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

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

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...