NBRS Wellness

WELLNESS

NBRS SEEKS TO EXPLORE AND POSITIVELY TRANSFORM THE SOCIAL AND CULTURAL FORCES THAT SHAPE PEOPLE’S LIVES. 2

CORE VALUES SOCIAL ARCHITECTURE At NBRSARCHITECTURE we see that our purpose is to create life-changing environments for the people, communities and institutions we serve. Our user-centric, social architecture design skills help us to explore and positively transform the social and cultural forces which shape people’s lives. Our contemporary architecture is much more than simply buildings.

REAL INSIGHTS For NBRS design is the core of our practice.

Our focus on thought leadership is an intentional journey to discover real insights; understanding and interpreting the needs and desires of the people and communities we serve. To do this we are committed to investing in the discovery of new concepts and applying these insights to guide our design thinking and solutions.

CREATIVE PARTNERSHIPS Through our investment in thought leadership, we believe that NBRS contributes to long-term and meaningful creative partnerships with clients and consultants. It is these creative partnerships which help to shape our communities to create life-changing environments.

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360° INTEGRATED STUDIOS EDUCATION

The Education Studio is committed to designing innovative spaces that nurture learning. By conducting research in to current and projected trends, NBRS have extensive knowledge in catering for the evolving future of junior, senior and tertiary education facilities.

LIFE & CULTURE

The Life & Culture Studio is a foundation studio at NBRS. Passionate about human centred design and creating spaces that engage people for civic, religious, cultural and recreational purposes.

JUSTICE

The Justice Studio is creating impactful, well rounded design solution to improve the lives of compromised people. With a wealth of experience across correctional facilities and other justice buildings, the NBRS seeks to create responsive facilities that service all who interact with these spaces.

WELLNESS

Through ongoing research and the development of future focused wellness spaces, the Wellness Studio continues to create impactful designs for a range of clients and communities.

INTERIOR DESIGN

Our Interior Design Studio is passionate about achieving a seamless connection between interior design and the whole architectural concept. We deeply consider how interior spaces are used and create innovative design solutions.

LANDSCAPE ARCHITECTURE

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.

HERITAGE

Our Heritage Studio has specialist expertise in providing conservation and heritage planning advice, in addition to adaptivereuse 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.

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ST JOHN’S VILLAGE (GLEBE 1968) 5

CONTENTS PAGE

360 Integrated Studios 1.0

Wellness

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1.1

Health Principles

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1.2

Aged care Principles

12

1.3 Research

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2.0

Case Studies

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2.1

Hospital For Specialist Surgery

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2.2

Dapto Health One

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2.3

Castle Hill Day Surgery

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2.4

Fresh Water Unit Acute Mental Health

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2.5

Buronga Healthone Community Health

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2.6

CSU Community and Wellness Centre

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2.7

Allowah Presbyterian Children’s Hospital

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2.8

Ingenia Latitude One Seniors Living

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Health Master Planning

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2.9 NBRS Profile

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WELLNESS DESIGN THROUGH COMPASSION AND CARE

We believe that architecture reaches beyond the physical construction of the built environment – it is a social art. Our aim is to create environments that have a positive impact on people’s lives.

NBRSARCHITECTURE has a strong understanding of wellness services through our wide breadth of experience on health projects throughout Australia.

Our Wellness Team provides expert sectorbased leadership with expertise in acute health, primary and community health, mental health, aged care and dementia.

Specialist master planning, feasibility and brief development is also available to support capital works planning.

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1.1

HEALTH PRINCIPLES An integrated approach to healthcare that provides the continuum of care for each patient at every stage of life

CLINICAL EXCELLENCE

HEALTHY AND THERAPEUTIC

Clinical excellence is at the heart of patientcentred care. In order to deliver high quality care, staff need an environment which promotes competency and compassion.

Patients, family and staff need to be able to work together towards wellness in an environment which is comfortable and calm.

Staff can face significant barriers to the delivery of care within the complex network of hospital interactions. Spaces should be designed to optimise workflows and refine operational efficiency, making it easier for staff and management to get their job done.

The therapeutic environment has a significant impact on individual health and recovery. All people, regardless of their background or ability, should have access healthcare in a comfortable and comprehensible environment. Design principles which govern good quality domestic spaces such as natural light, space to move, interesting views and fresh air should be prioritised even in the most acute environments. Where possible, spaces should be outward looking, to reduce stress and relieve the pressures of the acute environment. Light and sound qualities of a building have a significant impact on the ability to provide restful spaces which are vital for recovery.

The enhancement of the patient experience through design can improve health outcomes as well care delivery models.

By mapping patient journeys it is possible to better understand the pressure points in healthcare system. Strong integration between primary, secondary and tertiary care settings is required to provide integrated care that reflects the whole of a person’s health needs, from prevention through to end of life and across both physical and mental health. Patient journeys influence design and inform the way spaces may be experienced or perceived. Design to reduce stress and improve interpersonal connections can encourage patient participation and commitment to health and recovery.

DYNAMIC WORKPLACES Places come to life when people inhabit and operate them innovatively. Staff play a major role in making hospitals feel welcoming and comfortable. Buildings should be designed to enhance and support the way we work.

However, the way we work is continually changing in response to growing medical knowledge, advancements in technology, and shifts in society and culture. Staff and management must be able to maintain a high quality of care at all times, now and into the future. A collaborative and outwardlooking approach is required throughout planning and design. Change management should start in the early stages of design and extend to post-occupancy review and ongoing evaluation.

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HYDROTHERAPY POOL | HOSPITAL FOR SPECIALIST SURGERY

1.1 HEALTH PRINCIPLES

We believe that places for wellness should be responsive, adaptable, and ready for future growth

PATIENT-CENTRED CARE CONTINUUM

PREVENTION EDUCATION

PRIMARY CARE Physician | Pharmacist

AMBULATORY CARE

HOME CARE

Outpatient Services Day Surgery

Palliative Care

REHAB CARE

EMERGENCY CARE

DIAGNOSTIC Imaging Pathology

ACUTE CARE

INPATIENT CARE Surgical / Medical Specialist

FLEXIBLE AND ADAPTABLE Healthcare spaces need to be provide room to grow and change as models of care are continually evolving as a result of research and technological advancements.

By designing with flexibility in mind, it is possible to create spaces that can change use over time, reducing the cost of building refurbishment and replacement.

Teaching hospitals are also educational spaces. Staff training, academic research, and scientific exploration occur within the same space as care delivery. Well trained and well supported staff can provide better quality care, but in order to that they need a supportive and inspiring learning environment.

Models of care, buildings and infrastructure change and evolve at different rates. An acute health building may last 50 years but models of care may change dramatically in less than 10 years. Long-term adaptability in building design is necessary to reduce the long-term costs of renovation and refurbishment. Each stage of development must prepare allow for both incremental expansion and whole-sale replacement of infrastructure in a timely manner. A modular approach to building supports design flexibility throughout the planning and construction process, as well as maintaining adaptability throughout a building’s life-cycle.

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FUTURE-FOCUSED DESIGN PRINCIPLES User Groups Health Care Providers Patients & Families

PEOPLE Patient Journeys Staff Workflows Wellness in Community Inclusive & Accessible

Policy Makers Health Planners Strategic Advisors

MANAGEMENT

EXPANSION

Vehicle & Pedestrian Flow Clean/Dirty Services Waste Management Emergency Care Distaster & Major Incident

Incremental Growth Changing Models of Care Staging & Decanting Major Redevelopment Research & Education

ENVIRONMENT Executive Groups Facility Managers Health Advocates

Energy & Resources Landscape & Ecology Heritage & Culture

Project Managers Cost Planners Design Consultants

FUTURE-PROOF

ROBUST AND EFFICIENT

The key to a future-proof masterplan is to understand the life span of building, site and infrastructure. Even the smallest hospital has the opportunity to grow into a campus in the future.

From the beginning, it is important to consider how to connect with transport infrastructure, local and regional neighbourhoods, emergency services, building services and technology.

Acute and emergency care must be delivered around the clock, with a high degree of accuracy and efficiency at all times. Tertiary hospitals must be able to cope with wildly variable service loads, unexpected surges and major disasters.

Buildings must be designed to be robust and resource-efficient, with the capacity to grow and flex quickly. A well-designed approach to infrastructure can accommodate for surge capacity in the event of changing demand, growth in services, and staged redevelopment.

Modular construction and innovative building design can help support a flexible environment which can cope with the demands of a busy healthcare facility.

Masterplans represent a vision for the future of a health campus, and therefore need to reflect the priorities of the service provider. A responsive and engaging planning process can ensure that that site and building design can accommodate the long term goals of the masterplan.

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1.2

AGED CARE PRINCIPLES We believe in healthy environments and equal opportunity for people of all ages and abilities

WELCOMING HOMES

FAMILY

People are at the centre of our approach to design and this is especially important for aged care. While aged care buildings are designed with its users in mind, we believe that they should not focus on ‘disability’.

Aging is a natural process that will affect us all differently. We may have poor health and mobility, or require more assistance and care, but we still want to get on with our lives. We focus on creating environments which are welcoming and encouraging for residents and families. Small and domestic scale environments with natural light and access to gardens are required for healthy living spaces.

Family and community are important in creating a sense of home and belonging.

Connectivity is necessary reduce isolation and loneliness, so a gradation of semi-private and filtered spaces can help promote social interactions in a manageable environment.

Houses need to be family-orientated to cater for all ages and a range of incidental daily activities such as cooking, dining and spending time outdoors. Architecture that inspires young and old can help bring them together. Uplifting spaces make people feel valued and respected, encouraging a sense of dignity for residents.

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AGING IN PLACE

STRATEGIC OPPORTUNITIES

Inside the home, increased care needs bring larger and more complex equipment.

Unless managed well, these can impede on the domestic feel of spaces and create a ‘clinical’ environment. In order to age-inplace, we need spaces large enough to use and store mobility devices, hoists, water chairs and other support aids. A discreet ‘back-stage’ environment can help create a domestic environment for residents while allowing carers to do their job easily and efficiently. In special care and dementia environments, we aim for secondary corridors and discreet entrances for back-ofhouse areas, to reduce confusion.

It is clear that aged care must be well-integrated and dispersed within the community. Multi-generational neighbourhoods which are good for children and elderly alike also support others in the community. By integrating all these functions into urban areas, we can reduce the isolation and stigmatisation of aged care within the community. We support clients making strategic planning decisions by helping them review existing assets and exploring new opportunities for future development.

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1.2 AGED CARE PRINCIPLES

We believe that age-friendly environments must provide integrated housing and healthcare in the community and reduce the stigma of aging and illness.

LIVING LOCAL

CHANGING DEMOGRAPHICS

Good environments for aging must be well located and integrated in the community.

Increasing dependence on healthcare can make residents feel more house-bound and restricted in movement. Staying local means family and friends are nearby and helps residents maintain connection with place. Reduced mobility means increased reliance on public and private transport.

Being close to amenity such as urban centres with cafes and restaurants, parks and nature walks helps us feel connected with our surroundings. Our experience in master planning and landscape design guides our approach to integrating facilities into their communities. Amenities for the community such as veggie gardens can foster community involvement and reduce isolation and support cultural vitality.

We live longer and healthier lives than we have ever done before. Therefore we need to explore what the housing needs for future generations of residents will be. They may prioritise staying at home or downsizing to places with reduced maintenance, better amenity and lifestyle opportunities. While some people may have a long-term plan for aging-in-place, many people do not plan to move into residential care until their care requirements are too high to stay at home, often as a result of an accident.

With increasing ‘consumer-choice’ and a growing aged care market, a one-size-fits-all approach is not possible. Family are often closely involved in the selection of homes.

We work closely together with clients to understand who they are catering for and how local contexts affect design.

ADAPTABLE & MANAGEABLE

MASTERPLANNING

Age-friendly habitats need to adapt to individual needs and allow individuals to adjust their environment for comfort. Userfriendly environmental control supports freedom of choice and greater well-being.

Memory loss can be a difficult experience for individuals going into care or aging in place. Residents can suffer trauma and sense of loss. Foreign environments become harder to deal with, especially when coupled with loss of vision and mobility. Space planning and material choice and colour can help significantly with way-finding, reducing confusion and encouraging safe wandering paths. Adaptable habitats can accommodate a broad spectrum of care needs, allowing people to remain in familiar environments for longer.

In our experience, robust master planning is vital in ensuring good asset management and efficient use of funding. We have been involved in master plans across a range of public and private campuses. Masterplans represent a vision for a service, and therefore need to reflect the priorities of the service provider. A responsive and engaging planning process can ensure that the site and building design can accommodate the long term goals of the masterplan.

Buildings must be designed to be robust and resource-efficient; with the capacity to grow and flex quickly. A well-designed approach to infrastructure can support changes in management, growth in services, and staged redevelopment.

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RESIDENTIAL CARE - PROJECTS

Morphetville RAC Campbelltown RAC Berry RAC Leo Cooper

(Architecture)

Giulia Mardaga (Interiors)

Coolaroo RAC Bentleigh RAC Ryde RAC Alison Huynh

(Architecture)

Kawana Waters RAC

Leo Cooper

(Architecture)

SENIOR LIVING - PROJECTS

Ingenia Communities Ingenia Latitude One Alison Huynh

(Architecture)

Giulia Mardaga (Interiors)

WILLOUGHBY UNITING CHURCH 15

1.2 AGED CARE PRINCIPLES

New health technologies can be integrated into the design of homes to promote better individual health management and control

HEALTH NEEDS

CARE GIVERS

An increasing number of aged care residents require complex clinical care. High quality health care needs to be integrated into residential environments. Strong integration between residential care and health care is required to provide for the whole of a person’s health needs, from prevention through to end of life and across both physical and mental health.

The delivery of high quality aged care requires specialist equipment, passionate and well-trained staff and innovative management. Carers are vital in supporting the residents’ happiness and health, listening and responding and adapting the environment. Every home is different in the way it functions and the community it serves. Aged care environments are also workplaces, so labour efficiency, health and safety, and maintenance are primary considerations in the planning of spaces.

Engaged and detailed consultation with staff and management is required to create a solution that helps care delivery run smoothly and efficiently in the background.

We develop environments that support staff well-being to help to reduce stress/burnout and boost staff satisfaction. Staff need buildings that are easy to maintain in order to spend more time in their primary caregiving roles.

With more and more people living with chronic conditions and multiple health issues, more complex and specialised care needs to be provided. New health technologies can be integrated into the design of homes to promote better individual health management and control. This can also support health monitoring, allowing staff to provide better care. People often move into residential care when their care needs become unmanageable at home.

A person-centred approach to health care needs to do more than provide medication and monitoring. Residents need to be engaged in their own health management along with carers, doctors, nurses and families.

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1.3

RESEARCH

ENVISION CYCLE OF WELLNESS

RESEAR CH

Exploration into transformational health environments “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 transforma

2030

cycle of tional health

environme

nt

wellness wellness

BISI AFFORDABLE HABITATS Exploration on affordable habitats in low cost construction “Spaces for ‘social capital’ encourage activity, to make living in the community as seniors a vibrant experience, rather than a depressing waiting game. The spaces provide a reason for residents to leave their private units and spend time together.”

ENVISION WELCOMING SPACES IN ACUTE CARE Case study guides for strategic advice and guidance “Hospitals have the opportunity to become the community center for health and wellness. The entire healthcare experience could become an inspirations for all who enter the facility to improve their health and wellness” - Matthew DeGeeter (2009)

WELCOMING SPACES. 01

02

03

04 ENVISION WELCOMING SPACES IN ACUTE CARE, 2017 Praxis Papers are short desktop studies comprising of case study, research and analysis.

This provides us with the knowledge to provide strategic advice and guidance to our clients.

In this report, we explore the importance of first impressions in architecture. We know that people in the community might consider hospitals to be institutional, uninviting and “sick” places. We’ve decided to look at how hospitals can redesign and renovate entrances spaces for a more welcoming and encouraging experience for patients and visitors.

The front of house is an important starting point for creating a welcoming space for all.

Isolated or disadvantaged communities tend to experience difficulty accessing health services. Local acute hubs can build their relationships with the community, fostering cultural inclusivity and reducing barriers to care. Hospitals in regional areas are a vital link to healthcare for many in the community, especially those who are socially and economically disadvantaged, as well as indigenous populations and those in rural and remote areas. Three built projects were explored in this research along with ideas around the integration of the

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2.0 CASE STUDIES

PROJECT EXPERIENCE Creating environments which have positive imapcts on lives

2.1

HOSPITAL FOR SPECIALIST SURGERY An ambitious project transforming an existing 8-storey commercial office building into a state-of-the-art facility for specialist surgery and medical centre.

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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 project’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 on site hydrotherapy pool; specialist on site consulting suites; specialist on site radiology and pathology, with a state-of-the-art design allowing efficient movement of patients throughout the facility. In addition, it boasts high quality international conference facilities with 300 parking spots available on site and extensive landscape works, as well as an on-site cafe.

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2.2

DAPTO HEALTH ONE Provides a comprehensive range of primary and community health services to meet the needs of the local population while delivering contemporary models of care

NBRSARCHITECTURE are delivering a community health facility at Dapto for the Illawarra Shoalhaven Local Health District.

Dapto Community Health Centre is located in area of significant residential growth on the outskirts of the Wollongong metropolitan region. Primary health needs in the region are diverse, and the HealthOne model of out-patient care improves access to care for local residents. The project will provide a comprehensive range of primary and community health services to meet the needs of the local population while delivering contemporary models of care. Integration of general practice, other specialist and community health services to implement multidisciplinary primary health care.

The facility is located within the town centre of Dapto, close to public transport, medical centres, pharmacy, and shopping village. The building design responds to it’s complex urban context, mitigating issues of urban scale amongst primarily single and two-storey buildings and shop fronts. The aim is to create a welcoming environment that engages with the town centre’s masterplanning prinicples for improved

public open space, vibrant and diverse business and retail close to transport links.

The building frontage conveys openness and transparency, acting like a window-box and billboard for the health-related activities inside.

Key drivers for the project include: •

Increasing population and changes in age structure;

•

Increased burden of chronic illness;

•

Service enhancement within the ISLHD;

•

Enhance relationships with local partners ensuring the availability of comprehensive mental health care;

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Providing greater access to health care for Aboriginal and Torres strait Islanders;

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Providing health care space which are more accessible for people with ethnic barriers;

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2.3

CASTLE HILL DAY SURGERY

Presenting a modern, clean and aesthetically pleasing form that is easily identifiable as a premier medical facility.

The Castle Hill Day Surgery complex is a combination of a specialist medical consulting area with a stand-alone day surgery. The project was conceived by specialist doctors who have developed the design. Great care has been taken in the designing of a quality building and quality health care facilities including extensive consultation with NSW Department of Health.

pleasing form that is easily identifiable as a premier medical facility.

The ground floor incorporates a lobby with café on the street frontage, and specialist consulting suites. The day surgery is on the first floor and there are 2 levels of basement parking below including a separate back-ofhouse loading dock. The sloping sight is well utilised to provide access to main entry as well as basement levels.

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

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2.4

FRESHWATER ACUTE MENTAL HEALTH UNIT Therapeutic inpatient mental health design for acute forensic patients requiring the highest level of care.

Freshwater unit is new 5-bed acute forensic mental health wing design to provide the highest level of care for NSW Justice Health and Forensic Mental Health Network.

NBRSARCHITECTURE are engaged through the planning and design of the new spaces as part of The Forensic Hospital at Malabar.

The Forensic Hospital is a stand-alone high secure mental health facility operated by Justice Health & Forensic Mental Health Network (JH&FMHN). The facility provides specialist mental health care for mental health patients who have been in contact with the criminal justice system and highrisk civil patients. The hospital caters for adults and young people, both male and female.

The Freshwater Unit will provide accommodation and treatment for high-risk patients with not suitable for the existing inpatient mental health environment. The Unit will be designed to complement the Forensic Hospital’s security provision

and enhance service delivery to provide integrated care for the highest risk patients.

It will support rehabilitation, recovery, and return to standard forensic health care or alternative care pathways.

NBRS architecture, interiors and landscape teams have worked collaboratively on this project to create a unique design response to the brief. The premise of the design starts from the concept of recovery and rehabilitation, seeking to create an environment focused around therapeutic outcomes and reduces stigma of isolation and segregation. Each space has been carefully considered to provide the maximum flexibility for working with patients with unique and complex needs.

Safety and security are of the highest concern in every detail of the design and planning. The unique model-of-care includes a 3:1 ratio of staff to patient, private rooms with individual courtyards accessible by patients, and integrated indoor and outdoor living spaces.

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2.0 CASE STUDIES

2.5

BURONGA HEALTHONE COMMUNITY HEALTH NBRSARCHITECTURE are delivering the new Buronga Community Health Centre in regional NSW as part of the HealthOne program. The project will provide a comprehensive range of primary and community health services to meet the needs of the local population while delivering contemporary models of care. The project seeks to integrate general practice, other specialist and community health services to implement multidisciplinary primary health care. Core services at the Buronga HealthOne facility will be child and family health; women’s health; ante-natal/post-natal care; and allied health services.

A linear volume is orientated along the northern boundary and aligned with the existing street and block pattern. Orientated along the east-west access, the building maximises light access into the building, with a maximum depth of 17 meters. From the north, west and east, the building can therefore blend in with the residential pattern of development.

The main entrance and primary facade of the building is to the south, addressing nearby public buildings such as the Church and school as well as directing the focus towards the town center. A clearly defined entrance is supported by a dropoff point with space for outdoor waiting and gathering.

These elements identify the public nature of the building reducing the impact on nearby residential dwellings.

As a public health building, a consideration of privacy and dignity has been considered.

All private consultation spaces are located along the northern corridor and separated from public waiting. A discrete secondary exit is also possible from the northern corridor without passing back through the waiting room. Group activities in multipurpose and gym spaces occupy the western corner in close proximity to visitor amenities. This allows for activation of the facade on the prominent corner to Silver City Hwy. An entrance plaza with locally significant planting is clearly marked and accessible pathways cross the site to the main entrance. The level entry and drop-off areas prioritize pedestrian movement. Landscape design seeks to soften the impact of hard paving where possible and to provide shade to pedestrians. Staff offices and amenities are located in the eastern cluster for privacy and allows for ease-of-access for staff to all parts of the building. Discrete access to fleet parking and back-of-house functions is also provided from the staff areas.

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Small Meeting

Large Meeting

Gym

Client Courtyard

Entry & Arrival Consultation & Treatment Interview & Safe Assessment

Visitor Car Park

Arrival & Drop Off

Waste

Ambulance Bay

Treatment Rooms Client Amenities

Clinical Support

Main Entry & Waiting

Reception & Office

Staff Amenities

Quiet & Break-out

Group & Activity Reception and Clinical Support Staff Areas

Consult Rooms

Interview Rooms

Staff Room

Fleet Car Park Staff Workstations & Hotdesks

Staff Courtyard

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2.6

CSU COMMUNITY AND WELLNESS CENTRE A New Wellness Centre for a Regional University

The Charles Sturt University Community Engagement & Wellness Centre at Albury is an on-campus clinic. Additionally, the aim of the centre is to move away from reactive medical treatment and encouragie “wellness” through prevention and intervention based

services. The Thurgoona Campus provides total commitment to excellence in allied health profession education in regional Australia. The spaces are designed to be family friendly and accessible to all walks of life.

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2.7

ALLOWAH PRESBYTERIAN CHILDREN’S HOSPITAL “A state of the art hospital for children with a ‘homely’, vibrant and uplifting environment for all”

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.

The building has been designed to incorporate environmentally sustainable design solutions to help reduce fuel consumption and running costs.

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2.8

INGENIA LATITUDE ONE SENIORS LIVING designed to provide a social heart to the new over 55s community

NBRSARCHITECTURE worked closely with Ingenia Communities development team on the bespoke Latitude One Seniors Living Clubhouse. This premier facility in Port Stephens NSW was designed to provide a social heart to the new over 55s community.

Architecture, interior and landscape design studios worked collaboratively on a concept

to create seamless living spaces. The recently completed Clubhouse provides community hall and cafe, library and craft spaces, a medical consulting suite, hair and beauty studio, gym, outdoor and indoor heated pools, sauna and other wellness facilities. External spaces included a bowling green, barbecue and outdoor dining spaces.

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2.9

HEALTH MASTER PLANNING

Uniting Waverley Aged Care Campus NBRSARCHITECTURE partnered with CHROFI to develop a masterplan response to Uniting’s existing hospital and aged care campus in Waverley, NSW. The site incorporated the existing War Memorial Hospital and Edina Hostel. The masterplan provided a vision for long term planning of the site to over 4 or more construction phases to maximise the potential their site.

A porous, landscaped campus design provided strong links to community functions, aligning with Uniting’s whole-of-life approach to community support and aged care. The campus will contain high acuity residential aged care and specially-designed dementia care units, supported by the sub-acute hospital and rehabilitation facilities such as hydrotherapy pools and gyms. Independent living and commercial and community function filled out the lower parts of the site to create a diverse and multi-layered aged-care friendly environment set amongst the grand heritage of the existing site.

STAGE 01: RAC, Medical, Centre, Gym, ILUs 02: Hydrotherapy Pool, Childcare 03: ILUs, Short Stay, Shops 04: ILUs, Mens Shed 05: Acute Hospital bed extension

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Cowra Hospital NBRSARCHITECTURE was commissioned to review the existing Emergency Department, develop options for refurbishment and advice on future master planning for the health service. This involves working closely with the clinical team in developing the most feasible option for the existing hospital. An external review of the buildings and internal review of department spaces was undertaken. Redevelopment options considered a full or partial new build either on the existing site or a new greenfield site.

Key functional adjacencies must be maintained in line with the AusHFG and Clinical Services Plans. Six options were evaluated including partial and full refurbishment or new build.

Blayney Hospital NBRSARCHITECTURE is providing planning and design services including masterplanning, feasibility design development from concept to construction documentation; and construction phase services for the facility’s redevelopment. Blayney Hospital has had multiple renovations during its life and, with the exception of its emergency department, its spaces are aged and undersized. The renewed Multi-purpose Service model will deliver a new model of care for patients and aged care residents, upgrading the service’s existing 9 patient beds and 4 treatment bays, including a new aged care wing for the 20 aged care beds, and aligning with aged care design principles and new models of care.

5.0 FUNCTIONAL RELATIONSHIPS 5.1

EXISTING FUNCTIONAL ZONES

Moruya Hospital

IINPATIENT T T UNIT NT

UNABLE TO ACCESS

GERIATRIC & DEM A DEMENTIA M ADMIN

H A PHARMACY

LIFT

ME MENTAL H HEALTH

SUB-ACUTE CARE NOT PART OF SCOPE

MATERNITY

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ABORIGINAL B HEALTH PATHOLOGY PA A L ALLIED ALLI L ED LI D HEALTH H TH T

EMERGENCY RECEPTION T

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MAINTENANCE M AINT E DENTAL D ENTAL

REHABILIATION RE LIIATIO LIA IO

MAIN ENTRY

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Figure 5: Functional Zones - Ground Level

RENAL DIALYSIS NOT PART OF SCOPE

NBRSARCHITECTURE was commissioned to complete an asset audit of the Moruya Hospital, located within Eurobodalla Shire on the south east coast of NSW. For this project the design team worked closely with clinical planner Bernadette Keenan to review the existing conditions of the facility. The aim of the report is to allow the client to assess base-line data on the quality and functionality of the existing hospital.

CSSD

CIRCULATION NOT PART OF SCOPE UNABLE TO ACCESS

NBRS & PARTNERS PTY LTD Sydney 4 Glen Street, Milsons Point NSW 2061 +61 2 9922 2344 Melbourne Suite 704 / 575 Bourke St Melbourne VIC 3000 ABN 16 002 247 565 architects@nbrsarchitecture.com nbrsarchitecture.com @nbrsarchitecture NBRSARCHITECTURE is a people focused, research based studio that aims to enrich lives. By developing creative design partnerships our portfolio exhibits an understanding of the people whose lives will be affected. Above all NBRS seeks to design environments that will have positive life changing affect.

Architecture is the cornerstone of NBRS global interdisciplinary design practice with expertise in Architecture, Heritage, Interior Design, Urban Planning, Landscape Architecture, ESD and Research.

Since 1968, NBRS has developed a research led architecture practice based in Sydney and Melbourne. NBRS is recognised for its innovative, award-winning design excellence and comprehensive expertise.

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DIRECTORS:

STUDIO PRINCIPALS:

DIRECTOR OF DESIGN Andrew Duffin

EDUCATION STUDIO Jonathan West Macella Salzmann

Nominated Arch. NSW 5602, ACT 2450, NT 1160, QLD 5465, SA 3539, TAS 1160, VIC 20063, WA 2699, NZ 4897

Jonathan West DIRECTOR OF STRATEGY James Ward DIRECTOR OF OPERATIONS Rodney Drayton DIRECTOR OF PEOPLE & CULTURE Andrew Leuchars DIRECTOR OF STUDIOS Samantha Polkinghorne

LIFE & CULTURE STUDIO Andrew Tripet WELLNESS STUDIO Ian Gibson JUSTICE STUDIO Anthea Doyle INTERIOR DESIGN STUDIO Sophie Orrock LANDSCAPE ARCHITECTURE STUDIO Andrew Leuchars HERITAGE STUDIO Samantha Polkinghorne

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