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Extensions to the Childrenshospital

The Heart Institute

The New Ward Block

The New Ward Block

Masterplan- BRI (2006)

The Haematology and OncologyCentre

New Facade and entrance

BRISTOL ROYAL INFIRMARY : REDEVELOPMENT MASTERPLAN

BackgroundRedevelopment of the BRI coincided with a region wide

review of healthcare provision for Avon in 2002.

The ‘Avon Area Strategic Services Framework review’ (AASSF) was

designed to determine where best to locate key strategic services

within UHBT and North Bristol NHS FT.

A series of specific Projects were identified for both Trusts.

Most of these have now been implemented transforming healthcare provision in Bristol and the Southwest.

NHS FT

The New Ward Block


AASSFThe ‘Avon Area Strategic Services Framework review’ (AASSF)

determined where best to locate key strategic services

within UHBT and North Bristol.

In order to establish the best fit for the heath economy a series of high level studies

were commissioned, covering:

All services at UHBT, All services at North Bristol and Options between.

Below and side: images from the AASSF of a possible Super Hospital at the BRI.


BRI ProjectsThe AASSF determined that the following projects should be undertaken the BRI :

Centralisation of Speciality Paediatric services,

The Bristol Heart Instititute,

Reorganisation of Haematology and Oncology services,

A new ward block,

New Helipad,

A new entrance and elevational improvements.

In order that the projects would fit with local planning policy , a Supplementary Planning

Guidance Document was prepared for adoption by the Local Council.

This then became adopted as the BRI Development Framework.

Below and side: images of the masterplan from the Development Framework

Extensions to theChildrens hospital

The New Ward Block

The New Ward Block

The Haematologyand Oncology Centre


The Heart Institute

Helipad


Masterplan

Below: 3D view of the BRI precinct

Extensions to theChildrens hospital

The Heart Institute

The New Ward Block

The New Ward Block

Masterplan(2006)

The Haematologyand Oncology Centre



The Bristol Heart Institute

Teenage BMT ward at the Childrens Hospital

The New Ward Block BHOC-Inpatient wing The New Facade and Entrance concourse

Projects implemented to date:Centralisation of Speciality Paediatric Services.

Bristol Heart Institute.

Bristol Haematology and Oncology Centre.

New Ward and Theatre Block.

New Entrance Concourse.

New Helipad

Total project value : £125m : completion 12/2014

The New Ward Block


Remaining ProjectsThe elevational improvements proposed within the Supplementary Planning Guidance Document

and the Masterplan were commissioned following an international competition for

Architects and Artists.

Following extensive public consultation ,a proposal entitled ‘Veil ‘ by Madrid based

Architects Nieto Sobejano was selected.

This is now being developed following planning approval

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCK

Design team credits:

Civil and Structural Design:AECOM

Services Design: Hoare Lea Partnership

Landscape Architects: 4D Landscape Design

Client : University Hospitals Bristol NHSFT

Terrell Street,

Bristol,

BS2 8ED

Current preoccupations in healthcare

provision put the patient at the centre of

the healthcare process.The new Ward

block creates a new centre of clinical

gravity from elements each with unique

constraints and impacts on the organization

of the existing hospital.

The focus for the new facility, reinforcing

the adjustment of this centre of gravity is an

atrium with a major artwork forming the

center piece of the Trusts Whole Hospital

Arts Plan.

Accommodation comprises

· 150 Medical and Surgical Beds

· 21 Bed Intensive Treatment Unit

· 2 Day case theatres and Paediatric

Clinical Investigation Unit

· Medical assessment unit

Support services

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKSITE PLAN

Showing the new Ward block and its relationship to the Bristol

Heart Institute and the existing 1970’s Queens Building

NEW HELI-PAD

QUEENS BUILDING

HEART INSTITUTE

WARD BLOCK

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKSECTION

Section through Atrium and Queens Building

L1

L10

L9

L8

L7

L6

L5

L4

L3

L2

ATRIUM

ENTRANCE

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKPLAN : LEVEL 3.

.

Medical Assessment Unit.

Links to Emergency Department and Diagnostics.

ATRIUMSingle beds+ensuites

MEDICAL ASSESSMENT UNIT

reception

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKPLAN: LEVEL 5.

Entrance ,Paediatric Clinical Investigation and Day Case theatres.

Links to Queens Building theatres, Bristol Heart institute and

Royal Hospital for Sick Children.

ENTRANCE FORECOURT

Hospital Street

ATRIUMTheatres

recoveryCIU

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKPLAN: LEVEL 7.

Inpatient accommodation : Single bed wards with ensuites.

Links to Queens Building and Helipad.

Single beds+ensuites

Single beds+ensuites

Hospital Street

ATRIUM

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKENTRANCE FORECOURT ELEVATION

BRISTOL ROYAL INFIRMARY - NEW WARD BLOCKTERRELL STREET ELEVATION

CSP at BRHC

Centralisation of Speciality Paediatric Services

L7: Wards

L6

L5: therapy

L4: OPS

L3: ED

L2: entry

CSP at BRHC

Section

CSP at BRHC

Rear Elevation

modify existing/refit

re-design /new build

Diagnostics: MRI/CT

Cardiology Diagnostics

Out-patients

Out-patient clinic

Emergency department

CSP at BRHC

L3



Operating theatresOperating theatres

MRI

Recovery

Hybrid Burns

Neuro

CSP at BRHC

L4



Assessment ,HDU and Ward

School

CSP at BRHC

L5

Link to new

Wardblock



CSP at BRHC

L6

Admin/Records



CSP at BRHC

L7

Adolescent Ward

BMT

Physio

BMT

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRE

Design team credits:

Structural Engineer:AECOM

Services Engineer: Hoare Lea Partnership

Landscape Architects: 4D Landscape Design

Client : University Hospitals Bristol NHSFT

Horfield Road,

Bristol,

BS2 8ED

The existing BHOC was designed in the

early 1970's and reflected an approach to

healthcare out of time with current

preoccupations that put the patient at the

centre of the healthcare process.

The reconfigured centre is formed from

elements each with unique constraints and

impacts on the organization of the existing

centre requiring distinct expression to

create a fully integrated service .

Accommodation

· Two Linear Accelerators

· Entrance

A Teenagers andYoung Adult

centre

· A combined Adult BMT and

Haematology Day Unit

·

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRESITE PLAN

BHOC

exit

entrance

drop off

carpark

garden

entrance carpark

Horfield Road

ambulance

entrance

cyclepark

carpark

walkway

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRESECTION

BHOC

LINACS

Level 2

Level 4

Level 3

Level 5

Plant

Plant

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTREELEVATION

Horfield Road elevation showing existing Oncology Centre

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTREBASEMENT PLAN

Treatment area and LINAC’s

receptionchange

LINAC

LINAC

control

control

BRISTOL HAEMATOLOGY AND ONCOLOGY CENTRELEVEL 2 PLAN

Teenage Cancer Trust part-funded Teenage andYoung Adult Outpatients department

treatment

consult

exam

reception


Teenage andYoung Adult in-patient departments

admin

social area

staff base

bedrooms and quiet space


Oncology and Haematology in and out-patient departments

High dependency rooms

single occupancy rooms

central

nurse

base

double occupancy rooms

consultation rooms

treatment area

reception

BRISTOL HEART INSTITUTE

Ward block and garden overlooking the main entrance and light sculpture

BRISTOL HEART INSTITUTEClient: University Hospitals Bristol NHS Foundation TrustMain Contractor: Laing O'RourkeArchitect: CODA Architects

The new Heart Institute comprises beds, outpatient and diagnostic and surgical facilities and creates afocus of clinical accommodation for the Bristol Royal infirmary reconciling departmental adjacencieswithin the existing hospital whilst providing a new sense of arrival.

We believe that a hospital is not just a building; It is a reflection of a philosophy of care that considersand rethinks the way that services are delivered to provide the best possible systems and processes forthe care and treatment of the patient. There is no single model and although the design of the buildingis important, it should serve the philosophy not drive it: At BHI we have

BHI has been designed as a visually stimulating and human-scale intervention behind the BristolRoyal Infirmary to co-locate a modern, efficient and accessible cardiac centre, landscaped into theleafy hillside facing a Conservation Area.

A linear atrium is the hub of the Institute building, providing a welcoming, clearly defined, legible routeto all departments. It is bathed in natural, controlled light and colour; enhanced by trees; artwork andanimated by glazed bridges and waiting spaces within and adjacent to it.

A new Bristol Heart institute provides a world class centre of excellence for the NHS .

Public and user engagement was put at the centre of the design process including the Artprogramme, responding to the belief that Art has a healing effect.

Design approach

developed an approach to planning

that analysed the causes that helped form the existing environment: whether environmental or historical andresolved these creating an appropriate solutions to this particular place.

The

he BHI interlocking rectilinear forms of the main entrance and terrace canopy above in coppersignify the main entrance to the BHI. The single storey entrance portal leads to the central atriumspace, enhanced by the use of natural light and trees, giving patients an immediate sense of calm onarrival. This theme is continued as you move through the building where large windows in the clinicalareas give a further sense of space and connection to the outside.

The atrium is the hub of the Institute building, providing a welcoming, clearly defined, legible route toall departments. It is bathed in natural, controlled light and colour; enhanced by trees; artwork andanimated by glazed bridges and waiting spaces within and adjacent to it.

The north-west elevation provides the public face of both the new building and the whole hospital

precinct. The two/ three storey block of inpatient accommodation is punctuated by projectingwindows and recessed balconies from the patient areas viewing the backdrop of the maturewoodland.

The balconies are subdivided by vertical copper fins and fascias providing a grand scale. The façadeterminates in a 100 metre long mono-pitched copper roof with expressed gable.

The combination of four bed bays and single side rooms gives the ward flexibility to address differingneeds of patient groups and to adapt the nursing workforce to care for clusters of patients of varyingsizes. The inclusion of a nurse base within each four bed bay places the nursing team at the heart ofthe ward with the patients.

The design of the departments uses innovative technology e.g. ceiling radiant panels, to give plentyof space for patients and staff to move around. This un-cluttered environment brings a feeling ofneatness and order to clinical environments, encouraging staff to take ownership and pride in theplaces in which they work.

The state of the art Hybrid Theatre gives the service the ultimate flexibility as it can be used forcardiology procedures, hybrid procedures or surgical cases enabling the service to develop newtechnologies and efficiencies.

Planning and organisationGood hospitals have a feeling of harmony. The appropriateness of materials, colour schemes,

interior decoration and artwork, water and landscaping all contribute to a sense of calm. If the

internal environment is to play a significant part in the healthcare process then it must be designed

from the outset with this in mind and must enable change in healthcare procedures to take place.

At t

BRISTOL HEART INSTITUTE

Atrium and stair overlooking reception and café

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