Design Awards 2014 – Shortlisted Projects
The shortlist for the 2014 Design Awards has been selected by this year’s awards panel. The winners of this accolade will be announced from this shortlist at the Architects for Health stand IHEEM conference.
Category A: Built Project
- Cockermouth Community Hospital – IBI
- Kent Institute – David Morley Architects
- Kingfisher Court – P+HS Architects
- The Djavad Mowafaghian Centre – Stantec
- The Rowan – Keppie Design
Category B: Future Project
- Banbridge CTCC – Avanti Architects
- Clatterbridge – BDP
- National Forensic Mental Health Centre – Scott Tallon Walker Architects
- Proton Beam Therapy Unit – Scott Tallon Walker Architects
- Royal Liverpool University Hospital – NBBJ
Cockermouth Community Hospital by IBI Group
Scheme Name: Cockermouth Community Hospital and Health Centre, Cumbria
Client: ELIFT Cumbria
Address: Cockermouth Community Hospital, Isel Road, Cockermouth
Completion: July 2013
Gross internal area: 4000m²
Architect & Interior Designer: IBI Group
In November 2009, the rivers Derwent and Cocker burst their banks and flooded Cockermouth, damaging homes, businesses and GP Practices. In assessing the extent of damage, NHS Cumbria took the opportunity to review its local healthcare provision and rather than simply patching up the GP premises, formulated a strategy for the provision of a new ‘joined?up’ service that involved replacing the town’s ageing Cottage Hospital.
Working alongside their PPP development partner eLIFT Cumbria, a site near the town centre adjacent to the existing Cottage Hospital was identified. Easily accessible and with ample car parking, this has allowed the best treatment and support to be conveniently provided.
The new facility has been designed to accommodate GP and dental practices, pharmacy, community physiotherapy, podiatry, ultrasound, minor injuries and surgery, an 11 bed inpatient ward, rehabilitation physiotherapy, vascular screening, retinoscopy, First Step and some hospital consultant clinics. The facility also serves as the base for children’s community nurses, midwives, health visitors and district nurses.
The internal arrangement was developed through a comprehensive consultation process, which allowed patients, staff and other key stakeholders to consider the best way to deliver services and generated a number of innovations including:
- Upon entering, patients are greeted by hosting staff, rather than a traditional receptionist;
- The in?patient ward is arranged as a panopticon, to assist with patient observation, and at the same time optimise patient privacy and dignity;
- Behind the scenes, the nurse consulting rooms have a centralised clinical preparation area and write-up space. This shared space encourages staff to interact with each other, promoting collaborative working, and the dissemination of best practice.
The main entrance on the upper floor leads to a spacious and light waiting area, which takes advantage of views over the beautiful countryside and landscaped internal roof gardens, creating a restful and therapeutic environment for patients, visitors, and staff. Consulting rooms are arranged around the waiting area, providing a floor plan that is easily understood, putting patients and visitors at ease.
Single, en-suite inpatient bedrooms are located on the lower floor, with each opening on to a garden space. This arrangement ensures patient privacy, dignity and autonomy over their environment whilst inherently improving infection control.
Generous external landscaping provides therapeutic opportunities to help patients regain independent mobility.
The building has been designed in a contemporary style with the internal layout promoting collaborative working practices between departments in response to aspirations to redefine patient pathways to provide more effective and efficient patient care. Internally, modular sized spaces provide flexibility in use and enable a wide range of clinical services to be accommodated, whilst ensuring the building provides long term flexibility in addressing changes in healthcare provision.
The design features a number of sustainable principles, including locally sourced materials, solar PV and CHP as well as careful selection of products to support low energy in use. The building achieved a BREEAM Excellent rating and received the 2014 Green Apple UK Green Champion award.
Kent Institute of Medicine and Surgery by David Morley Architects
Scheme Name: Kent Institute of Medicine and Surgery
Client: Kent Institute of Medicine and Surgery
Cost: £95 million
Gross internal area: 15,000m² of hospital space
Architect: David Morley Architects
Kent Institute of Medicine & Surgery (KIMS) in the heart of Kent opened in April 2014. The £95m state-of-the-art hospital will transform acute and specialist health provisions in the county. The independent, patient-focused, clinician-led hospital is the first – and only – tertiary care centre in Kent.
KIMS has one of the largest cardiology departments in the UK, providing high quality complex procedures and acute care in areas such as cardiology and cardiac surgery, plus neurology, neurosurgery, complex orthopaedics and surgical oncology services. The pioneering facility has also been developed to create an environment for learning, knowledge-sharing, clinical education and best practice.
A healthcare campus providing almost 15,000m² of hospital space, KIMS has 74 dedicated inpatient beds, including seven chemotherapy rooms, plus a further 20 day care beds, seven intensive therapy units beds and high dependency beds.
Designed by David Morley Architects and constructed by VINCI Construction UK, KIMS mirrors the quality and design flair of a hotel and promotes health and wellbeing through the use of natural materials, maximum daylight and attractive landscaping.
David Morley Architects has worked extremely closely with the hospital to deliver an outstanding new facility for the people of Kent. The hospital has received an overwhelming amount of positive feedback from patients, staff and the local community. In KIMS’ own words:
“This hospital building provides a cure without recourse to rhetorical gestures, or stylistic gimmicks. The architect has shown great sensitivity in his handling of demanding requirements, thinking hard about the details that make a patient’s stay as comfortable as possible.”
There has been a significant community involvement in the planning, design and construction of KIMS, including local schools, colleges and charities support. The hospital’s entire artwork has been designed by the local university, the University for the Creative Arts in Canterbury.
Traditionally surgical and imaging departments often have very few windows and are lit artificially. Clinicians at KIMS are particularly impressed by the amount of natural daylight that pours into what would often be poorly lit spaces and they have praised the views out to the gardens and the countryside beyond. Throughout the hospital, patients and staff enjoy the therapeutic benefits of high quality finishes, calming colours and engaging artwork.
There is a genuine feeling among staff at KIMS that the hospital has been designed with the patients and staff in mind. The high quality environment of care can be summed up
by a patient who said “Everybody at KIMS deserves to be named, they were all friendly, helpful and lovely. It felt more like a hotel than a hospital.”
The design concept includes integrating green roofs and an innovative green wall into the scheme; enhancing views into the site, outlook from buildings and the bio-diversity of the development.
Natural light has been maximised and views to the surrounding rich landscape encouraged. The scheme is on target to achieve a “Very Good” BREEAM Healthcare rating.
In July 2014 the new Kingfisher Court, a building at the forefront of developments in mental health care design and practice, opened its doors to its first patients. As part of the “recovery model” of care these patients were deeply involved in the design: hundreds of hours of consultations with different task groups were undertaken before finalising the innovative and ground-breaking design.
This 86 bed inpatient unit is an integral part of the Trust’s Transformation Program which supports the Trust’s ‘hubs and spokes’ service model. Hundreds of hours of consultation were undertaken with service users, carers, third sector organisations and Trust task groups as part of the Trust’s commitment to patient empowerment.
Trust chief executive Tom Cahill said:
“We don’t want this to be called a hospital, we want to use this facility to dispel myths and put care for people with mental illness on the map in a positive way.”
The contour hugging building nestles into the sloping site in the Hertfordshire green belt. Organised in two ranges sitting at different heights on the site, it is designed to merge with its natural surroundings. Facades are clad in timber boarding and timber shingles which also wrap seamlessly onto the mono pitch roof creating an undulating roofscape.
The innovative plan supports the Recovery Model of care by grouping shared ward, therapy and carers accommodation on a network of social streets. It also provides to generous courtyard spaces; one ‘active’ and the other ‘contemplative’ within each ward and numerous garden spaces without. The ward layouts enable gender separation and swing and extra care beds within wards and more unusually between wards. Technical innovations include the use of structural insulated panels (SIP), offsite construction for bathrooms and large components. The building uses a total of 24000m2 of SIP panels. This staggering amount, equivalent to five football pitches, makes Kingfisher Court the largest footprint SIP building in the UK.
The green belt site, recovery model of care, exceptional service user engagement, construction methodology studies and sustainability all informed the way in which the design developed. The topography, sun path, prevailing winds and cross ventilation was a starting point which melded with the clinical brief and service user input to form a surprising, generous and optimistic building which, because of the way it nestles into the site, is always intimate in scale. Modelled on a hill town, it provides unexpected vantage and pausing points for social engagement and contemplation of nature and art. It has to be visited to be fully appreciated.
The largely naturally ventilated BREEAM excellent building, located and shaped to be energy efficient, is made of zero waste SIP panels and clad in carbon neutral timber.
The Djavad Mowafaghian Centre by Stantec
Scheme Name: The Djavad Mowafaghian Centre for Brain Health
Client: University of British Columbia (UBC)
Design lead: David Martin
Cost: £23 million (construction cost) / £38.3 million (project value)
Gross internal area: 14,000 sqm
This pioneering clinical research facility houses patient clinics alongside laboratories dedicated to researching neurological and psychiatric diseases ranging from Lou Gehrig’s disease, Multiple Sclerosis, Parkinson’s and Alzheimer’s to resistive Psychosis. Initially conceived by Dr Max Cynader along with a host of research faculty, neuroscientists, psychiatrists, nurses and clinical staff, the design addresses the challenge of creating environments for the treatment and cure of chronic neurological disorders while engendering a community striving to achieve 100% patient participation in research– thereby capitalising on the synergies of collocating a diverse range of carers and researchers.
The driving vision to create an effective translational medical facility derived three aspects which formed the basis of the design – Campus Cohesion, Translating Healing and Discovery, and Motivating and Inspiring Patients.
CONTEXT: Campus Cohesion
The new landmark building with its gazed public realm façade and emblematic synapse super-graphic has been designed as a new gateway to the UBC campus. Located immediately adjacent to the Koerner Pavilion of the UBC Hospital, it strategically orientated to unify the Health Sciences precinct while enhancing the cohesion of the larger UBC campus. Its design and orientation strengthen interaction with adjacent clinical and research buildings: it is operationally integrated with the existing Brain Research Centre, the Institute for Mental Health and the Department of Psychiatry and Division of Neurology facilities. Architecturally, it sets the stage for future development at the UBC campus.
PURPOSEFUL INNOVATION: Translating Healing and Discovery
Although ‘bench-to-bedside’ has become one of the most over-used terms in medical research, the Centre for Brain Health represents a genuine step change in how the synergy of research and healthcare can propel curing while improving caring. For the first time, this facility unites patient clinics and multidisciplinary areas of brain health research under one roof.
The public and semi-public spaces have been designed to encourage a high level of interaction and collaboration between the different users. Creating a metaphorical synapse for the whole building in terms of how people moved was an important design theme.
The design creates and shares flexible resources and adaptable spaces to enhance research partnerships, effectiveness, patient access and treatment leading to new therapies and improved health outcomes.
DESIGN APPROACH: Motivation and Inspiring Patients
The patient is the top priority within the facility. The neuro-psychiatric environment supports patients with the design creating simple to navigate and non-intimidating environments while promoting ‘chance meetings’ for a very specifically vulnerable patient population.
A neutral pallet of attractive yet durable materials (wood, stone, glass) accented by striking artworks creates a welcoming therapeutic environment. Public areas benefit from high ceilings and exterior landscaped views which are complemented by smaller private areas. Balancing a sense of community with privacy helps to address different patient needs.
The centre is environmentally safe and sustainable while contributing positively to the health of patients, staff, and the public realm at UBC. Strategies include high-performance glazing, high-efficiency boilers and air-to-water heat pumps that use heat recovery systems, stormwater management, occupancy sensors, and the use of low VOC materials with high recycled content. Energy efficiency is further enhanced by the use of leading-edge Themanex technology – a hydronic system design that uses a single length pipe as a hub for the exchange of thermal energy. Opened in February of this year, the Centre is expected to reduce energy consumption by 50-60% from standard design practices.
The Rowan is the first purpose built Sexual Assault Referral Centre (SARC) in the UK. It is a one stop facility, providing a safe haven for victims of sexual assault across the region.
The Department of Health, Social Services and Public Safety (DHSSPS) recognised the need for the development of a SARC to unite Acute Emergency Services and the Police Service.
One of the key aims of The Rowan is to provide holistic care to victims, including timely access to vital healthcare and support post-assault, promoting recovery and better outcomes for victim, whilst reducing reliance on health and social care in the longer-terms.
As a flagship project, both the SARC and the service model have attracted widespread international interest, with police and health professionals visiting from South Africa, Abu Dhabi, Belgium, Germany, the Republic of Ireland and the UK.
Victims appreciate the privacy of the centre, promoted by its discreet location in a largely wooded area but close to acute services should they be required.
Although the site itself is deemed of low ecological value, it is bounded by mature trees, a ‘green corridor’ providing a resource for local wildlife throughout the site and wider rural setting. Wildflower areas were introduced into the landscaping to encourage native species, providing a stimulating visual experience.
The clinical accommodation requires specific clinical and forensic attributes for the running of the service. However, generic accommodation and the technical infrastructure have been designed for future adaptation to accommodate an increase in interviews and counselling.
Victims have the opportunity to help each other through the inclusion of artwork, designed into the building, showing them they are not alone, and that they too can recover.
The building is designed to provide a positive healthcare experience, promoting the wellbeing of users and inspiring confidence. Natural materials are used throughout, engendering a sense of calm and relating to the woodland setting.
The building is a series of little ‘houses’, interspersed with walled gardens, nestling into the sloping site, surrounded by mature trees.
Three of these ‘houses’ each contain a suite of accommodation for the immediate aftermath of an assault, including a waiting lounge, forensic medical examination room and post-care room. Each ‘house’ has its own character, created through artwork and colour, and its own landscaped courtyard. Most victims and parents of child victims spend time in the garden to reflect, to grieve or to catch their breath.
A fourth ‘house’ contains the main entrance and waiting areas, and interview and consultation rooms. Victims and visitors use this house on subsequent visit. The domestic scale puts victims at ease and ensures they do not recall the traumatic experience of their first visit.
The Rowan is BREEAM Healthcare assessed rated “Excellent’. Whole-life Cycle Cost (WLC) was based over a 30-year period, benchmarked against criteria including historic and other costs from similar projects. WLC places an emphasis on good design and high quality materials that save money in the long term by reducing maintenance required. Value for Money (VFM) was achieved by obtaining maximum output (the building) from the minimum input of resources (capital).
“The architectural design team has listened to the voices of victims and understood fully the multifaceted requirements in delivering a range of support services to those affected by sexual violence.”
Karen Douglas – Service Manager, SARC (NHSCT)
The new centre will provide new healthcare services on the site of the Old Banbridge Hospital. 3 Types of accommodation are provided: Staff Workstations, Primary Care Facilities and Daycare for Adults with Learning and Physically Disability.
In an innovative approach these three distinct areas have been designed in one building to give service and accommodation efficiencies. Achieving the correct balance between public and private areas has been critical and has helped form a clear architectural design solution.
COMBINED BUILDING APPROACH
This flagship centre represents a new building model for the delivery of services to the Banbridge Community and will function in three ways:
Provision of community outpatient treatment facilities for Banbridge and the surrounding area; Accommodate learning and physically disabled clients; Provision of an administrative centre for Trust healthcare.
QUALITY OF ENVIRONMENT AND SENSE OF PLACE
The design solution has sought to maximise natural light in internal areas, provide views out to landscaping and from circulation. The preferred design solution uses the atrium and stepped courtyard as a heart to the building and establishes visual connections with the building perimeter where possible. This strategy also serves to provide break out areas in corridors avoiding extended lengths that could feel institutional in character.
Rather than an enclosed inward looking plan the proposed buildings connect to external courtyards that are generously proportioned in terms of width and height. Planting and sculpture will provide stimulus and provide reference points to help orientate users when circulating around the building. The integrated art strategy will play an important role in lifting the quality of the internal and external spaces, increase legibility, wayfinding and create a welcoming and therapeutic environment.
BALANCING SECURITY AND OBSERVATION WITH PRIVACY AND DIGNITY
The complex and challenging needs of daycare clients contrast with the accessible and welcoming public orientation of the CTCC. The new building has been designed to achieve the correct balance between public and private zones to ensure high standards of service provision, security, observation, privacy and dignity.
The ability of the building to adapt to changing models of care has been integral in the design of the lightweight partitions, flat slab structure and M&E services.
The building has been orientated to take advantage of natural light and ventilation and has been designed to achieve ‘Breeam Excellent’.
National Forensic Mental Health Centre by Scott Tallon Walker Architects
Scheme Name: National Forensic Mental Health Services
Client: Health Service Executive, Ireland
Value: €84.5 Million
Gross internal area: 24,500m²
Architect: Scott Tallon Walker Architects
The Design Concept is to set the NFMHS in a unique landscape environment at St Ita’s Hospital Portrane and supports the underlying roles of therapeutic care and security with dignity delivering a new unique facility embodying the best principles of high secure mental healthcare design. The Design Philosophy is underpinned by a desire to achieve a high standard of aesthetic in a landscaped setting with courtyard pavilion type buildings maximising light, volume and space while maintaining security.
Through landscape, art and colour as well as simple way finding methods we believe we can form a site wide narrative that by linking all key spaces from the main entrance, through transition nodes within the ‘Village Green’ actively engaging along the way and clearly connecting the new facilities. All clinical linkages and circulation, patient, staff and visitor flows are carefully integrated with the patient care services. The therapeutic benefits of contact with nature are fully utilised with wards intimately entwined around a series of courtyard and secure perimeter gardens where each patient has close and generous access to the outdoors.
Accommodating the patient bedrooms around central courtyards and shared group space at the heart or ‘Croi’ of the wards, in which the common activities and therapies take place. The functional layout allows the support and common areas to be the main control point and access to the ward and the bed areas beyond. The shared realm will be bright and airy acting as an interconnector with the accommodation spaces.
The open and spacious entrance hall, within the reception building is the gateway for all staff and visitors to the hospital. Access pathways from here are defined by user. Once into the ‘Village Green’ area the journey is self reading to the various pavilion buildings ( Pre Discharge Unit, Female Unit, Mental Health, Intellectual Disabilities Unit, High Secure Unit, Medium Secure Unit and the Village Centre), following a series of gentle meandering paths and plazas that gently change levels via ramps or steps divided by lush landscape terraces. The Village Green is completed by the horticultural area adjoining the Village Centre. Servicing, catering, linen, waste etc is distributed via the service road that runs behind the buildings. It also facilitates direct vehicle access to each buildings dedicated yard area for patient admissions, maintenance and emergency vehicles.
We have endeavoured to control the design to reduce any sense of significant bulk into recognisably human scaled spaces. The courtyard and perimeter gardens signal the transition from private bed spaces to shared therapy areas. The arrangement of graduated space offers views through the entire building and beyond, making a bright and uplifting welcome for patients and visitors. In general the units have been grouped in order to ensure clinical efficiencies, ease of servicing, economy, structural efficiencies, sustainable efficiencies (Breeam ‘Excellent’) and create an aesthetic cohesion.
The palette of materials used for the building demonstrates robustness suitable for use in a high secure mental health environment, however also endeavours to create buildings and structures that are more residential in scale and appearance. Entrance structures become sculptural lantern identifiers to each pavilion as appropriate.
The landscape design remains true to the rural historical setting and stitches the pavilions together in a harmonious garden setting and is integrated into the design to ensure that the quality of the environment contributes to the users well being. It complements and is enhanced by the St. Ita’s mature and densely wooded existing demesne.
Proton Beam Therapy Unit by Scott Tallon Walker Architects
Scheme Name: Proton Beam Therapy & Cancer Inpatient Hospital, University College London Hospitals
Client: University College Hospitals NHS Foundation Trust
Value: £170 Million
Gross internal area: Approx 32,000 sq m overall
Architect: Scott Tallon Walker Architects
The goal of this project is to develop a world leading Healthcare facility combining Proton Beam Therapy with modern integrated cancer & surgical services and to facilitate better clinical outcomes in an improved environment for patient’s visitors and staff, enforcing UCLH’s status as a world class centre of excellence. The building is located on Grafton Way & Tottenham Court Road on the former Odeon Cinema site. The building is also strategically located between the existing main UCLH hospital on Euston Road and the UCLH Macmillan Cancer Centre opened in 2012 and has been designed by the leading Healthcare Architectural practice Scott Tallon Walker Architects (in association with Edward Williams Architects).
The building forms an ‘L’ shape in plan running the length of Grafton Way and returning down Huntley Street, flanked at one end by Tottenham Court Road, and the other by University Street. There is a central atrium running on both axes separating the Main building from the smaller internal “Courtyard” building. The Proton Beam Therapy unit is located entirely below ground, both in order to provide the necessary shielding to the Proton Gantries but also to maximise the development potential of site above for clinical accommodation. The building is designed to allow the physical installation of the very large and heavy specialist Proton Equipment at any stage during the overall building construction timescale. It has also been designed to allow maximum flexibility in accommodating the requisite public procurement processes for this specialist equipment. The tender process for this equipment is currently underway and will not be completed until approx Nov 2014, yet construction work is programmed to begin in Feb 2015. This programmes is made possible through innovative thinking and techniques both in building construction methods and in design concepts.
In addition to Proton Therapy, the building includes a new short stay surgery centre incorporating 8 full operating theatres (2 with Laminar Flow), full 1st and 2nd stage recovery, 165 patient beds, full diagnostic imaging services and associated support facilities. Particular attention is paid to patient flow and overall design for Paediatric patients who form a substantial part of patient cohort for Proton Beam Therapy. This development is an urgent and vital milestone in the process of improving health care by moving existing services into an integrated and centralised campus and introducing world leading Proton Beam Therapy as a significant enhancement to therapeutic cancer treatment services throughout the UK.
UCLH have set a requirement to deliver this facility with sustainability and energy conservation at the very heart of the design. We have addressed all aspects of sustainable design including the health and well being of patients and staff, energy reduction, optimisation of transport links, water conservation, sustainable materials, minimisation and proper handling of waste, re-providing ecology where possible and the treatment of air and noise pollution. The design team has considered all aspects of the facility from the initial orientation of the building, internal planning of the departments, performance and aesthetics of the building envelope through to balancing the function and energy implications of all design solutions. The project currently meets the key energy and sustainability targets and is on course to achieve BREEAM Excellent, 25% improvement on Part L 2010 and 20% reduction in Carbon emissions. In addition, the scheme is fully in accordance with Pas 1192 and BIM Level 2.
In the 1800s, Liverpool was a booming port city, bolstered by trade linkages to the Americas and West Indies. In the 1930s the future hospital site was part of this thriving metropolis, knitted into the greater urban fabric with small streets and public spaces. But in the 1970s, the city stripped out the existing fabric to make way for the hospital. The building, in the form of a large superblock, did not integrate with the city, forming an impenetrable and unpopular mass.
Our approach was to create a public space at the centre of the site and position the new hospital building to the southeast to form a landmark urban gateway. We used the four-storey drop across the site to configure the public space as a series of terraces, each with a different character, defining the different entrances. The public spaces and the building itself connect back to the context of Liverpool through our choice of materials, reflecting the use of Portland stone on public buildings throughout Liverpool.
“A Good Neighbour”: When completed, the new hospital will heal a once-impermeable site in the centre of the city. By reinforcing the edges of the block, it will energise the street and shelter a vast, publicly accessible plaza at its centre. By connecting to surrounding areas, it will bring people into and through the site, and help drive advancements at the nearby university and future biosciences developments. And by bringing state-of-the-art care to Liverpool, it will ensure the health of generations of Liverpudlians to come.
Healing Environment: The design provides a healing non-institutional environment that enhances the patient, visitor and staff experience. The clear building layout maximises daylight, views, landscaped external areas and healthcare service efficiency.
Accessibility: The simple and legible building layout, with clearly defined entrances and circulation routes that promote intuitive wayfinding and orientation within the hospital, is complemented by a clear masterplan that identifies accesses and routes to and across the site within an engaging site-wide landscape design.
High Quality: The development creates a stimulating high quality environment that reflects a positive image of the NHS. The design of the buildings and the site generates a ‘sense of place’, promotes civic pride and aims to surpass the Trust’s aspirations in the provision of an inspiring and modern scheme.
Therapeutic Environment: The building’s orientation and layout maximises natural light whilst minimising glare and solar gain. Stimulating views are provided from the building into the large internal gardens and out to the new central “Green Heart” and neighbouring area.
Innovation: The cranked ward template brings natural light and extensive views to all the patient bedrooms, and also to corridors and staff areas.
Efficiency: The hospital design optimises departmental adjacencies and provides a circulation pattern that minimises travel time and distance. Patient, staff, visitor and goods/FM flows are segregated within the hospital and site as a whole. Non-patient services are located in the Clinical Sciences and Support Building (CSSB), separate from, but connected to the hospital, ensuring efficient delivery of the services and minimising impact on patients and visitors.
Flexibility: The development offers future flexibility within an identified framework and overall site strategy. This will enable changes to healthcare services, technologies and spatial requirements to be incorporated with minimal disruption.
The design incorporates a pragmatic approach to sustainability that maximises natural daylight, minimises energy running costs and endorses the appropriate use of the most recent technologies that will contribute to a sustainable construction and operation of the hospital. The scheme scored an ‘Excellent’ Rating under the BREEAM Healthcare 2011 scheme.