PIONEERING HEALTHCARE FACILITIES - GLOBAL EXPERTISE AND LOCAL INSIGHT, DELIVERING OUTSTANDING SOLUTIONS WWW.RAMBOLL.COM/HOSPITALS
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PIONEERING HEALTHCARE FACILITIES GLOBAL EXPERTISE AND LOCAL INSIGHT, DELIVERING OUTSTANDING SOLUTIONS WWW.RAMBOLL.COM/HOSPITALS
CONTENT Healthcare capabilities 4 The very best care in a diverse environment 6 Designing facilities for the future 8 Key healthcare contacts 48 People and resources 50 FEATURED PROJECTS New Karolinska University Hospital 10 Aarhus University Hospital, DNU 12 King Saud University Medical City Extension 13 Haukeland University Hospital - phase 1 14 Haukeland University Hospital - phase 2 15 University hospital Hamburg-Eppendorf 16 University of Leicester, Centre of Medicine 17 Malmö University Hospital, 18 UNN Tromsø University Hospital 19 North Zealand Hospital Hillerød 22 Vienna North Hospital 23 Hyvinkää Hospital Building H 24 Vaasa Central Hospital’s Building H 25 1902 building St.Olavs Hospital 26 1930 building St.Olavs Hospital 27 Mälar hospital, Eskilstuna 28 Tunbridge Wells Hospital 29 Hospital Klagenfurt Wörthersee 30 Alta Hospital 31 Vivantes Hospitals 32 Hospital Nova of Central Finland 33 Northumbria Hospital 36 King Khalid Medical City—National Diabetic Centre 37 New Children’s Hospital 38 Alder Hey Childrens Hospital 39 HUS Bridge Hospital 40 Högspecialitetshuset Örebro 42 Oxford Precision Cancer Medicine Institute 44 Danderyd Hospital 45 Glostrup Hospital 46 Hillerod Hospital, Denmark Envisioned as a pavilion set within the forest. Despite its large size, this hospital will have human scale.
PIONEERING HEALTHCARE FACILITIES 3
ABOUT
RAMBOLL
Our vision: Ramboll is committed to helping create inspirational and
sustainable solutions that allow people and nature to flourish.
Unwavering passion for design High ethical standards
We have an unwavering commitment Our founders instilled our strong ABOUT RAMBOLL
to design and creativity. We moral and ethical principles.
marry exquisite design with a The strong ethical standards, Ramboll is a leading engineering,
comprehensive appreciation of responsibility towards society held design and consultancy company
by content employees are still key founded in Denmark in 1945.
function, buildability and end-user
needs. We trust in the power of elements in Ramboll’s approach to The company employs 16,500
design to create competitive edge, business. across 300 offices in 35 countries
social betterment and problem with experts in the Nordics, North
mitigation. We combine human America, the UK, Continental
Europe, Middle East and India,
ingenuity and self-expression “The essence is that you supplemented by a significant
together with technological
have to behave properly representation in Asia, Australia,
advancement to solve the most South America and Sub-Saharan
complex challenges and ensure our
and decently as a person… Africa.
designs are insightful and supportive This relates to individual
Ramboll works across the markets:
for efficient operations. customers, colleagues Buildings, Transport, Water,
and society as a whole... Environment & Health, Energy and
Strong trusted teams It is about treating other Management Consulting.
We know what it takes to successfully people and society right in a WWW.RAMBOLL.COM
work in integrated teams. We are
longtime perspective,”
continuously teaming up with
many of the most well known and – B.J. Rambøll, co-founder of Ramboll, talking
reputed architects, contractors and about Ramboll’s philosophy.
consultancies around. We are highly
collegial, collaborative and innovative We are a values driven business. Our
with a holistic approach. You will find values exist to guide our decisions in
us to be extremely approachable, our daily work and define the attitude
completely engaged and fully and culture of our business and how
committed. We know the importance we conduct our relationships.
of inquiring and listening. Our client
satisfaction scores together with our Our values are:
level of repeat business. Insight & Excellence
Integrity & Empathy
Complete project focus
We always have a strong focus on
delivering projects on time and on
budget. We use our firm grip on
commercial realities and whole life
costs to ensure that what we plan and
design is what gets realized. We have
nothing short of complete focus on
project success.
4 PIONEERING HEALTHCARE FACILITIES
HEALTHCARE
CAPABILITIES
Our local presence in over 35 countries allows us to recognize how these trends
are influencing individual countries, counties and cities.
Our extensive multidisciplinary A healthcare sector facing a
OUR COMPETENCIES services coupled with our in-depth changing world population
INCLUDE knowledge and holistic approach The world’s population is evolving
enable us to offer clients creative and through changes in climate, lifestyle,
• Complete building engineering innovative solutions. Through close urbanisation, and an ageing
design collaboration, we meet the needs population. All of these impact the
• Civil and structural engineering delivery of healthcare facilities.
of local and national government
• Mechanical and electrical
engineering departments, the private sector
• Medical gas system and building contractors. Our Our local presence in over 35
• Medical equipment experience includes designing new countries allows us to recognize how
• Radiation these trends are influencing individual
and refurbishing existing healthcare
• Clean room facilities
facilities from major hospitals, demographics in countries and cities.
• Fire and safety systems
• Acoustics community care facilities to specialist We use this local understanding to
• Hospitals architecture care centres. integrate our healthcare expertise and
• Interior design experience from around the world
• Landscape design into our solutions with a holistic and
We offer management and client
• City planning
• Transport planning consultancy that includes project client centric focus.
• Sustainability and resilience management, strategies for operation,
strategies hospital planning, identification of
• Needs analysis
automation potential and change
• User involvement and dialogue
processes management, communication
• Hospital master planning policy, engineering, BIM (Building
• Hospital logistics Information Modelling) Level 2 and
• Hospital conveyer systems procurement as well as IT solutions.
• Hospital automation
• Supply chain and logistics
solutions
• Technical due diligence
• Process management
• Programming
• Project management
• Design management
• Change management
• Site management
• Client consultancy
• Economic Feasibility studies
• Facilities management strategies
Smart Hospitals
• IT-solutions
• IT-innovation
• System integration
• IOT
• Smart hospitals strategies
Køge Super Hospital, Denmark
Optimised operational efficiency, simple
navigation and connectivity were all key
design drivers for this new hospital. Image:
Rådgivergruppen USK
LOCAL PRESENCE GLOBAL KNOWLEDGE
6 PIONEERING HEALTHCARE FACILITIES
THE VERY BEST
CARE IN A DIVERSE
ENVIRONMENT
“Collaboration across The physical environment of a
departments is crucial to (a hospital and its surroundings have Sustainability
a huge impact on the outcome With many healthcare facilities
hospital’s) success.”
regarding patient recovery and having the benefit of scale,
– A quote from a hospital user process wellbeing. We take great care in significant savings can be achieved
helping to deliver quality facilities in facility management and
and ensuring their efficiency and operations if carefully planned in
effectiveness, so that ensuring they the early stages of the project.
have positive influences on both staff Our multidisciplinary experts
and patients. combine their skills in sustainable
construction materials, evidence-
Ramboll has extensive global based logistics, energy supply,
expertise in delivering some of the conservation of natural resources,
world’s leading and pioneering energy saving technologies,
hospitals and treatment facilities. environmental impact and lifecycle
This includes designing the UK’s first assessment of the hospital
Proton Beam facility to engineering operations. We do this to ensure
a new hospital for technologies and that the solutions we design have
diseases that do not yet exist in minimal effect on the environment
Denmark. Furthermore, Ramboll has and maximum effect on wellbeing
been part of the team designing the and economical factors over its life
worldclass hospital New Karonlinska cycle.
that has been ranked number 10 in
the world, proving our imagination
and ambition results in outstanding
solutions.THERE MUST BE ROOM FOR THINGS WE HAVE NOT INVENTED YET
8 PIONEERING HEALTHCARE FACILITIES
DESIGNING FACILITIES
FOR THE FUTURE
With healthcare budgets under constant strain, we pride ourselves on designing
insightful solutions that deliver high quality care and improved efficiency.
High quality patient
With new hospital facilities taking centric care
“Automated guided vehicles anything up to 15 years from concept Our experts understand that a
to completion, anticipating future
that can deliver clean beds patient centric care approach to
needs is vital. For example, over the the design can directly impact
and linen within the last 50m next 50 years, people over 60 years
of the room is one example of healthcare professional’s ability
of age are forecasted to surpass to deliver patient centred care.
how technologies can be used those under the age of 14 creating a One example is ensuring that the
to deliver efficiencies and shift in priority from transferable to design supports proximity and line
improve infection control.” non-transferable diseases, including of sights from nurse’s stations to
cancers, diabetes and heart disease the bays and wards.
– Steven Bentley, Project Director Ramboll.
as well as injuries.
With healthcare budgets under
Ramboll is involved with some of constant strain, we pride ourselves
the world’s cutting edge healthcare on designing insightful solutions
facilities. Through this experience that deliver high quality care that
and our knowledge base that improves efficiencies and focuses
spans technology sectors including on health and well-being for both
science and laboratories and within staff and patients.
developed and less developed
countries, our teams deliver real
insight into the solutions we design
internationally.
Through our basic understanding of
meeting tomorrow’s needs, flexibility
is built into the design to meet
future adaptations and the need for
resilience. We strive to make designs
that can accommodate changes
in the climate from flooding, to
reconfiguration for technological
advancement in plant or changes in
patient needs. We work closely with
clients to realise cutting edge facilities
at the point of completion.OUR PORTFOLIO UNIVERSITY HOSPITALS
NEW KAROLINSKA
HOSPITAL
Acute and university hospital in Sweden
with world class research
The building services systems include
This massive €1.8bn scheme
coordination of medical gases and fire
was planned to be a world class
protection systems.
treatment, teaching and research
hospital. It has been operatinal since
The 19,000m2 oncology building
2018.
spans 10 floors and contains radiation
protected facilities for eight linear
The hospital has 9,000 rooms
accelerators, three brachy therapy
including:
rooms, a MR, a DT and 80 single
• 36 operating theatres patient ward rooms, six of which are
• 700 hospital beds radiation protected.
• 100 bed day care centre
This is the first major PPP building
• Research laboratories in Sweden. Ramboll UK is assisting
• 1,200 space car park Ramboll Sweden in the design of the
building structure and also sharing
Ramboll has worked with significant their PPT/PPP experience. Ramboll
structural challenges including a Finland has significantly input into
future underground line and station; elements of the design. The 10 storey
double rooftop helipad and stringent structure plus two storey basement, is
vibration limits. New Karolinska formed in precast concrete with steel
Hospital is housing a 40 ton gamma beams.
knife on the 3rd floor and a 126 ton
hyperbaric chamber.
Certified as an LEED Gold green
building, the building services
engineering scope has consisted of
conceptual and detailed design for
the oncology treatment and ward
building.
Location: Solna, Stockholm, Sweden
Value: €1.8bn
Client: Skanska Healthcare
Services: Structural engineering, civil
engineering, building services design.UNIVERSITY HOSPITAL PROJECTS
12 PIONEERING HEALTHCARE FACILITIES
HOSPITAL PROJECTS
AARHUS UNIVERSITY
HOSPITAL, DNU
New University Hospital
The New University Hospital in The building project is based on
Aarhus will become one of the largest requirements for high flexibility and
hospital complexes in Northern generic applicability - therefore
Europe with a total of 460,000m2 the overall architectural layout,
divided into 300,000m2 new structural design and technical
buildings and 160,000m2 rebuilding of installation principles are prepared
the existing hospital facilities. for easy adaption to future needs and
requirements.
The new hospital will cover 797 single
bed wards, 43 dialysis beds and 80 All building units are organized
hotel beds. The hospital will become in a rational modular system and
the workplace for 8,000-10,000 the entire building structure is
employees. characterized by a high degree of
standardized design solutions.
The design of the hospital will
support new treatment methods, The project was completed in 2019.
ways of working and the use of new
Location: Skejby, Aarhus, Denmark technologies.
Client: Region Midtylland
The focus has been to obtain
Value: €1bn
increased quality both in terms of the
Architect: C F Moller patient and relatives perspectives and
Services: Engineering design, in regard to the working environment
project management, environmental conditions for employees.PIONEERING HEALTHCARE FACILITIES 13
HOSPITAL PROJECTS
KING SAUD UNIVERSITY
MEDICAL CITY EXTENSION
An ambitious scheme to extend the King Saud University
A multidisciplinary, international team The medical college extension The administration of King Saud
worked together on this important includes teaching facilities, lecture University was also committed to
healthcare project. The extension of halls, public spaces, a full scale skills equipping the college with state-of-
the King Saud University Medical City lab, mosques and a spectacular main the-art facilities to advance dental
comprises of several new buildings auditorium with an audience capacity education. These state-of-the-art
for the university with an approximate of 1,400. The National Diabetes facilities and technologies included
area of 350,000sqm. The first stage Centre will be a national institution oral surgery operating theaters, a
includes a new National Diabetic for diabetes, containing research and sterilization facility and almost 500
Centre “King Khalid Medical City central functions, as well as treatment dental units (a world record at that
– National Diabetic Centre”, a new for complicated cases. It will in time) in the same building. Ramboll
Dental college and an expansion of effect be a miniature hospital, with delivered the building services
the medical college. outpatient facilities, radiology, a large and fire safety design for the three
polyclinics department, bed wards, buildings in this project. Around
and counselling and education. 80 dedicated competences were
involved across the Ramboll Group.
Location: Saudi-Arabia
Value: €50m
Client: King Saud University
Services: Electrical and mechanical
engineering, fire and safety and
acoustic consultancy.14 PIONEERING HEALTHCARE FACILITIES
HOSPITAL PROJECTS
HAUKELAND UNIVERSITY
HOSPITAL - PHASE 1
New Children and Youth Hospital (BUS-Hospital)
Helse Bergen held a design The concept consists of ‘(piano) The centre is further tied together
competition for a new children keys’ resting on a heavy stone clad by suspended cross circulation on
and youth hospital attached to the base, spanning across the terrain the upper floors to ensure easy
Haukeland University Hospital. in an east-west direction. Between movement by staff and patients.
the ‘keys’ lie green stretches of The new hospital is to be built
The aim was the provision of a terraces, gardens or play areas. in two stages, with the above
comprehensive modern centre This serves to break down the mentioned in the first phase
of the highest international building’s mass into smaller and and the general sections in
standard, while at the same time friendlier elements. The wards the second phase. The first
finding a holistic and functional are elevated for light, air and phase will have a gross area of
solution adapted to the specific view. The heavier functions are 29,000m2. Phase 1 opened in
site conditions, surroundings and located in and across the ‘base’ may 2017 and won the city of
climate. The new hospital facility to bind the facility together. Bergens price for architectural
should provide for an inspiring and urban development.
and functional framework for Phase 1 consists of physical
patients, families, staff and rehabilitation facilities, the
students. The architecture should children’s energy centre with
evoke a feeling of trust and swimming hall and heated pool,
confidence, quality and openness. gym, treatment room, laboratories
Location: Bergen, Norway
and education facilities, which are
Value: €107m
The competition jury unanimously located in the base of the building.
declared the architecture Above are the laboratories and Client: Helse Bergen
consortium of KHR Arkitekter, Per ECT treatment. In the middle of the Architect: Rambøll
Knudsen Arkitketkontor and Studio facility lies a central access point Architects, pka and KHR
4 Arkitekter as (now a part of where patients, staff or visitors Services: Architecture, interior
Ramboll) the winner of six entries. can easily orientate themselves. and landscape design.HAUKELAND UNIVERSITY
HOSPITAL - PHASE 2
New Children and Youth Hospital (BUS-Hospital)
Phase 2 of BUS builds on phase 1 of at Haukeland Hospital. The focus has
the competition entry and contains been on breaking up the building
the general medicine section of mass into smaller and comprehensible
the children’s and youth hospital as elements and using scale, light,
well as the maternity and childbirth greenery and materials to create a
section of the Women’s Clinic. The child-friendly and welcoming feel in
building will provide a fully-fledged addition to lessening the impact of its
hospital with all functions, wards, institutional nature.
outpatient clinics, operating theaters,
postoperative areas, radiology, The reduction in the height of the
delivery rooms, reception, laboratory, Children and Youth hospital eases
office and research spaces, etc. the transition between the larger
When finishing phase 2 we will have ’Sentralblokken’ and the lower
Location: Bergen, Norway
a complete hospital for children and residential buildings to the north.
Value: €3.75m youth. Despite the intensive utilization of
Client: Helse Bergen site coverage in the revised concept
Architect: Rambøll Phase 2 also includes wards for for BUS 2 and a rationalization of the
Architects, pka and KHR gynecological treatment. façade modulations, the new hospital
The general architectural concept as a whole takes on an increasing
Services: Architecture,
for the child and adolescent hospital openness and transparency, which
interior and landscape design and is rooted in the unique location on a merges with the green landscape.
implementing art in the project. green hillside north of ‘Sentralblokken’ Phase 2 will open in 2022-2023.
.16 PIONEERING HEALTHCARE FACILITIES
HOSPITAL PROJECTS
UNIVERSITY HOSPITAL
HAMBURG-EPPENDORF
The hospital Hamburg-Eppendorf Is centers. With 1736 beds, including 242
among Europe’s most modern clinics. beds in the University Heart Center
In 2010 a seven-floor building Hamburg (UHZ) and 58 beds in the
together with a Heliport on the Martini-Klinik.
rooftop was built. This hospital has
400 rooms and each ward contains The University Hospital Hamburg
28 beds, the intensive care unit alone Eppendorf is still undergoing
has 60 beds. It took three years to restructuring measures. They are
complete the new hospital and the looking to add new buildings, Martini-
cost of the construction amounted to Klinik with a PTS and an AGV system.
188 million euros. The research building “Campus
Forschung” (Campus Research)
For the new building an Automated and a new Heart center will also be
Guided Vehicle (AGV) system and provided with an AGV system. Further
a Pneumatic Tube System (PTS) infrastructure measures as the
with 150 stations and 4 centrals was tunnel construction between the new
desired. 34 transmitting and receiving buildings with an AGV system and a
stations, 250 roll containers, an pneumatic tube system are on their
automatic container washing system, way with the “Zukunftsplan 2050”
two automated storage systems (Future Plan 2050).
Location: Hamburg, Germany and automated lift systems for (AGV) system and a PTS with 150
Value: €188m transporting containers were realized. stations and 4 centrals was desired.
The AGV includes 33 vehicle
Client: Universitätsklinikum Hamburg-
Today the total University Hospital
Eppendorf
Hamburg Eppendorf consists of more
Services: conveyor systems (AGV, than 80 clinics, polyclinics and
PTS, elevators, logistics,) institutes distributed amongst 14PIONEERING HEALTHCARE FACILITIES 17
HOSPITAL PROJECTS
UNIVERSITY OF LEICESTER
CENTRE FOR MEDICINE
The University of Leicester’s new George Davies Centre is the UK’s largest Passivhaus
building and brings together academics, researchers, clinicians and students.
The £42m centre is part of the rooms, offices, dry lab research
University of Leicester’s strategy to facilities and support spaces to over
improve and upgrade the facilities 2,350 staff and students.
used by the School of Medicine.
Designing a sustainable building
The George Davies Centre is an The ambition for the George Davies
exemplar project in terms of low Centre was to deliver a sustainable
energy design, it is expected that the building that minimises the energy
new teaching and research facility demand for space heating and
will reduce the energy bill by up to cooling, whilst also creating excellent
six times with the target total energy indoor comfort levels. This is primarily
consumption at just 80kWh/m2, achieved by adopting the Passivhaus
Location: Norwich, UK
compared to the previous building’s (fabric first) approach to the design.
Value: £81.6m 500kWh/m2.
Client: Biotechnology and Biological The Passivhaus philosophy aims
Sciences Research Council Ramboll delivered structural to achieve extremely low energy
Services: Civil & structural engineering, geotechnical buildings through the implementation
engineering, geotechnical engineering, below ground drainage of passive design measures, focussing
engineering, environmental design, and fire engineering services on outstanding levels of thermal
management. for the 12,836m2 centre, which insulation and air-tightness.
consists of lecture theatres, teaching
The sustainability credentials
of the Centre were confirmed
when it won ‘Project of the Year’
at the 2018 CIBSE awards.
Image © Builtvision18 PIONEERING HEALTHCARE FACILITIES
HOSPITAL PROJECTS
MALMÖ UNIVERSITY
HOSPITAL
Commissioned by Region Skåne to manage
multiple parts of the multi-billion project
Since the amalgamation in 2010 of for the entire project. Planning and
the two university hospitals in Malmö designing in flexibility is a critical
and Lund in southern Sweden, they element of this project to ensure the
now represent one of the largest future needs of the hospital can be
university hospitals in the country. accommodated.
In order to meet future health
care demands the Malmö hospital This large and complex project is
area will be expanded with a new to be delivered in parallel with the
healthcare facility of approximately hospital’s ongoing business operation
65,000m2, and other new buildings of and will affect the entire hospital area.
30,000m2. Alongside the renovation “It is very satisfying to be able to
and demolition of existing buildings, contribute to developing the hospital
construction of new building services area to future healthcare demands”
and transportation culverts will be explains Joakim Westerlund, Head of
needed. Department, Project Management.
Location: Malmö, Sweden
Value: €1.2bn The healthcare facility will consist Ramboll has provided project
Client: Region Skåne of several separate buildings bound planning, construction management
together by a common basement, and design of electrical services,
Services: Project planning,
culverts and passageways. Ramboll is which include power supply, lighting
construction management, electrical
planning and designing the building’s design as well as security and IT
engineering, security and IT system
electrical and telecommunication Systems.
design.
installations. We are also part of the
organisation that oversees planning This entire project is due for
and control of finances and deadlines completion in 2022.PIONEERING HEALTHCARE FACILITIES 19
HOSPITAL PROJECTS
UNN TROMSØ
UNIVERSITY HOSPITAL
University Hospital northern Norway - New A Wing
The new A wing adds new and planned organisational restructuring
necessary treatment facilities to UNN of hospital operations, with more
Tromsø and catalyzes a new strategy emphasis on outpatients and
for the development of a framework outpatient treatment.
for UNN Tromsø as an effective
regional and university hospital. This project sets out a long term
strategy for the development of
The project for the new A wing a framework for UNN Tromsø to
has added new treatment facilities become an effective regional and
that will advance the provision of university hospital. Based on an
specialist health services at UNN overall assessment of the existing
Tromsø. In addition, it addresses facilities and future needs and the
Location: Tromsø Municipality
the development of a longer term close collaboration with the university
Value: €120m strategy for the whole facility. of Tromsø, this framework will ensure
Client: Helse Nord the continued development of
Area: 20,000m2 Priority has been given to particular relevant competancies.
areas for outpatient surgery and
Architect: Rambøll
day and outpatient treatment,
Architects, pka og KHR
together with laboratory facilities,
Services: Architecture ER and surgery. This will ensure a
and interior design. sound physical framework for the20 PIONEERING HEALTHCARE FACILITIES
HOSPITAL PROJECTSPIONEERING HEALTHCARE FACILITIES 21
HOSPITAL PROJECTS
OUR
PORTFOLIO
MAJOR HOSPITALSNORTH ZEALAND
HOSPITAL HILLERØD
New Hospital envisioned as a pavilion set within the forest
The new North Zealand hospital technology yet to be invented and
will be the result of consolidating handle epidemics yet to be unleashed
the three existing hospitals across .
the region and is part of Denmark’s The bed wards will be constructed
healthcare consolidation programme, from lightweight prefabricated
which includes the redevelopment modules made from either metal
of seven hospitals. The 128,000m2 or wood, reducing on-site waste
hospital is the 3rd major healthcare and embracing modern methods of
building to be awarded to Ramboll as construction. The demountable walls
part of this consolidation programme. and regular span floor plates will also
ensure straightforward construction
Envisioned as a pavilion set within processes.
the forest, the design brings
together all the hospital’s necessary The hospital will be equipped with
functions within one clover-shaped cutting edge Logistics solutions
structure. The low-rise building including pneumatic tube system
Location: Hillerød, Denmark reaches horizontally into the (PTS) and Automated Guided
Value: €320m landscape, surrounded by trees and Vehicles (AGV) for transport of
native plantation. The upper level carts and beds, waste chutes and
Client: Herzog & de Meuron/
bed wards will open onto the roof connected processes.
Vilhelm Lauritzen Arkitekter garden, or provide views out over
Services: Civil engineering, structural the surrounding trees, providing an Teams from the UK, Management
engineering, MEP engineering, opportunity for patient rehabilitation. Consulting, Global Engineering and
sustainability, acoustics, logistics, fire Denmark are working collaboratively
engineering, vertical transport, façade The hospital’s innovative design forms to deliver this project.
engineering. are flexible enough to accommodateVIENNA NORTH
HOSPITAL
The Vienna North Hospital is regarded treatments, 250,000 ambulant
as one of Europe’s most modern treatments and about 16,000 surgical
hospitals and one of Austria’s largest interventions each year.
construction projects. Nearly € 1.2
billion euros has been invested in the After 9 years of planning and
greenfield developing. The hospital of installation all conveyor systems are
the Vienna Association of Hospitals ready: an Automated Guided Vehicle
(Wiener Krankenanstaltenverbund, (AGV) system, a pneumatic tube
KAV) is located on the left side of the system (PTS) , logistics, canteen
Danube. kitchen, container washing machines,
elevators, roll containers and the food
The former industrial area is being distribution systems. Currently the
transformed into a high-quality construction of the Vienna North Location: Vienna North
healthcare area. The building itself has Hospital is a concrete step towards Hospital, Austria
been designed as a high-tech hospital the implementation of the program
Value: € 1.2bn
with making the most of the natural of the Vienna Hospital Association
with its light-flooded atriums. for the reorganization and further Service: conveyor systems, AGV,
development of the Viennese hospital PTS, logistics, container washing
In the future the facility is planned plan (Wiener Spitallandschaft) that is machines, canteen kitchen, roll
to there are supposed to be expected to be fully implemented by containers, elevators, food distri-
approximately 40,000 inpatient 2030 bution systems, maintenance.24 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
HYVINKÄÄ HOSPITAL,
BUILDING H
Hyvinkään Sairaalanmäki’s new hospital building and car park
The City of Hyvinkää and HUS’ joint health and substance abuse services, The site was planned by data
real estate company have built a new rehabilitation services, and wards. modelling from all key design
hospital building and car park for areas. The whole reservation cycle
Hyvinkää Hospital. The building is Particular consideration during the between the different design areas
intended for HUS’ specialised medical project was given to the flexibility was implemented entirely by data
services and the City of Hyvinkää’s of the premises, accessibility, the modelling.
basic healthcare services. economic efficiency of the building’s
lifespan, and spatial constraints. A Reinforcement designs were also
The project was implemented in two cast-in-place cement piller framework implemented partially by data
phases. In the first phase, a 4,000m2 was chosen for the hospital’s modelling. Building information
two-level car park was constructed structural solution. The car park’s modelling (BIM) was also used at
with 237 spaces for customers. For framework is entirely cast-in-place the work site to assist, for example,
the following phase, a new five-storey and the structure is retrofitted. The in demonstrating structures, work
hospital building which includes a mechanical ventilation machine site planning, and the installation and
basement level with shelters, tunnels, room’s framework and the cold attic lifting work for elements. Data models
and a mechanical ventilation machine spaces on the roof are structures with were used between the design fields
room. The total area of the new steel. The outer wall structure of the to coordinate structures and plans,
hospital building is 23,000m2. hospital building consists mainly of and in collision studies and building
inner shell elements and insulation management system route checks.
The hospital building’s premises will plastering. Modelling also easily allowed for
include a children’s unit, neonatal checking the relative heights between
intensive care units, children’s The client’s objectives for improving subterranean structures and the
outpatient clinics, and a day hospital, energy efficiency were taken into surface level and assistance in making
as well as adolescent psychiatry, account in the design. The project calculations.
general hospital psychiatry, mental was carried out in a divided contract
form.
Location: Hyvinkää, Finland
Value: €64m
Client: Hyvinkään Sairaalanmäki
Services: Building design, element
design.
Schedule: Completed in 2018PIONEERING HEALTHCARE FACILITIES 25
SPECIALIST HEALTHCARE PROJECTS
NEW CONSTRUCTION OF VAASA
CENTRAL HOSPITAL’S BUILDING H
The first alliance project in Ostrobothnia
Vaasa Central Hospital’s Building H The project is being implemented but
will combine regional and private he Bothnia High 5 project alliance
services for basic healthcare, which includes the Vaasa Hospital
specialised healthcare, and social District, YIT, Granlund Pohjanmaa,
services. Through digitalisation and Ramboll Finland, Raami Architects,
remote connections, services will be and Kontukoski Architects. This is the
equally within reach for customers first alliance project being undertaken
regardless of place of residence. in Ostrobothnia.
The new building is designed to The construction of the new Building
Location: Vaasa, Finland
be adaptable and multi-purpose H is the largest construction project in
Value: €143m with healthy spaces and a safe Vaasa Central Hospital’s history. The
Client: Vaasa Hospital District environment for customers and staff. project will cover a total of 37,000m2.
Once completed, Building H will be a The implementation phase started in
Services: Building design, element
smart hospital with modern and high 2019 and Building H will be put into
design, geotechnical planning, data
quality premises and a cost-effective use in 2022.
modelling, road and traffic planning,
lifespan equipped to take advantage
housekeeping management, moisture
of the technology for the future.
control.26 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
1902 BUILDING
ST. OLAVS HOSPITAL
The original 1902 building conserved and upgraded
to meet current standards
The building that dates back to 1902 The use of natural materials, wood, for energy, environment and
houses the hospital’s rehabilitation parquet and stone, was an important universal design are addressed. As a
management and lighter clinical factor in achieving a refined interplay transformation project, the winner will
facilities. Careful and sympathetic between the old building practices have great transfer value”.
attention was given to restoring the and the modern architectural
significant aspects of the building’s interventions. ”The nominated buildings for the
original character, with its distinctive Building of the Year are characterized
high ceilings and old stairways - which The architects and interior designers by high quality of planning,
were preserved to the greatest extent were responsible for the coordination implementation, and not least, in the
possible. of the artistic installations. The interior finishing of the buildings. Each in
designers designed the furniture in their own way, projects have been
The same approach applied to the auditorium. carried out with great professionalism
roofs, floors and the brick façade. At and the ability to integrate inputs of
the same time, the building had to Building of the Year Award 2008 all professionals and the client. It is
provide for high quality, modern work Comment from the Jury: therefore no coincidence that the jury
spaces, adapted to today’s standards. has witnesses strong evidence that
Much emphasis was placed on the ”This year’s winner is characterised the buildings more than serve their
integration of technology and the by an interplay of enthusiasm and purpose”.
architecture so that the new technical creativity, and a result that satisfies
facilities would not compromise the all measurable requirements for a
quality of the historic building. pioneering project. Requirements
Location: Trondheim, Norway
Value: €10m
Area: 7,000m2
Client: Helsebygg Midt-Norge
Architect: Rambøll
Architects, pka and KHR
Services: Architecture
and interior design.PIONEERING HEALTHCARE FACILITIES 27
SPECIALIST HEALTHCARE PROJECTS
1930 BUILDING
ST. OLAVS HOSPITAL
Office and administration building. Sketch design, design
development and construction documentation
The ‘1930-Bygget’ (building) was a well- functioning building adapted Location: Trondheim, Norway
rehabilitation project. The building to the new brief. Sight lines, daylight, Value: €10m
was to be converted to office and materials and use of colour were used
Area: 1200m2
administration space and used as means to achieve this end.
in conjunction with the adjacent Client: Helse Midt-Norge RFH/
‘1902-Bygget’. The top management We used the principles developed in Helsebygg Midt-Norge
of the university hospital and the rehabilitation of the ‘1902-Bygget’, Architect: Rambøll-
management of the faculty of but adapted them to the current time Architects and pka
medicine were to be located here and design.
Services: Civil, electrical, fire, heating,
to facilitate closer cooperation and
ventilation and building physics
better integration. The main entrances to the two
engineering, acoustics consultancy,
buildings are directly linked,
architecture and interior design.
The project presented a challenge maintaining a clear line of sight
to architects and consultants, as it through the building. The ground
involved substantial changes to the floor is used for presentations and
exterior of a listed heritage building. contains a large meeting room, in
addition to other related functions.
Our aim was to highlight the original The floors above are designated for
characteristics of the old building office use.
while at the same time creating a28 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
MÄLAR HOSPITAL,
ESKILSTUNA
The upgrading of healthcare facilities Comprehensive project
in Sörmland, Sweden includes the In total, the project (across the
refurbishment and extensions of three hospitals) consists of four new
hospitals in three cities. buildings of approximately 70,000 m2
and involves approximately 30,000
Requirements for healthcare facilities m2 of refurbishments. In addition,
are evolving quickly, driven by around 25,000 m2 of the existing
the development of new medical buildings will be demolished - without
equipment, changing healthcare disturbing the daily routine of the
patterns and medical breakthroughs. hospital.
In the region of Sörmland, southwest The new facilities include 22 operating
of Stockholm, Ramboll is modernising theatres, 3 MRIs, 2 sterilization
three local hospitals in the cities of departments, 2 emergency care units,
Eskilstuna, Nyköping and Katrineholm. 2 intensive care units and 2 delivery
Location: Cities of Eskilstuna, departments as well as many other
Nyköping and Katrineholm, in the The existing buildings were originally specialist departments. There will also
region of Sörmland, Sweden constructed between the 1920’s will be 280 examination and ward
Value: €150m and 1970’s and cannot cater for rooms, most of them with single bed
the delivery of modern healthcare capacity.
Client: NCC Building Sweden services. The new facilities will
& Landstinget Sörmland provide many benefits and make it
(region of Sörmland) possible to introduce state-of-the-
Services: Multidisciplinary engineering art medical equipment and minimise
services contamination risks.TUNBRIDGE
WELLS HOSPITAL
The first hospital in the UK made up entirely of single room wards
The Tunbridge Wells Hospital in cater for air ambulances on the upper
Pembury, Kent is the first acute all part of the site.
single bed ward NHS District General
Hospital in the UK; with 513 bedrooms With a total floor area of
this redevelopment consolidates approximately 66,000m2, the main
Pembury Hospital and Kent & Sussex hospital building consists of an in
Hospital into one new, modern facility. situ concrete frame on reinforced
concrete pad foundations with post
The hospital was designed to take tensioned floor slabs and traditional
advantage of the difficult natural in situ concrete columns and retaining
sloping site by having three floors walls. The structure is braced by
to the North and six/seven floors concrete shear walls to the stair/lift
to the South. The majority of the cores, while its height is squeezed
single rooms are arranged to take between the rock line and a maximum
advantage of the magnificent views planning restriction level. Location: Tunbridge Wells, UK
across the surrounding woodland Value: €230m
areas that are listed as areas of The site is set in an environmentally
Client: Maidstone & Tunbridge Wells
outstanding natural beauty and Sites sensitive area, bordered by
NHS Trust and Laing O’Rourke
of Special Scientific Interest. designated sites, and was developed
whilst keeping the existing facilities Architect: Anshen + Allen
The design also incorporates features operational; as a result phasing issues Services: Structural, geotechnical,
for patient safety and effective were critical, involving complex highways and civil engineering,
infection control. In total the new species translocation programmes environmental services, surveying,
development has 1,200 car parking throughout construction. transport planning, public health
spaces and includes a helipad to drainage, vibration analysis.30 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
HOSPITAL KLAGENFURT
WÖRTHERSEE
The Hospital Klagenfurt Wörthersee (VEZ). In the Supply and Disposal
is the third largest hospital in Austria Center (VEZ) a large kitchen and a
with about 1,200 beds, 62,000 fully automatic laundry are situated.
inpatients and 527,000 outpatient Further technical innovations are the
treatments each year. Automated Guided Vehicles (AGV)
system and a pneumatic tube system
It’s located in the center of Klagenfurt (PTS).
and was ready for use in 2010.
Approximately 327 million euros The Hospital Klagenfurt management Location: Klinikum Klagenfurt am
were spent on the 95,000 m. The is very keen on exploring innovative Wörthersee, Austria
landscaping was rearranged to create solutions and state of the art medical
Value: €327m
a park around the hospital and a river technology, optimized and multi-
was relocated to create space for the site use of the facilities and rooms Services: conveyor systems, AGV,
building. The overall structure of LKH (operating theaters, examination and PTS, logistics, canteen kitchen,
Klagenfurt consists basically of two treatment rooms, nursing stations and container washing machines,
units, a Surgical Medical Center (CMZ) logistics areas) has given this hospital elevators, roll containers, food
and the Supply and Disposal Center pioneering status throughout Europe. distribution systems, maintenance.PIONEERING HEALTHCARE FACILITIES 31
SPECIALIST HEALTHCARE PROJECTS
ALTA HOSPITAL
The project is an extension of new wing. This provides maximum
the existing Alta Health Care flexibility in both existing and new
Center in form of a new wing and areas and provides robustness in
reconstruction of the existing center. relation to co-operation and possibly
The extension is about 4,000 sqm future expansion of the hospital to
BTA, on 4 floors. the east.
Remodeling is about 1,000 sqm of Todays hospital has a variety of
existing buildings. The project will different colors, materials and
include somatic and psychiatric beds, surfaces, and a strong character.
operations facilities, image The new wing will be given facades in
diagnostics, dialysis and maternity massive wood with a treatment like Location: Alta, Norway
ward. the old wooden houses in Norway. Value: €42m
This color will correspond nicely to
Client: Finnmarksykehuset HF
The existing eastern wings are the excisting brick walls. The project
Services: Complete engineering and
extended with the same building will open in summer 2019.
architecture design
width and bearing direction in the32 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
VIVANTES
HOSPITALS
Vivantes – Netzwerk für Gesundheit transports clinical goods throughout
GmbH (Network for Health GmbH) is the whole campus. The introduction
a hospital operator in Berlin. Vivantes of new buildings means that the
runs nine hospitals with over 100 current supply system needs to be
clinics and institutions, with a total of extended which has led to a complete
5,329 beds. overhaul of the logistics system for
The Vivantes Humboldt Hospital and clinical goods and the integration into
the Vivantes Hospital Neukölln are the existing building automation.
part of these hospitals.
The same development is seen at
The Vivantes Humboldt Hospital the Hospital Neukölln. The logistics
Location: Vivantes Humboldt
and the Vivantes Hospital Neukölln system for clinical goods will be
Hospital/ Vivantes Hospital Neukölln,
are continuously undergoing extended and reconstructed. The
Berlin, Germany
site developments regarding solution has been replace the
Client: Vivantes Service GmbH enhancements, reconstruction existing small conveyor system with
Services: conveyor systems, AGV, and modernization. The Humboldt a pneumatic tube system and a
PTS, logisitcs, container washing Hospital has connected all building logistics system for clinical goods .
machines, elevators and maintenance) with a small conveyor system thatPIONEERING HEALTHCARE FACILITIES 33
SPECIALIST HEALTHCARE PROJECTS
HOSPITAL NOVA OF
CENTRAL FINLAND
Design to support care that meets the patient’s needs
A new hospital Nova, planned to intensive care unit and diagnostics. Location: Jyväskylä, Finland
be operational in 2020, will be built The office features reception rooms Value: €411m
in Central Finland in Kukkumäki, and staff facilities. The beds are in the
Gross area: 107,000 m2
Jyväskylä. hotel and the laboratories, equipment
The basis of the hospital design is to maintenance, pharmacy and logistics Client: Central Finland Hospital
support care that meets the patient’s are in the support facilities. District
needs. The new hospital is designed The goal of the project is to change Services : Project management, site
and constructed according to the structural and logistical solutions to supervision, structural and electrical
Healthy House criteria to ensure enhance the efficiency of healthcare, engineering
a clean and safe environment for and to integrate basic healthcare,
all people using the hospital. The special health care and social
hospital is functionally divided into services.
four elements: hot hospital, office,
hotel and support.
The hot hospital houses operating
theatres, the emergency room, the34 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
Image: Laing O’RourkePIONEERING HEALTHCARE FACILITIES 35
SPECIALIST HEALTHCARE PROJECTS
OUR
PORTFOLIO
SPECIALIST HEALTHCARE PROJECTS36 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
NORTHUMBRIA
HOSPITAL
With senior consultants in all medical disciplines on duty 24 hrs a day,
this is the first dedicated specialist emergency hospital in the UK
Located on the edge of Cramlington allows clear sightlines into each
to the north of Newcastle in the patient room from a central
UK, this new build facility provides nursing station evolved from direct
a uniquely comprehensive range input by clinical staff during the
of emergency care to patients in design process.
Northumbria.Specialist consultants
and senior doctors are available at At the centre of the development
all times to deliver expert emergency is a three-storey hub, housing
diagnostics and treatment to A&E laboratories, radiology and operating
patients. Our structural, geotechnical theatres. The hub is flanked by a
and civil engineers, along with our series of ‘cogs’ that house wards
environmental consultants, worked on on one side, and the entrance
the concept design. and ambulance podiums on the
other. A concrete frame solution
The clinicians’ ambition was to create was specified. The floor slabs vary
a pioneering facility that focussed between 275mm - 350mm in depth,
on patient pathways, adjacencies, depending on the vibration criteria in
nursing efficiency and sight lines. specific rooms, with the theatres, MRI
Through close collaboration the and scanner rooms being the most
design team from Ramboll and vibration sensitive.
architect Keppie Design worked
alongside clinicians to ensure this Our work on this project is wide-
vision was realised and achieved a ranging, and includes intensive
column layout that would enable ground investigations and the design
direct lines of travel between wards of a sustainable drainage system. We
and central functions therefore also contributed to the design of a
maximising efficiency in staff travel. mounted helicopter pad.
In addition a radial layout, which
Location: Cramlington, Newcastle, UK
Value: €90m
Client: Northumbria Health NHS Trust
Services: Structural, civil and
geotechnical engineering and
environmental consulting.PIONEERING HEALTHCARE FACILITIES 37
SPECIALIST HEALTHCARE PROJECTS
KING KHALID MEDICAL
CITY—NATIONAL
DIABETIC CENTRE
A state of the art diabetic facility
The new National Diabetic Centre in At approximately 15,600m2, the Location: Saudi-Arabia
Riyadh is a state of the art building building spans across four floors on Client: Samark AB, Malmo
for diagnosis and treatment of top of the basement and a ground
Services: Multidisciplinary engineering
severe diabetic diseases. Designed floor that partially sits below ground
services, including: technical supplies
by C.F.Møller Architects in Oslo, this level. Ramboll was responsible for
and connections, electrical design
ultra-modern smart structure, houses conceptual design of all technical
incl. telecommunications, fire alarm,
general and flexible facilities with installations in the building.
access control, automation, audio,
state-of-the-art technology. It houses
video, BMS system, generator-sets,
examination facilities and bed wards
UPS and elevators, mechanical design
in addition to laboratories, lecture
incl. sprinkler system.
rooms, auditory and communication
centre.38 PIONEERING HEALTHCARE FACILITIES
SPECIALIST HEALTHCARE PROJECTS
NEW CHILDREN’S
HOSPITAL
A hospital designed with children for children
The new Children’s Hospital likely to sit down and play will also design, enabling employees to view
in Helsinki, Finland, which was create a comforting environment. their future workplace virtually and
completed in 2018, spans 48,000 The building is designed according enabling the site to be viewed from
m2. The hospital’s structure has been to the Healthy House principle. The child’s perspective, creating a hospital
developed through the meticulous construction project has significantly that feels as safe and relaxed as
collection of user information emphasised humidity and hygiene possible.
including opinions of children and management in order to ensure that
research into the special needs – the hospital is safe and healthy for
physical and mental – of hospitalised paediatric patients and the staff
children and their relatives. throughout its life cycle. These key
elements were addressed during
Massive structures were designed to the design and construction phases
keep noise level down, as children through consultation, instructions, Location: Helsinki, Finland
in particular are sensitive to noise. material selection, construction
Value: €183m
To accommodate children’s sensory monitoring (including the drying
needs, all visible surfaces are of concrete casting) and dust Client: Foundation for New Children’s
designed to be interesting to look management on the site. Hospital
at and feel with your hands, safe to Services: Structural, mechanical,
use and easy to clean. Floor heating Building Information Modelling geotechnical engineering, fire seal
installed in areas where children are (BIM) was incorporated into the design, building physicsALDER HEY
CHILDRENS HOSPITAL
One of the largest specialist children’s hospitals in Europe
Alder Hey, situated in the City of that provides a play and relaxation
Liverpool in the UK, is one of the space for the children.
largest specialist children’s hospitals
in Europe serving a total catchment Designed in consultation with
population of 7.6m. The hospital is patients and their families, the
one of only a few with a University Prince’s Foundation and National Arts
Institute of Child Health and one of for Health, the hospital is the UK’s
only two Trust’s in the North West of first integrated children’s health park
England to be a formally designated and it provides a pleasant healing
provider of children’s specialised environment for children, young
services. The hospital delivers a people, their families and staff. The
wide range of children and young hospital is within Springfield Park
adult services including over 30 and the majority of bedrooms have
sub-specialities configured across natural views and easy access to the
50 departments. park; wards also have access to play
decks so that children who cannot
The new hospital cares for more than leave the ward can benefit from
275,000 children each year and is the outdoor space.
first NHS health park for children in
the UK. With a floor area of 51,000 During the opening event, in 2015,
Location: Liverpool, UK square metres it provides 270 beds, Louise Shepherd, chief executive of
Value: €190m including 48 critical care beds for Alder Hey, said: “From the beginning
patients in ICU, HDU and burns, we’ve strived to create a world-class
Client: Alder Key Children’s NHS
together with 16 digitally enhanced healing environment that will benefit
Foundation Trust
operating theatres. The majority of children and young people from
Services: Structural and civil patients have private, en-suite rooms across the UK and throughout the
engineering, technical advisor to and within the building’s striking world.”
the Trust. atrium there is an indoor tree houseHUS BRIDGE HOSPITAL
Bridge hospital, Trauma and Cancer Centre
in Meilahti Hospital Area, Helsinki
The new Bridge Hospital will entirely The implementation method is a
replace Töölö Hospital’s current collaborative project management
functions and a part of the current project with a target budget,
Department of Oncology’s facilities which has assigned the main
as well. The building will be linked implementer with qualitative goals
both fuctionally and physically to and schedule and cost targets. The
the existing Meilahti Tower Hospital, schedule for the Bridge Hospital
the Meilahti Triangle Hospital under has been set based on the chosen
construction, and to the sections of method for implementation
the Department of Oncology which enabling simultaneous planning
will remain in operation. The Meilahti and construction. Additionally,
Hospitals will become a combined construction will occur in sections
Tower, Triangle and Bridge Hospital which will allow for equipment and
entity. furnishing to be installed before the
completion of the entire building.
Location: Helsinki, Finland
The Bridge Hospital is the largest
Value: €295m construction project in HUS’ history. The project is using the Big Room
Client: HUS Kiinteistöt Oy The total area of the new building will working method which brings
Services: Consortium with Granlund be 70,000m2 with a usable floor area together designers, clients, users, and
Oy: The design of the HVAC and of 36,200m2. Laboratory facilities will contractors. Ramboll will create the
building automation system, sprinkler comprise a total of approximately project designs with Granlund as a
system, electricity, data network and 210m2 of the building. Construction consulting group.
security systems, and the design of work is scheduled for 2018-2022 and
fixed hospital equipment. the building will be put into use in
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