Architects for Health activities 2013-2014 - Regional Event NW 25th-26th June 2014. Hosted by Manchester Metropolitan University and Laing O'Rourke

1. A f H
Architects for Health Regional Event NW
25- 26 June 2014
Hosted by Manchester Metropolitan University and Laing O’Rourke

2. BRIGHT FUTURE FREE THOUGHT
CANDACE IMISON
Director of Policy The Kings Fund
DR ADRIAN CRELLIN
Consultant Clinical Oncologist
DH and NHS England National
Clinical Lead for Proton Therapy
JOHN COOPER
Director of John Cooper Architecture
and former AfH Chair
DISCUSSION

3.  A “cure” or “vaccine” for certain cancers.
 An increase in the number of lifestyle drugs
available
 Devices that have the capacity to replace or
integrate with human tissue
 Biosensors that allow continuous monitoring of a
patient
 Pharmacogenetics support more effective
treatments
 In the longer term stem cells provide capacity to
replace or repair organs
Increasing capacity to diagnose
and treat

4. Continuing and rapid
technological advance
 Continuing growth in computing
power, intelligence and access
 The world of Big Data
 Shift towards smart phone/tablet
and apps from PC and web
 Current digital divide presents
challenges

5. The hospital - part of a wider web
of patient focused care
Home
Health and social
care centres
close to home
Community care
centres
heart of the
community
Specialist care centres
on central city sites
Self care
Monitoring
Automated treatment
Information and advice
NHS Direct
Social care
Primary care
Outreach care
Basic diagnostic services
Day interventions
Minor injuries
Nurse led inpatient care
Intensive rehabilitation
Chronic care management
Home
Nursing homes
Pharmacy
Cyber café
Health kiosk
Surgeries
Drop in centres
Healthy living
centres
Resource
centres
Community
hospitals
DTCs
Secondary care
Tertiary care
Planned interventions
Emergency care
Complex diagnostic
Treatment & inpatient care
Adapted from:Building a 2020 vision - The Nuffield Trust (2001)

6. More integrated community based models of care
High tech
Automated
pathology, digital
imaging,
telemedicine, IT
links
Bringing health care into the
heart of the community:
A new relationship with the
public:
Welcoming, therapeutic
environment, integrated with other
public services
Mobility centre
for intensive care
rehabilitation
Consulting
Basic diagnostics
Day interventions
Nurse led
inpatient care
Minor injuries
Child development
centre
Hospices and
nursing homes
Mental health
resource centre
Education,
leisure
Advice
Day centres for
older people
Alternative
health care providers
A new relationship
with the environment
Sustainable systems:
water,
energy, recycling,
waste,
emissions, bio-diversity
Adapted from: Building a 2020 vision - Nuffield Trust (2001)

7. Technology could support service
transformation
 Reactive to proactive
 Help patients help
themselves and each
other
 Personalised services
 Care to health and
wellness
 But
 One size does not fit
all
 Caring still counts

8. Virtual visits – remove geographical barriers to
access
Health care can be
done at a distance
with video
conferencing and
remote monitoring of
blood sugar, blood
pressure, heart rate,
and other health data.

9. High resolution IGRT
Multileaf collimator
First Linac
Computerized 3D CT
treatment planning
1960 1970 1980 1990 2000 2010
IMRT
dose-painting
Standard
collimator
Cerrobend
blocks
Shaped
electron fields
Image
Fusion
Stereotactic Radiotherapy
Particle
Therapy
The Evolution of Radiation Therapy
Drive to increase conformal delivery to irregular tumour targets
And reduce toxicity

10. Embryonal
Rhabdomyosarcoma
IQ & Function
Growth
2nd malignancy
Proton Radiotherapy

11. Proton equipment is primarily based on a standalone accelerator feeding multiple
treatment gantries
Accelerator
Using magnetic fields, the
hydrogen protons are
accelerated to two thirds the
speed of light.
Gantry
Each of the three gantries
is three-stories tall and
weighs 200,000 Ibs
Electromagnets
The magnets focus and
route the proton beams to
the gantry

12. How can we do more with less?
In partnership with the European Health Property
Network at the Royal College of Physicians
VIEWPOINTS FROM
Management
Policy research
Strategic planning
Developer
Architects

13. Response to Crisis

14. LOCAL HOSPITALS
Movement of out-
patients diagnostics
and treatments from
acute towards
community
Key issue is the
movement of chronic
disease
management to the
community
preventing
unnecessary
hospitalisation
Movement of
complex
specialties or
specialties
benefiting from
higher critical
mass to
Centres of
Excellence
PULL
PULL
= LESS BEDS
AND
LESS HOSPITALS
Location of services

15. Developer’s approach
• Need for new types of
infrastructure
• Extending care
outside of Hospital
• Multi-occupiers of
facilities
Focus is to move away from a ‘Building’ view to
a ‘Property’ view

16. By design

17. The Capital Region of Denmark New Hospital and Mental Health Bispebjerg
Bispebjerg Hospital
1913 2013

27. Designing for people with dementia in hospitals

30. Collaborative practices
Artists and Architects in dialogue
UCLH tour
Little and Large Sue Ridge and Julia Dwyer
Sophie Twohig Hopkins and Guy Noble UCLH Arts coordinator
Jane Willis and Studio Weave recent projects in Bristol

34. When is an architect
not an architect?
Jane Willis, Willis Newson
Je Ahn, Studio Weave

37. Stuart Haygarth

40. Designing for Impairment
The 2012 Paralympics changed public
perception of disability. How much has it
changed practice? What is the latest
thinking about rehabilitation? What does it
mean for design?

41. 41

42. Glasgow Event
Policy context
Reference design schemes- little
and large
Client perspective
Schemes in development for
hospitals, primary and community
care
Visits to range of buildings in use

52. IHEEM 2013
Conference strand
How can we do more with less
Designing environments for mental health and dementia
Panel
Exhibition of members projects
Presentation of design award

53. HOW CAN WE DO MORE WITH LESS?
John Cooper
Christopher Shaw

54. 10 THINGS WRONG WITH THE
NHS ESTATE
Why do we need change?

55. 10 THINGS THAT MUST BE
DONE
How do we need to change?

60. 2 0 X 2
You either Love it or Hate it
(But you have to try it)

61. Phil Gusack Essay Prize
Prize: £500 plus publish in
RIBAJ
Up to 2000 words
Register your interest now
Deadline 1 September 2014
Fresh and provocative ideas
essayprize@architectsforhealth.com

63. AFH EVENTS 2014
SPRING
Student Design Award
AGM Bright Future Free Thought & Phil Gusack Essay Prize
SUMMER
Design in Mental Health Conference
NW Regional Event and Visit 25-26 June
AUTUMN
Collaborative practice Sept
IHEEM conference and Design Awards Oct 7-8
WINTER
20X2 Nov

64. CONTACT AfH
www.architectsforhealth.com
info@architectsforhealth.com
members@architectsforhealth.com
events@architectsforhealth.com
essayprize@architectsforhealth.com
Linked In group
Members Newsletter
OUR SPONSORS 2013-4
Laing O’Rourke Brookfield MACE Guldmann Interserve Optima ARUP
Teal Hewi Kier Trovex Hitch Mylius Altro
With partnerships EUHPN A+D Scotland LSBU GSTT MARU
Member supporters JCA NBBJ IBI Nightingales CODA P+HS Hopkins
HLM CF Muller Stantec SBA Sheppard Robson

65. THANKS
EVENT CO-SPONSORS
Kier
Tarkett
Pineapple
WITH EVENT HOSTS
Manchester Metropolitan University
and Laing O’Rourke