AfH Regional Event – visit to South Bristol Community Hospital 20/01/2012 at 12.45pm

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South Bristol Community Hospital will open for business in the spring of 2012. Procured through LIFT, designed by AWW and constructed by Carillion, this long awaited scheme will provide a wide range of primary healthcare services, including two 30 bed wards, occupational therapy, outpatient services, day surgery operating theatres, minor injuries unit, podiatry and radiology. It is to act as a major health care hub for a population of some 200,000 with the aim of changing the approach to primary and community care in the city. The Hospital forms part of the wider Hengrove Park regeneration project that also includes South Bristol Skills Academy and the new Leisure Centre.

Meet on site 12.45 for a start at 1pm prompt. Please bring your own PPE if possible.

Numbers are limited, so early response is recommended. To book your place, please contact events@architectsforhealth.com

Location map http://www.hengrovepark.com/Development%20Proposals/index.htm

 

 

Next AfH Event: PechaKucha 2011

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 Dear member

Come and celebrate a very busy year.

We have already delivered 10 events, launched a new website, and increased our membership.

PechaKucha 2011

Time Thursday 1 December 6-9pm

Place Buro Happold Office 71 Newman Street, London W1T 1PD

 

We are inviting up to 20 members to submit schemes and present them in just 2 minutes!

You can present completed projects, or those on the drawing board or simply brilliant new ideas: lets hear from a cross section of our membership- planners, trusts, designers, engineers, academics…… you are all welcome!

 

Jamie Bishop will keep an eye on the clock, and honk the AfH bicycle hooter when two minutes are up
 

There will be a vote for the most entertaining presentation and even prizes!

And of course, some refreshments and plenty of chat!

 

Please send your presentation to events@architectsforhealth.com by 25 November 2011

Too shy to present?  then book your place with events@architectsforhealth.com


 

Architects for Health at IHEEM 1-2 November in Manchester Central

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Brave New World

Shaping healthcare in the future

Three Sessions are programmed for 2nd November under Stream H of the Conference:

11.30
DESIGN FOR CHANGE – THE ROLE OF DESIGN IN CHANGE MANAGEMENT
Chris Shaw – Director of MAAP Architects
Clinical Lead/ tbc

12.15
DESIGN FOR HEALTH AND WELLBEING
Susan Francis – Programme Director AfH
Dr Sam Thompson – University of Liverpool formerly from nef

14.00
BRAVE NEW WORLD?
Discussion chaired by John Cooper, Chair of AfH
Panelists include Nigel Edwards, Kings Fund and Sarah Waller, EHE Programme

We have negotiated for AfH members 10% discount which you can claim when registering (The discount code has been sent to members by email).
Please quote this code when calling 0845 056 8299 or emailing healthestates@emap.com to register.  

AfH Stand – G18

Members are invited to submit material to go on display. This year we are going part digital, part hard copy; please submit up to three projects from your company, reflecting your year in pictures. With the change in format we would like the exhibition to be both visually stimulating but also informative, therefore we ask for the submissions to be made in the form of one PowerPoint slide per project, with the “key lesson learnt”, or “an innovation” or how “carbon reduction” has been addressed in fewer than 50 words.

We have extended the deadline for receiving the boards to Wednesday 26th October

Please limit images to 1MB and hard copy foamboards to 450mm x 450mm.

An entry fee of £50 will be charged per three project – please send a cheque made payable to Architects for Health.Projects in hard copy will be received and displayed on a “first come, first served basis” There will be a limit to total numbers that can be mounted.
Send digital entries to Rosemary Jenssen at Devereux Architects – rosemary.jenssen@devereuxarchitects.com
Copy to Claudia Bloom at Avanti – cb@avantiarchitects.co.uk
Send hard copy boards to c/o Claudia Bloom, Avanti Architects, 361 – 373 City Road, London EC1V 1AS
_____________________________________

Arrangements for submission of boards

If you would like to participate, you are invited to submit up to three foam-backed display boards each 450mm x 450mm with one image per board (for impact of the overall stand) covering the whole area of the board (no borders).

Your practice name and the name of the project must be included along the lower edge of the board with text size no larger than 13mm height spaced 20mm from the top or bottom edge.

Text should not exceed two lines. Allow for a gap of 7mm between lines. Text can be in any colour of your choice to contrast with the image. Use capitals and lower case as you would normally for your company identity. No logos or other non-text devices please.

If you would like to provide a short commentary on the display material, please include this in the package – a maximum of one side of A4 per practice please. These commentaries will be available for the enquiring visitor but will not be photocopied/ handed out. It’s all about explaining the display, not advertising. Our key thrust – supported by leaflets which we will be handing out – will be to increase interest in sponsoring Architects for Health, as well as encouraging new members.

 

 

 

 

Visit to the new Pembury PFI Hospital

On the 5th May 18 Architects for Health members visited Pembury Hospital in Kent. This 513 bed PFI Hospital for the Maidstone and Tunbridge Wells NHS Trust is due for completion imminently and is the first large scale 100% single bedroom Hospital to be developed by the NHS. Designed by Anshen+Allen, HCP and constructed by Laing O’Rourke, who were our hosts for the day.

The most striking feature of the new Hospital are the parts you don’t see, the cleverly hidden multi-storey carpark tucked into the side of the hill, the ambulance entrance for A+E and the considered use of levels seemingly reducing the scale of the Hospital itself. The Hospital sits on the side of a hill, with incredible views out over woodland. At seven storeys tall the building is entered at the mid level.

You are greeted by an open airy entrance space, with views directly into a landscaped courtyard which sits one floor below the entrance level. Someone had some fun with the reception desk, this sense of attention to detail continued as we explored further into the heart of the Hospital.

The elevated position afforded to the restaurant/cafe is a refreshing change to those buried at the lowest level of the Hospital. The interior finishes were more akin to a hotel restaurant, than an NHS “canteen”.

Then on to the eagerly anticipated 100% single bedroom, cluster model wards. The loose furniture is still to arrive, however the rooms “in the raw” are impressive. With large expansive picture windows, to make the most of the truly therapeutic views. Use of insulated panel side vents, help flush fresh air through the room. The slightly quirky feel to the projecting ensuite next door, softened after spending a few minutes in the room. The benefit of this simple move, is clearly evident, in that the patient can move from bed to ensuite without crossing the room, and assisted by a grab rail.

Another striking feature is the team’s approach to wayfinding, colour coding which works. Coloured curved glass boxes lead visitors to the main circulation cores for each peninsula wing.

The only disappointment is that in this age of cut backs, we may not receive the benefit of a full detailed study and analysis of the impact of 100% single rooms on staffing working practices, or on patients and their carers.

Rosemary Jennsen AFH Executive Member

 

Architecture in the Age of Austerity

ARCHITECTS for HEALTH are delighted to invite you to our event

On 17 March 2011 at 6 for 6.30pm

Architecture in the Age of Austerity

It will be held at BDP offices

16 Brewhouse Yard

London EC1V 4LJ

 

We can use this current time of uncertainty to look afresh at the issues which were not addressed or resolved in the building boom that has just ended.

Speakers will give their take on the future and describe schemes undertaken within the framework of existing hospital estates or buildings.

Speakers include

John Cooper, Chair Architects for Health

Mungo Smith, MAAP Architects

Rosemary Jenssen, Devereux Architects

Jackie Cardiff, HCP

Nigel Greenhill, Greenhill Jenner Architects

Please register for a place by email at  events@architectsforhealth.co.uk

This is a members’ event.

If you would like to join AfH now please contact members@architectforhealth.com. The AfH Annual Subscription is £50.

 

Useful links:

www.architectsforhealth.com

www.bdp.com/Documents/Studio%20Directions/London.pdf

Brazil Study Trip September 2010

Architects for Health members included vists to the following hospitals:

Monday 20th

1 Comfort Suites Oscar Freire
2 INCOR Heart Institute
3 ICESP Cancer Institute

Tuesday 21st
4 Maternity Hospital Santa Joanna
5 Maternity Hospital ProMatre
6 Fleury Diagnostics & Polyclinic
7 Bross Architect Offices
Wednesday 22nd
8 Hospital Albert Einstein
Thursday 23rd
9 Paraisopolis Outpatients Unit
10 Real & Benemérita Hospital
11 Congonhas Airport

For more information see the News

Brazil Event 27 January 2011

Sunny place, exciting views, colourful art in white interiors, well designed buildings with state of the art technology: we were transported to Sao Paulo to revisit hospitals enjoyed by members of A F H on the International study trip 2010.

The evening was hosted at the Brazilian embassy and we became aware of the contradictions of a country with both money and poverty: wonderful fresh food but no heating! Brazil is one of the fastest growing economies in the world. Sao Paulo is a huge conurbation, second only to Mexico city, with 20 million population and x hospitals.

The A F H members shared their experience by showing a selection of the hospitals they visited. First Lara Kaiser introduced us to the healthcare system: All Brazilians have the right to receive health services as enshrined in the country’s 1988 Constitution. Modelled on the NHS, Brazil’s Unified Health System (“Sistema Único de Saúde”, or SUS) was created two decades ago to decentralise the delivery of services. Under the SUS, it is primarily the job of municipal administrators – Town and City Halls – to manage public health services, while more general administrative responsibilities are the preserve of the Federal Government. Arguably, the municipal administrations have been slow to adapt to their new role, partly as a result of Brazil having more than 5,000 cities, 25% of which have less than 5,000 inhabitants, and partly because a slew of economic, political and administrative issues remain unresolved. Brazil’s public healthcare services are underfunded, chaotic and poorely organised. Queues, lack of doctors for basic care services, lower levels of comfort and amenities than those found in private hospitals are the norm. Unsurprisingly, 28% of Brazilians, according to estimates, turn to the private system for healthcare, and are covered by private health insurance. The remaining 72% use public facilities or can access private hospital services – funded by the public sector – for specific treatments or surgery that the public sector cannot provide.

Roy Carroll started our tour with a look around the University Heart and Cancer institutes. Housed in an uncompromisingly early modernist building of some stature, the overall design had strong forms and resilient material eg marble floors and window surrounds. The spaces were clean, uncluttered and fitted with impressive technology and equipment. The world renowned institutes had been designed with care and attention to detail: we were assured that blue walls and red carpets were just the right background if you are viewing scanning images. However, these spaces were in stark contrast to the rest of the hospital with its soulless OPD, scary pharmacy and near sci-fi ramps in public spaces: but then as Neimeyer said
Architecture is not important: But important is life.

Claudia Bloom showed us two private maternity units: both light and welcoming with well detailed modern interiors. The Santa Joanna Maternity Hospital was arranged in single rooms with babies kept in bassinets in a communal nursery at night connected to their mothers through CCTV cameras: women able to practice multi- tasking by watching two TV screens simultaneously from their beds- one of their baby and the other showing soaps! Most activity was planned and the rooms personalised with the baby’s name. There was an impressive system for recycling water from the laundry to conserve the environment. The ProMatre Maternity Hospital, another unit belonging to the same private provider, had hotel like bedrooms painted and furnished ij white. The delivery theatres were fitted with windows to the corridors through which family members could observe the surgical deliveries.
Mariangela Zanini focused on Beneficência Portuguesa founded in October 1859, which is now one of the most advanced private hospital complexes in South America. With an impressive 2000 beds arranged in two- bed rooms and 64 operating rooms including transplant and cardiac , this was a machine for modern medicine.

We also saw around one of the 20 Fleury diagnostic centres, each accommodating services to suit their loacality. Almost exclusively white, this crisp and efficient layout provided all the necessary accommodation for basic diagnostic tests in a high street location.
The presentations concluded with an entertaining film composed by Phil Gousak that paid homage to Oscar Neimeyer and Brasilia. Organised and introduced by Vicky Braouzou we felt transported to another world for sure.
Clearly the trip had been a lot of fun. So was this event. And the question on everyone’s lips- where shall we go this year?
Send your suggestions to info@architectsforhealth.com.

Some more information on hospitals visited:

The University Heart and Cancer Institutes
The FMUSP-HC System is the oldest Brazilian academic health system and it originates from the Faculdade de Medicina e Cirurgia de Sao Paulo (established 1913). The new school, with support of the Rockfeller Foundation, established a new model of medical education in the country, with the reorganization of teaching and research, and the implementation in 1944, of a university hospital linked to the school.
Today, the FMUSP-HC System is the largest in the country, comprising – besides the Medical School – institutes specialized in tertiary care, a secondary care hospital, auxiliary hospitals, units specialized in full time care of H1V/AIDS patients, Health Centre School (primary core), Primary Care Units, Medical Investigation Laboratories (LIMs) and Support Foundations.

Maternity Hospitals ProMatre and Santa Joanna
The Maternity Hospitals ProMatre Paulista and Santa Joana have a team of doctors and nurses specialized in gynaecology and obstetrics. In its team, there are also university professors and PhD doctors in obstetrics, gynaecology, neonatology and foetal medicine. It also has the most advanced prenatal exams, intrauterine transfusion and foetal surgery.
The Hospital and Maternity Santa Joana was founded in 1948, as a Health Centre. In 1991, it was redesigned and got a new wing, designed around the modern concept of a hospital-hotel. Together with Pro Matre Paulista (they are part of the same group), it was the first maternity hospital to receive the accreditation stamp of the National Accreditation Organization (ONA), showing the security standards in hospitals.

AfH Annual Debate 17 February 2011

ARCHITECTS FOR HEALTH

 Annual debate at the Reform Club

17 February 2011

 

The Motion:   “This house believes that architects know more about sustainability than engineers”

Proposer of the motion

Robin Nicholson Architect and Director of Edward Cullinan Architects;

Seconded by

            Benedict Zucchi Architect and Project Director BDP

Opposer of the motion

Greg Markham Chartered Engineer at G4S Integrated Services

Seconded by

Phil Nedin Chartered Engineer and Past President of IHEEM

 

Robin Nicholson began by setting the wider scene: he asked if we are sufficiently aware of the issue

  • 2 buildings that are currently in the news for the Olympics use 5 tonnes of steel: by 2050 we will only have 20% carbon allowance : what matters most?
  • Only one person in the audience admitted they knew their carbon footprint
  • The NHS contributes 30% of public sector emissions- and hospitals are the most greedy building type. So it is crucial to address the issue

He suggested that the NHS had been good at solving the wrong problem for too long: health prevention gets only 4% of the NHS budget according to Marmott; NHS SDU has published a Route Map for Sustainable Health; and the CABE study for DH Sustainable design policy had called for ‘Halving the demand, doubling the efficiency and reducing the CO2’- using Bill Bordass work that was referred to in the Zero Carbon Schools Task Force. But was lost in the mist of government change.

A step change in thinking is required. Who is best placed to lead? He suggested that engineers know how to get from A to B; but architects can do better by going via C. Architects are best placed to challenge the status quo. They should lead an Integrated design process.

 

Greg Markham made the case for engineers to bring low carbon energies to the NHS; at least 15% of the NHS Estate is not fit for purpose; engineers can help to reduce the energy intensivness through technology- wind, solar ,PVs etc. He made the point that in an era of austerity there will be no investment without saving.

He suggested that engineers have a deep understanding and can bring about innovation, such as the windup radio. There are 35 professional institutions for engineers in the UK that have embedded a sustainability manual into their principles- and its not the same for architecture.

Benedict Zucchi seconded the motion taking a broad view of sustainability- that it is about creating places. He sited a 500 year old Hospital in Milan that is still being used- it is an integral part of the neighbourhood and much loved by the city. What could be more sustainable?

Successful enduring places that are local and specific are key to sustainable architecture.

He told a fairytale in which a spell of enlightenment had been cast at the end of the18th century: it heralded progress at any cost with the development of technology and mass production. As a result we now endure pollution, dehumanisation and a mechanistic world view. Engineers brought this about!

This thinking influenced architecture profoundly: Le Corbusier said we should behave like engineers and made the city, house and hospitals as machines; cities all look the same as road engineers show contempt for place and people. The Frankfurt kitchen reduced all variables of cooking to the making of an omlette: an approach that has been adopted in guidance.

We inhabit a mechanistic world as Einstein said:

 Logic can get you from A to B but imagination can take you anywhere.

 

Phil Nedin admitted that some architects know more than some engineers about sustainability but that architects are late to the table on this one.

In terms of education architects do space but not numbers. Engineers have plenty of opportunities for CPD with 4 major national magazines dedicating lots of space to sustainability; and numerous seminars etc to transfer knowledge.

The task is too big for architects and too much to expect one institute to lead. Architects have had more success in the housing sector but little impact in sectors that are more difficult. There is plenty of greenwash and eco-bling but more serious design issues have not been fully addressed: for health these include eg avoiding deep plan spaces, maintaining adequate ceiling heights, using solar shading, making comfort analyses, reducing the use of misplaced glass, dealing with exposed soffits and improving window design. There has been insufficient information in guidance with too slow adoption of single rooms.

However, the most significant failure of architects has been the lack of adoption of Post Occupancy Evaluation and the acceptance of re-inventing the wheel for each new project is not good enough.

Discussion from the floor pointed to the polarised positions.

Engineers have committed original professional sin by being inventors of the industrial revolution that has caused the environmental disaster: Architects are the Jonny-come –latelies that have designed cities that do not support healthy lifestyles and buildings that pollute.

This discussion became an arts versus sciences issue: quantification over creativity. Is sustainability an issue of place or technology? Who holds the ring?

Does any one profession know enough let alone know more than the other?

Peter Scher, in customary manner, urged us all to abstain on the grounds that survival was the most important issue and must take preference over professional warmongering.

Someone else offered to redesign the motion- it happens every year!

In summary, Robin urged us to think radical: the scale of change that is required is huge. Buildings account for 40% of the problem. Long life, loose fit and low energy is where we need to be and architects are better placed than engineers to get us there.

Greg acknowledged that survival is a common goal but engineers have essential knowledge that architects do not yet have.

The motion was defeated 17 to 12 with some abstentions! Well done engineers!

The debate was chaired by John Cooper and thanks given by Ann Noble.

2010 Annual Reform Club Debate

Annual Reform Club Debate: “The inevitable cuts to the NHS budget, whichever party takes power, will destroy the work of the last ten years and not bring about the radical and patient centred reforms which UK healthcare requires”

Held on Tuesday 20 April 2010 at The Reform Club, 104 Pall Mall, London SW1Y 5EW.

Chair: to be announced

Speakers For: to be announced

Speakers Against: to be announced

Review of debate: not currently available

Sustainability and Hospitals

An Architects for Health Event held on Thursday 19 June 2008 at The Building Centre, London

This half-day seminar assessed the implications of the imminent introduction, by the Government, of new sustainability requirements for all buildings. What will this mean for Hospitals? How should we respond? Expert sustainability advisors explained these changes and an introduction to the BREEAM Healthcare was presented.

Chair: Robin Nicholson, senior member of Edward Cullinan Architects

How are Hospitals Different from Other Buildings?
Dermot O’Reilly, Architect and RIBA Client Design Advisor; worked on a wide variety of both public and private sector buildings including PFI Hospitals, Education, Courts, Defence and many others; former executive of Architects for Health; worked with Carillion on the Great Western Hospital, Swindon, a benchmark of environmental performance in the construction industry; currently working on one of the London 2012 Olympics projects.

The Current Perception of Sustainability
Bill Gething, RIBA Sustainability Adviser and representative on the Architect’s Council of Europe; Chair of BRE Global Sustainability Board and Visiting Professor of Sustainability at the University of Bath.

The New BREEAM Healthcare
Virginia Cinquemani, Education and Healthcare Sector Manager for BREEAM at the Building Research Establishment (BRE).

The Effect of Zero Carbon Regulations on Hospital Design and Procurement
Brian Mark, advisor to the Department for Business, Enterprise and Regulatory Reform (DBERR) on all renewable energy technologies and Renewables Obligation policy; representative for the Chartered Institution of Building Services Engineers (CIBSE) on the Industry Advisory Group convened by Communities and Local Government (CLG) to advise on changes to the 2010 and 2013 changes to Part L of the Building Regulations.

Future Policy on Zero Carbon Hospitals
Jules Saunderson, panel member of the Mayor’s advisory Zero Carbon Housing Group; member of the Communities and Local Government (CLG) Non-domestic Industry Advisory Group; author of initial proposals for the UK Green Building Council (UK-GBC) and UK-GBC zero carbon task group report.