Keeping Focus on the Patient Experience
Transcript of Keeping Focus on the Patient Experience
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The Christie Proton Beam Therapy CentreKeeping Focus on the Patient Experience
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Main Components of a Proton Beam Facility
1
Particle
Accelerator
2
Beam
Transport
System
3
Treatment
Gantry
4
Treatment
Nozzle
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Length = 15m Width = 10m Height = 12m
Overall Bunker Size: 67m x 31m
Treatment “Bunker”
Treatment Room Dimensions
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Why Do It?
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Bragg Peak
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The Christie
Manchester
UCLH
London
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Vendor Dialogue
Clinical User Dialogue
Jan ‘14 Nov ‘14Aug ‘14
2 bidder phase
3 bidder phase
Pre-Construction Design Timeline
Architectural Design RIBA Stage 4
RIBA Stages 2 & 3
Planning Approval
Jun ‘15Mar ‘15
Vendor Selected
GMP/ Start on site
Planning Submitted/ABC
Start
1:200 Design
1:50 Design
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Bunker Design
Clinical Design
Parallel Design Process
fixe
d li
ne
fixed line
Freezing the Bunker Position Along 2 Axes Allowed for the Clinical Design to Commence During the Vendor Dialogue Process
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Vendor A
Vendor B
Vendor C
Vendor Comparison
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-10 km of embedded conduits
-1 km of embedded pipework
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Concrete Design
• Full Scale Pre-Construction Test
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Conduits & Co-ordination
• 3d Co-ordination of Reinforcement and Conduits/Services
• Individual pour by pour drawings issued showing all details, setting out and embedded items
• Full time Resident Engineer
• Key Vault Statistics• ~16,000 m3 concrete• ~2,500 concrete wagons• ~100 pours – up to 650m3 each• ~2,000 tonnes reinforcement• ~40,000 tonnes concrete
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Pour Sequence
• Detailed Review of Pour Sequence• Co-ordinated with Concrete Sub-Contractor
• Direct impact on design – internal restraint
• Informed programme, shutter designs and logistics
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PBT Equipment Rigging
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Bunker = same weight as two HMS Invincibles!
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The Patient Experience as the Driver
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Paediatric Clinical Flows – Safeguarding Children
Dedicated Paediatric Areas:• Waiting• Play Therapy• Anaesthetic• Treatment Room• 1st and 2nd Stage Recovery
Teenage / Young Adults:• Dedicated Waiting Adjacent to
Main Adult Area
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Adult Imaging Flows
Main Waiting / Treatment
Imaging (MRI / CT)
Research Room
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Architectural Design and Town Planning
neighbours
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Arts & Interiors
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“Under the Trees”
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Thank You