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Healthcare with Construction, Capita Symonds

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Delivering healthcare projects
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Page 1: Healthcare with Construction, Capita Symonds

Delivering healthcare projects

Page 2: Healthcare with Construction, Capita Symonds
Page 3: Healthcare with Construction, Capita Symonds

contents

01. introduction02. delivering success03. brampton CV project04. guild Lodge 05. guild Lodge Ph2.06. new pathology & pharmacy building07. wembley hospital08. royal victoria hospital09. downe lisburn hospital10. the london clinic11. diamond light source12. services13. company

Healthcare project delievery must focus on people: the patients and visitors and those who delivery the healing: doctors, nurses, technicians, administrators and maintenance staff. And then there are those whose job it is to construct the building on time and within budget. Each has important but different needs.

At Capita Symonds we specialise in delivering healthcare projects that meet all of these needs. Our team has an unparalleled knowledge of the issues, people and processes involved in healthcare facilities. We understand the rate at which healthcare delivery evolves, and we recognise the need to design adaptable, flexible accommodation, which can change in line with our clients needs.

We have the capacity to meet our clients’ requirements; from delivering large acute facilities through intermediate care facilities, polyclinics, health centres, GP surgeries and mental health units. Capita Symonds are able to help our healthcare clients through all stages of the project lifecycle from the initial investigation and evaluation of the service strategies, through the detailed briefing and design of capital schemes, to the commissioning and evaluation of completed facilities in terms of construction management services.

We have a holistic approach to project delivery; an approach that demands a committed partnership between all members of the project team, the healthcare provider, and the stakeholders in a patient-centred delivery process.

We believe that collaborative working is key to the success of all our healthcare projects. We achieve this collaboration by talking to end users (patients, nurses, consultants, and managers), engaging them in the process, find out what they need, stimulating debate and discussion on best practice, in order to generate a dynamic vision for their new or refurbished healthcare facility.

Page 4: Healthcare with Construction, Capita Symonds

Delivering SuccessOne team, one goal

There’s no denying it’s a complex process with significant sums being invested and spent. And that’s before the actual building starts. In addition to project managers you have architects, healthcare planners, engineers, builders, surveyors, construction managers and landscape architects involved. Each has important skills to offer that requires effective management.

Building a healthcare facility requires team players. You need a project manager that understands healthcare and can inspire a design team produce an efficient design which is also affordable. But just as important is the project manager’s ability to bring people of differing opinions together. Capita Symonds is skilled at creating teams that break down the traditional barriers between Health Facility Users, Designers and Contractors, thereby creating an integrated team dedicated to one goal; successful delivery.

Healthcare requires more than a grand facade

The project manager and their team must listen to and try to accommodate everyone’s needs: planners, engineers, builders, cost advisors, equipment specialists, and, especially nurses, clinicians and healthcare managers. Often needs are conflicting and an optimised compromise must be sought. The co-ordination must work on many fronts; aesthetics, construction, safety, cost, and maintenance.

And of course it must have the flexibility to support the delivery of changing healthcare services which are becoming ever more complicated. Whether our commission is for a hospital, a primary care clinic or a laboratory, it must focus on people; staff, patients, and visitors. A grand design just will not be enough.

Page 5: Healthcare with Construction, Capita Symonds

A new challenge

With the advent of innovative procurement routes, such as PFI, Procure21, Express LIFT and Framework appointments, much of the responsibility for delivery of the project has passed to the contractor. However, as project manager we ultimately assume single point responsibility for delivering success. In addition many of these innovative

procurement routes place a premium on speed of construction. The requirement for the builder to maintain finished facilities at a high standard for 30+ years has also placed a much greater emphasis on quality. These factors taken together were the impetus for Capita Symonds’s rethinking of the whole design development process, to allow for techniques such as off site construction, site waste minimisation and recycling,

and an improvement in the quality and robustness of the completed design.

Do it once, do it rightHow do you delivery a better quality product, faster? By re-evaluating the whole project delivery process which can sometimes mean spending more time on one element of the process to save a greater amount of time latter on. You also must look closely at the construction and fit-out processes and see where time on site can be reduced. One way to reduce time / minimise risk is to reduce the number of different elements by replacing multiple units with identical repeatable ones. E.g. whole rooms such as clean utilities, dirty utilities, bedrooms and sanitary facilities, can be easily replicated, manufactured off site and swiftly installed. The unit cost may increase but this is outweighed by the benefit of a shorter time on site. It also results in higher quality building by using appropriate off site construction techniques.

It’s about what works, not just organisational diagrams

When as project manager we put together a team of architects for a healthcare project, each team has designers and specialist healthcare planners. We understand that good management goes hand in hand with innovative design and a solid understanding of best practice in healthcare design.

The project manager works closely with the contractor and project consultants and alongside the planners and designers. Our role is to make sure the work is adequately programmed and resourced and to keep track of progress and costs. It is a key management role and we deliberately separate the roles of project management from that of designer and healthcare specialist to ensure it is given proper weight.

Page 6: Healthcare with Construction, Capita Symonds

We know what works We’ve been delivering healthcare buildings; hospitals, primary care clinics and laboratories, in the UK for many years. We are familiar with all forms of procurement, with their unique funding, tendering and reporting processes.

But perhaps of more importance is the fact that to every project we can call upon over 40 years of experience acquired in healthcare economies throughout the world including the America, and the middle and far east. Capita Symonds are therefore very aware of current and likely

future trends, of what constitutes ‘best practice’, and of the high expectations of staff, patients and visitors.

Gently does itFrom the start of the process to the selection of the design team and then on to the award of the construction contract, we manage for change. During the various types of bidding process much can evolve. New rules and regulations can be introduced, patient numbers can fluctuate and some treatments can take precedence over others. Our flexible and informed approach means that these changes need not mean drastic re-thinking or re-scoping of the project. Our team has been through this process several times. But for a Trust, it may be their first introduction to the issues involved in delivering major capital works and as project managers we help and support the Trust throughout the delivery process. We are aware of the issues that can arise, the disruption which can be caused and the difficulty clinicians and administrators have with interpreting drawings and accepting change. Therefore, when we meet the end users, be they patients staff or visitors,

we go to great lengths to make sure that everyone, understands the vision for their new facility and the processes involved to deliver it.

Place makingProject Management is just one of several areas in which we specialise. Our healthcare designers and planners often work alongside colleagues in our firm who are experts in urban design, environmental graphics, interiors, retail and education. They are able to contribute their knowledge to ensure that the healthcare facility becomes a viable, dynamic environment and part of the local community.

Our wider teamAside from Project Management Capita Symonds can offer a fully integrated design service including Architecture, Civil and Structural Engineering, Mechanical and Electrical Engineering, Landscape Architecture, Acoustic Engineering, Fire Engineering, Traffic Engineering, Clinical Healthcare Planning and Construction Management.

Page 7: Healthcare with Construction, Capita Symonds

If there is an interest in the wider services we can offer due to the economies of scale there can be significant savings to the delivery costs on a healthcare project.

Our work - case studiesPatients and visitors want environments that are welcoming, comfortable, safe and which help healing. Healthcare workers and their managers want environments that support their efforts to care for patients and to improve productivity. HealthcareTrusts want designs that are

affordable and incorporate the most up to date practices; and contractors want buildings that are quick to build with minimum risk.

At Capita Symonds we recognise that this is the background against which modern healthcare facilities need to be delivered in the UK and it is this knowledge that underpins our ability to deliver successful healthcare projects.

Page 8: Healthcare with Construction, Capita Symonds
Page 9: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Brampton Community Ventures Project

Cumbria PCT and Cumbria County Council

Brampton, Cumbria

£10m

This integrated healthcare and community project includes facilities

for Brampton GPs, PCT nursing beds and 30 adult social care beds.

In addition, flexible space for the local Community Association is

included together with facilities for children’s services. There is also

provision for a pharmacy and shared space and facilities have played

a prominent part in the initial accommodation and models of care

assessments.

Our engagement has been both to provide project management

services and also fully integrated design and cost management .Our

role has required effective communication with stakeholders beyond

the partners actually taking space in the facility including the local

neighbourhood forum and traders association. We have also been

tasked with co-ordinating delivery of an outline business case and

planning application.

Two sites are under consideration for the facility and thorough in-depth

analysis of both sites has resulted in the delivery of a detailed report.

This shall allow a highly informed choice of site to be made, providing

confidence that users, investors and the local community can be sure

that the facility provides maximum value to the environment and

population it serves.

community

Page 10: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Guild Lodge - Medium Secure Unit and High

Dependency Unit

Guild Community Healthcare NHS Trust

Guild Park, Preston

£10m

Part of the old Whittingham Hospital at Goosnargh, Preston the

Guild Lodge facility has been developed as a new state-of-the-art

combined 54 bed Medium Secure Unit (MSU) and High Dependency

Unit (HDU).

The 30 bed Medium Secure Unit comprises the following:

• Singlestorey8bedacutewardincludingaseclusionsuite

available to other wards;

• Twostoreyblockwitha12bedongoingtherapywardon

the ground floor and a 10 bed pre-discharge ward on the

first floor.

The 24 bed High Dependency Unit is a single story building comprising

three 8 bed wards, that is linked directly to the main entrance and

sports hall to form a secure courtyard.

Serving both the MSU and HDU are the following:

• Singlestoreyoccupationaltherapyunit;

• Partsingle/twostoreybuildingadministrationbuilding

providing office, kitchen, dining and changing

facilities, with meeting areas for family visits and a GP

surgery space; and

• Singlestoreygymnasium.

A flexible but disciplined approach was needed to control all stages

of the project, within the required 29 month programme from

commencement of Outline Business Case to the commissioned

facility. Whilst much emphasis was placed on security, the careful

selection of materials and components ensured a domestic and relaxed

environment for more effective patient rehabilitation.

community

Page 11: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Guild Lodge Phase II - Long Term Medium Secure

Unit

Lancashire NHS Trust

Guild Park, Preston

£9m

The Guild Lodge Phase II project was an expansion of an existing

Medium Secure Facility, to provide a new 38 bed Long Term Medium

Secure Unit, together with alterations and extensions to existing

facilities.

The single storey development comprised a cluster of six individual

buildings as follows:

• Housewith16beds;

• Housewith14bedsandanExtraCareSuite;

• Housewith8beds;

• VocationalTherapyCentre;

• RehabilitationManagementCentre;and

• SocialCentre/Café

The buildings were set within a common landscape with interconnecting

walkways. Each house had access to an external ‘garden’, some of

which were secure, that provided a recreational and therapeutic

environment.

The architectural style of each building reflected its intended use.

Capita Symonds worked very closely with the Trust and stakeholders,

to develop a scheme that established a community, where quality of

life was maximised, creating a safe and spacious environment, which

was both attractive and comfortable, and yet provided maximum

observation with minimum obtrusion.

community

Page 12: Healthcare with Construction, Capita Symonds
Page 13: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

RegionalCancerCentre,CityHospital,Belfast

Belfast City Hospital Trust

Northern Ireland

£60m

The new Belfast Cancer Centre is planned to serve Northern Ireland

asaRegionalCentreofExcellence.Itreplacesexistingfacilitiesat

Belvoir Park Hospital and provides patients and their families with

access to treatment and support services, diagnosis and treatment,

through to follow-up care. The centre is part of a government plan for

cancer care across the UK which involves regional centres supported

by satellite follow-up centres.

Linked to the existing City Hospital by underground and elevated

walkways, the 84-bed centre will provide integrated access to support

surgical and chemotherapy facilities. The hi-tech treatment facilities

include 10 linear accelerator vaults for radiotherapy – making this one

ofthelargestcancercarefacilitiesintheUK–andaHighDoseRate

(HDR)operatingtheatre.

The diagnostic and treatment planning for radiotherapy facilities

utilise the very latest technology for all imaging modalities currently

beingemployed.Theseinclude2MRIscanners,3CTscanners,X-ray,

ultrasound and 2 gamma cameras. There is also an Outpatient Clinics

forRehabilitationandPalliativeCare.

A “patient focused care” approach was adopted for the delivery of

cancer care throughout Northern Ireland.

The new centre has been designed to create a non-institutional,

human-scale environment with maximum use of natural daylight,

which will provide a therapeutic and harmonious atmosphere to

benefit and improve the patient’s progress and well being.

centre of excellence

Page 14: Healthcare with Construction, Capita Symonds
Page 15: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

New Pathology and Pharmacy Building

Bart’sandtheRoyalLondonNHSTrust

London

£58m

The new Pathology and Pharmacy Building is one of the advance

projectsofthe£1billionBart’sandtheRoyalLondonHospitalsPFI

redevelopment planned at Whitechapel, East London.

The 16,000sqm accommodation is housed in a 7-storey

building, located on a prominent corner site in the London Hospital

Conservation Area. The state-of-the-art building contains teaching

laboratories, lecture rooms, seminar rooms, and a fully automated

multidisciplinary analytical laboratory. The modular-designed

laboratories provide flexible accommodation for a range of Pathology

disciplines, including Biochemistry, Immunology, Histopathology,

Virology, Molecular Biology, and Haematology. A pedestrian tunnel

links the building with the main hospital complex, to provide a

convenient route for internal trolley traffic and specimen deliveries.

The project was very challenging. The site was constrained; opposite

is the construction site for the PFI, Queen Mary’s

School of Medicine and Dentistry lies to the west and Whitechapel

Underground station is situated directly below. Additionally, these

departments are notoriously difficult to design together, as Pharmacy

is ultra clean, whilst Pathology is not.

There were many end users to consult with as the new building

accommodates 14 different pathology and pharmacy divisions that

were originally scattered across East London in separate buildings.

Capita Symonds worked very closely with the Trust and clinicians

both during planning and design in order to understand the different

requirements of each of the different disciplines.

clinical support

Main image:Second floor laboratoryBelow:Colourful west staircase

Page 16: Healthcare with Construction, Capita Symonds

Main image:Main entranceAbove & below:Receptionarea

Page 17: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Wembley Hospital, London

Parkside Health

London

£6.4m

Parkside Health is committed to delivering out-patient

services in a different way. The model of care is unique and

involves a wide provision of Health Services under one roof.

The centre is located at Wembley Hospital and will provide

modern and efficient accommodation for GPs, primary care

health teams, health promotion unit, welfare advice and

specialist services, women’s services, general hospital

outreach services, pharmacy, local authority and a minor

accident and treatment service (MATS).

The building comprises a mixture of single and two storey

wings arranged around a double height, circular reception

area and central core with semi-scenic lift. This ‘heart’ of the

building acts as the pivotal hub from which all health services

are approached.

The massing of the building has been carefully considered,

responding to the surrounding suburban environment and

disguising the overall floor area from its neighbours. The building

received a highly commended award at the NHS Estates -

Building Better Healthcare Awards 2001.

primary care

Page 18: Healthcare with Construction, Capita Symonds
Page 19: Healthcare with Construction, Capita Symonds

Main image:RoyalVictoriaHospital,mainentrance

CASE STUDY

CLIENT

LOCATION

VALUE

RoyalVictoriaHospital,Belfast

Health Estates

Belfast, Northern Ireland

£91.4m

Phase 1 comprises a 7-storey glazed hospital street serving 16 wards

of 400 beds on levels 4-7. Day procedures, ITU, theatre suite and

recovery are on level 3 and a range of investigations, outpatients and

pharmacy facilities on Levels 1 and 2.

Medical areas are supported by a new hospital main entrance

and restaurant above and enhanced by a major programme of

landscaping and integrated art work.

The external cladding is of composite aluminium insulated panels

finished in sterling silver PVF2. The ‘street’ is fully glazed on both

sides using a ‘stick’ curtain walling system.

Phase 2 will be carried out in stages after demolition of 20 Victorian

wards and will comprise a new A&E department, Admissions ward,

additional theatres, PFI imaging centre, OPD departments, Education

centre and west entrance.

design competition

Page 20: Healthcare with Construction, Capita Symonds
Page 21: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Downe Lisburn Hospital

South Eastern Health and Social Care Trust

Northern Ireland

£47m

Won under an invited design competition in May 2004 Capita

Symonds adopted an holistic approach to the design. We are

committed to partnership between all members of the design

team, Trust and stakeholders in a patient centred design process.

It is an approach that encourages a truly inclusive plan for the

design development, based on a common vision to provide a better

healthcare experience. The local community is also seen as an

important element in the design process and takes ownership of the

final design.

The New Downe Hospital site is set within a powerful and dynamic

landscape, housing the existing Grade II listed Hospital which is

retained and converted for Civic usage. The new hospital respects

it’s surroundings and corresponds to the major views of the famous

Mourne Mountains to the South West.

Departments provided include: 10 bed observation unit, accident

and emergency, outpatients, 20 bed in patient ward, coronary care

unit, health records, dementia, 25 bed acute psychiatric unit, day

procedures unit, clinical support, rehabilitation, radiology, children’s

day care, pharmacy, miscellaneous, support services and mortuary.

Design for Excellence

Page 22: Healthcare with Construction, Capita Symonds

Specialist & Medical Provision

CASE STUDY

CLIENT

LOCATION

VALUE

The Eye Clinic is a specialist medical provision providing ‘state-of-the-arts’ eye care within The London Clinic’s private health care campus. It prides itself on housing highly respected leading ophthalmic consultant surgeons, physicians, orthoptists, optometrists and nursing staff. It provides unrivalled excellence and individual care to patients including members of the Royal family. It is self-contained using the latest diagnostics and treatment for eye disorders.

The London Clinic is the UK’s largest, independently owned and operating, non-profit hospital.

This high profile project consisted of the extensive refurbishment, extension and conversion of the Grade II listed building resulting in a ‘one stop shop’ for outpatients seeking the very best in eye health treatment and care.

The provision includes nine consulting suites, eight procedure and treatment rooms including laser surgeries and full nursing support situated over six storeys.

The clinic was successfully completed and fully operational in line with its royal opening by HRH Princess Alexandra on 23rd November 2012.

The London Eye ClinicThe London Clinic119 Harley Street, W1 £4.6m

Page 23: Healthcare with Construction, Capita Symonds

CASE STUDY

CLIENT

LOCATION

VALUE

Diamond Diamond Light Source Didcot, Oxfordshire £276m

Diamond Light Source (DLS) is a scientific facility on the Harwell Science & Innovation Campus, Rutherford Appleton Laboratory site in Oxfordshire.

It is a circular-shaped machine, called a synchrotron that uses arrays of magnets, called insertion devices, to generate bright beams of synchrotron light.

Around the machine is a collection of experimental research laboratories called beamlines. At each beamline, scientists independently use the light generated by the machine for a wide variety of experiments.

The Diamond project team consisted of 250 dedicated engineers, scientists, support staff and technicians. By 2012, Diamond will grow to 300 staff and will welcome about 2,000 scientific users per annum.

The Synchrotron building is aluminium clad steel framed building enclosing a high bay experimental hall with a curved roof profile, the concrete machine housing, inner access and service zone. Around the external perimeter of the building are arranged two storey perimeter offices and laboratories with precast concrete suspended floors.

Diamond now produces pinpoint ultra-violet and X-ray beams of exceptional brightness. These highly focused light beams enable scientists and engineers to probe deep into the basic structure of matter and materials, answering fundamental questions about everything from the building blocks of life to the origin of our planet. State-of-the-art instrumentation complements the light source, ensuring that researchers from the UK and abroad have access to cutting-edge analytical techniques and services.

Centre of Excellence

Page 24: Healthcare with Construction, Capita Symonds

services

• Arboriculture• Architecture• Aviation• Bridge Design• Brief development• Building Services Engineering• Building Surveying• Communications and Technology• Construction Management• Construction and Occupational Health & Safety • Consultation and communication• Contract Management• Conservation• Cost Management • Countryside Management• Decriminalised Parking Enforcement• Design Management• Development infrastructure• Development Monitoring• Development Planning• Disability Access Consultancy• Earth Sciences• Ecology• Electronic Data Management• Energy• Environmental Impact Assessment

• Environmental Noise• Facilities Management• Geotechnical Engineering• GIS and Data Management• Health & Safety Training• Healthcare Planning• Highway Asset Management• Highway Design• Highway Maintenance• Highway Pavement & Construction Materials• Innovations Software Development• Insurance• Instrumentation Consultancy• Interior Design• Landscape and Urban Design• Leisure and Event Safety• Litigation• Masterplanning• PFI/PPP Consultancy• Project Management• Property Management• RailEngineering/Operations• RailProject,CommercialandRiskManagement• RailProperty(Estates)• RegenandContaminatedLand• ResourceandWasteManagement• RiskManagement• RoadSafety/RoadSafetyAudits• Security• Space Planning• Sport, Leisure and Culture Consulting• Structures• Sustainable Design

Capita Symonds are in a position to provide an integrated multi-disciplinary team. Services include:

• Technology• Telecoms Engineering• Town Planning and Masterplanning• Traffic Surveys• Transport Planning• TunnelDesignandRefurbishment• Urban Design• Value Management• Water Environment• Waterways

Page 25: Healthcare with Construction, Capita Symonds

Capita Symonds employs over 4000 staff located around the UK and cover fourteen key sectors with a significant track record and expertise in each. Each of our offices are run by directors who oversee operations, business development, design quality, commercia and construction management. We undertake a wide range of work across the UK and overseas and have won numerous awards for the quality of our completed projects.

company

Capita SymondsT +44 (0) 207 492 0200www.capitasymonds.co.uk

Page 26: Healthcare with Construction, Capita Symonds

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