SWBH NHS Trust Midland Metropolitan Hospital CITY HOSPITAL SITE Intermediate care beds 45 beds BIRMINGHAM TREATMENT CENTRE OUTPATIENT SERVICES Including: - General Facilities for multi speciality use. Bespoke OP Specialities - ENT and SLT Breast services Gynaecology Paediatrics Orthotics DIAGNOSTIC Endoscopy Unit Imaging (PF, US, MRI, CT) Medical Illustration Phlebotomy Cardiac Diagnostics Respiratory Physiology (main dept) SHELDON OUTPATIENT THERAPY SERVICES - Cardiac Rehabilitation - Therapy Services ( Rehab, OT, Neurology, SLT, MSK, Foothealth, Rheumatology) OTHER Clinical Admin OTHER Pharmacy Clinical and Corporate Admin OUR SERVICE MODEL BY SITE 2019/20 & BEYOND MIDLAND METROPOLITAN HOSPITAL EMERGENCY / ELECTIVE SURGERY / Day Case Emergency Department 2 Trauma theatres 2 Emergency theatres 7 Elective theatres 2 Maternity theatres Delivery Suites x 12 Birthing centre x 6 Medical Daycase Unit / SCAT DIAGNOSTIC BMEC DAY TREATMENT Haemo oncology Services Day Surgery Unit – 5 theatres and 1 minor ops ACUTE INPATIENT BEDS: 669 12 Adult Inpatient wards ( 32 beds each) 2 Maternity Wards 30 Critical Care beds 36 Neonatal beds 50 Paediatric beds (and 6 day case beds) 14 Coronary Care beds 117 Adult Acute Assessment spaces 16 Level 1 beds (distributed within wards) OPHTHALMOLOGY Outpatients & Paediatric OP Day Surgery unit (3 theatres) Visual Function dept Ophthalmology A & E Orthoptics Optometry Ophthalmology diagnostics Medical Illustration Pharmacy Clinical Admin / records Bechets Service Wet Lab / training facility Paediatric Day Surgery (No inpatients) OTHER STAND ALONE Hearing Services Centre (main dept) Endoscopy Unit Cardiac Interventional Suite Imaging (Plain x-ray, US, Ante Natal US, MRI, CT, Physics & Nuclear Medicine, IR) Medical Illustration (inpatient support) Pathology (essential labs) Cardiac Diagnostics (main dept) Respiratory Physiology (inpatient support) Neurophysiology (inpatient support) OUTPATIENT SERVICES Bespoke OP Facilities Ante Natal Care and phlebotomy Paediatrics (including audiology test room, visual evoked response room, orthoptic consulting room and dark room) Urodynamics Cardiac rehabilitation OTHER Pharmacy Clinical and Corporate Administration Academic and Education provision Multi faith Satellite Mortuary Intermediate care beds Intermediate care beds 38 beds 45 beds SANDWELL TREATMENT CENTRE OUTPATIENT SERVICES General Facilities for multi speciality use Bespoke OP Specialities including: - Ophthalmology - ENT - Gynaecology - Paediatrics - Dental - Genito Urinary Medicine /HIV - Orthotics (main dept) - Midwifery led Antenatal Care - Dermatology - Oral Surgery (tbc) Therapy Services (MSK, Hand Therapy, SLT, OT, Foot health) Cardiac Rehabilitation DIAGNOSTIC Endoscopy Unit Imaging (Plain x-ray, US, Ante natal US, MRI, CT) Medical Illustration inc graphics Phlebotomy Cardiac Diagnostics Neurophysiology Service (main dept) Respiratory Physiology Pathology (main dept) DAY TREATMENT Haemo Oncology Services Day Surgery Unit: 3 theatres & 1 minor ops PRIMARY CARE Urgent Care / walk in GP practice (tbc) OTHER Trust Headquarters Pharmacy Main Mortuary (inc PM & Forensic) Clinical and Corporate Admin Academic, Research & Education (main dept) ROWLEY COMMUNITY HOSPITAL OUTPATIENT SERVICES General Facilities for multi speciality use. Community Clinics Bespoke OP Facilities including: - Ophthalmology - Dental - Urology - Gynaecology (community) - Sexual Health Therapy Service (MSK, Rehab, SLT, OT, Foot health) DIAGNOSTIC Imaging (Plain x-ray, US) Phlebotomy ECG PRIMARY CARE Primary Care Assessment & Treatment Service GP practice (tbc) OTHER Retail Pharmacy Clinical and Corporate Admin Satellite Mortuary Main Catering Unit Halcyon Birth Centre Community care beds 20 beds Leasowes COMMUNITY SERVICES ICARES,District Nursing, ESD Stroke Team, Health Visiting, Specialist Nursing Teams (Continence, Heart Failure, Diabetes, Falls) Community Rehabilitation Teams, Case Management Team, Foot Health, Admissions Avoidance Team, HAPO, MSK Clinics, Hand Therapy Service, Specialist Diabetes Service, Community Paediatric Nursing, Specialist Nursing & Therapy Teams, Respiratory Team Design Concept Building Elements Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Durability Landscape Access The concept: Key strategies Stacking the Wards, Clinical Podium and Car Parks Improving inpatient & Wards visitor experience Hot / Cold Clinical Podium Car Parks Making clinical process efficient to optimise patient care Design Concept Building Elements Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Access Organisation: The Winter Garden as heart of the hospital Hot Zone Public Zone The Winter Garden Durability Landscape Design Concept Building Elements Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Access Organisation: The Winter Garden as heart of the hospital Durability Landscape Building Elements Design Concept Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Durability Landscape Access Site Access Points Pedestrians / Cyclists Public vehicles Buses Pedestrians / Cyclists Public & Blue-light (MD) FM / Mortuary Blue Light (ED) Staff vehicles Design Concept Building Elements Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Access Site Access: Excellent Flow Separation Improved cycle access and bicycle storage areas to either side of main pedestrian entrance TO BE UPDATED Improved access to Public ED / MD Entrances, including dedicated pedestrian steps Durability Landscape Building Elements Design Concept Vision Functionality Key Strategies Building Finishes Site Response Resilience Organisation Maintainability Durability Landscape Access ED / Maternity vehicle parking provision Blue-light ED forecourt: Maternity dept. forecourt: Parking adjacent to ED awning for 10 emergency vehicles Parking for 2 bluelight vehicles & 8 public vehicles Further parking for 12 emergency vehicles Design Concept Building Elements Functionality Car Parks & FM Area Level 0 Concourse Plan Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Entrance concourse Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden Resilience Clinical Podium Maintainability Durability Landscape Ward Blocks Access: Connection of main entrance to Winter Garden Provision of 4 dedicated ‘shuttle’ lifts which serve only Parking level 0 and Winter Garden Winter Garden Reception Courtyard Main Entrance Design Concept Building Elements Functionality Car Parks & FM Area The Winter Garden Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden The Winter Garden Reception • Welcome Centre and Restaurant • Education & Training • Multi-faith Centre • Overnight Stay Accommodation • Retail concessions • Various relaxation & seating areas • (all non-clinical accommodation) Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden Resilience Clinical Podium Panoramic sightlines to the public cores 1 Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area The Winter Garden Café Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Podium Courtyard Sizes & Natural light 1.5 Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area The Podium Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden Resilience Clinical Podium Maintainability Durability Landscape Ward Blocks Building Elements: Provision of dedicated AGV service spine linking north & south service cores AGV Service Spine – L 4.5 Clinical Podium – Level 4 • • • • Paediatrics Maternity Pathology, Pharmacy, Medi-eng. Cardiac Therapy, Uro-OPD Clinical Podium – Level 3 • • • • Theatres + ICCU Maternity + Neo-natal MDCU, Intv. Radiology, Endoscopy Respiratory Ward Clinical Podium – Level 2 • • • ED + Imaging AMU, SAU + Short Stay Medical Ward Cardiac Dept. Design Concept Building Elements Functionality Car Parks & FM Area The Ward Blocks Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden The Ward Blocks: Generic Plans Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden The Ward Block: Visitor Facilities Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Single Bedroom Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Single bedroom Building Finishes Winter Garden Resilience Clinical Podium Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Car Parks & FM Area Building Finishes Winter Garden Resilience Clinical Podium The Ward Block: 4 Bed Bay + En Suite Maintainability Ward Blocks Durability Landscape Design Concept Building Elements Functionality Building Finishes Flows Lifts Resilience Visitors’ Facilities Maintainability Dignity & Privacy Durability Education & Training Landscape Expansion Design Concept Building Elements Functionality Building Finishes Resilience Way-finding Maintainability Interior Design Landscape Durability Arts Strategy Envelope Designing for Dementia Finishes Switches and Sockets • • • • • Reflectance Colour + contrast Pattern Light switches visually contrasting and easy to use All switches, outlets and controls will be operable with one hand Circulation & Security Lighting • • • Glare Lighting levels for speech intelligibility Avoiding low-level lighting Doors • • • Visual hierarchy of use Vision panels Ironmongery ergonomics Sanitary Provision • • • Clear line of sight to the en-suite bathroom sanitary fittings and grab rails visually contrast with background wall finishes Taps will be operated by people with limited dexterity • • proximity entrance/exit push button reduces wandering Corridors length: incorporate resting places and handrails. Way-finding & Signage • • Appropriate mounting heights for signage Clear, easy to read signage