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PROJECT REPORT: HEALTHCARE BUILDINGS
department occupies one quadrant on another level.
David Lewis of NBBJ asserts that using this new building as a chance to “reconnect” this part of the city has meant this project has achieved a wide range of goals beyond just healthcare provision
As well as all bedrooms having copious glazing, staff have visual connection to the city and its landmarks, including the nearby Metropolitan Cathedral. Small meeting spaces have been placed at the edges of the staff bases next to the floor-to-ceiling windows to take full advantage of this. There has been a growing movement towards 100% single rooms in the NHS, principally driven by infection control requirements, post outbreaks of infections such as MRSA. David Lewis says that following major schemes such as Dumfries and Galloway Hospital going 100%, “it’s the way everyone is going to go.” With all- single rooms clearly being more expensive than wards in terms of capital cost, LUHFT did a clinical study which discovered that the shorter time spans that patients on average spent if they were in a single room meant an overall cost saving to the facility and better health outcomes for patients.
Wards
The architects “did a lot of work” with LUHFT to identify what bedroom design they really wanted. David Lewis says it involved questions like “do we have an inboard ensuite, do we have an outboard ensuite, is everything mirrored? He says that they “very quickly settled on what we call a nested ensuite.” This entails a square room template offering easy views in and good views out, with two ensuites ‘nested’ efficiently next to each other between each pair of rooms. “It is an optimum bedroom shape, because you don’t have an ensuite poking into it,” says Lewis, admitting that the only issue is it creates long elevations containing ‘strips’ of bedrooms. The shape of the wards was partly driven by the solution to this potentially overly- linear arrangement, with a design of two ‘wings’ of eight bedrooms flanking a ‘core’ of 12, surrounding a staff base. There are four of these wards on each level and due to the site’s shape they have slightly different dimensions on plan. One of the crucial benefits of the cranked shape is that the floor to ceiling glazing where each ward articulates provides excellent natural light into its staff base, as well as views out, and long corridors have been avoided. The repeated layouts of the ward floors allow the client to insert different functionality into some of them,” says Karsten, such as on level eight where one ward is allocated for infectious diseases; a radionuclear
WWW.ARCHITECTSDATAFILE.CO.UK Conclusion
Although reportedly 90% complete when Carillion collapsed in 2018, new contractor Laing O’Rourke had to remediate a “series of major defects” which were discovered after Laing’s predecessor left the stage. The decision was taken in December 2019 to push the opening date back to 2022, five years later than the original planned opening. It was also revealed that an additional £300m was needed to complete the project.
The delivery team handed the hospital to the client on 28 September 2002, which allowed a controlled, phased move to take place over 24 days. On the final day, 20 October, the Emergency department was successfully relocated into the new building, marking successful completion of the move. As David Lewis of NBBJ asserts, using this new building as a chance to “reconnect” this part of the city has meant this project has achieved a wide range of goals beyond merely healthcare. It represents “a sort of anchor tenant for the rest of the site development,” in this prime position, he says, bringing a strong punctuation to a block that has a prominent cancer centre, but integrated with both it and the university. In so doing it will be a major platform for attracting investment and talent, and thereby helping to catalyse more regeneration in the centre of Liverpool. g
ADF JULY/AUGUST 2023
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