Trying to Build a Quality PFITricia Down and David Powell

Innovation and Patient Care: New facilities should apply radical, cutting edge design to provide state-of-the–art environments geared for top performance in patient care. The facilities should provide for standardisation and flexibility. Flexibility: Environments should be extremely flexible to respond to changes in the way healthcare is provided. The Trust is determined to create an environment that can constantly evolve and adapt. Clear Welcoming Urban Site: The hospital site should be welcoming and logically laid-out to the best principles of urban design and landscape design. Facilities and spaces should create an environment within the site boundary that uplifts, is consistent with and blends with the external environment and does not jar. New facilities and buildings should sit comfortably within the site master-plan. Connecting the Inside to the Outside: The inside of the facilities should be connected and in harmony with the outside with use of landscaped courtyards, sympathetic glazing, open and interesting circulation, and non institutional patient and staff areas.  Excellent Finishes: The finishes within the facilities should be intelligently planned and executed, avoid institutional blandness, exemplary in terms of use of materials and workmanship and significantly above the normal hospital standard. Sustainable Development: The facilities should achieve the highest standards of energy efficiency and a minimal carbon output. Maximum use should be made of sustainable practices during construction and for the minimisation of the operational carbon footprint. They should

Minimum 2.7 floor to finished ceiling height in smaller rooms or technical rooms such as labs, but aim for 3m in larger rooms, open plan offices, seminar rooms and public spaces and 3.1m to 3.4 in rooms such as theatres and catheter labs.

Preference for plasterboard ceilings where possible, if not then plasterboard margin with tiles. Check for the number and layout of access panels

If tiles are used, larger format tiles preferred – preferably planks Tiles should be flush edged or tegular. Avoid standard lay-in tiles.

Where tegular tiles are cut, ensure there is a good proposal for how the edge is finished

Be careful about tape and jointed plasterboard where there is a lot of light washing down on the wall (natural or artificial). Joints need to be invisible. Encourage use of bevelled joint to all four edges. These are now available.

Consider locations for art and other wall mounted articles (notice boards, leaflet racks etc) very early on so they can all be co-ordinated

Use paint specific to the need. Matt paint is the preference. Only use specialist paints in those areas that require it. Be very careful

about the use of high gloss resilient paints such as Armoursheen as they can show every brush mark and are very difficult to remove.

Reception Desks

Good quality, durable solutions required. Higher initial outlay recovered over course of life of good quality product.

Ensure sufficient contrast between floors, desk carcass and desk top. Check requirements for DDA access.

Avoid stainless steel plinths which can be confusing for visually impaired.

Trunking Avoid trunking wherever possible unless flexibility dictates otherwise.

Go for an elegant solution if it is required, minimising joints between pieces.

Consider the effect of trunking on the architecture – for example, does it have to cross tall windows or are risers required?

Balustrades

Capping to balustrades - if wood is selected, an agreed level of acceptable variance in the colour and texture of the wood should be agreed up front.

Service access

Be clear about whether staircases and corridors really are only for service access as their level of finish will be far inferior to public staircases

Fixtures Coat hooks – ensure robust but attractive. Check spacing – is there room for coats?

Sockets – if DDA sockets are required in one part of a room, use the same sockets throughout the room.

Where final procurement of fixtures is outstanding, assume worst case scenarios to ensure that space is available

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Ward corridor    

Overall ward corridor

Incomplete (ceiling, flooring including bedroom thresholds, perch and associated lighting, handrails, wall and corner protection)

Items to be amended or added. Workmanship to be reviewed by the Trust and amendments agreed.

Ceiling at bedroom entrance

Ceiling missing Item to be added. Workmanship to be reviewed by the Trust and amendments agreed.

Inspection doors Paintwork and sealant of architrave to walls not complete

Workmanship to be reviewed by the Trust and amendments agreed.

  Frame has very visible joints Butt joints to head of painted frame required.

  Architrave profile is obtrusive Width and projection to be minimised so that the doors and details become less apparent.

  Choice of ironmongery To be consistent with Building Specification/RDD.

  Door seals partially missing . All seals to be provided to meet acoustic and fire protection requirements

Tape & joint wall Visible horizontal joint at lower half of wall

Achieve consistent standard of finish to match other joints in this wall.

‘We rob banks’

Hospital Buildings

Claudia Bloom, Director

A partnership

Avanti Architects

About UsFounded 19814 directors and 7 associatesCurrent staff 60+QA certified ISO 9001:2008EMS certified ISO 14001:2004

Office LocationsLondonCork

Range of workmasterplanningadvisory servicesfeasibility studiesarchitectural designsustainable designlandscape designinterior designwayfinding, signage & graphics

Range of servicesnew build regeneration & conservationmasterplanning & urban designfeasibility studiesinterior designproject supervision

Avanti Architects - Projects + Locations

Health projects valuebuilding projects £500m +advisory services £2bN +

Current healthcare projects include projects at:

The Children’s Hospital, Sheffield

Torbay Hospital, Devon

Ulster Hospital, N. Ireland

St Georges Hospital, London

Cork University Hospital, Eire

• Ulster Hospital

• North Bristol Hospital Trust

• Southern General Hospital, Glasgow

• Alder Hey Children’s Hospital, Liverpool

• Tameside General Hospital

• Watford Health Campus

• BECaD, North West London Hospitals

• City Hospital Birmingham

• Hinchingbrooke Hospital

• Kidderminster Ambulatory Care Centre

• Northwick Park Hospital

• Whipps Cross University Hospital

• Whittington Hospital Acute Services

Healthcare PFI experience – Trust Advisor

• Pontefract Hospital

• BECaD, North West London Hospitals

• Gloucestershire Royal Hospital

• Papworth Hospital

• Colchester General Hospital

• Walsgrave Hospital

• Newham General Hospital

• Whittington Hospital

• Prospect Park Mental Health Hospital

• Peterborough Mental Health Hospital

Healthcare PFI experience – Consortium Architect

Education PFI experience – Consortium Architect

• London Borough of Hackney PFI / BSF programme – 3 schools

• London Borough of Camden – UCL Academy

• London Borough of Tower Hamlets – Morpeth School

• Birmingham BSF – ‘Blue Sky’ reference project

• Masterplan• Enabling works• VIE & Core nodes• Estate decoration strategy• Somerset and Westgate• Monks Park House - redevelopment• Frenchay – site redevelopment• Consolidation of accommodation from site disposals• Academic – Learning and Research• Pathology (phase 1 with Design Buro)• Science Quarter• Public space• Café…….options 1, 2 and 3• Cossham Hospital• Renal dialysis at Cossham• BUI• BIRU• PPU• Endoscopy into Cossham• Data Centre• Beaufort House• Cherry Tree Centre• Jigsaw masterplan• And offices….

PFI• PSC – review• New TA appointment• Design Panel• Visits/precedents• PFI PQQ review• PFI – PITN 3 to 2• PFI – FITN• PFI – to FC……• Marking up drawings right up to the signing of the contract• And then RDD• And compliance on site• Through to furniture and curtain procurement

Existing mature planting and underlying geometry.

The main Arrival space and hospital entrance would best be located at the intersection of the two entrance axes.

The inherent orthogonality reinforces the geometry of the above and the retained buildings

The site figure inverted; i.e. thought of as a sequence of places / spaces defined by buildings.

The antithesis of buildings as objects surrounded by residual space.

Current scheme

Foundling Hospital by Brunelleschi

Using visible spatial depth as the ordering tool.

Diagrammatic site layout

Academic Zone

Maternity + UTC

Hospital

Non Clinical support Zone

Residences

Ambulance Entrance

Main Entrance

Future growth

Future growth

Urgent T.C

Acute

Benson & Forsyth Sketch –

Site plan showing Existing Trees / Potential open spaces and site available for Phase 1

Green fingers

pathologyPFI site