English Partnership Time for Design

Several other major commissioning bodies have made attempts to define design standards, and explore mechanisms for evaluating design quality in projects for which they commissioned. English Partnership set up regional design panels. The intention was to subject projects that were being commissioned to an independent panel of experts for an informal check on design quality. This attempt at self-appraisal by a client was in response to their recognition that design quality matters. English...

The crisis that developed in the provision of primary health care clinics

The new 1994 ANC government in South Africa tackled the problem by allocating an unprecedented sum of 11 million for the construction of new clinics. The amount was budgeted for the remainder of 1994 5 and 1995 6 financial year and should have meant that at an average cost of 150,000 per clinic a boost would have been given to state funded Primary Health Care facilities by the provision of a further 83 clinics in that period of nearly 2 years. At the same time the government wanted to achieve...

Landscape

The landscape of the site has been treated as an integral part of the overall design and complements the buildings and their sustainable design. The play area is surrounded by landscaped mounds, which are planted with a mixture of vegetation ranging from grass and ground cover through to shrubs and trees. The species have been selected to provide a variety of forms, colours, textures and seasonal variations and are predominantly indigenous species. A series of routes through the planting have...

General practitioner surgeries

If the special needs and cancer care buildings illustrate an outstanding concern for designing sensitive environments then the GP buildings demonstrate the rapidly changing procurement routes that are revolving in primary health care. We have seen that the special needs and cancer care buildings have had more opportunity to explore the development of a design brief outside of the constraints normally imposed by the NHS procedures. With GP buildings the pressures for development have focused on...

The adoption of the fast track clinic building strategy in dealing with the crisis

The newly appointed Director of Health Facilities Planning in the National Department of Health from August 1995 was an architect, Malcolm Jones. The day following his appointment the Minister of Health, Dr Zuma, placed the problem in his lap and asked whether a solution was possible. Mr Jones had been involved in Building Research for several years previously and had been particularly interested in exploring methods whereby the process of providing health care could be speeded up without...

The opportunity

The information age has given us the ability to share knowledge globally. There has been a new awakening of moral attitudes and responsibilities arising out of the Human Rights Act which is giving a greater sense of respect for the individual person. This is reflected in health care which is once again becoming focused on the patient as an individual. The case studies illustrate this trend in attitudes and approach to health care and we should be encouraged by the opportunities now being...

The condition of the existing estate

Primary health care facilities are becoming larger multi-functional 'healthy living centres' offering integrated health and care services. A variety of agencies and professional skills will work in buildings serving the local community. Private finance will be provided by specialist developers and local initiatives will ensure greater control of matching requirements will services. This will have the benefit of allowing the new community facilities to include a...

The health centre

The health centre has been designed for a full range of primary care as well as promoting healthy living and preventa-tive approaches to medicine. Its reception area will include a one-stop shop for information and advice. The centre will supply some specialist services to pupils with SEN, and in turn will share use of the cr che, SEN and community spaces for meetings, exercise classes or courses. Its garden will be a soothing visual focus for the patients' waiting area, and offer opportunities...

Aims and objectives

Staff will follow good customer service practices. Professional staff will work in a truly multidisciplinary way and ensure that the services provided to patients are seamless. Community use of the centre will be actively encouraged, such that they feel ownership of the building. It will not be possible to block-book multipurpose rooms. Office space will also be, on the whole, multipurpose. Non-statutory organisations and the local community may receive preferential treatment when booking...

Design qualitiesenvironmental issues

During the briefing and participation exercises, several sites were identified and assessed. The selected location was in several ownerships following the demolition of buildings when a new dual carriageway and roundabout had been created leading into the centre of the historic part of Durham. The site was the leftover gap, between the historic Georgian houses leading steeply to the town centre and terrace Victorian housing sloping away from the site to the north. The design was, therefore,...

Criteria there is no qualitative methodology to evaluate building design

Much of this book is about a comparison of subjective qualitative evaluation and evidence-based quantitative research. There have been several recent attempts to develop systems to give scientific credence to artistic concepts, and it seems that for the time being at least progress in this field is dependent on providing an economic justification for all design processes. We will look later at the appraisal processes to put applications for lottery funds into a priority list and the Higher...

Question what design process should be adopted

The objective of the design process should be to convince the clinicians that good design can be cost effective. Peter Scher argued that the basis of bringing together health care and architecture is understanding. He identified a list of 10 experiences and argued that by observing these factors there will be a greater understanding of patient-focused architecture (Scher, 1996) (1) Space for health care i.e. for curing, healing and caring. (2) Suitability (functional fit) this also includes...

The World Health Organisation primary care policies globally

The Times reported on the World Health Organisation's (WHO) The World Health Report 2000 that lists Britain as eigh teenth in a world league table in terms of the effectiveness of the care it delivers for every pound spent and twenty-sixth in its responsiveness to patients and in its ability to treat them professionally and with dignity (25 June 2000). The same leading article goes on to say, 'By any measure, the National Health Service is failing in its purpose. Cancer survival rates are...

Case study 11 The Lawson Practice

Architect Ahrends Burton and Koralek. The following is the architect's account. The primary care centre at St Leonard's Community Hospital in Hackney, north London, has been designed for the Lawson Practice and City and East London FHSA. The project, which was initiated in response to the Tom-linson Report, involved writing the brief, assisting in establishing and securing funds for the scheme, which included GP premises, training unit and community facilities, a minor injury treatment centre...

Mancunian Community Health Trust requirements

The Trust have developed facilities for the following services Dental - there are four surgeries, an X-ray room, X-ray development area and a preparation room. Two of the surgeries have a gas scavenging system which allows general anaesthetic to be used together with a recovery room. However, current legislation does not allow general anaesthetics to be carried out. These facilities are supported by a dedicated reception area and office area. Orthoptics - an area was designed to allow for eye...

The problem

We have seen that historically, when medical knowledge was limited, health care focused on the sense of well-being. Through the ages, scientific knowledge advanced and medical skills developed a pace. In the UK, the NHS has transformed medical expectations, but we now find that there is a return to the holistic approach to the care of our bodies. Technology and wealth have been found not to be the elixir of life. There is a plethora of intangible concepts with which to grapple and these...

Future objectives

Doctors and architects need to work more closely together. Through the development of briefing documents, we should be optimistic about the opportunities that will arise for primary health care buildings in the future. They will provide the physical framework within which the complex social interaction of the community can engage with the medical profession. There is agreement that many of the better examples of good design for health buildings have been built in the primary care sector. 1. The...

Recurring themes

The following list sets out a number of key ideas which have kept re-emerging throughout my research for this book, and many of them can be identified in the buildings illustrated in the preceding chapter. Emphasis on quality of architectural design - importance of high quality environmental factors. Emphasis on the patient as an individual - patient focused care as a local level of primary care being the hub of patient treatment rather than the start of a linear process of passing through...

The aim of the book for both the medical and architectural professions

This is a book for both doctors and architects (and indeed I hope it will be of interest to all users of primary care facilities). It sets out to explore the briefing process for primary health care facilities, and the beneficial effect that a good brief can bring to the environmental quality of buildings from which health care is dispensed. It aims to help the understanding of the briefing process which is one part in the larger web of relationships which govern the interaction of medicine and...

Approach user questionnaires

A National survey of NHS patients was conducted in the final quarter of 1998. The Government is committed to carry out a similar survey annually to enable systematic comparisons to be made of the experience of patients. It will also allow comparisons to be made about the performance of primary care services in different parts of the country. The survey was administered as a self-completion questionnaire posted to 100,000 people and the results are based on over 60,000 completed questionnaires....

Freedoms

- freedom of thought, conscience and religion - freedom of assembly and association. These new powers underpin the importance of the individual and directly challenge the concepts of professionalism developed in the mid-nineteenth century. The learned societies in exchange for meeting entry requirements offered their members status and security in the community. However they were open to the criticism that they managed the policing of poor or inadequate provision of professional services weakly...

Notes on a meeting with Richard Mazuch RTKL 19 July 2000

Richard is an architect and has been with RTKL (a USA firm of architects) in London for about two years, having previously worked with Percy Thomas (a large commercial architectural practice with extensive hospital experience). For an American firm they have clearly excelled in the UK. He has a number of research interests, and is working with MARU on a series of workshops held at the RIBA (this was referred to again by Michael Baum when I met him later in the day). We had a wide-ranging...

Phase II

Since it opened in November 1997 Maggie's Centre has attracted a large number of visitor and friends and the range of activities that takes place there has widened considerably. During that time the need has become apparent for a series of meeting rooms for larger groups or more strenuous activities. The additional accommodation required two large meeting rooms, a consulting room for visiting therapists and a permanent office. While the new extension doubles the floor area of the centre, it is...

Measurement of design quality

The measurement of design quality is an area of study that several large organisations have started to take an interest in over the past few years. It is likely that this is a reflection of consumerism,1 and an awareness to respond ever more closely to the needs of an organisation's customers. It is also the result of greater affluence in our society leading to more time to enjoy those aspects of life which improve its quality. The start of the twenty-first century will see the flourishing of a...

Consequences and outcomes identify benchmark minimum criteria seek to demonstrate inadequacy of this approach

Hospital design in the UK over the past 50 years has been disappointing. With few exceptions, design quality has been bleak, institutional, and not responsive to patients needs. The procurement process has been too extended, design quality has been largely ignored, and functionality has remained king in a process dominated by the service providers and the administrators far removed from the interface between patient and doctor within the confines of a clinical ward. Similarly, primary health...

Question why has NHS concentrated on time and cost parameters for health building procurement

Until the past few years, the Government's approach to financing health care facilities, in line with all Government spending, has been based largely on negotiating lowest cost tenders within annual spending budgets. This tended to downgrade the consideration of whole life costs, and it is only recently that the Treasury has begun to promote 'best value' as the basis for selecting successful bidders for Government contracts. Inevitably, this led to an approach within the NHS bureaucracy to...

What is Chinese medicine

To many Western readers, Chinese medicine may seem strange and unreliable. It is hard for them to understand why the needle and herb can cure the disease. It is the case, even in China, that some Chinese look on TCM as a mysterious thing. But it is a truth as you know, China is a country that has a long long history and magnificent national culture. And TCM emerged at least 3000 years ago (in Chinese history, that is Shang Dynasty - 1000 BC), and has serviced the Chinese people for about 3000...

Approach analyse questionnaire results from GPP designs extend analysis to other surgeries

Of the primary care centres designed by the Geoffrey Purves Partnership 14 have completed the questionnaire and the results are shown in Table 4.4. An analysis of the results highlights some interesting points. The overall response to section 1, first impressions, shows a high level of satisfaction (88.9 ). The main criticism from this group of questions arises at 1.03 which indicates that there is dissatisfaction with the level of parking for patients and staff. All of the respondents said...

Criteria NHS has no data on results questionnaire issued to GPs

With the publication of Environments for Quality Care -'Health Buildings in the Community' (NHS Estates, 1994) doctors were invited to complete a self-appraisal questionnaire about their own premises. It provided a comprehensive review of topics to allow doctors to examine the day-to-day running of their practice and to gauge its performance against patient satisfaction. The questionnaire (reproduced later in the chapter) sets out a series of questions covering the following topics consulting,...

Local responsiveness and flexibility

To provide high quality local primary care facilities requires flexibility, and a local responsiveness to the needs and requirements that are particular to a community. It can be argued that the provision of the physical building should be separated from the provision of health services and the attendant facilities management needs during the life of a lease. Other sectors of the building industry and property market make clearer distinctions between the provision of the buildings and the...

Construction targets

Primary care buildings have faired better during the last 20 years, with some excellent projects having been constructed, showing innovation in design and procurement. Potentially better is to come following the announcements in the NHS Plan refurbish or replace 3000 GPs premises build 500 'non-stop' primary care centres by 2004 The formation of primary care trusts is an important policy change creating separate legal entities that can own property and act as clients. Previously GPs were the...

The next generation

The testing ground for primary health care buildings of the future, or to use a generic term, healthy living centres, is most likely to be in the community sector. Rich opportunities for innovative design, imaginative briefing, and new methods of funding and procurement will shape the next generation of small health buildings. There are, therefore, many exciting challenges ahead for both doctors and architects to work out new arrangements of co-operating professionally so that these two...

The basic theory of TCM

TCM can be traced to 1000 BC, but the first and most important classic of TCM had been completed during the Qin Dynasty (200 BC). The classic Huang-di Nei-jing (Inner Classic of The Yellow Emperor) - firstly build up TCM theory completely. Many basic concepts of TCM were expatiated in this work such as the fundamental substances in TCM, the meridian theory and the basic approach to diagnosis and treatment and so on. The basic substances include Qi, Jing, Xue, Jin-Ye and Shen. Qi means 'energy',...

Background

The practice of homoeopathic medicine in Glasgow goes back to the 1840s. Glasgow Homoeopathic Hospital has been based at its present location since the early part of this twentieth century. In common with the rest of Britain, demand for complementary medicine in west-central Scotland has steadily increased over recent years. The demand for outpatient services has increased by 30 since 1987 with referrals exceeding available appointments by 30 each month. The need for improved homoeopathic...

Building and engineering services

The new building will be largely self-sufficient. While it will draw on the specialist medical resources of Gartnavel General Hospital and share laundry facilities, inpatient catering will be on site. Delivery and waste disposal should be planned to be as discreet as possible and away from inpatient accommodation. Both building and engineering services should be designed to take account of best codes of practice with consideration of experience gained from successful contemporary hospital...

Approach consider GP policy aspirations

Many doctors do not wish to be building owners. Many doctors also wish to be salaried employees, rather than self-employed contractors to the NHS, providing a service where their remuneration is based on the quality of care they provide, rather than accountancy rules using patient lists, and number of visits and consultations as the basis for pay. Professional demarcations have also become outdated, and we will see developments in the integration of social service personnel, mental health...

Construction

The contract was let in two stages, enabling the contractor to commence initial works at an early stage and to influence the buildability of the designs. The work has been progressed proactively between the client, design, construction, cost consultant, and site and project management teams within a partnering charter. Subcontractors were brought on board early to obtain their input and to iron out any co-ordination issues. The site has been run in a business-like manner with health and safety...

The nature of a primary health care clinic and infrastructure

The model that has existed for several decades in South Africa is the rural primary health care clinic. Such a clinic serves a population of 5000 to 10,000 people and is generally staffed by qualified local nurses. The intention is that people requiring medical assistance should live not further than reasonable walking distance of such a clinic. (WHO standard 5km or 1 hour walking time.) Where the ailment is so serious that it cannot be dealt with at local level the patient is stabilised if...

The social and political background

With the change in government in South Africa in 1994 the policy regarding the provision of health care facilities also changed. The States intention was to move the emphasis away from the first world hospitals and expensive specialised facilities and equipment to community-based primary health care. To understand the reasons for the change in Health Policy one must take cognisance of the following recent statistics In South Africa the ratio of urban to rural population distribution is 48.8...

Community facilities

As we have seen, a variety of solutions have been designed to meet the multifarious requirements of local circumstances both in the UK and around the world. These buildings are invariably complex and lay down a challenge for the clarity of the design to be preserved during the procurement route. Hence, the buildings encapsulate the often conflicting objectives of 'product versus process' discussed more fully in earlier chapters. They are a test of the British Government's policies to achieve...

Project management cost control and health and safety

Project management for such an innovative facility within a tight programme, a standard Department of Education budget, an innovative brief and a multiplicity of users has been a challenge. Early two-way briefing meetings were held to ensure full understanding by the team of the requirements, and by the users of what was being provided. Risk management and value engineering was carried out to facilitate maintaining the budget and programme, established by the cost consultant, the client and...

Design quality or buzz factor

Our modern understanding of a primary health centre was set out in the Dawson Report (1920) as An institution equipped for services of curative and preventive medicine to be conducted by general practitioners of that district, in conjunction with an efficient nursing service and with the aid of visiting consultants and specialists'. It remains a valid definition today, but during the intervening 80 years the earlier professional arrogance of architects and doctors has shifted markedly towards a...

Consequences and outcomes establish briefing process recommendations

If design quality is to be of a high standard consultants need to be adequately remunerated and therefore deep discounting of professional fees is completely counterproductive to achieving buildings which will delight the user, and more significantly to the Treasury they will be poor value, almost certainly, when judged long term on a value for money basis. What appears to be a premium cost at the beginning of a project may seem a very small sum indeed to pay for a facility which will offer...

Approach review historical bureaucracy and procedures for building procurement

The NHS is one of the last great nationalised industries to come under the spotlight of privatisation. Steel, coal, the railways, electricity and gas have all been privatised and the NHS is now going through this painful process of change. Although the Government is committed to the retention of the NHS as a public service the funding of services will include an increasing percentage of private finance. This will be particularly evident in the provision and financing of new buildings, including...

Question what does the environments for quality care questionnaire demonstrate about existing facilities

The questionnaire was an imaginative initiative by NHS Estates and sought to look beyond the traditional assessment criteria of functionality and cost effectiveness for primary health care facilities. The questions reflect the philosophies that were common currency a decade ago. As a self-appraisal system designed to give doctors a quick review of how their surgery performed, in their eyes, it served a valuable purpose. However, it is disappointing that NHS Estates did not collate any of the...

Local Improvement Finance Trust

The imminent launch of the Local Improvement Finance Trust (LIFT), is a new initiative to stimulate the funding and operation of future primary health care facilities. This proposal has superceded the earlier concept of batching primary care facilities together to form the 'critical mass' necessary to carry out improvement work under PFI rules. Newcastle had been a pilot study area for the batching of 32 primary health care buildings to create such a single contract opportunity under PFI rules....

New accommodation phase I

In addition to conventional medical practice Glasgow Homoeopathic Hospital offers a range of therapies including homoeopathy, acupuncture, neurotherapy, relaxation therapy and hypnosis. The bulk of this treatment is conducted in outpatient clinics but the hospital also has occupational therapy and physiotherapy departments on site. The new facility should be designed for future functional flexibility as clinical practice may change. The Glasgow Homoeopathic Hospital cares for over 600...

Foreword

As someone who always wanted to be an architect, a book like this is always welcome. It is set in the context of changing patterns of health care, and this is especially relevant as the role of primary care become more evident. The development of primary care trusts sets a new direction in the delivery of health and health care and, as the Trusts take over a wide range of services, the premises used by the team, become even more relevant. As the primary care team develops so facilities need to...

A philosophical shift to holistic care

The changing attitudes and policies, representing a shift from scientific theory has been further reinforced by a plea from Dr George Carey, the Archbishop of Canterbury, saying that religion is being replaced by therapy. 'Western culture today is obsessed with three alternative saviours - therapy, education and wealth, among many others - none of which can provide lasting healing for our broken world'. He went on to say 'Our society is fascinated with the healing of the body and mind. Its...

Healthy Living Centres

A guide to primary health care design OXFORD AMSTERDAM BOSTON LONDON NEW YORK PARIS SAN DIEGO SAN FRANCISCO SINGAPORE SYDNEY TOKYO Architectural Press An imprint of Elsevier Science Linacre House, Jordan Hill, Oxford OX2 8DP 225 Wildwood Avenue, Woburn, MA 01801-2041 Copyright 1999, 2002, Geoffrey Purves. All rights reserved The right of Geoffrey Purves to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988 No part of this...

Acknowledgements

The book began as research for a PhD, growing out of the collection of data that I had accumulated during the design of over 50 primary health care buildings during the past 20 years. My supervisor at Newcastle University, Dr Peter Kellett has offered many helpful comments on the structure of the book and also my thesis which is developing in parallel, although I remain responsible for all of the opinions and conclusions. An architect, of course, always needs a client, and I am appreciative of...

Case study 10 North Croydon Medical Centre

Architect Allford Hall Monaghan Morris Architects. This project was widely acclaimed when completed and has been published in the RIBA Journal (May 1999). It is also included on the NHS CD-ROM 'Design Quality Portfolio' where it is described as an elegantly designed surgery for a small general practice in an urban environment. The building has an air of competent efficiency with a welcoming atmosphere. A survey of users and building technical managers have approval ratings of 81 and 85 ,...

Site planning

Situated on a bend in the Wolverhampton Canal at the Southern end of the High Street this is a prominent site n the centre of Tipton. The site is accessible from the canal bridge at the southern end of the High Street and from Sedgeley Road West to the south. The building is positioned alongside the canal with a landscaped parking area to the south. Principally one and two Figure 11.59a Neptune Health Park, West Midlands aerial view plan. Photographed by Penoyre and Prasad (also in colour...

Alexander Health Centre and University Clinic Johannesburg Profile of the clinic

The Alexander Health Centre and University Clinic occupies a unique position not only in the community of Alexander, but in the social history of South Africa itself. Since its humble beginnings as a missionary mother-and-child clinic for the 20,000 strong Alexander community some 70 years ago, the clinic has grown from the original two-roomed corrugated iron building to a model community-based primary health care facility. Today it serves an impoverished community of around 400,000 people...

World Health Organisation health for all

The most important achievement for international public health over the past 50 years is that today people are living longer. The average life expectancy at birth has increased dramatically from 46 years in the 1950s to 65 years in 1995. The gap in life expectancy between rich and poor countries has narrowed from 25 years in 1955 to 13.3 years in 1995. Today, common standards can be applied throughout the world as global expectations move towards an environmentally friendly, sustainable, and...

Case study 20 The Pulross Centre

The following notes have been provided by the architect. Intermediate care means medical, nursing, rehabilitative and respite care that can be offered to clients near their home without recourse to hospitalisation within acute facilities. The centre is one of a new generation of health buildings embodying the shift away from the hospital to a primary care-led NHS. The centre is located in an area with a high index of deprivation and with health problems associated with such indicators. Its...

Childrens Cancer Ward Ward 16 Royal Victoria Infirmary Newcastle upon Tyne Architect Waring Netts

The philosophy of the design approach adopted by the architects (Waring and Netts) in redeveloping this ward, part of a large Victorian hospital, was to create an environment specific to the needs and aspirations of teenagers. They sought to achieve informality and to incorporate artwork relevant to teenagers which would assist recovery. Their design solution included Bedrooms for two or three patients with plenty of room for access, drip trolleys, wheelchairs, etc. Soft, warm colours and...

Case study 2 Glasgow Homoeopathic Hospital

Dr David Reilly, the 'champion' who had the vision to create the Glasgow Homoeopathic Hospital describes the project as follows 'We aim to help people self-heal - if possible from their disease, but always from their suffering. We wish to create a space, a place, an atmosphere, an approach and an experience that helps this healing happen. We strive to treat each patient as a unique individual and whole person, recognising that their inner and outer life can have a significant impact on the...

Case study 13 Stanhope Health Centre

Background This project highlights the challenges open to talented architects who can influence the quality of health care provision of primary and community care for the whole of Weardale an area which covers approximately 250 square miles and a population of 7300. The local hospitals are Bishop Auckland General (15 miles) and Shotley Bridge (20 miles), but the area is remote and is seriously affected by harsh winter weather for about 5 months of every year, when...

Case study 7 Greenwich Millennium Village primary school and health centre

Architect Edward Cullinan Architects. The Millennium primary school, hall and health centre, within the pioneering Greenwich Millennium Village, is a practical demonstration of the Government's vision of sustainable urban communities. In a new kind of facility for this new community, education and health care are linked on one, relatively small, site and provide fully integrated services. The three interconnected buildings reuse a typical brown-field site and are placed by the north-west...

Relationships between environmental design factors and therapeutic benefits

As we start the new millennium the climate of opinion - certainly within the UK, and probably in many other parts of the developed world - is more receptive to the influence of design quality in the built environment than probably at any other time. During the past 10 years there has been an increasing interest in the influence of good design on the comfort of human beings living in an urban environment and this has manifested itself in wider press publicity, and a diversity of architectural...

Japan

Health care architecture in Japan towards to the end of the twentieth century focused on large hospital developments. A highly populated country, where individual houses are often very small, there is often little privacy or suitable facilities to care for the ill at home. The average stay in hospital is longer than in the West, although patients are expected to have made a full recovery before being discharged. Eastern cultures have relied much more heavily on healing techniques which explore...

Approach interviews

The following four interviews illustrate the range of views and priorities from a range of senior people working in this field. Notes on an interview with Peter Senior, Arts for Health, Metropolitan University of Manchester, Manchester. Interview held 10 August 1999. Arts for Health is a research and consultancy department at the Metropolitan University of Manchester which is directed by Peter Senior, who is known as a leading advocate for the promotion of art in health buildings. I was...

Case study 3 The Haven Trust Cancer Support Unit

Architects Devereaux Architects (with Martin Hay). Partner Peter Hughes, Associate Darius Umrigar The following account is from a letter from Peter Hughes, Director, Devereux (23 April 2001 to the author). 'We first became involved in this project in February 1998. The project was introduced to this office by Martin Hay, a project architect working with us at that time. Martin had developed the scheme as a private job to Stage D before joining us. Devereux were then appointed by The Haven Trust...

Forth Valley phase II

Bellsdyke Hospital

In 1995 Foster and Partners were appointed as architects to design additional accommodation to complement and extend the facilities for psychiatric patients within the grounds of Bells-dyke Hospital. As part of the redevelopment and masterplan a new informal campus is being created that is residential in scale rather than utilitarian. The phase II brief asked for res Figure 11.11 Forth Valley Bellsdyke Hospital exterior view at dusk. Photographed by Morley von Sternberg (also in colour section)...

NHS Estates Better by Design

In 1994 NHS Estates produced an excellent booklet Better by Design (NHS Estates, 1994) which sets out a statement of good intentions. It recognised the need to focus attention on better-quality design in the health sector and it urged all those responsible for commissioning health buildings to be more vigilant in their pursuit of excellence. At that time, the control of design quality was seen to be largely the responsibility of architects commissioned to design buildings using the strict...

South Africa

South Africa provides an excellent opportunity to examine the development of a health policy based on improving primary health care resources. At the crossroads of political and economic direction the country has had to deal with the sharp contrast between an affluent community with demands for world class hospital services set against poor quality rural services, sometimes with primitive facilities. Although the world's first heart transplant operation was carried out in South Africa by Dr...

A list of case studies and their architects

Special needs facilities (including hospices) 1 Forth Valley Bellsdyke Hospital 2 Glasgow Homoeopathic Hospital 3 Haven Trust Breast Cancer Support Unit 4 Maggie Centre, Edinburgh (cancer support centre) Richard Murphy 5 Martin House and Naomi House (two children's hospice projects) 6 The Cornerstone Centre (primary care resource centre) Fairhurst Design Group 7 Greenwich Millennium Village (primary school and health centre) Edward Cullinan 8 Claypath Medical Centre, Durham Howarth Litchfield...

Case study 4 Maggie Centre Edinburgh cancer support centre

Maggie Edinburgh Plan

The following is Richard Murphy's account (18 June 2001). Maggie Keswick Jenks founded the cancer care centre after her own diagnosis with cancer and her experience of how the National Health Service dealt with that period in her life. She became very interested in the idea of a place which was not run by the hospital, but had patients on the board and could get information on lifestyle issues such as diet, yoga, beautician, massage, and many other...

Special needs and cancer care buildings

The provision of facilities for the care and treatment of cancer patients has seen the development of many sensitive and caring environments. The selection of projects illustrated brings together descriptions of the buildings that encompass the key arguments outlined in this book. Although many of them have been built within the constraints of financial limits that are either the same or, at least, very similar to NHS standards the briefing process has formed the central pivot around which the...

A GPs waiting room St Pauls Medical Centre Mural Carlisle

Dr John Anderson was well acquainted with the work of artist Barry Ormsby. On moving to a newly built surgery, he envisaged a mural by Barry as a feature in the waiting room. Dr Anderson needed to convince his partners it was a good idea before contacting Carlisle City Councils Arts Development Manager, Mick North, to help put together a funding package. Figure 11.1 St Paul's Medical Centre, Carlisle Cycle of Life mural by Barrie Ormsby (also in colour section) Figure 11.1 St Paul's Medical...

Forth Valley phase I

Bellsdyke Hospital Photos

Working on the Forth Valley Bellsdyke Hospital projects has been a labour of love. Its the sort of project we are rarely approached to do. I'm not sure why as it presents a fascinating problem to solve. The project captured our imagination and interest and we worked relentlessly to fulfil our aim to simply produce a scheme that would match the worthiness of the cause. The projects are for people who are mentally ill. In our view they deserve a better environment than they are, so often, given....

Therapeutic benefits of music

The emotional and healing benefits of music have been known about for over 2000 years. In the Middle Ages the spiritually uplifting benefits of chanting were understood not only by Christians, but by other religions. For example, Buddhist chanting as a process of healing can be traced back for 2500 years. Also 'The chant was the heartbeat of religious devotion in England in the year 1000' (Lacey, 1999). 'The chant uplifted people spiritually - and it provided physical uplift as well. The...

Case study 14 Hove Polyclinic

Description of the building The polyclinic is a relatively new building type. Certainly, South Downs NHS Trust and Brighton Healthcare, who rent space in the building, had few such building types to refer to as precedents those already designed being either much smaller or in converted accommodation. The services which are provided include medical and surgical outpatient clinics, X-Ray and ultrasound, physiotherapy, pain management, speech and language therapy,...

North Manchester Health NHS Trust requirements

Health Care Centre Design Requirements

North Manchester Health NHS Trust appointed their own project manager to provide a design brief for their requirements which included consulting rooms, clinical area and Figure 11.34 The Cornerstone Centre, Manchester ground floor plan. Architect Fairhurst design Group. Notes provided by Tropus Project Solutions Figure 11.34 The Cornerstone Centre, Manchester ground floor plan. Architect Fairhurst design Group. Notes provided by Tropus Project Solutions facilities for physiotherapy. The project...

Question how do you evaluate user satisfaction

Futur Medical Center

Building users are frequently categorised as clients (in the sense of being the building owner) and, this is often the case. But in the health sector building users consist of a more diverse group of people. It is immediately apparent that effective consultation with future patients will be more difficult to achieve during the design process than with a group of GPs even if they are the tenants of a building which is being procured by others. This poses considerable difficulties for the...

Cambodia a poor country

In Cambodia there is an excellent example of a primary health care project funded by the Australian government through the Australian Agency for International Development. Its aim is to achieve a sustained technology transfer in recipient countries through an integrated team effort. Here we see the introduction of a national policy on primary health care based on the WHO declaration of Alma Ata which was passed by Royal Decree in 1995. ' Primary Health Care is essential health care based on...

Case study 19 Center for Clinical Research Stanford University California

California Science Center 1stfloor Plan

This project in the USA is not a health facility used by patients, but a research centre. However, it is included as a case study because it illustrates some of the design concepts which have been developed more fully in the commercial environment, but are applicable to health environments (see Chapter 4 especially Sections 4.2.2 and 4.2.3). The central courtyard, flanked by a range of spaces where research teams can work in greater privacy provides a flexible framework, and a high-quality...

Criteria design quality should have a higher profile

Previous sections have approached design in a systematic and logical manner. They represent analytical and mathematical We believe this model will become increasingly important as team processes become more common in the office. The den worker is interactive but not necessarily highly autonomous, carrying out tasks that are typically of short duration and team-based. The space is designed for group working, with a range of simple settings in the open plan or group room that encourage...

Consequences and outcomes expand on results Identify successes and failures review with NHS Estates Leeds

This survey has therefore highlighted three principle areas of concern 1 Internal accessibility, particularly for people with mobility, hearing and sight difficulties. 2 Issues of building efficiency, such as sound confidentiality between consulting rooms and circulation spaces, energy conservation, and heating and ventilation systems. 3 Flexibility for future requirements. Overall, despite the shortcomings, all 14 primary care practices said that their buildings externally and internally...