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Re-thinking Space
Nightingale help Royal United Hospital Bath develop their estates strategy
Shrinking capital budgets, under-utilisation of space, poor building condition and rising maintenance costs, are just some of the issues facing NHS Estates Directors. This combined with confusion over NHS reform and the desire to achieve Foundation Trust status– is putting further pressure on Trust’s to have a robust Estates Strategy in place. Patient wellbeing is a priority, but this goes hand-in-hand with the quality of the buildings that deliver that care.
The Royal United Hospital Bath NHS Trust was facing similar challenges. It needed an Estates Strategy so that it could continue to deliver the excellent level of general acute and emergency care to a population of around 500,000 in Bath and the surrounding areas. With over 30 years experience in healthcare design and planning, Nightingale Associates stepped in to help the trust develop a ten year vision for their Estate.
Getting the right people around the table in a ‘visioning workshop’, was the first step in this process. Director of Estates and Facilities, Howard Jones was joined by key stakeholders from the Trust and experts from Nightingale Associates.
Denise Medcraff and Martin Wickes from Nightingale’s Brighton studio had built a good relationship with Howard Jones when he was the Director of Facilities at East Kent Hospitals NHS Foundation Trust. When Mr. Jones moved to become the Director of Estates and Facilities at the Royal United Hospital Bath in 2008, the Brighton office kept in touch.
“During our first visit Mr. Jones suggested that the Bath site badly needed some strategic level thinking.” Martin said.
“To help them we offered to hold a workshop with the Trust to discuss the future of the Estate and the big issues currently confronting them. Attendance at the workshop was extremely good. On our side it included our founder Mike Nightingale and frameworks director John Knape, whilst the Trust attendees included the chief executive, Mr. Jones and a number of other key clinical directors.”
The workshop led to Nightingale’s first commission to carry out an estates analysis. This was quickly followed by a second piece of work to compile a strategy document that would outline a 10 year development programme, which would also support the hospital becoming a Foundation Trust.
“Rationalising and reorganising a Trust’s Estate to add value is now more important than ever, especially considering the pervading uncertainty brought about by the Coalition's radical changes to the health service. I remember the last shake-up in the 1990s and have lost count of the number of Development Control Plans we did then! We are keen to bring all of our experience and expertise to other Trusts so that they can ensure that investment is made in the right areas.”
Mike Nightingale, Founder, Nightingale Associates
Nightingale has subsequently won a P21+ project for the first major piece of work which is the re-provision of the existing Mortuary and Pathology laboratories.
Howard Jones, Director of Estates, Royal United Hospital Bath said: “I have known the Nightingale Brighton office for almost 10 years and worked with them on some great projects in East Kent. They are always fun to work with and have huge NHS healthcare experience, which is essential when working on a new site master plan. I look forward to a new partnership, delivering more high quality buildings at the Royal United Hospital in Bath.”
St Ann's wins planning approval
Plans to extend St Ann’s Hospital in Dorset have been approved by the Borough of Poole council. The £35 million scheme will provide four new wards and refurbish an existing ward block to create single room accommodation. Set within the grounds of an existing Grade11 listed sanatorium building, the new scheme will protect the heritage of the site while providing 21st century mental health accommodation.
Comedienne Ruby Wax was among the people who liked the plans. She said: “Why should you have to suffer because of mental illness? Stop the stigma and improve the facilities at St Ann’s Hospital.”
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