MURPHYPHILIPPSHK

Developing Cost-effective, High-quality Healthcare Design

Marc Levinson

Partner, Murphy Philipps Architects

MURPHYPHILIPPSHK

Relative costs

Whole life value User salaries

Life cycle cost Operating costs

Capital cost Construction cost

200

5

1

Source: Halliday, S (2007) ‘Sustainable Construction’

MURPHYPHILIPPSHK

What do we need in a hospital environment?

MURPHYPHILIPPSHK

Infection control

Privacy and dignity

Access to outside

Access control

Easy to maintain

Patient observation

Wide circulation spaces

Wayfinding

Wall protection

What do we need in a hospital environment?

IT infrastructure

Views from beds

Fully accessible

Sufficient storage

Service runs

Nurse call

Acoustics

Natural daylight

Fire safety

MURPHYPHILIPPSHK

Activity Guidance Design Vision

The brief

MURPHYPHILIPPSHK

Elegant design solution

Functional

Easy to manufacture

Precisely engineered

Beautiful

MURPHYPHILIPPSHK

Finchley Memorial Hospital

MURPHYPHILIPPSHK

Finchley Memorial Hospital

MURPHYPHILIPPSHK

Generic Rooms

Generic clinical rooms

Specialist clinical rooms

Support space

OPD

A

B

C

D

E

F

G

H

I

J

K

MURPHYPHILIPPSHK

Generic Rooms Flexibility

Walk-in centre

Phlebotomy

General Practice

Imaging

Outpatients

MURPHYPHILIPPSHK

Generic Rooms Flexibility Patient Journey

MURPHYPHILIPPSHK

Generic Rooms Flexibility Patient Journey Staff efficiencies

MURPHYPHILIPPSHK

Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion

MURPHYPHILIPPSHK

Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion Lessons learned

MURPHYPHILIPPSHK

Research - efficiency

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

……

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

MURPHYPHILIPPSHK

……

1995

23.8%

2003

25.9%

2010

27.0%

2011

29.6%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Departmental circulation (Horizontal)

Departmental circulation (Vertical)

Communication space (Horizontal)

Communication space (Vertical)

Engineering

Wall thickness

IPS

Net Area

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Departmental circulation (Horizontal)

Departmental circulation (Vertical)

Communication space (Horizontal)

Communication space (Vertical)

Engineering

Wall thickness

IPS

Net Area

Results

MURPHYPHILIPPSHK

……

First Floor

Ground Floor

Clinical adjacencies

MURPHYPHILIPPSHK

……

Source: James and Tatton-Brown (1986)

Models of care

MURPHYPHILIPPSHK

11.3% 13.4% 23.7%

room

c o

r r

i d

o r

c o

r r

i d

o r

c o

r r

i d

o r

room

room

Natural light

MURPHYPHILIPPSHK

……

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Wall thickness

Wall thickness

MURPHYPHILIPPSHK

MURPHYPHILIPPSHK

Thank you