Date of Meeting: 31st October 2007 Parish/Ward: Castle Without Ward Full Agenda No. 5 Reference No: 07/01926/FULL Proposal: Applicant: Installation of modular operating theatre at second floor level with link corridor above first floor flat roof, relocation of air handling unit to second floor roof Princess Margaret Hospital 38 - 42 Osborne Road Windsor SL4 3SJ Princess Margaret Hospital Agent: Trevor Flavell Date Received: 16th July 2007 Case Officer: Linda Arlidge Member Call-in: Not applicable Recommendation: DLA Date of Expiry: 10 September 2007 Location: Planning Context: Excluded Settlement Inner Windsor Conservation Area Area liable to flood Sustainable Development Implications: Maintained local facilities LIST OF BACKGROUND PAPERS: 1. Main Relevant Policies Local Plan – CA1, CA2, DG1, F1, IMP1, R3, NAP3 Structure Plan – DP5, EN4, EN6 2. 3. Previous Relevant Decisions 02/82216 Erection of a three storey rear extension Permitted and second floor link extension and a single storey outbuilding 07.04.03 05/01789 Certificate of Lawfulness to determine Permitted whether the temporary siting of four development modular operating theatres whilst development is undertaken is lawful 02.08.05 Neighbour Notification Responses No responses received to date. 4. Conservation Officer No objection. 5. Environmental Protection No objection, subject to condition limiting boundary noise. Page 1 …..continued REMARKS The Site and Surroundings 1. The Princess Margaret Hospital lies within a site of approximately 1 hectare to the north of Osborne Road, 80 metres east of Frances Road. The main hospital building is located parallel to the road frontage, with two car parks, separated by the Bourne Ditch, to the rear. Within the car parks are several single storey brick outbuildings and a temporary operating theatre used ancillary to the hospital. 2. The hospital is surrounded by residential development, comprising older detached and semi-detached dwellings in Frances Road to the northwest, the more recent and higher density development of Chaucer Close to the east, and apartments in Osborne Road to the south. The Frances Road properties benefit from relatively long gardens containing mature trees and foliage, which screen views of the hospital and car park. A 2 metre high close-boarded fence separates the Chaucer Close properties from the site. The main hospital building blocks views from the Osborne Road apartments into the rear of the site. 3. Although the hospital site is densely developed, having been subject to many extensions and alterations in the past, the presence of the Bourne Ditch with surrounding trees and vegetation effectively divides the site in two and adds greenery to reduce the urban appearance of such extensive development. 4. Planning permission was granted on 7 April 2003 for the erection of a three storey rear extension, second floor link extension and a single storey outbuilding, subject to a Legal Agreement requiring the implementation of a Green Travel Plan (Ref: 02/82216). This extension would provide five additional theatres. However, the extension has not been implemented, and the hospital advises it has no intention of doing so as the longterm objective is to find an alternative site within the Royal Borough for a new hospital. 5. Additional theatre space is currently being provided in a temporary mobile theatre within the car park, in accordance with a Certificate of Lawfulness granted in 2005. (Ref: 05/01789). 6. The site is within the Inner Windsor Conservation Area, and partly within an area at high risk from flooding (1 in 100 years). The Proposal 7. The proposal is to erect a single storey operating theatre suite, of modular construction, on the existing first floor flat roof to the rear of the main hospital building. Located between two existing three storey elements, and measuring approximately 16.5 metres wide and 13.7 metres deep, the theatre suite would comprise operating theatre, anaesthetic room, post-operative recovery area and ancillary preparation and changing rooms. 8. The new theatre would be linked to the existing wards at the second floor level by a single storey corridor. A dedicated ventilation plant room measuring approximately 16.5 metres wide and 4 metres deep is proposed to be sited towards the back of the roof of the modular theatre, bringing the overall height of the addition to 8.53 metres. The new theatre would necessitate the relocation of an existing air handling unit from the first floor to the existing second floor roof, and minor changes to an adjacent spiral fire escape staircase. An additional 360 square metres of floorspace would be created by the development. 9. The external walls of the flat roofed theatre would comprise insulated panels with render finish. The plant room would be clad with horizontal aluminium louvres, with aluminium cills, fascia profile and access doors. Rainwater goods would be concealed internally. Page 2 …..continued 10. The hospital states that, since the closure of Princess Christian’s Hospital in 2004, the theatre workload at the Princess Margaret Hospital has increased considerably as the hospital is now the only private hospital in the Borough. The local NHS consultants all practice out of the hospital and the service has expanded and extended significantly over the last few years in line with patient choice and expectations. The percentage of people with private health insurance in the Royal Borough is significantly above the national average. The additional theatre is therefore required to accommodate the increasing demand for operations. 11. The hospital advises that an additional theatre team of twelve people would be employed following the development, with up to fiteen additional operations carried out per day. Principal Planning Issues 12. Since the site is located within the Inner Windsor Conservation Area and an area liable to flood, the main issues for consideration are: i) Impact of development upon the character and appearance of the existing building and Conservation Area; iii) Impact upon living condition of occupiers of nearby properties; iv) Impact on an area at risk of flooding; and v) Developer contributions towards associated infrastructure. Impact of development upon the character and appearance of the existing building and Conservation Area 13. The proposed installation is to the rear of the main hospital building, set behind the front faēade and between two rear wings. Although the top of the plant room will project approximately 1.5 metres above the front faēade, given the angles from the ground it would not be visible from Osborne Road. Likewise, views of the installation from the hospital car park and residential properties to the north would be screened by the trees and vegetation along the banks of the Bourne Ditch; from the dwellings in Frances Road to the northwest by the westerly wing of the hospital, and from the dwellings in Chaucer Close by the easterly wing. 14. Although not constructed from brick to match the hospital building, it is considered the render to be an acceptable finish for the development, subject to agreement on colour. The louvered plant room would be of similar finish to an existing plant room adjacent. Conservation Officers have no objection to the proposal. 15. Accordingly, the proposal would respect the character and appearance of the hospital building, and, being well screened from public view, would preserve the character and appearance of the Conservation Area, in accordance with Policies DG1, CA1 and CA2 of the Local Plan. Impact upon living condition of occupiers of nearby properties 16. Page 3 The proposal involves the installation and re-siting of mechanical ventilation equipment, with the potential to emit noise. The Council’s Environmental Protection Unit has no objections to the proposal, subject to the imposition of a condition limiting boundary noise to International Standards Organisation Noise Rating 40 between the hours of 0700 and 2300, and Noise Rating 25 between 2300 and 0700 hours. The imposition of such a condition would ensure the amenity of neighbouring residential occupiers is protected from the additional plant, in accordance with Policy NAP3. …..continued Impact on an area at risk of flooding 17. Policy F1 of the Local Plan limits developments within the area liable to flood to those which do not impede the flow of flood water, reduce the capacity of the flood plain to store water or increase the number of people or properties at risk. Although a Flood Risk Assessment has not been submitted with the application, the resulting development would not add to the ground floor area of the building and in the context of the overall use it would not increase flood risk. Accordingly the proposal is in accordance with Policy F1. Developer Contributions towards associated infrastructure 18. The applicant has identified that the provision of an additional theatre would result in twelve additional staff and up to fifteen additional patients and their carers visiting the site each day, placing pressure on existing services and infrastructure; as such in accordance with Policies IMP1 and R3 and the Adopted Supplementary Planning Document it is appropriate to seek the following developer contributions: - Library services - £216 for additional facilities at Windsor Library; - Public open space - £10,358.40 for improvements to formal facilities at Home Park or landscape improvements at Osborne Open Space; - Indoor Sport and Leisure - £ 3,528 for improvements to Windsor Leisure Centre pool and hall; - Highways and Public Transport - £23,274 for improvements to Osborne Road/Frances Road plus a Hospital Travel Plan (including the employment of a Hospital Travel Pan Co-ordinator); - Economic Development - £6,139 for related economic development initiatives including but not restricted to training and other programs to augment the level of relevant skills amongst potential employees at the new development within the Borough; - Public Art and Heritage - £5,152.88 for refurbishment of studios at Windsor Arts Centre or provision of a local heritage centre or museum for Windsor. 19. The hospital has indicated a willingness to enter into such an agreement with the Council. Conclusion 20. The siting and design of the proposed modular theatre on the first floor roof to the rear of the existing hospital building is considered to preserve the character and appearance of the building and this part of the Conservation Area. A condition limiting boundary noise will ensure no harm to the living conditions of nearby residents. The proposal will have no impact on an area liable to flood. Subject to securing the contributions to infrastructure the proposal is consistent with the Development Plan and a grant of permission is recommended. Recommendation: That the application be deferred and authority delegated to the Head of Planning to: i) Grant planning permission subject to the following conditions and the prior completion of a satisfactory unilateral undertaking; or Page 4 …..continued ii) Refuse planning permission if a satisfactory unilateral undertaking is not completed by 30th November 2007. Conditions and Reasons ^CR;; 1 2 3 Page 5 The development hereby permitted shall be commenced within three years from the date of this permission. Reason: To accord with the provisions of Section 91 of the Town and Country Planning Act 1990. No development shall take place until the colours of the render and aluminium louvres to be used on external surfaces of the development(s) hereby permitted have been submitted to and approved in writing by the Local Planning Authority. The development(s) shall be carried out and maintained thereafter in accordance with the approved details. Reason: To ensure the character and appearance of the Inner Windsor Conservation Area is preserved or enhanced, and in the interests of the visual amenities of the area. Relevant Policies - Local Plan CA1, CA2 and DG1. The noise levels on all boundaries of the site shall not as a result of this development exceed International Standards Organisation (I.S.O) Noise Rating ^IN; between the hours of 07.00 - 23.00 and ^IN; between 23.00 - 07.00 when plotted on an I.S.O. Noise Rating Curve Chart. Reason: To protect the amenities of the area and prevent nuisance arising from noise and to accord with the Local Plan Policy NAP3. …..continued