MAY 2024 | £8 ZERO CARBON COORDINATORS A first-hand view PROJECT Frimley Park Hospital diagnostic centre PANDEMIC PLANNING Reassessing healthcare estates Inside this issue: Belfast maternity service reborn
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...
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 SUSTAINABILITY AND THE NHS As the healthcare sector navigates the delicate balance between delivering quality care and minimising its environmental impact, the NHS has embarked on an ambitious journey; achieving net zero carbon emissions by 2040. As the new editor of HDM, I recognise the imperative for sustainability within the NHS to encompass a broader spectrum of environmental stewardship, resource efficiency and community wellbeing. By embedding sustainability principles into healthcare estates, we can not only mitigate the sector's environmental footprint but also elevate patient care standards and bolster operational resilience. In this issue, we explore the pivotal role of Net Zero Carbon Coordinators – a position introduced last year and defined within the NHS Net Zero Building Standard – as the guardians of sustainability within healthcare projects. We’ll hear from new coordinator Amy Clutterbuck, who is tasked with ensuring compliance with the standard’s process and technical requirements in her company’s healthcare design schemes. A deep understanding of embodied carbon, operational energy and whole-life cycle carbon performance, along with the ability to influence design decisions, are central to her responsibilities. What’s more, the scope of her oversight extends to promoting collaboration among diverse disciplines within design teams throughout the project lifecycle. Amy sees this role as an opportunity to establish best practices and drive tangible change. Yet, to achieve the NHS's net zero ambitions, collaboration and innovation will be critical in all areas. Healthcare estates must engage with stakeholders across the sector, including policymakers, industry partners and local communities, to drive forward sustainability initiatives and share best practices. Moreover, investing in research and development to identify new technologies and strategies for reducing carbon emissions and enhancing sustainability will be crucial for achieving long-term success. We value your feedback. Contact: [email protected] healthcaredm.co.uk 3 Editor’s Letter MAY 2024 Editor Helen Adkins Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby Helen Adkins EDITOR [email protected] Front cover: Belfast maternity unit 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.... MAY 7 NEWS A round-up of all the latest news from across the sector. 11 PROJECT: CASTLE SPORTS COMPLEX Following a £26 million government investment, Castle Sports Complex in Spalding, Lincs, is being turned into a community health and wellbeing hub. We look at what’s planned. 12 COVID PLANNING Following the Covid-19 pandemic, it is crucial to reassess the long-term provision of healthcare real estate. Charlotte Hutchinson, an associate partner at property consultants Carter Jonas, offers her viewpoint.
14 PROJECT: FRIMLEY PARK A look at the £49 million, state-of-the-art diagnostic and imaging centre at Frimley Park Hospital, Surrey. 25 ART THAT WORKS FOR WALLS A look at the innovative wall cladding used at the Evelina London Children’s Day Treatment Centre. 16 COVER FEATURE: BELFAST MATERNITY UNIT After numerous challenges and delays, Belfast Maternity Unit has reached completion and is set to enhance the birthing experience of over 5,000 women annually. 19 HEATHCARE BUILDINGS FORUM PREVIEW Stable Events presents its annual event, bringing together NHS trusts and private healthcare providers, architects, contractors and other stakeholders, as well as service and product suppliers. Find out all the latest information and details. 28 PRESSURE JET BOILERS While some pressure jet boilers have been removed from commercial use, others can still operate in condensing mode. Charlie Mowbray, Ideal Heating – Commercial, explains. 22 BECOMING A NET ZERO CARBON COORDINATOR Amy Clutterbuck, an associate at CPW, shares her experience in the new role. 31 INDUSTRY COMMENT As the healthcare industry continues to navigate mounting pressures and evolving challenges, the benefits of automation will only gain more traction. Howard Williams, director of ThinkAutomation, gives his view. 32 BRISTA ECO SMART TECHNOLOGY FOR TAPS Why Royal Hants Hospital chose Bristan’s water-saving taps and showers.
REDEFINING HEALTHCARE CONSTRUCTION
JASON STAPLEY chief procurement officer at Pagabo healthcaredm.co.uk 7 NEWS Contractor Henry Brothers has been awarded the prestigious King’s Award for Enterprise for Sustainable Development, recognising its outstanding commitment to sustainability and responsible business practices. The company, founded in 1976, has grown from a local builder to a major player in sustainable construction, with operations across the UK. Ian Henry MBE, CR director at Henry Brothers, expressed gratitude for the award, emphasising the company’s deep-rooted commitment to responsible business practices. He highlighted Henry Brothers’ longstanding dedication to sustainable development, which is integral to the company’s culture and identity. He said: ‘Sustainable practices have been at the heart of Henry Brothers’ operations since its inception, and we make a conscious effort to minimise our environmental impact while maximising positive social and business outcomes. ‘In addition to our ambitious net-zero strategy, our approach to sustainable development encompasses a number of initiatives designed to encourage positive health and wellbeing amongst our staff and enhance community engagement.’ Henry reiterated the company’s belief that sustainable development is not just a business responsibility but a necessity. He credited the company’s employees for their dedication and contribution to its success, emphasising their role in driving positive environmental change and community impact. Judges also commended Henry Brothers as an excellent example of inspiring others in sustainable development while achieving business growth. The company’s innovative initiatives, such as the establishment of a 27-acre nature reserve at its headquarters in Magherafelt, were recognised for their positive impact on the environment and community engagement. www.henrybrothers.co.uk HENRY BROTHERS RECEIVE SUSTAINABLE AWARD Left to right: David Henry, Ian Henry, Jim Henry and Julie McKeown Pagabo announces suppliers for decarbonisation framework National framework provider Pagabo has revealed the 49 suppliers appointed to the first of its brand-new £1.6bn healthcare decarbonisation frameworks, including Kier, Morgan Sindall and Willmott Dixon. Great Ormond Street Hospital is serving as the healthcare sector-specialist contracting authority for the framework, which will run for four years. The suppliers appointed can provide a complete business solution for clients, which will allow them to go directly to main contractors to undertake retrofit assessments, work up costs, self-deliver or bring in supply chain partners to deliver schemes. Typical projects may include, but are not limited to, installation of specialist heating, cooling and ventilation systems, installation of renewable energy sources, fabric upgrades, installation of energy saving lighting and replacement of inefficient glazing. The framework has four value banded lots, applicable to the 12 geographical regions, giving a total of 48 sub-lots. Jason Stapley, chief procurement officer at Pagabo said: ‘Decarbonisation schemes are a common focus across the healthcare industry and its many estates at present, so this framework makes compliant access to specialist, experienced contractors as easy as possible. ‘There are 29 SMEs appointed to this framework, once again demonstrating our commitment to creating opportunity and increasing competition – all in order to lead the way in public and private sector procurement.’ The second decarbonisation framework, which will be open to all other sectors, is in the final stages of evaluation and appointment. www.pagabo.co.uk
8 healthcaredm.co.uk NEWS Aztec Solar Energy has become a Centrica Business Solutions energy partner, and will complete its first solar PV design and installation project at Poole Hospital in Dorset. The installation is part of University Hospitals Dorset NHS Trust’s transition to net zero. The project involves five interconnected roofs on one building and will have 470 PV panels, five SolarEdge inverters and 261 optimisers. Aztec Solar will connect, commission and test the new solar PV system over just two days after installing the panels, inverters and other equipment over the preceding weeks. Phil Bryant, head of public sector sales for Centrica Business Solutions said: ‘We’re seeing an uptick in demand from public sector and commercial organisations, looking to take advantage of the space above their heads for solar schemes. This provides cost certainty and a source of green power, supporting long-term sustainability ambitions.’ Stuart Lane, Sustainability and Carbon manager for University Hospitals Dorset NHS Trust said: ‘We are delighted to announce successful project completions with Centrica Business Solutions and Aztec, overcoming site constraints and height access challenges. ‘We are implementing a new roof-mounted photovoltaic system to advance our commitment towards achieving net zero carbon targets. Upon completion, this installation is projected to generate circa 200,000 kWh of power or approximately 5% of Poole Hospital’s power demand, and offset approximately 50 tonnes of CO2 a year.’ Commenting on the project, Chris Cowling, commercial director at Aztec Solar, said: ‘Poole Hospital is one of many healthcare buildings that we have provided solutions for, so we understand how important it is to work closely with Centrica Business Solutions to minimise the effects of our installation, and the electrical shutdown on patient wellbeing and medical equipment.’ www.aztecsolarenergy.co.uk ARTIS icono ceiling for Royal Oldham Hospital Staff at the Royal Oldham Hospital with the ARTIS Icono ceiling Royal Oldham Hospital has taken a significant step forward in its interventional radiology services by becoming the first hospital in the UK to install the ARTIS icono ceiling from Siemens Healthineers. The cutting-edge equipment offers a more flexible interventional suite and improves image quality for interventional radiologists. With the new ceiling-mounted system in place, the hospital can now provide a wider range of procedures, including some that were previously unavailable, while also alleviating pressure on high-demand departments. The ARTIS icono ceiling enables the hospital to perform emergency and non-emergency interventional radiology services more efficiently, such as vascular and non-vascular work, angioplasties, nephrostomies, liver biopsies, drainages and fibroid embolisations. Moreover, the hospital plans to introduce a urology service, including prostate artery embolisations, to cater to a previously underserved patient population. One of the notable features of the ARTIS icono is its Omni Spin technology, which allows for rapid 3D image acquisition in just two and a half seconds. This technology not only improves image quality but also enhances accuracy and reduces procedure times. Furthermore, the system enables needle-guided procedures with submillimetre accuracy, ensuring optimal outcomes while minimising radiation exposure to patients. Helena Hill, interventional radiology and fluoroscopy manager at Royal Oldham Hospital commented on the significant improvement in image quality achieved with the ARTIS icono without increasing radiation dose to patients. She said: ‘The new equipment will enable us to do more, and the addition of needle guidance will support greater accuracy and clinical confidence in biopsies and complex procedures.’ Giovanni Accardo, head of Advanced Therapies at Siemens Healthineers Great Britain & Ireland, commented: ‘The ARTIS icono is designed for multidisciplinary use and we’re pleased to hear the first system in the UK is supporting Royal Oldham Hospital in both expanding its current procedural offering and addressing resource challenges. www.siemens-healthineers.co.uk AZTEC SOLAR PANELS FOR POOLE HOSPITAL
healthcaredm.co.uk 9 NEWS Modern methods of construction (MMC) specialist MTX has secured the dual contract to build Community Diagnostic Centres (CDCs) in Lincoln and Skegness, giving patients improved access to NHS diagnostic procedures including CT, X-ray and ultrasound. The new CDCs will be delivered concurrently by MTX using precisely engineered structural steel modules, and factory- manufactured offsite, while groundworks take place to create the foundations for the new buildings. Mechanical and electrical services will also be manufactured as modules, where appropriate, to speed up the construction process and reduce costs. Once they are installed onsite, the structural steel units will be fitted out by MTX to fulfil their specialised roles. The contract for Lincoln and Skegness is one of several won by MTX to build CDCs across the UK. CDCs launched nationally in July 2021 to provide a range of patient diagnostic services, and are designed to be ‘one-stop shops’ that can check, test and scan patients for a range of conditions, from cancer to heart or lung disease. Employing modern methods of construction means MTX can deliver the new centres faster, safer, greener and more cost - effectively for NHS Trusts. NHS Lincolnshire Integrated Care Board and United Lincolnshire Hospitals NHS Trust successfully opened Lincolnshire’s first CDC in Grantham in April 2022 and has recently had a £5m expansion to open CT and MRI facilities. To date, Lincolnshire’s CDC programme has supported the delivery of more than 80,000 diagnostic tests. Lincolnshire’s CDCs have been designed by a team with representatives from all stakeholder groups, including clinicians, patient groups and specialist providers, focusing on providing the best patient experience. The dual project to create CDCs at Lincoln and Skegness has benefited from £38 million of additional funds allocated by the Department of Health and Social Care (DHSC). Claire Lloyd, Lincolnshire’s CDC programme lead, said: ‘Diagnostics are recognised as a key priority in the NHS Long-Term Plan, and CDCs play a key role in supporting reductions in waiting times, improving access and delivering care closer to home. ‘For Lincolnshire, and particularly for Skegness and Lincoln, the investment in these two new CDCs is at a level that will make an enormous difference to our diagnostic testing capabilities and capacity in the county for years to come, and we are immensely proud of that.’ MTX managing director David Hartley said: ‘The creation of a network of CDCs is a key element in improving access to care and patient experience, and we are delighted that NHS trusts are choosing to partner with MTX for delivery of these new resources, based on our proven track record of rapid and cost-effective delivery.’ www.mtxcontracts.co.uk New CDCs in Lincoln and Skegness
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healthcaredm.co.uk 11 PROJECT South Holland District Council has bolstered its successful £20 million UK Government Levelling Up Fund bid with a £6 million investment to see the Castle Sports Complex in Spalding transformed into a health and wellbeing hub, aimed at driving positive health outcomes for local residents. Alliance Leisure has been appointed to deliver the works through the UK Leisure Framework, owned by Denbighshire Leisure Limited (DLL). Work is expected to begin in late 2024 and will complete in the summer of 2026. The Castle Sports Complex will be completely remodelled and extended to include an integral swimming provision, including a six-lane, 25-metre pool and a 20-metre teaching pool. Outside, a splash pad will be added to accommodate families and young children. These facilities will replace the current provision offered by Spalding Swimming Pool. The complex will also host a sports hall, a gym, a family activity zone, a fully equipped fitness suite, indoor cycling and fitness studios, and a dedicated wellness suite offering power-assisted exercise machines. A health and wellbeing space for appointments with health practitioners, including services to support good mental health and those living with diabetes, Alzheimer’s and dementia, is also planned, as is a café and lounge area. The centre’s current bowls hall will receive some much-needed maintenance as part of the redevelopment. Outside, a 3G artificial turf floodlight football pitch will be supported by a separate multi-use games arena hosting an array of sports, including basketball and football, with a dedicated track through the site for walkers, runners and cyclists. Car parking will be extended to accommodate the anticipated uplift in usage, and extensive landscaping will take place throughout, enhancing the visual appeal. Transformational investment like this only happens once in a lifetime so it is absolutely imperative that we get it right Castle Sports Complex South Holland District Council has acquired a £26 million government investment to transform the Castle Sports Complex in Spalding into a community health and wellbeing hub. ALLIANCE AND PARTNERS Talking about the development, Sean Nolan, business development manager for Alliance Leisure, said: ‘Transformational investment like this only happens once in a lifetime so it is absolutely imperative that we get it right. ‘Working with our trusted, leisure specialist partners – including Hadron Consulting, Saunders Boston Architects, Wilmott Dixon and Max Associates – the team have been involved from the start, supporting the council’s LUF bid and preparing the designs.’ Councillor Gary Taylor, South Holland District Council deputy leader and the council’s project sponsor, said: ‘The success of this bid is a momentous moment for the whole of South Holland, and provides vital funding that will be truly transformational to help improve the health and lives of our residents. ‘The new hub will place physical activity at the heart of our community, supporting healthy, active lives. Coupling this significant investment with the design and delivery expertise of best-in-class providers brought together by Alliance Leisure through the UK leisure Framework, we have the opportunity to create an incredible facility that caters for everyone at all stages of their life for many years to come.’ southhollandlevellingup.co.uk allianceleisure.co.uk Hadronconsulting.co.uk Saundersboston.co.uk Wilmottdixon.co.uk Max-associates.com
12 healthcaredm.co.uk HEALTHCARE PLANNING One of the major changes in healthcare facilities is the move towards standalone bespoke units, which responds to a need to avoid cross-contamination Healthcare PLANNING post pandemic At the beginning of the Covid 19 pandemic, the UCL’s Bartlett Real Estate Institute stated, ‘This pandemic will change people, the economy and society in ways we can’t yet imagine…We could be at a crossroads in history of the same significance as the Black Death and the two world wars. Like it or not, it really is time to rethink real estate.’ Previously, The Lancet Countdown on health and climate change had stated that outbreaks of infectious disease were likely to become more frequent as the world becomes more connected and rising global temperatures enable the transmission of disease. And as a 2020 report by WSP1 stated, around the world work was already underway to review building regulations and standards. Last year, it was reported that China planned to add more than 28,000 new beds, while India anticipates need for a further 24,000. At the height of the pandemic in the UK, Boris Johnson promised to build 40 new hospitals – and was immediately criticised on the basis that this failed to acknowledge the scale of the challenge. One of the major changes in healthcare The advent of COVID-19 precipitated profound changes in individuals, economies and societies. With the prospect of future outbreaks looming, it is imperative to reassess the long-term provision of healthcare real estate. Charlotte Hutchinson, an associate partner at property consultants Carter Jonas, explains more. facilities is the move towards standalone bespoke units, which responds to a need to avoid cross-contamination. In June last year, Carter Jonas achieved planning consent for a brand-new community diagnostic centre for Barking, Havering and Redbridge University Hospitals NHS Trust. The 1,000 square metre site has been host to the Barking Community Hospital for over 100 years and during that time has seen various redevelopments and additions. This application is the latest addition to increase outpatient capacity. It will provide clinical spaces for the use of cardiology, respiratory, pathology, physiological measurement, MRI/CT control and procedure rooms. We have also achieved planning consent for a similar scheme for a community diagnostic centre for West Middlesex Hospitals. This new approach in healthcare design addresses patient backlogs, as outpatient facilities offer a highly efficient throughput of patients without risk of disruption via unplanned cases or a need to redesign existing facilities. Another significant benefit of these
healthcaredm.co.uk 13 HEALTHCARE PLANNING facilities is their integration of healthcare within the community. During lockdowns, the unpredicted and urgent need for adaptation led to individuals uniting to form resilient communities. Compounded by the working from home revolution, the importance of local and ‘hyper-local’ communities was intensified and the ‘15 minute neighbourhood’ – a concept which until recently had had little practical impact - was found to function naturally in towns and cities. The principles of this concept - neighbourliness, support for local businesses and sustainable travel – have now become central to the masterplanning of large-scale new communities and the function of existing communities. Research carried out by Place Alliance confirms that people’s sense of community had changed significantly. Specifically, ‘respondents reflected on a period in which people seemed friendlier…and in which they had more time for…family, exercise, the garden, neighbours and the community.’ Planning legislation responded quickly to the renewed appreciation of local community centres, while simultaneously addressing the ongoing ‘perfect storm’ that has battered the high street for many years. In 2020, amendments to the Town and Country Planning (Use Classes) Order allowed for greater change of use between use classes, creating the all-encompassing Class E. This allows for change of use between a wide range of commercial, business and services without the need for a full planning application. It covers shops, office buildings, and research and development facilities, as well as clinics, health centres, creches, day nurseries, day centres, gyms and most indoor recreations. This change not only benefits local residents but helps protect the future of our high streets and town centres. It has proven that the high street location of healthcare occupants is an important component in revitalising high streets at a time of economic uncertainty. We saw this impact recently when we used permitted development rights to position a breast screening service in Wakefield town centre, which was positively supported by Wakefield Council and was well attended by the local community. PROPTECH Before the pandemic, 3-5% of GP consultations were conducted by phone or video conference. Immediately following the requirement to lockdown in March 2020, that number soared and remains at now it is 50-70%. Similarly, the growing demand for ‘touchfree’ services which arose from a fear of cross-contamination has impacted the design of healthcare facilities. Coupled with a need to embrace both energy efficiency and net zero, a more sophisticated approach to lighting, heating and cooling, and other building systems now involves variable (often voice-activated) controls, and the use of sensors has allowed buildings to function more efficiently. Many waiting rooms now incorporate digital patient management tools for check-ins, smoother operation of triage systems, and real-time locating systems for better patient management. And while healthcare premises will always remain important, technology is enabling traditional hospital work to take place elsewhere. According to Spyglass Consulting Group, 88% of US healthcare providers are investing in remote patient monitoring of chronic conditions. Telemedicine will invariably impact on facility sizes as, compared to land, bricks and mortar, and technology (especially over the long term) is relatively cheap and efficient. PANDEMIC PREPAREDNESS Most experts predict that large-scale pandemics are likely to be more common in the future and the changes to healthcare facilities as described above are vital in reducing the impact of the inevitable next pandemic. However, considerations about facility design must take into account that the next pandemic may not be airborne- again, so flexibility is all-important. In addition to those mentioned, there are many ways in which healthcare design has been impacted by Covid, such as improvements to air filtration and air exchanges; layout of corridors to support visitor flow and social distancing; the use of outside spaces, perhaps to incorporate visitation pods, and importantly the provision of adequate facilities to support and motivate staff – vital in addressing the undersupply of healthcare workers. The Covid 19 pandemic has unquestionably expedited change in healthcare; not solely in how healthcare settings respond to a pandemic but how they respond to secondary change – to technology, lifestyle and economic factors www.carterjonas.co.uk Changes to healthcare facilities are vital in reducing the impact of another pandemic Scan for References
14 healthcaredm.co.uk STATE-OF-THE-ART DIAGNOSTIC AND IMAGING CENTRE CONTRACT AWARDED MTX has been awarded a contract for £49 million for a state-of-the-art diagnostic and imaging centre at Frimley Park Hospital, Surrey The contract to build a £49 million state-of-the-art diagnostic and imaging centre at Frimley Park Hospital in Surrey has been awarded to Modern Methods of Construction (MMC) specialist MTX. MTX is progressing groundworks on site, while at the same time modular sections of the building are under construction within a factory production environment. These are constructed using MMC principles to complete the new facility faster, safer, greener and more cost effectively. The proposed three-storey building will include a dedicated breast care diagnostic and outpatient unit, providing a ‘one stop’ service for patients, as well as an imaging centre delivering increased capacity and capability with advanced diagnostic imaging equipment. This will house three CT scanners, two MRI scanners and two gamma cameras. A total of 74 inpatient beds will also be provided across two storeys with a combination of single rooms and four-bed bays. It will be linked to the main hospital building, making access and delivery of services easier and more efficient. Utilising MMC principles will enable MTX to deliver the fully compliant facilities within a build schedule reduced by up to 50%, compared with the conventional building methods. The MMC process will also aim to reduce waste by up to 60% using off-site manufacturing techniques. David Hartley, managing director at MTX, explained: ‘The contract at Frimley Park is another important milestone in our continuing collaboration with health trusts across the UK on the creation of new facilities designed to reduce waiting lists and improve patient care.’ The MTX team’s management of the project, combined with MMC principles, will limit disruption and speed up delivery, minimising the impact on patient care at Frimley Park Hospital during the construction period. Neil Dardis, chief executive officer of the Frimley Health NHS Foundation Trust (FHFT), said: ‘This is a significant investment that will help us to continue delivering high standards of care for our patients as we wait for our New Frimley Park Hospital. As part of that project, we will be looking at how we can continue to use this new building, along with other suitable areas of our current hospital site, as part of our healthcare facilities in the future with the development of the new hospital.’ The additional beds will help the hospital reduce elective waiting lists, allow it to better cope with COVID and seasonal pressures, and enable ward refurbishments and remedial work for areas affected by RAAC (reinforced autoclaved aerated concrete). www.mtxcontracts.co.uk The new £49 million state-of-the-art diagnostic and imaging centre at Frimley Park Hospital PROJECT From left to right: Daren Coates, project manager MTX; Hanna Trenoweith, marketing and communications manager, FHFT Charity; Nigel Foster, SRO New Frimley Hospital Programme; Neil Dardis, FHFT CEO; Jan MacSporran, head of projects, Capital FHFT, and Andrew House, director of FHFT Charity
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16 healthcaredm.co.uk PROJECT Belfast Maternity Unit Despite facing numerous challenges and delays, Belfast Maternity Unit has reached completion and is set to enhance the birthing experience of over 5,000 women annually The Belfast Health and Social Care Trust has celebrated a significant milestone as Phase B1 of the Belfast Maternity Unit at Royal Victoria Hospital, constructed by GRAHAM BAM Healthcare Partnership (GBHP), reaches completion. This achievement marks an advancement in healthcare infrastructure, promising to enhance the birthing experience for over 5,000 women annually who rely on the Royal Jubilee Maternity Service. The completion of the state-of-the-art facility, valued at approximately £85 million, signifies a commitment to revolutionise maternity care in Belfast. Delivered by the GBHP, the project has been a collaborative effort aimed at meeting the evolving needs of expectant mothers and their families. Built adjacent to the existing maternity hospital, the new five-storey unit boasts contemporary amenities and innovative design features, aimed at providing a welcoming, uplifting environment. Along with delivery suites, obstetric theatres, and en-suite rooms equipped with birthing pools, there’s also a neonatal intensive care unit. All areas are located on one floor for seamless accessibility, offering comprehensive care for mothers and babies, from routine deliveries to those requiring specialised care. GRAHAM Construction and BAM, who worked in partnership on the project has now handed it over to the Belfast Health and Social Care Trust. Before it opens this year, the trust is carrying out a clinical commissioning process to ensure that services can be transferred into the new building. CHALLENGES AND ADJUSTMENTS The journey of the project has been marked by significant challenges and adjustments over the years. While the project was deemed to be ‘substantially complete’ by The NI Audit Office in February, the unit will be 10 years late when it begins operating. Its cost is said to have been £97.1m, compared to the original estimate of £57.2 million. The original proposal to centralise maternity services within a new hospital on the Royal Hospitals site surfaced in 1999, although it wasn’t until June 2010 when a review identified utilising the top three floors of the Critical Care Centre to provide maternity postnatal beds by 2015, at an estimated cost of £8.2 million. However, the remaining accommodation for a new maternity hospital was projected to cost nearly £49 million (£57.2 million in total). The regional maternity hospital project unfolded in three phases: constructing a new maternity building (Phase One), demolishing the existing neonatal wing (Phase Two) and constructing a bridge link to the Critical Care Centre (Phase Three). Though distinct from the Children’s Hospital project, these two initiatives formed an integral part of the broader Maternity and Children’s Hospital project, designated as a flagship endeavour to secure funding and ensure certainty. Phase One, the construction of the new maternity building, began in November 2017 and was initially set for completion in August 2020. However, delays arose when Pseudomonas bacteria were detected in the water system during commissioning. Consequently, the handover date for Phase One was pushed to March 2024, with commissioning expected to conclude by August 2024. Phase Two demolition work was continGraphic Engineer from Noun Project
healthcaredm.co.uk 17 PROJECT gent on vacating the existing neonatal unit and relocating services to the new building. Once occupied, the demolition could proceed to make way for the new link bridge, slated for completion by June 2025. Delays were attributed to various factors, including the impact of COVID-19 on construction, changes in standards and guidance, and the challenges of working within a live hospital environment. Cost estimates for the project escalated over time, with the latest projection reaching £97.1 million upon completion. By the end of August 2023, expenditure on the project had reached £89.5 million. In February 2022, an addendum to the full business case was approved, reflecting the increased budget and highlighting the evolving financial landscape of the project. COLLABORATION OF STAKEHOLDERS AND THE TRUST However, through close collaboration with the Trust’s management and stakeholders, GBHP implemented rigorous logistical coordination and infection prevention measures to minimise disruptions and ensure the safety of patients and staff. The state-of-the-art unit will enhance maternity services in Northern Ireland Peter Reavey, regional director at GRAHAM, said: ‘This new maternity hospital represents the future of maternity care for Belfast. We are proud to deliver a facility that not only meets the highest standards of safety and comfort, but also fosters an environment of support and empowerment for mothers and their newborns.’ Maureen Edwards, Belfast Trust Director of Finance, Estates & Capital Development, was delighted that the handover had taken place, saying: ‘This is a significant step in delivering a new modern facility which will provide a high standard of care for our mothers and their new babies. Our sincere thanks go to GRAHAM BAM Healthcare Partnership and, of course, our own staff for the work they continue to carry out to ensure we can open the building as soon as possible.’ In addition to the Maternity Hospital, GBHP also previously completed the £30 million Acute Mental Health Inpatient Centre at Belfast City Hospital. Despite the challenges and delays, the regional maternity hospital project remains a significant undertaking aimed at enhancing maternity services in Northern Ireland. The completion of the project will provide state-of-the-art facilities to support maternal and neonatal care, contributing to improved healthcare outcomes for the community. www.bamireland.ie www.graham.co.uk Delivered by the GBHP, the project has been a collaborative effort aimed at meeting the evolving needs of expectant mothers and their families
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 19 PREVIEW What Healthcare buildings forum 2024 When 11 and 12 July Golf day on 10 July, playing The Brabazon Where The Belfry, Sutton Coldfield Web www.hb-forum.co.uk Stable presents its annual event, which unites NHS trusts and private healthcare providers, architects, contractors and other stakeholders, as well as service and product suppliers This year’s event comes at an exciting time for the healthcare construction industry as the carbon net-zero deadline of 2040 draws ever closer, with the way we deliver the next generation of health and care facilities set to change. Over two days, top industry names will be discussing the pertinent issues and challenges facing the healthcare industry – from the NHS’s progress towards achieving its scope 1 emissions targets to how strategic capital planning, guided by technical data collected from the ground up, can serve as a powerful tool in advocating for Net Zero initiatives. The forum will also look at how to deal with intricate hospital projects involving decanting phases, where continuous communication can play a pivotal role in aligning objectives and priorities to maintain seamless patient care continuity. We’ll also hear how the architectural view on the integration of cutting-edge technologies such as Building Information Modelling (BIM) and cloud-based platforms optimises workflows and facilitates decision-making processes, thereby enhancing overall project efficiency. Additionally, the adoption of emerging tools like Virtual Reality (VR) and Augmented Reality (AR) offers innovative visualisation capabilities, enabling precise feedback and a deeper understanding of design impacts among stakeholders. NETWORKING OPPORTUNITIES The unique format means supplier delegates are guaranteed quality time with commissioners and can demonstrate how their products or services can help to transform a new generation of buildings. Helen Adkins, editor of healthcare, design and management, said ‘This is a crucial time for all those delivering healthcare infrastructure. There are plenty of pressures and challenges, but also opportunities, which will all discussed at this year’s forum. ‘The idea of our speaker sessions, and other networking opportunities over the duration of the forum, is to let delegates know exactly where they fit in this new environment and how to make the most out of the projects that are coming through. ‘We look forward to meeting you all.’
20 healthcaredm.co.uk PREVIEW The speakers include: James Bate, senior sustainability consultant HEALTHCARE, TURNER & TOWNSEND How to make carbon pay Making the business case for large - scale decarbonisation projects can be challenging. Across the NHS there are many competing priorities, decisions are made in the short-term and sustainability programmes do not always give a quick financial return. All these challenges are slowing the NHS down in reaching its scope 1 emissions targets. However, this talk demonstrates how strategic capital planning, informed by bottom-up technical data, can help make the business case for Net Zero, so that estate decarbonisation projects are prioritised in future investment decisions. Maria Luigia Assirelli, director FLOYD SLASKI ARCHITECTS Benefits of ongoing communication and engagement between client stakeholders and design teams In complex hospital projects with decanting phases, ongoing communication ensures alignment of objectives and priorities, crucial for patient care continuity. Engagement with stakeholders and the design team fosters collaboration, leveraging expertise to proactively address challenges. Integration of new technologies like BIM and cloud-based platforms streamlines workflows and decision-making, enhancing efficiency, while emerging tools such as VR and AR offer innovative visualisation, aiding in precise feedback and understanding of design impacts. Ultimately, these practices ensure seamless transitions, optimal outcomes, and meet the unique needs of patients, staff, and administrators. Karl Redmond, strategic estates lead NHSE, NHS/NEW HOSPITALS PROGRAMME Designing the hospital of the future: embracing digital technologies in driving efficiency Karl Redmond, a smart building architect for the New Hospitals Programme – NHS/NHP Estates and Smart Building, looks at the current state of hospital building, and outlines his approach to new builds and desired outputs. Redmond is currently working for NHSE as an estates delivery lead and on secondment with the New Hospital Programme (NHP) (Digital Estates & Smart Buildings). He has delivered international healthcare and real estate ecosystem conference talks in Dubai, Lisbon, Hamburg, Stockholm, Dublin and the UK, and has published a number of academic papers and articles regarding negotiation and influencing; real estate strategies; digital asset management; smart buildings and sustainability; healthcare estates and patient flows, and digital innovation and transformation strategies . For more information about the event, or to register for your place, visit the website hb-forum.co.uk or email [email protected] (speaker delegates), [email protected] (supplier delegates) and [email protected] (project delegates)
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22 healthcaredm.co.uk SUSTAINABILITY I am excited to take on the coordinator role at a time when the standard is in its infancy; this is an opportunity to establish best practices and influence real change. Defined within the NHS Net Zero Building Standard, a Net Zero Carbon Coordinator is an identified and trained member of the design team, responsible for compliance against the standard’s process and technical requirements. This is done by facilitating collaboration, coordinating design activities and reporting. The NHS is on its own net zero carbon mission, like many other responsible and influential organisations. This mission includes the target to reach net zero by 2040 for the emissions it controls directly – something the health service refers to as the NHS Carbon Footprint. The NHS Net Zero Building Standard is just one of the many actions they are implementing to achieve this. Essential in this role is the ability to demonstrate knowledge of the key components and characteristics of embodied carbon, operational energy and whole life cycle carbon performance, as well as the design decisions that affect performance. This is important as the standard requires consideration of the whole life impacts of the building, with studies undertaken through both energy and embodied carbon modelling. NET ZERO CARBON COORDINATING IN ACTION CPW is working on two schemes with the Midlands Partnership University NHS Foundation Trust in the Net Zero Carbon Coordinator role. The design process of the new Longton Integrated Care Hub and the existing Leek Moorlands Hospital is strongly integrated with the NHS Net Zero Building Standard to ensure the lowest operational and embodied carbon requirements are met. There are several ways to improve a building’s energy performance and reduce the impacts of operational carbon; CPW has designed the systems to ensure the highest efficiency while reducing operational energy as far as possible. Both operational and embodied carbon modelling have been undertaken to inform the building performance against the requirements set within the standard. These results have been used by the design team to make changes to the building form and materials used, and to ensure the building falls in line with the NHS Net Zero Building Standard requirements. DELIVERING THE STANDARD The coordinator role provides a great opportunity to influence design early in the process, ensuring sustainability is at the core of all developments and rigorously tested through benchmarks at each stage. You are challenged to think differently, question standard practice and better utilise existing resources. That may mean finding a local heating network that is already available or carefully considering the location of plant and services – the impact of these decisions may be enough to prevent the building reaching the benchmark. We must optimise structure, floor area and service strategy. Another responsibility assigned to Net Zero Carbon Coordinators is overseeing and influencing collaboration between the various disciplines within a design team, throughout the entirety of a project. The difficultly of the role and achieving the NHS standard shouldn’t be underestimated. Engaging with the design team as early as possible will benefit everyone, so the team can provide details of the design Net Zero Carbon Coordinator BECOMING A In October 2023, NHS Net Zero Carbon Coordinators were introduced as gatekeepers of sustainability within NHS projects, ensuring the development of eco-conscious, resilient and energy efficient buildings. Amy Clutterbuck, an associate at CPW, shares her experience in this new role
healthcaredm.co.uk 23 SUSTAINABILITY intention for the building, and so the Net Zero Carbon Coordinator can explain how these design ideas might impact the potential of meeting the requirements of the standard. From experience, workshops at the beginning of projects can be a successful way to kick off. Project management-related skills certainly come in useful, as well as a history of working on construction projects in the healthcare sector. A further challenge with delivering the standard is the limited variation in building type, such as refurbishment or new build, or in the type of healthcare, such as acute facilities or primary healthcare - though the standard does encourage refurbishment or retrofit wherever possible. The energy requirements for these buildings can vary dramatically and it is likely that the standard will be tested in its early years and may need to flex to better meet the needs of different projects. The coordinators will be key in understanding this need. The NHS Net Zero Building Standard is one of many sustainability standards guiding the work of professionals in the construction industry. With different projects aiming for different outcomes, and the standards regularly being updated, it can be difficult for design teams to keep up. The Greater London Authority also sets benchmarks for Whole Life Carbon and energy efficiency of buildings, though the specific criteria requirements differ to that of the NHS Net Zero Building Standard. With both these standards mandating embodied carbon targets, and the proposed publication of the Part Z Building Regulations, we expect to see the rest of the industry following suit – Net Zero Carbon Coordinators may soon be required outside of the NHS. EARLY DAYS With the NHS Net Zero Building Standard only coming into effect in October 2023, Net Zero Carbon Coordinators are still settling The coordinator role provides a great opportunity to influence design early in the process, ensuring sustainability is at the core of all developments and rigorously tested through benchmarks at each stage into their roles. It will be their responsibility to monitor the NHS Standard and see how it changes, which the NHS has a plan for – including widening the scope of materials which must meet a certain standard, for example. The potential changes may hinge on how the standard is implemented, which again is going to be something that the NHS Net Zero Carbon Coordinators will be able to provide insightful feedback on. While our building services experience within the healthcare sector at CPW spans 45 years, and sustainability has always been important to our designs, our dedicated sustainability team is growing with the team experienced in a wide range of sustainability and wellbeing standards. Going forward, many projects will be aiming to achieve multiple standards and this means the NHS Net Zero Carbon Coordinator can increase efficiency by using a lot of the same data to assess each target. The NHS Net Zero Building Standard process is optimising the way healthcare facilities are designed and constructed to reduce carbon impact, and the implementation of the standard is where Net Zero Carbon Coordinators will play a key role. www.cpwp.com Queen Elizabeth Hospital in Birmingham aims to achieve its NHS Net Zero goal by saving 3,847 tonnes of CO2 each year Indah Rusiati from Noun Project
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