The Challenge:

As part of the works for the retained estate, we refurbished 7 levels of ward accommodation and their plant on level 9 in the tower. It provides a range of general medicine beds, cardiology department, emergency, paediatrics, maternity and bed capacity to relieve winter pressures.

The refurbishment was carried out in a rolling programme, dividing the levels into 3 groups of 2. The main works of the project comprised of stripping back the existing fabric and redundant services to provide a new internal layout with new services.

Demolition and refurbishment works for the new Maternity wards required extensive planning with the Hospitals facilities management team and our supply chain. This was because each floor contained live services that had to be maintained throughout as they supplied other areas of the Hospital.

Key challenges included: ensuring ‘business as usual’ on a busy hospital site whilst managing H&S and infection control risks.

The Solution:

The clinical strategy was the biggest re-organisation of acute services in London for over a decade.Our team undertook healthcare planning including an activity analysis across 3 hospital sites to identify clinical service hot spots.

This culminated in the approval of several projects to streamline maternity services, provide additional inpatient beds and reduce pressure on emergency services.We ensured ‘business as usual’ for staff, patients and visitors by segregating our site with screening. We also created separate accesses for operatives and materials to avoid disruption and safety risks.

There was a requirement for fast-track, off-site construction, to open the new maternity unit to Treasury deadlines. Our solution was the largest healthcare modular build in the UK. 152 steel-framed modules with doors, windows, HVAC ducting, plumbing and high performance concrete floors were installed in the factory and delivered in timed slots, using ‘just-in-time’ principles to avoid disruption to the live hospital.

The Impact:

Through our modular construction we managed to have the new maternity unit building structure completed in 4 weeks allowing fit out to commence.

Off-site construction reduced the delivery programme by 12 weeks as well as reducing construction traffic, site activity, health and safety risks. Quality improved in factory conditions and waste reduced by 60%, helping to achieve BREEAM Excellent. Other sustainable features include: A green sedum roof, Photovoltaic panels, energy efficient combined heat and power system.

We worked closely with the Trust and our supply chain to standardise layouts and components, to reduce design and production times. Kier worked with Relabond to design a standard modular bed head unit for 200 beds; improving staff familiarity and patient safety.

We devised a method of re-cladding that avoided the need to decant patients, helping to reduce bed capacity pressures. Sealed hygienic cladding reduced infection control risks.

" The project was delivered on time and the partnership between the users, Kier and Yorkon worked well … On the women’s and children’s building, babies were being born within 4 hours of building completion… John [Operations Manager] was programme driven and communicating extremely well with all out stakeholders. Our staff and patients are delighted with the new facilities and I have absolute confidence in recommending them "
Kevin Howell Former Director of Environment North Middlesex University Hospital NHS Trust

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