Purpose of D&D Grants Scheme

• To engage hospital staff in the design process and enable greater ownership of their environment

• To create exemplar end-of-life care facilities in hospitals and set the standard for other hospitals to follow

• To transform the way hospital spaces are designed for people at the end of life

Staff Engagement is Critical

Members of team could include:

• Strong Team Leader

• Patient Representative(s)

• Ward Manager

• Healthcare Assistant

• Cleaning staff, kitchen staff

• Nurses, doctors, AHPs

• Ward clerk

• Chaplain

• Mortuary Staff

• Infection control staff

• Building managers/ Estates Dept.

• Architect, Interior Designer

• Fundraisers/ Hospital Foundation

• Understand the space

• Bring practical ideas

• Lead local fundraising activities

• Take responsibility for maintenance/upkeep

Anyone else?

What do we mean by ‘exemplar’?

Careful use of colour, lighting, artwork, acoustics, fabrics, furnishings and planting.

“Something beautiful” as a focal point to the space, such as a piece of artwork, sculpture or if space permits a small garden.

The rooms should be inspiring, places of beauty.

Other factors include:

• Entrances should be welcoming and inviting

• Good light levels are essential

• Views of nature/trees/sky/grass should be maximised wherever possible

• Access to the outside or ideally a garden wherever possible

• Refreshments should be readily available

Exemplar projects likely to be considered

• Family rooms with overnight & refreshment facilities

• Bereavement suites / viewing areas (e.g. within emergency departments)

• Sensory gardens

• Single rooms

• Corridor ‘enclaves’ & seating areas

• Mortuaries

Choosing a Project Site

Walk around with staff

• What do I see?

• What do I hear?

• What do I smell?

• How do I feel?

• What might patients/families be feeling?

• Who is the facility primarily for? What might they be experiencing (including thoughts and emotions)?

Project Design

• Where is the best location for such a facility?

• What feeling do we want the space to invoke? … peace, dignity, hope, warmth…

• Are there other needs which should be considered? … dementia, young children

• How can the space be maximised & enhanced? …access to natural light, garden

• Think big – write a wish list

• Follow Design & Dignity Guidelines

Writing your application

CONTACT INFORMATION

Name of Hospital

Project sponsor (ideally a member of the senior

management team)

Project lead

Job title

Office telephone number

Mobile phone number

Email address(s)

Project team members

HSE estates team member / equivalent

Clinical staff member

End-of-Life Care Coordinator

Others

Tip

Staff buy-in is key

Writing your application

Tip

Project need is key

HOSPITAL INFORMATION

Number of inpatient hospital beds:

Hospital Model number (1,2,3 or 4):

Emergency department’s hours and days of

operation:

Number of patient deaths in 2013:

Number of patient deaths in 2012:

Number of patient deaths in 2011:

Any other information relevant to this

application:

Writing your application

PROJECT DESCRIPTION

Name of project

Description of the project need

Description of the project

Description of the project benefits for patients, families and staff (including estimated

numbers of patients/families that will be directly benefit):

Describe how this project has potential to become an ‘exemplar’ project. Include details of

the design concept and design features (for more info re. exemplar projects refer to the D&D

Style Book)

Describe how the project will ensure ‘exemplar’ status is met

Describe the extent to which the project has the support of relevant hospital staff, including

senior managers and front-line staff

Writing your application

PROJECT DESCRIPTION CONT…

Describe the extent to which the project has/will have patients,

families/representatives involved

Briefly describe related major capital works projects

Briefly describe enabling works if required for this project: (Enabling works: works needed to make a site ready for construction e.g. preliminary construction work etc.)

Describe any other benefits that may arise from this project

Describe how your proposal takes account of the Design and Dignity Guidelines

Writing your application PROJECT TIMELINE CONT…

How many months will your project take to complete?

Please factor in time for:

Stage 1 – initial design, staff workshop with staff, patient/family reps

Stage 2 – planning permission application (12 weeks), fire cert and disability cert application (8 weeks), building

regulation cert (if required)

Stage 3- detailed design and tendering (6-8 weeks)

Stage 4 – Construction work, consultation with staff & Design & Dignity Project Team re furnishing, art work etc.

Does the project need input from?:

• an architect/interior designer

• mechanical & electrical engineer

• structural engineer

• quantity surveyor

Does the project require?:

• planning permission

• fire safety certificate

• disability access cert

• building regulation certificate

Writing your application PROJECT COSTS- ALL COSTS MUST BE INCLUSIVE OF VAT

Design team fees:

(architect, mechanical and electrical engineer, structural engineer, other)

Construction:

(please provide a breakdown of costs)

Local authority charges:

Loose furniture, furnishings (blinds, curtains etc) & equipment

Artwork

Landscaping (if any):

Enabling works cost (if any):

Subtotal project cost:

Contingency fund

Other (please describe):

Total project cost:

Fit out 10% of overall project

cost

Contingency

10-15% of overall project cost

Artwork

At least 1% of overall project cost

Estimated project costs

Family room €40,000

Viewing & family suite €60,000

Patient & family suite €75,000

Mortuary renovation €150,000

Sensory garden €20,000

Writing your application

HOSPITAL FUNDING COMMITMENT

Please outline the funds committed to

this project from the hospital

Funding amount % of overall project cost

Please outline any funds that will be

made by voluntary groups/hospital

based charities for this project

Funding amount % of overall project cost

Is your hospital willing to ensure an

ongoing maintenance fund to ensure this

project retains ‘exemplar’ status?

TIP

Hospital’s / other body’s

financial contribution will greatly enhance

application

Writing your application

D&D Project Team wish to seek

permission to use photos. We

understand that it may not always be

appropriate.

DOCUMENTARY

Would your hospital like to be considered

for a TV/radio documentary?

Has the project team contacted a local

third level institute to seek support in

documenting the project?

Is your hospital happy for ‘before’

photographs to be used publically when

promoting D&D projects?

Writing your application

SIGNATURES

Name of project sponsor:

(ideally a member of the senior management team)

Signature of project sponsor:

Name of project lead:

Signature of project lead:

Name of Hospital Manager:

Signature of Hospital Manager:

Name of Chair of End of Life Care Committee:

Signature of Chair of End of Life Care Committee:

Name of local HSE/hospital estates contact:

Signature of local HSE Estates contact/ equivalent::

Tip

Staff buy-in is key!

Selection Criteria

• Extent of ‘exemplar’ qualities of project including quality of finishes and other creative/unique features within project – “something beautiful”

• Service need including numbers of patients/families who’ll benefit from the project

• Value for money

• Availability of other funding for the project including from the hospital and/or voluntary bodies/charities

• Projects incorporating within other building plans will be considered favourably

• Extent to which the project will lead to an improvement in the culture of the hospital regarding end-of-life care for patients and families

• Other end-of-life care improvements underway in the hospital (including if hospital is a member of the HFH Network)

• Extent of enabling and capital works required ( could impact negatively)

• Extent to which the proposed project has gained support from staff and management

• Extent to which the proposal complies with the Design and Dignity Guidelines

Key Dates

Deadline for submissions: 15 Aug 14

Announcement of awards: Sept 14- date TBC

For informal inquires:

Contact Mary Lovegrove: 01 9755972, mary.lovegrove@hospicefoundation.ie

(Mary is away from 1-15 August)

Any Questions?