New BMDH Expansion Stage 2A&C 1411 copy 4 · 2017. 3. 15. · 2. Engagement and Sustainability BMDH...

Kaleidoscope

An Arts and Culture Plan for BMDH Stage 2

Kaleidoscope, an Arts and Culture Plan for BMDH St 2 Health and Arts Research Centre, Inc. 1

Kaleidoscope an Arts and Culture Plan for BMDH Expansion Stage2

Health and Arts Research Centre, Inc. October 2016

Prepared by Health and Arts Research Centre, Inc. for NSW Health InfrastructureBMDH Expansion Stage 2

Marily CintraOctober 2016

Artist Impression, view from Marcel Crescent (Jacobs Architects)


Schematic Design Report

Blacktown Hospital Stage 2 Redevelopment

www.jacobs.com PAGE 25

Figure 18 – Stage 1 CSB west façade

4.4 Siting

The existing site contours vary significantly within the campus creating varied access points into the existing buildings.The site levels provide opportunities and constraints to resolve the proposed building levels for Stage 2.

The detailed location of the ASB has been determined by a variety of considerations on each side:

North

The location of the north façade of the ASB has been determined primarily by the need for the existing ED to remainfully operational during the construction of the ASB. Therefore the ASB must be constructed to south of the existingconcrete vehicular ramp.

East

The location of the east façade of the ASB has been determined primarily by a judgement on the optimum width of themain entry forecourt, i.e. four 8.4 metre grids, or 33.6 metres, less structure and facade thicknesses.

The factors that have been balanced to arrive at this width are:

• Adequate space for vehicular and pedestrian circulation

• Solar access necessary to provide a comfortable environment

• Proximity required between Stage 2 and Stage 1 / the existing hospital.

South

The extent of the ASB to the south is restricted by the alignment of the ring road between Panorama Parade and themulti-storey carpark. Notwithstanding, the ring road has been realigned a little further south to maximise the ASBfootprint.

West

The extent of the ASB to the west is again restricted by the current alignment of the ring road and the requirement forthe ambulance bay to be accommodated between the ASB and the ring road.

There is also an easement along the Western side of the campus for an overhead Sydney Trains 33kV power line. It isexpected to re-route that line underground off the hospital campus at some point in future, but the design assumes thepower line will be retained in the short term. No building structures will encroach on the HV easement. Only civil workscomprising road works and services diversions will take place within the easement and beneath the power line, all withinthe requirements of Sydney Trains.

With the acquisition of residential properties on Panorama Parade and re-routing of the power line, future expansion ofthe ASB will be available to the west.

Refer to the separate Engineering Reports for details of existing and proposed services.

4.5 Building Form

A rectangular deep plan podium rises to Level 3. The podium is topped with a U-shaped form extending up to Level 8,with an L-shaped plantroom on Level 9. As the floor area of each storey decreases progressively up the building, thevoid between the north and south wings enlarges, resulting in a series of stepped roof terraces open to the west. Theterraces provide a conveniently located protected outdoor space for each of the clinical functions.

Figure 19 – Aerial view from the northwest of the proposed Stage 2 ASB

Executive SummaryBlacktown Mount Druitt Hospitals (BMDH) Expansion Stage 2 Arts and Culture Plan was developed with significant community participation with the aim of creating inspiring and supportive environments for BMDH patients, visitors and staff. The plan builds on the success of BMDH Expansion Stage1 Arts and Culture Program, and reflects and interprets a vision developed with hospital users and the local community, and sets the direction for the integration of public arts for BMDH Expansion Stage 2.1

Methodology2

The methodology used to develop the plan included: Environmental design methodologies

• focused interviews with users and key stakeholders• questionnaires surveys• observation of physical traces and environmental behaviour• collaborative meetings with BMDH designers, planners, project managers and staff• public art and environmental design research

Creative activities• singing and storytelling• creation of temporary art works involving local communities

Findings:Findings indicate an overwhelming support for the arts created in the BMDH Expansion Stage 1 Arts and Culture Program. Although 90% of the people consulted during Stage 2 had not had any prior involvement in the arts program they often mentioned how they appreciated the arts and design of the new Blacktown Hospital Clinical Services Building. The planning process revealed that all partner organisations in Stage 1 were proud of their participation in the program and are willing to continue their engagement into Stage 2. Over 350 people were engaged during the planning. This includes surveys, focused interview meetings with staff, community groups and individuals. The data indicates priority areas for artworks include the main entry foyer, waiting rooms, outdoor/gardens and wards. The planning process also suggests that artworks are used to orient users in the physical space. The themes of nature, colour,

Attachment 1 and 2 - Arts, Culture and Healthcare; Blacktown: Location, History, People and Health; and About Blacktown and Mount Druitt Hospitals 1

Attachment 3 - BMDH Stage 2 Arts and Culture Consultation and Community Engagement; Arts Themes and Priority Spaces; Arts Preference; Community Values2


heritage and cultural diversity continues to be as a strong as originally identified in Stage 1. In particular the data shows that the users appreciate a sense of place that celebrates Blacktown and Mount Druitt.Key recommendations1. Identity and Sense of PlaceBMDH Expansion Stage 2 Arts and Culture Program facilitates the way people orient themselves in the physical environment and provides a coherent environment that supports the function and identity of the hospitals and their different areas. It celebrates Aboriginal culture and reflects local cultural diversity.

2. Engagement and Sustainability BMDH Expansion Stage 2 Arts and Culture Program promotes connections with users, local communities and organisations. It supports the development of new partnerships, creating opportunities for further engagement and ongoing involvement. It makes visible the association between BMDH, users and local communities.

3. Inspiration and InnovationBMDH Expansion Stage 2 Arts and Culture Program is an integral part of the BMDH Expansion Project. It works with the Expansion Project and BMDH staff to create innovative ways to develop state-of-the-art healthcare facilities that respond to users’ needs, provide access through universal design, function as catalysts for healthy lifestyles, and develop family friendly spaces.

4. Art for Healing EnvironmentsBMDH Expansion Stage 2 Arts and Culture Program supports the development of healing environments that help reduce stress. Examples of stress reducing arts include works that assist in the communication between patients and staff, provide positive distraction, support a sense of control and access social support.


AcknowledgementsBlacktown Mount Druitt Hospitals Expansion Arts and Culture Program has progressed to a new stage and remains focused in developing a public arts and culture program that is engaging and builds on the community as partners. Furthermore, the program continues to support excellence in the arts for healthcare design.

The development of the arts and culture plan would not not been possible without the BMDH Expansion Program support and commitment. Likewise, it would not been possible without the contribution of Blacktown and Mount Druitt hospitals’ staff, visitors and patients, local communities and arts and culture partners. Their enthusiasm has been vital to the creation of this plan. In particular we want to thank the support of SydWest Multicultural Services and Blacktown Arts Centre. They are valued collaborators since 2012 with the development of the Arts and Culture Program for BMDH Stage 1.

Appreciation is also given to BMDH Expansion Arts and Culture Working Group. Together we were able to develop an inspiring and visionary plan for the arts and culture for BMDH Stage 2 Arts and Culture Program.

Finally, I must congratulate and thank the Health and Arts Research Centre’s team working on this project: Silia Cluff, Malcolm Cooke, Yoshimi Lawler, Mira Martic, Louise McKenzie and Frances Nan. The team’s commitment and support was a key to the success of the planning. Thank you to Khatol Ahmadzay, Sonia Kalsi, Hikmat Odesh, Geordhi Sivaraj, our team’s Community Champions. They are members of the local community and local workers who directly assisted in consultation and planning. The Champions were valued members of our team and they captured ideas and feelings from within the local community.

Marily CintraBMDH Expansion Project Stage 2 Arts and Culture PlannerOctober 2016


Art and Culture Working Group

Andrew Paris, BMDH Extension Project Director, Health Infrastructure

Angeline Xavier, ICU Clinical Nurse Educator

Anne Fisher, PwC

Arthur Collins, Jacobs Architects

Christine Holman, Manager, Strategic & Operational Governance, Blacktown and Mount Druitt Health

Claudia Hudson, Divisional Administration Officer - Business, Analytics & Performance/ Operational Design

David Nicholls, Mental Health Nurse Manager

Elizabeth Leece, Population Health, WSLHD

Helen Konowec, Women and Children’s Health Nurse Manager

Jan Hookkee, Regional Dialysis Unit, Operations Manager

Jenny Saunders, FFE Manager

Josephine Winsor-Dahlstrom, Manager, Aboriginal Health

Judy Dalmati, Anaesthetic Recovery Nurse Unit Manager

Julie Yorke, Mount Druitt Hospital Operations Manager

Julieanne Barratt, Nurse Unit Manager, Birthing Unit

Kate Murdoch, Cumberland Hospital, Disability Employment Consultant

Katushka Saint-Clair, Nurse Unit Manager, Emergency Department

Leanne Watson, Cancer Care Integration Manager

Lilly Dolenec, Expansion Project Communications Manager

Louise McKenzie, Health and Arts Research Centre, Inc

Marily Cintra, Expansion Project Arts and Cultural Program Coordinator

Marilyn Legaspi, Blacktown Hospital Surgical Unit, Nurse Unit Manager Orthopaedics

Matthew Curnow, Associate Director PwC, Capital Works

Matthew Tadorian, BMDH Project Operations Manager

Mildred Villason, Nurse Unit Manager Children’s Ward, Mount Druitt Hospital

Mira Martic, HARC

Mira Poposka, Assistant Nursing, Causal Pool

Monika Latanik, Multicultural Health Manager

Monir Rowshan,Arts and Cultural Development, Blacktown City Council

Peter Rophail, Director, Operational Design BMDH

Professor Peter Zelas, Clinical Dean, University of Sydney at Blacktown HospitalRobyn Campbell, BMDH Stage 2 Transitional Manager

Sonia Hollands, BMDH Fundraising and Events Coordinator

Therese Freeman, Nurse Unit Manager, Newborn Care


Terry Freeman, George, Jessie Miller and Julieanne Barratt

Schedule of Arts and Culture Projects

The schedule of works was developed in response to the planning findings and in connection with the architectural details. BMDH Stage 2 Arts and Culture Working Group supported the proposals and ranked the projects according to the Key Strategic Recommendations and the following criteria:

Criterion 1: Identity and Sense of PlaceThe project assist with way finding, provide a sense of place at BMDH, help identity the function of the area, celebrates Aboriginal culture, reflect local cultural diversity

Criterion 2: Engagement and SustainabilityThe project promote connections with users, local communities and organisations, support the development of new partnerships, create opportunities for further engagement and ongoing involvement, make visible the association between BMDH, users and local communities

Criterion 3: Inspiration and InnovationThe project create innovative ways to develop state of the art healthcare facilities, respond to users’ needs, provide access through universal design, function as catalyst for healthy lifestyles, develop friendly spaces.

Criterion 4: Art for Healing Environments

The project support the development of healing environments that help reduce stress, facilitate the communication between patients and staff, provide positive distraction, support a sense of control, support access to social support.

The schedule of arts and culture projects will be developed through the engagement of artists and partner organisations. As part of the plan’s implementation briefs created in collaboration with designers and builders will assist to define the projects.

The images that were used to illustrate the projects are concepts to illustrate the plan’s vision. It is expected that artists and communities will develop their own interpretation as response to the briefs. The Arts and Culture Working Group will selected the most appropriate proposal and artists will be contracted to further develop the projects.


Consultation workshop with the children from Coolamon Cottage Childcare Centre photographs Silia Cluff

Project # Project Title Location Description Potential Partners

1 Hospital Street Flow and LandscapeArtworks on the hospital street axis and green areas

Art collaboration using new architectural materials to showcase healthy living and climate adaptation. Special pavements, and interactive sculptures that highlight the hosipital’s principal pedestrian entries. Continuity of the mosaic work. Enhancing way finding.

University of NSW, Faculty of Built Environment (High Performance Architecture and Smart Cities)Urban Climates Research

2 Kinetic Sculpture Main atrium

The artwork produces gentle movement and brings character and distinctiveness to the foyer. Powered by solar and/or new interactive systems like pavegen

University of NSW, Faculty of Built Environment (High Performance Architecture and Smart Cities)Urban Climates Research, Hypersonic

3 Aboriginal Commonground Main atrium

Aboriginal Diversity: artwork incorporating soil/sand/objects/artworks from a diversity of areas in NSW where local Aboriginal people are originally from. Working with Elders from Blacktown and from Country

Aboriginal HealthLocal Elders

4 Water feature in courtyard/green space

New landscaped areas: old ambulance bay and green space in front of the hospital main foyer

Creation of one or more water features that provide a positive effect of natural cooling. Work to look good at all times, including if water feature is turned off, be safe to children and that present clean and calming. Not high maintenance water feature.

5 Birth rooms art projections Birthing UnitThe Library of Images and Sound will be made available to the women giving birth as opportunity to personalise the birthing room.

Modos Denmark,Herning Birthing Centre, DenmarkUTS Centre for Midwifery, Child and Family Health,

6 Mount Druitt Renal Healing Garden Mount Druitt Hospital campus

The garden will use recycled water from Renal Dialysis. It will be developed and be cared for with the support of the Aboriginal community. Volunteers could help care for the garden. The garden will be accessible to all at Mount Druitt Hospital.

Sydney Sustainable Living CentreAboriginal Elders and communitiesMount Druitt Hospital Child CareRenal Dialysis PatientsCentre for Population Health WSLHD


Schedule of Works

7 Photo / Art StoriesBlacktown and Mount Druitt corridors and waiting areas

The project flows from a very successful artwork designed for theRegional Dialysis Centre, creating portraits of patients and staff, with their stories. The new Photo/Arts Stories will engage staff, including back of house workers, patients and communities to tell their stories with the support of artists/ photographers in residence.

Blacktown Arts Centre

8 The Art of Waiting Main waiting areas ASB and Mount Druitt

The project will invite artists to design works using found objects to create interest and possible interaction with the work.

Blacktown Arts Centre

9 Photography Competitions

Blacktown and Mount Druitt Hospitals’ interview rooms, distressed relative rooms, family meeting rooms, community renal, pre admissions, PECC Unit ICU and Drug and Alcohol Services

Building on the success of the past photographic competitions, the Arts and Culture Program will organise two new competitions in 2017 and 2018. Chosen images will be enlarged as photo murals or framed works and present through the hospital AV system.

Local media

10 Weaving Love, Textile Project Maternity

Maternity Corridors and Lounges

The project will enliven and bring warmth to Maternity areas. Works from traditional to contemporary content to help celebrate and welcome the new baby. Works to be development with local community groups, with patterns that can be transferred onto other materials

Blacktown Arts CentreSydWest Multicultural CentreAboriginal Health

11 Tiny Babies and Adolescents: a celebration

Newborn Care Unit, Paediatric Emergency Treatment Bays, Children’s Ward

Creating artworks for the wall or glassed areas that are easy to clean and durable. For Newborn Care and Emergency the proposal is to use well known Australian children’s illustrators.

Evans High School

12 Drug and Alcohol Services Outdoor Areas

Mount Druitt Campus Drug and Alcohol

The garden will be used by staff as alternative to meeting clients in a friendlier outdoor environment. The project will create special furniture (tables and seats)


13 Heritage Display Main foyer

Glass encased exhibition area that will celebrate health heritage and cultural heritage. For example world clean hands day and tobacco free day, history of vaccination and reduction of children mortality. It can also show fragile and small artworks

Museum of Applied Arts (Powerhouse),Museum of Human Disease (UNSW)

14 Aboriginal Welcome Pavement in front of main entry

Engraving, possibly sandblasting “welcome” in Aboriginal Languages. Aboriginal Health and local Elders

15 Kaleidoscope: The Many Colours of Blacktown

Pattern/ writing on planned glass lantern above main reception, main atrium

Writing/ patterns on the glass lantern with greetings in English, CALD and Aboriginal languages

17 InterActive Main atrium

Interactive electronic work, perhaps in the shape of a dome where the public can change kaleidoscopes images, linked to the glass lantern

18 Playful

Play Areas and Paediatric waiting, recreational, play rooms and terrace

Development of interactive art works Western Sydney Wood TurnerFairy Sparkle

19 Special terraces Terraces ASB levels 5, 6, 7 and 8

The artworks for the terraces will be integrated in planned landscape details.ICU - local poets to contribute with poems that will be included in the coloured glass featureBirthing and New Born Care Terrace -sculptural details developed with different communitiesMaternity TerraceCreating hand made ceramic pebbles with different communities to add to the landscapeChildren’s TerraceDevelop a Children’s Tree in collaboration with staff and Fairy Sparkles

Blacktown Friday Poets GroupWASH HouseColamoon Child Care CentreMount Druitt Child Care Centre

20 Birthing Ledge Birthing rooms Specially designed wood ledge to assist during birth


21 Galleries

Corridors ASB and Mount Druitt Renal and Drug and Alcohol Services

Development of galleries for display of temporary artworks and health promotion, through the provision of gallery tracks and hanging sets

22 Welcome to Level 6 Foyer Birthing Unit and Newborn Care

Welcome to all women to the Birthing Unit and Newborn Care. In many community languages

Multicultural HealthSydWest Multicultural ServicesAboriginal Health

23 Fathers and Significant Others Gallery Maternity

A space to show artworks related to the other significant people in a baby’s life such as fathers, grandparents, siblings. This space will invite artists, schools, and elders to contribute with changing exhibitions.

Women and Children’s support organisations


Breaking Wave by Hypersonic and Plebian Design, Cambridge USA, 2014

Six-forty by Four-Eighty, interactive lighting installationby Marcelo Coelho 2010,

Project 1 - Hospital Street Flow and Landscape

The Clinical Services Building’s main atrium is known as Hospital Street. With the construction of the Acute Services Building, the Hospital Street will continue to the new main foyer and to the gardens and outdoor areas. This landscaped external corridors will provide the first impression of Blacktown Hospital.

The arts will support the concept of a contemporary health facility with strong connections to the local community. The arts will assist to form an association between healthy living, engagement and movement, and the use of new materials and technology that promote the adaptation to climate change and health.

Internal:

• Mosaic seats continuing from CSB, engaging communities in the design

• Floor design that connects to the outside areas and created meeting points and way finding

• Possibility of floor that generates electricity to power the Kinetic Sculpture or light.

External:• Pavement: Artwork design for the pavement, using new technologies and new materials

created in collaboration with University of New South Wales. The external landscape is an opportunity to great an oasis where people feel a positive the difference coming into Blacktown Hospital.

• Terraces: artworks to extend the hospital street from the plaza (old ambulance bay) to the Green Meeting place by Marcel Crescent. This will be with mosaic, kinetic sculptures that moves by people’s interactions, and sculptures that creates focus (like moon gates).

• Northern facade: integrating the northern facade within the oasis


Hospital Street, Blacktown Hospital Clinical Services


Andy Goldsworthy’s Dung River, Yorkshire 2007

Community Gathering Blacktown HospitalMosaic Seat by Malcolm CookeFloor design by Robyn Caughlan 2016

Authorship and Contacts:Marily CintraPO Box 4048 RNSH, St Leonards NSW 2065Mobile 0414 944 [email protected]


StellrLumé by Eleanor Gates-Stuart, Canberra 2011Pavegen, energy generating floor, South Africa

Introduction1

Art, Culture and HealthcareCulture is our learned sense of plural, promoting the development of a personal identity that is connected to the community. It is an inseparable aspect of human life that influences our system of beliefs, meaning and interpretation of the world.

The hospital is a place rich in cultural connections and intangible heritage. We witness this in the way families care for each other, the songs sung to babies, spiritual expressions in times of fear and sadness, traditional remedies and special food for recovery and the treatment of the deceased, for example.

The hospital presents a unique opportunity to reflect on the universality of human life. The commonality of experience and the respect for its cultural expression in diversity can create a shield agains ethnocentric biases that can affect healthcare staff and users.2

The inclusion of a public arts and culture program within BMDH Expansion goes beyond the creation of aesthetically pleasing environments. It is a rare opportunity to engage with the local community in a non threatening, positive partnership, to create an awareness of health issues.

Health at Blacktown LGA has many challenges and meaningful community engagement can support health outcomes. The development of a public arts and culture program that includes health perspectives can work in many levels. It will raise awareness of needs, resources, services and assets; create opportunities to showcase positive change, engage people of all ages, abilities and cultural backgrounds.

This introduction featured in the Arts and Culture Plan for BMDH Stage 1: 2012 Cintra, M The Many Colours of Blacktown: An Arts and Culture Plan for BMDH, Arts and 1

Health Research Centre, Sydney

2009 Cintra, M Public Places and Intangible Heritage: The Creation of Contemporary Healing Environments presented at 2nd International Conference of the Inclusive 2

Museum, University of Queensland


Attachment 1

BMDH Arts and Culture Plan was designed as a participatory research with the plan as the outcome of a reflection done with the local community about how can the arts and culture be part of a healing environment.

The Hospital Then and Now

The emergence of the hospital as a therapeutic tool in Western society goes back to mid to late 18th century Europe, when Jacques-René Tenon (Tenon 1788) a French surgeon, and John Howard, an English 3

philanthropist , searched for links between health outcomes in different 4

hospitals. Tenon’s work developed in response to the dire need to change the horrific conditions of the Hôtel-Dieu de Paris in Paris, and Howard’s from his work to reform prisons and hospitals in England.Their comparative and systematic observations revealed that aspects of hospital environment and management considerably affected the health outcomes of patients. They observed a number of factors that had a significant 5

impact on patient survival and recovery, including the number of patients per room or per bed, separation of patients according to their illnesses, diet, clean clothes, keeping records, and having well ventilated rooms. Medical practices that seem today to be most basic and unquestionable, such as having one patient per bed, or separating patients with infected wounds from women in labour, were in fact revolutionary in the late 1700’s.

1788 Tenon, J. Mémoire sur les hôpitaux de Paris3

1791 Howard, J An Account of the Principal Lazarettos in Europe J. Johnson, D. Dilly, and T. Cadell, 4

1978 Foucault, Michel Incorporación del Hospital en la Tecnología Moderna in Educ Méd Salud, 1978 vol 12 No 1, 20M36 5


Wellcome Library, London. Wellcome Images http://wellcomeimages.org

Granada Bimaristan 1395The Arab Hospital, Granada, Spain by Wellcome Library / Wellcome Images is

http://wellcomeimages.org/

http://wellcomeimages.org/

Ancient Persia and the Middle East preceded Europe by more than 1000 years, in the methodical treatment of the sick. By 555AC, a medical school and hospital had been established in Jundi-Shapur, Iran, beginning a tradition that would flourish under the bimaristans, or Islamic hospitals.6

The bimaristan significantly advanced medical care, pioneering written medical records, hospital organisation and medical education. They considered environmental issues as therapeutic factors, ensuring that the air was clean, and water easily accessible. Bismaristans such as Al-Adudi, built in Baghdad in 981 AD, integrated the Djhah River into test building, the water, flowing gently through the courtyards.

Bimaristans had separated wards for internal medicine, orthopaedics, surgery, ophthalmology and mental health. Bimaristans also had outpatient services, treating and dispensing medication to patients. Doctors and wards people were paid salaries as were the musicians, storytellers and artists who worked in the hospital. Arriving at the bimaristan, patients received clean clothes, and on leaving they received free medicaments and a small grant in lieu of lost wages and to assist further in their recovery (Gorini 2002, Husain 2003) .7

For ten centuries, until late 16th century, the bimaristan highlighted the interrelations that characterised Islamic medicine. They attracted scholars and doctors from different places and faith establishing centres for learning and sharing. This intercultural dialogue, in opposition to the closure of

2006 Miller, Andrew Jundishapur, bimaristans, and the rise of academic medical centres, Journal of the Royal Society of Medicine: 2006: 99 615M617 6

Gorini, R Attention and Care to the Madness During the Islamic Middle Ages in Syria: The Example of the Bimaristan AlKArghun. From Princely Palace to Bimaristan 7

JISHIM 2002, 2 40M43 Husain, F Islamic Medicine History and Current Practice JISHIM 2003, 2 19M30


Hospital Street, Blacktown Hospital Clinical Services Building

Europe’s Middle Ages, is an example of fruitful collaboration.

Unfortunately the Islamic model of hospital subsided in the face of the growing hegemony of the Western. Intolerance often takes away significant human achievements. It would be more than 350 years (the late

20th century) for healthcare to once again be health promoting instead of pathogenic centred.

Contemporary hospital and healthcare design responds to a growing body of research that shows a correlation between patient health outcomes and supportive environments . Some examples of Evidence Based Design 8

(EBD) include using floor materials that reduce noise to promote better quality sleep; secure walking paths to encourage safe physical activities for patients living with dementia; and positive distractions to help reduce stress.

Environmental-behaviour research, in particular, has assisted in the development of a language and methodology that can better guide healthcare design towards a more human centred approach and practice . 9

Contemporary hospital design also responds to a new model of health, a salutogenic perspective (Antonovsky 1996) , with focus on the promotion 10

of health and wellbeing instead of a pathogenic model of healthcare. Under the pathogenic model of health care, the psychological and social

needs of patients are disregarded and they are often considered more akin to objects with sick parts. (Dilani 2001) . The research guiding healthcare 11

facilities design in the 21st century is an interdisciplinary effort and it echoes the changes from the unilateral pathogenic perspective in health. It is in this collaboration that human-centred practice is found.

Rapoport observed that “designed environments encode, give 12

expression to, and in turn influence social, cognitive, and other environments.” A place communicates the values and vision of the organisation it represents including patient care, importance of visitors and support for staff.

Nelson, C, West, T and Goodman C The Hospital Built Environment What Role Might Funders of Health Services Research Play? Agency for Healthcare Research 8

and Quality: US Department of Health and Human Services 2005

Zeisel, John Inquiry by Design: Environment, Behavior, Neuroscience in Architecture, Interiors, Landscape and Planning (revised edition) W.W. Norton & Company: 9

New York 2006

Antonovsky, A. The Salutogenic Model As A Theory To Guide Health Promotion Health Promotion International 1996 Vol.11, No 1 10

Dilani, Alan Psychosocially Supportive Design in Design and Health Swedish Building Council AB: Stockholm 2001 11

Rapoport, A The Meaning of Built Environment: Non Verbal Communication Approach. The University of Arizona Press Tucson 1990 12


About Blacktown & Mount Druitt Hospitals1

Blacktown & Mount Druitt hospitals (BMDH) are located in western Sydney and comprises shared health services located on two separate campus locations at Blacktown and Mount Druitt.

Services are distributed across the two campuses, with each playing a complementary role in providing committed and high quality healthcare services at a district hospital level (C1 at Mt Druitt) and major metropolitan level (B1 at Blacktown Campus.)

BMDH is a unit of the West Sydney Local Health District (WSLHD) governed by the NSW Ministry of Health. Although there are two inpatient campuses, it operates under one administration under the umbrella of Blacktown Mt Druitt Hospital. Clinical Services are distributed across both campuses, allowing for the growth of expertise within specialities. The two facilities are situated 11 kilometres apart.

To ensure that local access through optimal and safe clinical care can be provided, the two campuses are supported by established transport systems and medical specialists’ models of care.

BMDH services communities from Blacktown, Mount Druitt and Riverstone Local Government Areas (LGAs) and an additional inflow of residents from surrounding LGAs including Parramatta, Holroyd, Hawkesbury, Penrith and Fairfield.

Blacktown Mount Druitt Hospital’s medical leadership is established through its links with the University of Western Sydney Clinical School and the University of Sydney.

As one of the main teaching facilities for the University of Western Sydney (UWS) Clinical School of Medicine, the hospital recently opened the UWS Blacktown/Mt Druitt Clinical School, Research and Education Centre on the Blacktown Hospital campus.

The Hospital has a continuing focus on meeting the healthcare needs of local residents, including emergency services, on each campus. The ongoing development and future directions of service delivery across both BMDH campuses encompasses a broad range of service and facility development proposals.

http://www.wslhd.health.nsw.gov.au/Blacktown-Mount-Druitt-Hospital/About-Us1


1 - Mount Druitt Hospital 2 - Blacktown Hospital

12

Attachment 2

http://www.wslhd.health.nsw.gov.au/Blacktown-Mount-Druitt-Hospital/About-Us

Blacktown City is located 35 km west from the Sydney Central Business District. Blacktown Local Government Area has 48 suburbs and is the most populous city in NSW and is the third largest city in Australia, behind Brisbane City and the Gold Coast. Blacktown City is the largest and fastest growing local government area in New South Wales.Blacktown City Social Profile estimates that the population will grow from 340,000 in 2016 to 540.000 by 2036.The social profile highlights the social strengths and issues related to Blacktown. The strengths include the way people feel positive about their neighbourhoods and the importance of being close to their families; the closeness to work, facilities and services, the opportunities for recreational, sporting, social and cultural activities in the city. People also reported on community resilience and strengths.

A quick view of Blacktown shows that:

• 38% were born overseas, • 36.9% speak other language than English at home• 44% of households are couples with children• 15% are single parent families• Median age across the city is 32 years with 45% under 30 years old,

28% from 0 to 17 years old and 25 % over 50 years old.

The issues highlighted in the social profile are connected to social determinants of health and include:

• the population’s rapid growth, through births, migration, urban renewal and the development of new areas.

• stresses linked to urban living, such as higher levels of noise, crime, pollution, congestion and overcrowding, lack of housing and hissing housing prices,

• Support for services dedicated to early life, in particular for the 12, 319 children living in poverty in Blacktown.

• Education and the highest level of schooling, which has improved with more people achieving year 12.

• Employment in Blacktown remains higher compared to Sydney, New South Wales and Australia. In some suburbs the rate of young people disengaged was 25%.

• Life expectancy was lower compared to new and Australia.;• Personal and community safety, including domestic and family

violence was a concern to people living in Blacktown.• Social inclusion versus social exclusion• Transport was a challenge with the number of growth centres and

inequity in people’s ability to access public transport networks.• Advantage versus disadvantages, with areas of social

disadvantaged unchained for decades and an increasing in homelessness, people accessing food programs, with over 40,000 people living in poverty.

• Homelessness was increasing including people without homes, sleeping rough or couch sleeping. The social profile identified that individuals most at risk of homelessness are people living with a mental illness, substance addiction and victims of domestic violence.2

2016 Blacktown City Council Social Profile Blacktown City2


Blacktown Location, History, People and Health

Consultation and Community EngagementOver 350 people were engaged during the planning. This includes 153 surveys, focused interview meetings with staff, community groups and individuals. 90% of the people consulted had not been involved in Stage 1, with new services and community groups participating in the Arts and Culture plan for Stage 2. Often people mentioned that they were happy and impressed with the results of Stage 1 and how they represented the local community. An 85 year old lady, who has lived in Blacktown for over 60 years said “Copycat. Copycat this one (Blacktown Hospital CSB). It is the people who make the place, the building is just a prop.”

The data indicates priority areas for artworks include the Entry Foyer, waiting rooms outdoor/gardens and wards. The theme of nature, calm, heritage and cultural diversity continues as a strong theme originally identified in Stage 1. Artworks incorporating nature, diverse cultural references and possibilities for interaction convey the importance ‘locality’, the ‘outdoors’ and a sense of patient control.

BMDH St 2 DRAFT Arts and Culture Plan Health and Arts Research Centre, Inc. 1

“Copycat! Copycat this one (Blacktown Hospital CSB). It is the people who make the place, the building is just a prop.”85 year-old visitor, survey 2016

Attachment 3

Map of participation:

41 % Local residents20 % Staff19 % Patients11 % Visitors 6 % Local workers3 % Carers1 % Other


Ages

Under 15 12%16 - 24 10%25 - 34 16%35 - 44 15%45 - 54 17%55 - 64 16%65 - 74 11%over 75 3%

Arts Themes and Priority SpacesParticipants felt that waiting areas are important places to have artworks, as are the entry foyer and outdoor gardens. A significant number of people mentioned that arts should be “everywhere”.

Their preferred themes for the arts included nature, colour/ uplifting and reflecting the multicultural nature of the place. There was an understanding of the artworks having a calming and relaxing function.


In the survey, participants were asked to rate their preference for the arts. These were likert scale questions to measure the level of support for a series of eight arts proposals. They included:

• Art about heritage• Aboriginal arts• Art about nature• Interactive art/ art to play with• Abstract arts• Culturally diverse arts• Art about people, local communities• Other forms of arts besides visual arts (music, poetry,

performances)

Art about nature, Art about heritage, and Interactive art were highly supported concepts.


Arts Preference


Arts about people, local communities

Agree

Strongly Agree

Disagree

Strongly Disagree

Don't Know

0 18 35 53 70

2

2

10

10

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