20 x 2: 26/11/15

The annual light-hearted and high-speed exposition of all things healthcare was hosted by NBBJ London on 26th November 2015. A regular and popular feature of the Architects for Health programme, the headline refers to invitations to up to 20 members to present a topic of their choice for no more than 2 minutes. There is no prescribed format and content can be any topic with at least a passing nod to healthcare design and environments.

Attracting a sizeable audience which, thanks to NBBJs gracious hospitality, was keen to provide ad hoc interjections of support or otherwise, the evening heard a wide range of differing two-minute monologues with accompanying ubiquitous PowerPoints. Continue reading

IHEEM 2015 AfH Design Award Winner’s Presentations

The Architects for Health Design Awards are unique in that the winners are selected by a panel of fellow practitioners. Those designs selected for awards represent the best work in the field and expert recognition of quality and innovation. The awards, kindly sponsored by Vinci and Carillion, were made at the European Healthcare Design Congress; this event held at the Healthcare Estates Conference at the Manchester Central conference centre offered the winners an opportunity to showcase their projects.

Each winning team made their presentations at the Exhibition Theatre next to the Architects for Health stand at the event in which had accumulated an audience larger than some of the main conference events with a standing crowd spilling over onto the surrounding exhibition space.

Best New Building Award winner, The Lane Fox REMEO Respiratory Centre was presented by Marc Levinson a Partner at Murphy Philipps Architects. An outstanding health care building that helps to transform care services. Marc’s presentation illustrated the accumulation of confidently executed but modest design steps that together create an outstanding health care building.
View presentation on SlideShare

Best Conversion Project Award winner, Citylabs Manchester, this is a local and complex project that deserved a more full explanation. Tony O’Brien a Partner at Sheppard Robson set out the layered rationale behind this outstanding building conversion that brings together the NHS, academic health science communities and industry with specialist clinical resources and expertise from researchers.
View presentation on SlideShare

Best International Project winner, Ghana District Hospitals for the Ministry of Health by TP Bennett. Polly Barker and Paul Scott presented the development of a suite of modular, climate adapted local hospital campuses of varying technical sophistication using clear and very attractive graphics. Care in calibrating the design to the local context gained this project the award for an outstanding health care building located outside the UK.
View presentation on SlideShare

Best Idea Award winner, the New Cancer Centre at Guy’s Hospital was presented by Catherine Zeliotis of Stantec on behalf of her team, Rogers Stirk Harbour, Arup and Laing O’Rourke. This project is both a significant urban architectural work and an essay in rethinking clinical organisation. The vertical tower with overlapping cancer care villages marks an entirely new way of organising highly specialised treatment in a patient friendly setting.
View presentation on SlideShare


Do you think you could do some voluntary work overseas?

Article-25, the UK’s leading architectural aid charity, is currently looking for architects who can help them with their work in Nepal. AfH has received the following request for assistance.

“Article 25 is recruiting an architect with an interest in healthcare design to work on a hospital in Nepal.
The work is important for the long term recovery of Nepal after the earthquakes of 2015.

The hospital, located near Kathmandu, provided essential emergency care after the earthquakes. However, the damage it suffered and the expanding workload placed on it require a site-wide reorganisation of the hospital’s buildings. Specific healthcare functions will require new buildings to provide improved facilities.

The volunteer architect will lead a site-wide Masterplan and the design of new buildings.

The ideal volunteer will be a qualified architect with significant work experience and a strong interest in healthcare design. The work will involve travel to Nepal.
The work will be based in Article 25’s London office and will be a full time volunteer position for approximately 6 months.

Anyone who would like some additional information can contact me by telephone on the number below.”

Robin Cross BA(Hons) DipArch ADPP
Managing Director, Article 25
Reg Charity No: 1112621
10th Floor, 1 Canada Square, London, E14 5AB
Tel: +44 (0)20 3197 9800

Please go to http://www.article-25.org for more information about the charity and all its work overseas.

Confused by the new technologies available for the Operating Theatre?

A new book entitled “Hybrid Operating Room with Angiography System” has been produced by Prof. em. Lueder F. Clausdorff, Architekt Innenarchitekt AKH.

“Hybrid Operating Room with Angiography System – Planning Guide” is now available in an English language version. It was first issued as a German publication in 2013 and following many requests from international colleagues this English version is now available as of August 2015 and makes possible the study and comparisons of developments in the operating theatre and use of Angiography Systems.

The key headings are as follows:-
1.0 Basics for Planning an Implementation,
2.0 Medical Engineering,
3.0 Structural Building Technology
4.0 Building Services
5.0 Typical Planning Examples
6.0 Cost of a Hybrid Operating Room

All details on the publication can be seen by downloading this PDF.

Or order the book from Amazon.de

“Everything is Design. Everything!” – Paul Rand

Everything is Design. Everything.
Architects for Health at the Design Council.
17th September 2015

As a writer, thinker, graphic designer and art director for some of the most memorable corporate organisations in the USA, Paul Rand (1914-1996) believed that design is embedded into every aspect of life – Everything is Design. Everything. Exploring this at the Design Council with five speakers from widely different backgrounds, Architects for Health was first given an insight into the design of the mind.

Dr Steven Allder, a consultant neurologist, declared unhesitatingly his interest in hysteria. Through his work as a clinician and subsequently leading change in his field, he explained how initial improvements to organisations at a small scale can be relatively successful but that upscaling is challenging. The larger the challenge, the more embedded are the entrenched positions – and we are all, he believes, programmed to exist and remain in a ‘tribe’ mentality, inhibiting creativity.

His analysis of the design of the mind explores three stages or loops, with the last achieving a creative mind. However, so often, this state is rarely achieved within large corporate structures, 99% of executive teams mess up at critical moments, entirely unconsciously.

On a more positive note, Dr Allder believes that design is a social process and should be fully embedded in any social system. To understand the design of the mind gives insight into our unconscious behaviour and a way forward beyond the analytical is the power of a lesson from ancient times – to connect with our hearts.
View Dr Steven Allder’s presentation on SlideShare

Shirley Cramer, Chief Executive of the Royal Society of Public Health, has a daunting agenda to challenge widespread health lifestyle issues – smoking, drinking, inactivity and obesity – and the associated costs to the NHS annually of around £14 billion. RSPH advocates parity between mental and physical health and has evaluated aspects of how deprivation skews lifestyles.

The RSPH study “Health on the High Street” began by attributing a score – a ‘Richter scale’ of health impact – to various types of outlet. Leisure centres scored best followed by health clubs, libraries and unexpectedly, pubs. The worst offenders were payday loan shops, closely followed by bookmakers, fast food outlets and tanning salons.

This methodology was then applied to various high streets across the country with a close correlation between the overall score of the outlets and the levels of health impact locally. Results were published widely leading to some local authorities asking RSPH for assistance in improvements. Several recommendations have been drawn from the study among which are changes to planning powers for local authorities, legislation to allow differential business rates for healthier outlets and clear nutrition and calorie information at fast food shops.
View Shirley Cramer’s presentation on SlideShare

Vivienne Parry works with Genomics England as Head of Engagement. Over the last few years, the cost and speed of genome sequencing has reduced dramatically and given rise to a government sponsored programme called the 100,000 Genomes Project.

Genomics England is owned by the Department of Health and is leading the world with the aspiration to source genomics information from about 75,000 people by 2017. The ethical and data security challenges are many but the study opens up an entirely innovative approach to treatment and prevention.

The possibility of personalised medicine is within reach as genomics aspires to allow individual targeted identification and diagnosis. Vivienne Parry cited five cases of neonatal diabetes, whose condition might have been treated with the same regime: genomic analysis allowed personal assessments leading to five different and individualised treatments.

The 100,000 genomes project has the potential to change the face of medicine and treatment with ever increasing sophistication and techniques: in the future, genomics information may be possible with hand-held technology, with the subject being asked to ‘spit in a box’ – with the amusing working title of ‘Min-ion’.
View Vivienne Parry’s presentation on SlideShare

John Cooper, former Chair of Architects for Health and seasoned healthcare architect, recalled earlier robust studies and conferences optimistically heralding design in healthcare as a vital thread. He then contrasted this with the reality of the present, where central guidance is under threat, design expertise within the NHS has all but disappeared, Trust finances appear out of control and Chief Executives have seeming the lifespan expectancy of a Lancaster bomber tail-gunner.

The NHS estate continues to carry a massive and unaddressed backlog maintenance burden while agency nurse costs and negligence claims apparently soar. It is broadly the case that clinical and nursing care is first class, but has become mechanistic; that the service perspective from staff is of over-management and fragmented. Investment and strategic decisions appear irrational.

John Cooper referred to work he is doing for London Trusts where reconfiguration is expected to achieve savings and rationalisation of services. However, his view is that these exercises are flawed and influenced unduly by historical and geographic baggage as well as egos and entrenched positions.

It is a sadness that NHS/DH has apparently mislaid the power of design and the value of an integrated strategy.

As an example of a more sympathetic system; through integrated thinking, Singapore has developed facilities which are well designed, not showy, give patients unexpected opportunities such as gardening, provide excellent green spaces with tropical fish and enhancing the integrity of a healthcare environment.

The Singapore experience may be influenced by their careful strategic approach to health developments and, potently, by the existence of design teams embedded within every hospital.
View John Cooper’s presentation on SlideShare

Claire Devine, who is a Director of DC CABE, referred to the studies which had been undertaken by the Design Council including the well-received research into reducing violence in A+E departments. The Knee High Design Challenge had engaged with children under 5 and work is under way on 5 Healthy New Towns which will focus on 250 homes per year for the next 5 years. DC’s programme also includes ongoing development of their Active by Design approach.

Claire Devine welcomed Architects for Health to DC CABE’s offices and expressed the view that the two organisations could work closely together as Design Advisory Panels are formed. There has already been initial dialogue between DC CABE and some NHS Trusts and the value of Architects for Health’s input was acknowledged.

The event was made possible by the generous sponsorship of Drager and of Scott Tallon Walker, to whom Architect for Health express their grateful thanks.

David Alan Hutchison MBE, RIBA, BA [Hons. UCL]

David Alan Hutchison MBEDavid Hutchison, whose name and achievements will be familiar to many members of Architects for Health and other healthcare professionals, has died aged 78.

David was instrumental in establishing HLM’s significant portfolio and design reputation within the UK healthcare sector in particular, and became a charismatic mentor and role model for many of the talented young architects and designers who were employed by the Practice during the period of his leadership, and who have subsequently gone on to become respected healthcare architects in their own right. Continue reading