The GOSH Neurology and Neurosurgery teams treat more children with brain tumours and perform more surgeries for patients with epilepsy than any other hospital in the country.
The team noted that they urgently needed a new iMRI facility as their surgeons were relying on pre-operative scans of the brain taken to guide them through the operation, but these can quickly lose their accuracy. In addition, some tumours are undetectable to the naked eye.
In a major step forward, the team decided to integrate an MRI scanner into a new operating theatre to create the Khoo Teck Puat iMRI Suite. This new facility would make imaging of the brain during operations a seamless procedure, giving more critically ill children the best chance of a positive result.
The new MRI Scanner would have to be lifted into a courtyard with a very tight footprint in the centre of a live hospital site.
This new iMRI facility is only the second in the country and a first for Great Ormond Street Hospital. With this in mind our team held regular workshops to discuss various aspects and complexities of the installation.
The 7.1 tonne MRI scanner was lifted in over two fire escape staircases, at a height of approximately 90ft, using a self- erecting tower crane. It was then lowered onto a landing platform that was located at first floor level of the new building to allow the scanner to be manoeuvred into final position.
Chilled water and power were required for the scanner to be connected. The side of the building needed to have a section of the façade left open to receive the scanner and the services needed to be ready, with the main switch in place and live, as well as the chilled water pumps and pipework connected to the hospital existing services.
The scanner room is also a technical room which required media converter boxes and fibre cables to be fitted either side of the copper RF cage. A BIM model was developed to provide the services routes required and avoid any clashes.
This new Khoo Teck Puat iMRI Suite benefits hundreds of children at GOSH and include a new integrated operating theatre which embraces the latest in theatre technology, including brain mapping and navigation software to guide a surgeon throughout the procedure. It also includes a built-in shuttle system to safely transport patients seamlessly from the theatre to the MRI scanner without the child leaving the operating table.
The state-of-the-art 3T MRI scanner offers high-definition images of the brain, giving surgeons the optimum information for their decision-making. There are two anaesthetic rooms, one with direct access to the theatre and the other connecting to the MRI scanning room. There is also a control room area which allows radiographers, radiologists and surgeons to interpret real-time imaging during an operation and agree how best to proceed with the patient’s surgery.
The Luton DART project is a joint venture project between VolkerFitzpatrick and Kier (VFK). This new state-of-the-art guided mass passenger transit system will link the airport terminal building to Luton Airport Parkway station. Due to open in 2021 it will reduce journey time from the terminal to central London to under 30 minutes.
Constructing two railway tunnels that run for 6.4km between the Royal Oak portal and the new Farringdon Crossrail station in Central London. Huge scale building of station tunnel caverns at Bond Street, Tottenham Court Road and Farringdon for the new Elizabeth line.
Supporting the power requirement for ongoing Brighton Main Line signalling renewal works. We installed a Westplex System in order to upgrade a key commuter line to increase the quantity of trains able to utilise the line.
A joint venture with Kier Major Projects for the University of Northampton. The project marked the first time Kier had committed to a large-scale Light Gauge Steel (LGS) frame project and is the largest LGS project to date in the UK.
A high profile 3km route clearance of 1500 utility conflicts through Edinburgh city centre, delivered within budget and achieving all programme milestones, whilst minimising disruption to local businesses and residents.
Kier was selected to construct a new 1,300MW Combined Cycle Gas Turbine (CCGT) power station at West Burton, Nottinghamshire. The site is adjacent to the River Trent and the existing coal fired power station.
Transforming the former Manor and Kingsway Hospitals situated 1.5 miles west of Derby city centre, creating a diverse and thriving community of 700 homes with recreational facilities, retail space and a business park to create 450 jobs.
Creating a new visitor centre at this Site of Special Scientific Interest after the previous one was damaged by a tidal surge, ensuring its protection from flooding and its coastal position, incorporating sustainable features and refurbishing an 1800s coastguard building to be used as an exhibition space.
Creating a purpose-built facility for Child and Adolescent Mental Health Services (CAMHS) and Perinatal Services. Providing support for adolescents, pregnant women, and women with a babies up to one year old who are experiencing mental health difficulties.
Working with Network Rail to keep the line between Ipswich and Lowestoft up and running. Replacing the line's Radio Electronic Token Block (RETB) system after the frequencies were allocated to the MOD, coming up with a workable solution with the client and ensuring this vital rural connection remained in service.
Delivering a 100% BIM3 compliant utilities design at one of London’s busiest interchanges, Bank Station. Serving 73 million passengers annually, situated between London Bridge and the Bank of England.
The new prison at Wellingborough will be an adult male Category C resettlement prison, designed to enhance rehabilitation. The project is embracing a Design for Manufacture and Assembly (DfMA) and integrating digital tools to drive efficiencies in the design, construction and operation of the facility.
A modern primary school in Bestwood, Nottinghamshire, for an expanding local community that involved pupils throughout the build delivered through the Scape Minor Works Framework by Kier and Arc Partnership