FUTUR E HOS P I TAL
Designing the hospital of the future
As a programme of new hospital development begins to unfold, Kate Woodhead RGN DMS looks at how the NHS could ‘build back better’ – to design the hospitals of the future around the needs of patients and to improve staff wellbeing.
Recently the Government announced the selection process for the eight new hospitals which are to be built. The Secretary of State, making the announcement, said that the new hospital programme will transform the delivery of NHS infrastructure, together with the plans for an additional forty hospitals to be built or refurbished. Alongside this programme and new funding, comes a further tranche of funds to ensure that none of the scanners, CT and MRI, in the NHS are older than ten years.
The selection process will prioritise plans
which: l Transform joined up care for people providing an effective working environment for NHS staff, in line with the ambitions of the NHS long term plan.
l Ensure fair allocations of investment to level up across regions and provide value for money, with an emphasis on mental health Trusts.
l Implement stronger and greener NHS buildings that make the most of modern methods of construction to support sustainable, greener and efficient design.
The Government describes that experience will be shared across the schemes which will be built over the next decade, so they can be built as quickly as possible while prioritising
standardisation, digital technology, sustainability and modern methods of construction.1
Capital funding has, for some years, supplemented revenue spending and there is now a considerable maintenance backlog which needs funding. But the capital spending on NHS infrastructure is essential to long-term sustainability, to meet the needs of patients, unlock efficiencies
It is predicted that AI is firmly the technology likely to have the greatest impact on the transformation of healthcare and therefore the design of the hospital of the future. It may be able to increase provider productivity, improve diagnostic accuracy, enhance patient experience and deliver, overall, a greater quality of care for the patient.
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and help manage demand. The Health Infrastructure Plan2
cites that spending is
a fundamental of high-quality patient care, from well-designed facilities that promote quicker recovery, to staff being better able to care for patients using the equipment and technology that they need. The Plan also states that the capital funding will cover new hospitals, modernising the primary care estate, investment in new diagnostics and technology, and help to eradicate critical safety issues in the NHS estate. Possible barriers to delivery of the infrastructure plans relate to getting permission to build the new facilities. Where hospitals decide that they will reconfigure their services, they have to undertake public consultation, which greatly slows the whole process, making it costly and sometimes sending the outcome further up the legal permission process, which can also stop the plan in its tracks. A further potential barrier is the collapse of building firm Carillion, who had the greatest length of experience in building new hospitals, in conjunction with Brexit,
SEPTEMBER 2021
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