facilities over the past year. We also expand on our new feature that sees a former service user give their experience in a healthcare facility. Hearing from people such as this provides designers and owners valuable insight into the lived experience of patients. We hope this provides you with useful information for future projects. Alongside this, we include all the usual content you have come to expect from HDM, including news, a focus on furniture and much more. Enjoy. We value your feedback. Contact [email protected] Dan Colombini EDITOR [email protected]
In this issue.... MARCH 6 NEWS A look at the Scottish government’s decision to halt NHS construction projects, as well as a round-up of all the latest news from across the sector. 13 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 April. 15 PROJECTS A look at the development and progress of three healthcare projects, including the Nuffield Tees Hospital.
25 HUMIDITY With summer in the distant horizon, Stephen Finkel, regional sales manager at DriSteem, tells us the importance of optimizing relative humidity levels 19 HEALTHCARE SUSTAINABILITY Sarah Cox – Partner at property consultants Carter Jonas (Leeds) gives her views on how the sector is adapting to the climate crisis 27 SERVICE USER’S SAY We talk with experienced therapist Jess Griffiths on her experience in a facility for eating disorders 31 OFF-SITE DESIGN ModuleCo discusses the differences and advantages of ‘True Offsite’ design
With the Scottish government’s decision to freeze NHS construction projects, the sector north of the border has been plunged into uncertainty The industry received ominous news in January after the Scottish government announced that it was to halt NHS construction projects in the country for two years. The Scottish National Party (SNP)-led Scottish Government has put all significant NHS building projects in Scotland on hold until 2026 at the earliest. The moratorium means six out of 11 planned national treatment centres (NTCs) are at risk. The fact that some projects will continue remains broadly positive of course, but the sector is concerned. Many sources have remained tight-lipped as they await further announcements, but construction projects of this nature need clarity and delays such as this make investors uneasy. Time will tell at this stage how progress plays out. But according to reports, NHS Lothian finance director Craig Marriott has said that ministers north of the border had told local health chiefs they would be waiting “at least” two years for new capital investment. APPROVAL AND FUNDING He claimed that new construction projects would be dependent on approval and funding from the Scottish Government. “Following the Budget announcement in December, the Scottish Government advised NHS boards to immediately stop any project development spend, as the SCOTTISH GOVERNMENT HALTS NHS CONSTRUCTION PROJECTS Scottish Government does not anticipate starting construction of any new capital projects over the next two years at least,” he warned. This is far from encouraging news for the sector. During a debate on the NHS on 17 January, Labour’s health spokesperson Jackie Baillie told MSPs that NTCs are already delayed in Grampian, Tayside, and Lanarkshire, and “NHS Ayrshire and Arran don’t even have the full business case required to get the process started”. She said: “These centres will not be delivered on time and some will not be delivered at all.” Baillie added: “Delays to vital projects and a failure to deal with RAACs, and putting the long-proposed national treatment centres on the back-burner will cause [NHS] waiting lists to rise and will only serve to fan the flames of the NHS crisis.” A Scottish government spokesperson described the cuts as ”extremely challenging”, and said ministers would reveal a revised infrastructure investment plan in the spring when the financial situation became clearer. They added: “Our emphasis for the immediate future will therefore be on addressing backlog maintenance and essential equipment replacement.” DELAYS One project hit by the delay is the stateof-the-art University Hospital Monklands, which has been put on hold for the foreseeable future. Although plans to deliver the project are carrying on apace. University Hospital Monklands 6 healthcaredm.co.uk NEWS
Specialising in modular construction for 90 years CONTACT US TODAY 0800 18 18 22 | www.wernick.co.uk [email protected] Find out more Scan the QR code 50+YEARS DESIGN LIFE SUSTAINABLE CONSTRUCTION FULL PROJECT MANAGEMENT MINIMUM ON-SITE TIME FLEXIBLE RELOCATABLE WERNICK MODULAR BUILDINGS DELIVER...
Colin Lauder, director of planning, property and performance, said: “NHS Lanarkshire remains fully committed to the new Monklands Replacement Project with Outline Business Case approval given last year and Laing O’Rourke appointed as our preferred construction partner. “We are continuing to work on developing a Full Business Case (FBC). Part of this process is having ongoing discussions with the Scottish Government regarding the budget for the project which will be finalised as part of the FBC process. We are aiming to have the FBC complete during 2025.” A spokesperson for NHS Greater Glasgow and Clyde told HDM that it “is considering the implications of recent budget announcements from the Scottish Government”. “We will continue to develop our financial plans for the year ahead and will present them to Board Members for approval in due course,” the spokesperson added. “We can confirm that building projects that are currently under way will continue.” The Scottish government has said: “The UK Government did not inflation-proof its capital budget which has resulted in nearly a 10% real-terms cut in the Scottish Government’s capital funding over the medium-term between 2023-24 and 2027-28. “The result of this cut is that new health capital projects have currently been paused. Our emphasis for the immediate future will be on addressing backlog maintenance and essential equipment replacement. “We are investing £314 million in 2024/25 in health infrastructure allowing all major projects in construction to be completed – this includes the Baird and Anchor Hospitals in Aberdeen, Parkhead Health Centre and the Golden Jubilee Expansion Phase 2. “In 2023 we opened two National Treatment Centres in NHS Fife and NHS Highland, with two further centres opening in 2024 in NHS Forth Valley and the Golden Jubilee Hospital.” Time will tell on how this pans out. 8 healthcaredm.co.uk NEWS These centres will not be delivered on time and some will not be delivered at all Labour’s health spokesperson Jackie Baillie Care home and retirement development group Cinnamon Care Collection has secured a £23m funding arrangement. With the support of a specialist team of advisors at Knights, the group has refinanced two more luxury care homes with specialist lender Leumi UK. The Cinnamon Care Collection is an exclusive group of 19 luxury care homes and retirement developments across the UK – driven by the aim of helping older people live happier and healthier lives at its award-winning developments through an individual approach and commitment to first-class care. Real estate partner Paul Kenny and construction partner Deborah Ritchie worked with Cinnamon Care Collection to secure new funding to refinance Watermeadow Grange in Exeter and The Gables in Worcestershire – building on two other homes previously refinanced with Leumi UK, totalling a combined £42.5m. Stuart Norris, commercial director at Cinnamon, said: “Cinnamon is pleased to have completed the refinance of our latest luxury care home openings. Leumi UK’s excellent track record, long-term outlook and specialist expertise in healthcare property made it an easy decision to expand our relationship.” Paul Kenny, partner at Knights, said: “This is great news for Cinnamon Care Collection. The new funding underscores their commitment to providing personalised, high-quality later life care.” Cinnamon Care Collection drew on the comprehensive range of expertise Knights has to offer as the fastest growing, and largest, regional professional services business in the UK. With 23 offices nationwide, Knights is ranked within the top 50 UK law firms by revenue – providing multiple services to business clients alongside premium advisory services to private individuals. Leumi UK and Cinnamon also worked with professional advisors at Osborne Clarke and Travers Smith. CINNAMON CARE COLLECTION COMPLETES REFUNDING
healthcaredm.co.uk 9 NEWS Bupa Health Clinics is pleased to complete the acquisition of Blackberry Clinics, specialists in treating muscle, bone and joint conditions that cause people pain. 22 Blackberry Clinics will join the Bupa Health Clinics portfolio from February 2024. This follows a successful 20+ year partnership during which Blackberry Clinics have been offering Bupa’s comprehensive, market-leading Health Assessments since 2003. Sarah Melia, general manager for Bupa Health Services, said: “We’re delighted to bring Blackberry Clinics more closely into our Bupa Health Clinics portfolio. Our successful partnership with Blackberry Clinics has been in place since 2003, which has allowed us to reach more people with our expert health assessments. We know how much our customers value the expertise of the team and in-depth diagnostics that these health assessments offer to manage their long-term health and wellness. “This acquisition is part of our long-term strategy to provide more of our Bupa services directly to customers. We’re looking forward to welcoming the Blackberry Clinic teams into the Bupa family and expanding our muscle, bone and joint services to meet our valued customers’ needs. Customers can expect to continue to access the same high-quality care they’ve always received at Blackberry Clinics.” Dr Simon Petrides, medical director and Founder of Blackberry Clinics, said: “I’m very pleased that Bupa will be the new home of Blackberry Clinics. We’ve had a partnership for over 20 years, and we are confident that our customers and people will be very happy with the support, benefits and services that Bupa can provide. “I’ll still be seeing patients as usual at the Milton Keynes clinic, so this is an exciting move for me as well, and I’m happy that we’ll be able to continue to offer our specialist musculoskeletal services to our customers, who will see no change in the way care is delivered.” As part of its long-term plans to deliver more of its expert care directly to customers, Bupa Health Clinics also recently acquired The Smart Clinics, four specialist clinics in London that provide private GP appointments and healthcare services to their local areas Bupa acquires Blackberry Clinics Blackberry Clinics treats muscle, bone and joint conditions Aspire sells Kings Hill care home Portunus Associates, specialist healthcare real estate agent, acting on behalf of Aspire LPP, has completed the sale its 78-bedroom Kings Hill care home to Lovett Care. Michael Lucas, founder and managing director of Aspire LPP, said: “Having identified a shortfall in high quality care beds to serve this growing community as it matures, we are pleased to have secured the first elderly care home scheme in the garden village of Kings Hill. We are expecting 2024 to be a busy year as this site is part of a pipeline of care home developments being brought to market by Aspire LPP in locations across the South and Midlands with a demonstrated need for “future-fit” beds.” Keith Crockett, Chief Executive of Lovett Care, said: “The acquisition of the site in Kings Hill represents a key milestone in the group’s growth strategy, expanding its geographical presence beyond its original base in the North West and Wales, to other attractive market locations. The new home will be at the heart of the growing community of Kings Hill, offering a modern, high quality elderly care environment for those no longer able to live independently.” Bernard Wynne, director of Portunus Associates, said: “After Aspire LPP secured planning consent for this bespoke care home development, we are pleased to have brokered the deal with Lovett Care, who will take the proposed scheme forward with an expected opening in early 2026.” The site was sold for an undisclosed sum. Occupying a prominent corner location close to all the amenities of the village centre, the generous 1.8 acre development site has full planning permission for a premium style care home of 78 beds with wet rooms, and a range of communal resident facilities, set within landscaped gardens.
REVENUE SOLUTIONS FOR CLINICAL ESTATE BY Get in touch for more information [email protected] 0151 556 0400
healthcaredm.co.uk 11 NEWS AI provider Blackford and b-rayZ, a Swiss AI powered breast diagnostics provider, have announced a commercial partnership to bring the b-box plus solution to healthcare professionals. Under the partnership, b-rayZ's technology will be integrated with Blackford's enterprise AI platform. Blackford provides healthcare professionals access to an extensive portfolio of more than 115 medical AI solutions designed to drive clinical efficiencies and improve patient outcomes. By integrating b-rayZ’s advanced technology into the Blackford Platform, Blackford can offer healthcare providers powerful tools for breast cancer detection, density assessment, breast position quality, and workflow optimization. New to the b-rayZ catalogue is the Custom AI framework DANAI, which allows personalized, custom AI models that cater specifically to the nuanced requirements of breast imaging professionals. This innovative framework is designed to continuously tune and evolve, integrating seamlessly with existing systems to enhance individual diagnostic efficiency, supporting radiologists in delivering the highest quality patient care. “We’re delighted to partner with b-rayZ and to add their solutions to our market-leading AI portfolio,” said Ben Panter, Founder and CEO of Blackford. “b-rayZ’s commitment to the detection and management of breast cancer is a great fit with our mission to improve the lives of patients by leveraging AI to drive healthcare improvements.” Prof. Dr. Cristina Rossi, CEO of b-rayZ, shared her vision on the partnership said: “Designed to align with the requirements of breast specialists, our solutions are now reaching clients in search of a comprehensive array of highest-quality AI solutions through this collaborative initiative. With Blackford, we uphold a shared work ethic that places customer needs at the forefront, ensuring the highest standards in breast diagnostics and patient care.” NEW AI PARTNERSHIP FOR HEALTHCARE One of the West Midlands’ leading independent architects is celebrating a major healthcare first for its business. Johnson Design Partnership, which has recently increased its team to 10, has been named on the NHS Shared Business Services Framework for the region, scoring top marks in the Property lot for Consultancy and Advisory Services for Health. This means the Bridgnorth-based practice will now be able to directly tender for more than £250m worth of contracts, building on its medical CV that currently accounts for more than £10m of live design and build projects. These include a Physio Hub for Frimley Park Hospital and Farnham Hospital, a new Urgent Treatment Centre and Emergency Department for New Cross Hospital in Wolverhampton and reconfiguration and expansion of Car Park A at Stoke Mandeville Hospital. Vic Johnson, who founded Johnson Design Partnership in 2001, commented: “We are so pleased to be named in the SBS Framework for the West Midlands, giving us the perfect opportunity to NHS FRAMEWORK ‘FIRST’ FOR JDP bring our design flair to healthcare projects on our doorstep. “The rigorous assessment process scores organisations on capability, sustainability, track record and ability to deliver projects on time and competitively, driving savings across the NHS.” He continued: “Not only did we pass all the criteria, we top scored in the Property lot, beating some of the biggest organisations in our field in the process. “What it means for our business is that we are now approved and that healthcare institutions in the Midlands can use us for design and consultancy work without having to go out to tender. This could potentially deliver double the amount of work we do in this field over the next two years.” Johnson Design Partnership has built a growing relationship in the healthcare sector, now accounting for more than half of all projects it currently takes on.
DAVFE www.venesta.co.uk [email protected] We know healthcare. For over 120 years, innovation has been our inspiration, and product excellence our goal. Our expert knowledge, pioneering attitude and partnerships with Armitage Shanks and Ideal Standard have inspired our market-leading healthcare products. Our solutions are designed to meet the requirements of HBN 00-10, while suiting your individual budget and requirements. We’ve been trusted by UK and international healthcare facilities for over 60 years, having delivered more than 75,000 pre-plumbed units. Speedy installation. All Vepps Healthcare units in the range are pre-plumbed at our manufacturing facility, meaning installation time is reduced by 50%. Call 01474 353333 Easy maintenance. With robust lockable, hinged doors and panels, it’s quick and easy to access duct space for ongoing maintenance work. Guaranteed quality. Offsite manufactured in the UK, with perfect panel and door alignment, all with a rock-solid 10 year guarantee for added peace of mind. Healthcare compliant. All products are HBN 00-10 Part C compliant, while parts used throughout the range are WRAS listed or self-certified as compliant.
healthcaredm.co.uk 13 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 at the Dunblane Hydro, Scotland. Held over the 25th and 26th of April, we will provide the perfect backdrop for networking and relaxing 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 Government, who will give an overview of Sustainable healthcare HBF SCOTLAND 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]
EXPERT DESIGN Refurbishments, upgrades and new builds MAINTENANCE Nationwide coverage INSTALLATION All sizes of projects BIM 3D Modelling [email protected] 01494 782168 www.shj.co.uk DELIVERING LEADING INNOVATIONS TO THE HEALTHCARE AND LABORATORY SECTORS FOR OVER 50 YEARS MEDICAL & LAB GAS SYSTEM DESIGN INSTALLATION AND MAINTENANCE 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 15 PROJECTS Construction underway on Nuffield Health Tees Hospital Nuffield Health, the UK’s largest healthcare charity, and Vanguard Healthcare Solutions have started construction to create two new operating theatres at Nuffield Health Tees Hospital for the benefit of NHS and privately-paying patients in the local community. On 8 January, construction started of the two-story purpose-built extension to house two modern, spacious operating theatres, replacing Nuffield Health’s Tees Hospital’s current two 43-year-old existing operating theatres. Both new operating theatres will allow the hospital to offer a wider range of surgical activities to local people and the anticipated completion date is September this year. The hospital’s current operating theatres continue to be used as normal in the meantime. Stacey Brunton, Nuffield Health’s Health System Director at Nuffield Health Tees Hospital, says: “It’s fantastic news to start construction of our hospital’s two new operating theatres, in collaboration with Vanguard Healthcare Solutions. “They will provide leading clinical facilities for our consultants and talented clinicians to provide best-in-class connected healthcare to support the health and wellbeing needs of NHS and privately-paying patients. This includes people from the local community needing joint replacements, spinal care, eyecare, prostate, gynaecology and women’s health services.” Nuffield Health Tees Hospital has partnered with Vanguard Healthcare Solutions to design and build the new theatres, which will be using modern methods of construction and will be modular buildings. The majority of construction is completed off-site, which will reduce disruption to the hospital’s neighbours. As part of the construction, more parking spaces will also be created at the hospital site in Stockton-on-Tees. Lindsay Dransfield, Vanguard Healthcare Solutions’ chief commercial officer, says: “We are delighted to be partnering with Nuffield Health Tees Hospital in this exciting project. “Modular construction is faster, more environmentally-friendly, less disruptive and offers a cost-effective alternative to traditional building methods. The majority of construction is completed off-site, minimising the impact on a busy site and for the hospital’s neighbours. This project will help Nuffield Health Tees Hospital continue to deliver a vital health and wellbeing service to support the individual needs of the local community for many years to come.” This project will help Nuffield Health Tees Hospital continue to deliver a vital health and wellbeing service
16 healthcaredm.co.uk PROJECTS Hallmark Luxury Care Homes opens new £23m Bath home The Mayor of Bath, Councillor Dine Romero, officially open’s Hallmark Midford Manor with Managing Director Aneurin Brown, Commissioning Manager Jenny Mann and Chair Avnish Goyal CBE A £23m, Hallmark Luxury Care Home which features a cinema, café, hair salon and its very own gym supported by an in-house physiotherapist has officially opened in Bath, Somerset. Over 100 guests, including the Mayor of Bath Councillor Dine Romero, were invited to experience Hallmark Midford Manor, a new, 80 bed, residential, dementia and nursing home on Frome Road. Local businesses and care professionals alike were encouraged to tickle their tastebuds, enjoy demonstrations from some of the home’s 80 new team members and view their facilities which include 14 luxurious suites, forming part of a unique retirement living offering called The Residences. Residents who live at The Residences have access to a premium suite with a kitchenette and exclusive amenities, such as a cocktail bar, fine dining restaurant with a grand piano and nearby finishing kitchen and concierge services. Other features at the home include a sensory room to support residents living with dementia, a craft room, and celebrations area which will be used for family gatherings and special events. Meanwhile outside there is a summer house, gardening club area with raised planters, and a little one’s play area to be used by visiting grandchildren and St Martin’s Garden Primary School next door. The afternoon event was concluded by speeches and a performance from a string quartet. Commissioning manager at Hallmark Midford Manor Jenny Mann said: “We had a fabulous time, introducing our new home to the Bath community and 80 dedicated team members, who are passionate about supporting residents to thrive in later life. “Much thought and consideration has gone into Midford Manor to help residents live active, independent and fulfilled lives. We have lots of spaces so residents and their loved ones can enjoy quality time together and make new memories.” Managing director at Hallmark Luxury Care Homes, Aneurin Brown added: “I am so proud to be part of the team who have grouped together and have made Midford Manor, the beautiful home that it is today. “We are looking forward to making Midford Manor a part of the community whilst continuing to build on our reputation of providing 26 years of industry-leading care.” The cocktail bar at Hallmark Midford Manor An example of one of the suites at Hallmark Midford Manor
REDEFINING HEALTHCARE CONSTRUCTION
18 healthcaredm.co.uk PROJECTS CONSTRUCTION UNDERWAY AT SEACROFT HOSPITAL Regional construction company I&G have started work on the new Community Diagnostic Centre on the Seacroft Hospital site in Leeds. Community Diagnostic Centres (CDCs) are local hubs which provide a broad range of diagnostic care, such as checks, scans and tests, without patients having to go to a main hospital. They mean patients can get access to diagnostic checks closer to home, and also cut waiting times, leading to people getting health conditions diagnosed more quickly and getting treatment sooner. The new CDC, which will be run by Leeds Teaching Hospitals NHS Trust, will be developed on the site of Seacroft Hospital, off York Road in Seacroft, Leeds. The project will involve the refurbishment of one of the unoccupied areas of the site, retrofitting it and adding two extensions to make it into a modern healthcare building to house state-of-the-art technology. Once open, the CDC will have the latest equipment to offer MRI and CT scanning, X-rays and various tests to local people, saving them a journey into the city to a large hospital. I&G have engaged with the Trust clinical teams to help contribute to the design of the new building, with the whole of the end user teams inputting in a truly collaborative and joined up way. A major part of the work will be to improve the thermal efficiency of the old building, upgrading windows and insulation to ensure the centre will take less energy to heat and cool, and reducing its overall carbon footprint, adopting a retrofit programme of works that will protect the facility and those that use the building for many years to come. I&G managing director Christopher Carline said that the project would help give the building a new future. “Working in historic buildings is really rewarding, as through sensitive refurbishment we can bring them back to life, making them more sustainable and fit for the demands of modern healthcare for decades to come. “Working in the hospital grounds is a challenge, as there are already functioning medical facilities on the site, and we need to carefully plan our work to avoid disrupting patients and staff. However, I&G are experienced at completing complex projects on live hospital sites, so we’re confident we can deliver this exciting scheme and improve health outcomes for patients in Leeds.” A spokesperson for Leeds Teaching Hospitals NHS Trust said:“CDCs will improve access and reduce delays for people who need an investigative test. The ambition for these new settings is to separate emergency and urgent diagnostics (delivered within hospital settings) from planned tests by delivering these closer to people’s homes in community ‘one-stop-shop’ settings. The new CDC will enable us to strengthen and expand the delivery of diagnostic services at Seacroft Hospital, which already hosts a number of outpatient services in a community setting. The CDC will complement the existing services and benefit from the well-established public transport routes at Seacroft Hospital. “We are really pleased to be working with I&G to deliver the solution we need and ensure we have a modern facility where patients can get the tests they need done sooner.” The new CDC is one of four being opened across West Yorkshire, with the others planned for Eccleshill, Huddersfield and Wakefield. We are really pleased to be working with I&G to deliver the solution we need and ensure we have a modern facility where patients can get the tests they need done sooner
healthcaredm.co.uk 19 THE FUTURE AND BEYOND The future and beyond Sarah Cox, partner, Carter Jonas (Leeds) talks about the future of healthcare development as the sector reacts to the ongoing climate crisis The climate crisis is a potential health crisis. And yet healthcare, if only due to the substantial construction, transport and heating / air condition emissions that such a large organisation generates, is a not insignificant contributor to climate change. The NHS, according to its own sources, is responsible for 5% of the UK’s carbon emissions. As the then former of NHS England admitted, health services jointly contribute the same level of emissions as the country currently ranked as the world’s fifth-largest emitter. In addition to real estate, healthcare is responsible for other significant pollutants. There is an irony in the fact that asthma inhalers, increasingly necessitated by air pollution, release an incredible 4% of all NHS emissions, through their use hydrofluoroalkane as a propellant. But progress is being made: switching 10% to dry powder inhalers has already reduced CO2 emissions by the equivalent of taking 120,000 cars off the road. NET ZERO Achieving net zero is a considerable undertaking for an organisation as large as the NHS, especially taking into account funding and other constraints. But in its policy document Delivering a ‘Net Zero’ National Health Service, the NHS has committed to doing so by 2040 and is already making significant progress. From meat-free Mondays in canteens, to the first baby born with a gas-and-air system that captures the polluting gas instead of emitting it, changes are taking place throughout the country. Despite the many constraints, there is substantial best practice emanating from the NHS. Earlier this year, plans for what is believed to be the UK’s greenest hospital were approved. The new Velindre Cancer Centre in Cardiff is being developed to comply with the Wellbeing of Future Generations (Wales) Act 2015 and its design utilises low embodied carbon and bio-based materials that support a circular economy and promote health and wellbeing. The centre will be all-electric and is manufacturing components off-site to reduce site waste and minimise transportation. Its landscape strategy is to keep the site as wild as possible by retaining existing habitats and creating new habitats alongside new landscaped spaces such as an orchards and a community kitchen garden. It was encouraging, too, to see plans to power Torbay Hospital with a £3.1m solar park approved last May. The 3.9 hectares of solar panels will provide 3.2 megawatt
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 A New Standard for Hospital Monitoring Intuitive touchscreen interface 5” display with hygienic glass front Visual and audible alarms displaying insulation faults Remotely programmed and maintained Retrofit solution for MK2430 COMTRAXX CP305 touchscreen alarm panel ensures resilience and safety for operating theatres and critical areas by monitoring medical IT power systems NEW PRODUCT 5343 BUK CP305 A5 advert.indd 2 12/07/2022 09:11
healthcaredm.co.uk 21 THE FUTURE AND BEYOND peak of power and will last for approximately 25 years. And in Newcastle, travel emissions were reduced by 43% as a result of remote consultations and a focus on walking, cycling and electric buses for staff increased this figure further. Carter Jonas has worked with NHS Trusts on a number of sustainable initiatives. In Leeds, we work for Leeds Community Healthcare NHS Trust, which includes both Leeds General Infirmary (LGI) and St James’ Hospital has many existing challenges to overcome to enable it to meet net zero in the next 17 years. LGI comprises a medley of interlinked premises from the iconic 1868 Sir George Gilbert Scott designed buildings to the modern Martin and Jubilee wings, the latter accommodating a helipad. STRATEGY And yet sustainability is at the heart of the Trust’s built environment strategy, which aims to achieve net zero operational carbon and minimal embedded carbon, conservation of resources and nature-based design solutions. Already the Trust has succeeded in promoting active travel, improving biodiversity and green spaces, investing over £20 million in energy saving projects and facilitating remote GP appointments. Construction is a major contributor to emissions, accounting, according to the 2019 Global Status Report for Buildings and Construction, for almost 40% of CO2 emissions. And so, we are pleased to work with the NHS on gaining planning consent for construction projects which have lower emissions rates. Carter Jonas has worked with both Leeds and other hospital trusts to create new community diagnostic centres, part of a programme announced in October 2021. Many of these centres use modular construction, which can reduce emissions by approximately 54%. In terms of sustainability, another important factor of these new community diagnostic centres is that they are planned to integrate effectively into a community. Not only does this limit cross-contamination (an important post-Covid consideration) but it also supports local high streets. A consideration in the built environment world post Covid has been the need to respond to an increased awareness of local community. And as some high streets declined in 2020 through lack of footfall, changes to the planning use classes were made to facilitate the change of use from one high street use to another. CLASS E Class E came into use in September 2020. It incorporates, under the term ‘commercial, business and services’, a broad range of previously standalone use classes including A1-A3 (retail, food and drink and financial and professional services), B1 (office space), parts of D1 (including clinics, health centres, creches, day nurseries, and day centres) and D2 (gyms and most indoor recreations). Any changes between these uses now no longer requires a full planning application. So increasingly, healthcare facilities are occupying previously under-utilised retail Landscape spaces are an important part of a modern NHS facility units on high streets and in shopping centres which provides a local amenity, benefits community development and can help regenerate high streets – with the added benefit of freeing up much-needed space in hospitals. Even within planning and development alone, the potential for change in the NHS is considerable. And with the drive to achieve net zero by 2040 so strongly embedded in NHS thinking, this together with change through other aspects of the NHS’ output has, and will continue to, help us tackle climate change. The significant amount of projects to develop the NHS estate contributes to its carbon footprint
22 healthcaredm.co.uk FLOORING The demands of a healthcare facility mean resilient flooring is a must. Rohit Sharma, resilient sales manager at Bona, a family-owned company that provides sustainable, high-performance flooring solutions, explains why. Resilient flooring: strip and polish, and renewal go head-to-head! Vinyl, LVT, PVC, linoleum and rubber all fall under the highly functional, resilient flooring banner, and are found in most if not all healthcare settings, across wards, reception areas, canteens, and more. Resilient flooring is known largely for its durability and ergonomic comfort, which in high footfall areas that undergo a lot of activity and are also subject to the movement of heavy equipment and intense cleaning schedules, is critically important. It is also widely recognised for its cost-effectiveness, and given that budgets are repeatedly squeezed year on year, resilient flooring continues to be an attractive choice. It fits the needs of the healthcare environment very well and boasts additional attributes that are of importance too such as its noise reduction properties, slip and fall prevention, low maintenance, as well as its strong sustainability credentials. Akin to any other surface, resilient flooring has a certain life span. As floors in healthcare are subject to intense wear and tear, it can often lead to scratches, dents, chips and gaps in the surface. At this stage, when the floor starts to look worn, it’s often decided that a strip and polish will extend its life. Or, if the surface looks damaged and beyond repair, a brand-new installation is often the next step, which in fact is rarely needed. However, there is an alternative option that would work perfectly in both instances, namely floor renewal. When the terms renovation or renewal are used in healthcare, the first thought often turns to buildings and estates, yet what lies underfoot presents another route for renewal. DOES CONVENTIONAL MEAN COSTLY? Stripping and polishing a resilient flooring surface is the conventional method to help preserve and revitalise the floor. It’s an effective way to get the shine and glow back into a dull, faded floor – to make it look like new again. However, when comparing stripping and polishing with renewal, there are some clear differences. Firstly, let’s look at exactly what floor renewal is. Quite simply, the floor renewal process is quick and easy. Initially, old polish is removed and stripped from the floor’s surface. It is then abraded and cleaned, before the floor is coated with a new colour, top coat, or chip combination to make it look as good as new. Renewal brings the surface back to life and it would be incredibly difficult, even for a flooring expert, to spot any difference between a brand-new installation and a renewal; the quality is exceptional.
healthcaredm.co.uk 23 On the other hand, the process of renewal is incredibly streamlined and only takes 30% of the staff hours that would be needed for stripping and polishing; that’s just 375 hours. Over a 10-year period, the stripping and polishing process would need to be completed four times per year, compared to just once every three years when following the resilient renewal path. RESILIENT RENEWAL FOR BETTER ROI Comparing the stripping and polishing process with renewal highlights clear cost savings on materials, maintenance, and staff, with the latter coming out on top. Without question, there are compelling savings to be secured by opting for the resilient renewal solution, with estimated long-term savings of almost £50,000. BEYOND THE FINANCIAL ASPECT Advances in the flooring industry also pave the way for the healthcare industry to take greater steps to sustainability, and the ability to renew a surface is a significant development. Years ago, this would not have been an option, yet today, as we try to minimise our collective impact on the environment, the ability to reuse, recycle and renew is FLOORING STRIPPING AND POLISHING VERSUS RENEWAL With budget levels steering the choice of flooring in healthcare, it is prudent to weigh up the cost savings achievable on materials, maintenance, and staff; comparing stripping and polishing with renewal. Based on a 1,000m2 floor across a 10-year period, here are the stats: MATERIAL Stripping and polishing must be undertaken far more frequently than renewal and on top of that, it requires a greater number of layers. Yet far less materials are used in the resilient renewal process, and as it lasts many years, it does not need to be repeated as often. Importantly it also eliminates the need to ever strip and polish the floor again, which is a big plus point for healthcare organisations as it avoids the additional downtime of specific areas which poses an inconvenience to staff and patients. Substantial savings can therefore be gained in relation to material used; across 10 years, expect savings of more than £20,000. MAINTENANCE It is recommended that stripping and polishing a resilient floor is undertaken multiple times to keep the surface in top condition. In fact, across the floor’s life span, a deep and top strip is necessary up to 4 times, while a regular ongoing polish is needed 3 times per year. As such, the maintenance schedule is more complex and demanding than the renewal schedule, which is virtually effortless. As the renewal process protects the surface in a unique way, it only requires a recoat just once every three years. By ensuring continuous renewal over the lifetime of the surface, it also helps extend the lifetime of the surface, which in turn prevents premature floor replacement. STAFF Anticipate much bigger demands on staff time when pursuing the stripping and polishing route. It’s envisaged that 1,290 staff hours would need to be allocated to the entire process across a 10 year period. of utmost importance. Floor stripping is not only time and labour intensive but also a toxic process. However, there is a great environmental benefit of renewal. It is more sustainable as it only requires one-time stripping of the floor, then the only care required is standard maintenance and a further top coat every so often. A report published by the IVL Swedish Environmental Research Institute backs up the sustainability aspect. Its findings state that renewing a resilient flooring surface results in a 92% reduction in carbon footprint compared to brand-new floor replacement. SIZING UP SURFACES With thousands of square meters covered with resilient surfaces in the healthcare sector, renewal is an alternative way to transform flooring which could be a game-changer for the healthcare sector, for many reasons, but not least because of the weighty financial and time savings to be seized. To try the FREE Bona resilient floor ROI calculator using your own project details, visit Facilities - at www.bona.com or call 01908 525150.
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 25 COMMENT FEATURE In healthcare, where the focus is primarily on patient well-being, the health and productivity of healthcare employees are often overlooked. However, maintaining optimal working conditions for healthcare professionals is paramount for their health, job satisfaction, and the quality of care they provide. One crucial yet often neglected factor in this equation is relative humidity (RH) levels within healthcare facilities. The impact of RH on employee health and productivity is profound, with improper RH levels posing significant risks and challenges. Understanding the importance of controlling RH levels in the complex environment of a healthcare facility begins with grasping the concept of humidity. Humidity refers to the amount of water vapour in the air, measured as RH, a function of both moisture content and temperature. It represents the amount of water vapour in the air as a percentage of the maximum amount it could hold at a given temperature. The health implications of relative humidity levels in healthcare settings are significant. Low RH levels can lead to respiratory discomfort and worsen existing respiratory conditions, increasing absenteeism rates among healthcare staff and disrupting patient care. Conversely, high RH levels promote the growth and spread of pathogens, raising the risk of healthcare-associated infections (HAIs) among employees and patients. Extremely high or low humidity levels can also damage sensitive medical equipment, causing malfunctions and interruptions in patient care. Maintaining appropriate humidity levels is also essential for infection control. Optimal RH levels can inhibit the growth and transmission of airborne pathogens, such as viruses, bacteria, and fungi. Adequate humidity also supports the body’s natural defense mechanisms, enhancing the effectiveness of respiratory tract mucous membranes in trapping and neutralising pathogens. Conversely, dry indoor air impairs these defenses, increasing susceptibility to respiratory infections. Similarly, controlling relative humidity is vital for protecting medical equipment. Maintaining optimal humidity levels ensures the longevity and proper functioning of sensitive medical equipment, such as imaging machines, ventilators, and laboratory instruments. Excessive humidity can lead to corrosion, mold growth, and electrical malfunctions, jeopardising the accuracy and reliability of critical medical devices. Conversely, overly dry conditions can cause static electricity buildup, potentially damaging electronic components and posing a potential fire hazard. While there is no one-size-fits-all approach to relative humidity levels in healthcare facilities, specific guidelines can help achieve optimal conditions. The American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) recommends maintaining indoor RH levels between 30% and 60% for comfort and health. In addition, the Chartered Institution of Building Services Engineers (CIBSE) publishes guidance on environmental design parameters for various building types, including healthcare facilities. Their publications offer recommendations for indoor air quality, which indirectly address RH considerations as part of overall comfort and health standards. Various humidification and dehumidification technologies are available to achieve and maintain these levels, each with advantages and applications. Stephen Finkel, DriSteem regional sales manager tells us the importance of optimising Relative Humidity Levels in Healthcare Facilities: Enhancing Health, Safety, and Productivity
RkJQdWJsaXNoZXIy MjQ0NzM=