ESTATE PLANNING
Construction of the Outpatient Assessment Clinic situated in the Beales department store in Poole.
to improve interoperability and enhance digital systems to reduce costs, waste, and delays, and create capacity and resilience.
Improving patient experience The heart of the design has always been to ensure that effective interaction could be achieved to ensure the best patient experience, and to rapidly reduce patient waiting times. The model at Poole successfully achieves this; it allows for a patient to be engaged within the community, with the right help being easily signposted. Ashleigh Boreham explained: “100 patients go through; of these we are finding that 54 do not need a surgical intervention – they need another type of intervention. That is 54 people that are not going to an acute hospital that are then being treated elsewhere, which is also then bringing other parts of the third sector and community together.” Increasing access to health and
wellbeing support through public health organisations, LiveWell and Active Dorset, has been a huge success for the project, as well as enabling the space to allow for signposting throughout the patient journey, and the physical presence of social prescribers and health coaches for targeted interventions.
Utilising the same workforce From a workforce point of view, the Outpatient Assessment Clinic was able to utilise the same staff. In the Poole model it allowed the removal of barriers and common frustrations that the workforce can often have in a traditional healthcare setting. Ashleigh Boreham added: “The idea is to use the same workforce – ‘lifting and shifting’ them into a new space that they co-designed to work differently, and that works better for them. We have only needed to very slightly increase our workforce, with one or two extra technicians, but that is all. “The beauty of these models is about people operating at the top of their licence. Allied healthcare professionals are also absolutely key to the models’
64 Health Estate Journal September 2022
A mammography room at the Poole facility, situated within the town’s Dolphin Centre.
success, because the consultant sees the patient when they need to, with the ‘run-ups’ undertaken by the appropriate people. The only extra staff were the operational support team – and here we’re talking about the Operations manager and volunteer co-ordinators, who are really key, and work in the Operations Room that sustains the facility. You can effectively take your team to a serviced office with full digital systems and back-up. You are
serviced better, you maximise your time there, and then you leave.”
n To find out more about Health Spaces, or to watch the full webinar, visit
health-spaces.com. The University Hospitals Dorset NHS Foundation Trust opened the centre at Dorset Health Village as part of its ‘Think Big’ project to tackle backlogged outpatient appointments.
Kelvin Moulding and Health Spaces
Kelvin Moulding is Principal of Health Spaces, a healthcare design consultancy and construction company based in Peterborough dedicated to NHS fast-track design and build turnkey solutions for both new-build and re-purposing projects. With over eight years’ experience in the construction industry, Kelvin is one of the founding members of Health Spaces, along with Rick Fentiman. A member of Architects for Health, a not-for-profit organisation ‘which
shares best practice, knowledge, innovation, and thought leadership, to help drive better healthcare environments’, he has overall responsibility for the direction of Health Spaces, and ensuring that the business continues to be an enabler for the NHS ‘to build better healthcare, faster’.
Kelvin Moulding is professionally trained in AutoCAD and design. Having begun his career at Health Spaces’ sister company, Inivos, a global med-tech business for the NHS, he has ‘experience and deep understanding’ of infection prevention and control methods and technologies.
Health Spaces said: “Kelvin works closely with the business’s Clinical Review Panel of current NHS and ex-healthcare professionals to harness the collective knowledge on current healthcare needs to help create and design solutions that go beyond the obvious clinical need – ensuring that there is an understanding of what is required from both the patient and nursing aspects of a hospital environment. Overseeing all design and build healthcare construction projects from start to finish, working alongside our design, commercial, and construction teams, he is responsible for coordinating the project team to ensure that objectives are met in full and on time for our NHS partners.” Health Spaces offers NHS Trusts ‘a solution to provide fully fitted, fully compliant, multi-purpose clinical spaces in high street locations throughout the UK, either as a leased facility, or as a design and build project’. It said: “This is a fast-track and cost-effective way of upscaling capacity, and is proving a popular way of tackling growing RTT (Referral-to-Treatment) waiting times in elective care and diagnostics.”
Courtesy of University Hospitals Dorset NHS Foundation Trust
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