HOSPITAL REDEVELOPMENT
Glenfield hybrid theatre will improve vascular services
A recent project at Glenfield Hospital in Leicester has seen Interserve redevelop and improve the hospital’s vascular, cardiovascular, and angiography facilities, with the construction of a new hybrid theatre creating what University Hospitals Leicester (UHL) NHS Trust describes as ‘a cutting edge and comprehensive centre for cardiovascular medicine and research on a single site’. James Gordon, BA DipArch RIBA, of scheme architects, P+HS Architects, discusses the project, and explains how the focus at Glenfield it is part of a wider drive to improve vascular services and diagnostic capabilities across the Trust’s estate.
Appointed by Interserve Construction for the redevelopment and improvement of Vascular Services facilities at Glenfield Hospital, P+HS Architects’ scope of works included new vascular inpatient wards, an angiography treatment suite including stage 1 and 2 recovery, and the expansion of theatre provision to include a new state-of-the art hybrid theatre. Hybrid theatres, a relatively new concept that combine an operating theatre with an interventional radiology suite, are becoming increasingly popular; they can
be used either as a conventional operating theatre or as a radiology facility, but their real value is in combining the two – allowing intraoperative and post-operative imaging and intervention. Hospital Trusts recognise the benefits in improving patient experience, clinical outcomes, interdisciplinary innovation, and efficiencies in the delivery of surgery. Hybrid procedures such as those within cardiac/vascular interventional work have been performed in ‘cath labs’ for many
years. The advent of hybrid theatres now allows multi-disciplinary procedures in neuro, orthopaedics, trauma, and vascular, to be delivered in what has become an image-guided operating room. At the forefront of this emerging area of theatre design, P+HS Architects has been invited by a number of private providers, as well as other NHS Trusts, to provide feasibilities through to delivery for such specialist facilities.
A rendered image of the new hybrid theatre at Glenfield Hospital in Leicester.
Site-wide integration project The new hybrid facility at Glenfield Hospital is part of a site-wide cardiovascular services integration project. UHL NHS Trust is one of the leaders in the provision of cardiovascular services, and one of the biggest and busiest NHS Trusts in the country, operating across three main sites. The hybrid operating theatre will be used for both cardiology/cardiothoracic surgery and vascular procedures, and a joint approach has been taken to its design and development. The availability of diagnostics within a surgical operating theatre will allow integrated treatments, flexibility in procedures, and a reduction in consecutive waiting times.
Developing the design The design team worked closely with UHL’s Major Project Team and clinicians to define the specific requirements of the clinical brief to ensure that these were incorporated into the proposals. Central to the theatre’s design is collaboration and co-ordination with specialist equipment suppliers, and consideration of design aspects such as the necessary working space for clinicians, clinical storage, infrastructure, plant room accommodation, radiological protection, and access for the maintenance of equipment.
The Glenfield Hospital hybrid theatre from the control room. 56 Health Estate Journal April 2017
The UHL Trust explained: “The new facilties are situated at first-floor level in a combination of an existing building
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