Dennis O'Keeffe - Lessons from small to large

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Architects for Health - Dennis O’Keeffe, NHS Dumfries and Galloway, Graeme Armet Richard Murphy Architects and
Colin Carrie, Keppie Design

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Dennis O'Keeffe - Lessons from small to large

  1. 1. Dennis O’Keeffe NHS Dumfries and Galloway Graeme Armet Richard Murphy Architects Colin Carrie Keppie Design Lessons from small to large
  2. 2. AdS  and  Architects  for  Health   Lessons  from  small  to  large       Dennis  O’Keeffe,  Project  Director,  NHS  Dumfries  and  Galloway   Graeme  Armet,  Richard  Murphy  Architects   Colin  Carrie,  Keppie  Design     September  2013   keppie
  3. 3. AdS  and  Architects  for  Health   Lessons  from  small  to  large   IntroducLon:   Dennis  O’Keeffe    Project  Director,  Design  PracLLoner   •  This  is  a  presentaLon  informed  by  the  actual  pracLce  of  design   development  and  design  evaluaLon  drawn  from  two  recent  ScoPsh   healthcare  projects   •  First,  a  large  scheme  not  yet  built,  comprising    a  major  acute  hospital  in   Dumfries  presented  by  Colin  Carrie  of  Keppie  Design   •  Second,    an  smaller  scheme  that  has  been  in  use  since  2010,  comprising   an  18  bed  mental  health  unit,  presented  by  Graeme  Armet  of  Richard   Murphy  Architects   •  Following  Colin’s  and  Graeme’s  presentaLons  I  will  reflect  upon  the   ‘actuality’  of  the  processes  used  to  promote  design  quality  and   potenLal  implicaLons  for  current  NHS  Scotland  Design  Quality  Policy       keppie
  4. 4. Dumfries  &  Galloway  Acute  Services  Redevelopment  Project   keppie
  5. 5. Maggies Centre – Page & Park Dental Hospital - Archial West Centre – ABC Architects Stobhill – Reich Hall Maggies Centre – OMA / Keppie Health  Board  Design  Statement   Plean Street Health Centre West Centre - ABC
  6. 6. Aurora Hospital – Henning Larsen Arkhus Hospital – CF Moller Arkhus Hospital – CF Moller Radium Hospital – Henning Larsen Arkhus Hospital – CF Moller Precedent  Study  Scandinavia   Aurora Hospital – Henning Larsen Aurora Hospital – Henning Larsen
  7. 7. Internal en-suite Internal adjacent en-suite Typical  Sinble  Bed  Room  Typologies  SHPN  04-­‐01   External en-suite In-between en-suite keppie
  8. 8. • Room  layouts  vary     • External  views  maximised   • ObservaLon  of  bed  good   • Toilet  not  visible  from  bed   • Space  for  visitor  sofa/bed   • No  natural  space  for      touchdown  base   keppie
  9. 9. keppie
  10. 10. •  •  •  •  Travel distance from one end to other Some bedrooms get courtyard view Lack of natural light into corridor Will result in elongated street view out 47m 47m Courtyard view visitors STREET Ward  Design  Analysis     Bed & FM keppie
  11. 11. •  •  •  •  •  Equal travel distance from one end to other No courtyard therefore all bedrooms get an outside view Daylight into corridor from lightwell and corridor ends Shorter street connection Even distribution of support spaces view out 71m view out Ward  Design  Analysis   keppie
  12. 12. Views out Views of hospital Views of hospital Views of hospital Access Helipad Woman & Children Views out SUDS Access Dedicated Blue Light Housing Views out Wards Treatment Dedicated & Diagnostic Blue Light Supplies Main Entrance Labs A&E Woman & Children A&E Main Wards Entrance Housing Car park Treatment & Diagnostic Labs Helipad Car park Supplies SUDS Views out Energy Centre Supplies in & Emergency Out Landscape Buffer Garroch  Farm  –  Site  Strategy  Diagrams   Energy Centre Supplies in & Emergency Out Landscape Buffer keppie
  13. 13. Concept  OpMons  Appraisal   keppie
  14. 14. Concept  Development   keppie
  15. 15. In Patients Building  Zoning   Treatment & Diagnostic Maternity & Childrens keppie
  16. 16. Education Dining Admin Therapy Second Floor Admin & Med.Phys. CCU Wards Admin Labs Theatres Day Case Birthing & 23hr Neo-Natal Woman's In Patient First Floor CAU ED OOH GP Wards Oncology Admin Wards Palliative Care Imaging Out Paeds & Patients Woman's OPD Main Entrance Mortuary Staff Ch. Pharmacy & Non-Clinical Support Stacking  Diagram   Ground Floor Lower Ground Floor keppie
  17. 17. AdS  and  Architects  for  Health   Lessons  from  small  to  large       September  2013  
  18. 18. Elmview  18  bed  acute  mental  health  unit  for  NHS  Fife  
  19. 19. Cluster  OpMons  
  20. 20. OpMon  01  
  21. 21. OpMon  02  
  22. 22. OpMon  03  
  23. 23. OpMon  04  
  24. 24. OpMon  05  
  25. 25. OpMon  06  
  26. 26. OpMon  07  
  27. 27. Final  Layout  
  28. 28. Nurses  Base  
  29. 29. AdS  and  Architects  for  Health   Lessons  from  small  to  large   ReflecLons  and  closing  comments  in  terms  of  current  Design  Quality  Policy   •  Design  Quality  arises  from  the  pracLce  of  design  evaluaLon  with  stakeholders   •  Design  evaluaLon  is  in  reality  an  act  of  social  accomplishment  resulLng  from  pracLce  of   design  evaluaLon  with  the  stakeholders   •  Design  evaluaLon  pracLce  and  pracLLoners  emerge  together  and  you  cannot  grant   ontological  primacy  to  each  of  them  –  it  is  not  about  individuals  –  it  is  post  individualist!   •  Design  evaluaLon  does  not  begin  with  ‘designers’  and  does  not  end  with  the  compleLon   of  the  construcLon  phase  –  in  reality  it  begins  when  the  pracLce  of  design  evaluaLon   starts  –  and  it    never  ends  so  long  as  the  building  is  in  use!     •  These  examples  demonstrate  the  value  of  the  pracLce  of  design  evaluaLon  as  it   establishes  an  order  through  which  it  transpires,  proceeds,  perpetuates  and  changes   •   Rather  than  regarding  design  evaluaLon  as  largely  a  ma]er  of  ‘policy’  and  therefore  as   something  that  is  with  its  narrow  focus  on  ‘what  should  be  done’  (i.e.  a  normaLve   approach  exemplified  by,  the  current  focus  in  design  evaluaLon  to  ‘score’  the  design)   more  a]enLon  needs  to  be  paid  to  design  evaluaLon  as  something  that  value  driven   keppie parLcipants  actually  do  and  learn  from!!    

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