PLACES FOR WELLNESS. INVITING SPACES THAT ENCOURAGE HOLISTIC WELLBEING
UNDERSTANDING HEALTH “A state of complete physical, mental and social well being and not merely the absence of disease or infirmity” World Health Organisation
NBRSARCHITECTURE is a multidisciplinary practice offering services in architecture, landscape architecture, urban design, heritage and compliance. NBRS has a focus on infrastructure, which is driven by health projects, ranging from communitybased spaces to wellness centers and large hospitals.
We are a multidisciplinary design practice that integrates all team members throughout the design phase. Our sound understanding of the Australian Health Facility Guidelines, Health Facility Briefing System and Evidence-Based Design Principles allows us to deliver health facilities in line with current standards and research.
Our design focused, collaborative team prides itself on integrated project delivery, harnessing key Building Information Modeling tools, lean led hospital design principles and Sustainable Health Care indicators in delivering healthy, functional hospital spaces.
NBRS’ recent experience on the Hospital for Specialist Surgery at Norwest Business Park is a testament to solving complex health, design and construction methodologies in providing a functional private hospital.
RESPONSIVE Understanding and responding to a client and their core business values, services and culture delivers responsive architecture. As a practice, we are committed to establishing and maintaining effective creative partnerships with our clients, in order to achieve the best possible design outcome for the end users and the wider community. Our dedicated team work closely with user groups and specialist consultants, ensuring clinical planning and design is a process involving all stakeholders throughout the design phase.
ROYAL INSTITUTE FOR DEAF AND BLIND CHILDREN NORT H RO CKS , NS W
Royal Institute for Deaf and Blind Children’s Renwick Centre, Australia’s leading centre for research and education of children with hearing or vision impairment, is moving into its new, state-of-the-art building on its main campus in North Rocks NSW. This new building will house an auditorium to seat 208, four teaching rooms, specialised research facilities, and a library which boasts the largest collection of resources on education for children with sensory impairment in the southern hemisphere. The architectural design solidifies the site, the angled walls of metal punctuated with light shelves illuminate the interior with
natural light. The horizontal planes of the external ‘visual’ corridor seamlessly link common functions in adjacent buildings thereby creating a truly integrated facility. The new Renwick Centre successfully maintains the integrity and social value of the buildings it adjoins and connects the site to enable the 150 year organisation to continue to offer so much to the community. This world-class facility will enable staff to continue to pioneer the latest in teaching approaches, and to research and develop better educational practices for children with sensory impairment.
Australiaâ€™s leading centre for research and education of children with hearing or vision impairment.
HOSPITAL FOR SPECIALIST SURGERY NORWES T BU SINES S PA RK
To convert an existing six storey office building into a large private hospital, while maintaining its existing character and aesthetic.
Architectural services from the first stages of site selection and feasibility through concept design, development and construction are being undertaken for mdEquity a consortium of surgeons wanting a purpose built hospital. This projectâ€™s challenging task is to convert an existing six storey purpose-built office building into a large private hospital, while maintaining its existing character and aesthetic. The building is a large, modern, rectilinear building on a lakeside site, in the centre of the Norwest Business Park. The planning solution for the building has been primarily driven by the positioning of the Operating Theatres. Their requirement
for a clear ceiling height being greater than the existing structural floor to floor height available and their need for new dedicated air conditioning systems dictated that they be located either on the fourth floor or on the ground floor. The leading-edge facility incorporates 10 operating theatres inclusive of dedicated day surgery ophthalmology operating rooms, dedicated day surgery endoscopy units and short, intermediate and major surgical operating theatres. The facilities also include specialist post-operative in-patient and out-patient rehabilitation facilities; a specially designed onsite hydrotherapy pool; specialist onsite consulting suites; specialist onsite radiology and pathology, with a state-ofthe-art design allowing efficient movement of patients throughout the facility. In addition, it boasts high quality international conference facilities with 300 parking spots available onsite and extensive landscape works.
A state of the art hospital for children with a â€˜homelyâ€™, vibrant and uplifting environment for all.
ALLOWAH CHILDREN’S HOSPITAL DUNDA S , NS W
The alterations and additions to the Allowah Presbyterian Children’s Hospital at Dundas have transformed an existing basic facility into a state of the art hospital for children with a ‘homely’, vibrant and uplifting environment for all. The existing building did not provide defined communal areas for the children, adequate service facilities or sufficient administration areas for the staff. A primary requirement of the brief for the new development was to retain the operation of the existing facility during construction. In response, NBRSARCHITECTURE designed a scheme that extended the existing building to the front and back. The existing building was designed to become an open plan area for communal activities. These three buildings were then linked by a common corridor which extended from the main entrance
all the way through to the nurse station in the dormitory wing. At the entrance of the hospital, a generous Porte-cochère structure has been erected to provide undercover access and an enhanced sense of arrival to the new hospital. The building has been designed to incorporate environmentally sustainable design solutions to help reduce fuel consumption and running costs. Central to the design was the aim to deinstutionalise the building and make it as friendly for children, families and staff as possible. In particular the dormitory wing has been designed as a series of brightly coloured coded rooms along an animated corridor with curved walls, with an abundance of natural light.
SCHEMES OF GOOD HEALTH “Healthcare should take place in a physical space that enhances a persons desire to improve themselves rather than waiting for a disease and seeking a cure” Dr Roy Brancatisano - Circle of Care
ELIMINATE INSTITUTIONAL ATMOSPHERE The current institutional atmosphere in healthcare environments can create stress for patients; prolonging healing time and causing unnecessary discomfort, ultimately impairing the ability of the patient to fight illness. In the future healthcare environment, to eliminate the institutional atmosphere consideration must be given to all human senses. INCREASE FOCUS ON THE INTERMEDIARY Medical built environments are designed as tools for medical professionals, meeting spatial requirements for equipment and beds, rather than a patient-focussed forum that encourages healthy living and wellness. A future healthcare centre should increase the focus on the intermediary spaces, eliminating the traditional waiting room APPROACHABILITY A fundamental feature needed to encourage full spectrum wellness is approachability. 85% of people that visit a General Practitioner will return 6 times that year. A healthcare centre should be inviting to the public by having a desirable and comfortable atmosphere. PRIVACY/ PROXIMITY In the current episodic model of healthcare, a single program for a doctors visit is experienced by all patients, no matter the ailment or illness. Varying levels of patient privacy and proximity within a future healthcare centre must be considered in order to develop a calm and comfortable environment for patient and doctor alike. Flexibility is required in all spaces, so that the mode in which a space is used can be determined by the patient; inhabiting them according to their needs for privacy and/ or proximity to other patients. A ‘well’ environment should provide all levels of interaction from solitary privacy to community engagement.
CREATIVE DISTRACTIONS A healthcare centre should introduce and consider various forms and mediums (eg. nature, technology and exercise) to evoke all human senses. FLEXIBLE SPACE Public health institutions are often inflexible and inconvenient, providing a barrier to both patient and healthcare professionals aiming to receive or provide full spectrum healthcare. A healthcare centre must be flexible to meet the needs of the different generations in the community, as well as the demands of the community in the future. A future healthcare centre must be flexible so that multiple allied healthcare professionals can utilise shared spaces to service the local community in support of the general practitioner. This encourages the promotion of full spectrum wellness through a collaborative approach. NAVIGATION The complicated layout and programming of current institutions causes unnecessary stress and burden on occupants, ultimately mitigating their primary function.6 A future ‘well’ environment would promote space where complicated procedures are translated into simple, clear spatial structures. PATIENT FOCUS Healthcare is historically paternalistic. The patient’s values and perspective are traditionally given little consideration in the course of action taken. This is becoming increasingly problematic as modern medical practice undermines the patient-doctor relationship, so there is no underlying, trusting familiar relationship upon which healthcare can be administered to suit the patient.
JOINT HEALTH COMMAND DE PA RT ME N T OF DE F E NCE , AU S T R A L I A N GOV E RNME N T
SUMMARY OF PROJECT BRIEF
The Department of Defence has embarked upon a program of organisational reform of its Garrison Health Services including changes to the way Defence provides multidisciplinary primary health care and rationalisation in the number of health facilities it needs to deliver that health care.
The review identified where services and facilities need to be consolidated into a central onbase health facility, as well as eight priority sites which needed significant refurbishment or replacement:
Reviews were conducted across all regions for the purpose of providing analysis to support a rationalization strategy The intent is for all health delivery points to be progressively ‘hubbed’ to establish a single health precinct at all Defence sites by 2021.
Puckapunyal Health Centre (Victoria)
Simpson Health Centre (Simpson Barracks, Victoria)
Albury-Wodonga Health Centre (Latchford Barracks, Victoria)
Gallipoli Barracks Health Centre (Enoggera, South Queensland)
Robertson Health Centre (Robertson Barracks, Northern Territory)
Coonawarra Health Centre (Larrakeyah Barracks/HMAS Coonawarra, Northern Territory)
Campbell Health Centre (Campbell Barracks, Western Australia)
Australian Capital Territory Health Centre (Royal Military College, Duntroon)
DOCKER STREET CONSULTING WAGGA WAGGA , NS W
Docker Street Consulting is a state-of-the-art medical facility on a prominent corner site in Wagga Wagga, NSW.
20 Medical Consulting Rooms
Designed to complement the existing adjacent Riverina Day Surgery, Docker Street Consulting has compatible building forms, external materials and landscape treatment.
The façade has a large amount of glass to maximise natural daylight and views. Sun shading and double glazing are provided to reduce energy use.
Surface car spaces: 45
Basement car spaces: 66
Project Value: Appox. $5,000,000
BRS worked with the developer/ N builder on construction methods and material selections to achieve a costeffective design.
CASTLE HILL DAY SURGERY C A S T L E HIL L , NS W
Castle Hill Day Surgery is a clear expression of modernism. The beauty of its form is an acknowledgement of the functionality of space within. The design communicates the high endeavours of an advanced medical facility. It speaks of order and balance, of newness and light. An intricately balanced glazed wing welcomes as its curved lines play against the rhythm of the parallelled building form. Like the hills district of Sydney, its medical needs are expanding. The new day surgery answers the demands while setting a new level of contemporary design within a suburban node context.
The building incorporates four operating theatres, an endoscopy theatre and ’23 hour’ support facilities as well as various consultation suites offering a wide range of minor medical procedures and associated car parking facilities for eighty cars. Castle Hill Day Surgery has been designed to suit the Baulk ham Hills Shire Council’s commercial redeveloped agenda for the area presenting a modern, clean and aesthetically pleasing form that is easily identifiable as a premier medical facility.
Presenting a modern, clean and aesthetically pleasing form that is easily identifiable as a premier medical facility.
ACUTE MENTAL HEALTH FACILITY C OMPL E X BE H AV IORS UNI T, DA RWIN, N T
NBRS was engaged to write the brief and develop the master plan for the new Mental Health and Behavioral Management Centre at Darwin’s Complex Behaviors Unit.
All bedrooms are single bed bedrooms
2 primary nurse stations
Mixture of inboard and staff managed / shared shower facilities.
2 Quiet rooms
4 separate wings each with its own day room
2 high dependency soft cells
Basketball court / outdoor area
Treatment, consult and interview rooms
2 exclusion rooms
It is a 31 bed Acute Mental Health Facility with a dedicated high dependency unit. The facility is approximately 2,800m2 which is centered around a building ‘spine’ housing administration spaces and clinical facilities. Five distinctive wings extrude from the spine each having an average of 6 single bed bedrooms. A flexible home like environment has been provided with carpeted floor, ergonomic furniture, art on the walls, tiled bathrooms, warm colours and views to gardens and landscaping from each room.
COMMUNITY ENGAGEMENT & WELLNESS CENTRE CH A RL ES S T URT UNI V E RSI T Y, A L BURY
The spaces are designed to be family friendly and accessible to all walks of life, featuring colours that reflect a sense of renewal, peace & nature.
The Charles Sturt University Community Engagement & Wellness Centre at Albury is an on-campus clinic that provides the students studying the various School of Community Health courses an opportunity to apply their newly developed coursework skills in an authentic clinical work environment dealing with real people with real issues. An aim of the new centre is to move away from reactive medical treatment by encouraging â€œwellnessâ€? through prevention and intervention based services. Consequently the centre will have an innovative role in health care. Students will learn inter-professional competencies for collaborative team-based practice where clients can come to the centre to have their health identified and treated by a variety of health service professionals
under the one roof. The services on offer include podiatry, physiotherapy, psychology, speech pathology and occupational therapy, amongst others. The spaces are designed to be family friendly and accessible to all walks of life. There are views of the natural landscape through visual connection of major spaces in the building. NBRSARCHITECTURE Interiors Team designed the spaces to encourage community engagement and wellness: fresh & natural. The use of lime green is to provide a tranquil and refreshing environment, reflecting a sense of renewal, peace & nature. It is complimented with a neutral colour intended to relax patients mentally and alleviate any anxiety.
RESEARCH BASED DESIGN FOR HEALTH ‘ T HE CYCL E OF W E L L NES S ’ P UBLIC AT ION, 2012
A RESEARCH-BASED DESIGN STUDIO NBRSARCHITECTURE is committed to innovation in the design of life changing environments. In order to ensure the relevance of the spaces we design, we conduct research into current and projected trends in the way people live and interact with the built environment. We also share our research and experience by hosting & speaking at conferences. Core to our research is the NBRS ENVISION Student Partnership Program. It is an annual partnership with some of the most creative young minds in the design industry. This unique intern program encourages students to investigate collaboratively and provides them with an opportunity to experiment through an interplay of research and design. This exploration promotes team-based problem-solving, forward-thinking concepts and a re-evaluation of our contemporary environments. A studio project is completed over the duration of the internship, providing students with exposure and insight into the architectural design and documentation process, to help form an appreciation for graduate responsibilities within the office environment.
Forward thinking clients are engaging us to realise innovative design concepts. We are not only creative thinkers, but have the experience and capability to bring these research-based ideas from conception to completion.
R ES EA R C
PREVENTATIVE HEALTHCARE Preventative healthcare must be seen as an integral part of the healthcare professional’s role, and of the community. Studies have found that the returns on investments in proven community-based disease prevention are substantial, US$6.60 for every US$1 invested. A person’s healthcare lifecycle involves three phases, each may be characterised by its preventative or responsive nature. To lessen the burden on the ‘respond’ zone, prevention must be everyone’s business. By increasing the resources allocated to prevention in both the ‘prepare’ and ‘remember’ portion of a person’s life, we can shift the drivers of detrimental health behaviours which result in poor health and chronic illness.
cycle of mational
A WELLNESS NEIGHBOURHOOD An opportunity for Australian healthcare lies in a ‘wellness neighbourhood’ that engages the community and empowers life-long health activism rather than episodic care. The built environment should engage the community in a mission for wellness. A series of community fixtures that engage patrons in physical, mental and social health in order to empower a sense of familiarity in the broader health environment.
THE NUTRITIVE ZONE: A space to engage community members in their nutritional wellbeing promoting healthy eating as a regular part of everyday life.
THE OPEN DOOR: A gateway that forms an invitation to community members to participate in their own health through The Heart.
T HE ACTIVE ZONE: A space that incentivises physical exercise across generations.
THE CHECK-IN POD: An efficient organisational portal that engages patrons with The Regenerative Core.
GATEWAY PODS: Supportive facilities used prior to and following practice visits, designed to increase the efficiency/flexibility of patient care and aid professional processes.
T HE INTERACTIVE ZONE: A space for social gathering and community networking with the goal of encouraging socially inclusive, expressive activities. T HE REFLECTIVE ZONE: A space for introspection within a tranquil environment, which encourages impromptu reflection for a community member’s mental wellbeing. T HE PARK: The roof space of the Hub that combines Active, Nutritive, Interactive and Reflective spaces.
THE CLOUD: An accessible and interactive framework that enables engagement with formal knowledge resources. T HE CARE ZONE: A platform that initiates the personal wellness community member’s connection with professional, servicing emotional and physical nutrition. THE SOCIAL ZONE: A local gathering space that is a venue for enriching encounters with other members of the community and health care professionals.
T HE PRACTICE ZONE: Flexible spaces for facilitating primary multidisciplinary care for both consulting with and examining patrons. INTERACTION PODS: Facilitates patron centred care and comfort in consultive forms of practice. THE RE-ZONE: A transitory care environment for supervised out-of-hospital services. MY POD: A personal space for patrons with a strong connection to supportive health professionals. T HE BREAKOUT SPACE: Flexible communal space providing a private venue for engagement amongst rezone patrons.
360° INTEGRATED TEAM. 360° INTEGRATED TEAM As a multi-disciplinary design practice, we are able to work as one 360° integrated team, with expertise in Architecture, Heritage, Landscape Architecture, Interior Design, Urban Design, Graphic Design, Sustainability, Compliance, Strategy and Research. Our ‘One Team’ approach allows the best possible design outcome to be achieved, with seamless collaboration between our range of service studios throughout the design process. The resulting designs are cohesive and considered from all angles. This consolidation of specialists also allows for increased efficiency for the client in the management of the project team.
ARCHITECTURE Our creative team of architects work to produce award winning design solutions for each unique site and condition. With a commitment to cutting-edge design and a uniquely client focused approach, we work continually at achieving an outstanding aesthetic result that meets the functional needs of the end-users. We are committed to delivering inn ovative projects of all types and scale which can only be achieved through extensive client consultation, meeting the project objectives, having sound technical expertise and competent management.
ENVIRONMENTAL We are continually improving strategies for the implementation of ESD principles into all aspects of the design processes, designing buildings to maximise efficiency with the use the latest technologies and concepts.
Situated within a full-service firm, our team of architects is able to work closely in creative partnerships, considering all facets of a project from its earliest stages.
Our heritage studio has specialist expertise in providing conservation and heritage planning advice, in addition to adaptive-reuse design. We have experience in the identification and management of built heritage items of all types and periods and in design documentation and project administration of projects for both government and private sectors.
We provide consultancy services in BCA, Fire Safety and Access. Strategic advice is provided throughout the design process, with a focus on the seamless integration of design and functionality, to provide a complete package that meets the needs of the users and stands the test of time.
Our Interiors Studio is passionate about achieving a seamless connection between interior design and the whole architectural concept. We think deeply about how interior spaces are used and create innovative design solutions. Our Interior services include space planning, detailed fixture design and the selection of furnishings.
LANDSCAPE Landscape Architecture is an amalgam of art and science. As designers, Landscape Architects are required to be careful interpreters of the natural and cultural conditions of a site. Our Landscape Studio seeks to create attractive, meaningful, usable, connected and equitable spaces that embody sustainable design principles. Places that bring joy to users, and connections between and to the landscape.
VALUES. SPACES FOR PEOPLE People are at the heart of our design approach. The well-designed built environment should come to life when it is in use; at itâ€™s best when people are interacting with it. Spaces should be inspirational and responsive.
CREATIVE PARTNERSHIPS Our multi-disciplinary design practice has a one office approach, encouraging seamless collaboration between teams, to offer a holistic design approach. We are also committed to effective creative partnerships with our clients, in order to achieve the best possible design outcome for the client, end users and the wider community.
DESIGN EXCELLENCE URBAN DESIGN Our cross-disciplinary team is well equipped to design urban spaces. Paying careful attention to positive and negative spaces in the urban landscape and the juxtaposition of built form and open space. Our experience has provided an understanding high volume pedestrian and vehicular movement.
Transformative environments require a strong commitment to excellence in design. Our agile design teams are continually challenged to make their designs work harder and smarter to deliver spaces that are excellent in function and aesthetic - spaces that people love to be in.
We engage in research to ensure the relevance of the spaces we design. We have authored several publications & hosted conferences in a wide array of sectors including education, health, worship, community spaces, the workplace and affordable habitats.
In order to ensure the relevance of the spaces we design, we conduct research into current and projected trends in the way people live and interact with the built environment. We are also passionate about equipping upcoming generations to create life changing environments through our ENVISION student partnership program.
Sydney: +61 2 9922 2344 Melbourne: +61 3 8676 0427 nbrsarchitecture.com
Published on May 26, 2016
NBRSARCHITECTURE has a focus on infrastructure, which is driven by health projects, ranging from community-based spaces to wellness centers...