Your New Hospital - BRADFORD DISTRICT CARE NHS FOUNDATION TRUST Design Brochure RIBA Stage 2 - Bradford District Care NHS Foundation ...
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Your New Hospital
BRADFORD DISTRICT CARE
NHS FOUNDATION TRUST
Design Brochure
RIBA Stage 2
Revision P01
June 2021
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
1
01 CONTENTS
STAKEHOLDERS
Names and roles of stakeholders
Michael Firth Involvement Partner
Shane Embleton Head of Capital Developments
Lucy Roberts Energy and Environment Coordinator
02 INTRODUCTION 3 16 DESIGN DEVELOPMENT Staff Spaces and Offices 81 Keith Double Involvement Partner
Gillian Grimes Senior Facilities Coordinator (Security)
Kelly Godfrey Clerical Officer
03 DESIGN PROCESS 5 17 DESIGN DEVELOPMENT Library 85 John Hiley Head of Research & Knowledge Services
Freddy Lindh Senior Occupational Therapist
Federica Bianchini Library & Information Resources Manager
Chris Weston Occupational Therapy Professional Lead
04 REMOTE ENGAGEMENT 13 18 DESIGN DEVELOPMENT Fire 87 Specialist In-Patient Services
Jane Whittaker Involvement Partner
Liza Pyrah Facilities Governance Coordinator
05 WORKSHOP 1 - 21.01.21 17 19 DESIGN DEVELOPMENT Security 89
02
Gill Hahn Physiotherapy Assistant
John Vertannes Data, Information Systems and Governance
Officer
06 WORKSHOP 2 - 27.01.21 23 20 SUSTAINABILITY 91 Melanie Dawson Knowledge Manager
Zahir Daji Community Engagement Worker
Kelly O’Connor Clinical Manager, Intensive support team
07 WORKSHOP 3 - 03.02.21 29 21 ESTATES AND FACILITIES 93 Assessment and treatment Unit
Tom Rhodes Fire Officer
Joanne Smith Specialist Physiotherapist
08 WORKSHOP 4 - 10.02.21 37 22 DESIGN TEAM CO-ORDINATION 95 Catherine Jowitt
Simone Darling
Charity and Volunteer Lead
Lead Dietitian
INTRODUCTION
Sarah Sampson Health, Safety and Security Coordinator
09 WORKSHOP 5 - 17.02.21 43 23 PHASING 97 Isla Skinner Patient Experience and Involvement Lead
Kirsten McEwan Patient Experience Support Officer
Wali Nazar Senior Patient Experience Officer
10 WORKSHOP 6 - 24.02.21 51 24 VIEWS 99 Sallie Turner Carers Lead
Carly Driscoll Carer Support Officer
Emma Holmes Involvement, Experience & Inclusion Officer
11 WORKSHOP 7 - 03.02.21 57 25 NEXT STEPS 101 Annette Whomack-Brown Recreational Coordinator Psychiatry
Anthony Pickett Admin & Clerical Finance Team
Kathryn Bradney Rotational Occupational Therapist
12 TWIG & YOUNG DYNAMOS 65 Elayne Stewart Ward Manager Psychiatry
Larteque Lawson Consultant Psychiatrist
Angela Bethel Clinical Manager Psychiatry
13 DESIGN DEVELOPMENT Main Building 67 Andrew Mottram Involvement Partner
David Gibson Facilities Business and Governance Manager
Olwyn Lidster Clinical Lead - Mental Health
14 DESIGN DEVELOPMENT Wards and Therapies 71 Claire Bardgett Health, Safety & Security Coordinator
15 DESIGN DEVELOPMENT PICU and Section 136 77
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
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02 INTRODUCTION
INTRODUCTION
Through consultation with stakeholders and design
workshops with the design team we have been
developing the vision for the Trusts New Hospital.
This document has been created as a guide to illustrate
this design process and the key decisions that have been
made in order to reach the vision for the new hospital.
Following on from recent works to develop the ATU, our
new Adult Therapy Unit, we have started our next phase
of design to redevelop the rest of the Lynfield Mount.
The design process started with a review of current
facilities and establishing a vision for what the new
03
facilities will be.
A number of Stakeholder engagement workshops have
been arranged in the very early stages of design, with the
first workshop taking place as early as 2019 but largely
starting again in January 2021. The groups looked at their
Above and Below - Early concept visuals taken from 3D concept model RIBA Stage 01 future aspirations for the hospital and also looked at how
the building would flow, and how a typical ward might fit
together amongst other departmental arrangements. DESIGN PROCESS
The workshops are organised to facilitate meeting the
future aspirations for the new hospital, some key goals
for these are set out in the Strategic Outline Case and
summarised as follows;
• To de-stigmatise the facility with a transformative,
inclusive and community facing facility
• Create a space which supports well-being
• Support the recovery of service users
• Optimises new technology
• Reduces carbon
• Achieves optimal infection prevention and design
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03 DESIGN PROCESS
STRUCTURE OF THE
DESIGN PROCESS
BUILDING THE BRIEF
The process of design is essentially to ensure that the The brief for the scheme is the formal communication
finished building is suitable for its purpose and meets all between service users and designer. A
the aims, aspirations and functional requirements of its comprehensive brief is essential so there is a clear
users and visitors. understanding of requirements. These include both
factual requirements, for example schedules of
The process for Lynfield Mount Redevelopment aims to accommodation, and the more intangible feelings
ensure that the views of all interested stakeholders are about how the redevelopment might feel - how it
represented and captured, and ultimately taken into will calm or stimulate, reassure or excite. This design
The design process account in the design process.
What does “good” look like in a hospital environment?
brochure then summarises the outcomes from the
work carried out with users and stakeholders and
The stages of this process are; provides a basis for starting the design work with the
• Design workshop preferred contractor.
• Design Brochure
• Design team review workshops
You Together US
Users should then be better able to judge proposals
• Evolution of the design put before them, and have confidence in the
• Construction • Welcoming outcomes.
• Supportive
Capturing the spirit, purpose and vision of the new This document will illustrate the existing sites
Models of Care • Uplifting
Operational Policies facility sets the scene for the environment that the new qualities, development opportunities, constraints
redevelopment provides. The design workshops enabled • Functional with maintaining the site as a live operational
hospital. Other physical and operational site
service users to communicate their feelings about • Adaptable constraints are considered, such as, access for
how the space is used and how spaces flow within the • Safe visitors, arrival onto site, fire safety, security,
Functional Relationships
building, light colour, landscape and furniture. deliveries, waste and other various operational
Schedules of Accommodation • Secure
• Robust requirements.
The success of a scheme depends on good
communication between users and designers and the • Well-Built
Strategy Schemes
workshops aimed to break down barriers and myths, • Un-obtrusive
Layout Design
Technical Detail and to enable users to see how space and functional
relationships are designed and to also understand the
constraints of the redevelopment due to the existing
retained structure.
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03 DESIGN PROCESS
UNDERSTANDING THE
DESIGN PROCESS 03 DESIGN PROCESS
FUTURE ASPIRATIONS
Understanding how the design process works and Results from ‘Now and the Future’
being aware of how to judge design proposals are key How will the building meet your needs?
to being able to participate in the creation of successful
re-developments. All good buildings stem from good Service users used words to describe the current
briefs and, as the design process evolves, the solutions Lynfield Mount layout. The image to the left shows
need to be tested against the brief by users able to make typed up notes which in summary express the poor
informed choices about the shape, style function and environment of the hospital and how this leads to poor
usability of the schemes. temperature control and a dated interior.
During the early days of the SOC in 2019 a stakeholder Dark corridors, also described as boring are contributing
event was held in the Cafe. This was held as a relaxed to the current non-therapeutic service user experience
walk in event with a presentation, an introduction from within the wards.
P+HS and how the project will start to engage with
groups during the design process. When asked about the service users future aspirations,
there were many comments reflecting the need for
During this session groups and individuals worked to bright, homely, calming and welcoming space.
review what would go in the new facility, together with
“likes and dislikes” and “Hopes and Fears” for the project.
The comments for the need for better outdoor space, a
Display boards with images and text were displayed centralised activity area and a cafe closer to the main
encouraging the stakeholders to comment. The results of entrance have all been picked up within the following
these were then recorded and used as a basis to develop workshops too.
the remainder of the engagement sessions.
A power point presentation capturing the structure of
the design process was presented and structured as
follows, two example slides are shown to the left.
Introduction to the design process
1. A bit about design
2. Developing the Vision
• Now and the Future
• Hopes and Fears
• Likes and Dislikes
• How will the new building meet your needs?
3. What happens next
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03 DESIGN PROCESS
HOPES AND FEARS LIKES AND DISLIKES
Results from ‘Hopes and Fears’ Likes and Dislikes
Service users were able to anonymously provide A large poster collage showing a variety of interior
comments with their hopes and fears for the new spaces was positioned in the cafe. Service users and staff
hospital. were invited to place red or green stickers representing
likes or dislikes for the images. The images were then re-
A snap shot of the structure of the questionnaire and the presented collating the likes and the dislikes.
comments are shown to the left.
To the left is an example of some of the ‘likes’.
A sample indicates the general and collective
requirement for a non-clinical feel, for the new space to Domestic fire places, a variety of light and bright day
be therapeutic and a safe environment for all. spaces and inviting reception areas were highlighted
in green as preferred images. An ‘active street’ with a
Further comments detail the requirement for adaptability running track, single sided corridors with views out have
for the many different users of the facility. provided inspiration for the new hospital.
Good lighting with as much natural light as possible and Red stickers that represented the ‘dislikes’ were showing
access to more functional outdoor space. more corporate spaces, examples of darker spaces, more
industrial exposed ceilings showing services and long
Fears for the future hospital have mentioned ‘difficulty dark corridors.
adapting to many guidelines and ‘blanket’ application
of these to all the spaces.’ From this comment we can
take on board the need to create spaces that will enable
freedom for service users, as far as possible, by improving
visibility, observation and appropriate furniture so that
more spaces are available and safe to use.
The fear of the aesthetic appearance overriding the
functionality of the space is acknowledged, the building
primarily will need to be fit for purpose for the service
users and the budget spent wisely in order to provide
the homely feel and appropriate aesthetic feel where
required.
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04 REMOTE ENGAGEMENT
04 REMOTE ENGAGEMENT
PROGRAMME OF
MEETINGS 04 REMOTE ENGAGEMENT
ONLINE ENGAGEMENT
The pandemic which hit the UK last year has meant that Microsoft teams
the majority of the stakeholder engagement has had to
be carried out remotely. Microsoft teams has hosted all of the events since
January which has enabled stakeholders to comment
P+HS and BDCNHSFT have worked closely together in and ask questions throughout the presentations which
order to ensure that the right stakeholders are able to has been invaluable in hearing everyone’s voices.
access the workshops online.
The teams meetings were all recorded and uploaded
Programme of meetings onto a secure online platform for stakeholders to view.
From January until April weekly stakeholder engagement There were opportunities to comment on the meetings
meetings were held every Wednesday, in total there were and the presentations after the meetings. Any further
over 35 meetings. These covered; feedback and comments were brought to the design
teams attention in advance of the next meeting in order
A typical ward Therapy spaces to incorporate any comments.
Public areas PICU
Section 136 Tribunal
Staff Spaces
More targeted meetings were held to discuss further
management and fire at these early design stages.
These included;
• Security
• Fire including the Trust fire officer and external
consultant
• The Library
• Sustainability
• TWIG (Trust Wide Involvement Group)
• Young Dynamos
• Further Management
• Pharmacy
• Landscaping
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04 REMOTE ENGAGEMENT
ONLINE VOTING
Mentimeter
The online voting tool Mentimeter has been used
extensively in this process as it was seen as a very user
friendly and accessible tool for all to use with staff
support where required.
The text and the sizing was altered in order to ensure that
visual contrast was adequate for engagement.
05
Service users were introduced to each questionnaire and
a hand out was circulated to assist with instructions in
advance.
A unique code is distributed at the beginning of
each session so that stakeholders could access the
questionnaire. The results stayed live for 48 hours after
each session so that people who were not in attendance WORKSHOP 1 - 21.01.21
at the time could later input data.
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Learning about your existing facility and what 05 WORKSHOP 1
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Mentimeter Survey Questionnaire and Findings
you need for the future
Opening questions Further questionnaires
The first series of questions were general everyday life The following questions were asked as part of Workshop
questions in order to assist with explaining how to use 1, below each of them is a summary finding;
the online mentimeter voting tools and to also warm the
stakeholders into voting. Q. What are the current challenges you face day to
day at Lynfield Mount?
Stakeholder roles A. Parking, access and way-finding were heavily
The Trust worked hard to ensure that a relevant and referenced as some of the challenges currently within
consistent group of stakeholders attended the meetings the hospital. It was clear from the start that creating a
where possible. In order to demonstrate that a wide new hospital that had a clear entrance, with clear links
range of voices were being heard, a word cloud that was would be crucial to the success of the environment.
populated by the stakeholders evolved to share who was
in attendance. A separate attendees list was also created Q. How well do you feel the environment nurtures
to capture this. service user recovery currently?
A. In summary the comments mention that the current
Q. What departments / area of the hospital are environment is not as therapeutic as it should be,
relevant to you? particularly due to the age and the layout of the space
The response to this question was very interesting and and the lack of outdoor space and light.
also unexpected. Many stakeholders answered that the
Wards and in-fact all areas are important but the Library Q. Describe how you feel about Lynfield Mount as it
was the most emphasised space which lead to holding is now?
a separate workshop for this space and also relocating it A. The outdated decor and poor layout was referenced
to the ground floor eventually after a few more workshop heavily and the lack of therapeutic space for activities.
discussions.
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Mentimeter Survey Questionnaire and Findings 05 WORKSHOP 1
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Mentimeter Survey Questionnaire and Findings
Q. Does the environment support you in providing Q. Please rate the importance of the following
excellent care? Give a couple of examples. statements for your future requirements - (example
A. The lack of space and fragmented services in poorly statements to the left)
equipped buildings were referenced with a general steer Providing a safe and secure environment and creating
towards this inhibiting delivery of best care. The lack a positive first impression ranked highest from the
of resources for therapy space, the general decor and statements to the left, however all of the statements
layout causing problems for service users, for example scored highly.
narrow corridors creating flash points.
Q. Please rank the following out of 10 for your
Q Does the environment support you in receiving current hospital environment. - (example statements
excellent care? Give examples. to the left)
A. There was a mixed response to this question. It is All of the statements were listed below 5 out of 10 for the
recognised that staff do a great job in a challenging hospital current environment. Supportive staff spaces,
environment. There is a lack of varied activity and choice control over the environment, adequate office space and
for service users is an issue and spaces feel boring. It was access to outdoor space all scored less than 3.
mentioned that visiting rooms on wards are needed and
that a community facing cafe would be beneficial.
Q. Describe your future aspirations for the new
Q. Please give examples of what you think would hospital in single words.
make the hospital better. The key phrases and words that stood out were;
A. The responses were very clear that access to outdoor Welcoming, friendly, safe, inclusive, inviting, light, modern
space is very much in need to create the therapeutic, and healthy.
healing vision for the new hospital.
Providing a variety of therapy areas such as a gym and
more spaces for activities is needed. Improving the cafe
and making this more accessible and providing more
community and shared spaces were listed.
With regards to the physical environment an airier, light,
welcoming and friendly atmosphere is needed.
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06 WORKSHOP 2
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Learning about your existing facility and what 06 WORKSHOP 2
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you need for the future
Aerial view Site Hierarchy diagram 2
Site Hierarchy diagram 4
Potential
Functional site development phasing - power point
live site Enabling Phase 1
Phase 3
Potential site development phasing - power point
N Notes
presentation N Notes presentation
1. Construction of Ward 2 & 3
N Notes Presentations and diagrams were simplified in order 1. Demolition process
A demolition process of the
The construction of Ward 2 & 3
will take place during Phase 3
existing Pistol & Rifle club will
to present the sites existing properties, how we may take place in the enabling Phase 1.
simultaneously.
The sample images taken from the slides of the
1. The area hatchedthe
develop in red has
scheme in phases and how this would 2. Relocate services
The ATU services will be relocated
2. Relocate service users
presentation are shown to the left.
The service users will be
been purchased by the Trust from the Highfield Unit to the
relocated from the Ashbrook
impact the site.
and Maplebeck Wards to the
2. Relocate previous Step forward Centre in
formally used as a Pistol & Rifle service users order to help develop
the site for the new PICU.
newly constructed Wards.
club. 1. Construction
3. Demolition process & clearing
of Ward 3
3. Demolition process
There are 4 main phases;
A demolition process of the
existing Ashbrook and
The existing site departments were highlighted and existing parking spaces
A demolition process of the Maplebeck Wards will take place
2. This diagram represents the existing PICU and a clearing of the as the final step of Phase 3.
Outside of Scope the current operations were described. The existing
operation of the existing live
existing parking spaces2.will take
place as the final step of the • Phase 1 - Enabling phase - relocation of ATU,
site. TheMoorlands Forensic
of services were highlighted
enabling Phase 1.
Existing forensic main consideration
1. Construction
of Ward 2
purchase of gun club
inpatient facility
as remaining
the proposed scheme is to innot
place. The ATU is currently being • Phase 2 - Build new main building with public
Vacant
disturb the live facilitiesfor
refurbished andrelocation of services which will unlock key spaces, PICU, section 136 and Ward 1 and associated
services during the construction
process. the site for the first phase of the development. links, car parking and services. Followed by
primary circulation link
Existing Live PICU
Clover Ward
key
Site Hierarchy diagram 2 secondary circulation link
demolition of previous accommodation.
Live Enabling Phase 1
Kitchen & Laundry Buildings that are to remain in place and buildings that land subject to purchase •
existing buildings
Phase 3 - Build the female ward, male ward and
N Notes
are to be remodelled and demolished were described in existing buildings demolished building location
remainder of link and car-parking followed by
1. Demolition process
further detail in the following slides. demolished building location
A demolition process of the
proposed building location
from previous phases demolition of remaining existing ward.
existing Pistol & Rifle club will
• Phase 4 - Build final ward and complete landscaping
proposed services location
Live Off Ward Site Hierarchy diagram 3
take place in the enabling Phase 1.
proposed building location
Live Day Space Services & Main Entrance
existing trees
Existing Live Adult Main Facilities We continued to use power point throughout the scale 1:1250 @ A2
Phase 2 2. Relocate services
existing trees
and car-parking.
Mental Health The ATU services will be relocatedSite Hierarchy diagram 6
Wards design process in order to illustrate bubble diagrams for N scale 1:1250 @ A2
Notes from the Highfield Unit to the
previous Step forward Centre in
Opportunities & Constraints
2. Relocate
adjacent plans. service users 1. Construction of the new
PICU, Main building & Ward 1
order to help develop
the site for the new PICU.
Notes
4. New car parking spaces The three buildings will be built
1. The diagram shows the
simultaneously during Phase 2.
3. Demolition process & clearing proposed location of the 5 wards
The shapes within the presentation could also be
New car and the main building.
2. Relocation of service usersparking spaces existing parking spaces
1. Construction The service users will be A demolition process of the
changed live as we were describing the design which of the new PICU relocated from the Clover Ward
PICU
to the new PICU.
existing PICU and a clearing of the
existing parking spaces will take
assisted in developed the adjacency diagrams. 3. Relocation of service users
place as the final step of the
enabling Phase 1.
The service users will be
1. Construction relocated from the main
Existing 2. of the main Ward
building, the3 kitchen library, the
Live ATU
Bubble diagrams were developed in parallel to the
building
Live Services 3. physiotherapy and the Main
building
bungalows to the new main
3.
Existing Live Services results from the mentimeter feeding the results from building and Ward 1.
Ward 4
4. Creating new car parking
each week into the diagrams which then lead to further 1. Construction
New car
spaces
parking spaces
of Ward 1
tweaks. 5. Demolition processWard 2
A demolition process of the
Ward 1
3. existing Clover ward, Main
3. building, Kitchen library,
Physiotherapy and Bungalows
key
will take place as the final step
of Phase 2.
land subject to purchase key
Outside of Scope
existing buildings
views out
key key demolished building location primary circulation link
land subject to purchase
proposed services location
land subject to purchase existing buildings
secondary circulation link
existing trees
existing buildings
demolished building location
site boundary scale 1:1250 @ A2
proposed services location proposed services location
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST BRADFORD DISTRICT CARE NHS FOUNDATION TRUST existing trees existing trees
scale 1:1250 @ A2
24 25 1:1250 @ A2 scale 1:1250 @ A2
7 scale06 WORKSHOP 2
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Mentimeter Survey Questionnaire and Findings 06 WORKSHOP 2
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Purpose and outcomes for the questionnaire in Q. Are there any therapy services you are aware of
workshop 2; that could be incorporated into the new facility?
• To discuss the current hospital environment and A. Arts therapy, social allotment for gardening and music
how this affects recovery. and performance activities were desired along with more
• To discuss what works well in the hospital and what specific clubs such as My Well Being College and Andy
can be improved. Mans Clubs. Consideration over how these community
• To start to think about what features you might want services can access the space will be made.
in the new hospital
Q. Are there any community activities you are aware
Q. Select your favourite main reception images - you of that could mutually benefit Service Users and the
can chose more than one. Community within the new facility?
A. The top left image shows a light and bright space with A. Lynfest and a variety of organised sporting activities
views to nature are important to the stakeholders. reinforced the requirement for the prominent position of
the rec hall with access to outdoor space to be centrally
Q. What facilities are currently missing or of a poor located for shared access. Drama, music and communal
quality? cooking for healthy living were referenced which were
A. Parking, outdoor space , a nice reception and therapy discussed as suitable for the Rec hall and shared off
spaces are currently missing. ward therapy spaces.
Q. Select your favourite public space feel for the Q. In your opinion, what properties should the
main building - you can chose more than one. bedrooms have? You can chose more than one.
A. The bottom left image shows that a calming A. Results to the top left, ability to personalise, natural
atmosphere with a wellness feel is important to the material, a window seat and a choice of bed location
service users. were discussed as preferred. Artwork and a view of
nature is also desired.
Q. If you had access to these staff facilities would
these improve your working day? Q. Please tick which areas you feel would have a
A. Results top right, a library, staff hub and a variety of positive impact on your working environment. You
quiet rest spaces on and off ward are important for staff. can tick all or none if you like!
A. Results to the bottom left, flexible, multifunctional
Q. If you had access to these facilities do you shared spaces are important as wheel as a centralised
consider these could make you feel better? staff canteen, staff hub and spaces to relax.
A. Results bottom right, off ward therapy, easy access
to nature and a variety of quiet spaces are important for Q. Please describe any pitfalls or gaps in the current
service users. environment not previously covered.
A. Items such as; lack of appropriate staff spaces,
therapy spaces and a poor built environment were
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7 706 WORKSHOP 2
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Mentimeter Survey Questionnaire and Findings
Landscaping
Q. How long do you currently spend using your
outdoor environments every day?
A. The majority of the current service users do not use
the outdoor spaces as the access to these is limited,
those that do primarily use them for less than 30 minutes
a day.
Q. What do you use your current outdoor
environment for?
A. Most of the service users described using the outdoor
07
spaces transiently as there are currently limited space
for dwelling.
Q. How do you want to use your outdoor
environments?
A. Games, exercise, social activity and resting, relaxing
gardening and therapy are all described as desired
activities for outdoor spaces. Eating lunch and socialising WORKSHOP 3 - 03.02.21
are important too.
Q. Describe your current outdoor environment?
A. Limited, boring and dull. Not enough flowers, bleak,
small and enclosed along with many other dark and
insufficient descriptions were listed.
Q. What is the biggest challenge or issue you have
with the outdoor environment?
A. Lack of usable outdoor space, the flow and the
layouts are not usable in a relaxing way. Lack of seating
and shelter for relaxing in adverse weather.
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Learning about your existing facility and what 07 WORKSHOP 3
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Mentimeter Survey Questionnaire and Findings
you need for the future
Q. As a service user or a visitor what would you want Q. How do you feel about the following statements
to experience immediately on arriving at the new regarding the Library, 0 is strongly disagree 10 is
hospital? You can pick one or more. highly agree, 5 is neutral.
A. The majority of votes focussed on reception being at A. Results and statements to the top left image. It
the front of the entrance along with the cafe and nice became clearer during the engagement process that
views. the library space has shared access for certain members
within the community and that a more prominent
Q. As a member of staff on arriving at the new position easily accessible to the ground floor is more
hospital what do you want to experience first? You appropriate.
can pick one or more of the following.
A. The answer to this question is very important to the Q. Are separate wards to be easily connected to one
design and operation of the new hospital, as staff here another? Describe briefly how this can work better in
are largely requiring a private entrance away from the future.
public eye so that they can change and see colleagues A. Wards are to be better connected to help with
prior to stepping onto the wards. response times and for smooth transfers. Long and lonely
corridors are to be avoided, which has also strengthened
Q. What do you think about a communal wellness the concept for the active street.
centre, including an exercise area, cafe and public
meeting space that opens up to outside space? Q. Describe how off-ward therapy areas are to be
A. This question was positively received for the majority accessed? 10 score is highly agree.
of responses, comments mention that the feel of the A. Results to the bottom left. Access to outdoor space
space is to be driven by wellness, community and health. scored highly along with straight access from the wards,
being close to the main entrance and being more visible
Q. Rate which public spaces and services you want were less desirable.
to see on arrival at the new hospital? Ten is a high
score. Q. Who needs an office / desk on a ward?
A. Flexible spaces that can accommodate the A. The response to this question raised a further series
community and therapy are preferred along with family of questions which evolved into how the MDT room
rooms and a basics shop. It was later discussed that the operates and how junior doctors are also supported on
cafe could also support more informal connections with the ward.
family and friends for service users.
This eventually assisted with the development of the
schedule of accommodation to add a SAS office.
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Mentimeter Survey Questionnaire and Findings 07 WORKSHOP 3
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Q. Who needs an office / desk off ward? Q. How do service users arrive at the Place Of Safety
A. The offices for the staff areas have been defined / Section 136 currently and what can be done to
within the SOA and the results of the word cloud to improve their experience?
the top left identified potential gaps that required A. Locating the new place of safety away from the main
clarification such as pharmacy, research, the students entrance in a private and welcoming environment was
which were all explored further in more detail. Results are discussed. The space should feel safe, be very private
displayed in the word cloud to the top left. and have good acoustics with soft furnishings. The word
cloud to the top left shows the results.
Q. Should tribunal spaces be accessible from the
public areas or closer to the wards? Q. How do service users arrive on a ward? What
A. A clear response to this question which changed the could make their arrival more welcoming?
positioning of the tribunal suite at the early stages was A. Service users described how they felt when entering
that tribunal services are required to be closer to the a ward. It was clear that sometimes needing time to
wards and did not have a requirement to be close to the acclimatise to the space is important. This had an impact
public spaces. on the ward layout itself to bring therapy towards
reception and to also have a window seat with a view
into the smaller therapy garden. Providing a welcoming
Q. Describe briefly any current concerns about homely feel was preferred along with clear signage and
access to Tribunal and what can be done better. orientation.
A. Clearer way-finding was mentioned several times in
the response along with general references to the feel of Q. What activities would you like to take place in the
the space. Making the space feel more comfortable and Recreation Hall?
less intimidating is important to the service users. The A. The results of this question demonstrated that the
text boxes to the bottom left show an extract of some of Rec Hall will need to be highly flexible, able to house
the comments made during the session. drama, sports such as badminton and basketball, music
and art.
Having tall ceiling for appropriate lighting and ball games
will be required.
Q. Where should the Recreation Hall be located?
A. Locating the Rec Hall near the wards is preferred
with access for the public and Moorlands View. There
was a desire to also have this close to the cafe but it was
further discussed that having a drinks facility in the rec
hall itself would work well. Results are shown in the word
cloud to the bottom left.
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32 3307 WORKSHOP 3
WORKSHOP 3
Mentimeter Survey Questionnaire and Findings 07 WORKSHOP 3
WORKSHOP 3
Introducing the site hierarchy diagrams
Landscaping
Q. Thinking about your new arrival space - which of key Q. Thinking about your new arrival space - which of
these Landscape qualities do you prefer? Choose existing buildings
these Landscape qualities do you prefer? Choose
your favourite image. intimate spaces your favourite image.
A. The majority of the votes asked for a natural parkland private spaces
setting and a formal approach with lawn and planting. A slide presentation for the stakeholders demonstrated
Semi-private spaces
early considerations of departmental adjacency based on
Q. Thinking about the private and semi private areas. public spaces the following;
Which of the following outdoor spaces feel most landscaped spaces
comfortable to you? Choose your top 3 images. • Locating the main entrance facing the community
A. Small enclosed spaces and natural spaces with existing trees
• Ease of parking and way-finding
winding paths and dense planting with quiet courtyard scale 1:1250 @ A2
• Private entrance for the place of safety
spaces are preferred for the smaller courtyards. Trees are • Privacy for the wards and the PICU
preferred however we understand that there are further • Tribunal services close to the wards and to the PICU
conversations to be had regarding the health and safety • Off ward therapy close to wards but closer to the
Site Hierarchy diagram 12
of the service users. Site Hierarchy diagram 11 community Identifying potential spaces
Introducing general spaces
N N
Q. Which of the following features do you feel would The diagram simply represented
Pharmacy
a vision
Cook Fresh Section 136
to have shared
best benefit staff and service users in you new parking
main
entrance community facing spacesKitchentowards the street with private
landscape? Choose your top 3 features. shared off
ward
parking and intimate spaces protected
Tribunal
by landscaping buffers
Entrance
main PICU
A. Social seating, outdoor gym and a kitchen garden communal
landscaped building
Tribunal
and security further into the site.café & retail
services
area
featured high on the list of features within the new main services
Off ward Typical MH
Shared
gardens. The concept of having several activities and main
entrance
Shared off
ward
wards PICU Entrance
café & retail
How the public and staff park
therapy offices at functional
this
ward
stage has been
wards
dividing the main courtyard into clear spaces started communal
considered with public parking at the front with spill over
Shared
developing at this stage. and staff parking to the rear of the site.
landscaped main
area building offices
Typical MH
shared off functional
ward
ward Off ward
parking
Q. Thinking about the style of planting - which of Typical MH
therapy
key
these is your preferred style? Choose your favourite functional
ward key
image. existing buildings
existing buildings
A. Naturalistic planting with large trees, woodland parking intimate spaces
gardens and ornamental meadows planting are
intimate spaces
private spaces
preferred. private spaces
Semi-private spaces
Semi-private spaces
Q. Would you see yourself using internal courtyard parking
parking public spaces
spaces such as the one below? landscaped spaces
public spaces
A. The view to the bottom left shows an internal landscaped spaces
courtyard and a simple yes or no question was asked, existing trees
most of the responses said yes they would use this existing trees
scale 1:1250 @ A2
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST internal courtyard space. BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
scale 1:1250 @ A2
34 3508 WORKSHOP 4 - 10.02.21
08 WORKSHOP 4
WORKSHOP 4
Public Spaces 08 WORKSHOP 4
WORKSHOP 4
Public Spaces
Workshop 4 covered the areas for the public spaces, Q. What do you think will be the most frequently
the structure of the workshop started with a series visited places / rooms / spaces service users will
of questions to assist with adjacencies between access in the public spaces?
departments and key rooms within them. A. The word cloud to the left highlights that the cafe
and gardens will be visited the most frequently and
All the questions are listed in this section as follows; positioning these centrally and accessibly within the
design is key.
Q. How do you currently get to and from the Lynfield
hospital site ? Q. Does the advocacy office, cashiers and multi faith
A. The majority of staff currently drive to work with office need to be accessed discretely or to have a
smaller percentages travelling via public transport, then clear ‘street’ position? Please explain briefly.
other, by foot then by bike highlighting the need for A. There was a mixed response to this question however
adequate parking and also bike storage and changing the clear take away comments are that it needs to be
rooms to encourage more greener means of transport. easy to find, visible and not hidden away but discreet
and safe for the staff.
Q. What would you like to buy from the new coffee
shop? Name your top three things. Q. Do family visiting areas within public spaces in the
A. Coffee, cakes and snacks were highlighted by the staff main building need to be closer to off-ward therapy
and service users, it is acknowledged that the main staff or the cafe? What facilities should be here?
canteen will be used for meal times. Staff mentioned they A. A snapshot of some comments to the left highlight the
would like the opportunity to grab a coffee at times but requirement for the family spaces to be located close to
would also like the opportunity to take a break away from the wards and the cafe with access to green space.
public view upstairs.
Q. Does the pharmacy need to have a small
Q. Who will visit the cafe? What other activities dispensary in the main building?
would you like to take place here? Eg reading, A. The pharmacy has a requirement for a small
laptops, etc dispensary within the main building but behind the
A. The word cloud to the left highlights that a mix of secure line.
people will be using the cafe and it was decided at an
early stage that this will need a secure line to protect Q. Are there any other public spaces not mentioned
service users that are currently inpatients. so far that you think would be beneficial and why?
A. The answers to these questions were all about the
Opportunity to use a lap top, charge mobiles, read and outdoors, requesting mainly a walking route, an outdoor
play some board games were desired. gym and a kitchen garden.
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38 3908 WORKSHOP 4
WORKSHOP 4
Public Spaces 08 WORKSHOP 4
WORKSHOP 4
Public Spaces
Landscaping Landscaping
Q. How would you value the below qualities within Following the mentimeter survey, a bubble diagram
your new public outdoor spaces? 1 is low / 10 is high. was presented which represented flow from the main
A. The voting bars to the left indicate that comfort and entrance towards reception and how the other rooms
image scored highest followed by sociability. would flow from here.
Q. What adaptations need to be made for users to The adjacencies were discussed along with importance
increase accessibility and inclusion within your views from areas towards the landscaping.
public outdoor spaces?
A. Having level access and being wheelchair and pram Following comments from stakeholders the cafe was
friendly are key to the design, providing appropriate brought further towards the entrance and key comments
seating and shelter for adverse weather will make the were as follows;
outdoor spaces more user friendly.
• Light and bright reception
Q. What do you like from your public outdoor space? • Calming and welcoming
A. The spider diagram to the left indicates a high priority • Open
for most of the attributes asked such as opportunities to • Clear Way-finding
walk, watch and see, listen, sit , to have a positive sensory • Cafe with smell of croissants and garden views
experience. • An inclusive space which brings people together
• A relaxing and informal space for all
Q. Which public outdoor space feels most • Nature and plants
comfortable to you?
A. Spaces that bring people together, that are wide and
open are most comfortable for the service users.
Q. Which hard material is most appealing to you for
your public outdoor spaces?
A. Resin bound, colourful, concrete and hard paving are
preferred hard surfaces.
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40 4109 WORKSHOP 5 - 17.02.21
09 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces 09 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces
Workshop 5 covered the areas for the wards and therapy Q. What will help service users feel better on the
spaces, the structure of the workshop started with a wards?
series of questions to assist with adjacencies between A. Space and a home from home feel is important to the
departments and key rooms within them. well-being of service users. Ensuring there is adequate
privacy, spaces to retreat and also spaces and activities
All the questions are listed in this section as follows; to prevent boredom are important.
Q. When arriving as a service user onto off-ward Q. Where should the main lounge space be located,
therapy spaces, how would you like this to feel? how should this feel?
A. Having easy access to the wards with open landscape A. The lounge should be central and clearly observed
views are a priority for these spaces. It was at this stage with ample access and views to outdoor space.
we started to consider locating them looking into the
main courtyard. Q. Where should the dining space be located, how
should this feel?
Q. Should off ward therapy spaces be located A. Close to the lounge and also central, it should feel like
together or as individual spaces along a street? home but also have a variety and choice of spaces to sit
A. This question became pivotal to the location of the and eat with views to outdoor spaces.
off ward therapy areas. Locating the therapy spaces
individually along an active street whilst being closely
connected lead the design to the current positioning.
Q. Can therapy spaces be multi functional?
A. A majority vote for yes was received which will result
in the layout of the spaces allowing for multiple uses,
although in later workshops protecting some therapy
spaces will also be required.
Q. As a service user arriving on a ward for the first
time what would you prefer to experience first?
A. A quiet space to talk and a welcoming reception is
important for first experiences when entering a ward.
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44 4509 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces 09 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces
Landscaping
Q. Should the on-ward therapy spaces located Q. What activities, elements or functions would you
together or separately? like to see as part of the outdoor therapy spaces?
A. The response to this question was fairly mixed as A. Gardening, seating, relaxation and being able to
demonstrated to the left, just over two thirds of the votes exercise outdoors are important for the service users.
stating either clearly together or apart and the remaining Having sensory experiences and different options
third stating this did not matter. of outdoor spaces to use was discussed during the
We discussed during the session that more quiet areas workshop.
such as quiet lounges and one to one therapy spaces
should be located towards the bedrooms with more Q. What qualities would you like from your ‘private’
active areas central to the day spaces which is now outdoor communal ward spaces?
reflected within the plans. A. Comments to the bottom left show that every day
experiences such as flowers, taking a walk in the park
Q. From as staff perspective where should the staff and being able to experience the outdoors even on rainy
offices be located on a ward? days were described by the service users.
A. The response to this question was fairly similar in Having good observation and feeling safe is also
that staff spaces should be dispersed around the ward important.
supporting the day spaces, with the main ward office
close to high traffic areas such as lounges and dining Q. What would you like to see within the smaller
spaces. ‘private’ courtyard spaces?
A. Individual seating and having a closer connection
Q. What will help with observation and safety on the to nature is described in the response to this question.
ward? Spirituality and quiet space for contemplation is
A. An extract of comments to the left show that important, a low stimulus environment was also
clear lines of site, no blind spots, the use of CCTV in described.
appropriate spaces and wide corridors were listed as
helping to create a safe environment.
Q. Rate importance of facilities you would like to
have access to on a ward?
A. All four attributes in the voting bar to the left were
rated as important. It was discussed that having a variety
of quiet spaces and ability to control and personalise
individual bedrooms is important for service users.
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
46 4709 WORKSHOP 5
WORKSHOP 5
Main building design development recap. 09 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces bubble diagram
adjacencies
After the mentimeter questionnaire we shared the design During the next stage of the workshop bubble diagrams
development for the main building for discussion. were presented which showed adjacencies for the
therapy spaces in relation to the main entrance and the
This was the first attempt to place the bubble diagrams wards.
into the wider context of the site and within a building
footprint. Workshop 5 Off-Ward At this point the therapy spaces were clustered
Suggested adjacencies
MAIN ENTRANCE
surrounding a centralised courtyard and their own
Individual
Key adjacencies were implemented as shown in the therapy circulation core which then linked to an active street
Individual Easy access to the wards
sketch layout to the left showing a centralised cafe with therapy
room Individual
therapy
where the wards were easily accessed.
room Open view to landscape
views out towards the main courtyard. room
Located individually
SPACES SHARED WITH PUBLIC Individual Individual
along the ‘street’ In summary from the mentimeter survey during this
therapy therapy
At this stage the outpatient treatment spaces were room room workshop it became clear that this perhaps needed to
Multi-functional spaces
located in the left arm of the building along with multi- change to show off-ward therapy spaces closer to the
faith a complimentary therapy room and well-being Courtyard Group Room
ward and more accessible from the active corridor.
space. A suite of toilets are located close by the cafe 5 – 10 person
and spread in two locations. ACCESS FROM
HIGHFIELD Wheelchair
Gardens Accessible
WC x2
A secure line is shown at this early stage to demonstrate OFF WARD THERAPIES
Group Room
Individual
how the cafe could be accessed from two sides of the PICU therapy
5 – 10 person
building. Entrance
room
Group Room Group Room
A circulation core from the main entrance is indicated 5 – 10 person 5 – 10 person
Outdoor
with the aim of taking staff up to first floor, this is later Therapy
relocated further within the left arm of the footprint. Recreational Hall
space
Gardens
Ward 4
Entrance Ward 1
Wheelchair
Accessible Entrance key
WC x2
intimate spaces
private spaces
ACTIVITY STREET
Ward 3 Ward 2
Semi-private spaces
Entrance Entrance
public spaces
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48 4909 WORKSHOP 5
WORKSHOP 5
Wards and Therapy spaces
Typical Ward Bubble Diagram
A typical single sex ward bubble diagram was presented
which showed access from the main active street.
Reception is immediately located here along with an
interview and visiting room.
The dining and lounge are shown centrally located as
ACTIVITY STREET Workshop 5 Ward mentioned already in the surveys with on ward therapy
Suggested adjacencies spaces spread away from the bedroom wings.
Reception/
Consultants admin office A quiet place to talk to staff The bedrooms at this stage are shown as two separate
Staff Office
10
Home-ley feel unconnected wings with views into the ward courtyard
Staff room
Privacy and landscaping to the opposite sides.
Shower Acc
WC Interview/ Treatment
Change and Visitors room room
WC
Gardens Clinic Dirty
room Utility
Therapy /
Activity Storage
room
Ward Office
WORKSHOP 6 - 24.02.21
Interview
Ward room
MDT Room Ward kitchen Sensory
Manager pantry room
Beverage bay
Patient
laundry
Dining area Sitting area/room Gym
Private garden views
Linen
Quiet room
Multi-faith Acc
Acc WC
WC Bathroom
WC with
Bathroom Shower
WC with
Shower
Gardens
Gardens key
Gardens
intimate spaces
Private garden views Private garden views
private spaces
Semi-private spaces
public spaces
WARD THERAPIES
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
5010 WORKSHOP 6
WORKSHOP 6
Staff Spaces and Offices 10 WORKSHOP 6
WORKSHOP 6
Staff Spaces and Offices
Workshop 6 covered the areas for staff spaces and Q. How should the off-ward staff office spaces be
offices, the structure of the workshop started with a accessed?
series of questions to assist with adjacencies between A. There was a mixed response to this question, it was
departments and key rooms within them. split between from the main entrance and the staff
entrance, subsequently it may be possible to access
All the questions are listed in this section as follows; from both. A key storage system will be in place near the
changing rooms for accessing the wards.
Q. During the pandemic where has your office been?
A. A mixed response with the majority of personnel Q. What kind of workplace culture do you want to be
working from home or a mix of site and home. There has part of?
been discussions with the Trust regarding looking at a A. The future hospital needs to be developed to support
new balance of working from home where possible which creating a friendly, inclusive, flexible and collaborative
may develop the brief the further. culture.
Q. What have you missed about the ‘regular’ office Q. How do you think this can be achieved?
environment? A. A variety of spaces to bring people together, open
A. Informal contact and colleagues were listed as plan design and creating flexible spaces so that smaller
the most missed element of home working. Not pods can be used for private conversations when
being connected to the services and missing out on needed.
information was also missed.
Q. How should the offices support you to carry out
Q. How would you prefer to get to work? your role?
A. Most people would still like to drive to get to work. A. Providing a range of furniture, flexible spaces that are
Bradford is notoriously hilly so it was discussed that light and bright, wall space and adequate safe storage.
cycling in is challenging.
Q. What should be available in the staff rest area,
Q. How should the main off ward staff changing area library & canteen?
be accessed? A. Comfortable seating, nice views, private pods, area for
A. There was a clear answer here that it is preferred to informal study with laptops and access to outdoor space
have a staff separate entrance. is important.
Q. What facilities do you need in your changing
facility?
A. It was discussed that secure storage and adequate
space for private cubicles mean that mixed sex changing
is suitable and it was not necessary to provide separate
facility.
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52 5310 WORKSHOP 6
WORKSHOP 6
Main building design development recap. 10 WORKSHOP 6
WORKSHOP 6
Ward design development recap.
After the mentimeter presentation we then recapped on During workshop 5 a bubble diagram for a typical ward
workshop 5 regarding the public areas. was developed. A sketch shown to the left was the first
iteration of evolving the bubble diagram to fit into a
2 options had been further developed to demonstrate building footprint.
the changes discussed and what impact this will have on Workshop 5 Wards
the layout. Spaces diagram This showed two wings with bedrooms separated over
two sides of the ward. Centrally the main day spaces,
Option 1 - shown to the far left shows the previous design lounges, dining and therapy spaces were located.
with the therapy areas surrounding the courtyard.
It was raised during the workshop that it would
Option 2 - The sketch shown to the left of the main be beneficial to develop further options showing
building shows how the design has developed to house connectivity at the bottom of the bedrooms and also
the off ward therapy spaces along the street following bedrooms facing outwards.
comments from the services users.
This resulted in a further two option being developed for
This resulted in shortening the leg of the main building discussion in Workshop 7.
and displacing new therapy spaces along the active
street with views into the main courtyard.
The pros and cons for each option were discussed with
the preference being option 2 due to the ability to
open out into the main landscaping and being evenly
distributed towards the wards and the PICU.
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54 5510 WORKSHOP 6
WORKSHOP 6
Staff Spaces and Offices
Following the recap from last week, bubble diagrams
were then presented for suggested adjacencies to the
staff areas.
At this point we were still considering staff accessing the
changing rooms potentially from the main entrance too
which later changed in subsequent diagrams.
The suggested flow is that staff pass the drying room
whereby they can leave wet gear prior to entering the
11
changing areas, which will in the future be single sex.
This is to be located at ground floor level potentially back
of house below the wards. Staff would then have direct
access to a lift core to take them straight onto wards or
up to the offices.
The main staff spaces are located on Level 2 and 3 at this
stage. The second floor containing mainly conference, WORKSHOP 7 - 03.02.21
training and seminar rooms and also flexible / communal
work spaces.
Level 3 was initially showing mainly the offices with a
beverage bay, staff toilets and a training room.
BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
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