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Corringham Integrated Medical Centre

Design & Build, Healthcare /

CORRINGHAM INTEGRATED MEDICAL CENTRE Medical gases & specialist equipment Multi stakeholder engagement Clinical and non clinical multi use space Complex logistics Health Standards Info box:Client: North East London NHS Foundation TrustArchitect:  Frank Shaw Associates              Cost Consultant:  Currie & Brown    Value: £4m NELFT provides an extensive range of integrated community and mental health services for people living in the London boroughs of Barking & Dagenham, Barnet, Havering, Redbridge and Waltham Forest and community health services for people living in the south west Essex areas of Basildon, Brentwood and Thurrock. Neilcott has been appointed following a competitive single stage procurement to undertake design and construction of an Integrated Medical Centre (IMC) in Corringham. The Corringham facility is the first of four IMCs to be built across the borough, with the others due to be built in Grays, Tilbury and Purfleet. The new IMCs will bring together a range of services under one roof, including blood tests, mental health services for adults and children and other primary care services.  As Principal Contractor, Neilcott is responsible for developing and completing the design from RIBA stage 4, working with the project’s original architect Frank Shaw Associates to retain valuable project knowledge within the team. The ScopeThe new two-storey integrated medical centre will provide 1220m2 of purpose-built new facilities and associated external works. Key features of the design: Space for two branch GP practices – 4,000 list size Ability for all rooms to be multi-use – shared clinical space Range of meeting rooms types/spaces Three large group rooms (with retractable walls), for use across all key stakeholders and the local community group Shared clinical and non-clinical space Hook up facilities for mobile units – increases the range of clinical services e.g. Community dental services, BTUH/MSE services Staff beverage and rest area In addition to providing ample clinical space on the ground floor and part of the first floor, the centre will provide the following flexible multi-use space: Agile desk spaces 1-1 spaces Meeting rooms of various sizes Break out area

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Guy’s Hospital GRIID

Healthcare, Refurbishment, Traditional /

GUY’S HOSPITAL GRIID Complex Logistics Occupied Site Info box:Client: Guy’s and St Thomas’ Hospital, NHS Foundation TrustArchitect: ADP Architecture              Quantity Surveyor: Sweett Group    Project Manager: Sweett GroupValue: £2m Neilcott was appointed to carry out refurbishment works within the Genetics, Rheumatology, Immunology and Allergy Department.  Key elements of the works included refurbishing part of the ground floor around Atrium 3 Bermondsey Wing, four rooms in the 3rd floor Southwark Wing, eight Consulting rooms on the 4th floor Bermondsey Wing, and the 8th Floor of the Borough Wing. During phase two of the works a new reception pod was installed in Atrium 3. To minimise disruption to patients and clinicians, certain works were undertaken out of hours, including: noisy demolition works; service alterations to the floors above and below; service penetrations; re-commissioning and cleaning operations in order that the rooms could be handed back in a satisfactory condition.  In addition, part of the works on the 4th floor were also undertaken out of hours. All adjacent hospital departments and other buildings, remained in constant use during the whole of the contract period and great care was exercised to ensure that all works was carried out as quietly and with as little disturbance as possible to the patients, staff and organisation of the Hospital.  Full dust containment was required for all phases of the project and complied with HBN 09. All windows were sealed to prevent dust passing into other areas of the building, including sealing all supply and extract ducts etc.  As patients with increased susceptibility to infection were located close to the project works, prior to start on site a risk assessment was undertaken with the Hospital’s IPC team. The IPC team were also invited to conduct periodic visits to the site particularly in the time immediately prior to handover. Due to the complex operational nature of the existing Hospital Campus, a Contractor Interface Agreement was established from the outset.  The aim of this agreement was to address and resolve possible conflict and interface issues between ongoing Hospital operations to ultimately ensure public safety and environmental harmony was maintained at all times. The new facility has created a brighter, more modern clinical environment which has enhanced the experience of patients using Dermatology Outpatient Services.

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St Joseph’s Hospice

Design & Build, Healthcare /

ST JOSEPH’S HOSPICE Steel Frame Basement Occupied Site Health Standards Info box:Client: The Trustees of St Joseph’s HospiceArchitect: Greenhill JennerValue: £12m St. Joseph’s Hospice was originally established and managed by the Religious Sisters of Charity in 1903. The hospice is now managed by a professional team with the Sisters maintaining their presence for pastoral and philosophical guidance, as well as practical care roles to the patients. The scheme provides for a new build ‘L’ shaped construction, providing four storeys to the South Block and five stories (with basement) to the North Block. This new block is designed to accommodate additional ward and support facilities for the Hospice and to include new plant rooms at roof level. The construction involved contiguous piling, concrete retaining walls with structural floor slabs, structural steel frame, curtain walling, brick elevations and is served by three lifts. The North Block of the new wing adjoins the existing west gable of Heenan House with the formation of new link ways through the basement, ground, 1st and 2nd levels. The piling operation by a mobile rig in confined spaces and close proximity to the adjacent Salvation Army premises and the west footpath to Mare Street required careful monitoring and supervision to protect property, existing statutory services and site personnel. In the courtyard there are two identical areas of curtain walling with sliding external rainscreen shutters surrounded in stone perimeter detailing. Internally the first, second and third floors are identical and the ground floor is arranged slightly differently to accommodate the reception area. Each floors includes one, two and four bed wards and two isolation wards. Each ward has ensuite facilities and each floor has two assisted bathrooms. Internal finishes include vinyl to the floors and the lower half of all walls are capped with an oak dado rail. Bumper rails are provided to all corridors to prevent damage to the walls. Each bed has a nurse call and an entertainment system which includes a monitor on a moveable arm.

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King’s College MRI

Design & Build, Healthcare, Modern Methods of Construction /

KING’S COLLEGE MRI Steel Frame SIPS Decant Logistics Occupied Hospital Site Health Standards Info box:Client: King’s College NHS Foundation TrustArchitect: Architon                              Quantity Surveyor: Sweett Group  Project Manager: WattsValue: £4.6m Neilcott was appointed to design and construct a new 3-storey building to house a new MRI Scanner at first floor level with office and clinical use on the ground floor and office and equipment library on the second. Part of the existing Hambledon Wing was refurbished, remodelled and integrated into the MRI suite requiring the current occupants to be decanted during construction and rehoused into the ground and second floors upon completion. The building is raised up on stilts to maintain a loading bay at basement level.  Civils works were required to the existing lane to provide level loading platform and/or scissor lift for 17.5t lorry deliveries to basement. A cantilevered structure was constructed toward the Golden Jubilee Building to avoid any party wall issues. Given the sensitivity of the location and associated difficult logistics of the project we undertook the groundworks with our inhouse direct labour team providing greater control of this element of the work. The project was procured using a two-stage design and build procurement route with Neilcott working very closely alongside the Client’s design team during the second stage assisting with buildability advice and ensuring any design solutions could be delivered with the very challenging logistics arrangements. The site was located in the middle of this very busy healthcare campus and was landlocked on 2 sides. The service road adjacent to the works also had to be kept open to allow access for Trust deliveries and movement of waste at all times. Coordination with specialist Contractor To ensure full coordination with the specialist equipment supplier we worked closely with the Employer’s team with the procurement of the specialist to ensure that critical programme and logistical constraints were communicated and factored into their working methods.

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Institute of Hepatology

Design & Build, Healthcare /

INSTITUTE OF HEPATOLOGY CAT2 & 3 Clean Room Laboratories Complex Services Specialist Finishes Complex Logistics Info box:Client: Foundation for Liver ResearchArchitect: Avanti Architects              Quantity Surveyor: Sweett GroupValue: £5m The Foundation for Liver Research relocated its Institute of Hepatology from its previous location near the University College Hospital to the King’s College Hospital, Denmark Hill Campus. Neilcott was appointed to deliver the new Institute of Hepatology. It comprises three main formal elements: a three storey brick clad main building with regularly spaced windows, a roof plant and staircase enclosure clad in perforated metal panels, and a similar scale infill with a recessed top floor. The façades of the recessed top floors are fully glazed, reducing the visual impact further when seen against the brick of the main façades. Administrative and meeting spaces are provided at the ground floor campus side of the building, benefiting from the views out onto the new landscaped courtyard. A vehicle and bicycle entrance is provided at the east side of the side underneath the building. Open plan laboratories are arranged along the Coldharbour Lane facade, with general windows to floor level providing visual connectivity from the street. The associated write up offices are located within the infill section, ensuring visual connection through to the laboratories with glazed screens. Smaller specialist laboratories, support rooms and offices are located centrally within the plan and at the campus side. The highly serviced laboratories are positioned within the main three storey part of the building away from the eastern edge of the site, minimising the required building height. The large areas of plant required to service these are positioned above the main block. Added Value High levels of engagement with the Client and key stakeholders were undertaken as part of the clients stated commitment for a project team who can demonstrate an active and positive role as part of a wider project team. The works were undertaken adjacent to a residential block, Kings College and other facilities. Recoginsing the sensitivity of the site Neilcott undertook careful liaison and closely managed the works to minimise disruption. Due to the nature and location of the building, advice from a Counter Terrorism advisor was sought during the development of the design.

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Royal Marsden – Operating Theatres

Design & Build, Healthcare, Refurbishment /

ROYAL MARSDEN, NEW AND REFURBISHED OPERATING THEATRES Logistics Occupied Site Specialist Finishes Health Standards Info box:Client: The Royal Marsden NHS TrustArchitect: Ansell and BaileyQuantity Surveyor: WT Partnership The project involved the construction of a new theatre adjacent to an existing theatre on an existing flat roof area. Once the new theatre was brought into service, the existing theatre was stripped back to the structure and completely refurbished. The project also entailed construction of new theatre staff changing facilities and recovery bays. Working immediately adjacent to a live theatre with full operational wards above and below was logistically challenging. Access was further complicated with the area being located at the head of the hospital complex with a children’s nursery immediately beside the area at ground floor level. Our site team worked closely with the hospital throughout the project to manage the the changing pattern of logistical challenges and enable surrounding departments to continue to work effectively. Close collaboration was also essential with the estates team to manage planned service interruptions and commissioning activities without disrupting other areas of the hospital.

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Ashford OPD Redevelopment

Healthcare, Refurbishment, Traditional /

ASHFORD OPD REDEVELOPMENT Occupied Site Complex Logistics & Phasing Health Standards Complex M&E Info box:Client: Ashford and St Peter’s Hospital NHS Foundation TrustArchitect: Building Ideas                  Quantity Surveyor: Sweett GroupValue: £2m With around 200 clinics per week being held within the Outpatient Department, efficient works planning and diligent programme management was critical to minimise down-time and smooth running of clinical services. Within this live hospital building, works involved the alteration and refurbishment of the  Outpatient Department at first floor level with installation of new M&E plant. Works were carried out in 5 phases, with key elements taking place out of hours to minimise disruption to day to day hospital operations. The works required demolition, removal of doors, floors, skirtings, crash barriers and ceilings and the construction of some new openings. Existing walls were made good, replastered and redecorated. New areas were created to form a Main Waiting Area, Children’s Waiting Area as well as Consultant Rooms, WCs and Ancillary Rooms. Segregated access points were carefully managed to enable the operational team to gain access with labour and materials, requiring removal of existing panels/glazing, fully reinstated after completion of each phase. Phase 4 was ‘land-locked’, requiring use of the nearest escape stairs, therefore a strict permit to work system was put in place with full approval of the Trust for each permit. Effective liaison with the Trust’s Capital Project Manager enabled works activities to be carried out beyond site boundaries at suitable times, including M&E connections on ground floor and access to the rooftop plant room to install new plant.

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St George’s Endoscopy Unit

Design & Build, Healthcare, Refurbishment /

ST GEORGE’S ENDOSCOPY UNIT Complex Logistics Health Standards Occupied Hospital Building Info box:Client: The St George’s Healthcare TrustArchitect: Steffian Bradley Architects   Quantity Surveyor: Crump Newberry & PartnersValue: £3.1m Neilcott undertook construction of a new Endoscopy Suite at first and second floor levels of the St. James’s Wing, along with an extension of the clinics at ground floor. The works included extension and adaptation to the previously installed steel frame which was clad with brick/metal panels and internal panelled walls; internal partitions and ceilings; electrical, mechanical, ventilation and medical gas services; wall and floor finishes. Working within the fully-occupied hospital buildings required close cooperation and careful planning to minimise disruption to patient and clinical services, with strict health & safety measures in place to protect patients and public access which bounded the site.

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Devonshire Street

Commercial, Healthcare, Heritage, Listed Building & Conservation, Refurbishment, Traditional /

DEVONSHIRE STREET Listed Phased Healthcare Conversion Party Wall Agreements Info box:Client: Howard de Walden EstatesArchitect: ESA                                        Quantity Surveyor: Sweett GroupValue: £8.5m The conversion of a terrace of 6-storey Grade II Listed former town houses from their diplomatic use into medium-sized high quality offices and medical consulting rooms.  The scope of works significantly improved the internal environment compatible with the building’s new use. In addition a new single storey extension with a mansard roof was constructed on the rear roof area to match the surrounding buildings and a new timber structure was erected in the garden to house the required mechanical plant.  Heritage works required protection and restoration of listed features, including panelling, architraves, stonework, external railings and fixtures and fittings. 

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Winthrop Hall

Design & Build, Healthcare, Modern Methods of Construction /

WINTHROP HALL Timber Frame High Quality Fitout BREEAM Excellent Info box:Client: Success in RecoveryArchitect: Houseman Henderson          Quantity Surveyor: Jones Lang LaSalleValue: £6.3m The project included the demolition of the existing Convent of the Good Shepherd building complex with a total floorspace of 5,068m2 and its replacement by a new development comprising a purpose-built residential treatment centre building of contemporary design, a separate small multi-faith pavilion and a small maintenance building were also included in the works. Comprehensive landscaping and planting, including restoration of the parkland on the site was also undertaken together with revised access and car parking arrangements. A comprehensive range of accommodation was included in the new residential treatment centre including reception, visitor’s and conference/presentation rooms, rooms for back of house staff, kitchen and laundry facilities and a dining room, a clinical hub and a total of five bed spaces provided in 24 shared rooms plus two disabled bedrooms, a lounge, library, resource rooms, eight counselling rooms, treatment/therapy rooms and a keep fit studio and gymnasium. The treatment centre was designed to achieve high standards of thermal and environmental performance and achieved a BREEAM Excellent standard. The project included: ground source heat pump, low embodied energy insulation and passive natural ventilation with additional opening lights to windows, use of passive and active solar energy and natural shading, low pollution heating, low energy lighting and electrical appliances PIR controls, seedum roof with rain water harvesting and grey water harvesting, re-use of excavated materials on site.The residential wing was constructed using a timber frame structure. The overall programme for this project was extremely tight and to relieve some of the programme pressures Neilcott introduced bathroom pods to construct the en-suite facilities. In order to maintain progress on site and keep to programme Neilcott carefully planned the demolition works in order to maintain an existing live sub-station until such time as the new infrastructure was in place and the loads transferred to the new. Internally the buildings were fitted out to a 5* hotel finish. The project was also awarded a Better Healthcare Award for Sustainability.

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