Cancer care by john clarke

Table of Contents 04

Introduction

Case Studies 08

Walsgrave Hospital

University Hospital of North Staffordshire NHS Trust

University Hospitals Coventry and Warwickshire NHS Trust Royal Wolverhampton Hospitals NHS Trust

UK Guidance - Space for Health

Worcestershire Radiotherapy Centre

Baghdad Medical City

Portuguese Institute of Oncology

Business Cases & Advisory Roles

Testimonials

INTRODUCTION

Every year, over 250,000 people in England are diagnosed with cancer, and around 130,000 die as a result of the disease. Annual NHS costs for cancer services are £5 billion, but the cost to society as a whole – including costs for loss of productivity – is £18.3 billion. More people are surviving cancer. But our survival rates are still worse than those for other countries that are as wealthy as us. This document outlines the contribution SHP has made to the care of patients through the development of appropriate facilities that provide for modern techniques and modalities.

Case Studies

Strategic Healthcare Planning are committed to providing expert consultancy and planning services leading to more effective and efficient healthcare services across the world.

This can be seen in our recent project portfolio.

Walsgrave Hospital Coventry Radiotherapy Suite SHP’s introduction to the design and

The liaison undertaken with the clinical team

construction of radiotherapy treatment

brought about a level of understanding with the

facilities began at Walsgrave Hospital,

clinical team to the extent that they involved

Coventry in 1998 where the Company

SHP in further projects for the hospital.

provided traditional architectural services in the provision of a 2-bunker extension to the

Considerable debate was held with regards to

existing department.

the selection of linac as it influenced the design. A 10mv Elekta machine was ultimately selected

The illustration indicated here was one of the

to undertake a range of treatments including

drawings prepared to indicate to the users

TBI’s.

the layout of the space in a bunker and the potential finishes.

“SHP very quickly gained the confidence of the Clinical Team” Professor Adrian Wilson

University Hospital of North Staffordshire NHS Trust City General Hospital, North Staffordshire Radiotherapy Suite

â&#x20AC;&#x153;Strategic Healthcare Planning (SHP) have

One of the most significant projects was a new

undertaken health planning work for the

Maternity and Oncology development on the

University Hospital of North Staffordshire

main acute hospital site. The juxta-position

(NHS) Trust for many years and this has been

of these two services was dictated by the

of a consistently high standard and has shown

programming for the whole site development but

a high degree of innovation. A major strength

taking the two services forward at the same time

of SHP is the way in which they have engaged

required a great deal of innovative thinking.

all stakeholders but particularly clinical teams within the Trust. This has been evidenced by the

The project was completed on time and to

successful outcome of the projects with which

budget and with a high level of user satisfaction

they have been involved.

for both maternity and oncology services. This was in no small part due to the input of SHP and to the high level of knowledge; experience; professionalism; innovation; and stakeholder involvement that they brought to bear on the project.â&#x20AC;?

University Hospital of North Staffordshire NHS Trust City General Hospital, North Staffordshire Chemotherapy Infusion Suite

The North Staffordshire Cancer Centre

and clinical mix for chemotherapy and

provides a fully integrated facility for the

haematology.

treatment of oncology. This is supported by a small suite of single A 42 place infusion suite has been designed

rooms to provide for patients who want

as a single space subdivided by ‘wavy’

privacy or for those who are unwell on the

screens that provide privacy to small

day of treatment.

groups of patients whilst providing good observation for staff. This gives sufficient

SHP undertook the role of healthcare

flexibility to respond to gender issues

planners and technical advisors.

“The project was completed on time and to budget and with a high level of user satisfaction for both maternity and oncology services. This was in no small part due to the input of SHP and to the high level of knowledge; experience; professionalism; innovation; and stakeholder involvement that they brought to bear on the project.” Andrew Underwood Director of Corporate Services University Hospital of North Staffordshire NHS Trust 13

University Hospitals Coventry and Warwickshire NHS Trust Walsgrave Hospital The Arden Centre SHP undertook the role of healthcare planning

• HDR treatment suite

and technical advisors to the new PFI university

• Iodine treatment suite

teaching hospital at Walsgrave. The project

• Outpatient suite

included the design of an integrated Cancer

• Chemotherapy unit

Centre, known as the Arden Centre comprising:

• Clinical Trials Unit • Inpatient unit

• 6 linear accelerators ranging from 8mve to 25mve environments

The previous involvement with the clinical

• Betatron and SXR treatment suite

team provided confidence that the appropriate

• Simulator suite

standards would be achieved.

Royal Wolverhampton Hospitals NHS Trust New Cross Hospital, Wolverhampton Deanesly Centre Extended The existing radiotherapy centre at New Cross

One innovative opportunity that was reviewed

Hospital has 4 fully operational bunkers so when

was the use of a mobile linac facility as provided

the time arrived to refresh the equipment it

by American specialist Veritas.

would dramatically affect clinical throughput. a more traditional solution was adopted SHP was commissioned to determine what

however, of extending the facility to provide 2

options were available to maintain activity whilst

bunkers that were sized in accordance with the

bringing about the change.

new national guidance produced by SHP for the Department of Health.

UK Guidance: Space for Health “SHP writes National Guidance”

Due to their acknowledged expertise in the

The document provides a comprehensive

design of facilities for the treatment of cancer,

design tool to assist those planning a new

SHP were selected by the Department for Health

or replacement facility with a single point of

through COI to author a review of the Health

reference of those elements that influence

Building Note.

the design of technical spaces. it includes functional content, schedule of accommodation,

This update was published in 2012 and made

adjacencies, room criteria etc.

available through the Space for Health website. 17

Worcestershire Radiotherapy Centre Worcestershire

In September 2013 Olympic Village builder

SHP were advisors to the original 452 bed PFI

Lend Lease commenced construction on a ÂŁ22m

hospital constructed in 2002, since when they

radiotherapy centre for the Worcestershire

have provided ongoing services to the Trust and

Acute Hospitals NHS Trust.The centre at the

Concession Co. they provided a design brief and

Worcestershire Royal Hospital will provide

concept design to enable Lend Lease to develop

radiotherapy treatment for local cancer patients

the scheme.

meaning that they will no longer face journeys outside of the county for their care. The new two-storey building will be built with space for five linear accelerators and a digital x-ray treatment machine.

“This is an excellent example of our long standing relationship with a major NHS Trust – we look forward to delivering this new radiotherapy centre”. Michael Dyke, Executive Director at Lend Lease

â&#x20AC;&#x153;SHP designed for us an excellent facilityâ&#x20AC;? Ann Sullivan

Worcestershire Radiotherapy Centre Worcestershire Chemotherapy Suite

When planning the Radiotherapy Centre the

SHP designed an infusion suite in the space

Trust determined that “shell” space should

to create an integrated ambulatory facility for

be provided at first floor to allow for future

cancer services.

expansion of services when the demand required

This included: 4 emergency assessment beds,

it.

18 place infusion zone with 2 single rooms, outpatient suite, staff facilities.

“As an organisation SHP has proved itself time and again through its various staff members that I have encountered, to be a thoroughly professional outfit that understands the clinical process, relates well to the Trust’s clinicians, staff and users alike.” Steve Lloyd Interim Director of Estates Worcestershire Acute Hospitals NHS Trust

â&#x20AC;&#x153;SHP is the only Company with whom we have worked that offer such an understanding of cancer servicesâ&#x20AC;? Diogo Marcos

SHP & Avanco Baghdad Medical City Oncology Centre

In 2011 SHP formed an alliance with Portuguese

SHP undertook a critical evaluation of the design

radiotherapy experts Avanco of Lisbon who were

layouts based on UK standards and provided a

in the process of developing a modular design for

review of the models of care and the impact on

radiotherapy services for export to Angola.

the building layouts.

Since then the two Organisations have co-

The critique proved to be of value with the

operated on a number of schemes one of

scheme being adjusted where appropriate and

which is the design evaluation and supply of a

moving ahead to construction.

radiotherapy facility at the Baghdad Medical City in Iraq.

Portuguese Institute of Oncology

UK specialist healthcare planners Strategic Healthcare Planning International Ltd is currently preparing a proposal for presentation to The Portuguese Institute of Oncology to demonstrate the methodology and benefits that can be derived by aligning service aspirations with the estate from which it is to be delivered by the production of an estates strategy. Throughout its history, the Institute has established itself as a multidisciplinary cancer center of reference for the provision of health services in the area of oncology, with extensive activity in the areas of research, education, prevention, diagnosis, treatment, rehabilitation and continuity care, ensuring every patient care to meet their needs, according to the rule: â&#x20AC;&#x153;the patient first.â&#x20AC;? The Portuguese Institute of Oncology provides its services from 3 different locations, Lisbon, Oporto and Coimbra.

BUSINESSES CASES AND ADVISORY ROLES

The Shrewsbury and Telford Hospital NHS Trust Development of an Outline Business Case and Full Business Case for Haematology and Oncology Services across the Trust as part of the new Shropshire Cancer Centre Development.

Barts and The London NHS Trust SHP assisted a bidding team in connection with the ÂŁ900M Barts and The London Hospital Redevelopment PFI scheme. The historic buildings of Barts, Britainâ&#x20AC;&#x2122;s oldest hospital, will be refurbished, alongside a major new building, to create a Cancer Centre of Excellence.

Hammersmith Hospitals NHS Trust SHP assisted the Trust in the development of the clinical brief and schematic desiagn for a new style breast facility including screening, assessment and symptomatic services.

BUSINESSES CASES AND ADVISORY ROLES

Oxford Radcliffe Hospitals NHS Trust SHP assisted a bidding team in connection with the new PFI Cancer Hospital at the Churchill Hospital, Oxford. The tasks were to ensure that the design team architects fully understood the clinical models defined by the Trust and communicated those designs to the clinical teams.

Royal Marsden Hospitals NHS Trust Surrey Branch – SHP has, since 2000 worked on various projects for the Trust including; the brief development and clinical planning of the Stanley Cohen Unit, a nationally recognised rapid diagnostic centre for breast and prostate conditions, and the healthcare planning and full architectural service for the Trust’s millennium appeals scheme valued at £30m.

Chelsea Branch The preparation of feasibility studies, designs and clinical briefing of a linear accelerator development

TESTIMONIALS

“SHP is the only Company with whom we have worked that offer such an understanding of cancer services” Diogo Marcos

“SHP very quickly gained the confidence of the Clinical Team” Professor Adrian Wilson

S T R AT E G I C

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