HEALTHCARE
portfolio
2017
Acute/General Specialist Women’s & Children’s ancer Treatment Commun /Specialist Healthcare Masterplanning
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Contents 1.0 HKS
2.0 Capability
3.0 Design Philosophy
4.0 Future Trends
6.0 Data Management/ Equipment Management
7.0 BIM
8.0 Projects •
Acute/General
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Specialist Women’s
ABOUT THE COVER:
Melbourne Royal Children’s Hospital has received over 8 awards Winner, Victorian Architecture Medal Australian Institute of Architects Victorian Architecture Awards
& Children’s
5.0 Sustainability / Design Green
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Cancer Treatment
Australian Institute of Architects
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Community/Specialist
Victorian Architecture Awards
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Healthcare Masterplanning
Winner, Melbourne Prize
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Misc Others
Australian Institute of Architects
nity
Winner, William Wardell Award Public Architecture
Victorian Architecture Awards Commendation, Interior Design Australian Institute of Architects Victorian Architecture Awards Winner, International Health Project Design & Health International Academy Awards Winner, Interior Design Design & Health International Academy Awards Winner, Sustainable Design Design & Health International Academy Awards Commendation, Use of Art in the Patient Environment Design & Health International Academy Awards HKS has over 255 healthcare Design awards
1.0 > Our Vision
Architecture reflects and shapes our time and culture. HKS is creating places that enhance the human experience. We believe a health care facility is more than a physical structure; it is a place is where life unfolds. Realising that the human spirit is affected by its surroundings, we actively strive to ensure a more positive, joyful influence. We continually redefine environments where people can work, research, heal, and play.
Top Royal Liverpool University Hospital, Liverpool UK Middle Salford Royal Hospial, Salford UK Bottom Melbourne Royal Children’s Hospital, Melbourne Australia
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CLIENT SATISFACTION OVER 75% OF HKS WORK IS REPEAT BUSINESS
Dallas (HQ.) Abu Dhabi Atlanta Chicago Denver Detroit Fort Worth Houston London Los Angeles Miami Mexico City New Delhi New York City Orlando Phoenix
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Richmond Salt Lake City San Diego San Francisco Shanghai Singapore Tampa Washington, D.C.
With 1,400 employees globally
650 255 DESIGN AWARDS
FOR HEALTHCARE PROJECTS
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2.0 > Capability HKS is one of the world’s largest firms of architects, working from 24 offices around the world. With a total staff of some 1,400 people our practice enjoys enormous strength and depth. Our teams around the world provide the full range of design related services needed to develop complex building types. The London office of HKS is a wholly owned subsidiary of HKS Inc., providing a full range of architectural / design services in the UK, Europe and the Middle East and currently employs some 90 people. HKS Architects Ltd possesses the resource, management systems and experience to deliver projects of any size and complexity. The ethos and culture of HKS reflects and is founded upon a clear understanding of the business we are in – ‘We add value to our clients through architecture.’ The HKS vision statement summarises this philosophy as follows: “By bringing value to our clients through innovation, excellence, sustainability and sound business principles, HKS will be a global leader in professional design services.” On a day to day basis therefore our goals and objectives are first and foremost to provide a first class design and delivery service to our clients.
Top Cleadon Park Primary Care Centre, Cleadon Park UK Left Royal Liverpool University Hospital, Liverpool UK Middle & Bottom North Staffs Maternity, North Stafforshire UK
Changing methods and approaches to patient care combined with changing technology are affecting the delivery of healthcare in a profound way. HKS is passionate about designing buildings that can unlock this potential.
The values of HKS have become deeply embedded into the firm’s culture over the last 78 years. The firm’s success has, to a large extent, been built on the commitment by all to honesty and integrity in all our relationships. We seek to be responsive, work hard as a member of our clients’ team and show mutual respect and dignity to all our clients and stakeholders. The largest specialist team within HKS is the hospital design group. This team has designed and developed large hospital facilities around the world including North America, Europe, Middle East and China. In addition to having extensive experience designing specialist hospitals for children, for cancer and coronary care we also have an established track record in the delivery of large hospital projects under design and build contracts. We understand how, as architects, we can create value by improving the clients design to provide “more for less”. We also understand the building contractor’s requirements for accurate and timely information. So we always appoint an HKS internal project manager to manage the design process and to communicate directly with the Contractors Design Manager.
Lean Design
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In order to compete in today’s
6%
healthcare marketplace, your organisation’s operations need to be
6%
streamlined and efficient. We use Lean principles to improve our processes as
16%
45%
Labor Other Expenses Supplies
well as help our clients improve their own work process through design.
n n n n n
27%
Professional Fees Capital Cost
BUILDING COSTS ARE 6-9% OF OPERATING EXPENSES FOR MOST HOSPITALS
With several Lean Six Sigma Green Belt architects on staff, we understand the process of creating the ideal future state of your facility.
As building costs are only 6-9% of operating expenses for most hospitals, redesigning or rebuilding to solve problems can yield huge payoffs.
Lean operational process improvement is built upon a deep-rooted understanding of our clients’ needs driven by the marketplace, community service and continuous improvement. HKS develops lean operating principles and strategies that can deliver long term savings.
Some of our previous project improvements include:
Our work plan is designed to incorporate and address: • A thorough understanding of your current state • Exploration of the challenges you face in delivering efficient healthcare • Assisting you in identifying and prioritizing your opportunities for improvement • Thought leadership through knowledge of industry best practice and current research • A focus on increasing patient safety and improving the patient and family experience • Improvement of patient throughput and efficient use of space • Validate concepts with virtual models, real models, simulation and operation testing
• An emergency department in Miami shortened stays and raised patient satisfaction from 20% to 90% • A children’s hospital in Phoenix is saving $800,000 in energy costs and reducing water usage by 5.5 million gallons a year • During design and construction of a hospital in Texas, the team returned $1.4 million of the contingency to the owner • Several facilities have earned LEED Gold certification with cost premiums of less than 1%, yielding millions of dollars in energy savings
Center for Advanced Design Research and Evaluation A foundational part of HKS’s design and planning process is research that influences operational performance human perceptions. Our scientific research model drives evidence-informed design, aimed at improving measures of outcome in a predictable manner.
HKS’s healthcare research initiative has grown into an independent, nonprofit entity known as the Center for Advanced Design Research and Evaluation (CADRE). CADRE seeks to improve the quality of the designed environment in the same way that your organization strives to improve quality in patient care. CADRE develops and executes relevant original research in the areas of architectural and engineering design solutions having an impact on end users, including occupant well-being and user effectiveness, operational performance and sustainability of the built environment. Our work has been consistently accepted for publication in the Healthcare Environments Research and Design (HERD) Journal and other scientific journals.
CADRE CONDUCTS STUDIES ON AREAS WITH KNOWN KNOWLEDGE GAPS, INCLUDING:
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Design characteristics of a successful flexible unit
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Optimization of inpatient unit design and care model: a measure to predict nurse walking distance in units
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Influence of irritants in the physical environment of inpatient units on nurse stress and well-being
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Infection control through directed airflow in the exam room: a pilot study using membrane diffuser
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Positive distractions on children in waiting areas
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Impact of patient room physical design elements on the care process, caregivers and patients
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Systemic and cultural factors impeding designing for operational flexibility
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Patient room handedness in acute care settings
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Optimal bed size of medicalsurgical patient units
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A multi-dimensional comparative assessment of headwall versus ceiling booms in intensive care units
3.0 > Design Philosophy Today, hospitals strive to provide comfortable, safe and inspired environments for sick patients and their families. They are elegant, efficient and easy to navigate. Improving patient outcomes and patient safety, increasing staff satisfaction and employee retention rates, as well as achieving best value and economic efficiency, are also at the forefront of the most effective design solutions. For many decades, HKS has been designing facilities for the care of people distressed by the condition of their health. Those of us in the Healthcare Design team have committed our careers to the design of healthcare facilities. We believe that patients and their families need hospitals that are designed entirely on meeting their needs; both emotional and physical. The focus on the needs of patients and supporters is often referred to as “patient centred care design”. Facilities designed in this manner recognise the importance of the family in the healing process as central care givers, advocates and decision makers. Patient centred care design takes into account the many issues that confront the family of a sick person. This can take many
forms including: addressing the need to feel in control, clear way-finding, interactive waiting and play areas, patient rooms designed for families, appealing shapes and colours, varied lighting, open and friendly nurses’ stations, natural light and exterior gardens. Hospitals will need to be continuously adapted to meet changing needs. As a result, they must be designed for maximum flexibility with an eye to the future. We bring a heightened sensitivity and creativity to design for patients and their families in the hospital setting, choosing colours and materials that are appropriate for the circumstances. We want to bring life into the environment, colours and textures that are interesting but not overwhelming, visual elements that give patients and their families something to focus on. However, we keep in mind that some patients will visit these spaces over a period of years in the case of people with chronic illnesses, and that staff will be there full-time. The longterm viability of the spaces for those who will be living with them, is important.
Right Melbourne Royal Children’s Hospital, Melbourne Australia
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As architects we seek to bring the following skills and experience:
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The ability to listen
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Designing to maximise value for money
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Detailed interrogation of the clinical brief to understand the clinical functionality
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Leading edge healthcare design to create the optimal clinical efficiencies
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The ability to provide the required functionality in the minimum area
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The ability to create interior spaces that are sensitive to the needs of patients and support the healing process
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Ability to work in ‘real time’ with all other design disciplines
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Strong design management skills to co-ordinate the design process
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Understanding the dynamics of and meeting the affordable criteria
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Top Salford Royal Hospital, Salford UK Left Haywood Hospital, Stoke on Trent, UK Middle Cleadon Park Primary Care Centre, Cleadon Park UK Bottom Right Christie at Salford, Salford UK
Designing to meet energy targets.
4.0 > Future Trends General trends The next decade will realise the following general trends: • As infectious diseases decline, acute care will focus on injuries, secondary cancers, transplant complications, immuno-deficiency disorders and genes, development and disease. • Consumerism will drive improvements in the quality, convenience, privacy, and patient sensitivity of hospital environments. • There will be greater emphasis on self-care including nutrition, life style and exercise. Services will be delivered as locally as possible but a range of views exist as to what extent this can be achieved: patient care moving to remote ambulatory settings or specialist clinics established alongside the hospital campus. Both will cause a fundamental shift in the configuration of the hospital away from physician or inpatient centric models. Advances in minimally invasive surgery and Information Technology will continue to shift patients to day settings. Admitted patients will be at a higher acuity level. In treatment areas: • Imaging will be “metabolic” not anatomic. • Surgery will be yet less invasive with greater use of lasers and robotics. • Organ replacement will be by way of “grown” tissue. • There will be the greater use of noninvasive laboratory testing.
“Hoteling” patients needing the Diagnostic and Treatment facilities of major medical centres but not their inpatient care will develop as a cost effective bridge between current segregation into inpatient and outpatient. Interventional Platforms combining Cardiology, Surgery, Radiology and Endoscopy will become more prevalent further breaking down interdepartmental boundaries. There will be more MRIs and PET/CTs located within theatres which will be standardised to support various invasive and diagnostic modalities. Ambulatory Care The fixed boundaries between ambulatory care and inpatient care will be blurred. The advance of day surgery and day medicine requires designs that support ambulatory care centre (ACC) based delivery, with: • Imaging and laboratory analysis contiguous with clinics. • Rooms that support full day care and evaluation. • Integration of research and education programmes. • Promotion of multi-disciplinary working. • Increased observation areas. • “Hotel” accommodation for patients and family members to replace admission into inpatient wards • Locally delivered disease management and education. • Catering and retail family support services. • Instant reporting of laboratory results.
Top Left City General Hospital, North Stafforshire UK Left Melbourne Royal Children’s Hospital, Melbourne Australia Middle Haywood Hospital, Stoke on Trent, UK Bottom Right North Staffs Maternity, North Stafforshire UK
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Internet based pre-registration by patient’s families. Promotion of multi-disciplinary working. Flexible clinic modules allowing occupation by different clinics on different days offering greater scheduling flexibility. ‘Team’ rooms for clinical and nursing staff. Doctors’ offices the same size as examination rooms, to give expansion and flexibility opportunities.
Changing patterns in critical care and increased acuity will lead to: • An increase in the percentage of critical care beds. Multi-acuity med/surg beds will be reconfigured to a higher level of care. • Increasing emphasis on patient safety. • Complete self-contained centres. • Minimal invasive surgery performed in the room. • Imaging built into bed spaces and transferred digitally to radiology. • Computers “selected” pharmaceuticals. ICT Innovation All patient records and information will be electronic. Wireless personal communication systems will eliminate the need for overhead paging, greatly reduce ambient noise and significantly improve the care environment. Integration of medical devices and the nurse call system will reduce audible alarms further reducing ambient noise levels. Multi-media audio-visual technologies will create people friendly waiting and play areas to mitigate patients’ apprehensiveness and discomfort in an unfamiliar environment and an interactive multi-media experience will make their hospital stay more entertaining, educational and bearable.
Top Left Salford Royal Hospital, Salford UK Left Haywood Hospital, Stoke on Trent, UK Middle Melbourne Royal Children’s Hospital, Melbourne Australia Bottom Right City General Hospital, North Stafforshire UK
The application of advanced audio-visual technologies in the operating theatre will improve surgical outcomes, enabling less invasive techniques and finer visual resolution. There will be digital signage (personalised for each patient) and interactive information points to improve way finding. “Predictive health—keeping people well instead of treating them only when they’re sick “will be supported by technology. Across Europe hospitals account for between 25 and 60% of the total healthcare expenditure. Though the size of the hospital may shrink, there will be a need to have spaces that support the use of these technologies. Interior design is struggling to accommodate the speed of change of the design of both the computers (used by both carers and visitors as well as patients) and the TVs in the patient’s room, so we are in danger of designing in redundant features. For example, the first PFI hospitals were designed to accommodate hard wired public telephone systems and users were forbidden to use mobile devices. This infrastructure cost is now part of the unitary charges. Health care buildings of the last 20 years show very little accommodation to flexibility, except in the provision of shell space for future expansion. Whilst very few new acute care hospitals will be built in the foreseeable future, there will be a tremendous amount of rehab and renovation. Unfortunately, this work will be costly and difficult because of the previous lack of attention to the need for flexibility. Inpatient bed floors will never be very flexible, so flexibility needs to be in other areas, especially diagnostic and treatment, and support areas.
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5.0 > Sustainability HKS has been actively involved in environmental issues since the 1960’s when the company was instrumental in developing innovative low energy solutions to housing design and campaigning for efficient and renewable energy production and therefore considers issues of sustainability from the outset. As part of our ongoing commitment to low energy, sustainable design solutions, HKS has experience of recognised environmental assessment methods including BREEAM and the LEED. HKS, through user group meetings and design workshops, seeks close collaboration with client and design teams to
As well as being accredited with BSEN ISO 14001:2004, HKS DesignGreen is the sustainable consulting studio within HKS that assists our design staff in implementing sustainable design processes and strategies. This studio has catalogued sustainable strategies and “lessons learned” from our vast project experience and uses this data on a daily basis to assist our designers in identifying successful and appropriate sustainable design strategies for their projects. Daily communication and contact with the project design team makes HKS DesignGreen uniquely effective at delivering successful integrated design solutions for its clients.
minimise the adverse effect of the building on the local and global environment, whilst ensuring the building meets the requirements of the occupants’ activities, health, comfort, stimulus and well being. By seeking maximum integration of all design disciplines and continual review of building form, function and operation. A holistic design can be achieved, minimising waste, reducing energy consumption and fully serving the needs of the occupier. We are currently achieving “excellent” BREEAM ratings on designs for hospitals, schools and college projects.
HKS carries out regular research into innovations in environmental design and are currently evolving a structured in house design guide and protocol for use by all technical staff. By seeking maximum integration of all design disciplines and continual review of building form, function and operation, HKS believes that a holistic design can be achieved, minimising waste, reducing energy consumption and fully serving the needs of the occupier.
Right Midland Metropolitan Hospital, Birmingham, UK
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6.0 > Data Management / Equipment Management HKS Medical Technology Group The HKS Medical Technology Group is dedicated to serving and supporting our clients by providing a variety of services focused on capital equipment. Our services are designed to support the needs of health care facilities and organisations for routine capital acquisitions, as well as more comprehensive services to support expansion and renovation projects – large or small. Master Planning Support When health care organisations look to the future and begin a master planning process, the focus is primarily on the existing buildings and how they may need to change to support the long-term vision and growth plans of the organisation. Since medical equipment is a key element in operational efficiency and a significant part of any planning project, the HKS Medical Technology Group can provide master planning support focused on equipment. This includes assessing key equipment in areas being considered for change and estimating equipment budgets on potential projects stemming from the master planning process. Medical Equipment Planning Our equipment planning and coordination services can be seamlessly integrated into the planning, design, construction and procurement processes of the architect, engineers, contractor and the client. Our involvement enhances medical and clinical
support equipment coordination with the project team. Working closely with our clients, we strive to clearly understand their operation, along with their clinical and financial challenges, in an effort to provide viable solutions. Strategic Capital Equipment Planning Today’s economic environment emphasises the need for better methods of capital management within health care organisations. Some are implementing a capital freeze on all non-essential expenditures. This challenges administrative teams to sort through capital equipment requests, all with justification statements from physicians and department managers, to determine if the request is essential. To support the administration decision-making process, HKS Medical Technology Group can create an objective assessment of existing capital equipment and develop a three-year strategic capital equipment plan identifying items that will need to be replaced during the three-year period, as well as items that need to be added to support new or growing specialities. The plan will also identify items that should be removed from service to eliminate possible exposure to risk for patients and/or staff.
Top & Bottom Hayward Community Hospital, North Stoke, UK Bottom Left & Middle R The Christie at Salford Cancer Centre, North Stafforshire UK
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7.0 > BIM HKS was one of the first architectural firms to extensively use Building Information Modeling (BIM). Since 2009, all of our newly awarded projects utilize BIM capabilities. Our firm currently has $19.2 billion in design and construction underway using Autodesk Revit, a BIM software. Revit allows us to explore complex architectural geometry with a realistic and intelligent model that is seamlessly integrated with coordinated construction documents. BIM’s 3D approach allows the owner and building team to see how the pieces of their project – from its three-story atrium to its door frames – fit together. Owners, architects, engineers and contractors are all seeing the advantages of Revit. The Benefits of HKS’ Implementation of BIM BIM allows the design team to quickly study options via analysis tools – revealing the best design option (e.g. LEED certification points, most efficient volume and perimeter, site orientation and building views). The technology allows architects and their team members to study the cost impact of different designs (e.g. exterior wall system options, percentage of glazing versus solid wall) – providing a better cost overview. Analysis tools offered by BIM promote green design (e.g. daylighting studies, energy calculations, building site orientation and Top & Bottom Right The Christie Proton Beam Therapy Centre, Manchester, UK Left Digital Coordination Model Middle Melbourne Royal Children’s Hospital, Melbourne Australia
implementing new solar technology) – allowing educated sustainable decisions. BIM supports the Integrated Project Delivery team process by giving the team the tools necessary to exchange required information between all members – saving time and money. The technology facilitates accurate presentation views at any point during the design and construction document process – allowing the owner to better understand their building. The quality of overall documents improves due to the use of 3D modeling coordination – promoting a coordinated set of construction documents. The process encourages all industry team members to communicate – helping improve efficiency of scheduling construction activities (e.g. analysis and sequencing of work, materials delivery, ordering long lead items, organizing construction site storage and staging areas). BIM reduces the possibility of building construction conflicts which could require change orders – saving the owner additional costs. Our dedicated Revit server accelerates sharing models around all offices, enabling multiple-firm collaboration on a single model data set.
Cleveland Clinic
33 Grosvenor Place, London, UK Date 2020 Size 30,000 sqm Executive Health Suite, Abu Dhabi, UAE Date 2017 Size 1800 sqm
8.0
> Clinical Efficiency HKS undertook strategic planning and medical planning for both the private health projects. Providing optimum, efficient layouts is key to the design concept with maximum utilisation of the existing .building fabric.
Cleveland Clinic
Both projects prime objective was to provide an efficient and functional design, within the existing footprint, to provide patient-first care, encompassing the client’s vision at the outset. Collaboratively working with the Cleveland client from both the US, UK and Abu Dhabi proposals developed meet the culture and setting in which each scheme is located. Clinical and patient spaces are designed to provide high quality aesthetics yet adhering to healthcare standards and with carefully considered segregation of the public visitor routes to staff and patient circulation, the holistic design of the environment allows for the overall enhancement of the user experience. Services Architecture Medical Planning Interior Design Project Features – Executive Health, Abu Dhabi Quality patient journey Maximising the light the facility Efficient layout to meet HAAD standards and the CCAD brief requirements Allowing the facility to be phased in the build Structural bracing to fit around the clinical test suites MEP challenges - capacity and expansion for the suite
Project Features – 33 Grosvenor Place, London Developing a space program that can fit into the existing building 205 Private patient rooms with ensuites Imaging suite and 8 theatres Collaborative solutions to create efficient clinical layouts Remodelling the structure and understanding the complex services requirements Logistics for the construction work a challenging aspect of the project Keeping the neighbours aligned with the new development
University Hospital of North Staffordshire NHS Trust
City General Hospital PFI Staffordshire, United Kingdom
Date 2012
Size 87,000sqm
> General / Acute District General Hospitals have enjoyed enormous public good will and trust as the location of healthcare where people know they will receive the care and attention they need. However, as the pace of change continues to accelerate, and as opportunities to apply new knowledge grow, DGH face new challenges in the context of the delivery of health care services.
City General Hospital PFI
This ÂŁ215m project was completed in June 2012 and involved the integration of a wide range of new facilities onto an existing and operative hospital campus. Services from the three sites were brought together in the new development to allow the Trust to deliver future care more efficiently and effectively.
Services Lead Consultant Architecture Master Planning Interior Design Health Planning
Project Features Large acute general hospital Building on operational Hospital site Simple way-finding Maximum use of natural daylight and ventilation
Royal Liverpool Hospital
Royal Liverpool Hospital Liverpool, United Kingdom
Date 2017
Size 90,000sqm
> General / Acute Recent concerns about patient safety and quality of care have thrown down the gauntlet for health care providers. Trusts that in the past prided themselves on providing leadership in provision of clinical services now have to lead in pioneering not only new clinical technologies, where they have traditionally excelled, but also new methods for organising and funding care, where they have not.
Royal Liverpool Hopital
The proposed 90,000 m2 scheme will be located on the south east corner of the existing hospital campus near Liverpool City Centre, and will include 650 beds with ensuites, including 40 critical care beds and 81 emergency assessment beds. There will be 18 operating theatres, making it Liverpool’s main accident and emergency department capable of dealing with major trauma.
Services Lead Consultant Architecture Clinical Planning Interior Design
Project Features 650 beds with en-suite 40 critical care beds 81 emergency assessment beds 18 operating theatres Clinical Sciences and Support Building
Midland Metropolitan Hospital
Midland Metropolitan Hospital Birmingham, United Kingdom
Date 2018
Size 71,000sqm
> General / Acute There are challenges to the definition of general hospitals, their role in the health care system, current status and future challenges arising out of predictable changes in the health care needs and characteristics of the populations they serve and the missions they pursue, driven in part by predictable demographic, economic, social, and scientific forces and have profound implications for the work hospitals must accomplish.
Midland Metropolitan Hospital
Midland Metropolitan is a brand new compact acute hospital for the Sandwell and Birmingham NHS Trust. Located on a six hectare brownfield site in Smethwick, the project will be at the centre of the area’s regeneration, close to the historical heart of the industrial revolution. The 8 storey building will provide 670 beds along with 13 operating theatres and Europe’s busiest Emergency department.
Services Lead Architect Lead Consultant Interior Design Database Management BIM Lead Lead Designer
Project Features 670 Beds 13 Theatres 5 storey environmental winter garden Flexible isolation room design Europe’s busiest Emergency Department Inbuilt future expansion Regeneration of post-industrial area BREEAM Excellent – Predicted
Salford Royal Hospitals NHS Foundation Trust
Salford Royal Hospital Salford, United Kingdom Date 2011
Size 36,682sqm
Salford Royal Hospital
The hospital provides leading specialist medical facilities within a landmark building of major civic importance for the City of Salford. A more radical approach was necessary if the full potential of the site was to be exploited and the resulting solution included a larger new building than the Public Sector Comparator had anticipated but this meant there was an overall reduction to the build programmed, disruption to clinical services and the amount of decanting necessary. Services Architecture Master Planning Interior Design
Project Features New 242 Bed Clinical Block includes: Renal Outpatients & Dialysis Unit 50 Bed Renal Ward with 8 Bed Renal HDU Generic Acute Wards Integrated Urology Ward and OPD Emergency Village 32 Critical Care Beds
Cittadella della Salute at Treviso
Cittadella della Salute at Treviso Treviso, Italy
Date 2019
Size 65,000sqm
Cittadella della Salute at Treviso
HKS are the lead consultant for the 204 million Euro hospital at Treviso near Venice, to be built and operated by a PPP consortium led by Lend Lease. It will serve as the hub of the Venetian region‘s health care provision. This project will challenge the current standards and people’s tolerance and raise the bar on Italian Best Practice.
Services Lead Consultant Master Plan Architecture Interior Design
Project Features New acute hospital includes: 990 beds Operating department of 18 theatres Collocated intensive and step down care adjacent to the operating suite Maternity neonatal suite Diagnostic imaging suite Radiotherapy Reconfigured emergency and urgent care facilities Teaching facilities Logistical support Refurbished and extended day hospital
Salford Royal Hospitals NHS Foundation Trust
Melbourne Royal Children’s Hospital Melbourne, Australia
Date 2011
Size 1.3m sqm
> Women & Children When children become ill, they require more— and more costly—support. Treating children requires more staff and resources per patient because: Many children are unable to fully communicate or explain their needs. Paediatric patients require closer monitoring.
Melbourne Royal Children’s Hospital
The 1.3 million-square-foot hospital serves children from Tasmania, New South Wales and other states around Australia. Located on a greenfield site, the facility provides 272 inpatient beds including a cardiac IPU, 81 outpatient beds, 30 emergency cubicles and 15-room surgery suite. This project followed the Public Private Partnership procurement model and aims to be Australia’s first 5-star Green Star hospital.
Services Design Architect Functional and Space Planning Programming Interior Design
Project Features 272 inpatient beds 81 outpatient beds 30 emergency cubicles 15-room surgery suite Outdoor balconies on each floor Supermarket Gymnasium Followed Australia’s 5-star Green Star rating
Danat Al Emarat Women’s and Children’s Hospital
Danat Al Emarat Women’s and Children’s Abu Dhabi, United Arab Emirates Date 2012
Size 53,140sqm
> Women & Children Children also require more staff and resources per patient because: Sick children need help with daily activities that ill adults can manage on their own. Caregivers need to support parents and well siblings, as well as sick children. Both inpatient care and rehabilitation services for kids also tend to require more clinical support and technology.
Danat Al Emarat Women & Children’s
A tribute to Women & Children, the worldclass Danat Al Emarat Women’s and Children’s Hospital will be a destination of excellence not only in the Middle East, but throughout the world. Inspired by the forms of a flowing veil, water and sculpted sand, the 484,000-squarefoot, 6-story facility is a healthcare landmark and celebration of life.
Services Master Planning Programming Interior Design Medical Equiptment Planning
Project Features 10 storey 150 bed hospital 22 royal and vip suites Reflects a 5-star hotel Maternity focus 25 bassinet NICU nursery Primary care and speciality clinics
University of North Staffordshire NHS Trust, Oncology & Maternity Unit
North Staffs Maternity North Staffordshire, United Kingdom
Date 2009
Size 6,030sqm
> Women & Children When it comes to family-centred design, we have to consider not just the patient room but the whole facility, to make sure it can adapt quickly to meet the demand that families and patients need. At the same time, the technology on the care delivery side is advancing at rapid speeds. Before getting into details, we have to think about the future and how to build a flexible chassis that’s adaptable for shifts in operational care models that are going to evolve.
North Staff’s Maternity
The new Maternity Building contains facilities for mothers from antenatal stages, through delivery and post partem care and a large specialist neo natal unit.
Services Architecture Interior Design
Project Features 56 Bet Maternity Ward High percentage of single wards to fourbed wards 40 position Oncology Day Unit 4 Linear Accelerators Brachytherapy Suite CT Simulator / Simulator facilities On-site mould workshop 38 bed Oncology impatient ward 8 single-bed hepafiltration rooms included in the Oncology wards Three spacious courtyards for staff, patient and visitor use
Kuwait Children’s Hospital Al Shuwaikh, Kuwait, UAE Date 2017
Size 300,000 sqm
In association with SSH International Consultants
> Kuwait’s largest children’s hospital The unique design concept has been delivered with a futuristic hospital design theme, comprising innovative and functional design that incorporates state-of-the-art technology and energy conservation.
Kuwait Children’s Hospital
Kuwait Children’s Hospital, will offer specialist paediatrics care and a full range of clinical services, tertiary care and wellness programs for children and adolescents. The design concept integrates pediatric best practice design principles and incorporates the latest technology and energy conservation systems. The hospital interior will provide a comfortable, stress-free and home-like environment for patients and families.
Services Architecture Functional planning Programming Interior design
Project Features The 2 bed towers access a common diagnostic and treatment podium, which is located centrally between the towers. The site will also include 2,000 parking spaces A helipad and a free-standing day care center for the hospital staff’s children The 520,000-square-meter hospital will feature 632 beds for tertiary care and 160 beds for secondary care.
University of North Staffordshire NHS Trust, Oncology & Maternity Unit
North Staffs Oncology North Staffordshire, United Kingdom
Date 2009
Size 6,030sqm
> Cancer Treatment As most facilities have tight budgets, area must be apportioned carefully. First impressions are powerful. What message is your centre trying to convey? “Wow� or inspirational spaces can make a cancer centre special for patients and staff, but aesthetics must not compromise clinical functionality.
North Staff’s Oncology
The Oncology and Maternity Unit acted as an enabling phase in the redevelopment of the City General Campus. The Cancer Centre takes advantage of the front of the facility displays its own identity to the public street providing a dedicated access point, whilst Maternity faces back into the site over a landscaped garden area with a dedicated drop-off and access.
Services Architecture Interior Design
Project Features 56 Bet Maternity Ward High percentage of single wards to four-bed wards 40 position oncology day unit 4 linear accelerators Brachytherapy suite CT simulator / simulator facilities On-site mould workshop 38 bed oncology impatient ward 8 single-bed hepafiltration rooms included in the oncology wards Three spacious courtyards for staff, patient and visitor use
The Manchester Proton Beam Therapy Centre
The Christie Proton Beam Therapy Centre
Manchester, United Kingdom
Date 2018
Size 15,000sqm
> Cancer Treatment Proton Beam Therapy (PBT) is arguably the most technologically advanced form of radiotherapy available. The main benefit over traditional radiotherapy is accuracy of delivery, hence PBT can be used to treat patients with deeply buried tumours located in highly sensitive areas. For example, PBT is well suited for treating brain tumours in children, as damage to their developing brain tissue can be almost eliminated.
Proton Beam - Manchester Christie
Manchester Proton Beam Therapy Centre will be the first Proton Treatment Center in the UK, located at the Christie Hospital Campus, one of the largest European cancer treatment centers of its kind.
Services Architect Lead Consultant Healthcare Planning Interior Design BIM Lead Lead Designer
Project Features Scheduled to be the first PBT cancer centre in the UK Proton beam radiotherapy Cancer outpatients department Cancer inpatients ward
The Christie Foundation Trust – The Christie at Salford Royal
Christie at Salford Salford, United Kingdom
Date 2011
Size 1,850sqm
Christie at Salford
HKS has completed the design of a satellite cancer treatment centre at Salford Royal. The outpatient facility delivers diagnosis and radiotherapy treatment for local residents. By understanding the flow of the patient’s journey, from initial consultation through to treatment, it was critical in the clinical planning of the facility.
Services Architecture
Project Features Satellite facility to leading cancer treatment provider Maximum use of natural daylight Secure, private environment
National Taiwan University
National Taiwan University Cancer Centre Taipei, Taiwan, Republic of China Date 2011
Size 120,773sqm
National Taiwan University Cancer Centre
Improving the facility’s ability to enhance healthcare delivery is at the core of the design. A curved, 48-bed unit shape maximizes staff efficiency by reducing patient transfer and staff travel distances as well as providing natural light into the waiting and staff areas through healing gardens strategically located externally and internally at each level.
Services Architect Master Planning Interior Design Programming
Services 500 inpatient beds 4 rotating beam rooms 1 experimental beam room 150 position outpatient chemotherapy 60 Treatment room outpatient clinic Stem cell research transplant centre 10-room surgery suite
King Hussain Cancer Centre
King Hussain Cancer Centre Amman, Jordan Size 550,000sqm
> Cancer Treatment Radiation oncology centres have four special requirements that must be addressed during the design process: patient safety, patient privacy, patient flow through the centre, and storage for the custom- made moulds that hold them in place during treatment.
King Hussain Cancer Centre
For the people of Jordan, the cancer centre will offer the most advanced cancer technology available to date. It is envisioned to be a healing environment for the mind, body and spirit addressing the full range of medical, psychological and social issues associated with cancer care.
Services Architecture Master Planning Programming Conceptual Design Interior Design
Project Features 192 adult and pediatric beds Comprehensive diagnostic and treatment facilities Stem cell transplant centre Outpatient clinics
North Stoke Haywood Community Hospital
Haywood Hospital Stoke on Trent, United Kingdom
Date 2008
Size 11,850sqm
> Community / Specialist The baby boomer generation is driving what is and what will be, so we can expect to see more hospitals and clinics that support the multifaceted physical challenges and diseases faced by the over-60s. The logical locus for new models of care is community facilities but in popular perception they are not seen as providing effective care. Part of this, is about image and scale, which we can address through design.
North Stoke Haywood Community Hospital
The new Haywood Hospital development provides a full range of intermediate care facilities to serve its local community. Outpatient services such as a walk-in Centres and consultant suites are co-located with intermediate care beds for the elderly, the mentally ill, rehabilitation and rheumatology patients.
Services Lead Consultant Master Plan Architecture Interior Design
Project Features New acute hospital includes: 990 beds Operating department of 18 theatres Collocated intensive and step down care adjacent to the operating suite Maternity neonatal suite Diagnostic imaging suite Radiotherapy Reconfigured emergency and urgent care facilities Teaching facilities Logistical support Refurbished and extended day hospital
Cleadon Park Primary Care Centre
Cleadon Park Primary Care Centre Cleadon Park, United Kingdom Date 2011
Size 7,140sqm
> Community / Specialist There is increased interest in concentrating specialist services in a smaller number of expert centres, leaving a layer of general hospitals to deal with high volume, common treatments. Across Europe hospitals account for between 25 and 60% of the total healthcare expenditure. Though the size of the hospital may shrink, there will be a need to have spaces that support the use of these technologies.
Cleadon Park Primary Care Centre
Primary Care Trust (PCT), Library and Community facilities centre in the Cleadon Park area of South Tyneside is made up of a mix of 750 properties, both for sale and rent, along with community facilities including a Primary Care Centre and Library, Pharmacy, Welfare Rights and Customer Service Centre which has transformed one of the most rundown areas in South Tyneside into a flagship modern estate.
Services Lead Consultant Architect Interior Design
Project Features 750 properties Primary care centre Library Pharmacy Welfare rights and customer service centre
Salford Royal NHS Foundation Trust Mayo Building
Mayo Education Centre Salford, United Kingdom Date 2011
Size 36,682sqm
> Community / Specialist It is acknowledged that the hospital-centric model of healthcare has to change, and that there has to be a focus on bringing care closer to the patient – with inevitable consequences for the location, configuration and design of the health estate. The short term future of healthcare will see more comprehensive outpatient/day care facilities that fall just short of inpatient facilities, including clinics/primary care practices, diagnostics, and rehab/wellness. These will challenge providers that are heavily inpatient focused as reimbursement is based on a standard tariff, and if procedures move locus, so will the income stream. There will be less demand for ‘nice-to-haves’ and more scrutiny around things that have a true ROI.
Mayo Education Centre
Mayo Building, a new state-of-the-art education centre, was officially opened at Salford Royal NHS Trust April 2009. The building has been delivered through PFI as part of an extensive restructuring of the Salford Royal site, and provides educational and clinical training facilities for staff, as well as some clinical support services including mortuary and aseptic services.
Services Architecture Master Planning Interior Design
Project Features 242-bed clinical block Renal outpatients and dialysis unit 50-bed renal ward with 8-bed renal HDU Generic acute wards Integrated urology ward and OPD Emergency village 32 critical care beds
Medical Foundation for the Care of Victims of Torture New Headquarters
Medical Foundation London, United Kingdom
Date 2004
Size 2,500sqm
> Community / Specialist There are hundreds of space types with very specific criteria. It takes a long time to develop expertise in the planning and design of health facilities. Health facilities are places where the gamut of human emotions occur, from joy to grief. As designers, we are sensitive to each user’s experience and design in ways that are appropriate to the experience of each one – all very different from one another.
Medical Foundation
The Medical Foundation was set up in 1986 as an organisation that could provide physical, practical and emotional support and care for victims of torture worldwide. This innovative new building provides facilities for therapy, treatment and support.
Services Lead Consultant Architect Interior Design
Project Features Protective building form Healing garden Rainwater harvesting Solar roof panels High thermal mass Maximised use of natural light & ventilation
University of North Staffordshire Master Plan
North Staffs Masterplan North Staffordshire, United Kingdom
Date 2004
> Master Plans “Our master plans seek, at all times, a finely tuned balance between a scientific, expertlead approach and a considered, respectful human approach.� We assess and analyse the costs associated with building and operations, then efficiently locates services, staff and equipment.
North Staff Masterplan
HKS was appointed to redevelop an existing hospital campus to provide a more efficient and modern health care facility. New garden areas were to be created for quiet reflection and to aid recovery, whilst separate busy spaces would be used for arrivals; producing a coherent public realm, which had clearly defined functions and seamlessly combined new buildings with old.
Services Master Planning Healthcare Planning
Project Features Dense urban site Phasing complexity Town planning sensitivity
Salford Royal Hospitals Masterplan
Salford Masterplan Salford, United Kingdom
Date 2008
> Master Plans Master plans address issues patient satisfaction such as noise and cleanliness and the attitude and behaviour of caregivers impacted by the physical environment.
Salford Masterplan
HKS was appointed to redevelop an existing hospital campus to provide a more efficient and modern health care facility. New garden areas were to be created for quiet reflection and to aid recovery, whilst separate busy spaces would be used for arrivals; producing a coherent public realm, which had clearly defined functions and seamlessly combined new buildings with old.
Services Master Planning Outline Proposals Detail Design Final Proposals Production Information (Design and Build)
Project Features New acute hospital Emergency department Critical care unit Renal ward
Medical Royal Liverpool Hospital PFI
Royal Liverpool Masterplan Liverpool, United Kingdom
Date 2017
Size 2,500sqm
Royal Liverpool Masterplan
The introduction of vistas and routes through the hospital site directly connect the city with the Knowledge Quarter. Where the existing hospital and site serve to fracture and alienate these two parts of the city, the new Hospital and BioScience Campus becomes the final linking element that creates a cohesive neighbourhood.
Services Lead Consultant Architecture Clinical Planning Interior Design
Project Features 650 beds with en-suite 40 critical care beds 81 emergency assessment beds 19 operating theatres Clinical sciences and support building
Nuffield Health - Guy’s and St Thomas’ Private Patients Hospital
Guy’s and St. Thomas’ Hospital London, United Kingdom
Guy’s and St Thomas’ Private Patient Hospital
Working closely with Nuffield Health, the HKS team created a highly efficient, functional acute care centre that also provided the highest quality environment for patients and staff. The HKS concepts brought together the firm’s expertise in the healthcare and high end hospitality sectors to allow Nuffield Health to deliver world class care in a modern “boutique hotel” environment.
Services Arichitecture
Project Features Creating a new standard for private healthcare Patient experience based on hotel/ hospitality standards Stunning main entrance Inpatient areas to hotel bedroom standards Club lounge for patients Consultants executive lounge. Internal and external garden views
Sheffield Children’s Hospital
Sheffield Children’s Sheffield, United Kingdom Size 7,450sqm
Sheffield Children’s
Sheffield Children’s Hospital is made up of a linked set of buildings dating from 1903 to the 1990s and is located on a steep urban site on Weston Bank. Our response to the competition comprises of a new block negotiating the sloping south east corner of the site uniting the existing estate and housing a new Main Entrance, 3 new Outpatient Clinics and 72 en-suite in-patient bedrooms with associated day spaces.
Services Competition Entry
Project Features 3 outpatient clinics 72 en-suite in-patient bedrooms New main entrance
London Bridge Hospital
London Bridge Hospital - Private London, United Kingdom
Date 2013
London Bridge Hospital - Private
LBH has an established international reputation for offering the very best in private healthcare, with some of the most comprehensive acute clinical facilities available privately in the UK; it delivers a full range of tertiary care, attracting world-class doctors and surgeons from the leading London teaching hospitals.
Services Health Planning Medical Planning Master Planning
Project Features Central London site Riverside location Listed buildings Restricted spacital development potential
University Hospitals Birmingham NHS Foundation Trust - Proton Beam Facility
Proton Beam - Birmingham Birmingham, United Kingdom
Date 2015
Size 7,153sqm
Proton Beam Birmingham
HKS was commissioned to carry out a feasibility study by The University Hospital Birmingham to demonstrate how a proton beam therapy centre could be developed. The concept sketch shown above illustrates a striking three level facility connected to the new Queen Elizabeth Hospital.
Services Master Planning Architecture
Project Features 4 floors including lower level plant area. 3 gantries Cyclotron CT simulation room 3 exam rooms Patient holding Connection to adjacent radiotherapy Department 25 offices and 6 hot desk ares Seminar and video conferencing rooms Roof garden, paeds Day case/chemo for paediatrics Roof eeck, seminar area
St Pancras Hospital Site Feasibility
St Pancras Hospital London, United Kingdom Size 30,000sqm
St Pancras Hospital Site Feasibility
The practice was commissioned by Camden and Islington Community Solutions to undertake a feasibility study to assess the development viability for a mental health facility, community hospital and rehabilitation centre as well as a children’s centre on the city centre site of St Pancras Hospital. The work included an analysis of the existing estate and the efficiency and effectiveness of those services already provided.
Services Master Planning Feasibility Architect
Project Features Mental health facility Community hosptial Rehabilitation centre Children’s centre
Contact:
Francis Gallagher Principal & Managing Director fgallagher@hksinc.com Paul Sawyers Director of Healthcare psawyers@hksinc.com Jane Ho Healthcare Design Director jho@hksinc.com Phone:
P +44 20 7292 9494 Address:
82 Dean Street, London, W1D 3SP Explore:
www.hksinc.com