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CONSTRUCTION


Installing the first of the oxygen tanks to the VIE – involving two cranes doing a tandem lift to get if from the horizontal.


Ensuring flexibility and resilience To reflect the need for flexibility and operational resilience, another factor that differentiates Exeter is how compartmentalised it is. We created five areas of between 22 and 24 beds, which can be used for different purposes – allowing the Trust to decide what it wants to do with this new facility, and providing the flexibility subsequently to change its mind or split up and change the functions. To say that he design process was different would be an understatement. The design team was just 24 hours ahead of us, sometimes less, and we had elements of work that were designed just one or two days, or even mere hours, before they were installed. This remarkable partnership owes a lot to our long-standing work with architect, Stride Treglown, and also the


Installing one of the 12 air-handling units onto the east plant deck that sits above the modular units below.


site-based MEPH design team, SDS. The design went through many iterations on a daily basis, so the extended team (BAM, Strides, Arup Fire & Structures, and SDS) worked tirelessly to assimilate the changes and iron out the issues, making sure they just kept in front of the installation team.


Individually serviced wards Each ward here is individually serviced and can treat its own patients. If and when NHS Nightingale Exeter is needed for COVID-19 purposes, the air-handling system incorporated can provide 10 air changes per hour throughout the whole building, which is almost theatre standard. All five wards are serviced by east and west plant per ward; this means that the hospital has a very diverse MEPH system which is fully integrated into a Building


Management System (BMS) that can be ‘seen’ from any of the Royal Devon & Exeter sites.


Heating and cooling can even be set to different temperatures for each ward, for instance to cater for wearing of different levels of PPE. Exeter is therefore a mini- general hospital at near-theatre standard performance, rather than a standard Nightingale Field Hospital.


Because Nightingale Exeter has such a good air change rate, it can admit patients who need full CPAP provision, with oxygen being delivered at 60 litres per minute to all 116 beds, or to be able to have a mixed use facility of patients being fully incubated on 30 litres per minute on a ventilator, or just general fresh air if they are in a conscious state, recovering from the effects of the coronavirus. BeaconMedaes was proud to be involved with BAM Construction advising on the MGPS design, and providing installation and equipment for the MGPS.


Drone-led surveying Ward B, now fitting out ready for use.


We used digital techniques such as drone- led surveying, especially for the roof – the building is 66 metres long – to which we had no access. Our MEPH consultants undertook a full Metaport scan of the site when it was in its initial stage as a store, and then again as an ‘as installed’ version. This scan gives a fully rendered digital view of the building which can be used for soft FM purposes, and even for measuring objects without going to site.


One of the completed ICU wards before the medical equipment and curtains are installed. Right: A CT scanner ready for use. September 2020 Health Estate Journal 35


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