HOSPITAL CONSTRUCTION
Construction products for the new hospital – including concrete floor-slab elements, walls, structural columns, and architectural façade sandwich panels – are designed, manufactured, tested, and commissioned, at the EIP facility.
has been committed to building services. The design has estimated that 17 major mechanical risers will be required to accommodate The Grange’s mechanical services, and these are currently going through pre-assembly at our factory at Oldbury near Nottingham.
Infection control considerations Not only is The Grange University Hospital earmarked – on its completion – to be among the most state-of-the-art, user- friendly, and patient-centric hospitals, in terms of its design, logical wayfinding, and build quality, but the high quality finish and the design-engineered simplicity will also play a critical role in infection control. At every stage we have had to consider the environment’s intended use, and ensure that future-proofing and future maintenance are integral within the design. The consideration of how dust forms and moves is one part of the interrogation we apply when working with the healthcare sector. Factoring in what will make it easy for cleaners to do their job, as well as how intricate components – such as grouting and grilles – can be maintained and replaced easily, are central to an infection control programme.
ABUHB’s Liz King said: “The level of design detail required in developing The Grange – and any healthcare facility – is often underestimated. So much focus goes on eliminating difficulties for staff – for example making the cleaning process as easy as possible. The floor needs an integrated skirting system, and wall materials, door handles, and grouting, need to be easy to clean. Everything needs to be designed with infection control at the forefront. In addition, analogous rooms need to have the same layout so our staff can work anywhere and know where elements such as data points – which are critical for clinical safety – are quickly. The partnership between Laing O’Rourke with its DfMA approach and the architects created a real standardisation of product. As the components are developed in a factory, you get both a consistent product, and the quality and standards that need to be met.”
52 Health Estate Journal January 2019
Close working relationship The close working relationship between Laing O’Rourke, Gleeds, and ABUHB, has been central to the project’s delivery. The location of the clinical experts from the ABUHB in the same office as us, and the ongoing partnership with the clinicians and their input into what is required, help maintain the focus on patient need. Our partnership includes weekly site tours. Each stage is reviewable against the initial design programme, and the data that we collect from the digital process reports the project status, both commercially and in terms of design and progress. Through DfMA we can capture the required information on speed, quality, and safety. Victoria Head and Clare Grace, project managers for the ABUHB, say that the DfMA process adopted for the Grange University Hospital project is seeing an approximately 30 per cent faster construction programme than had a traditional construction methodology been adopted.
We are 12 months into the construction of The Grange University Hospital project. We came out of the ground in March last year (2018), when the first columns arrived from EIP, and at the time of writing we are already four floors up into the ward areas, and at level five in the D&T block.
‘Astonishing’ progress
We are pleased to report that progress on the scheme has been astonishing. In 2008, Laing O’Rourke proposed its operating model of a self-delivering pre-assembled DfMA solution that would push the 70:60:30 agenda hard, and, 15 years on, this model has remained intact, and the optimum solution is being demonstrated at the Grange University Hospital. ABUHB’s Liz King added: “Our ambition is to build a hospital that will be a significant addition to the people and communities across Gwent. On completion, we will be able to offer those who need it additional staff for more hours of the day. Through a co-location approach, we will have all our specialist doctors, therapists, and nurses, dealing with specific illnesses from one location,
and we can offer a far more holistic healthcare package, proven to provide a far better outcome for patients. It is important to us that the population of Gwent is proud of the Grange University Hospital, that they think it is a great building and healthcare facility for the community, and that we have spent the money well in its services, provision, and design.”
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Mike Lewis
Mike Lewis, project director, Laing O’Rourke, has over 35 years’ experience spanning both the building and infrastructure sectors. Since joining Laing O’Rourke in 1987, he has been responsible ‘for some of the UK’s most challenging public and private sector engineering projects’. He set up and led the Laing O’Rourke Wales and West business until 2010, before leading the specialist in-house mechanical and engineering (M&E) subsidiary and becoming a member of the European Leadership Team. During this period of his career, he oversaw the delivery of healthcare projects valued at over £0.5 billion, 82 educational facilities, Heathrow Terminals 5 and 2a, and London’s Leadenhall Building and The Francis Crick Institute. His other projects have included the St David’s Hotel & Spa, the Millennium Stadium in Cardiff, and, currently, the Grange University Hospital in Cwmbran.
©Paul Davies
©Paul Davies
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