ARCHITECTURE & DESIGN
vibration modelling and maximising floor stiffness within available floor zones. Treatment suites also anticipate the speed at which medical treatments may develop. The heavy linac bunker radiation shielding, for example, is demountable, allowing this area to be dismantled and re-designed should less invasive cancer treatment be available in the future and linac procedures no longer be required.
Meeting a range of plant tower requirements
It was not just the structural engineering team that had to rethink its approach. The division of the hospital into ‘Science of Treatment’ and ‘Art of Care’ zones on each floor required the building services engineers to be just as flexible. This arrangement posed a challenge, as the ‘Science of Treatment’ zones require high levels of ventilation and stringent air treatment and filtration, meaning these areas are best placed next to the building services plant. To accommodate this, we developed a stacked services strategy, with a pre-fabricated plant tower at the rear of the building. Dedicated air- handling units and external ductwork then supply fresh air at each floor level. This enables the heavily serviced operating theatres, aseptic suites, and other highly controlled spaces to sit at the back of the building, while the ‘Art of Care’ zones, which have lighter service requirements –
including the naturally vented consult- exam rooms – sit at the front. This arrangement improves building flexibility, as air is handled on a floor-by- floor basis, which means that if in the future the hospital wants to re-fit and change the use of floors, it can do so simply without affecting the operation of the adjacent levels.
The Guy’s Cancer Centre is formed from a number of stacked ‘villages’, each relating to specific patient needs, with medical equipment located throughout the building.
Buildings that evolve with use One of the most rewarding activities as an engineer is walking through a building you have worked on and seeing this space bought to life. The brilliant aspect about the Sainsbury Wellcome Centre, Francis Crick Institute, and Guy’s Cancer Centre, is that, if we walk through these buildings in a year or two, they will be subtly different, yet we know that it has been the engineering design that has enabled this multi-functionality. To create a building that evolves with its users is more cost- effective, yet, more importantly, also allows the users to stay at the top of their profession, with respect to the wellbeing of people who are in need of medical help and who benefit from research. All of these buildings are about teams and collaboration; going against the grain, working together to break boundaries, and challenging convention. This will be critical for the UK to remain at the forefront of medical research, sciences, and engineering.
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Brandon Medical Co Ltd Elmfield Road, Morley, Leeds, LS27 0EL T: +44 (0)113 2777 393 F: +44 (0)113 2728 844
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THE QUEEN'S AWARDS FOR ENTERPRISE: INNOVATION
April 2017 Health Estate Journal 45
© Rogers Stirk & Partners.
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