Ulster exemplar doc compressed by Minh Đoàn

An exemplar design for the Ulster Hospital

FIRA TRIBAL SECTA GIFFORD ROBINSON McILWAINE DAVIS LANGDON with

Mr. Brendan Smyth Project Manager Health Estates Stoney Road Dundonald Belfast BT16 1US Friday 4th November 2005

Dear Mr. Smyth Thank you very much for your invitation to attend a design interview for the award of the commission for the preparation of an exemplar design for the redevelopment and rationalisation of site services at the Ulster Community Hospital, Dundonald. Having considered the important functional, financial and technical requirements of the brief, we have prepared this proposal which we hope you will find stimulating and exciting. We have fully integrated our team’s design philosophy with our proposals, and you will find the phasing programme in the chapter entitled The Future. The cost report is included with this submission in a separate Appendix document. If selected, we very much look forward to working with all of the project team to develop the new hospital, and to assist you in creating a first-class facility for the whole community. We look forward to meeting you at the forthcoming interview. In the meantime, should you require any further information, please do not hesitate to contact us. Yours sincerely,

Claire Stenton Nightingale Associates

The team

The site

The brief

The form

Contents 05

Redeveloping the hospital

Aesthetic and facades

The future

Apx

Cost report, curricula vitae and programmes

The team

Robinson McIlwaine - Architects 2

5 6

Fira - Landscape Architects

The Bar Library, Belfast The Waterfront Hall, Belfast Wishaw District General Hospital, North Lanarkshire Giﬀord Studios (low energy, sustainable oﬃce), Southampton Peninsula Medical School, Plymouth Golden Jubilee Wing, King’s College Hospital, London

Giﬀord - Consulting Engineers

1&2 3 4&5 6 7 8&9

Nightingale Associates - Architects

Award-winning design

Organisation chart

Team ethos It is a fundamental principle in all Nightingale projects that clients’ requirements should form the first and central element in the design approach. We then employ a flat decision-making structure encompassing all of the firms involved, with each contributing design and brief interpretation skills. Because the competition structure restricts client contact during the process, first-hand client input to design is replaced by structured simulation of client input through a series of weekly workshops. This document outlines options and proposals that can provide a long-term optimal solution for the hospital site. We believe that we have put together a top-quality creative team capable of working very closely with you to produce a world-class facility that will not only fully fulfil its requirements today, but will stand the test of time.

The site

Health & social care The ﬁrst plans for a new road between Belfast and Newtownards were published in 1757. The ‘Great Road’ was built in 1758 on a direct alignment which established a signiﬁcant link between Dundonald and other population centres of the time.

Bird’s-eye view of Dundonald (1833)

The area was a district of stud farms, wheat, barley oats and meadows. Mills came with the Industrial Revolution, and by the 19th century, the area was provided with a railway line, schools and substantial private dwellings - though the foundation stone of the palatial Stormont building was only laid in May 1928. In 1920 Summerfield Farm was acquired by the Knock Golf Club and the links now provide a delightful backdrop to the proposed hospital development. With its picturesque open landscape, modest churches, inviting whitewashed cottages and unusual motte, Dundonald became an attraction for day-trippers and ramblers, though major housing developments in the mid-1900’s significantly altered its rustic character. The Ulster Hospital for Children and Women was founded in Belfast in 1875, but changed location several times over the years until the first sod was cut for the Ulster ‘Hospital of Our Dreams’ in Dundonald in 1956.

Dundonald development (1939)

Sketch of “The Hospital of Our Dreams” - Ulster Hospital, 1956

The new scheme was opened in stages during the 1960’s, and its buildings and the services they house must now be adapted to modern times and to the needs of today’s patients and those of future generations.

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View of the current site

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Breakdown of the current site and surrounding area

The Ulster Hospital’s catchment area

Dundonald’s motte

View of the hospital main entrance

Site analysis

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Key to the Site Plan 01

A&E

Ward Block

Workshops

CSSD / CDU

Theatres

Mortuary

Outpatients

Laundry

New ITU / Theatre Block

Administration

New Maternity Block (under construction)

Multi-storey Car Park (under construction)

Paediatric Wards

Ward

Care of the Elderly

Kitchen / Dining

New Renal Block (under construction)

College of Nursing

MRI

Boiler House

Vehicle circulation Sun path diagram

MAIN ENTRANCE

and car parks

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BUS STOPS FREQUENT BUSES TO BELFAST & NEWTOWNLANDS

Bus stops and

Buildings with frontage

pedestrian access

and entrances ��

MAIN ENTRANCE

Blue-light circulation ��

DEDICATED SERVICES ENTRANCE

Services access ��

The brief

Approach to brief •

What makes for a good hospital? Obviously, the principal investigation and members of the team are important. So too, of course, are the correct services and environmental conditions. But there are other aspects which we summarise here and have called our ‘ten ﬂags’. 1

• • Wayﬁnding

•

• • •

Views

strategic commitment to the future of Ulster Hospital brief based on detailed activity projections commitment to modernisation of care delivery, e.g: - development of ACAD - streaming of emergency patients Improved standards of accommodation sought, e.g: - enlarged bed spaces - high proportion of single-bed rooms privacy, dignity and sense of peace empowerment of patients to control their own environment use of modular spaces to promote healing, staﬀ eﬃciency and safety.

•

• •

Environmental - a sustainable environment, including high levels of energy eﬃciency and increased life-cycles of materials Social and economic - equal opportunities for all - sharing facilities with the local community Management - adopt sustainability strategy from outset using NEAT Energy - customise design for local climate Transport - implement transport strategy

Future-prooﬁng

External envelope Sustainable, built-in component adaptability, nonthreatening, natural and local materials.

Landscape Bringing landscape ‘corridors’ from around the site to a central shared facility.

Healing environment • •

prioritise well-being of patients, visitors and staﬀ maximise daylight and views over countryside

Enhancement of the design through high-quality provision of signage, art, ﬁnishes and colours. Achieved with full Sense Sensitive Design prescriptions.

Sustainability •

uncertainty of some demand growth projections as yet unforeseen changes in technology as yet unforeseen changes in care models

Long-term ﬂexibility of use through strategies for room-sizing, servicing, space reallocation, change of use and expansion / contraction.

Tailor-made brief •

orientation views access existing building constraints topography.

Need for maximum ﬂexibility • • •

Hospital in its setting • • • • •

Use of materials

Materials, water, waste - consider pre-fabrication - reduce demand for water - maximise recycling.

Infection control A physical environment and ambience that promotes feelings of individual safety, well-being and autonomy.

Patient journey A simple and orderly site traffic system linking public roads and transport stops to entrances visibly and without crossing other routes or traffic. A simple and clear horizontal and vertical communication system within the hospital. Separation of circulation routes for different traffic types within the hospital.

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Exemplar programme & methodology

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Brieﬁng stage process

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Design stage process

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The form

Precedent study

Good Hope Diagnostic & Treatment Centre, Sutton Coldﬁeld

Golden Jubilee Wing, King’s College Hospital, London

Cardiac Unit Expansion, John Radcliﬀe Hospital, Oxford

Initial studies • • • • • • • • •

interaction with landscape topographical evaluation community interaction views within and from the site future expansion potential landscape heart limiting requirement for phasing achieve a NEAT (NHS Environmental Assessment Toolkit) rating of ‘excellent’ - exceeding the 70% threshold carbon reducing high-eﬃciency plant and services throughout the design

•

• •

natural ventilation should be used as a default where appropriate, with robust measures such as stack and louvre cross-ventilation mechanical ventilation should include heat recovery wherever possible and make use of passive return paths where atria are used site layout to account for solar path, local shading and prevalent wind conditions maximise the penetration of daylight to all spaces, achieving exemplar levels of natural light and occupant views for healing environments.

Design option 1

Design evaluation criteria Hospital in its setting

Developed Trust DCP

Tailor-made brief Sustainability Need for maximum ﬂexibility Future-prooﬁng External envelope Landscape Healing environment Infection control Patient journey

Traﬃc-light rating system Good

Design option 2

Neutral Poor

Courtyard scheme incorporating a relocated Theatres / ITU block within proposal

Design evaluation criteria Hospital in its setting Tailor-made brief Sustainability Need for maximum ﬂexibility Future-prooﬁng External envelope Landscape Healing environment Infection control Patient journey

Design proposal

Design evaluation criteria Hospital in its setting

Podium tower proposal incorporating all Trust’s phase A buildings

Tailor-made brief Sustainability Need for maximum ﬂexibility Future-prooﬁng External envelope Landscape Healing environment Infection control Patient journey

5 6

8 1

8 7

8 12

Key

1 Theatres / ITU / Labs 9

2 Maternity

3 Renal 2

4 Multi-storey car park 5 Stores 6 Boiler House 7 Podium 8 Adult Wards 9 Children’s Health 10 Children’s Wards 11 Admin / Education 12 Mental Health Unit

Services

Main Entrance

A&E Entrance

Plaza

Lake

Childrenâ&#x20AC;&#x2122;s Entrance

Light

Wards

Services

Entrance

FM & services

Section A-A

Light and movement

Light Vent

Light

Childrenâ&#x20AC;&#x2122;s

Section B-B

Views

Renal

New Building

Theatres

Site in context

Seating area with informal fencing

Parkland study

Courtyard spaces

Landscape / lake relationship

Pergola sitting area

Wildlife corridor

Landscape study The healing landscape • therapeutic and stress-free environment • attractive, safe and calming • therapeutic use of art and colour • individual design for gardens. Courtyard design • gardens for contemplation and relaxation • landmarks within the hospital • patient rehabilitation and assessment • attractive from above.

Landscaping concept

Screen planting

Fencing screened by nature planting

Redeveloping the hospital

Inpatient ward Single patient bedroom - key drivers • • •

privacy, dignity and sense of peace empowering patients to control their own environment using modular spaces to promote healing, staﬀ eﬃciency and safety.

Single-bed room layout

Ward Key A

Single bedroom

4-bed ward

Main entrance from street

Reception

Writing shelf

Day space

Ventilation light well

Nurse base

Fire Stair

Ensuite

Four-bed room layout

Consulting cluster

Consulting room layout

Cluster Key A

Treatment

Exam / consult room

Nurse station

Shared consult room

Phlebotomy

Clinical measure

Dirty utility

Clean utility

Beverage bay

Store

Wait

Front entrance

Good Hope Diagnostic & Treatment Centre

Acute Hospital, Coventry New Hospitals Project PFI

North Middlesex University Hospital PFI

Golden Jubilee Wing, Kingâ&#x20AC;&#x2122;s College Hospital PFI

OďŹ&#x192;ces / education & training

OďŹ&#x192;ce layout studies

Integrated Clinical Education Centre, Keele University

Administrative studies

Floor plans & functional relationships

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Level 4

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Level 1

Level 3

Communication & vertical circulation

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Level 2

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Level 1

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Level 2 Communication & vertical circulation

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Level 3 ��

Communication & vertical circulation ��

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Level 4 Communication & vertical circulation

Key principles of building form

Building entrances and services Blue light route FM route Public / visitor route A&E ambulance entrance FM entrance Public / visitor entrance

Phasing Phase 1A Phase 1B (following decanting & demolition of Rae Mitchell Ward Phase 2 (following decanting & demolition of Care of the Elderly Building

Visual interaction Views out to landscaped site Views towards surrounding landscape

Structural design to oﬀer ﬂexible use of space.

Future expansion / ﬂexibility Future expansion Possible expansion if MHU located on Tor Bank School site

Healing environment

Patient journey

The Interior Design strategy aims to ensure an internal environment in which therapeutic care can be delivered easily and eﬀectively, with clarity of wayﬁnding in a building, which does not signal its institutional function. The internal environment will provide a clear and gradual transition from the external public realm areas to the internal domestically scaled patient areas.

The Wayfinding system will be an integral part of both the interior design strategy and the arts programme including the external landscaping. It will create a welcoming atmosphere that uses colour, symbols and graphics effectively as both a wayfinding tool and to create a healing environment.

• With the Interior Design we aim to create environments which emphasize well being.

People will find it easy to orientate themselves in the buildings with landmarks, artworks, use of colour and clear signs. Navigation will focus on a wayfinding strategy that identifies each building with its own Hospital colour, symbol or graphic. The symbols could focus on natural elements which are easily recognisbale by the user. These ‘visual aids’ will be used consistently from pre-visit literature to signage, interior decoration and key areas such as Main Entrances and departmental reception desks and staff bases.

• Give buildings a distinctive character which stimulates users to care for them long after the designers have left,

The next page shows how this might work with the Ulster Hospital.

Research clearly shows that lighting, colour, views, art, texture and materials, ease of movement through space and time, internal and external landscape have powerful healing and therapeutic beneﬁts to patients.

• Integrate all aspects of interiors, so that the finished result creates added value – and extra style. Colour – can influence mood and introduce variety and stimulation, by highlighting or playing down specific areas. Lighting – helps with wayfinding, supports the partially sighted and creates changes in ambience.

Natural light - Sobell House Hospice

Use of colour - West Middlesex University Hospital PFI

Wayﬁnding system - Good Hope Diagnostic & Treatment Centre

Wayﬁnding strategy

Wayﬁnding plan key Admin Building Childrens Building Hospital Street & Clincial Services MHU Ward Block 1 Ward Block 2 Ward Block 3 Ward Block 4 Main Entrances

Creating the departmental symbols

Graphic applied to reception desk as wayﬁnding aid

Aesthetic and facades

Inspiration • history • landscape • context • materials • detail

Integrated Clinical Education Centre, Keele University

Ward skylight / lightwell / ventilation chimney

Facade concept • clear views to surrounding landscape • natural light and ventilation • balcony access • solar shading.

Peninsula Medical School, Plymouth

The future

Phasing programme ��

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Please refer to section A3 in the Appendix document for full phasing programmes.

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