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Over 100 key ‘transformational’ projects set for delivery
NHS Property Services (NHSPS) – which manages some 10 per cent of the NHS estate – says that over the next three years it will deliver over 100 key ‘transformational’ projects that will ‘make essential improvements to the healthcare estate for the benefit of patients and healthcare professionals’. NHSPS said: “These will improve current facilities, including via the building of new healthcare centres – such as a new hospital in Hythe & Dibden, and see the disposal of vacant NHS space. As well as reinvesting in frontline patient care, we will deliver on the NHS Long Term Plan by creating green prescribing sites to provide patients with a holistic approach to health and wellbeing, and address the rising need for mental health services as a result of COVID.” Alongside the refurbishment of space, the projects will see the disposal of unused space,
releasing up to £150 m in savings for reinvestment into frontline patient care.
NHSPS is working closely with its customers on these projects, using its national and regional expertise to solve local
healthcare problems and support the delivery of Sustainability and Transformation Partnership plans. It said: “For some localities this will see the development of brand-new facilities, while for others, the focus will be on refurbishment, or ‘re-purposing’ of space.”
Simon Taylor, head of Portfolio Optimisation, NHS Property Services (pictured), said: “By using the estate more efficiently, over the coming years we can provide better quality spaces for the provision of healthcare, which will improve patients’ experience, and create better environments for healthcare professionals to deliver care from."
NHS England endorses ‘manufacturing- led approach’ to construction projects
New guidance recently issued to NHS estate directors states that adopting a ‘manufacturing- led approach’ to the design and construction of new projects will offer the greatest opportunity to improve efficiency and productivity across the estate.
It outlines a 40% increased
efficiency for ‘manufactured’ schemes, versus 20% for ‘volumetric’, and only 10% for component-led. Bryden Wood, a ‘hi-tech design practice’ which offers services ranging from architecture to Design for Manufacture & Assembly, was an advisor to the Government on the guidance – which stipulates that while detailing the use of Modern Methods of Construction, every new business case must also specifically outline how ‘a manufacturing-led approach’ can be maximised. In a ‘manufactured approach’, new, standard components are developed and assembled using modern techniques onsite – via ‘an entirely bespoke solution, with high levels of customisation, delivered by a standardised process’.
Jaimie Johnston – who leads Bryden Wood’s work with NHS England – explained: “In 2019, the Government issued a ‘presumption’ in favour of
16 Health Estate Journal January 2021 Modern Methods of
Construction, meaning all new schemes must start out as MMC. The announcement detailed the numerous benefits of MMC, and the three categories within it: volumetric, component-led, and manufacturing-led. Now, NHS England and the Department of Health & Social
Care have gone much further to highlight manufacturing-led construction as offering the greatest opportunity to improve efficiency and productivity, with the highest levels of customisation, and overall cost saving. Indeed Martin Rooney, Estates Delivery lead at NHSE/NHSI, has written to Trust Estates directors across England making clear that Trusts developing new capital schemes should utilise MMC wherever feasible.” Key MMC benefits cited include:
n Reduced construction time due to off- site factory production and on-site component ‘smart assembly’.
n Higher quality standards. n Smaller on-site construction teams, less disruption to site, a lower health and safety risk, and fewer post-completion defects.
n A reduction in workforce, project time and cost, plus improved safety and quality throughout the asset’s life.
Major upgrade for women’s and children’s services
Birmingham is set to benefit from two new ‘family-centred’ hospital buildings, with the local NHS Foundation Trust having awarded a design and technical consultancy service contract to architectural practice, BDP. Along with its partners, BDP will develop design solutions for Birmingham Women’s and Children’s NHS Foundation Trust for modern, specialised paediatric and women’s healthcare facilities. The £442 million project will upgrade emergency and theatre departments, increase intensive care capacity, and enhance inpatient wards and outpatient clinics.
A team of designers, engineers, planners, and cost consultants from BDP, Arup, Archus, and WT Partnership, will lead the redesign of Birmingham Women’s Hospital (above), including the introduction of a new building. They will also design and engineer a new clinical building at Birmingham Children’s Hospital (below) on Steelhouse Lane – adjacent to Waterfall House – a children’s healthcare building designed by BDP and completed in 2018. The new, ‘innovative and energy- efficient’ Children’s Hospital will include emergency and theatre departments to replace existing services, additional paediatric intensive care capacity, and new inpatient wards. The Women’s Hospital project will enable the Trust to replace its inpatient wards, expand services for specific gynaecology theatres and birthing rooms, and ensure sufficient capacity within its outpatient clinics. The design approach for both buildings will aim to meet the standards set by the Government’s ambitions to deliver a ‘net zero NHS’ by 2050.
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