JUNE 2023 | £8 Access control Wireless solutions support sustainability drive Windows and doors The role of automatic doors in the health sector Flooring How modern flooring products are helping reduce carbon emissions Inside this issue: Fire-ravaged cancer centre is reborn
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 Challenging times! Editor Jo Makosinski Sales director Julian Walter Production Nicola Cann Design Mary McCarthy Managing Director Toby Filby Jo Makosinski EDITOR [email protected] The Paterson cancer research facility, Manchester. BDP Architects/IHP 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 the next edition we will be looking more closely at the role of heat pumps in driving carbon efficiencies, the latest furniture solutions, and catering equipment. If you can help contact [email protected] After months of uncertainty and criticism over the long delays to the Government’s New Hospital Programme, there has finally been an announcement about the future of the promised 40 new hospital projects. Within the last few weeks, five more hospital redevelopment schemes have been given the green light, and you can read about these in our News section (p6). But, despite reiterating its aim to deliver the new facilities, and confirmation of a £20billion funding pot to underpin the work; government chiefs have admitted that the deadline of 2030 for completion of the works may not be feasible after all. Certainly, the use of standardisation and modern methods of construction will help to speed up project delivery, but there is still a great deal of scepticism that the schemes will go ahead as planned, with fears they may be pared back and instead see the refurbishment of the existing estate. And all this is happening alongside other challenges facing the sector, including the ongoing COVID-19 backlog. With energy efficiency high on the agenda, too, in this edition we focus on some of the options available to healthcare estates managers – including the steps being taken by flooring manufacturers to reduce the carbon intensity of their operations. You can read about this in our special feature on p29. Modern wireless access control technologies are also helping to reduce energy expenditure. Find out more on page 25. Other features in this edition include a look at the increasing specification of automatic entrance systems (p21) and how architects and designers are creating estates that are adaptable to climate change (p11).
In this issue.... JUNE 6 NEWS The Government makes an announcement on the delivery of the New Hospital Programme. Find out what this means for the 40 promised new developments 8 INTERVIEW In our new regular section, hdm interviews Matthew Balaam, partner at Oxford Architects, about his experience designing healthcare buildings and his thoughts on the future of the sector 11 STRATEGY This article looks at how the next generation of healthcare buildings can be designed to withstand extreme weather patterns and be resilient to climate change
15 PROJECTS The latest health sector construction projects, including the redevelopment of the fire-ravaged Paterson cancer research facility in Manchester; plans for a new primary care facility in Chiswick; the start of construction work on a breast cancer unit at Yeovil District Hospital; and a milestone moment in the delivery of a major new wing at the Royal Bournemouth Hospital 25 ACCESS CONTROL Wireless access control systems are helping hospitals to improve security and drive energy efficiency 21 WINDOWS & DOORS Exploring the role of automatic doors in helping to support infection prevention and control, ease of access, and energy efficiency in healthcare buildings 29 FLOORING This article looks at how flooring manufacturers are helping to reduce carbon emissions within healthcare environments
£20bn boost for new hospitals pledge The Government has reaffirmed its commitment to building 40 new hospitals by 2030, announcing £20bn of investment in NHS infrastructure. Revealing the funding, health chiefs also confirmed that work will push ahead on replacing five hospitals constructed mostly using reinforced autoclaved aerated concrete (RAAC). Airedale Hospital in West Yorkshire, Queen Elizabeth Hospital King’s Lynn in Norfolk, Hinchingbrooke Hospital in Cambridgeshire, Leighton Hospital in Cheshire, and Frimley Park Hospital in Surrey all have significant amounts of RAAC – a lightweight type of concrete used to construct parts of the NHS estate in the past, but which has a limited lifespan, after which it deteriorates significantly and can make buildings unsafe. And the NHS has asked the Government to prioritise the rebuilding of these facilities given the risks they pose to patients and staff. BACK ON TRACK Two of the worst-affected hospitals – West Suffolk Hospital in Bury St Edmunds and James Paget Hospital in Norfolk – have already been announced as part of the New Hospital Programme. However, as a result of this reprioritisation, together with the rising cost of construction materials, the Government has admitted that up to eight schemes originally due to be constructed by the 2030 deadline will now be completed later. But, in a statement, ministers said they remained ‘committed to delivering all hospitals within the programme as soon as possible’ and ‘will ensure all schemes have adequate funding’. And they said they were on track to deliver the manifesto commitment to build 40 new hospitals in England by 2030, because in addition to the five RAAC hospitals, three mental health hospitals will also be delivered through wider capital funding, as part of a commitment to eradicate dormitory accommodation from mental health facilities across the country. And two hospitals are already complete and five are under construction. SPEEDING UP DELIVERY Health and Social Care Secretary, Steve Barclay, said: “These five hospitals are in pressing need of repair and are being prioritised so patients and staff can benefit from major new hospital buildings, equipped with the latest technology. “On top of this I’m strengthening our New Hospital Programme by today confirming that it is expected to represent more than £20billion of new investment in hospital infrastructure.” Health Minister, Lord Markham, added: “In the immediate term, we are focusing on quickly and safely rebuilding hospitals in areas which need it most – specifically those affected by this specific type of concrete, which poses a significant risk to patients and staff if not rebuilt by 2030 – with over £20billion expected to be invested in new hospital infrastructure. “In the long term, our new standardised design means we can rapidly replicate new hospitals across the country, helping speed up construction and improving services for patients faster.” The Midland Metropolitan Hospital is one of five currently under construction as part of the New Hospital Programme Staff at Queen Elizabeth Hospital King’s Lynn celebrate the recent announcement that the long-awaited redevelopment will go ahead 6 healthcaredm.co.uk NEWS
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St Luke’s Hospital, Oxford, is one of Matthew’s projects 8 healthcaredm.co.uk BEHIND THE BRAND the MATTHEW BALAAM Matthew Balaam, now a partner and health sector lead at Oxford Architects, was considering a career in the military after leaving school. However, now one of the leading medical architects in the country, the change of direction is not one he regrets. “When I was 16 or 17, I was thinking about joining the Royal Navy as family members were in the forces and I loved being a lifeguard at Sandbanks Beach in Poole, where I grew up. “But my mother said I should do something with my creative brain. “I went to the BBC to research becoming a set designer and they said ‘you should be an architect so as not to restrict your future career choice’.” Having got good grades at school, but finding those years challenging, Matthew describes his time at Oxford Brookes University in Oxford as ‘life changing’. “It was only when I went to university that I really excelled and put my heart and soul into it my work,” he says. GETTING NOTICED “Working hard is my ethos and through that you get noticed.” After his first three years at Oxford Brookes University, Matthew worked as a Part 1 architectural assistant at Western Design Architects in Dorset. He then returned to Oxford Brookes University for his post graduate diploma in architecture and urban design. Matthew started working at Oxford Architects in 1998 and, from that moment, he put everything into a career which would see him become one of the leading designers within Continuing our new, regular feature where we interview the leading figures behind well-known companies working within the health sector, Jo Makosinski speaks to Matthew Balaam, a partner and healthcare lead at Oxford Architects I worked on an end-of-life palliative care facility and realised you can make a real difference to society when working in healthcare
Image: Stephen Kidd on UnSplash healthcaredm.co.uk 9 BEHIND THE BRAND 1. What is your favourite TV show? I really don’t get much time to watch TV and usually the programmes we watch are dictated by my wife and children! 2. What is your favourite song? I have two young daughters, so Mamma Mia is consistently played. During my misspent youth I was a fan of The Chemical Brothers 3. What sports team do you support? I really like Formula 1 and rowing has always been in my blood 4. Where is your favourite place to be? Sandbanks Beach in Dorset 5. Favourite holiday location? Croyde Beach, Devon 6. What are your hobbies? Destroying, then fixing the house. It’s a never-ending task! 7. What was your first job? A paper round 8. What is your favourite food? Thai food 9. Do you have a nickname? My parents called me ‘Bean’ (because I was tall and skinny as a child) and ‘Wookey’ as my wife met me the same week I was caving in Wookey Hole Caves 10. Favourite memory? Cycling Quick-fire questions the health sector and, more specifically, the mental health arena. “I began by designing residential schemes, science buildings, town centres, and children’s nurseries,” he recalls. “But I got a feeling for the medical sector when studying for my Part 3 exams, which is the final architectural qualifications. “It really struck a chord with me. “I worked on an end-of-life palliative care facility and realised you can make a real difference to society when working in healthcare. “Oxford Architects had also recently embarked on the Broadmoor redevelopment project and had started working with St Andrew’s Healthcare, a specialist mental health provider. “Through my hard work and diligence one of the partners asked if I wanted to work in the mental health sector, with all the challenges and pressures that would bring. LEADING THE CHARGE “I went away for the weekend and on the Monday I said ‘yes’. “This opened me up to the adult forensic pathway, and low-secure pathway for a mental health charity. “The client soon became aware of my attention to detail and they had a brilliant estates team and we set about producing the medium-secure design guide for St Andrew’s Healthcare.” Fast forward two decades and the design of healthcare facilities has advanced significantly, with the emphasis now on patient-centric designs and therapeutic, hotel-style interiors. “Some of the best years of my life have been in the mental health arena,” Matthew says. “In the early days we were having to cobble together components from different suppliers, and we did not have the likes of the products we have today. “We helped to design windows, anti-ligature door ironmongery, light fittings, vision panels, handwash basins, and many more products “For me, it is important to collaborate with suppliers who are part of our big team – they are my professionals.” CHALLENGING THE SYSTEM Highlights of his career to date include the design of William Wake House in Northampton for St Andrew’s Healthcare and presenting the Broadmoor Hospital redevelopment to Victoria Government, Australia. “Designing the maternity bereavement suite for Hillingdon Hospital with Martin Gilbert was also really rewarding as it supports people at a particularly-harrowing time in their lives,” Matthew said. “I now work with people who want to create therapeutic places that remove the stigma of older mental healthcare facilities, trying to achieve more of a hotel-style environment. “When designing buildings, I aim to design out problems and risk. I put my heart and soul into it and I take a lot of pride in what the practice delivers. “It is the little touches that really make a difference.” A TEAM PLAYER Moving forward, Matthew is planning to continue pushing the boundaries of healthcare design and is also moving into creating environments for young people with special educational needs within the education sector. “I try to have fingers in many pies and think of myself very much as a team player,” he said. “I’m always thinking about the vulnerable and how to change society for the better. And I am trying to help nurture the next generation of architects coming through the practice to do the same.”
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healthcaredm.co.uk 11 STRATEGY Designing healing spaces that can withstand extreme weather Geoff Southern associate director, Arcadis IBI Group Most UK cities, and the buildings within them, are designed for more-predictable, temperate conditions – in short, for how our weather used to be. But climate change has led to increased temperatures globally, and we must now address how we design public and private spaces to effectively respond to, and mitigate, the risks that come with weather extremes to ensure future-ready cities. And, as one of the most-critical parts of urban infrastructure, transforming how we design healthcare facilities offers many benefits, both in the short and long term, for both patients and the planet. “Creating healthy places goes hand in hand with achieving net-zero carbon targets and the need to decarbonise the built environment,” explains Geoff Southern, associate director at Arcadis IBI Group. “Health systems are responsible for approximately 4.6% of greenhouse gas emissions worldwide and this means we need to design our healthcare buildings and facilities in a way that minimises their carbon footprint and energy usage while still providing a comfortable and healing environment that has a positive impact on the wellbeing of patients, staff, and visitors.” TAKING THE HEAT OFF The UK’s cities, historically, were developed in a way that is too reliant on ‘average temperatures’, leaving them unprepared to deal with unpredictable weather like the well-documented flooding and heatwaves of recent years. In July 2021, the Met Office issued its first-ever Extreme Heat National Severe Weather Warning, with 1,634 deaths linked to a series of heatwaves that year. And this was followed by a ‘Red Warning’ in July 2022. “We have a responsibility to adjust our cities and buildings accordingly, to be able to withstand these episodes with greater agility,” said Southern. “Not least because the ramifications of the climate crisis, such as intensifying heat, are most dangerous for society’s more-vulnerable members, including older adults or those with underlying medical conditions.” Cities are likely to struggle more with rising temperatures as they are denser and more heavily populated – a problem compounded by the gradual shift from soft landscape to hard road surfaces and the consequently higher reflectivity of roads and buildings. Southern said: “One solution to managing episodes of extreme heat is putting more natural elements at the heart of any new developments, as outlined in the Greater London Authority’s greening policy laid out within the London Plan. “This can be successfully applied to healthcare settings by incorporating green walls or roofs, more-natural landscaping, and biophilic design from the earliest stages of a project. “Thoughtful planting can provide a cooling effect, shade, and shelter from rain or wind, and lower the reflectivity of heat. Further, opting for natural materials with low embodied carbon, and which lend themselves well to insulation, can reduce the overall environmental impact, but also regulate temperatures.” This was precisely the approach taken at Pears Maudsley Centre for Children & Young People, which was delivered by Arcadis IBI Group for South London and Maudsley NHS Foundation Trust. “An additional bonus of being in closer proximity to greenery is its proven wellbeing and anxiety-reducing advantages, meaning that healthcare settings can manage more-extreme external conditions while boosting the therapeutic function that is their primary goal,” explains Southern. “Plenty of research shows that people heal faster in ‘green’ hospital buildings – those featuring green landscaping, green walls or roofs, and indoor biophilic design elements – and that covering a roof KEEPING IT COOL
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healthcaredm.co.uk 13 STRATEGY with plants creates insulation that can cut the amount of energy needed to cool the building in hotter months by up to 33%. “It’s a win-win solution.” He adds: “Ensuring thermal comfort in hospitals is critical to enabling better recuperation as well as staff wellbeing and productivity, but optimum temperature levels vary and can be critically important in some cases. “Operating theatres, for example, require their own carefully-controlled environment; and that is where advanced innovative technology and sensors play a critical role in supporting temperature customisation of individual spaces, according to their specific needs.” STRIVING FOR ENERGY EFFICIENCY During periods of overheating, the electrical grid can become overburdened and unreliable, causing blackouts. And, in a hospital, such disruptions pose too big of a risk. “Addressing this challenge requires interventions at the city and national levels, such as using more renewable energy, battery storage, and indeed sharing resources across a healthcare estate by creating a smart grid,” said Southern. “A smart grid can complement other power sources in a hospital and act as a back-up in case of outages, which provides financial benefits as it can cut energy costs. “Moreover, wind or solar energy can make the most of extreme weather and turn it into a positive for a more-sustainable built environment.” Other design solutions, with more immediate payoffs, include looking at more-effective insulation as well as maximising natural ventilation as part of a Passivhaus approach to cooling. “Water features, which act as natural air conditioners, have been used for hundreds of years to cool indoor and outdoor spaces with the water evaporating in times of higher temperatures,” said Southern. “These measures can be complemented with low-carbon heating or cooling technology, such as air source pumps, to improve energy efficiency. “Meanwhile, the use of water-retaining roofs and sustainable urban drainage systems (SUDS) can defend against flooding by limiting water flow into the main drainage system - an approach also taken at the Pears Maudsley Centre for Children & Young People. “With climate issues ever changing, and indeed worsening, it is imperative that we shift the way we respond to them by designing more-resilient healthcare facilities and infrastructure. “Only then can we build more-sustainable and healthier cities and spaces.” www.ibigroup.com Below: The Pears Maudsley Centre features water-retaining and SADS technologies to defend against flooding. Image, Growth Industry The Pears Maudsley Centre for Children and Young People was designed to adapt to future weather conditions. Image, Arcadis IBI Group
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healthcaredm.co.uk 15 PROJECTS Fire-ravaged cancer centre is reborn The original building was devastated by a fire in 2017 which broke out during welding work on the roof Following a devastating fire which caused significant damage to the Paterson cancer research facility in 2017, building work on a new unit at The Christie NHS Foundation Trust in Manchester has completed. The building is part of the Manchester Cancer Research Centre – a partnership between The Christie, Cancer Research UK, and The University of Manchester – and will be one of the top cancer research centres in the world. Integrated Health Projects (IHP), the joint venture between VINCI Building and Sir Robert McAlpine, and its supply chain partners, BDP, Arup, and Imtech have worked together to realise a state-of-the-art facility that will lead world-class transformational cancer research. TEAM SCIENCE And the building is set to become home to the largest concentration of scientists, doctors, and nurses in Europe, with 300 scientists and 400 clinicians and operational staff practicing what is known as ‘team science’ to deliver clinical trials covering the full extent of the patient pathway, from prevention and novel treatments to living with, and beyond, cancer. At more than 25,000sq m and 10 storeys high, the building is more than twice the size of the previous facility, enabling experts to deliver discovery research and translate their findings into innovative clinical trials at scale. The building will be occupied by all three of the partners and will be home to the Cancer Research UK Manchester Institute, as well as several other teams from The University of Manchester’s Division of Cancer Sciences. It will also be Manchester’s scientific headquarters for discovery science within the international Alliance for Early Cancer Detection. The building is 10 storeys high - twice the size of the original facility The new centre will be home to the largest concentration of scientists, doctors, and nurses in Europe
16 healthcaredm.co.uk PROJECTS A central component of the building will be the new Cancer Research UK Cancer Biomarker Centre. The centre’s focus will be on biomarkers to aid in early cancer detection and diagnosis, and enable personalised management of a patient’s cancer to determine which therapy will bring the most overall benefit. COLLABORATING TO END CANCER Ged Couser, architect principal at BDP, said: “This building adds a striking new addition to the Manchester skyline, delivering a technologically-advanced structure that is already raising the profile of academic collaboration and R&D in the North of England. “This project is a prime example of what can be achieved with the right planning, funding, and design to create effective, beautiful, highly-specialised places that impact positively on communities, businesses, and local people. “We are so proud to have worked on the new Christie Paterson and to be witnessing these exciting moments as the building becomes occupied. “It shows that great design can create flexible spaces which centre on diagnoses, patient care, and vital, world-leading research in a truly-collaborative environment; about which we are so excited.” BUILDING A LEGACY Roger Spencer, chief executive at The Christie, added: “The Christie has been at the forefront of cancer research for over 120 years. “Standard treatments that were first trialled here have improved the outcomes for millions of cancer patients across the world and this new centre allows us to build on this legacy, so it’s exciting to see the vision become a reality. “We want to give every patient who walks through our doors the best-possible treatment and care and having so many different specialists collaborating together under one roof will help us achieve our ambition to make the facility one of the top five cancer research centres in the world.” And Professor Dame Nancy Rothwell, president and vice-chancellor of The University of Manchester, told hdm: “The new research building will be a fantastic opportunity to accelerate cancer research in Manchester, not just because it will provide state-ofthe-art facilities, but because it will also bring together a fantastic workforce comprised of scientists, clinicians, and support staff, including trainees, early career researchers, and world-renowned investigators. “It will enable staff from the university’s Division of Cancer Sciences to work side by side with colleagues from the Cancer Research UK Manchester Institute and The Christie, generating new ideas, making new discoveries, and devising next-generation therapies. “Together with the Proton Beam Therapy Centre and the Oglesby Cancer Research Building, the new facility will be the latest piece of the cancer campus jigsaw, generating a vibrant, high-quality environment for our highly-motivated research teams, all seeking to improve the lives of cancer patients, not just in Manchester, but worldwide.” www.arup.com www.bdp.com www.ihprojects.co.uk www.imtech.co.uk The Christie has been at the forefront of cancer research and treatment for over 120 years
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18 healthcaredm.co.uk PROJECTS £23m health centre to be built in Chiswick Construction work will start later this year on a new health centre in Chiswick, west London. NHS Property Services (NHSPS) and the North West London Integrated Care System are partnering with Hounslow Council to deliver the £23m centre, which will be built on the site of the existing Chiswick Health Centre. In addition to the new health facility, the development will also include 55 affordable keyworker apartments delivered by the council. The building, which will be constructed by Willmott Dixon, will be a key hub for 60,000 Chiswick patients, and with the final contracts now signed and services temporarily relocated to Stamford Brook Avenue, demolition and construction work can commence. Neil O’Brien, Parliamentary Under Secretary of State at the Department of Health and Social Care, said of the scheme: “This new health centre will provide vital services for patients in Chiswick and is a great example of what can be achieved when integrated care systems and local and national government work closely together.” Adrian Powell, director of investment and development management at NHSPS, added: “The new centre will offer residents a state-of-the-art facility that, to its core, is sustainable and modern. “Through our partnership, we will be able to help health professionals deliver the care that patients deserve in space that is fit for purpose.” The redevelopment will include a public community garden, a private landscaped courtyard, and a fifth-floor garden terrace, in addition to the 55 new affordable housing units designated for healthcare workers. The updated facility will include modernised consultation and examination rooms, community areas, district nurse facilities, and staff accommodation. And sustainability is key to the design, which will reduce carbon emissions by half; a push integral to NHS Property Services’ commitment to cleaner environmental building practices. It will also align with the NHS environmental commitment by utilising modern, low-carbon-emitting technologies. Doctor Venkatesham, of Chiswick Family Doctors, one of three GP practices in the building, said: “For several years we have felt that the existing building is badly in need of repair and modernisation and we are very much looking forward to providing more and varied services for the community in Chiswick, with better facilities housed in comfortable modern premises fit for the future.” www.willmottdixon.co.uk The Royal Bournemouth Hospital marked a major milestone with a traditional ‘topping out’ ceremony for its new BEACH Building. As part of the ceremony, which dates back to the Roman era, guests were led to the top of the building by a bagpiper and a symbolic tightening of bolts took place before an evergreen bough was nailed to the structure. This was followed by an exchange of tankards to symbolise ‘a job well done’. The BEACH Building, which is being constructed by Integrated Health Projects (IHP), an alliance between VINCI Building UK and Sir Robert McAlpine, is a 23,000sq m complex standing six storeys tall – equivalent to 115 tennis courts. It will house a new maternity unit and children’s unit, as well as an enhanced emergency department, larger than the existing facilities at the Royal Bournemouth and Poole Hospital combined. There will also be a critical care unit with capacity for 30 beds. When it opens in spring 2025, it will enable the Royal Bournemouth Hospital to become the major emergency hospital for Dorset. Lord Markham, Under Secretary of State for the Department of Health and Social Care, who attended the event, said: “It was an honour to attend the topping out ceremony of Royal Bournemouth Hospital’s new BEACH Building, backed by over £168m of government investment. “We continue to work closely with the NHS to improve services and this new building is part of over 70 hospital upgrades we’re delivering across the country, on top of 40 new hospitals.” The project is part of a wider £250m investment to transform University Hospitals Dorset NHS Foundation Trust’s estate. www.ihprojects.co.uk A BLAST FROM THE PAST
healthcaredm.co.uk 19 PROJECTS Planning permission has been granted for a £42m multi-storey car park at Queen Elizabeth Hospital (QEH) in King’s Lynn, Norfolk. The project will deliver a total of 1,383 parking spaces, replacing the existing car park at the hospital, which urgently requires improvement. It will include 18 electric vehicle (EV) charging points, 98 blue badge spaces, and involve the relocation of the current bus stop. Work will take place in two phases, starting later this year and with completion expected in late 2025. The multi-storey car park is part of a wider, long-term estates strategy for a new hospital that the trust is aiming to secure funding for as part of the Government’s New Hospital Programme. The current hospital is already 10 years past its intended lifespan and the car park is required to accommodate both short and long-term parking objectives. A detailed transport strategy and travel plan was developed by engineering consultancy, Hexa, to ensure the scheme’s success at the planning stage. It provided expertise to support survey work, environmental works, GEO investigation, noise and air quality investigation, as well as habitat and ecology. Matt Price, director of transport planning at Hexa, said: “Having started working on smaller schemes with the hospital trust, and becoming involved with this car park scheme in 2021, it is great to see the planning application has been approved. “It is a much-needed facility for the Queen Elizabeth Hospital, which will support the ambition for further improvements in future, including the trust’s bid for a completely-new hospital.” He added: “One of the main challenges of this plan was ensuring the accurate calculation of not only the current car parking demands of the hospital, but also what it may require further down the line. “It was key to consider the displacement of parking during construction, too, as the existing car park would be out of use for some time.” exi Group was initially appointed to develop a car parking strategy and a pre-outline business case (OBC) feasibility study for the car park and has gone on to provide a full multi-disciplinary service. Ben Flounders, director, said: “Not only will this scheme act as an enabling project for the release of a key development zone for a future hospital, but this multi-storey car park building will allow the hospital’s estates team to better manage and control its onsite parking demand in the short term, while benefitting from the latest technology such as parking eye, Automatic Number Plate Recognition, and app-based payment methods.” www.exi-group.com www.hexaconsutling.co.uk Parking plan gets the thumbs-up UNDER ONE ROOF Construction work has begun on a new breast cancer unit at Yeovil District Hospital. Tilbury Douglas has started work on the £2.5m project for Yeovil District Hospital NHS Foundation Trust. The 500sq m unit, which is located next to the Women’s Hospital, was procured via the Procure Partnerships Framework and will bring all relevant services together under one roof, enabling patients to have a clinical examination, ultrasound scan, mammogram, biopsy, prosthesis fitting, and appointments with doctors and specialist nurse in one place. The unit has been designed by Stride Treglown Architects.
MYCARE TV is a powerful patient entertainment system that’s EASY to use for the patient, and EASY to implement for the provider. Designed on a modular platform, MYCARE TV can be easily customised and adapted to suit the provider’s needs and preferences. WHAT IS MYCARE TV? MYCARE TV is a cloud-based, SaaS (software as a service) management platform for digital surfaces, designed specifically for use in the healthcare industry. Built on a modular platform, MYCARE TV allows the provider to fully customise a feature set to suit each specific situation. Accessible via a customisable user interface, MYCARE TV provides a host of entertainment, education, and information services, whilst supporting healthcare professionals with workflow and operational efficiencies. MYCARE TV seamlessly integrates with a range of delivery platforms – including smart TVs, tablets and BYOD solutions. Designed to reduce installation time and cost, the solution connects with both wired and wireless network infrastructure, and provides a robust platform for future development, feature releases and upgrades. FLEXIBLE: MYCARE TV’s modular platform allows the provider to choose from a menu of features, enabling the future introduction of additional modules. This reduces capital outlay and adds scope to augment the system in line with technology developments. SCALABLE: MYCARE TV is cloudbased and easily replicated or scaled across one or multiple sites (it can also be implemented within a partner facility via a WAN). FUTURE-PROOF: Software and features can be remotely upgraded, and new features introduced, reducing the risk of technical obsolescence. EFFICIENT: MYCARE TV offers significant ROI potential via operational efficiencies, and additional revenue streams (such as advertising, premium content etc). EASY: MYCARE TV is built upon ease-of-use as a guiding principle, offering intuitive access for the patient, and ease of implementation, maintenance & upgrade for the provider. FEATURES » TV, radio & Internet » Casting » Meal Ordering » Patient Service Requests » Information Services » Patient Surveys » Messaging Service » Internet browser » Treatment & Training Information » RSS feeds BENEFITS For more information, contact: [email protected] or 01403 783 483 | www.hospitaltv.co.uk
healthcaredm.co.uk 21 DOORS AND WINDOWS OPENING THE DOOR TO THE FUTURE Exploring the role of automatic doors in helping to support infection prevention and control, ease of access, and energy efficiency in healthcare buildings Ease of access is vital in healthcare facilities and, increasingly, estates managers are opting for automated entrance solutions, which help to keep pedestrian traffic moving smoothly, avoiding bottlenecks at busy access points. Simon Roberts, managing director at TORMAX, explains: “Such a wide range of individuals need to access healthcare facilities that it is essential to ensure everyone is made to feel welcome by providing clear and easy access. “If someone with mobility issues finds it difficult to manage the entrance doors into their local GP surgery, it may well cause them to postpone making an appointment, leading to poor health outcomes in the long run. PICK AND CHOOSE “Undoubtedly, the main entrance should be automated, ensuring everyone finds it easy to access the building. “However, it is no good being able to get into the reception if you than have to struggle with multiple sets of unwieldy manual swing doors in order to reach your destination, so automated internal doors should also be specified.” Modern automatic door solutions are available in a number of designs, including: • Sliding doors: These open by sliding to the side, which creates a wide doorway without requiring an excessive amount of space elsewhere in the room • Swing doors: Automatic swing doors operate in exactly the same way as conventional swing doors, with the exception that they open and close by themselves • Revolving doors: Frequently utilised in high-traffic locations where people need to enter and exit at the same time, these have the ability to minimise energy expenses and help to maintain a comfortable indoor temperature • Folding doors: Also known as bifold doors, these fold inward and outward like an accordion and are popular as a space-saving solution • Telescopic doors: These are automatic doors that contain many panels that glide over each other in order to open and close. They are frequently used in areas with restricted space and entrances that are narrow • Hermetic doors: These are designed for use in situations that require a high degree of hygiene control, such as hospitals, laboratories, and food processing factories. These types of environments require a hermetic seal between the inside and outside of the building and the doors create a barrier that is impermeable to air, which stops the spread of any contaminants And all options have several key benefits over traditional manual solutions, including: • Offering ease of access for the disabled, elderly, and infirm • Increasing the rate of admission and exit • Enabling quicker access to critical areas such as A&E or operating theatres • Enhancing safety as there is little-to-no risk of being struck or trapped by the door or having fingers trapped BATTLING THE BUGS But one additional benefit which makes the solutions particularly attractive to the healthcare sector is their role in supporting infection prevention and control regimes.
22 healthcaredm.co.uk TORMAX installed a four-wing revolving door at the entrance to the Princess Alexandra Hospital in Harlow It is important to consider installing automatic doors within the hospital as well as at the entrance DOORS AND WINDOWS Providing a ‘no-touch’ option, they can significantly reduce the spread of germs between different areas within a building, so are the go-to option for high-risk areas such as intensive care units and operating theatres. A spokesman for DRS Doors said: “In light of the recent COVID-19 pandemic, maintaining the greatest degree of sanitation is even more crucial; and one of the simplest methods to do so is by installing automatic doors. “Because these doors are generally composed of glass and aluminium, cleaning them is easier. “Furthermore, these doors may be simply connected with wave sensors or activators to take the zero-contact approach a step further, eliminating the need for staff to open doors manually, limiting the viral spread through direct contact, and improving overall cleanliness.” A SOUND INVESTMENT Also adding to their popularity within the healthcare sector is their green credentials. Specifying an automated system, with programmable opening times, can reduce heat loss from a building. Roberts said: “With heating bills set to rise even further, an automatic entrance is a sound financial investment for the healthcare industry. “Not only do our door drives feature low-energy operation, but an automatic entrance can itself significantly help reduce heat loss from a building. “Sophisticated movement sensors combine with straight-forward, two-key programming to allow the opening and closing speed, hold-open time, and opening width to be altered to match how busy the access point is at any time of the day, as well as to reflect the outside weather conditions. “Used efficiently, these entrances will significantly improve the ambient temperature, as well as helping to cut energy bills.” ASK THE RIGHT QUESTIONS When choosing a solution, he warns against considering the purchase price alone, instead advising specifiers to look at long-term costs. He told hdm: “Cost is always going to be a factor, especially in public sector buildings. “But we need to be asking how energy efficient are the door operators? What are their green credentials with regards to sustainability? How reliable are they and what back-up and support is offered
healthcaredm.co.uk 23 DOORS AND WINDOWS Automatic doors come in a number of designs, including sliding (above) and revolving (below) in the way of service, maintenance, and emergency call-out? “A Planned Maintenance Contract can significantly save money in the long-run, ensuring an entrance system is serviced regularly and reducing the risk of unexpected downtime. “Also, during a routine service a small defect may be picked up that can be quickly and cheaply repaired, before more-costly or permanent damage is done. “It is worth noting that clients do not always have to use the company that installs their automatic entrance to provide a maintenance contract, so my advice is to shop around for the best deal.” A MUST-HAVE Opting for a modular system can also benefit healthcare facilities, as these allow for access points to be quickly upgraded if demands change and this reduces the likelihood of an entrance becoming obsolete in the future. The DRS Doors spokesman adds: “Despite the initial investment, installing automated doors may actually save public organisations money in the long run, opening and shutting only when needed to help to reduce heat loss. “Simply put, it aids in covering the installation costs by lowering utility expenses. “In addition, automatic doors are extremely dependable, simple to maintain, long-lasting, and cost-effective and all of these characteristics combine to make them a must-have in every healthcare facility.” LOOKING TO THE FUTURE Because of this increased interest from the health sector, manufacturers are spending a great deal of time and money on R&D to further improve automatic access solutions. And Roberts predicts this will include the more-widespread introduction of individualised access, such as iris scanning and facial recognition technology. He said: “Other touchless access methods, like phone-activated access, will help improve security throughout a hospital, helping ensure only those authorised can gain entrance to a specific area. “I think we will also see even-slimmer casings for door operators, for neater and more-aesthetic installations and widespread use of hidden door operators, such as the TORMAX iMotion 1401, which is concealed in a steel casing under the floor. “In addition, there will be advances in access control software to allow muchmore-complex parameters to be linked, such as user identification, personalised access times and access points, emergency door locking, and fire safety responses.” www.tormax.co.uk www.drsdoors.com
10-11 October 2023 Manchester Central For more details & to book healthcare-estates.com This way... …for the latest developments in healthcare engineering, estates and facilities management Expert Presentations Addressing the Key Topics Impacting our Sector 50+ Exhibitors with the Latest Products, Information and Ideas 200+ Key Healthcare Sector Professional Staff in Attendance 3500+
healthcaredm.co.uk 25 ACCESS CONTROL THE FUTURE IS WIRELESS Wireless access control systems are helping hospitals improve security and drive energy efficiency Access control systems are critical for healthcare environments, due to the pharmaceuticals, drugs, and medical supplies that are kept within them, and to ensure the safety of patients, staff, and visitors. And, in recent years, like in most other sectors, the healthcare industry has increasingly been turning to wireless solutions. A key benefit is that wireless technology is easier to install, with no need to run wires throughout a premises, and with minimal impact on hospital operations, presenting specifiers with the option to retrofit. Aaron Ballard-Ridley, healthcare vertical specialist at Abloy UK, explains: “With a wired access control system, there is wiring to the doors and readers to install, which can be time intensive and disruptive to day-to-day operations. “Whereas, with a wireless solution, you just swap a cylinder, or a complete handle set on a door, to create access control with ease. “There are also now far more integrations with existing access control systems used currently in hospitals.” A CONSTANT STRUGGLE But further driving the switch to wireless is energy efficiency. Daniel May, director at Consort, told hdm: “There is a constant struggle to maintain a comfortable temperature within healthcare environments. “Often, open doors and windows can result in a loss of heat and wireless access control systems are designed to actively monitor, and restrict, access throughout the building, keeping doors and windows shut when not in use and reducing energy costs in the process.” Abloy UK estimates that organisations can save up to 90% on energy costs by switching from a wired to a wireless access control system. Wireless locks, in particular, offer huge energy-saving potential for healthcare buildings as they only work when presented with a credential. Ballard-Ridley said: “Most hospitals have traditionally-wired doors, with access control readers and a magnet at the top of the door that is holding the door shut. Those magnets are constantly drawing power to remain locked. “A wireless access control system does not use magnets, so you only need power momentarily when you present a card or fob to the handle to gain access. “And, to escape, you just push the handle down, so there is no power used to exit. “There is also extra installation required when fitting a wired solution, so a wireless system is more energy efficient in terms of installation, too.” Daniel May, director at Consort
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