HOSPITAL DESIGN 1 2 3 4
Existing plan: 100% clinical 23
6
74 m2 59 m2
Public facilities
Clinical exam/consulting rooms Treatment rooms Office space
Option 1: Separated suites 12
12 6
221 m2 26 m2 73 m2 39 m2
Clinical exam/consulting rooms Virtual consulting rooms Treatment rooms Office space
Public facilities Meet/training space Reception/admin space
Option 2: Partial integration 12
12 6
234 m2 45 m2 26 m2 20 m2
Clinical exam/consulting rooms Virtual consulting rooms Treatment rooms Office space
Public facilities Meet/training space Reception/admin space
Option 3: Hexagonal pods 12
12 6
233 m2 18 m2 86 m2 29 m2
Clinical exam/consulting rooms Virtual consulting rooms Treatment rooms Office space
Public facilities Meet/training space Reception/admin space
Figure 4: Spatial benefits and plan benefits. The existing plan shows a current ‘Outpatients’ layout. Option 1 explores how existing capacity could be increased by incorporating the consulting pod concept. Option 2 explores the further spatial benefits of incorporating pods and adaptable breakout spaces. Option 3 proposes hexagonal pods and break-out spaces to maximise spatial efficiency and increase the benefits to the Trust.
already being replanned so that, where possible, single direction routes can be used to avoid the crossing of patient paths, and enable social distancing at all times.
The good news is that with fewer patient rooms planned into the building, it should make it easier to maximise space, light, and views, for patients and staff. Equally, with more space to work with, patient rooms can be designed well and located exactly where they are needed. Now that digitalisation of healthcare services has arrived, and is here to stay, what does this mean for the future of healthcare when the pandemic is over? The new technology, along with the associated working processes and care pathways, have now been tested and proven. The opportunity is for digitalisation to be fully embraced and developed to support the new ways of working, that are better for all. This would result in: n A reduction in the number of physical visits to hospitals, enhancing patient convenience, and generating cost and space savings for Trusts.
n More home working for both frontline and support staff, saving time on travel, giving healthcare personnel more time at home, and freeing up space within healthcare facilities.
n A reduction in the size of the physical estate required for healthcare services, and/or an increase in capacity within the existing estate boundaries.
n Support for the UK’s climate change targets – by reducing the healthcare estate’s carbon footprint through reduced travel and operational use.
Sharing emerging ideas
The pandemic has been experienced on a truly global scale. Healthcare provision and design are vastly different in many countries, but sharing emerging ideas about the most effective use of space, and new design approaches, can only be positive. Healthcare provision, and hospitals’ work patterns, are changing rapidly, not only in the face of episodes such as the pandemic, but also because new technology is developing and
Guy Barlow
Guy Barlow BA (Hons), Dip Arch, MA RIBA, is joint managing director at The Manser Practice. He has led on The Manser Practice’s work in the healthcare sector over the past 15 years. Joining the practice in 1999, he has worked on a wide range of projects, including delivering masterplans, transport buildings, hotels, and housing. He brings this diversity of experience to innovating in healthcare design. He set up The Manser Practice’s northern office in York, from where the team delivered the award-winning NGS Macmillan Unit – a 2,140 m2
purpose-built
cancer unit to the rear of the Chesterfield Royal Hospital campus. Completed in 2017, the project consolidated the hospital’s
various cancer facilities and the Macmillan pastoral care services into one unit, linked to the main hospital via a glazed bridge. He is also leading the design and delivery of the new Isle of Man Ferry Terminal in Liverpool, which will be the only building owned by the Isle of Man government off the island. It will provide a passenger experience like an airport, and be viewed as an embassy for the island in Liverpool. It has been designed to sit within the World Heritage site as part of the extensive docks redevelopment.
July 2021 Health Estate Journal 35
creating new possibilities for consultation, treatment, and care. The Government needs hospitals that are designed to cope with anticipated future pandemics, but that can also address new patient demands following pandemic-accelerated changes. Architects, administrators, technicians, and clinicians, must commit to delivering flexible healthcare environments that can be successfully reconfigured to keep pace with the fast rate of change.
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