HOSPITAL REDEVELOPMENT
(a 28-bed Vascular ward, Vascular Studies Unit, and Angiography Suite), and a new- build (hybrid theatre). The development is located to the north of the Glenfield site. The hybrid theatre is constructed immediately adjacent to the existing theatre services, thus providing a seamless expansion to theatre facilities. The design solution delivers excellent clinical adjacencies for Glenfield Hospital’s vascular services, that recognise the patient journey.”
Finding a good location The Trust explained that finding an optimal site for the new facilities at Glenfield Hospsital was ‘initially challenging’; when one was found, this required the diversion of a number of existing mechanical and electrical services. It added: “Building within a live hospital site has also had its challenges, but good project management, clinical
‘‘
The steel-framed construction with concrete floors provides an adaptable shell in which significant mechanical and electrical equipment can be installed
liaison, and effective communication plans, have seen any major problems avoided.”
The operating theatre is, of course, the focal point of the hybrid theatre suite, and all other rooms and adjacencies are determined by its requirements. The new facility at Glenfield Hospital incorporates a floor-mounted diagnostic C-arm from Siemens Healthcare, with additional specialist equipment – such as ceiling- mounted surgical and anaesthetic pendants with integral monitors, gas and power outlets, articulated arms, radiation shields, and surgical lights – from Starkstrom, and an ultraclean ventilation
canopy supplied by Interfurn Medical Systems. Diagnostic equipment is managed from an adjacent control room, with an additional equipment room required by the equipment supplier. Further support accommodation includes an anaesthetic room, dirty hold, utility, clinical storage, and table store. The site choice enabled the team to develop a flexible solution with provision for future expansion, as well as sufficient space for plant and services.
An ‘adaptable shell’
The steel-framed construction with concrete floors provides an adaptable shell in which significant mechanical and electrical equipment can be installed. As part of the design team’s integrated approach, P+HS Architects developed the scheme in Revit, which included integration of M&E equipment, structural and civils teams, as well as clash detection in Navisworks. This approach proved successful for both detailed design co-ordination and improving communication with clinical end-users. The new building was largely completed in December last year, with the hybrid theatre expected to become operational this May.
Upgrade for specialist imaging services
Figure 1: A plan of a new angiography suite at Leicester Royal Infirmary. Improving the patient environment
As well as addressing the technical challenges associated with the various upgrades, P+HS has worked alongside clinicians to explore ways of improving the patient environment. One such success has been the installation of a Skyinside ceiling-mounted screen in the Catheter Lab suite at Glenfield Hospital; the moving images provide distraction, and the screen has proved particularly useful for paedicatrics and adolescent services.
Phil Bentley, director at P+HS, concludes: ”Since starting our commission for improvements to vascular services, we have developed a strong relationship with the client team at the UHL NHS Trust, and a deep understanding of the team’s requirements and estate, which has
helped us to provide a high quality, responsive service. Our work has involved close liaison with specialist manufacturers, and the ability to provide rapid design solutions within live hospital environments without detriment to patient flows. Reconfiguring smaller spaces requires complex engineering coordination and close dialogue with the Trust’s estate teams; the added value of the resulting new facilities is indisputable.”
Paediatric patients ‘much more relaxed’
Deborah Smith, superintendent radiographer at UHL, added: “Following the installation of the Skyinside ceiling- mounted screen, we have found our paediatric patients seem much more
relaxed and calm with the room light dimmed and the ocean scene video loop playing. The staff will ask the child to watch a particular fish while they breathe the anaesthetic gases, which helps to reduce their apprehension and anxiety over being in an unfamiliar area. The screen has helped to tone down the clinical feel in the room, leaving young patients much more relaxed, and not fighting the effects of the anaesthetic gas, which in turn makes the procedure a much more pleasant experience for the child, parents, and staff. The installation process went smoothly, and the service post- installation has been efficient and effective. This is an important feature of our newly installed procedure room, of which the staff are particularly proud.”
April 2017 Health Estate Journal 57
Following on from our work on vascular services for the Trust, we were approached by the Trust to look at a programme of works to upgrade
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60