DATA AND DIGITISATION
lighting, temperature, and ventilation can be adjusted automatically in a room ahead of a patient’s arrival, or sensors may be able to see which bays are vacant or occupied in real-time. This offers both operational and experiential benefits. Similarly, energy performance monitoring will enable real-time consumption data analysis to identify inefficiencies and optimise energy use. This will enable the estates team to simulate operational changes and forecast outcomes, reducing waste and supporting sustainability targets. The digital twin will provide real-time insights via digital dashboards. These tools will allow estates teams to test scenarios and make informed decisions without disruption. In this way, the digital twin will become a practical decision-making support tool, not just a future-gazing innovation.
Managing complexity Hospitals are among the most complex developments in the built environment. They contain tens of thousands of elements, from major plant systems and lifesaving medical equipment to structural components and internal finishes. Different stakeholders have different requirements for the
data they use and manage. Coordinating this information and ensuring consistency across all parties is a major undertaking. At Monklands, this has been addressed through strict
data structure protocols and adherence to the ‘golden thread’ principle. This means maintaining a continuous flow of accurate, verifiable information throughout the project lifecycle. It will ensure that once the hospital is operational, the digital twin will remain a reliable source of information for years to come.
Data compliance is checked rigorously. BIM models are populated not just with geometry, but with operational data – such as product specifications, maintenance timelines, key contacts, and warranty information. This will enhance the value of the digital twin during the operational phase, enabling seamless integration with facilities management systems. Another challenge is managing volume and communication. With so many systems and stakeholders involved, aligning terminology and expectations is no small task. For instance, an engineer might define an asset differently to how a digital consultant or architect would. Establishing shared naming conventions and responsibilities across the board has been crucial to avoiding silos and ensuring smooth operation between systems. The success of a digital twin depends not only on how it is built, but on how it is used. A well-designed twin must
A single patient bedroom in the new digital-first hospital.
Monitor • Temperature (inc freezers)
• Air Quality • Radon/Radiation • CO2 • Pathogens
Manage • Software Platform
• BMS Integration • Alert • Auto Response • Audit Compliance • Energy Saving
Mitigate • Poor Ventilation
• Financial Loss • Disease Risk
www.airsentry.co.uk October 2025 Health Estate Journal 113
See us at
Healthcare Estates STAND C36
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