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OFFSITE CONSTRUCTION


The aim is for patients to be in the department for under four hours. There are no inpatient stays in ambulatory care.


Unprecedented in scale and complexity


James Almond, director of P+HS Architects, said, “This construction project is unprecedented in terms of the scale and complexity, delivered in such a short timescale. We estimate it would have taken around 18 months on site to build this traditionally. With an innovative offsite solution and a completely focused client, design. and delivery team, it was operational nine months earlier. and well ahead of the busy winter period. This speed of construction was a critical benefit to the Trust in terms of significantly less on-site disruption to patient care, reduced waiting times, and a faster return on investment. The Trust made good strategic decisions, and forward planning was reflected in the design to futureproof the facilities to meet changing local needs.”


Stakeholder engagement The facility was designed collaboratively and inclusively in conjunction with stakeholders, via a clinical user group and led by P+HS Architects. This group was made up of around 25 healthcare professionals – including clinicians, nurses, and estates and facilities managers, who met on a weekly basis to develop and sign off the design. A team of users also visited


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The first floor accommodates one of the UK’s first purpose-designed ambulatory care units.


The clinical teams had full involvement from the inception of the project, so the layout, clinical adjacencies, and patient flows, work really well


the McAvoy factory in Dungannon to view the building in manufacture at first hand. The stakeholder group was very engaged in the building requirements, creating a precise brief, and setting out the clinical needs. This was a very informed client – having participated in the design of an entire hospital which opened only four years previously. As a result, there were elements the team wanted to do differently. For example, the clinical team felt a ward environment would not work effectively for ambulatory care.


Futureproofing


Flexibility for future growth had to be designed into the project from the outset. The facilities are constructed around a central corridor, to which a further wing can be added at a later date if required, mirroring the recent construction. The internal space was also designed to accommodate changing needs. The roof was structured to allow a light well to be constructed in the future to bring light deep into the upper floor of the building, creating greater flexibility in the range of


options for this space. This would allow more external wall area, and natural light for an additional ward if required. The plant room was sized to accommodate two further air-handling units for when the two other floors of the new wing are fitted out in the next phase, meeting the future demands of the building.


Using the latest digital technology advances


There is tremendous synergy between offsite construction and the latest digital techniques, which gives us the opportunity to radically improve the way we design and produce buildings for healthcare.


Harnessing the latest technology allows processes to be streamlined at the earliest stages of a project, to deliver shorter design periods and healthcare buildings that exceed expectations. It allows more effective collaboration internally, both with the supply chain, and with the Trust and its stakeholders. Shorter design periods are critical for offsite construction, as manufacturing needs to begin as soon


A nurses’ station. 150 Health Estate Journal October 2019


One of the waiting areas.


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