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

1. Dennis O’Keeffe NHS Dumfries and Galloway
Graeme Armet Richard Murphy Architects
Colin Carrie Keppie Design
Lessons from small to large

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. 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

5. Dumfries
&
Galloway
Acute
Services
Redevelopment
Project
keppie

6. 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

7. 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

8. Internal en-suite
Internal adjacent en-suite
Typical
Sinble
Bed
Room
Typologies
SHPN
04-­‐01
External en-suite
In-between en-suite
keppie

9. • 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

10. keppie

11. •
•
•
•
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

12. •
•
•
•
•
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

13. 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

14. Concept
OpMons
Appraisal
keppie

15. Concept
Development
keppie

16. In Patients
Building
Zoning
Treatment &
Diagnostic
Maternity &
Childrens
keppie

17. 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

22. AdS
and
Architects
for
Health
Lessons
from
small
to
large
September
2013

23. Elmview
18
bed
acute
mental
health
unit
for
NHS
Fife

26. Cluster
OpMons

27. OpMon
01

28. OpMon
02

29. OpMon
03

30. OpMon
04

31. OpMon
05

32. OpMon
06

33. OpMon
07

34. Final
Layout

35. Nurses
Base

40. 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!!