APRIL 2023 | £8 Infection control The role of surface materials in fighting infection Offsite construction How MMC will underpin delivery of 40 new hospitals Acoustics The importance of good acoustics in healthcare settings Inside this issue:
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Editor’s Letter APRIL 2023 Letter header goes here Letter header goes here After years of lobbying by mental health providers and charities, the Government has finally unveiled plans to inject more than £150m into mental health services, including improvements to the buildings from which care is delivered and creating new facilities across the country. The investment, up to April 2025, includes £143m of capital funding for 150 projects. It will be invested in providing and improving a range of spaces, including new mental health urgent assessment and care centres and the redesign and refurbishment of existing mental health suites and facilities including in emergency departments, creating spaces outside of A&E, and the expansion of crisis lines. Programmes will also focus on preventative measures, including improvement of sanctuary spaces and community mental health facilities. This focus on improving the estate offers a range of opportunities for contractors, architects and product manufacturers working within the sector. In this edition of mhdf you can read about some of the latest capital projects, including a new inpatient facility in Liverpool and a crisis café in Ealing (p5). Features include a focus on dementia-friendly lighting solutions (p8) and the impact of sensory rooms on people with mental health conditions (p13). In the next edition of mhdf we will focus on interior design and outdoor spaces. If you can help contact [email protected] Editor Jo Makosinski Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby In this issue: 5 PROJECTS The latest mental health and dementia projects 15 DESIGN Exploring the benefit of sensory rooms in mental health settings 16 LIGHTING How smart lighting solutions are helping to support people living with dementia Cover image: Description and credit Best Wishes Jo Makosinski EDITOR [email protected] healthcaredm.co.uk 3 Editor’s Letter APRIL 2023 Innovation at its best Infection prevention and control has always been a critical consideration for healthcare estates and facilities managers. And, never more so than during and since the COVID-19 pandemic, a crisis which has put added pressure on cleaning teams and nursing staff. But the health sector is known for innovation and, true to form, manufacturers and service providers have played their part in addressing the issue. Increasingly, building materials and medical equipment and furnishings are being impregnated with antibacterial additives, and this is having a positive impact on the spread of potentially-harmful bugs. We explore this emerging trend in our feature on page 21. Also in this edition, you can read about the role modern methods of construction (MMC) are likely to play in the delivery of the 40 new hospitals promised by the Government (p25). We speak to experts in the modular and mobile solutions market place to find out how innovation is underpinning the project pipeline and explore the challenges and opportunities this brings. And we look at the importance of acoustics in medical settings (p31). In our Projects section we showcase developments including the proposed new Velindre Cancer Centre in Wales, plans for a long-awaited new GP surgery in Winchester, and the completion of construction work on the country’s most-sustainable and energy-efficient primary care building. In the last edition we launched our new Behind the Brand feature, where we interview the people behind some of the health sector’s most-innovative and forward-thinking companies. In this edition, I speak to Michael Prendergast of Bath Fitter (p8) about his journey and experience in the health sector. And, in our Previews section (p18 and p29), you can read about the upcoming healthcare buildings forum and Elevate Conference and Exhibition. In the next edition we will be focusing on doors and windows, flooring, and carbon reduction. If you can help contact [email protected] Editor Jo Makosinski Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby Jo Makosinski EDITOR [email protected] Shotley Bridge Community Hospital. Medical Architecture 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.... APRIL 6 NEWS NHS England unveils its new Clinical Waste Strategy, a document intended to drive a 30% reduction in carbon emissions. Plus, probe will explore delays in delivering a new hospital for Jersey. 8 INTERVIEW In our new regular section, hdm interviews some of most-innovative figures behind companies working within the health sector. In this edition, we speak to Michael Prendergast, vice president of European sales at Bath Fitter. 11 PROJECTS The latest health sector construction projects, including planning permission being granted for the flagship new Velindre Cancer Centre, which will be the UK’s most-sustainable hospital project; the start of construction work on a new GP surgery in Winchester; and approval for a new community hospital in County Durham.
18 PREVIEW Find out more about this year’s healthcare buildings forum, to be held in the Cotswolds in the summer. 29 PREVIEW Elevate is the UK’s largest trade show dedicated to fitness, sport, and physical activity. Here, we look at what is in store for visitors to this year’s event. 21 INFECTION CONTROL Exploring how antibacterial surface materials are helping to reduce infections in healthcare settings. 25 OFFSITE CONSTRUCTION Looking at the role offsite construction methods will have on the delivery of the Government’s New Hospital Programme. 31 ACOUSTICS Exploring the importance of acoustics in healthcare settings.
Probe into Jersey Hospital delay A review has been launched to scrutinise the ‘significant amount of money’ that has been spent on healthcare projects on Jersey without a new hospital materialising. The island’s Comptroller and Auditor General, Lynn Pamment, wants to follow up on a report by her predecessor, Karen McConnell, published in 2017, that looked at decision-making around the site-selection process for a new hospital. She said the fresh review formed phase one of her planned probe of major and strategic projects, including A new Clinical Waste Strategy has been published by NHS England which aims to deliver a 30% reduction in carbon emissions. The document sets out NHS England’s ambition to transform the management of clinical waste by eliminating unnecessary waste, finding innovative ways to reuse, and ensuring waste is processed in the most-cost-effective, efficient, and sustainable way. It comes as figures show NHS providers in England produce around 156,000 tonnes of clinical waste every year that is either sent for high-temperature incineration (HTI) or alternative treatment (AT) – equivalent to over 400 loaded jumbo jets of rubbish. And this has a significant environmental impact and is associated with high running costs and carbon emissions. The new strategy, when implemented, aims to reduce future waste volumes, helping to generate approximately £11m in revenue savings every year for the next 10 years. THE DIRECTION OF TRAVEL It will also lead to a 30% reduction in carbon emissions, helping to deliver the NHS’s ambition to be net zero in its estate by 2040. The strategy sets a bold direction of travel for reforming the management of clinical waste, including specific actions for NHS estates teams: A CRACKDOWN ON WASTE public capital projects, and will evaluate the extent to which previous recommendations have been adopted and actioned. She said: “It is now over 10 years since the States Assembly required the Council of Ministers to bring forward proposals for investment in hospital services, including detailed plans for a new hospital. “In that time a significant amount of public money has been spent on various hospital projects with no construction having yet commenced on a new hospital.” • Ensuring 100% of NHS providers, including primary care managing agents, have fully-trained waste managers to ensure waste is managed effectively and appropriately. The NHS is supporting this by establishing the first-ever professional qualification in NHS waste management this year • Improving waste segregation and compliance by aiming for a 20-20-60 waste split – 20% incineration (yellow bag) waste, 20% infectious (orange bag) and 60% offensive waste • Making the management of waste contracts a priority for NHS trusts • Enabling NHS ownership and control of its own processing assets, including making use of innovative technologies to treat infectious waste onsite In his foreword, Simon Corben, director of estates and head of profession at NHS England, said: “As one of the largest producers of waste in the country, it is vital that the NHS disposes it in a safe, efficient, and sustainable manner, and that we are only creating waste when absolutely necessary. A STEP CHANGE “This strategy has been created to support NHS providers in making the necessary step change in waste management practices.” The strategy was published alongside the revised Health Technical Memorandum (HTM) 07-01: Safe and sustainable management of healthcare waste, which provides technical guidance and best practice for the safe management of healthcare waste and to ensure waste is segregated appropriately. There is also a new tool to support trusts with waste management decisions, improve waste segregation, and help reduce waste-related carbon emissions. Welcoming the publication, Donald Macphail, chief operating officer for treatment at waste management company, Veolia UK, said: “From our operations, which serve over 200 healthcare facilities, we know that innovation and infrastructure, backed by training, is key to implementing this strategy and these new processes are already set to exceed the target of 50% carbon reduction by 2026.” 6 healthcaredm.co.uk NEWS
Designing sustainable healthcare settings E: [email protected] T: 0800 328 2115 www.tarkett.co.uk Sustainable Flooring Solutions When designing spaces for healthcare facilities, it’s important to use sustainable materials that promote the wellbeing of both patients and staff. Incorporating Tarkett healthier and sustainable indoor spaces from the products available as part of our Circular Selection. Scan the QR code to explore the collection:
Image: Maskmedicare on UnSplash 8 healthcaredm.co.uk BEHIND THE BRAND the MICHAEL PRENDERGAST For nearly 40 years Bath Fitter has been a bathroom industry disruptor, revolutionising bath renovation through a process that enables baths and showers to be fitted in less than a day without messy demolition. And its products are built to last. The first bathrooms created when the company launched in 1984 are still in use today. Founded in Montreal, Canada, by three brothers, the company now has more than 200 locations in North America and, in 2020, set up its first European base in Limerick in the Republic of Ireland. The office is headed up by Michael Prendergast, vice president of European sales. Michael, who was born in Montreal, began his career in sales after leaving university in Canada, initially selling building products such as plywood and melamine panels and kitchen cupboards. Fifteen years ago, he moved back to Canada to work for Bathroom Fitter. And, in late 2019, Michael and his family relocated to Ireland, shortly before the spread of the COVID-19 pandemic. “The healthcare sector is one of the many verticals we operate in,” says Michael. “Wherever there is a bathroom or a wetroom, we can help – whether it is student accommodation, hospitality, assisted living, Our new, regular feature highlighting the innovative figures behind companies working within the health sector, continues as we speak to: Michael Prendergast from Bath Fitter Ltd The bathroom is the most private room in any building… For me, the pleasure is that I can positively affect people’s lives and I love that
Image: Robert Ruggiero on UnSplash healthcaredm.co.uk 9 BEHIND THE BRAND 1. What is your favourite TV show? Diners, Drive-Ins and Dives 2. What is your favourite song? Welcome To The Jungle (Guns N’ Roses) 3. What sports team do you support? Clare Hurling 4. Where is your favourite place to be? Ireland 5. Favourite holiday location? Lanzarote 6. What are your hobbies? Golf 7. What was your first job? A lifeguard 8. What is your favourite food? Italian 9. Do you have a nickname? The Duck Hunter 10. Favourite memory? When my children were born Quick-fire questions nursing homes, cruise ships, or hospitals…. the list is endless. “Our products are well suited to areas concerned with hygiene given the properties of our core product – acrylic. “Acrylic is non porous, so things can’t permeate it. Plus, it is very easy to clean and maintain. And, because we produce the sheets ourselves, rather than source them, we are able to make them to any length needed. “It’s a seamless, one-piece system and the big benefit is that it is not a panel system where there is a seam every two metres. “With our product there is no grout, no silicon, and it is extremely hygienic, long lasting, and easy to maintain – again this is vitally important in the health sector. “As one document produced by the NHS states, ‘we need to eliminate seams as much as possible’.” Bath Fitter is endorsed by the Irish Development Board (IDA) and once the office in Ireland was opened in Limerick, Michael was introduced to the Health Service Executive (HSE) through that organisation and Bath Fitter was certified by the HSE, which governs all health and social care services, as an ‘approved vendor’. The company was also given ‘essential service’ status, meaning work could be carried out while COVID-19 restrictions were in place. “We are currently moving into Belfast in Northern Ireland, where we are working with hospitals, hotels, and assisted living facilities to improve infection prevention and control protocols in bathrooms and wetrooms,” Michael said. He adds: “The bathroom is the most-private room in any building. “For me, the pleasure is that I can positively affect people’s lives and I love that”.
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healthcaredm.co.uk 11 PROJECTS Planners have given the green light to proposals to build the UK’s most-sustainable hospital. The ACORN consortium, led by developer, Kajima, and lead designer, White Arkitekter, has secured approval of the reserved matters associated with the 2017 outline planning permission for the new Velindre Cancer Centre in Cardiff. Plans were approved by Cardiff Council’s planning committee on 16 March and mark the latest stage in the development of the facility, which has been designed to comply with the Well-being of Future Generations (Wales) Act 2015 to become the most- sustainable hospital in the UK. The design utilises low embodied carbon, bio-based materials that support a circular economy and promote health and wellbeing. Timber and other natural materials, such as lime and clay renders, which are breathable, flexible, and anti-fungal, will deliver a natural calming environment and the scheme will be all electric to supporting low energy demand and low operational carbon. ROOF TO RIVER A strategy is also in place to reduce site waste through offsite manufacture of building components, minimise transportation, and create greater efficiencies in the construction and maintenance of the hospital. And sustainable urban drainage systems (SUDS) will be integrated that focus on ‘roof to river’ with no plastic in the ground, and a swale network and retention pond will form amenity areas. The façade design, based on a standard grid, will enable internal spaces to be easily reconfigured without the need for costly structural alterations – allowing the building to respond to space requirements of future innovation in treatment and equipment. Importantly, the design has been developed to ensure minimum impact on the site and aims to keep the area as wild as possible by retaining existing habitats and creating new habitats alongside landscape spaces such as an orchard with Welsh apple varieties, and a community kitchen garden. A COMMUNITY ASSET The plans also seek to create informal play areas and a multitude of walking, cycling, and relaxation areas. Michael Woodford, partner at White Arkitekter, said: “Securing planning consent for this exemplary new hospital is excellent news – not only will it provide cutting-edge facilities, but in a wholly-sustainable manner.” A community benefits offer will also see many jobs created, apprentices trained, school pupils engaged, and substantial community initiatives and engagement over the course of the scheme’s development. The consortium also includes Sacyr UK as the main contractor, Abrdn, Kier Facilities Services, White Arkitekter, BAC, Hydrock, Ingho, MJ Medical, Turley, Studio Response, Camlins Landscape Architects, RSK, Osborne Clarke, Operis, and CloudNine. Next steps for UK’s greenest hospital The new Velindre Cancer Centre is designed to be energy efficient and support the NHS’s net zero carbon efforts
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healthcaredm.co.uk 13 PROJECTS Construction work has started on the new St Clements GP surgery in Winchester following 15 years of planning. The multi-million-pound building is being built on the car park site on the corner of Friarsgate and Upper Brook Street, replacing the existing St Clement surgery on Tanner Street. Construction work began on 6 March with a ‘breaking ground’ event attended by MP Steve Brine; local actor, Tommy Jessop, and representatives from the practice, Winchester City Council, and the Hampshire and Isle of Wight Integrated Care Board (ICB). Winchester City Council agreed to sell the site to a specialist in 2020 to enable the project to go ahead, with previous well-publicised efforts to deliver the scheme dating back over 15 years. The surgery has around 17,000 registered patients and is currently based only a few hundred yards away from the new facility, so disruption to patients will be minimal. Specialist primary healthcare developer and long-term landlord, Assura, will be delivering the new facility. Jon Webb, development director at Assura, said: “We are delighted to play our part in taking this much-needed development forward and are excited to finally now move on to the construction phase the project. “There has been a huge group effort to get to this stage from all the local stakeholders and we are looking forward to providing regular updates as the project progresses.” Fay Johnson, practice manager at St Clements surgery, added: “This is a massive step forward and great news for both the staff and patients at St Clements. “Our current building is no longer fit for purpose and the new development will really allow us to continue improving care for our patients and to deliver the service we want to for people in Winchester.” The development will include 15 consulting rooms, three treatment rooms, admin facilities, and large reception and waiting areas. The building also houses an interactive health hub, space for Primary Care Network services, a chiropractor, plus other ancillary health services. And expansion space has been built in to the design for additional services to be delivered from the building in the future. As part of the relocation to the new facility, the NHS and Assura have co-commissioned a study by Wessex Academic Health Science Network to assess the benefits the new facility will bring, with further research planned once the GPs have moved in and are seeing patients. Sustainability is also key to the design, with the ability to generate onsite energy through the installation of solar panels on the roof. 15-year wait comes to an end The new building will bring a number of services together under one roof
healthcaredm.co.uk 15 PROJECTS Green light for Shotley Bridge Hospital Proposals for a new community hospital in Consett, County Durham, have been unanimously approved by planners. Designed by Medical Architecture for County Durham and Darlington NHS Foundation Trust, the development was recently given the green light by members of Durham’s strategic planning committee. The project is part of Cohort 2 of the Government’s New Hospital Programme, the plan by NHS England & NHS Improvement to develop 40 new healthcare facilities by 2030. Arranged around two large, landscaped courtyards, the hospital will offer a range of facilities including outpatient services and diagnostics, an urgent care centre, a medical investigations unit for cancer services alongside a chemotherapy day unit, family health services, and a 16-bed rehabilitation inpatient ward. Sited on the edge of Consett at a gateway to the County Durham countryside, it will be ideally located to deliver modern healthcare services to the growing local community. Encouraging sustainable means of transport, the site masterplan and hospital building have been designed to create a new pedestrian and cycle link which connects with the Coast-to-Coast route that runs adjacent to the site, and a new footpath leading from the town centre. A primary entrance at the front of the building provides access to the inpatient ward and outpatient departments, while a pedestrian entrance on the opposite side connects directly with the proposed new footpath. MAKING CONNECTIONS These are connected by a central public concourse through the building with a public café and clear wayfinding to all facilities. A simple plan, arranged around two courtyards, brings natural daylight into the heart of the building and offers almost all occupied rooms an outside view. These courtyard spaces, with landscape design delivered by ONE Environments, feature planting which is rich in texture, form, and colour, and have been designed with unique characters for different purposes. The ‘Serenity Garden’ is accessible to visitors, patients, and staff, and features a mixture of open and semi-private seating spaces so people can rest comfortably with family and friends; while the ‘Healing Garden’ has been developed in collaboration with the clinical staff as a private, therapeutic space available to patients and staff to aid and assist rehabilitation. Internally, biophilic design principles will create an uplifting and non-institutional healthcare environment by providing direct and indirect connections to nature. CIVIC PRESENCE Sitting at the entrance of a wider site masterplan envisioned as a parkland, the idea of a ‘pavilion in the park’ was a key design concept for the new hospital. And this is reflected in the human-scale building form, careful composition of a simple material palette, and a landscaping strategy that promotes biophilic interactions and a harmonious relationship with the site’s context. To draw on the area’s widespread use of sandstone for important civic buildings, the predominant external cladding material is a textured, ‘multi’ light buff brick that is robust and has similar visual qualities to the surrounding local architecture. In addition, bandings of profiled glass-reinforced concrete panels are introduced to emulate the texture and solidity of stone in a crafted form. The new hospital will sit at the entrance to a wider site masterplan designed as a ‘pavillion in the park’
16 healthcaredm.co.uk PROJECTS Primary care centre sets environmental standard Construction work has been completed on a new four-storey health centre in Carlisle – the most- sustainable and energy-efficient primary care facility in the UK. Caddick Construction has finished work on United Healthcare Developments’ Carlisle Healthcare South Hub, with the project earning a BREEAM ‘Outstanding’ sustainability rating. A large proportion of the building’s power is supplied by renewable energy through rooftop photovoltaic panels and its energy performance is rated -3 / A+, making it carbon net zero. The building envelope has been uniquely designed to the highest levels of efficiency, negating the need for a traditional heating system and avoiding any reliance on fossil fuels. And each habitable room has a constant turnover of fresh air, creating a comfortable environment for building users. David Brown, managing director of United Healthcare Developments, said: “For the unique design of this building to work, and to achieve BREEAM ‘Outstanding’, it was a necessity for all elements of the building construction to be done to the highest quality. “As a team we have worked effectively and I’m delighted that this flagship building is living up to all expectations.” Ian Threadgold, managing director of Caddick Construction in the North West, added: “This is a flagship scheme, drawing on the raft of experience we have garnered in the healthcare sector and the resulting building is a highly-innovative and sustainable development that will prove hugely valuable for patients and healthcare workers.” An undulating, perforated metal rainscreen is also proposed as a crown to the top storey of the building, paying homage to the historic significance of the site as part of the former Consett Steelworks. A LONG-TERM APPROACH TO SUSTAINABILITY The hospital has been designed to achieve a BREEAM ‘Excellent’ sustainability rating and adopts the NHS’s Net Zero Carbon standards as a guiding principle. And principles of standardisation and repeatability have been adopted to optimise efficiencies and ensure future adaptability in the building layout. The project is also committed to utilising modern methods of construction (MMC). Working alongside MMC consultants, Akerlof, the design team has adopted a framework of core principles, which include design for manufacture and assembly, and the use of prefabricated systems and offsite manufactured components. Lianne Knotts, director at Medical Architecture, said: “We are delighted to move on to the next stage in delivering this important new community hospital for the local population. “We have designed a building that is welcoming to all and that creates an environment for care that promotes wellbeing and recovery and we are now looking forward to making the plans a reality.” The Project Team Client: County Durham and Darlington NHS Foundation Trust Architect: Medical Architecture Contractor: Tilbury Douglas M&E Engineer: A.E. Robb & Associates Structure and Civil Engineer: Jasper Kerr Landscape Architect: One Environments Planning Consultant: DPP MMC Consultant: Akerlof The design maximises access to, and views of, nature and outdoor spaces
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18 healthcaredm.co.uk PREVIEW with challenge The healthcare design, construction, and FM sectors are facing multiple challenges, with the aftermath of the COVID-19 pandemic putting pressure on services, the Government’s net-zero carbon target at the forefront of all decision-making, and capital budgets continuing to be squeezed. But, with these challenges comes opportunity – both to improve and enhance services and the buildings from which they are delivered, and for innovation in products and services. And these will be discussed when delegates meet at the 2023 healthcare buildings forum this July. The event gives healthcare product and service suppliers the opportunity to meet key decision-makers involved in the design and build of health and social care facilities across the UK and further afield. Organised by healthcare design & management (hdm) magazine’s sister company, Stable Events, the forum will create a productive networking environment through which delegates can focus on forging long-lasting business relationships through a series of pre-arranged meetings. Supplier and project delegate schedules are matched in advance to ensure that both parties maximise their time at the event, with a minimum of 15 meetings taking place with those in charge of commissioning for healthcare estates. The one-and-a-half-day event also includes a gala dinner and three speaker sessions which will explore the opportunities and challenges in the sector. LEARN FROM THE BEST This year’s event comes at an exciting time for the healthcare construction industry as the Government’s New Hospital Project continues with its aim of delivering 40 new hospitals within the next seven years. And, with the carbon net-zero deadline of 2040 drawing ever closer, the way we deliver the next generation of health and care facilities is set to change. The line-up of speakers at this year’s event includes: • Hun Pu of Medical Architecture and Jane Curry of County Durham and Darlington NHS Foundation Trust who will give an overview of the design of the new Shotley Bridge Community Hospital and its holistic approach to health and wellbeing • Amr Metwally from the Hamad Medical Corporation in Qatar who returns to speak at the forum, this time focusing on how digital healthcare can help to overcome the challenges of implementing truly-patient-centred health services • Karl Redmond, strategic estates lead in the NHS Estates Delivery Unit, who will talk about the New Hospital Programme and the advent of digital smart healthcare buildings • Michael Woodford, director of White Arkitekter, who will present a case study of the proposed new Velindre Cancer Centre, which is on track to be the UK’s most-sustainable hospital development • Professor Ashok Handa from the University of Oxford and Kate Bradley of MJ Medical who will look at the importance of leadership in healthcare design • Adam Newman of Turner & Townsend who will talk about the UK Net Zero Carbon Building Standard This annual event unites NHS trusts and private healthcare providers, architects, contractors and other stakeholders with service and product suppliers comes opportunity What healthcare buildings forum 2023 When 6-7 July 2023 Where The Belfry, Sutton Coldfield Web www.hb-forum.co.uk This was my first time at the forum and I have made some great connections and leads to follow up
healthcaredm.co.uk 19 PREVIEW NETWORKING OPPORTUNITIES Jo Makosinski, editor of healthcare design & management magazine and speaker session chairman, said: “This is a very exciting time for all those delivering healthcare infrastructure. “While undoubtedly there are pressures and challenges, there are also opportunities, and these will be discussed throughout 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. “The healthcare buildings forum also provides the ideal platform for suppliers to meet with the people in charge of commissioning for health and social care developments and to put their innovative products forward. “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.” GET INVOLVED Commenting after last year’s event, project delegate, Jennifer Marshall of LH&E Cost Consultancy, said: “The quality of the talks was very good and the meetings were seamlessly organised.” And supplier delegate, Jessica Hampshire, of Fireworks Fire Protection, said: “All the speakers were fantastic, very factual, and enthusiastic over the topics at hand. “I thoroughly enjoyed the event, venue, networking, attendees, and the gala dinner. “This was my first time at the forum and I have made some great connections and leads to follow up.” For more information about the event, or to register for your place, visit the website at hb-forum.co.uk or email [email protected] (Project Delegates) or [email protected] (Supplier Delegates) find us at www.hb-forum.co.uk THIS YEAR’S EVENT WILL BE HELD AT THE BELFRY, SUTTON COLDFIELD ON 6th and 7th July
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healthcaredm.co.uk 21 INFECTION CONTROL The importance of infection prevention and control regimes in healthcare settings has long been recognised. But the COVID-19 pandemic put a new emphasis on cleanliness and hygiene and has changed the approach within hospitals, clinics, and care homes. And, while handwashing and environmental cleaning remain key; product designers have taken the opportunity to refine manufacturing processes to provide new innovations which support facilities managers in continuing the battle against bugs. In particular, hygienic surface materials are now available which reduce the pathogen burden within healthcare settings. STARTING FROM THE BOTTOM Daniel Wetzels, client account manager for healthcare at Forbo Flooring Systems, explains: “As viruses, bacteria, and other infectious germs can be found on surfaces such as walls, sinks, door handles, and floors, it can be very easy for infections to spread quickly. “And, if spaces are fitted out with non-antibacterial materials and surfaces, then the rate of infection will only increase. “As such, when it comes to infection control and preventing healthcare associated LOOKING BENEATH THE SURFACE Exploring how antibacterial surface materials are helping to reduce infections in healthcare settings infections (HCAIs), choosing solutions that can inhibit the growth of bacteria is vital – and starting from the floor up is the best place!” When specifying floor coverings for healthcare facilities, there are many solutions on the market. However, to specifically aid cleaning and maintenance, and to reduce the spread of infection, resilient floor coverings such as UPVC, vinyl, rubber, or linoleum are usually the preferred and recommended option – especially those certified as antibacterial. NATURAL PROTECTION Wetzels said: “Despite being discovered more than 150 years ago, the popularity of linoleum continues to grow year on year due to its versatility in design, its sustainability characteristics, and its hygienic properties. “Most importantly, linoleum is naturally bacteriostatic, which means it can inhibit the growth of infections like C Difficile, Norovirus and MRSA – a vital consideration for healthcare settings.” Independent testing by the University of Glasgow found that Forbo’s own brand of linoleum, Marmoleum, has a unique suitability for a wide range of environments where hygiene and bacteria control are a constant concern and as a result it has been installed in hospitals and health centres across the UK. Importantly, it is also easy to clean and maintain due to its two-layer, water-based surface finish, TopShield Pro. “While floor coverings are only one part of the healthcare design puzzle, if specified correctly they can have a positive impact on reducing healthcare associated infections and, in turn, improve the health and wellbeing of patients, staff, and visitors,” said Wetzels. But, whatever resilient flooring material is chosen, maintenance is key to its efficacy, explains Rohit Sharma, resilient sales manager at flooring company, Bona. RENEWAL NOT REPLACEMENT “Resilient floor renewal is one of the emerging new trends in the commercial flooring market, and one which has gained significant momentum within the health sector recently for several reasons, largely financial and environmental, and as a means to maintain a healthy, hygienic surface.
22 healthcaredm.co.uk “Renewing an existing resilient floor, instead of replacing with a new floor, is a new, yet quick and simple, alternative to improving the hygienic properties of healthcare facilities starting from the ground up. “The reason resilient floor renewal is a particularly good choice from a cleaning and hygiene viewpoint is due to its ability to repair torn and damaged areas by creating a flat surface free of any joints or seams. “The smooth surface provides long-term protection and greatly reduces the risk of bacteria growing, germ contamination, or other fungi-related development that often occurs when joints or seams are present. “Resilient floor renewal can transform a very-bad floor into a surface that looks as good as new, but importantly without the high expense or immense disruption that a new floor replacement brings, which are vital considerations in the healthcare sector.” EASING THE PRESSURE As well as specifying antibacterial flooring products, wall panels are also available with built-in bug-busting qualities. Scott Beattie, managing director of Fibo, said: “Using products with antibacterial properties can be vital to help minimise Bona has seen an increase in the use of resilient flooring renewal in healthcare settings as a way of improving hygiene practices and driving efficiencies Grandeco’s Pure & Protect wallpaper range is impregnated with an antibacterial additive preventable illnesses, which in turn can reduce the pressure on healthcare facilities. “For example, tiles have long been the ‘go-to’ solution for bathrooms, showers, and kitchen areas – places you typically see bacteria growth– but they are not always the most-hygienic option. “In contrast, waterproof wall panels pose an attractive alternative solution. “A key part of this is the absence of grout – an area known for harbouring bacteria – making wall panels easier to clean and maintain. “Fibo’s tile-effect wall panels are made with lasered grout lines, which means specifiers can keep the tile aesthetic without the bacteria. “They only require a strong sealant between the minimal joins to create a robust, watertight seal and can simply we wiped down with a soft cloth with soap and water or a non-abrasive liquid cleaner.” Fibo’s wall panels are certified as meeting the requirements of ISO 22196:2011 and the JIS Z 2801 test procedure, which confirms that the surface prevents the growth of microorganisms. And facilities managers can use this specification to help choose surface materials with the greatest protection. INFECTION CONTROL
healthcaredm.co.uk 23 Beattie said: “By carefully selecting products with antibacterial properties, specifiers can help to create a safe and hygienic environment, something that is essential for healthcare facilities.” AN EXTRA LINE OF DEFENCE Grandeco has impregnated its Pure & Protect Wallpaper range with Nobacoat, an transparent coating made using a mechanical process which kills 99.9% of germs in just 30 minutes, making it ideal for health and care settings. “With wall surfaces taking up large areas of healthcare facilities, it is vital that these surfaces are also made safe for the public,” said Patrick Molemans, chief executive of Grandeco WallFashion Group. “On top of being self disinfecting, our Pure & Protect range of wallpaper is also highly abrasion resistant, resilient to wear and tear, and washable. This means it will stay effective for at least 12 years. “This type of longevity is essential at a time when every healthcare team is looking closely at the bottom line budget.” LIFETIME PROTECTION Surface materials and medical equipment impregnated with Polygiene Group’s BioMaster antibacterial solution are widely used within the healthcare sector as it can be added to plastic, textile, paper, paint, or coatings at the point of manufacture, offering lifetime protection. A spokesman said: “Hygiene and cleaning protocols are essential in reducing the risk of cross contamination, but Polygiene gives an extra line of defence in significantly reducing bacterial growth. “From hospitals, to drop-in centres, clinics, and care homes, anywhere where infection control is essential can benefit from Polygiene technologies. “And, because it is embedded in the product, it is extremely cost effective, working 24/7 throughout its useful lifetime with no need for reapplications and only a small percentage of additive is needed in products to show efficacy against microbes. “Healthcare specifiers should no longer be dictated by cheapest cost for short-term goals, but should look at products and their role in longer-term objectives.” www.forbo.com www.bona.com www.polygiene.com www.fibo.co.uk www.nobacoat.com www.grandecogroup.com INFECTION CONTROL Forbo’s Marmoleum flooring is naturally bacteriostatic, inhibiting the growth of bugs
meet. connect. do business. the healthcare buildings forum www.hb-forum.co.uk 6th - 7th July 2023 The Belfry Hotel call now: 020 8288 1080 Creating a healthcare estate Share best practice, network and explore the latest in operation, design and delivery across healthcare estates & facilities. With a dedicated seminar programme, , tailored meetings, drinks receptions, lunches and gala dinner. Our unique formula brings the community together providing the perfect platform to discuss the latest trends and developments whilst also offering endless networking opportunities. Attend as a supplier delegate As a supplier, you will have unprecedented access to the key decision-makers working on active projects across healthcare estates. Book your place - [email protected] Attend as a project delegate If you are involved in the design, build or management of healthcare estates and facilities join us as a complimentary delegate. Secure your space - [email protected] stable-events.co.uk [email protected]
healthcaredm.co.uk 25 OFFSITE CONSTRUCTION MMC ADDS PACE TO NEW HOSPITALS PLEDGE The Government recently renewed its commitment to building 40 new hospitals and is prioritising the use of modern methods of construction (MMC) to deliver these. But, with under seven years to go before the 2030 deadline for completing projects under the New Hospital Plan, (NHP) how realistic is this approach? MMC refers to modular and mobile construction solutions where the design, planning, manufacture, and pre-assembly of elements or components is carried out in a factory environment, prior to installation on site at their intended final location. A PROVEN APPROACH The key benefits to this approach are a reduction in the time spent on site, resulting in less noise and disruption, which is critical for working hospital environments; possible cost savings; less waste; and improved health and safety. David Hartley, managing director of MTX Contracts, explains: “There is a general consensus that the plan for 40 new hospitals will also include substantial upgrades and refurbishments to existing NHS estates. “And, while MMC and offsite construction will continue to play a part in new hospital developments on green-field sites, the approach is especially important when creating new facilities within existing hospital sites, where speed of delivery, limited space, and the need to reduce onsite disruption, are vital elements. “MMC delivers healthcare facilities faster, greener, safer, and most cost effectively – and that has been proven time and again. “And the ability to carry out site works at the same time as component parts are being manufactured offsite shortens the build programme. “Delivering facilities more quickly, and to a shorter timescale, means health trusts can get an earlier return on their investment, treat patients more quickly, and reduce waiting lists. It also minimises the disruption of patient pathways, making it easier for staff to continue meeting the needs of patients. “Whether a trust is building a completely-new hospital, or delivering vitally-needed additional facilities, MMC should be at the forefront of everyone’s mind.” RESTRICTIONS AND LIMITATIONS Chris Blythe, commercial director at Vanguard Healthcare Solutions, adds: “MMC will add pace to the delivery of the NHP by providing the ability to standardise large areas of clinical space which can be deployed more quickly. “A number of projects will involve significantly upgrading existing hospitals and this is an area where MMC and offsite construction is highly beneficial as it will allow for decant and temporary space to be quickly and efficiently created to keep existing facilities up and running while major refurbishment programmes are ongoing.” But, while offsite construction methods will undoubtedly be favoured for the NHP, there are restrictions and limitations. For example, modular solutions are not suited to big spans like double- or triple-height glass atriums, which are This article looks at the role offsite construction methods will have on the delivery of the Government’s New Hospital Programme MTX is reporting increased use of modular facilities in the health sector
26 healthcaredm.co.uk OFFSITE CONSTRUCTION popular in hospital design. So, instead, a hybrid approach is becoming increasingly common. Hartley said: “There is an opportunity to use MMC to deliver the individual facilities that are linked by that atrium or spine, which can not only speed up the build process, but also relieve some of the pressures caused by the recognised shortage of site skills. “It opens up the opportunity for a main contractor to deliver the core and infrastructure elements of a new hospital and employ specialist MMC providers to deliver the various ancillary facilities, fully maximising the speed and cost benefits that MMC can offer.” CHANGING THE MINDSET Andy King, group technical director of the Wernick Group, agrees. He told hdm: “Modular buildings are excellent for creating additional wards and general capacity in hospitals quickly and projects up to £20-30m are very buildable. “For example, it is now common to use hybrid solutions, where panelised framing systems can be used for atriums and other double-height core spaces, then multi-storey modular wards and offices can simply be directly linked from those to create even more flexible hospital facilities.” And educating hospital estates managers, architects, and traditional contractors will be crucial to maximising the full potential of MMC moving forward. King explains: “There is a growing understanding of the benefits of MMC, but it depends on the individual organisation. “Trusts and traditional contractors tend to stick with what they know and if they have never used MMC before, they are always nervous to do something new. “It takes a while to get someone to do something for the first time, but, when done effectively, they appreciate that it is all about speed and that’s the number one selling point for offsite construction.” And he advises speaking to MMC specialists at the earliest-possible stage of the design process. “Some trusts have had a bad experience, but usually because the project has been procured through a third party with the upfront design not based on a modular solution,” he said. “Most modular companies are more than capable of being the main contractor on a project, as when they are a sub-contractor there are a lot of additional links in the chain and the client does not always get the solution they are looking for. “You get the best outcome when you engage with the MMC contractor at RIBA stage 1 or 2 and they work alongside your architect or design team from the outset. “Trusts also need a modular champion within the organisation who understands the differences in processes and helps to drive the project through.” A STARTING POINT And Blythe warns: “A full defined design process from conceptual design through to facility usage design and full production design is key to overall efficiency and maximises the benefits of MMC. “If the project teams do not have that in their mindset from day one, then the benefits are potentially lost. “Often the project design commences before MMC is considered, which then often involves a redesign process to align to modular and MMC principles. “The earlier a trust engages with the MMC provider, the bigger the benefit and opportunity to fully realise the benefits of MMC and offsite construction.” Standardisation also brings benefits to MMC projects. King advises: “Once you’ve started talking about MMC early in the process, then you can look at what is the best design around standard modules. ....continued from previous Standardised modules are helping to speed up project delivery Modular solutions can look and feel just like traditional buildings. Pictured is a new facility at the Queen Alexandra Hospital, delivered by Wernick
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