'Guidance on design dignity grants application' (practical session b) by staff from the Irish Hospice Foundation

2. Guidance on Grants Application

3. 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

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. 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

6. Exemplar projects likely to be considered
• Family rooms with overnight & refreshment
facilities
• Bereavement suites / viewing areas (e.g.
within emergency departments)
• Sensory gardens
• Palliative care suites (i.e. inpatient rooms)
• Corridor ‘enclaves’ & seating areas
• Mortuaries refurbishments

7. Project Design
• Source an architect to design the project
• 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
• Refer to the Design & Dignity Stylebook (including Guidelines & Assessment Tools) &
www.designanddignity.ie

8. Funding
• Grants will be used to part-fund projects.
• For smaller projects such as the development of family rooms, hospitals will
be expected to fund a minimum of 30% of the total project cost including a
contingency budget. This may increase for larger projects such as mortuary
refurbishments
• Costs must be inclusive of VAT
• Cost must include a contingency budget of at least 10%
• Art work - at least 1% of total project cost
• Fit out – 10% of the overall cost of the project
• Design team fees should be no more than 12.5% of total budget

9. Estimated project costs
Family room €20,000 - €40,000
Viewing & family suite €45,000
Single in-patient room with en-suite €75,000
Mortuary renovation €120,000
Sensory garden €20,000

10. Selection Criteria
1. Extent of ‘exemplar’ qualities of project including quality of finishes and other
creative/unique features within project – “something beautiful”
2. Service need including numbers of patients/families who’ll benefit from the project
3. Value for money
4. Hospital’s funding contribution (min 30% for smaller projects)
5. Projects incorporated within other building plans will be considered favourably
6. Extent of enabling and capital works required (could impact negatively)
7. 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
8. Other end-of-life care improvements underway in the hospital (including if hospital is
a member of the HFH Network)
9. Extent to which the proposed project has gained support from staff and
management
10. Extent to which the proposal complies with the Design and Dignity Guidelines

11. Deadline for submissions
16 September 2016
For informal inquires contact:
Ronan Rose-Roberts info@ronanroseroberts.com
Mary Lovegrove mary.lovegrove@hospicefoundation.ie

12. Slan Project – New Mortuary
Viewing Area

26. Transforming End of Life Care in the
Mater Hospital…….
Refurbishing Family
Rooms
Presentation by : Diarmuid Ó Coimín
docoimin@mater.ie

27. 27
Feedback from Families
My Father was
dying and we had to
sit in the main
reception area to eat
our food as there
was nowhere else
open or available.
There was no where
we could go and sit
and eat in private -
away from the
bedside
The room we were told
the bad news in was
dark and drab, there
was no natural light and
it was cluttered.
We were waiting on
the corridor to see
our mother who was
dying. We felt
exposed. It was like
a fish bowl.
Everyone could see
we were upset and
that someone was
dying belonging to
us. There was no
privacy

28. 28
Room – before
refurbishment

29. 29
Room before refurbishment…

30. 30
St Brigid’s ward family room

31. Where do I start ?

32. 32
8 refurbished family rooms…on busy wards

33. 53
72
61
9
11
10
2
1
31
15
24
5
2
4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Hospital Y (n=169)
Hospital X (n=139)
Combined Hospitals (n=308)
Practical supports provided and availability of a family room on the ward
Definitely helpful Helpful to some degree Not helpful Did not receive this Don’t know

34. “Knowing that our mum may not make it and waiting
in that horrible waiting room outside of ICU added
to our trauma it was cold & uncomfortable, while
we waited for more information on our relative, it
was totally impersonal. It was nothing to do with
staff, care or anything else, we knew mum was
being looked after to the best of there ability”

35. Our refurbished ICU /HDU waiting room…

36. We would sincerely like to ‘Thank’ the Irish Hospice
Foundation and the HSE Design and Dignity Grant Scheme
for their support.