CONSTRUCTION
The ¤650 million Erasmus Hospital in Rotterdam, created by BAM (Royal BAM Group) and completed two years ago, is the Netherlands’ largest hospital, and harnesses biophilic design.
form a range of measurable metrics. BAM is pleased to be among the first ‘early adopters’ of this Value Toolkit to apply it in practice. See the links at the end of this article for further information. We are also managing the third part of the Hub’s programme, which relates to platform design – which will underpin the way construction is delivered for many buildings in the future. The task is examining how to take advantage of current approaches to Modern Methods of Construction (MMC), such as elements designed for offsite manufacture and assembly. This means embracing the repeatability and production-line capability common to the automotive or aeronautical industries. Platform design aims to create a ‘rulebook’ that comprises a ‘kit-of-parts’, and standardisation aspects, to be utilised within a proper scalable environment for the construction industry.
Deployable across multiple building types
The rulebook and platform-based design construction system for manufacture and assembly will then be deployable across
multiple building types, offering significant benefits in quality, cost, delivery time, and whole-life value. Solutions will be deployed at scale, with design integrated, manufactured components, and sub- assemblies that will adhere to new interface standards. This has made developing the ‘rulebook’ the main focus, so that it provides governance supporting wider adoption, and providing guidance on how the system can support delivery. It is the key to unlocking progress, and becomes an enabler for transformation. These technical innovations mean construction will begin systematically bringing the benefits of speed and efficiency that were originally delivered through the NHS Nightingale programme. Using the BIM Framework, healthcare teams will generate design options based on the relevant factors from the outset – including standard design, whole-life costs, local benefits, zero carbon, sustainability, and optimising the use of MMC. This supports achieving the Government Construction Strategy targets of creating buildings 50% faster, with costs lower by 33%. The much-
anticipated platform approach will emerge from the Construction Innovation Hub during 2022. It is exciting to be involved, as change moves from theoretical models into real engineering solutions.
Change that is already happening This new approach will allow innovations to be standardised and scaled up in designs – the Hub found over 100 different designs for toilets alone, highlighting how much more efficient and cheaper standardised designs will be. Many spaces, even in complex clinical environments, have common areas capable of repeatable design. Wards and bed spaces, kitchens, utility rooms, consulting and interview rooms, staff rooms, and many other areas – even MRI and specialist theatres – share common elements. The ProCure22 Framework has encouraged the use of standardised room areas for many years, and has been ahead of its time.
Creating the ‘intelligent hospital’ Healthcare infrastructure specialist, Archus, has been engaged in creating the ‘intelligent hospital’, applying similar principles to those of the Hub to create a ‘library’ of standard components that ‘engineer in’ zero carbon and circularity principles to reduce waste, and account for the opportunity of using Modern Methods of Construction. Archus has formed ‘repeatable clusters’ that can be applied to healthcare design using MMC, as part of its ‘New for Old’ national programme, helping to simplify and streamline investment decisions, and standardising planning and decision processes. We are working with Archus now at the Royal Cornwall Hospital.
A patient bedroom at the Erasmus MC Hospital. BAM says the Rotterdam healthcare facility was ‘designed with patient care at its heart, using spaces structured around patient themes like the brain and senses, oncology, and circulation’. Its ‘healing environment’ offers ‘a comfortable, safe, and healthy space, supporting recovery’.
52 Health Estate Journal June 2021
Think assets, not buildings; think data not raw materials, think whole-life Data drives using our buildings better, and improving their performance. The better the data is, the smarter one can manage costs over an asset’s lifetime – taking advantage of proactive and preventative
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