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.

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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK
ENTRANCE FORECOURT ELEVATION

14. BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK
TERRELL STREET ELEVATION

15. CSP at BRHC
Centralisation of Speciality Paediatric Services

16. L7: Wards
L6
L5: therapy
L4: OPS
L3: ED
L2: entry
CSP at BRHC
Section

17. CSP at BRHC
Rear Elevation

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. modify existing/refit
re-design /new build
Operating theatresOperating theatres
MRI
Recovery
Hybrid Burns
Neuro
CSP at BRHC
L4

20. modify existing/refit
re-design /new build
Assessment ,HDU and Ward
School
CSP at BRHC
L5
Link to new
Wardblock

21. modify existing/refit
re-design /new build
CSP at BRHC
L6
Admin/Records

22. modify existing/refit
re-design /new build
CSP at BRHC
L7
Adolescent Ward
BMT
Physio
BMT

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. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE
SITE PLAN
BHOC
exit
entrance
drop off
carpark
garden
entrance carpark
Horfield Road
ambulance
entrance
cyclepark
carpark
walkway

25. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE
SECTION
BHOC
LINACS
Level 2
Level 4
Level 3
Level 5
Plant
Plant

26. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE
ELEVATION
Horfield Road elevation showing existing Oncology Centre

27. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE
BASEMENT PLAN
Treatment area and LINAC’s
reception
change
LINAC
LINAC
control
control

28. BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE
LEVEL 2 PLAN
Teenage Cancer Trust part-funded Teenage andYoung Adult Outpatients department
treatment
consult
exam
reception

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. 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. BRISTOL HEART INSTITUTE
Ward block and garden overlooking the main entrance and light sculpture

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. BRISTOL HEART INSTITUTE
Atrium and stair overlooking reception and café