IBI Healthcare+ by IBI Nightingale

PRESENTING IBI GROUP’S GLOBAL PRACTICE

IBI Healthcare+

PRESENTING IBI GROUP’S GLOBAL PRACTICE

IBI Healthcare+

Global Intelligence. Local Knowledge. www.ibigroup.com

CANADA EAST USA MIDWEST CANTON OH CINCINNATI OH COLUMBUS OH NEW LEXINGTON OH SOUTHFIELD MI WESTERVILLE OH CANADA WEST CALGARY AB EDMONTON AB FORT MCMURRAY AB

QC ON ON ON

KITCHENER LONDON MISSISSAUGA (3) MONTREAL OTTAWA QUEBEC CITY (2) RICHMOND HILL

ON ON ON QC ON QC ON

UNITED KINGDOM BIRMINGHAM UK BRIGHTON UK CARDIFF UK GLASGOW UK HARWELL UK LIVERPOOL UK

SAGUENAY QC (4) TORONTO ON

LONDON UK MANCHESTER UK

WATERLOO ON

NEWARK UK

USA SOUTHEAST ALEXANDRIA VA BIRMINGHAM AL KNOXVILLE TN MAITLAND FL POMPANO BEACH FL RALEIGH NC SARASOTA FL TAMPA FL

USA NORTHEAST BINGHAMTON NY (2) BOSTON MA NEW YORK NY

ALMA BRANTFORD HAMILTON KINGSTON

VANCOUVER BC

EUROPE ATHENS GR BERLIN DE DUBLIN IE PODGORICA ME

USA SOUTHWEST HOUSTON TX LAS VEGAS NV USA WEST BAKERSFIELD CA DENVER CO

MIDDLE EAST ABU DHABI AE BEIRUT LB DUBAI AE

IRVINE CA LOS ANGELES CA PARK CITY UT (2) PORTLAND OR SALT LAKE CITY UT SAN DIEGO CA SAN JOSE CA SAN LUIS OBISPO CA SEATTLE WA

JERUSALEM IL SOUTH AMERICA SAO PAULO BR MEXICO MEXICO CITY MX

CARIBBEAN PORT-AU-PRINCE HT TRINIDAD TT

INDIA BENGALURU IN NEW DELHI IN

CHINA BEIJING CN HONG KONG CN SHANGHAI CN

Our Firm Global Intelligence. Local Knowledge. IBI Group is a multi-disciplinary organization offering professional services in four core disciplines: Urban Land, Facilities, Transportation, and Intelligent Systems. IBI Group, through the integration of our four core disciplines, is able to provide a holistic approach toward creating innovative and responsive solutions for our clients in both the public and private sectors. Established in 1974, IBI Group has grown both organically and through strategic acquisitions. Today, our firm has offices located across North and South America, the Caribbean, Europe, the Middle East, and Asia. IBI Group’s offices work together as global virtual studios, which enables efficient communication among team members regardless of their physical location. This system enables our firm to commit the best and most appropriate staff to each project and utilize all resources around the clock and around the world. Collaborating is the key to our success. IBI Group has the ability to combine our four core disciplines into comprehensive strategies, drawing from a deep and varied range of expertise, and tailored to our client’s needs. Whether integrating knowledge of master plans, community plans, or transportation plans, landscape, systems, or building design, our diverse group of staff can collaborate and converge our skills to provide surprising insights and benefits for projects while enhancing sustainability and smart growth.

HEALTHCARE EXPERTISE. . ............................................................................. 05 1 DEVELOPING HEALTHCARE STRATEGIES.....................................................07 2 CREATING HEALTHCARE ENVIRONMENTS................................................... 11 3 SHAPING SMART CITIES AND HEALTHY COMMUNITIES . . ............................. 23 4 DRIVING DESIGN INNOVATION – THiNK.. ...................................................... 29 5 SECURING PROCUREMENT ........................................................................ 33

WE THINK FIRST AND FOREMOST ABOUT THE PATIENT AND FAMILY The healing environment is central to the well-being and recovery of the patient. As designers, we must always view the healthcare world from the perspective of the patient and their family. This provides a clear framework against which our designs are developed. Our designs integrate simple things like privacy and dignity, the patient’s perception and control of their immediate environment, and the organization of processes so that wherever possible “the process is brought to the patient” – not the other way round.

WE LOOK TO SIMPLIFY THE CLINICAL PROCESS Clinical processes are increasingly complex and driven by the latest technology. Clinical governance demands that care pathways are followed rigorously. Economic pressures dictate that scarce resources deliver best value. Patients expect the best clinical outcomes. To assure quality, improve productivity and efficiency, and encourage innovation in healthcare delivery, we have developed a culture receptive to “LEAN” thinking and the simplification of clinical processes.

WE PRACTICE EVIDENCE-BASED DESIGN Clinicians have long been committed to the principle of evidence-based medicine and they expect nothing less from healthcare designers. Within IBI Group, we embrace this philosophy, looking to base designs on tried and tested principles wherever possible, and to test and evaluate new ideas. We have a significant body of knowledge that we can draw from, and are always looking to add to this knowledge through both design experience and our research and development team, THiNK.

Healthcare Expertise Our vision is to create the best possible healthcare future for patients, the public, and healthcare teams alike, based on our fundamental understanding of the clinical and emotional needs of patients and families, the operational processes through which care is delivered, and the work environments necessary to deliver that care. Healthcare is changing rapidly, driven by technological innovation, more responsive models of care, and assuring value for money. We are delivering the healthcare infrastructure of the future now â&#x20AC;&#x201C; efficient, agile and, above all, future-proof. We understand the technical and organizational complexity of the clinical processes which underpin modern healthcare, and how to organize these to assure quality and make best use of resources. Our intelligent systems approach to healthcare infrastructure, optimizing effectiveness, accessibility, and logistical efficiency; delivers state-of-the-art facilities which incorporate our dedication to evidence-based design. We create facilities that encourage a sense of community and social well-being, demonstrating our commitment to sustainability and respect for the natural environment. We draw on our unparalleled expertise in healthcare strategy and design, and experience gained from private and public health systems, to support clients and projects around the globe. Our integrated service covers all stages from strategic visioning, through feasibility, programming, briefing, design and construction management, to commissioning healthcare infrastructure. Experience of procurement routes from traditional through to Public-Private Partnerships (P3) translates into winning strategies, delivering affordable solutions, on time, to the benefit of our partners and clients alike. Our projects include new-build, infill and revitalization schemes, and range from small clinics to major academic health science campuses and the master planning of new Smart Communities worldwide. 5

PATIENTS WILL MAKE CARE DECISIONS Patients will exercise more choice in the ways that they access these services and many will contribute proactively to their own care management. Systems will hold the core knowledge of the patientâ&#x20AC;&#x2122;s health status and medical history. Using this information, healthcare professionals will work with the patient to plan the care program to deliver the best outcomes, to the highest levels of patient satisfaction, and making best use of the resources available.

E-HEALTH WILL TRANSFORM CARE AS WE KNOW IT Tele-health and tele-medicine already have a significant impact on the deployment of healthcare resources. New e-health technologies can only accelerate this process. Whilst the benefits of tele-medicine are clear for geographically diverse communities, e-health technologies are now being deployed in more compact urban areas to improve patient accessibility, enable multi-disciplinary team working, and assure quality and outcomes.

INTELLIGENT SYSTEMS SIGNAL THE ADVENT OF PRO-ACTIVE CARE Emerging technologies, ranging from gene-mapping to the application of risk-stratification of care groups, can empower patients and clinicians to choose how best to manage their individual healthcare options. As they become more widely adopted, these ultra-intelligent healthcare systems could have a profound impact on style and place of healthcare delivery.

IBI HEALTHCARE+

Developing Healthcare Strategies Our vision is to create and deliver the best of all possible healthcare futures. We must look to new ways of delivering healthcare because the current system is failing to meet expectations, is largely unaffordable, and unsustainable. The solution to this dilemma is at the heart of how we will help shape the healthcare infrastructure of the future. It comes from our global knowledge and experience, our innovative approach to design challenges, and our ability to provide robust, forwardlooking healthcare strategies. This future will be driven by both patient expectations and economic pressures – but it will be made possible by new models of care and our ability to harness information and technology to improve the health of the population, to treat patients more efficiently, and to deliver better outcomes with higher levels of satisfaction. Our current infrastructure will need to adapt to support these new models of care – and we are actively structuring this into our projects now. The successful healthcare infrastructure of the future will be designed along the principles of intelligent systems for intelligent communities. It will be lean and efficient, providing a healing environment for patients and an attractive place to work for healthcare professionals. The Health Strategy Team within IBI Group brings together the group’s vast experience and expertise in the field of healthcare strategy and planning, to provide leading-edge knowledge and support for IBI Group’s healthcare projects and clients across the globe.

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DESIGN CONCEPT DEVELOPMENT COLL ABORATIVE DESIGN DEVELOPMENT CLINICAL PL ANNING DIAGRAM HEALTHCARE STRATEGY TO THE DRAWING BOARD STAKEHOLDER CONSULTATION IBI PULSE â&#x20AC;&#x201C; ENHANCING IBI HEALTHCARE+

IBI GROUP

Gwent Clinical Futures

Entrance

Older Adult Ward - Organic / Dementia

Stores / Auto dispenser

Main Entrance

Health Maintenance Centre

Older Adult Ward Functional

Partial Hospital

Ambulatory Care Centre

Pharmacy

Admin CMHT Bases

Elderly Day Hospital

Adult Ward

Retail

OPD

Dining

OPD recep

Generic OPD Cluster

Child

Children & People & OPD

Generic OPD Cluster

Reception Wait, Admin

Day Cases

Medical DCU

Audiology

SaLT diet

Generic OPD Cluster

Mater Antenatal Unit

Cardiology

NonClinical Support

Integrated Inpatients

Theatres incl. Recovery

Endoscopy incl. Recovery

Recep / Shared

32 Bed Ward Ward Support

Staff Change & Uniforms Rest Areas

Surgical DCU

32 Bed Ward

32 Bed Ward Shared Ward Support

32 Bed Ward

child wait

Integrated Therapies Unit

shared

Mental Health Unit

Outpatient Services

Extended

Outpatient Wait

Theatres & Endoscopy

Ultrasound

X-Ray

Inpatient and Day Case Wait

32 Bed Ward

Viewing & Reporting Areas and Shared Support

Shared Ward Support

body store

Postgraduate and Training Centre

Clinical and Hospital Offices

8 8

Stores

Pathology

LEC Entrance & Triage

MAU / major treatment Emergency Short Stay Ward(s)

MAU and Major Treatment

Resus

Walk-in

General Labs Special Lab

Imaging

Ambulance

Recep / Offices

Ambulance Transfers

Support

expansion space

Sterile supplies

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Mortuary

Stores Receipt & Distribut'n

Special Procedures OOH MI wait

Minor Injuries

IBI HEALTHCARE+ Developing Healthcare Strategies

HEALTHCARE STRATEGIES Structural Mechanical Electrical Civil

Land Planning Urban Design Landscape Design

User Groups & Public Consultation Programming / Clinical

IBI Healthcare+ Strategy Design

Healthcare Service Leaders

Ergonomics Evidence Based Medical Planners

Logistics Process Engineering IT

LEED® Sustainable Design

Clinical Speciality Experts

IBI Pulse Specialty Consultants

Medical Equipment and IT

Nurses and Physicians

Health strategy at IBI Group is about: • Understanding the key influences which shape our healthcare systems – both now and in the future. • Having a detailed knowledge of best clinical practice and how this is delivered through the application of leading-edge information and medical technology. • Ensuring that facilities are able to support this best practice, whilst making the best use of scarce healthcare resources and investment in infrastructure. • Future proofing the facilities which support these services and delivering the intelligent healthcare systems of the future. Our services cover all aspects of developing and delivering strategy; from understanding the key influences and drivers of healthcare futures, through visioning of how services could develop under these influences; to the planning of services to embrace this vision; the sizing of the functional content and space necessary to deliver the plan; the appraisal of how well the current infrastructure could be adapted to support these services; the writing of business cases to secure approval for capital investment; and the development of the clinical brief, the functional program; and the data sheets. 6

IBI PULSE To support our collaborative delivery of healthcare projects, we created IBI Pulse – a global network of international experts acclaimed in the delivery of healthcare services. They provide unparalleled leadership and insight into best clinical practice, and contribute to our debate on healthcare futures and peer review of our proposals.

LINKING PROGRAMMES IBI Group is adept at designing complex healthcare facilities that include a variety of clinical and non-clinical areas such as operating rooms, medical education areas, offices, labs, clinics, and more.

2 SPANNING THE HEALTHCARE SPECTRUM Our portfolio includes specialty facilities for children and women, cancer treatment, assisted living, rehabilitation, mental health, and more.

CONNECTING PEOPLE Our designs strike a balance that meets the needs of patients, clinical staff, and stakeholders alike.

IBI HEALTHCARE+

Creating Healthcare Environments Our firm’s extensive portfolio covers all aspects of healthcare including acute, primary, and behavioral mental healthcare schemes, ranging in scale from the smallest to the largest projects, in both public and private sector settings. We respond positively to the design challenge in every scheme, listening to our clients’ views and using our extensive clinical expertise to inform and refine their ideas. We are very aware of the drivers that influence healthcare design such as; the optimal therapeutic patient environment, evidence-based design, LEAN efficiency, future flexibility, infection control, privacy, and dignity. Working together, we seamlessly incorporate these drivers into our projects to realize the clients’ vision. Good consultation and briefing can be used to support clinical best practice through design. We listen to our clients, working in parallel with our healthcare planners to articulate intelligent, high quality designs with the agility and flexibility to respond to future change. Our R&D team, IBI THiNK, champions cutting-edge healthcare design in all its forms. This gives our clients the opportunity to collaborate with experienced healthcare specialists to create bespoke solutions to advance patient care, whether that is an intervention to improve rehabilitation, or a new product that assists the efficiency of nursing staff. Cross-sector design experience, gleaned from across our four key disciplines; architecture, transportation, master planning, and intelligent systems, combined with our international presence, enables our clients to benefit from state-of-the-art design innovation to deliver holistic, future-proof projects.

1 MCGILL UNIVERSIT Y HEALTH CENTRE (MUHC), GLEN CAMPUS, MONTREAL, QUEBEC, CANADA – IBI GROUP, BEINHAKER ARCHITECTE, MARTIN MARCOT TE – BEINHAKER ARCHITECTES, S.E.N.C., IBI NIGHTINGALE Award Winner 2 THE MONTEFIORE HOSPITAL, BRIGHTON, UK – IBI NIGHTINGALE 2013 World Architecture News WAN Healthcare Sector Awards, Special Commendation; 2013 Green Apple Award, Built Environment and Architectural Heritage; 2012 Acumen Commercial Proper ty Awards, Best Refurbishment 3 MEDICOVER PRIVATE HOSPITAL, WARSAW, PO – IBI NIGHTINGALE 4 DATO ONN INTERNATIONAL SPECIALIST HOSPITAL, JOHOR BARHU, MY – IBI NIGHTINGALE 5 THE LIVERPOOL HEART AND CHEST HOSPITAL, LIVERPOOL, UK – IBI NIGHTINGALE NEAT Excellent Rating 2 1

IBI GROUP

McGill University Health Centre, Glen Campus will include 500 single-patient rooms on a 43-acre site with 2,600 parking spaces.

IBI HEALTHCARE+ Creating Healthcare Environments

ACUTE HEALTHCARE 4

We are consistently delivering award-winning acute healthcare projects all over the world and across our scope of services. New build and refurbishment, these projects have honed our design team’s experience of various models of care, strengthening our understanding of healthcare operations and enabling our firm to benchmark best practice design solutions, which can be delivered within constrained economic frameworks. Experienced with the complex make-up of acute facilities, we are experts at managing the expectations of multiple stakeholders, carefully balancing the need for clinical efficiency and patient care. Research, development, and innovation are integral to our design approach, adding value to our service. For example, on a recent urgent care and trauma project, our designers were involved in hands-on research working alongside the lead clinical consultants to develop LEAN clinical pathways, which stressed key observation lines to create a safe, secure environment for both patients and staff.

MCGILL UNIVERSIT Y HEALTH CENTRE (MUHC) MONTREAL , QUEBEC, CANADA

As part of the internationally-recognized healthcare, medical research, and educational facilities at MUHC, the new Glen Campus creates a holistic healing environment that is focused on patients and their families. 2011 PFI Award for PPP Deal of the Year (Americas) from Thomson Reuters

CLIENT PROVINCE OF QUEBEC ROLE ARCHITECT / INTERIOR DESIGNER SCOPE / SIZE $1.3 BILLION / 2 MILLION SQ F T STATUS TO BE COMPLETED BY 2014 FIRM(S) IBI GROUP, BEINHAKER ARCHITECTE, MARTIN MARCOT TE – BEINHAKER ARCHITECTES, S.E.N.C., IBI NIGHTINGALE

1 KENSINGTON NEIGHBOURHOOD HEALTH CENTRE, LIVERPOOL, UK – IBI TAYLOR YOUNG 2 BOLTON ONE, BOLTON, UK – IBI NIGHTINGALE Green Project; Multi-Award Winner 3 FORT SASK ATCHEWAN COMMUNIT Y HOSPITAL, FORT SASK ATCHEWAN, ALBERTA, CANADA LEED ® Silver Cer tification Pending 4 SHERBOURNE HEALTH CENTRE, TORONTO, ONTARIO, CANADA 2007 Winner of the ARIDO Award of Merit 5 COCKERMOUTH COMMUNIT Y HOSPITAL AND HEALTH CENTRE, COCKERMOUTH, UK – IBI NIGHTINGALE

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PRIMARY IBI HEALTHCARE+ AND COMMUNIT Creating Y HEALTHCARE Healthcare Environments The building is designed around integrated functionality to ensure the maximum benefit of co-location. Each of the three clients within the building has their own specified areas, but these are interlinked to enable shared facilities and easy access.

PRIMARY AND COMMUNITY HEALTHCARE Accessible primary and community healthcare is essential to the well-being of local neighborhoods. As a practice, we have designed and delivered a considerable range of building types including: integrated well-being centers, one-stop primary care centers, walk-in centers, polyclinics, local healthcare resource centers, community hospital facilities, and community dental facilities.

In response to the continually changing nature of primary and community care, our designers have been involved in a number of new service developments. Most recently, this has included the fusion of disparate public sector facilities into centers for well-being; co-locating services such as surgeries, leisure facilities, nurseries, education centers, and libraries. Requiring an intelligent approach to flexibility and space efficiency, as well as the careful management of multiple client requirements, our cross-sector experience has helped to inform our award-winning solutions. 2

BOLTON ONE PRIMARY CARE CENTRE BOLTON ONE, BOLTON, UK

A health, leisure, and research center that combines a range of services in a single, integrated complex, serving the needs of three organizations; NHS Bolton, Bolton Council, and the University of Bolton. BREEAM Excellent Rating 5

2013 Nor th West Proper ty Awards – “Public Sector Team of the Year” Award (BRAHM LIFT); 2012 Finalist in the Building Better Healthcare Awards: Best Future Healthcare Design Concept (Open) Categor y; 2012 Highly Commended in the L ABC Building Excellence Awards: Community Buildings Categor y

CLIENT BRAHM LIF TCO, BOLTON COUNCIL, UNIVERSIT Y OF BOLTON ROLE ARCHITECT SCOPE / SIZE £30 MILLION / 13,000 SQ M STATUS COMPLETED FEBRUARY 2012 FIRM(S) IBI NIGHTINGALE

1 THE SELDEN CENTRE, WORTHING, UK – IBI NIGHTINGALE 2 REDWOODS CENTRE, SHELTON HOSPITAL, SHREWSBURY, UK – IBI NIGHTINGALE BREEAM Excellent Rating 3 THE GRETA & ROBERT H.N. HO PSYCHIATRY & EDUCATION (HOPE) CENTRE AT LIONS GATE HOSPITAL, NORTH VANCOUVER, BRITISH COLUMBIA, CANADA – IBI / HB ARCHITECTS Green Project 4 KIRK WOOD HOSPICE, HUDDERSFIELD, UK – IBI NIGHTINGALE 5 CHILDREN AND ADOLESCENTS MENTAL HEALTH UNIT, PRINCESS ROYAL HOSPITAL HAY WARDS HEATH, UK Recognized at the 2009 Mid Sussex District Council Architectural Awards 6 NATIONAL CENTRE FOR MENTAL HEALTH, BIRMINGHAM, UK – IBI NIGHTINGALE 2 1

IBI GROUP

Features an energy ef ficient building envelope, high per formance glazing, heat recover y chiller, active chilled beam system, and displacement ventilation.

IBI HEALTHCARE+ Creating Healthcare Environments

BEHAVIORAL / MENTAL HEALTH 5 6

As pioneering designers of mental health facilities, our firm has created innovative design solutions for a range of specialist mental health services. Each of our projects achieves the necessary balance between conflicting requirements for security, privacy, dignity, durability, and domesticity. Using unique design tools, IBI THiNK works in partnership with clients to create uplifting, safe environments that provide optimal levels of therapy, care, and treatment. We have delivered over 100 mental health commissions, ranging from feasibility studies to award-winning buildings. By taking a holistic approach to behavioral mental health design, we have created innovative new products with leading designers and manufacturers. Our firm is developing a Mental Health Risk Profiles toolkit to assist in the assessment of risk within areas of any given facility. This ensures that specifications are consistent and appropriate to the level of risk.

THE GRETA & ROBERT H.N. HO PSYCHIATRY & EDUCATION CENTRE (HOPE CENTRE) LIONS GATE HOSPITAL , NORTH VANCOUVER, BRITISH COLUMBIA , CANADA

The HOpe Centre is designed to allow for the separation between uses and the different client / patient populations. The in-patient floor consists of shared living spaces, dining, exercise and private rooms, and a large roof garden and outdoor space. The building also houses a medical education center to design and implement communitybased mental health programs. Designed to achieve LEED ® Gold Cer tification

CLIENT VANCOUVER COASTAL HEALTH ROLE PL ANNER / ARCHITECT / INTERIOR DESIGNER / TRAFFIC PL ANNER SCOPE / SIZE 150,000 SQ F T STATUS UNDER CONSTRUCTION FIRM(S) IBI / HB ARCHITECTS

1 ACCIDENT AND EMERGENCY, AINTREE UNIVERSIT Y HOSPITAL, LIVERPOOL, UK – IBI TAYLOR YOUNG 2 THE OXFORD HEART CENTRE, JOHN RADCLIFFE HOSPITAL, OXFORD, UK – IBI NIGHTINGALE 3 LEIGHTON ONCOLOGY DAY HOSPITAL, CREWE, UK – IBI NIGHTINGALE ‘Macmillan Quality Environment Mark’ by Macmillan Cancer Suppor t 4 RENAL DIALYSIS AND CARDIAC ASSESSMENT UNIT, WEST WALES HOSPITAL, WALES, UK – IBI NIGHTINGALE 5 WOMEN’S COLLEGE HOSPITAL, TORONTO, ONTARIO, CANADA – IBI GROUP ARCHITECTS IN JOINT VENTURE WITH PERKINS EASTMAN BL ACK ARCHITECTS

IBI GROUP

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IBI HEALTHCARE+ Creating Healthcare Environments

CLINICAL SPECIALITIES Our breadth of experience gained from the delivery of some of the largest and most complex general hospitals in Europe and North America means that we are very familiar with planning and designing a spectrum of specialist clinical environments, both as part of a healthcare complex or as stand-alone facilities. Specialities include: children’s and women’s facilities, cancer centers, cardiac, end of life care, ambulatory, rehabilitation, assisted living, elderly, and private healthcare.

5 5 Women’s College Hospital will provide a pioneering model of ambulator y care with women-focused ser vices in an environment that is welcoming, inspiring, healthy, and suppor tive for all users, patients, and staf f.

From cardiology to palliative care facilities, ambulatory to cancer care, we work alongside clinical professionals of all backgrounds to challenge the status quo and redefine the optimal patient environment. By listening, understanding, and creatively responding to the opportunities in each commission, we develop solutions that not only meet, but often exceed the client’s expectations.

WOMEN’S COLLEGE HOSPITAL (WCH) TORONTO, ONTARIO, CANADA

As the first ambulatory care hospital in Ontario, Canada’s pre-eminent academic ambulatory hospital and a world leader in women’s health, the new WCH will provide a leading-edge service. In Joint Venture, we were the architects and primary consultants for the Women’s College Partnership’s winning Design-Build-Finance-Maintain (DBFM) bid for the Infrastructure Ontario DBFM WCH Capital Redevelopment Project.

CLIENT WOMEN’S COLLEGE HOSPITAL ROLE ARCHITECT / PRIMARY CONSULTANT SCOPE / SIZE $300 MILLION / 420,000 SQ F T STATUS TO BE COMPLETED BY 2015 FIRM(S) IBI GROUP ARCHITECTS IN JOINT VENTURE WITH PERKINS EASTMAN BL ACK ARCHITECTS

NEW SOUTH GLASGOW HOSPITAL GL ASGOW, UK IBI NIGHTINGALE

One of the largest health campuses in Europe, this “super hospital” consists of an adult hospital, children’s hospital, laborator y, and suppor t ser vices.

INTELLIGENT INFRASTRUCTURE Our smart hospital design strategies incorporate patient feedback and sensory perception in the design process.

3 INTELLIGENT COMMUNIT Y PLANNING We design communities that promote an active and healthy lifestyle.

INTELLIGENT SYSTEMS Tele-health revolutionizes healthcare service with realtime access to health records, and the ability for doctors and nurses to diagnose/monitor patients remotely and submit results electronically.

IBI HEALTHCARE+

Shaping Smart Cities and Healthy Communities The Smart City model offers a way to improve the quality of life, competitiveness, and economic and environmental sustainability of the modern city by the incorporation of technology and intelligent systems into the design of both the physical and human infrastructure. Smart Cities are already a reality. Government initiatives in Europe, China, and Japan are exploring innovative ways to make the cities of the 21st Century more efficient, more livable, and more competitive. The Smart Cities movement feeds directly into the development of healthier, more sustainable communities. As we move from the reactive process of treating people when they become sick to a proactive wellness agenda, the decisions which inform Smart Cities come increasingly into play. Working at a strategic level with healthcare teams to create options for healthier lifestyle choices, we strive to address the workâ&#x20AC;&#x2030;/â&#x20AC;&#x2030;life balance â&#x20AC;&#x201C; reducing the stress of modern existence and its negative impact on health. The Smart City also looks to support senior citizens and people with long-term health problems through the use of tele-care and tele-health technology. This enables people to pursue active and independent lifestyles within the security of personalized support systems. Drawing on our expertise in healthcare strategy, architecture, urban planning, transportation, and intelligent systems software, we are ideally placed to lead in the planning of future healthcare and wellness delivery in the Smart Cities and healthy communities of tomorrow.

IBI GROUP

1 OPTEGRA SOLENT EYE HOSPITAL, SOUTHAMPTON, UK – IBI NIGHTINGALE 2 ROYAL LIVERPOOL CHILDREN’S HOSPITAL MASTER PL AN, LIVERPOOL, UK – IBI NIGHTINGALE 3 ESSEX CARDIOTHORACIC CENTRE, BASILDON HOSPITAL, ESSE X, UK – IBI NIGHTINGALE 2008 Building Better Healthcare Awards – Best Project Team; 2007 Building Better Healthcare Awards – Best Contractor 4 ROYAL LIVERPOOL UNIVERSIT Y HOSPITAL, LIVERPOOL, UK – IBI TAYLOR YOUNG AND IBI NIGHTINGALE

Royal Liverpool University Hospital redevelopment is streamlining ser vice deliver y through the separation of emergency and elective workloads, optimized depar tmental adjacencies, and increased flexibility of facilities.

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IBI HEALTHCARE+ Shaping Smart Cities & Healthy Communities

MASTER PLANNING AND URBAN PLANNING / RENOVATION AND RE-USE Few healthcare facilities exist in isolation. We have a long track record of master plans and urban designs which demonstrate our ability to embed healthcare services into the wider urban fabric. We have completed commissions ranging from high level feasibility studies to complex, multi-phased redevelopment strategies for both new and existing hospital sites. In many hospitals, the implementation of new models of care and the application of new technologies are constrained by estates and infrastructure that were designed and developed for a different era. Re-using and revitalizing estate, whilst all the time maintaining the continuity of healthcare services, is one of the greatest challenges facing healthcare designers today. With expert designers, and over 200 successful renovation projects to support this, we are confident in our ability to analyze our clients’ needs and imaginatively revitalize infrastructure to support the healthcare services of the future. 4

ROYAL LIVERPOOL UNIVERSIT Y HOSPITAL LIVERPOOL , UK

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This far reaching urban regeneration initiative will see the existing 1970s buildings replaced with a new hospital, through a PFI funded project over the next seven years, as part of the new University of Liverpool BioCampus. IBI Group has advised on each stage of the procurement process, from the initial Business Case, through master planning, to architecture and urban planning.

CLIENT THE ROYAL LIVERPOOL AND BROADGREEN UNIVERSIT Y HOSPITALS NHS TRUST ROLE TRUST ADVISOR / TOWN PL ANNER SCOPE / SIZE £350 MILLION / 90,000 SQ M STATUS TO BE COMPLETED BY 2016 FIRM(S) IBI TAYLOR YOUNG AND IBI NIGHTINGALE

1 LIONS GATE HOSPITAL, MASTER PL AN CONCEPT, NORTH VANCOUVER, BRITISH COLUMBIA, CANADA – IBI / HB ARCHITECTS 2 NORTH MIDDLESE X UNIVERSIT Y HOSPITAL, EDMONTON, LONDON, UK – IBI NIGHTINGALE NEAT Excellent at Bid Stage 3 YSBY T Y ALLT WEN, NORTH MEIRIONNYDD / EAST DW YFOR COMMUNIT Y HOSPITAL, PORTHMADOG, WALES, UK – IBI NIGHTINGALE 2009 International Green Apple Award 4 YSBY T Y ANEURIN BEVAN, EBBW VALE, SOUTH WALES, UK – IBI NIGHTINGALE Green Project

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Jones Ave.

IBI GROUP

klace is a 7km long multi-use trail that will form a klace is a 7km long multi-use trail that will form a p around the centre of the City of North Vancouver. p around the centre of the City of North Vancouver. will link important city parks, public spaces and will link important city parks, public spaces and s, providing safe, enhanced access for pedestrians, s, providing safe, enhanced access for pedestrians, nd cyclists alike. nd cyclists alike. ges 3m in width with the ability to expand, where ges 3m in width with the ability to expand, where future. To accommodate this, a buffer strip of 1.0future. To accommodate this, a buffer strip of 1.0provided, where possible, on either side of the trail. rovided, where possible, on either side of the trail. ssing safety has been improved by building interssing safety has been improved by building interxtensions, additional signage and zebra striping xtensions, additional signage and zebra striping kings across roadways. kings across roadways. mprised on an asphalt surface to provide access to prised on an asphalt surface to provide access to ty devices for people with disabilities and in-line ty devices for people with disabilities and in-line

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Necklace Trail System Necklace Trail System

NECKL ACE TR AIL SYSTEM Primary Primary Secondary PRIMARY Secondary 400m Radius/5min Walk SECONDARY 400m Radius/5min Walk 800m Radius/10min Walk 800m Radius/10min Walk MIN WALK 400 M RADIUS / 5 1200m Radius/15min Walk 1200m Radius/15min Walk 800 M RADIUS / 10 MIN WALK 1200 M RADIUS / 15 MIN WALK

0 0

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1000 Metres 1000 Metres

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IBI HEALTHCARE+ Shaping Smart Cities & Healthy Communities

SUSTAINABILITY / TRANSPORTATION – INTELLIGENT SYSTEMS / INTELLIGENT HOSPITALS

4 Ysbyty Aneurin Bevan responds positively to the unique micro-climate, providing an open, welcoming, and therapeutic environment for patients and staf f.

We are committed to both the economic and environmental sustainability of our healthcare projects, whether single buildings or infrastructure developed over a wider community. Our goal is to achieve the highest possible LEED / BREEAM scores and ensure that our projects provide good quality healthcare environments, supporting affordable and sustainable services. Our integrated approach to the design process brings together people who can create comprehensive strategies that incorporate all the elements that enhance sustainability today and promote smart growth into the future. Intelligent healthcare services in years to come will be supported by intelligent facilities. They will manage not only the technology of the building itself, but also the operation of the services delivered from the building, assuring both the quality and efficiency of those services. This will go beyond simple timetabling, to real time management of facilities and human resources in response to predicted changes in demand. The economic benefits from the application of intelligent systems to healthcare services and facilities will imminently drive its wider adoption sooner rather than later.

YSBY T Y ANEURIN BEVAN EBBW VALE, SOUTH WALES, UK

In addition to being the first publicly-funded new build hospital in the UK with 100% single bedrooms, it was designed to be as sustainable as possible, maximizing the potential of the site. NEAT Excellent Rating

CLIENT ANEURIN BEVAN HEALTH BOARD ROLE ARCHITECT SCOPE / SIZE £46 MILLION; 12,750 SQ M STATUS COMPLETED SEPTEMBER 2010 FIRM(S) IBI NIGHTINGALE

NORBURY CHAIR Recognizing the challenges faced by behavioral mental health staff when faced by distressed service users, we developed the “Norbury Chair.” Weighted and ergonomically shaped, the chair is designed to be immovable to inspire respect and provide comfort.

4 SENSE SENSITIVE DESIGN Sense Sensitive Design emphasizes the way the built environment is perceived through the senses. The optimal combination of elements such as natural light, views, color, art, and texture can offer powerful therapeutic benefits to patient groups.

CLINICAL INNOVATION The pursuit to achieve clinical and operational effectiveness has resulted in innovations such as the “Barn Theatre.” Comprising four operating tables within a sterile, climatically controlled open plan area, its design is proved to: increase surgical team work and efficiency, improve peer awareness and supervision, reduce infection rates, and provide a better quality working environment.

IBI HEALTHCARE+

Driving Design Innovation – THiNK Our international reputation for thought leadership is underpinned by a strong design research ethos that is supported by the work of IBI THiNK. THiNK is responsible for encouraging, capturing, and developing the intellectual capital vested in IBI Group’s projects, people, and processes. Inspired by the desire to create successful patient-centered environments, the work of THiNK highlights the significant link between research and practice. Its activities encompass innovations in clinical planning, product and furniture design, improvements in environmental design, as well as explaining, through collated evidence and experience, the impact of the built environment on the human condition. Sharing this knowledge with our clients and partners through formal networks, advice, and guidance is an essential element of THiNK. With a reputation for innovation, THiNK has underpinned the firm’s knowledge and understanding of the sensory impact of the built environment on the building user, particularly in healthcare. This knowledge has been furnished with findings from medical and psychological fields, which are then applied to design solutions. As well as supporting our research and industry partners THiNK initiates its own research, funding pilot studies to collate first-hand evidence to help improve the quality, efficiency, and sustainability of the built environment.

1 THE BEDPOD CONCEPT – IBI NIGHTINGALE WITH BILLINGS JACKSON DESIGN, INDUSTRIAL DESIGNER, AND SAS INTERNATIONAL, MANUFACTURER (PROJECT PARTNERS) 2 THE BEDPOD, PEDIATRIC CONCEPT 3 THE BEDPOD, PRIVACY AND DIGNIT Y 4 CRUCIFORM WARD 5 PATIENT DECEASED BAG

IBI GROUP

IBI HEALTHCARE+ DRIVING DESIGN INNOVATION – THiNK

THiNK – RESEARCH AND INNOVATION 4 5

Challenging the norm, exploring new ideas, and pushing the boundaries of industry knowledge and capability is an inherent philosophy for our in-house R&D team, THiNK. The process of taking information from other sectors, such as clinical research, and applying that information to design solutions, often provides a holistic way of looking at a recurring problem. The added value this service can be best exemplified by looking at two successfully realized THiNK projects. BedPod was designed to address privacy and dignity for patients staying in multi-bed accommodation. After successful 1:1 prototype testing, the UK’s Department of Health incorporated BedPod into their Showcase Hospital programme for evaluation in use. This will be subject to the THiNK post project evaluation process for further refinement. The Cruciform Ward takes a new look at multi-bed accommodation. By a radical design rethink, the Cruciform Ward addresses cross infection and privacy and dignity issues, while providing a space and cost-effective solution.

THiNK PROJECTS BedPod Developed as part of the UK’s Department of Health funded competition Design for Patient Dignity, BedPod is a component-based, prefabricated, integrated bed environment for hospitals, offering greater flexibility of space and improved patient privacy and dignity. Product Design We develop products to respond to everyday healthcare challenges. An example is the Patient Deceased Bag. Developed for the King’s Fund, it provides a dignified method to hand private belongings to a bereaved family member. Cruciform Ward The four-bed “Cruciform Ward” provides a costeffective and area efficient solution, creating a more informal layout, freeing up extra space for family and visitors, and addressing needs for patient privacy and dignity, as well as infection control.

DIVERSE DISCIPLINES IBI Group’s professionals in architecture, landscape, transportation/building engineering, and master planning fulfill various capacities in delivering influential and foundational social infrastructure projects.

5 THE NEXT GENERATION IBI Group are now involved in pioneering the “next generation” of P3 projects, where private sector partners share the risks on both the capital development and the income streams used to secure the debt. These models will be the cornerstone for major new investments by both not-for-profit hospitals in the USA and UK hospitals looking to develop their own infrastructure at home or in partnerships overseas.

DESIGN EXCELLENCE IBI Group uses principles of innovation, sustainability, and technology to design functional and creative projects that fulfill the programming intent and our clients’ goals.

FAST TRACK DELIVERY Our global office presence and abundant manpower allows us the flexibility to adjust staffing levels, using global or local resources, to meet tight timelines.

IBI HEALTHCARE+

Securing Procurement The quest for better value, and the timely and quality assured delivery of the next generation of healthcare facilities has stirred government agencies and commercial organizations to look for new and more efficient means of procurement. The IBI Group has extensive experience of winning commissions under these new procurement routes and working successfully to deliver state-of-the-art facilities, often surpassing client and user expectations, on time and within budget. There are many types of procurement routes, but most fall within three main groups: • P3, PFI, and Equity Investments • Frameworks • Design-Build Our mission at IBI Group is not only to design the best healthcare infrastructure possible, but to make sure that these designs are turned into reality. We work to make this happen, collaborating with partners and clients, pitching our ideas against the best of the competition and, above all, delivering practical and workable solutions to complex problems. Winning is not just about having the best idea, but making sure that it works at every level and stands up to the most rigorous scrutiny that evaluation can throw at it. Procurement may only be a means-to-an-end, but it is important if we are to create the environments to which we aspire. Our success in winning and delivering healthcare projects is based on an in-depth understanding of the procurement process itself, whilst maintaining a focus on the objectives we seek to deliver through procurement. Our extensive experience of working these routes with contractors, developers, and funders, ensures that we make best use of time to deliver a winning and deliverable proposal within tight timescales.

1 COVENTRY NEW HOSPITALS (PFI), COVENTRY, UK – IBI NIGHTINGALE BREEAM Excellent Rating 2 KING’S COLLEGE HOSPITAL (PFI), LONDON, UK – IBI NIGHTINGALE ETFE Foil Roof, Natural Light and Ventilation; 2004 Private Public Finance Awards – Best Designed Operational Project (All Sectors), and 2004 Civic Trust Award 3 DARENT VALLEY HOSPITAL (PFI), DARTFORD, UK – IBI NIGHTINGALE BREEAM Excellent Rating 4 MCGILL UNIVERSIT Y HEALTH CENTRE (MUHC), GLEN CAMPUS, MONTREAL, QUEBEC, CANADA – IBI GROUP, BEINHAKER ARCHITECTE, MARTIN MARCOT TE – BEINHAKER ARCHITECTES, S.E.N.C., IBI NIGHTINGALE 2011 PFI Award for PPP Deal of the Year (Americas) from Thomson Reuters 5 BICESTER COMMUNIT Y HOSPITAL, OXFORD, UK – IBI NIGHTINGALE 6 PETERBOROUGH CIT Y HOSPITAL (PFI), PETERBOROUGH, UK – IBI NIGHTINGALE Green Project; Award Winner

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IBI HEALTHCARE+ Securing Procurement

PUBLIC PRIVATE PARTNERSHIPS (P3) / PRIVATE FINANCE INITIATIVES (PF) / EQUITY INVESTMENTS 5 6

P3’s bring together private sector capital investment in support of public sector funding for services. Our firm has been at the forefront of the P3 program in the UK and Canada. Drawing upon our long-standing relationships in both the public and private sector, we actively serve as a bridge, promoting a partnering ethos and building upon each sector’s strengths and expertise. Since P3’s outset, we have worked closely with consortia and healthcare clients to design and translate ambitious scheme bids into high quality, functional, and cost-effective solutions. Since the world’s first healthcare P3, we have gone on to design over 26 more schemes in the UK and Canada, winning several awards for exemplary architecture. Our partners benefit from our experience as lead designers and client advisors. These complementary perspectives enable us to offer an exceptionally strong, inclusive service to private and public sector clients at all stages of the P3 process. 1

PETERBOROUGH CIT Y HOSPITAL PETERBOROUGH, UK

One of the National Health Service’s largest PFI projects to date, the Greater Peterborough Health Investment Plan is an ambitious and unique project consisting of three phases, including a 40-bed integrated care center, 98-bed mental health unit, and 800-bed main acute hospital. BREEAM Excellent Target 2010 Best Commercial / Community Development, Peterborough Design Awards

The Peterborough City Hospital design uses natural light, color, and views to create a therapeutic environment for patients and family, integrating IBI THiNK innovations such as the “Cruciform Ward.”

CLIENT PETERBOROUGH AND STAMFORD HOSPITALS NHS FOUNDATION TRUST ROLE MASTER PL ANNER / ARCHITECT / INTERIOR DESIGNER SCOPE / SIZE £250 MILLION / 95,000 SQ M STATUS COMPLETED 2010 FIRM(S) IBI NIGHTINGALE

1 ESSEX CARDIOTHORACIC CENTRE, BASILDON HOSPITAL, ESSE X, UK – IBI NIGHTINGALE 2008 Building Better Healthcare Awards – Best Project Team; 2007 Building Better Healthcare Awards – Best Contractor 2 THE LIVERPOOL HEART AND CHEST HOSPITAL, LIVERPOOL, UK – IBI NIGHTINGALE Green Project 3 YSBY T Y YSTRAD FAWR, CAERPHILLY, WALES, UK – IBI NIGHTINGALE NEAT Excellent Target 4 YSBY T Y ANEURIN BEVAN, EBBW VALE, SOUTH WALES, UK – IBI NIGHTINGALE NEAT Excellent Rating 5 EAST LONDON PERSONALIT Y DISORDER UNIT, LONDON, UK – IBI NIGHTINGALE 2007 Gold Green Apple Award for Enhancing the Built Environment and Architectural Heritage 1 2

IBI GROUP

The Liverpool Hear t and Chest Hospital was a functional and af fordable design, including IBI THiNK innovations such as the “Barn Operating Theatre.”

IBI HEALTHCARE+ Securing Procurement

NATIONAL AND LOCAL FRAMEWORKS Supply Chain Frameworks originated in the manufacturing and logistics sectors and adapted to healthcare infrastructure. We have been involved since their inception at a national level in the UK through ProCure21, ProCure21+, NHS LIFT, and Designed for Life. Frameworks establish a strong working partnership with the client and are credited with delivering high-quality and cost-effective solutions. They are the favored procurement route for most large commercial organizations, offering real benefits over traditional routes. Our firm’s unparalleled healthcare experience saw us pilot the original ProCure21 framework, and since then, we have delivered over 30 projects with seven separate Supply Chain Partners. Our ability to deliver design excellence within an integrated team has seen several firsts, including the first 100% single room hospital in Wales, under the Designed for Life framework. This has underlined the significant qualitative, cost, and timescale benefits that collaborative arrangements can offer.

LIVERPOOL HEART AND CHEST HOSPITAL LIVERPOOL , UK

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The redevelopment of Broadgreen Hospital and the Cardiothoracic Centre was the largest project delivered through the UK’s ProCure21 framework initiative. The scheme was constructed in five phases and involved the provision of extensive new-build accommodation as well as significant alterations to existing facilities. NEAT Excellent Rating

CLIENT BROADGREEN & ROYAL LIVERPOOL UNIVERSIT Y HOSPITALS NHS TRUST / CARDIOTHORACIC CENTRE LIVERPOOL NHS TRUST ROLE ARCHITECT SCOPE / SIZE £55 MILLION / 28,000 SQ M STATUS COMPLETED 2006 FIRM(S) IBI NIGHTINGALE

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photo by Nic Lehoux

IBI GROUP

1 GORSE STACKS HEALTH AND SOCIAL CENTRE, CHESTER, UK – IBI NIGHTINGALE 2 BC CANCER RESEARCH CENTRE, VANCOUVER, BRITISH COLUMBIA, CANADA – IBI GROUP IN JOINT VENTURE WITH HENRIQUEZ PARTNERS ARCHITECTS LEED ® – NC Gold Rating; 2008 American Institute of Architects Award 3 PRIVATE PATIENT UNIT, CHRISTIE CLINIC, UK – IBI TAYLOR YOUNG 4 GUY’S & ST. THOMAS’ SATELLITE RADIOTHERAPY CENTRE, LONDON, UK – IBI TAYLOR YOUNG 5 NEW SOUTH GL ASGOW HOSPITAL, GL ASGOW, UK – IBI NIGHTINGALE Green Project

IBI HEALTHCARE+ Securing Procurement New South Glasgow Hospital will display the highest standards in modern design, and has the potential to become an iconic landmark in the city of Glasgow, as well as setting new and exciting benchmarks in healthcare.

DESIGN-BUILD AND DESIGN-BID-BUILD We actively nurture contractor relationships to achieve excellent performance and client satisfaction. Design and build is a popular procurement route and with over 50% of our portfolio commissioned by major international contractors, we have developed robust methodologies that deliver affordability without compromising on the quality or functionality of the design. From small-scale refurbishments to multi-million dollar healthcare campuses, our focus from the very beginning is to impart our healthcare planning and clinical design expertise to ensure the client receives a building that is not only aesthetically pleasing but buildable, functional, and future-proof. 5 5

NEW SOUTH GL ASGOW HOSPITAL GL ASGOW, UK

A design-build 14-story “super hospital,” this is one of the largest hospitals ever to be commissioned in the UK and one of the most advanced medical campuses in Europe. The new £840 million facility is comprised of a 1,109-bed adult hospital, a 240-bed children’s hospital, and one of the largest emergency departments in Scotland. Providing 100% single adult bedrooms, the hospital’s design will improve infection control and heighten overall patient care, dignity, and privacy. BREEAM Excellent Target

CLIENT BROOKFIELD CONSTRUCTION / NHS GREATER GL ASGOW & CLYDE BOARD ROLE MASTER PL ANNER / ARCHITECT / INTERIOR DESIGNER SCOPE / SIZE £840 MILLION / 170,000 SQ M STATUS TO BE COMPLETED BY 2015 FIRM(S) IBI NIGHTINGALE

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SERVICES

ENGINEERING CIVIL COMMUNICATIONS SYSTEMS ELECTRICAL INDUSTRIAL AND MANUFACTURING MECHANICAL MUNICIPAL STRUCTURAL SURVEYING AND MAPPING TRAFFIC TRANSPORTATION PL ANNING COMPREHENSIVE PL ANS L AND-USE PL ANNING PUBLIC OUTREACH ECONOMIC ANALYSIS RESEARCH RESORT MASTER PL ANS TRANSIT-ORIENTED DEVELOPMENT URBAN DESIGN

URBAN L AND AND WATER BROWNFIELD DEVELOPMENT WATER RESOURCES MANAGEMENT SYSTEMS INDUSTRIAL AND PROCESS ENGINEERING INTELLIGENT SYSTEMS ENGINEERING OPERATIONS AND MAINTENANCE PROGRAM MANAGEMENT SOF T WARE DEVELOPMENT STRATEGIC PL ANNING SYSTEMS INTEGRATION TR ANSPORTATION BRIDGE ENGINEERING CONSTRUCTION ADMINISTRATION ELECTRICAL ENGINEERING ENVIRONMENTAL ASSESSMENT HIGHWAY DESIGN TRAFFIC ENGINEERING TRANSIT PL ANNING TRANSIT STATION DESIGN TRANSPORTATION PL ANNING

ARCHITECTURE CIVIC AND MUNICIPAL HEALTHCARE HIGHER EDUCATION HIGH-RISE HOSPITALIT Y INTERIORS JUSTICE AND PROTECTIVE SERVICES K-12 EDUCATION L ANDSCAPE ARCHITECTURE MIXED-USE RETAIL AND COMMERCIAL SENIORS COMMUNITIES STADIUMS AND SPECIAL EVENTS

Global Intelligence. Local Knowledge.

IBI Group is a multi-disciplinary organization offering professional services in four areas of practice Urban Land | Facilities | Transportation | Intelligent Systems

IBI GROUP | PRESENTING IBI GROUP’S GLOBAL PRACTICE IN HEALTHCARE+ | OCTOBER 2013