Architects for Health activities 2013-2014
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Transcript of Architects for Health activities 2013-2014
A f HArchitects for Health Regional Event NW 25- 26 June 2014Hosted by Manchester Metropolitan University and Laing O’Rourke
BRIGHT FUTURE FREE THOUGHT
CANDACE IMISON Director of Policy The Kings Fund
DR ADRIAN CRELLINConsultant Clinical OncologistDH and NHS England National Clinical Lead for Proton Therapy
JOHN COOPER Director of John Cooper Architecture and former AfH Chair
DISCUSSION
A “cure” or “vaccine” for certain cancers.
An increase in the number of lifestyle drugs available
Devices that have the capacity to replace or integrate with human tissue
Biosensors that allow continuous monitoring of a patient
Pharmacogenetics support more effective treatments
In the longer term stem cells provide capacity to replace or repair organs
Increasing capacity to diagnose and treat
Continuing and rapid technological advance
Continuing growth in computing
power, intelligence and access
The world of Big Data
Shift towards smart phone/tablet
and apps from PC and web
Current digital divide presents
challenges
The hospital - part of a wider web of patient focused care
Home
Health and socialcare centresclose to home
Community care centresheart of the community
Specialist care centreson central city sites
Self careMonitoringAutomated treatmentInformation and adviceNHS Direct
Social carePrimary careOutreach care
Basic diagnostic servicesDay interventionsMinor injuriesNurse led inpatient careIntensive rehabilitationChronic care management
HomeNursing homes
PharmacyCyber café
Health kiosk
SurgeriesDrop in centresHealthy living
centres
Resourcecentres
Community hospitals
DTCsSecondary care
Tertiary care Planned interventionsEmergency careComplex diagnosticTreatment & inpatient care
Adapted from:Building a 2020 vision - The Nuffield Trust (2001)
More integrated community based models of care
High tech
Automated pathology, digital imaging, telemedicine, IT links
Bringing health care into the heart of the community:
A new relationship with the public:Welcoming, therapeutic environment, integrated with other public services
Mobility centre for intensive care
rehabilitation
ConsultingBasic diagnosticsDay interventions
Nurse ledinpatient care
Minor injuries
Child developmentcentre
Hospices and nursing homes
Mental healthresource centre
Education, leisure
Advice
Day centres forolder people
Alternative health care providers
A new relationship with the environmentSustainable systems: water,energy, recycling, waste,emissions, bio-diversity
Adapted from: Building a 2020 vision - Nuffield Trust (2001)
Technology could support service transformation
Reactive to proactive Help patients help
themselves and each other
Personalised services Care to health and
wellness But One size does not fit
all Caring still counts
Virtual visits – remove geographical barriers to access
Health care can be done at a distance with video conferencing and remote monitoring of blood sugar, blood pressure, heart rate, and other health data.
High resolution IGRT
Multileaf collimator
First Linac
Computerized 3D CT treatment planning
1960 1970 1980 1990 2000 2010
IMRTdose-painting
Standard collimator
Cerrobend blocks
Shaped electron fields
ImageFusion
Stereotactic Radiotherapy
ParticleTherapy
The Evolution of Radiation Therapy
Drive to increase conformal delivery to irregular tumour targets And reduce toxicity
EmbryonalRhabdomyosarcoma
IQ & FunctionGrowth2nd malignancy
Proton Radiotherapy
Proton equipment is primarily based on a standalone accelerator feeding multiple treatment gantries
AcceleratorUsing magnetic fields, the hydrogen protons are accelerated to two thirds the speed of light.
Gantry
Each of the three gantries is three-stories tall and weighs 200,000 Ibs
ElectromagnetsThe magnets focus and route the proton beams to the gantry
How can we do more with less?
In partnership with the European Health Property Network at the Royal College of Physicians
VIEWPOINTS FROM
Management
Policy research
Strategic planning
Developer
Architects
Response to Crisis
LOCAL HOSPITALS
Movement of out-patients diagnostics and treatments from acute towards community
Key issue is the movement of chronic disease management to the community preventing unnecessary hospitalisation
Movement of complex specialties or specialties benefiting from higher critical mass to Centres of Excellence
PULL
PULL
= LESS BEDS AND LESS HOSPITALS
Location of services
Developer’s approach
• Need for new types of infrastructure
• Extending care outside of Hospital
• Multi-occupiers of facilities
Focus is to move away from a ‘Building’ view to a ‘Property’ view
By design
The Capital Region of Denmark New Hospital and Mental Health Bispebjerg
Bispebjerg Hospital 1913 2013
Designing for people with dementia in hospitals
Collaborative practices
Artists and Architects in dialogue
UCLH tour
Little and Large Sue Ridge and Julia Dwyer
Sophie Twohig Hopkins and Guy Noble UCLH Arts coordinator
Jane Willis and Studio Weave recent projects in Bristol
When is an architect not an architect?
Jane Willis, Willis NewsonJe Ahn, Studio Weave
Stuart Haygarth
Designing for ImpairmentThe 2012 Paralympics changed public perception of disability. How much has it changed practice? What is the latest thinking about rehabilitation? What does it mean for design?
Glasgow Event
Policy context
Reference design schemes- little and large
Client perspective
Schemes in development for hospitals, primary and community care
Visits to range of buildings in use
IHEEM 2013Conference strand
How can we do more with lessDesigning environments for mental health and dementiaPanelExhibition of members projectsPresentation of design award
HOW CAN WE DO MORE WITH LESS?
John Cooper
Christopher Shaw
10 THINGS WRONG WITH THE NHS ESTATE
Why do we need change?
10 THINGS THAT MUST BE DONE
How do we need to change?
2 0 X 2
You either Love it or Hate it(But you have to try it)
Phil Gusack Essay Prize
Prize: £500 plus publish in RIBAJUp to 2000 wordsRegister your interest nowDeadline 1 September 2014
Fresh and provocative ideas
AFH EVENTS 2014
SPRING Student Design Award
AGM Bright Future Free Thought & Phil Gusack Essay Prize
SUMMERDesign in Mental Health Conference
NW Regional Event and Visit 25-26 June
AUTUMNCollaborative practice Sept
IHEEM conference and Design Awards Oct 7-8
WINTER 20X2 Nov
CONTACT AfHwww.architectsforhealth.cominfo@[email protected]@[email protected] In groupMembers Newsletter
OUR SPONSORS 2013-4Laing O’Rourke Brookfield MACE Guldmann Interserve Optima ARUP Teal Hewi Kier Trovex Hitch Mylius Altro With partnerships EUHPN A+D Scotland LSBU GSTT MARUMember supporters JCA NBBJ IBI Nightingales CODA P+HS Hopkins HLM CF Muller Stantec SBA Sheppard Robson
THANKS
EVENT CO-SPONSORSKier Tarkett Pineapple
WITH EVENT HOSTSManchester Metropolitan Universityand Laing O’Rourke