ARCHITECTURE, DESIGN & CONSTRUCTION ARTICLES

Laura Carrara-Cagni and Edward Williams, the founding directors of architectural practice, Cagni Williams, discuss the thinking and architectural / design expertise that have combined to create what is said to be one of Europe’s most advanced hospitals, in Smethwick near Birmingham, explaining how the ‘vision’ for the new Midland Metropolitan University Hospital was turned into reality.

NHS Trusts across the UK are focusing on their challenging programme of capital investment in new hospitals, modernising existing facilities, and driving down emissions, as part of the 2040 NHS Net Zero Carbon deadline. James Large, Senior Acoustics consultant at international mechanical and electrical (M&E) and sustainability consultancy, CPW, argues that against this backdrop, more focus should be placed on good acoustic design during estates upgrades.

The potential issues with RAAC – a lightweight precast concrete frequently used in UK public sector buildings from the mid-1950s to the mid-1990s, are well documented. The challenges of remediation in a live hospital, with a focus on Airedale General Hospital near Keighley, were discussed in a presentation at October’s Healthcare Estates conference

Two ‘state-of-the-art’ new hospital wards have opened at the Western Community Hospital in Southampton, providing specialist rehabilitation care to people living in and around the area. Their opening has seen patients and staff re-located to the new facilities from two ageing rehabilitation wards at the nearby Royal South Hants Hospital.

Jan Kroman, a Principal at Canada’s Rockliff Pierzchajlo Kroman Architects, based in Edmonton, Alberta, discusses a project to create a new Emergency Department at the city’s Misericordia Community Hospital.

Jeff Penner, a Senior Associate at Verne Reimer Architecture in Winnipeg, Canada, discusses the design of new long-term care facility in the Arctic in Canada’s largest, easternmost, and northernmost territory, built on the foundation of Inuit cultural awareness, dignity, and respect.

Lisa Ward, Product Line manager (UK & France) at Jeld-Wen –a designer, manufacturer, and distributor of high-performance interior and exterior doors, windows, and related building products, explores ‘the evolution of hospital design’, with the incorporation of colour and cues from nature contributing to more effective treatment, increased staff wellbeing, and a better bottom line.

In the first two of three infection prevention and control (‘IPC’)-themed articles published late last year in HEJ (October and November 2024) from senior architects at HLM, associate director for healthcare, Neil Orpwood, and head of Healthcare, Melanie Jacobsen Cox, focused on the need for early collaboration between designers, architects, and IPC teams, in creating safe healthcare environments, and an apparent lack of knowledge on the subject among some healthcare design teams. In the third, Neil Orpwood explains how HLM developed an improved internal design tool to help its architects implement, manage, and track, IPC design, derogation, and risk.

NHS England has recently published several new guidance documents to help NHS Trusts better understand and comply with the Building Safety Act as regards both new and existing buildings undergoing construction work

Ceiling systems play a key role in creating appropriate room acoustics, and as noise levels in healthcare settings and the quality of the interior environment are known to considerably impact recovery and patient wellbeing, making the right choice should be a key consideration for specifiers such as healthcare estates teams, says Simon Humphrey, Technical manager at acoustic ceiling manufacturer, OWA.

Paul Moores, a founding director of FBW Group based in Kampala, Uganda, since 1998, describes the practice’s work, following initial design by another firm, to lead the African design and technical team to take forward a specialist postgraduate medical and research training centre in Malawi’s second biggest city.

John Gregory, a former journalist, and a partner at Toronto-based CGC Educational Communications, describes work to design and build and what is said to be the world’s first organ regeneration laboratory, at Toronto General Hospital in Canada. A senior redevelopment director at the new facility says the procedures undertaken there will ‘change what is done across the planet’.

Amid shifting budget constraints and pressing Net Zero targets, M&E designers and architects are re-evaluating the way they approach the design of healthcare facilities. However, says Steve Richmond, head of Marketing and Technical at Rehau Building Solutions, it is critical that these new considerations do not impact the wellbeing of patients and staff. Here he discusses the importance of instilling healthy design principles ‘to facilitate truly sustainable growth for the sector’.

In September’s HEJ we ran the first half of an article on an interesting and forthright discussion at a roundtable event held in mid-June at the Leeds offices of solicitors, Clarion. This covered some of the key elements in, and far-reaching ramifications of, the Building Safety Act 2022, which came into force in October 2023 – both for the healthcare construction chain, and healthcare engineering and estate management personnel. Here HEJ editor, Jonathan Baillie, reports on the event’s second half.

An estimated one million patient samples are transported by pneumatic tube systems in British hospitals every week. Ensuring that these samples and other critical items arrive at their intended destination quickly and without fail is the job of the companies that supply and install these increasingly complex networks of plastic tubes. Here, Tom Hughes, managing director of Aerocom (UK), explains how pneumatic tube systems work, and how they have become the ‘invisible heroes’ behind driving efficiencies in the nation’s health service.

The Building Safety Act 2022, which became law in October 2023 following Dame Judith Hackitt’s Building a Safer Future Report and the lessons from London’s Grenfell Tower Fire, is expected to profoundly impact all players within the construction supply chain. It also places additional responsibilities on those who operate and maintaining certain buildings – including many in healthcare – for ensuring all aspects of their safety and compliance. A recent roundtable in Leeds saw some of the key considerations for the healthcare construction supply chain and the healthcare EFM profession discussed. HEJ editor, Jonathan Baillie, reports.

Mark Gibson, Managing director – Healthcare, at Sir Robert McAlpine, looks at some of the considerable benefits that a growing arsenal of digital construction tools can bring – both to designers and builders of healthcare facilities and the end-client – be it an NHS Trust or private healthcare provider. He stresses that the data collected during project delivery can also be highly valuable to the end-user once the building has been completed.

Richard Mazuch, an architect, the director of Design, Research and Innovation for Arcadis, and the founder of TH!NK – the research and development arm of IBI (with whom Arcadis merged in late 2022), discusses some of the key learnings from paediatric healthcare design – in both physical and mental healtcare settings – for areas such as teaching, and vice-versa.

Jordan Bartlett, a Facility & Seismic Resilience consultant at Proactive Design in Australia, considers how those responsible for keeping plant and equipment safe and secure in healthcare facilities need – where their region is at risk of such occurrences – to prepare a Business Continuity Plan to cater for natural disasters such as floods and earthquakes, with a particular focus on experience in Australia and New Zealand.

Sarah Waller CBE, an Associate Specialist at the Association for Dementia Studies, University of Worcester, and her colleague, Research assistant, Jennifer Bray, discuss the development, launch, and thinking behind a new ‘toolkit’ designed to help primary care facilities improve the physical environment for all patients – including neurodiverse individuals.