Architecture & construction
the touch of a button. Rob Bailey explained: “We undertook detailed costings, and the use of the Blink glass offered the best overall solution in terms of balance between cost and usage. Hospital requirements are generally for one-to-one nursing in a CCD, but staff will at some stage need a break, or to visit the toilet. The glazed sections in the walls enable staff to monitor the patient in the adjoining room should there not be a nurse or clinician with them at the same time.”
All CCD single rooms will also incorporate fully serviced pendants. Rob Bailey said: “We designed these rooms with the full involvement of the infection prevention control team and the staff that will be using them. Once we have moved the Interim Minors Department onto the ground floor, we will remodel what we have already constructed on the first floor into the new CCD.”
Alongside extensively using BIM for visualisation, the BAM team created ‘mocked-up’ areas so that Trust personnel could see the models to clearly identify what the contractor was looking to construct. Rob Bailey said: “This enabled them to almost touch and feel what they were getting.”
Inclusive design strategy He added: “We also employed an inclusive design strategy, to ensure that all the relevant personnel had input into department and room layouts, and relied on collaborative team-working between the various Trust ‘clients’, and the project manager, architects, engineers, and external contractors.”
Moving to discuss the new Centre’s ground floor facilities, Rob Bailey explained that among the key design priorities were: staff, patient, and visitor health and safety; patient privacy and dignity; reducing waiting times; reducing aggression and violence; clinical functionality; ease of access and wayfinding; environmental sustainability, and building maintenance and operation. Once completed, the whole ground floor facilities will include Trauma and ‘Majors’ areas, and an emergency care step-down area, as well as a counselling suite. There will be three trauma bays, plus a CT scanner, and four step-down and Emergency Care beds. The ground floor will also incorporate 12 ‘See and treat’ rooms; three primary assessment areas, an Acute Frailty Unit, Majors See and Treat, and observation wards. Rob Bailey showed me a rendered image of one of the ‘Trauma’ bays. He said: “When we build up these images, you can really get a feel for what the bays will look like.” On the first floor, alongside the new 24-bedded Critical Care Unit, will be three existing associated Emergency Department theatres.
42 Health Estate Journal September 2016
These photographs were taken in March and May this year. To create the new UCAT Centre, BAM has maintained the existing shell, ‘demolished everything inside it’, and re-constructed it while both the adjoining ‘sides’ of the hospital remained ‘live’.
Existing ‘shell’ maintained Rob Bailey added: “To create the new UCAT Centre, we have maintained the existing shell, demolished everything inside it, and re-constructed it while both the adjoining ‘sides’ of the hospital remained ‘live’. The existing A&E Department has been able to continue operating with minimal disruption, which necessitated flexibility from everybody. Phase 1, which saw us create the Trauma area and the temporary first floor ambulatory emergency department, took about 14 months to complete.” Also located on the ground floor will be a new reception area incorporating a café and children’s entertainment area, and a separate reception for the urgent care and acute frailty unit. Work on Phase 3, the creation of the new first floor
CCD, will start this month (September). As part of the planning process, Rob Bailey explained, BAM employed a ‘Zero Harm’ ethos for all the construction staff and contractor personnel on site. He said: “For instance, we have designed and constructed intrinsic handrails to the parapets of the structural steel frame for the benefit of the construction staff now, and maintenance personnel in the future. We embedded collective safety and fall protection measures right through construction and then through to maintenance. We constructed the parapets to be higher than you would actually need, but this satisfies all the Building Regulations, and should ensure that when maintenance teams need to go onto the roof they will not be at risk of falling off.
© BAM Construction
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