HOSPITAL REDEVELOPMENT
took us a further 80 years to get to that point! Come the 1960s,” he continued, “and the 14-storey Thomas Kemp Tower, a classic 1960s tower and podium, was constructed.” The ‘tower’ contains the hospital’s A&E Department, surgery facilities, intensive care, most of the operating theatres, the delivery suite, and Special Care Baby Unit, and six floors of wards.
“Meanwhile in today’s Barry Building,” Duane Passman explained, “is the main imaging department, and 200 medicine and care of the elderly beds. The Barry Building is a four-storey building, with the first and second floors housing wards. Many of the rooms and wards are simply too old, outdated, and cramped, for modern healthcare provision.”
An aerial view of the existing Royal Sussex County Hospital. Dialysis specialism
The next major phase of development was the construction of the multi-storey car park and the Sussex Kidney Unit. Duane Passman said: “We were the region’s first hospital outside London to undertake hospital-based dialysis. The Millennium Wing, adjacent to the multi- storey car park and renal unit, was then completed in the late 1990s, while above the A&E Department on level 5, adjacent to the Thomas Kemp Tower, is the Pathology Unit. The site’s sloping topography means there is a six-floor differential between front and back.” One of the most well-known facilities at the Royal Sussex County Hospital site is the Royal Alexandra Children’s Hospital (winner of over 70 international design awards). Designed by BDP, also the architect on the ‘3Ts’ scheme, the ‘Alex’ was built by Kajima Partnerships, and completed in 2007. The £36 m building incorporates 100 inpatient and day case beds, 15 outpatient consulting rooms, three operating theatres, diagnostic and treatment facilities, a paediatric intensive care unit, an oncology day centre, a dedicated paediatric A&E Department, children’s outdoor play areas, and parents’ accommodation. The striking eight-storey building’s internal and
external design – it is often referred to as ‘The Ark’ – were strongly informed by young patients’ views; for example nearly all the patient rooms enjoy sea views.
Bringing things up to date Having spent the beginning of our discussion looking back, Duane Passman brought things up-to-date: “At about the time the new children’s hospital was completed, there was considerable discussion about redeveloping the front part of the site. When Duncan Selbie (now Public Health England CEO) arrived as Trust CEO in 2007/ 2008 from the DH, things started moving on apace.” The first major consideration, however, was ‘a simple but critical’ one – how to find a way of building new facilities, because the site is so densely developed. Duane Passman elaborated: “The only thing we could think of was to look at the site’s lowest rise buildings – which are two and three-storey.” These, he explained, were the ‘old Trust headquarters’, the Estates Department and Occupational Health Building, the Latilla Building (Outpatients), the Stephen Ralli Building (mainly administrative facilities), the Nuclear Medicine facility, and part of the 1880s-
Scheme’s benefits at a glance
Among the major benefits of the ‘3Ts’ project cited by the Trust are:
New, ‘state-of-the-art facilities’ for over 40 wards and departments.
Moving 200 inpatient beds from 19th century buildings into brand new accommodation.
Sixty-five per cent of the beds in the new buildings will be single en suite, with the remainder in single-sex, four-bedded wards.
Increased capacity for the departments 48 Health Estate Journal March 2017
with highest demand, including Cancer Services, Neurosciences, Stroke Services, and Intensive Care.
Providing up-to-date Major Trauma Unit facilities.
Building a helideck so air ambulances can land on the hospital site, rather than in East Brighton Park.
Offering patients and visitors dedicated parking directly beneath the new buildings.
Making it easier for everyone to get around the hospital site.
built Jubilee Building (incorporating Infectious Disease, Oncology, and HIV beds). “These, we determined, were probably going to be the easiest buildings to get out of the way.
Major decant process
“However, “he added. “when you add it all up, what we have decanted from this area is the equivalent of seven floors of the Thomas Kemp Tower. We are now nearing completion of the decant phase, having also had new modular facilities built to house some of the departments displaced. In front of the Barry Building’s east wing, for example, we have erected a six-storey temporary modular building, accommodating the Nuclear Medicine, Radiopharmacy, and the Physiotherapy and Rheumatology Outpatients’ Department. We have also had a three- storey modular ward block extension built behind Pathology to accommodate patients from the Jubilee Block. The Trust HQ, meanwhile, moved out into St Mary’s three years ago, as did Estates and Occupational Health. Laing O’Rourke is the prime contractor on this major redevelopment scheme, while the modular building supplier is Portakabin.”
Stage 1 building
Once the buildings we had just discussed have been demolished, the new ‘Stage 1’ clinical building will be constructed – some four times the size of the children’s hospital, with two storeys below ground and 11 above. There will also be a new helideck on the top of the Thomas Kemp Tower.
The Stage 1 Building will replace the wards and departments in the Barry Building, and accommodate a new and expanded Neurosciences Centre, plus facilities to support the Major Trauma Centre. The lower floors will focus on outpatient and support services, including ENT, audiology, non-invasive cardiology, nuclear medicine, fractures,
© Brighton and Sussex University Hospitals NHS Trust.
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