INTEGRATED CARE PROVISION
The configuration of the hub provides a standardised grid optimised for the clinical room sizes.
The MMC system-based design
approach enabled the project to deliver a combined MMC value of 78% with high levels of pre-manufactured value (PMV), equating to over 60% of the overall build. Key elements contributing to the PMV fall into a range of MMC categories, and include – for example – the pre-cast concrete lift shafts, pre-cast concrete staircases and concrete floor planks, and pre-manufactured MEP systems. Limiting the number of variations in the repeatable components also enables the customer to realise operational efficiencies in the maintenance of the hub. There are multiple additional prefabricated elements; these include staircases, external linking and escape walkways, doorsets, clinical room WHB / WC IPS units, reception desks and staff bases, lighting, wiring, and control systems, roof-mounted ductwork, air-handling units, and all switchgear and distribution boards.
Early involvement and implementing standardised features The early involvement allowed Willmott Dixon to work with Central Bedfordshire Council, the ICP, GPs, and local providers of NHS services, to develop this standardised service model and schedule of accommodation. They held several workshops with key stakeholders to understand their needs and tailor the Cura offering to suit this. The project team’s commitment to
sustainability is exemplified through Grove View. The hub is designed to minimise its carbon footprint by implementing energy- efficient technologies, renewable energy sources, and eco-friendly low embodied carbon materials. Green spaces and biodiversity enhancements contribute to a healthy environment, promoting wellbeing for patients and staff alike. Sustainable features include:
1. Building fabric performance: Grove View’s fabric performance goes well beyond Part L regulations, with enhanced U-values and a robust airtightness
114 Health Estate Journal October 2023
Grove View ‘boasts a thoughtful layout, efficient use of space, and seamless flow between each department, ensuring a user- friendly and accessible patient and staff environment’.
performance of 1.89 m3 /hr/m2 , ensuring
superior energy efficiency with a low Energy Use Intensity (EUI).
2. Energy monitoring: Grove View utilises energy monitoring as part of its commitment to sustainable operation. The building is equipped with sub-metering systems placed strategically throughout the facility to monitor departmental usage and sub-divide tenant costs. These systems are integrated with a central Building Management System (BMS) that logs energy usage. The collected data is benchmarked against design stage expected usage and analysed for optimising energy consumption. Seasonal commissioning further assesses the data, and adjusts building systems accordingly to align with climate and seasonal changes. Additionally, an independent Post Occupancy Evaluation is scheduled one year after occupancy to evaluate the building’s performance comprehensively, and provide recommendations for further energy improvements.
3. MEP system design: The design of Grove View’s mechanical, electrical, and plumbing (MEP) systems incorporates various energy-saving features, and the building relies entirely on electrical services, eliminating the need for fossil fuels. Air source heat pumps are used for heating, electric boilers, and hot water storage for hot water generation, and photovoltaic systems for renewable energy generation, reducing overall energy consumption and environmental impact. Each wing is served by a dedicated air-handling unit, which allows for ease of future alteration while minimising disruption to other departments. Grove View, with its emphasis on early engagement, placemaking, and the innovative standardised Cura model, represents a ground-breaking approach to integrated health and care delivery. By actively involving stakeholders,
delivering services within the heart of the community, and implementing a patient- centred model of care, Grove View is poised to transform the local healthcare landscape. As patients, service-users, and healthcare providers benefit from improved access, personalised care, and enhanced wellbeing, Grove View sets a new standard for health and care facilities that prioritises community engagement, innovation, and comprehensive care delivery.
Anastasia Chrysafi
Anastasia Chrysafi has specialised in the healthcare sector for over 20 years, including working in advisory roles to the NHS and the private sector across the full range of health and care provision. Starting her career as an NHS advisor for the selection of a private sector LIFT partner to deliver a range of primary and community care buildings, she has more recently led the development of Cura, Willmott Dixon’s pre-designed integrated health and care hub solution. She currently leads Willmott Dixon in the CCS/NHS ProCure23 Framework, supporting the NHS in achieving improved levels of efficiency and performance in the delivery of sustainable healthcare buildings.
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