Oana Gavriliu Case Studies

Canberra Hospital Expansion ACT, Australia

RELEVANCE TO IMPERIAL

Creates a new build acute services block within a constrained existing and live site. The project was designed and delivered within 4 years and closely follows centrally agreed design standards set by Health Infrastructure.

The $500 million Canberra Hospital Expansion (CHE) project will deliver a new eight-storey critical services building including emergency, surgical, critical and coronary care services. Located at existing Canberra Hospital campus, the hospital expansion is the largest healthcare infrastructure project ever undertaken by the ACT Government. The nearly 50,000sqm new facility will enable a bigger, better Canberra Hospital to meet the needs of a growing city and region.

A contractor-led multidisciplinary team was appointed to deliver the project in August 2020. Construction of the new facility began in January 2022, and is expected to be completed on schedule in March 2024. The final crane was removed from the site In September 2023.

The new facility is designed as an integrated building creating the heart of the hospital campus and connecting to other hospital functions through separate public, clinical and logistical transfer links.

Canberra Hospital Expansion

Research shows that, in hospitals, when people can freely

The Coronary Care Unit will include, 32 acute cardiac

use outdoor areas, agitation and aggression reduce, and

care beds of varying acuity, 3 Cardiac Catheterisation

rehabilitation, recovery and independence are promoted.

Laboratories, including one Hybrid Cardiac Laboratory

This has informed some of the key design elements of

and one Electrophysiology Laboratory and a Cardiac Day

the new facility including a focus on meeting the needs

Unit with 20 beds to support the Cardiac Catheterisation

of both patients and staff through access to indoor and

Laboratories.

outdoor areas for relaxation and quiet reflection as well as places where families and staff can gather, discuss issues and socialise.

The project will deliver significant enhancements to the hospital’s current acute services capacity as well as very direct links between the emergency department, helipad, the 12 ambulance bays, theatres, and ICU. The new Intensive Care Unit (ICU) will comprise 48 beds, organised into 4 distinct patient clusters of 12 beds, as well as ample workspaces for ICU staff. The unit will benefit from a dedicated gym for patient remobilisation, enhanced family zone spaces, and separate paediatric patient pod.

The new Emergency Department (ED) for this regional Trauma centre will have 147 treatment spaces – 72 more than currently available, incorporating a paediatric emergency pod of 25 spaces.

The perioperative floor comprises 22 ORs, including 5 state-of-the-art hybrid and interventional radiology theatres and an iMRI incorporating the latest advancement in interventional technology.

A satellite imaging unit is located on ground floor, serving the patients within the new building and the ED and comprising of 4 X-ray rooms, 3 CT Scanners, 3 Ultrasound Rooms and 1 MRI. The new facility includes two surgical wards providing 64 inpatient beds while the design incorporates 2 shelled wings on the top two levels which have been pre-designed to become two further 32 bed wards at a later date.

The Critical Services Building (CSB) aims to transform Canberra’s healthcare infrastructure, leading the way as Australia’s first all-electric hospital building. The building’s design will help mitigate an estimated 1,886 tonnes of embodied (Scope 3) carbon emissions every year, equal to removing 760 cars from Canberra’s roads every year.

Canberra Hospital Expansion

The design aligns with the ACT Government’s Climate Change Strategy of achieving a zero-emissions health sector by 2040.

The CSB includes a range of cutting-edge sustainable design features, like a high performing façade, smart HVAC systems, enhanced indoor environment controls, heat pumps and draught tolerating landscape species.

Canberra Hospital Expansion

Environmental sustainability has been considered throughout the construction process of the CSB. By using sustainable practices during construction, the project has removed over 2,000 tonnes of operational emissions (Scope 1). This is equal to the carbon removed by more than 30,000 tree seedlings over ten years. Some initiatives include: 1.

Material Salvage and Repurposing During demolition of the previous buildings on the site of the new Critical Services Building, an impressive 96% of materials were salvaged and repurposed for other projects. This reduced waste and promoted a circular economy.

2.

Low Carbon Concrete The concrete used is locally sourced and carbon reduced by up to 40% (compared to standard mixes).

3.

Pollution-Free Construction The use of non-fossil fuelled machinery such as electric cranes during construction minimises noise pollution and harmful emissions. This ensures a cleaner and healthier environment for the local community.

GSTT Masterplan London, UK

RELEVANCE TO IMPERIAL

A good precedent for developing the masterplans of two large campuses within the same trust in parallel, applying adaptable estates standards and principles and realising the benefits of synergies between the two sites.

GSTT Masterplan The two masterplans represent a long-term estate

The masterplan are underpinned by the creation of a new

masterplan vision with collaboration at its heart, building

Adaptable Estate guidance that acts as a blueprint for

on world-class existing assets and bringing together

designing the highest quality, flexible healthcare assets.

London’s existing international community of life science

The standard will enable the creation of healthcare-

industries and academic institutions, creating 2 specialised

standard ‘shell and core’ buildings which house can house

healthcare, research and teaching hubs focusing on

mix of clinical, research, academic and commercial uses.

MedTech and Biomedicine. The masterplans create over

These carefully designed buildings are likely to be refitted

500,000m2 of additional area on the two campuses.

every 10–15 years, depending on changing requirements,

By bringing clinical, research and educational institutions

treatments, technologies and demand.

together with the life science industry in a collaborative space an ecosystem will be created where the best academic and commercial researchers work closely with clinicians and entrepreneurs to unlock the discovery of the next generation of medicines, devices, software and diagnostic tests.

Below: Westminster Bridge Campus (WBC)

GSTT Masterplan

St Thomas’ Hospital Masterplan Is a 25-year strategic plan, creating over 200,000 additional clinical area as well as the potential for a large commercial redevelopment on the Royal Street site. The masterplan proposes to create site wide layering of clinical, research and education facilities, blending them within connected buildings, achieving well integrated networks of services.

Right: WBC - Surgical Network on Level 1 Below: WBC - Wide Stacking Diagram

Below and Right : Westminster Bridge Campus

GSTT Masterplan

Guy’s Hospital Masterplan Also a 25 year strategic plan, it creates over 300,000 additional area on the campus comprising a mix of clinical, research, education and commercial facilities. Due to it central location within an area that has undergone a significant transformation in the past ten years, the masterplan proposes an intensive redevelopment of the relatively small site, creating a vertical stratification of uses and tenants, from clinical to R&E and commercial.

Above and Bottom: London Bridge Campus (LBC) Left: LBC - Surgical Network on Level 1 Below: LBC - Campus Wide Stacking Diagram