HOSPITAL DESIGN
organisation, how they work as a commissioning organisation, and where they see their long-term future’. Christopher Shaw added: “Sometimes it feels like we only go as far as the NHS Long Term Plan – the point at which most of the buildings commissioned under HIP will just be starting to operate. We need to think far beyond that, and far more confidently about the processes.”
North Manchester General Hospital, Stage 1 design.
services engineers, and structural engineers; indeed among all of those involved in developing briefings. He said: “It’s a comparatively small pool, and it’s really no good going into a procurement saying we want a team for our project with experience of designing, say, a couple of £500 m hospitals in the last 10 years, because there are very, very few people with such experience. There thus,” he continued, “needs to be an understanding of how we can use a very limited pool of experience, and get that working for us, rather than expecting one or two individuals to spread themselves extremely thinly over a large number of
projects.” This goal required ‘a degree of central planning to achieve that sort of process’.
Christopher Shaw said that sometimes, NHS organisations also needed ‘to better understand the responsibility of being a client’. He expanded on this: “NHS Trusts looking to develop major build schemes need to build a custodianship of design, and an ownership of the estate – the sense that ‘this is my city, and something important’, rather than just a bureaucratic process we are going through that will magically result in something at the end.” NHS clients involved in HIP processes needed to ‘think about the shape of their
Hospitals ‘like cathedrals’ Nor, he said. should the sector forget – when considering the redevelopment of a health facility – that ‘hospitals are like cathedrals’ – in being very important to the wider community. Christopher Shaw elaborated: “Hospitals shape the culture and the way we see the community and ourselves. They typically have a significant local impact, and are much loved. They should be considered in a broader context than they have been recently, as part of a wider urban city planning process. We thus need to be thinking about elements such as transport systems, how people move, and the opportunities to flow through, as well as giving greater consideration than we are currently to the hospital and the public realm.” The speaker here pointed to what he and, he knew, his North East-based colleague, Paul Yeomans, would consider a great exemplar – showing a slide of the
March 2021 Health Estate Journal 21
©Sheppard Robson
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