10 years in newcastle

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Over the last 10 years Medical Architecture has designed some of the most innovative healthcare infrastructure in the North of England from our office in Newcastle upon Tyne.

Founded in London in 1991, Medical Architecture has a unique focus on the health sector, providing a full range of services including strategic and clinical planning, architectural design, business cases, estates development planning, interior design and post occupancy evaluation.

The company ethos comes from working between two prominent professions, the science of medicine and the art of architecture. This means our work is constantly evolving, underpinned by the belief that great architecture can be crafted to enhance the lives of those people who are unwell.

Prior to Christmas 2002, we were selected with Laing O’Rourke as architects for a new project at St Nicholas’ Hospital in Gosforth. It became apparent during the interview that this was a very ambitious client. The project was extraordinary, and the team relationships enduring. The same year, the practice was part of the winning team for Roseberry Park at St Luke’s Hospital inMiddlesbrough. The North East became the place to do business.

This new opportunity brought together a young, talented and exceptionally committed team who have embraced and enlivened Medical Architecture’s approach to planning and design of healthcare settings. Together, we have realised some remarkable achievements, forging relationships with clients and contractors and delivering great architecture that has gained national and global recognition.

10 years in newcastle

“Transforming a patient’s environment can have such a positive effect on their recovery. This gives me a great deal of personal fulfilment and encouragement to continue striving for better healthcare design."

Paul Yeomans, Director, Medical Architecture

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In 2006, Paul Yeomans joined Medical Architecture, or MAAP as we were in those days. Renting a small loft space within Telford Hart Associates’ office, the office quickly grew. Lianne Knotts and Frank Ellis, having previously worked with Paul, joined him in early 2007. In July 2007, due to continuing expanding numbers, our Collingwood Street office was born.

We owe our success to staff past and present. We are lucky to have a dedicated, hardworking team, whose individual skills and passion for the projects we deliver ensure that we enjoy our work and that the end user directly benefits from what we do.

We are a relatively young office, even 10 years on! Today, Paul, Lianne and Frank are joined by Ryan, Louise, Jennie and Sharon. We balance our hard working days with regular social events; taking part in charity fundraisers, having biannual staff parties and hosting ad-hoc in-house events including the infamous Christmas Jumper Day competition with our friendly London office, judged by our legendary cleaning lady Joan, via the wonders of video conferences.

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Hopewood Park 2016 Winner : Best BIM Development

2015 Highly Commended : Best Mental Health Project

Ferndene2012 Winner : Best Use of the Arts

Rose Lodge2010 Winner : Best Social Care Design

Bamburgh Clinic2006 Winner : Best Mental Health Design

Hopewood Park 2015 Highly Commended :

Best New Building

Hopewood Park 2015 National & North East Winner : BIM Project of the Year

2015 North East Winner : Innovation2015 North East Highly Commended : Best Project of the Year

Ferndene2012 National & North East Winner : Integration &

Collaborative Working2012 North East Winner : Client of the Year

2012 North East Winner : Project of the Year

Hopewood Park 2014 Gold : Environmental

Best Practice

Hopewood Park 2015 Winner : Regional Award & Client of the Year

Roseberry Park2012 Winner : Regional Award & Client of the Year

Bamburgh Clinic2006 Winner : Regional Award

Ferndene2012 Winner :

Best Innovation

Ferndene2012 Winner : International Mental Health Design

Roker & Mowbray Dementia Care Centre

2014 Gold Award

Emergency Care Centre, QEH2016 National Winner : Best Infrastructure Project

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The projects selected for this little book show what has been achieved in just 10 years.

We know the future is looking bright. Our established clients and partnerships are stronger than ever and there are new opportunities to expand the business. As early adopters of Building Information Modelling, we have a wealth of delivery experience, irrespective of project size. We now offer a comprehensive suite of services to cover all sectors of healthcare.

We are expanding geographically too; the way we work has always suited collaboration and teamwork on projects which have been as remote as Australia and Canada. Newcastle upon Tyne is now the base for projects across the North of England and Scotland.

This, our 10 year party, celebrates everyone who has helped form Medical Architecture in Newcastle into what it is today.

We hope you enjoy it!

Photography CreditsColin Davison, Nick Gutteridge, Andrew Heptinstall, Jill Tate & Jennie Webb

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Hopewood Park is an exemplary new 122-bed inpatient facility for adults and older people. The redevelopment forms part of a wider scheme known as PrIDE (Providing Improved Mental Health and Learning Disability Environments) in Sunderland and South Tyneside. This project underpins the Trust’s strategic objective to modernise and reform mental health services.

The extraordinary site overlooking the North Sea inspired the name of the area, Ryhope, which describes a valley cutting sharply through the landscape. These natural features underpin the creative evolution of the architecture, landscape, art and way-finding strategy. The elevated position, panoramic aspect and shelter contribute to the stepped form of a hillside community. This sense of neighbourliness is engendered through building form, layout and the clustering of residential units around a landmark shared therapy and activity centre at the heart of the complex.

Benefitting from years of refinement, the inpatient wards are standardised and planned to accommodate the widest range of service configurations and protect the long term value of the investment. Accessed via a landscaped front garden, the wards have been designed to offer an abundance of natural daylight. They are paired to allow safe and efficient staffing whilst designed to foster recovery through the placement of generous relaxing places for patients and staff to appreciate long views to the coast and the rugged surrounding landscape.

HOPewOOD ParKSuNDERLAND | 2014

“The spatial planning, use of colour, smart detailing and artful finishes create a welcoming and homely place that has made its client happy and does its users proud.”

RIBA Awards Jury Chair

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“Entering Hopewood Park you ‘fall straight out’ into the landscape on the other side – a masterstroke.”

Prue Chiles, RIBA Awards Juror & Professor of Architectural Design Research, Newcastle university

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“The building looked very bright and modern from the outside and I was pleasantly surprised at exactly how lovely it is. It

doesn’t feel like you’re walking into a psychiatric hospital, the grounds are lovely. There is lots of glass and open viewing

areas to the sea. It has a calm and spacious feel to it.”

Service user

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Ferndene is a specialist building that brings together child and adolescent mental health and learning disability services (CAMHS/LD) for the first time in the uK. It is a 40-bed residential facililty for those aged 4-18 years, responding to a national shortage of appropriate facilities for young people with challenging behaviours.

Ferndene’s design concept was conceived as a hand, with fingers of bedroom accommodation spanning out from a central activity building in its palm. A corridor on one side of each finger provides a view out and natural light in, and courtyard gardens signal the transition from private bed spaces to shared therapy areas. The arrangement of graduated space offers views through the entire building and beyond, making a bright and uplifting welcome for patients and visitors.

Monthly forums with service users developed and reinforced strong individual identities of the four ward groups. Through art, poetry, colour and way-finding, a story is told forming a site wide narrative that arrives in the key public space informing a vibrant interior scheme actively engaging with its inhabitants along the way.

Developing the design closely with input from the young occupants means the building responds directly to their needs. It cleverly avoids the characteristics of a traditional mental health building whilst providing a safe, therapeutic and rehabilitative environment.

FernDenePRuDHOE | 2011

“The winning project team showed the highest level of technical achievement, innovation and application of best practice, with teamworking throughout the supply chain.”

Constructing Excellence NE Project of the Year 2012

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“We are so pleased with Ferndene, it doesn’t feel like a hospital and is a wonderful place to work. Fellow staff and young people have literally drawn gasps when visiting and that confirms how well it was designed and conceived. Thank you, thank you, thank you!”

Eddy Wilkinson, Education Activities Coordinator at Ferndene

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Hull Integrated Care Centre (ICC) is part of the Hull 2020 vision to improve the city’s future health. Commissioned by NHS Hull Clinical Commissioning Group (CCG) and partners Citycare and Community Health Partnerships, the new centre will provide community-based assessment with supporting clinic and rehabilitation facilities. Providing an alternative to hospital admission, patients will be referred directly by their GP for assessment and treatment, before being supported to return back home with an ongoing plan of care. The centre will also provide a small base for the Humberside Fire and Rescue Service, with specially trained fire personnel supporting the rehabilitation of people in their own homes.

The overall design concept is for a therapeutic and welcoming heart to the building at the point of arrival, with clear way-finding and open and transparent views to landscape, designed as much for the well-being of patients as it is for the staff and visitors. The three services of Rapid Assessment (RA), Health Hub and Therapies are laid out in two main building wings linked by common shared spaces. The RA accommodation is in the west wing, with the Health Hub and Therapies in the east wing with office accommodation above. The Fire and Rescue Service has been integrated into the scheme, with services at the south-eastern corner of the site.

The challenge of the project faced by Medical Architecture and the team lay in building the brief without an end-user of the building. Working directly with the CCG and Citycare we analysed data and tested scenarios to make sure space provision was optimised. An 18% reduction in floor space was achieved without losing functionality. This was a major factor enabling Business Case approval. Conditional planning approval has been granted and work will begin on site around the end of 2016, with the centre opening in March 2018.

Hull integrateD care centreEAST HuLL | CuRRENT

BaMBurgH clinicNEWCASTLE | 2006

“It gives an overall impression of light, space and calm. You are constantly in touch with the outside space; an environment that service users should find very beneficial.”

Visitor at the Open Day

Bamburgh Clinic is a 41 bed inpatient Medium Secure (MS) and Personality Disorder (PD) unit at St Nicholas’ Hospital. This facility is Phase 2 of a strategic review of the original hospital site to replace existing Victorian buildings. It provides a therapeutic and safe environment for patients, vulnerable to self harm and prone to aggressive behaviour.

Bamburgh Clinic is designed to enhance the service users’ sense of wellbeing. It is conducive to healing by using the architecture as the secure enclosure, creating large glazed openings to introduce an abundance of daylight and allow direct access to gardens. The facility was designed to be built within a tight time frame and the offsite manufacture of components minimised disruption onsite.

This Clinic was the first of five high profile national pilot schemes initiated by the Department of Health and is featured on the SHINE website as an example of a good sustainable, therapeutic and non-stigmatising mental health unit. It is regularly visited by healthcare professionals from around the world and is seen as a pioneering step change in mental health service provision and design.

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Cleadon Ward is a new service to Monkwearmouth Hospital in Sunderland, providing assessment and treatment for people who are physically frail with a functional mental health illness. The £4.6m project involved the refurbishment and extension of an existing building to create an 18 bed ward for the service. The new ward will work alongside the Dementia Service assessment and treatment unit, in Roker & Mowbray, the Challenging Behaviour unit of Marsden and the Grange Day unit already situated on the Hospital site to form a specialist Older Persons Centre.

The existing accommodation, while conveniently located, did not meet current spatial and facilities standards. The refurbishment and extension thus involved the reorganisation of internal spaces to create a mixed sex ward with en-suite accommodation, an attractive outdoor courtyard and a new entrance, providing a building that fully complies with modern clinical service delivery and enhances the privacy and dignity afforded to each patient.

While the new development features the same number of bedrooms, users and staff as the existing ward, the facilities had to be expanded. The project involved the addition of two bedroom wings to create a single courtyard building, thus providing a secure and manageable external garden and streamlined staff access within. Provision of new bedrooms and en-suites accounted for the majority of the extension, with the rest of the existing building being reorganised to provide a much more cohesive and useable environment.

cleaDOn FunctiOnal FrailSuNDERLAND | 2016

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Located throughout Northumberland and Tyne & Wear, the Community Transformation projects comprise a selection of existing properties delivering outpatient facilities. Northumberland, Tyne and Wear NHS FT looked towards an implementation of new community pathways as key to achieving their strategic vision of reducing the reliance on beds. This was to be achieved by enhancing community facilities to deliver increased clinical efficiency and effectiveness.

To be able to bring clinical teams together within localities, new accommodation was required. This enhanced MDT working and improved patient flow, along with key CQuIN requirements eg. Physical Health. Feedback from service users and carers in reviewing and improving accommodation needs, provided some of the driving forces for change.

cOMMunity transFOrMatiOnTYNE & WEAR | CuRRENT

“It makes the service feel more professional and reflects the quality service that the team provides.”

Monkwearmouth Learning Disabilities Team

Ryder ©, Gateshead Health NHS FT

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“The new centre is unique in terms of both the architecture and facilities, but also in bringing together all the services required to treat patients during an emergency into a single building.”

Keith Godfrey, Medical Director, Gateshead Health NHS FT

The development of a new state-of-the-art building for emergency services at the Queen Elizabeth Hospital to treat an anticipated 75,000 attendances per year. Our response began with a careful bottom-up analysis of the project brief; developing a strategy for time-management, close analysis of process and by testing movement studies in user workshops.

Design principles are based on a patient-centred model of care and optimised use of space by developing standardised flexible treatment rooms. The new centre accommodates 95 triage/treatment/assessment rooms in total, providing Resuscitation, Rapid Assessment, Accident and Emergency, Assessment and Observation functions. These overlap conventional department boundaries to absorb peak demand within an efficient floor plan. Functions are arranged in a clear logical order that reflects the natural progression of a patient’s journey from admission to discharge, organised around a dedicated central Diagnostic zone.

The design incorporates LEAN principles into management, workflows and logistics to deliver improved safety and clinical outcomes, reduced waiting times, improved capacity, improved energy and logistical efficiency and a reduced carbon footprint. For what is often a traumatic experience, the new Emergency Care Centre creates a calm, dignified environment for staff, visitors and patients and defines a new benchmark for design.

eMergency care centreGATESHEAD | 2012

Ryder ©, Gateshead Health NHS FT

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Roseberry Park is a 312-bed inpatient mental health complex providing Adult and Forensic (including Learning Disabilities) Mental Health Services built adjacent to the now demolished St. Luke’s Hospital.

Our design was guided by the sensitive interpretation of the Trust’s brief, services provider and service user aspirations to reflect the clinical requirements of a modern Adult Mental Health Service and workforce. The complex is set within a landscape structure which supports both underlying roles of the institution: therapeutic care and security.

The therapeutic benefits of contact with nature are fully utilised with buildings and wards intimately entwined around a series of gardens and courtyards where each patient has close, generous and free access to the outdoors. Separate zones for Adult and Forensic services were achieved through a series of individual units providing services for specific groups of users that share a main entrance and a number of support facilities. This allows for ‘swing beds’ to be allocated to different units to reflect gender/capacity requirements, with single loaded corridors around courtyards allowing easy conversion within units and creation of smaller clusters.

rOseBerry ParKMIDDLESBROuGH | 2010

“So full of thoughtfulness and beauty. Lives will be enhanced and made better.”

Family member of service user

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“The jury consider this scheme to be an exemplar of its type and were particularly impressed by the way the architects had manipulated the design to reduce its significant bulk into recognisably human scaled spaces. The integration of the landscape into the design is particularly well handled and the quality of the environment must contribute to the user’s wellbeing.”

Eric Carter, RIBA North East Regional Chair and RIBA Awards Jury

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Tyne is a specialised low secure unit on the Northgate Hospital site providing long term continuing care, treatment and rehabilitation for men who have a learning disability. Forensic Learning Disabilities are one of the most challenging and resource intensive services in the NHS. Tyne provides a high quality secure and protective setting that fosters well being and challenges old stigmas. The new environment offers service users, who may have very challenging behaviour, the opportunity to lead a ‘life like any other’, enjoying gardens, daylight and views. Staff can also work in safety with appropriate facilities and equipment to hand.

The new Tyne Low Secure unit building is split into four flats, each with six bedrooms and communal day space. Each is made up of two identical square blocks of patient accommodation, with a central element in between that houses shared patient space along with entrance and staff facilities. The central element acts as a pivot, allowing the building to sit comfortably on the site. The gap between the wings gives long views to the wooded area beyond.

tyne lOw secure unitMORPETH | 2013

“...thank you for the effort, commitment and dedication to the scheme over the years, your endeavour to deliver quality and strive for end user satisfaction has been massively appreciated”

Ian Tyrens, Capital Projects Officer for Tyne LSu

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“The incredible amount of planning and interaction undertaken with all stakeholders is clearly reflected in the success of the finished building.”

John Carson, Capital Projects Manager, NTW NHS FT

rOse lODgeHEBBuRN | 2009

Rose Lodge is named after local resident, Rose Hedley, who led a 20 year campaign for community access to much-needed mental health support in the local area. It is a 12 bed specialist short-term inpatient assessment and treatment centre for working-age adults with a range of learning disabilities and mental health problems.

Due to the nature and complex needs of the patient group, our design was developed to discretely address the 3 specific and specialist types of care provided. It creates an environment that supports and enhances healing whilst ensuring that staff can work effectively. The interior design reflects a balance between clinical function and social purpose. The building layout is zoned, with the staff wing located behind the feature spine wall, and 3 wards wrapping around the other three sides of a central courtyard.

Rose Lodge achieved an Excellent NEAT rating and an NHS AEDET Evolution assessment also achieved a top score.

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stanHOPe ParaDeSOuTH SHIELDS | 2011

Owned by NHS South Tyneside Primary Care Trust (PCT), the existing 1980’s buildings were due for refurbishment. Two nearby GP practices were relocated to Stanhope Parade which now provides Sexual Health, Podiatry and Phlebotomy services and four GP practices.

Extensive consultation with clinical staff and Centre users revealed the importance of improving the internal and external circulation routes and main entrance which was set back from the road and out of sight to visitors. The new, re-located entrance improves the streetscape and gives the building an identity within its surroundings. A series of coloured exterior grade panels enliven the main facades, and have allowed new, larger window openings to be inserted within the existing brickwork. The result is a modern, safe and welcoming facility which has breathed new life into an existing building.

The project fully re-modelled the interior to enhance wayfinding and make use of an unused courtyard off the main waiting area. A number of walls were demolished to ensure that each finished room conformed with space standards and satisfied (and exceeded in parts) Department of Health guidance.

“The result is a modern, safe and welcoming facility which has breathed new life into an existing building.”

Keith Hodgson, Project Manager, NHS South of Tyne & Wear

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Greentrees is a partial refurbishment of an existing Victorian building housing the former Bamburgh Ward plus an element of new build to create two modern, streamlined units – a 7 bed adolescent Learning Disability unit (LDu) and 14 bed adult Psychiatric Intensive Care unit (PICu). The historical buildings date to the late 1800s.

A two storey building strikes a balance between the service integration requirements and practical, economic organisation of existing and new buildings on the site. Generous access to external courtyards provides attractive views and aids in orientation while internally, organisation is driven by the need for good observation, safety, security and the social model that carefully graduates territory and orders well-lit space to reduce stress.

A new slate-clad entrance makes attractive use of the historic frontage and materials retained during demolition. Service users benefit from modern, safe, de-stressing yet secure wards that offer privacy and dignity in an attractive and friendly environment.

greentrees & rOycrOFtNEWCASTLE | 2008

“Our service users come to us in the peak of crisis and they now have an environment which promotes calm and will aid recovery thanks to the design of this building.”

Rachel Weddle, Greentrees & Roycroft, St Nicholas’ Hospital

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Mitford, the new Adult Autism Inpatient unit is located on the existing Northgate Hospital site in Morpeth, Northumberland. The facility provides 24 hour support and treatment for adults with complex autistic spectrum disorders, replacing two outdated buildings on the site which were deemed not fit for purpose.

The building includes residential accommodation for up to 15 adults, in single and shared flats. A range of internal and external shared areas are also provided, offering opportunity for sensory, therapy and recreational activity.

Design drivers include the graduation from public to private space, to ensure that the vulnerability of each patient is protected. Aspect and orientation on site is critical to ensuring a comfortable internal environment, whilst access to outdoor space is vital to support the therapeutic needs of individuals.

MitFOrD aDult autisM unitMORPETH | 2016

“Happiness is... getting everything you asked for. I never thought it would be so good. The building has been tested and it stood up to it all.”

Pam McIntyre, Mitford Ward Manager

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Located at the Monkwearmouth Hospital in Sunderland, the new purpose built Dementia Care Campus consolidates the Trust’s Dementia Care Services into one location on an existing site. Through an extensive feasibility study with the Trust, it was decided to redevelop the masterplan of the hospital site to accommodate the new Campus and provide a facility which directly responds to the clinical needs of dementia patients. The Campus will encompass the new 24 bed Assessment and Treatment inpatient facility alongside existing refurbished inpatient accommodation, Day Hospital clinics and session work departments for adults and older people, replacing existing accommodation which restricted patient mobility and privacy.

Working alongside the Dementia Services Development Centre (DSDC) at Stirling university – a world-leading consultancy and research centre for Dementia Care, the project encapsulates the latest findings in Dementia-related research. With extensive stakeholder engagement, the design of the development has responded to the specialist level of care and clinical need required to cater for the most extreme cases.

The audit carried out by the DSDC has noted that the design meets, and in some places exceeds the current design guidance standards. On this basis Roker & Mowbray is the first NHS building in England to be formally accredited in line with the criteria, achieving the Gold Standard.

rOKer & MOwBraySuNDERLAND | 2014

“My father has been so much calmer and content whilst on the ward and this has shown through all the laughter and conversations dad has had. Words cannot express how thankful I am.”

Daughter of a service user

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