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Coda AfH Tour Boards

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Ronnie Rennoldson and Craig Bennet of CODA were able to give us a full presentation of the design thinking behind their redevelopment strategy for the site, followed by a guided tour of some of the buildings and spaces which have resulted from it.

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Coda AfH Tour Boards

  1. 1. Extensions to the Childrens hospital The Heart Institute The New Ward Block The New Ward Block Masterplan- BRI (2006) The Haematology and Oncology Centre New Facade and entrance BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN Background Redevelopment of the BRI coincided with a region wide review of healthcare provision for Avon in 2002. The ‘Avon Area Strategic Services Framework review’ (AASSF) was designed to determine where best to locate key strategic services within UHBT and North Bristol NHS FT. A series of specific Projects were identified for both Trusts. Most of these have now been implemented transforming healthcare provision in Bristol and the Southwest. NHS FT
  2. 2. The New Ward Block BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN AASSF The ‘Avon Area Strategic Services Framework review’ (AASSF) determined where best to locate key strategic services within UHBT and North Bristol. In order to establish the best fit for the heath economy a series of high level studies were commissioned, covering: All services at UHBT, All services at North Bristol and Options between. Below and side: images from the AASSF of a possible Super Hospital at the BRI.
  3. 3. BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN BRI Projects The AASSF determined that the following projects should be undertaken the BRI : Centralisation of Speciality Paediatric services, The Bristol Heart Instititute, Reorganisation of Haematology and Oncology services, A new ward block, New Helipad, A new entrance and elevational improvements. In order that the projects would fit with local planning policy , a Supplementary Planning Guidance Document was prepared for adoption by the Local Council. This then became adopted as the BRI Development Framework. Below and side: images of the masterplan from the Development Framework
  4. 4. Extensions to the Childrens hospital The New Ward Block The New Ward Block The Haematology and Oncology Centre New Facade and entrance The Heart Institute Helipad BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN Masterplan Below: 3D view of the BRI precinct
  5. 5. Extensions to the Childrens hospital The Heart Institute The New Ward Block The New Ward Block Masterplan(2006) The Haematology and Oncology Centre New Facade and entrance BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN The Bristol Heart Institute Teenage BMT ward at the Childrens Hospital The New Ward Block BHOC-Inpatient wing The New Facade and Entrance concourse Projects implemented to date: Centralisation of Speciality Paediatric Services. Bristol Heart Institute. Bristol Haematology and Oncology Centre. New Ward and Theatre Block. New Entrance Concourse. New Helipad Total project value : £125m : completion 12/2014
  6. 6. The New Ward Block BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN Remaining Projects The elevational improvements proposed within the Supplementary Planning Guidance Document and the Masterplan were commissioned following an international competition for Architects and Artists. Following extensive public consultation ,a proposal entitled ‘Veil ‘ by Madrid based Architects Nieto Sobejano was selected. This is now being developed following planning approval
  7. 7. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK Design team credits: Civil and Structural Design:AECOM Services Design: Hoare Lea Partnership Landscape Architects: 4D Landscape Design Client : University Hospitals Bristol NHSFT Terrell Street, Bristol, BS2 8ED Current preoccupations in healthcare provision put the patient at the centre of the healthcare process.The new Ward block creates a new centre of clinical gravity from elements each with unique constraints and impacts on the organization of the existing hospital. The focus for the new facility, reinforcing the adjustment of this centre of gravity is an atrium with a major artwork forming the center piece of the Trusts Whole Hospital Arts Plan. Accommodation comprises · 150 Medical and Surgical Beds · 21 Bed Intensive Treatment Unit · 2 Day case theatres and Paediatric Clinical Investigation Unit · Medical assessment unit Support services
  8. 8. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK SITE PLAN Showing the new Ward block and its relationship to the Bristol Heart Institute and the existing 1970’s Queens Building NEW HELI-PAD QUEENS BUILDING HEART INSTITUTE WARD BLOCK
  9. 9. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK SECTION Section through Atrium and Queens Building L1 L10 L9 L8 L7 L6 L5 L4 L3 L2 ATRIUM ENTRANCE
  10. 10. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK PLAN : LEVEL 3. . Medical Assessment Unit. Links to Emergency Department and Diagnostics. ATRIUMSingle beds+ensuites MEDICAL ASSESSMENT UNIT reception
  11. 11. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK PLAN: LEVEL 5. Entrance ,Paediatric Clinical Investigation and Day Case theatres. Links to Queens Building theatres, Bristol Heart institute and Royal Hospital for Sick Children. ENTRANCE FORECOURT Hospital Street ATRIUM Theatres recoveryCIU
  12. 12. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK PLAN: LEVEL 7. Inpatient accommodation : Single bed wards with ensuites. Links to Queens Building and Helipad. Single beds+ensuites Single beds+ensuites Hospital Street ATRIUM
  13. 13. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK ENTRANCE FORECOURT ELEVATION
  14. 14. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK TERRELL STREET ELEVATION
  15. 15. CSP at BRHC Centralisation of Speciality Paediatric Services
  16. 16. L7: Wards L6 L5: therapy L4: OPS L3: ED L2: entry CSP at BRHC Section
  17. 17. CSP at BRHC Rear Elevation
  18. 18. modify existing/refit re-design /new build Diagnostics: MRI/CT Cardiology Diagnostics Out-patients Out-patient clinic Emergency department CSP at BRHC L3
  19. 19. modify existing/refit re-design /new build Operating theatresOperating theatres MRI Recovery Hybrid Burns Neuro CSP at BRHC L4
  20. 20. modify existing/refit re-design /new build Assessment ,HDU and Ward School CSP at BRHC L5 Link to new Wardblock
  21. 21. modify existing/refit re-design /new build CSP at BRHC L6 Admin/Records
  22. 22. modify existing/refit re-design /new build CSP at BRHC L7 Adolescent Ward BMT Physio BMT
  23. 23. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE Design team credits: Structural Engineer:AECOM Services Engineer: Hoare Lea Partnership Landscape Architects: 4D Landscape Design Client : University Hospitals Bristol NHSFT Horfield Road, Bristol, BS2 8ED The existing BHOC was designed in the early 1970's and reflected an approach to healthcare out of time with current preoccupations that put the patient at the centre of the healthcare process. The reconfigured centre is formed from elements each with unique constraints and impacts on the organization of the existing centre requiring distinct expression to create a fully integrated service . Accommodation · Two Linear Accelerators · Entrance A Teenagers andYoung Adult centre · A combined Adult BMT and Haematology Day Unit ·
  24. 24. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE SITE PLAN BHOC exit entrance drop off carpark garden entrance carpark Horfield Road ambulance entrance cyclepark carpark walkway
  25. 25. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE SECTION BHOC LINACS Level 2 Level 4 Level 3 Level 5 Plant Plant
  26. 26. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE ELEVATION Horfield Road elevation showing existing Oncology Centre
  27. 27. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE BASEMENT PLAN Treatment area and LINAC’s reception change LINAC LINAC control control
  28. 28. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE LEVEL 2 PLAN Teenage Cancer Trust part-funded Teenage andYoung Adult Outpatients department treatment consult exam reception
  29. 29. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE LEVEL 3 PLAN Teenage andYoung Adult in-patient departments admin social area staff base bedrooms and quiet space
  30. 30. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE LEVEL 4 PLAN Oncology and Haematology in and out-patient departments High dependency rooms single occupancy rooms central nurse base double occupancy rooms consultation rooms treatment area reception
  31. 31. BRISTOL HEART INSTITUTE Ward block and garden overlooking the main entrance and light sculpture
  32. 32. BRISTOL HEART INSTITUTEClient: University Hospitals Bristol NHS Foundation Trust Main Contractor: Laing O'Rourke Architect: CODA Architects The new Heart Institute comprises beds, outpatient and diagnostic and surgical facilities and creates a focus of clinical accommodation for the Bristol Royal infirmary reconciling departmental adjacencies within the existing hospital whilst providing a new sense of arrival. We believe that a hospital is not just a building; It is a reflection of a philosophy of care that considers and rethinks the way that services are delivered to provide the best possible systems and processes for the care and treatment of the patient. There is no single model and although the design of the building is important, it should serve the philosophy not drive it: At BHI we have BHI has been designed as a visually stimulating and human-scale intervention behind the Bristol Royal Infirmary to co-locate a modern, efficient and accessible cardiac centre, landscaped into the leafy hillside facing a Conservation Area. A linear atrium is the hub of the Institute building, providing a welcoming, clearly defined, legible route to all departments. It is bathed in natural, controlled light and colour; enhanced by trees; artwork and animated by glazed bridges and waiting spaces within and adjacent to it. A new Bristol Heart institute provides a world class centre of excellence for the NHS . Public and user engagement was put at the centre of the design process including the Art programme, responding to the belief that Art has a healing effect. Design approach developed an approach to planning that analysed the causes that helped form the existing environment: whether environmental or historical and resolved these creating an appropriate solutions to this particular place. The he BHI interlocking rectilinear forms of the main entrance and terrace canopy above in copper signify the main entrance to the BHI. The single storey entrance portal leads to the central atrium space, enhanced by the use of natural light and trees, giving patients an immediate sense of calm on arrival. This theme is continued as you move through the building where large windows in the clinical areas give a further sense of space and connection to the outside. The atrium is the hub of the Institute building, providing a welcoming, clearly defined, legible route to all departments. It is bathed in natural, controlled light and colour; enhanced by trees; artwork and animated by glazed bridges and waiting spaces within and adjacent to it. The north-west elevation provides the public face of both the new building and the whole hospital precinct. The two/ three storey block of inpatient accommodation is punctuated by projecting windows and recessed balconies from the patient areas viewing the backdrop of the mature woodland. The balconies are subdivided by vertical copper fins and fascias providing a grand scale. The façade terminates in a 100 metre long mono-pitched copper roof with expressed gable. The combination of four bed bays and single side rooms gives the ward flexibility to address differing needs of patient groups and to adapt the nursing workforce to care for clusters of patients of varying sizes. The inclusion of a nurse base within each four bed bay places the nursing team at the heart of the ward with the patients. The design of the departments uses innovative technology e.g. ceiling radiant panels, to give plenty of space for patients and staff to move around. This un-cluttered environment brings a feeling of neatness and order to clinical environments, encouraging staff to take ownership and pride in the places in which they work. The state of the art Hybrid Theatre gives the service the ultimate flexibility as it can be used for cardiology procedures, hybrid procedures or surgical cases enabling the service to develop new technologies and efficiencies. Planning and organisation Good hospitals have a feeling of harmony. The appropriateness of materials, colour schemes, interior decoration and artwork, water and landscaping all contribute to a sense of calm. If the internal environment is to play a significant part in the healthcare process then it must be designed from the outset with this in mind and must enable change in healthcare procedures to take place. At t
  33. 33. BRISTOL HEART INSTITUTE Atrium and stair overlooking reception and café

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