Applying for a Design and Dignity Grant (Presentation from Acute Hospital Network, June 2014) [AHN 12]

2. 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

3. 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?

4. 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

5. 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

6. 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)?

7. 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

8. 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

9. 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:

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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?

17. 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!

18. 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

19. 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)

20. Any Questions?