The Design of St. Vincent s University Hospital Redevelopment, Dublin, Ireland - Inception to Completion - Cultural Differences in Hospital Design

Transcription

1 The Design of St. Vincent s University Hospital Redevelopment, Dublin, Ireland - Inception to Completion - Cultural Differences in Hospital Design Wednesday, 10 September 2008, 10:30

2 Presenter Donal Blake Healthcare Director BA(Hons) BArch (Hons) MRIAI Scott Tallon Walker Architects

3 Learning Objectives Firmness, Commodity & Delight o Complex phasing strategies on a live hospital site o Understanding demolition on acute hospital sites o Aspergillus prevention measures o Good design of healthcare facilities

4 In The Beginning Soccer?

5 St. Vincent s Hospital Redevelopment Design Team Client St. Vincent s University Hospital Architect Civil/Structural Design M&E Design Quantity Surveyor Main Contractor Scott Tallon Walker Architects Arup Consulting Engineers J.V. Tierney & Associates Bruce Shaw Partnership Michael McNamara Construction

6 Project Summary Schedule Overall Project Schedule Almost Four Years.

7 The Brief - Accommodation Requirement Intensive Care Unit (18 Beds) Accident and Emergency Ambulatory Day Care Pathology Diagnostic Imaging (PACS) Psychiatric Unit (54 Beds) Car park Pharmacy Mortuary Catering Department Fire safety - Out-Patients Department - Day Care - 8Theatres and 2 Day-Theatres - Specialised Units - Kitchens (Includes Replacement of all Lifts)

8 Building Sq. Feet Building Sq Feet Psychiatry 32,000 Waste Marshalling 14,500 Pharmacy 6,500 Mortuary (incl. existing building) 8,500 Breast Check 10,300 New Main Block 270,000 Basement Car Park 64,000 MSCP (500 spaces) 120,000 Total Area 525,800

9 Why is Design Important? you cannot change the human condition, you can only change the conditions in which people work! - Reason and Hobbs 2003

10 Lifetime Costs of an Acute Hospital Cost in-use to client: $180m $ Cost of maintenance: $20m Cost of building: $2m Cost of design: $0.4m (Devised by John Cole, NI Health Estates) Total Cost of This Programme $400,000,000

11 Before & After Campus Density Greatly Increased

12 Overall Development Programme Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 Stage 7 Development Brief Development Control Plan Outline Design Stage (includes Planning / FSC Application Detailed Design Tender and Contract Construction (Main Contract) Commissioning and Equiping

13 Enabling Works Prior to Main Contract Portacabin Village Aspergillus Protection (Oncology Unit &Liver Unit) St Rita s Hostel (Fire Safety) New Infection Control Ward (26 Bedded Unit)

14 Campus Aerial View

15 St. Vincent s University Hospital Previous condition - St. Monica s Ward MRSA Risk Area

16 St. Vincent s University Hospital Refurbished Areas - St. Monica s

17 St. Vincent s University Hospital Aspergillus Prevention Improve Patient Safety

18 95 metres 160 metres OXON HILL 40 metres HACKNEY 80 metres 70 metres OPERATING THEATRES Demolition Adjoining Properties

19 Demolition

20 Sunday - 21 January 9.31am

21 What the Media Said..

22 Construction Coordination/Quality procedures o Documented Project Procedures put in place. o Coordination with SVUH Project Team o Quality Essential in Hospital Finishes and Details. o Focus required from Construction commencement. o Sub-contractors chosen on Competitiveness and Track Record o Earlier buildings used to bench mark and agree methodologies. o Regular Meetings/Excellent Communication

23 Robust Planning - Links & Adjacencies

24 New Campus Buildings Psychiatry Building o First Building in Campus Redevelopment o Beta Test Zone for Finishes & Construction Techniques o Separated from Abutting Building by Screens. o Microbiological checks.

25 Contact with Nature o o o View Light/ Depression Circadian Cycle

26 The Importance of the Detail

27 New Campus Structures Multi-Storey Car Park o Increased Car Parking Capacity o High specification Parking Experience

28 Pharmacy Building o Refurbishment & Extension o Asbestos Removal o Protocols agreed Photo Required. o Aseptic clean room for production of Medicines o Secure Storage Room o Appropriate Location

29 Mortuary Building o Simultaneously Constructed with Car Park o Prior to New Main Building

30 Stand-alone Clinic Breast Check Building

31 Breast Check Building Appropriate Environment

32 St. Vincent s University Hospital - Main Building - Entrance

33 New Main Building Basement, Five Storeys/Roof Plant Room 900 Rooms with Little Repetition Building completed in Six Zone Detailed Design Construction Finishing Snagging, Commissioning Handover Interfaces & Connections to Existing Buildings Pre-agreed with Hospital.

34 First Floor Plan New Main Building Zones Floor to Wall Design Principles Sequence of Construction, Finishing and Fit-out

35 New Main Building High Quality Building; Enabling Medical Excellence

36 Privacy & Confidentiality

37 Wayfinding o o o Spatial disorientation Reduce staff numbers Simple clues

38 Humane Impact Optimistic Environment

39 Improve Safety Improve EBD Safety & Universal Access o o o o o o Reduce healthcare associated infections Reduce slips, trips and falls Improve staff to patient communication Reduce patient stress (sleep & noise) Reduce patient transfers Increase bed availability

40 The Heart of the Building Permeability & Openness / 365 Day Space

41 Patient Care Areas Emergency Room

42 Pathology Laboratories

43 Diagnostic Imaging

44 Volume, Light, Space, Materials - Nature

45 Sustainable Design and Lifecycle Costs

46 o Project is Demonstrably Successful o Delivered on Safely, on Schedule & Budget. o Reason for the Predictable Outcome was: o Organised Structure peopled by Experienced Personnel o Project Procedures, progressively updated o Detailed Programme, maintained Current. o Solid Coordination Process: o SVUH o Design Teams o Sub-contractors o Main Contractor o Clear Strategy on Quality. Summary

47 St. Vincent s Private Hospital/120 Bed Ward Block

48 Thank You Very Much!