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HOSPITAL REDEVELOPMENT


enhance the therapeutic nature of the accommodation. With land sale areas designated for future housing along the south-western and northern boundaries of the site, the masterplan nestles the new hospital into the south-eastern portion, surrounded by an aspect of trees on three sides.


The steep topography of the site – decreasing south-easterly towards the mature woodland – creates unique opportunities to exploit the visual interest of the natural setting, with high quality views from inside the hospital and within the surrounding landscape.


A village campus that ‘mitigates boredom’


The overarching vision for the facility is to provide a ‘village campus’ focusing on the individual patient and staff experience, breaking down the accommodation into several buildings arranged around the site. It is well recognised that in secure mental health inpatient units, boredom leads to challenging behaviours and poor physical health. From project inception, a key driver for the resulting design was thus to ensure ‘a meaningful day’ for all patients, to promote recovery through activity. The campus has therefore been designed to ensure that as many spaces as possible, both inside and out, offer opportunities for mitigating boredom. This is achieved in a range of settings, from bedrooms to living spaces, and sheltered gardens to open courtyards, with opportunities for both structured and unstructured activity and sports.


Therapeutic environments for mental and physical wellbeing The six wards are paired together and arranged around a large, shared external recreation courtyard. At the centre of each ward, a private landscaped courtyard for relaxation is also provided, and between each pair is a designated activity courtyard, marked out for exercise and sporting activities. This arrangement offers immediate and safe access to a variety of different outdoor areas, with a focus on mental and physical wellbeing at all times. In each ward, the bedrooms are arranged to face outwards, with views across to the surrounding mature woodland. The majority of the day activity and living space is at the centre of the ward, with direct access outside into the courtyards. Abundant daylighting, attractive views, and a sense of spaciousness, contribute to the therapeutic qualities of the environment, play an important role in patient treatment and rehabilitation, and provide an uplifting working environment for staff. The shared central external recreation space is separated into two distinct character zones –‘Passive’ and ‘Active’ – to ensure that all patients and staff are able to access and utilise the space safely as a treatment resource, irrespective of their needs at any given time.


THE NETWORK | OCTOBER 2021 Modelling showing the proposed configuration of the various facilities at the redeveloped hospital. The ‘Passive’ zone provides


opportunities for refuge. These smaller- scale spaces offer a sense of enclosure, combined with views out to the wider recreation area to provide gentle enticement into the activities offered. Areas for undertaking horticulture activity are provided, as well as restful places to sit and view the surroundings.


‘Active’ zone’s jogging/ walking loop


The ‘Active’ zone includes a 200 m jogging/walking loop, activity spaces, and a fitness ‘trim trail’, to promote physical activity and the associated benefits for mental wellbeing. Within the main reception building – which provides the public frontage to the facility from the main site access – a covered sports barn allows activities to continue in all weather conditions, with viewing opportunities into this area from the adjacent shared patient lounge and gym.


Internal environments for relaxation and activity


To maximise the opportunity for activity in as many patient spaces as possible, the design of the ward interiors stemmed from a detailed re-imagining of how a bedroom space could work. It acknowledged that


this patient group could choose to spend time in their own room, even though use of common spaces is actively encouraged throughout the day.


The fitted furniture is of bespoke design, an evolution of previous designs for other Trust projects. It was important to consider that while a standard desk area could be incorporated, it should also be re-imagined to assist with a personal workout, which could take place at the start or end of the day, outside of scheduled recreation time. Adequate floor space for exercise, and a suitable television location allowing easy viewing from the bed or floor, allow a patient to either relax, or to be more active, by, for example, following an online workout.


An important ‘transition’ The transition from private bedroom to shared circulation or day spaces is important; the bedroom corridors are single-sided, with immediate daylit views out across the carefully landscaped ward courtyards from each bedroom door, allowing immediate balance of the circadian rhythm and orientation. Other on-ward day spaces were developed to offer variety, while enabling observation and safe interaction between staff and patients. Drawing on our experience in


The ‘overarching vision’ for the facility was to provide a ‘village campus’ focusing on the individual patient and staff experience, breaking down the accommodation into several buildings on the site.


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©Medical Architecture


©Medical Architecture


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