Winners in building Better Healthcare Awards

13th January 2020

The winners of the 2019 Building Better Healthcare Awards were announced at a ceremony in central London on Wednesday 30 October.

IHP’s Chase Farm Hospital redevelopment scheme picked up the prestigious 2019 Award for Estates and Facilities Team of the Year and Award for Interior Building Product.

Award for Estates and Facilities Team of the Year

We are extremely proud to be part of the successful team that has delivered this high quality, flexible and sustainable facility that has immediately delivered benefits to patients, staff and the community.

The new Chase Farm Hospital is a credit to everyone involved. The facilities are of a really high standard and it looks clean and modern. I wasn’t expecting to have my own room, a TV and good food!

When the Royal Free London NHSFT (RFL) acquired Chase Farm Hospital (CFH) in 2014, an immediate priority was to address the extremely poor quality of the estate, which was affecting both patient care and financial sustainability. Typically, schemes like this take over 10 years to deliver.

RFL appointed IHP early in the process and we designed and delivered this 23,000 sqm - £130m state of the art new hospital on budget in 48 months whilst ensuring the old hospital remained operational throughout.

You are able to provide state of the art care in the most modern facilities in the NHS. Since you opened back in September we’ve heard from more than 300 patients. People are so proud of this being their new Chase Farm Hospital

Chase Farm Hospital’s redevelopment was achieved at an unprecedented speed for a scheme this complex and large within the NHS. It demonstrates what is possible with strong leadership and clear direction, true collaborative working across disciplines and more objective approaches to risk management.

Moving quickly was essential: the site was financially unstable, infrastructure and building condition was poor and the community needed confidence that positive change would happen.

From a standing start, the scheme took just 48 months from site acquisition by the Royal Free London NHS Foundation Trust to completion in 2018, including:

• Full Business Case approval from the Trust, Department of Health and Treasury
• Full planning and outline consent for the whole site masterplan
• Development and approval of a fully integrated design in 4 months
• Construction and handover of 23,000m² Acute General Hospital in 34 months
• Sale of residual land on which initial housing units

This scheme met key Government objectives in the Naylor Report and Construction 2025, delivering a whole-site development that provides:

• Sustainable strategy enabling the estate to support transformation in the NHS
• Delivery of housing (including key worker), a primary and secondary school
• Reduction in the overall time, from inception to completion for built assets (pre-construction design period reduced to 6 months)
• Reduction in greenhouse gas emissions (carbon saving of 116 tonnes/pa)
• Energy centre delivered via ESCo procurement model, serving hospital and housing scheme, meeting Trust and Local Authority energy and carbon reduction targets

Successful project delivery was achieved by:

• A clear vision and clinical strategy underpinning the service model
• Strong leadership by Chief Executive and Board, ensuring rigorous programme management, clear and strict governance processes for change control
• Clinical Project Director role ensured proposals were developed and embedded within clinical teams
• Key stakeholders were engaged throughout business case development, employing a specialist to specifically liaise with and guide the project through the external approval process
• Working with the local authority throughout to help planning, utilities and logistics issues
• Using evidence based P22 Repeatable Rooms and Standard components as a starting point for design to reduce time/cost
• Strategically managing risk with all parties, to facilitate of enabling and other works in advance of final business case and planning approvals

Sustainability

Excellent BREEAM rating achieved + Energy centre delivered via ESCo procurement model + 20 electric charging points installed with 20+ more in the future + PV panels + SuDs drainage system including Green Roofs, filtration beds all part of wider housing development SuDs system + Extensive planting of new trees to replace all those removed + Green Gym.

Digital Hospital

Digital audit - nurses saving up to 30 minutes a day on audits, previously done manually but now digitally via the Perfect Ward smartphone app. Nurses can view/send audits at the touch of a button.

• Managers can quickly assess/compare standards across the hospital via their smartphone.
• ‘Visibility’ of the patients via speech and monitoring of integrated medical devices from anywhere in the hospital
• Virtual safety huddles – saving up to 45 minutes a day by doing them ‘virtually’ in 30 seconds via group messaging on smartphones. Shared information is recorded for reference at any time.
• Theatre recovery throughput - saving up to 15 minutes per patient (average 30 procedures per day) in moving through recovery and back to the ward by more efficient and effective communications.
• Bed turnaround time – up to 40 minutes per bed saved using domestic clinical workflow button which ensures staff arrive more quickly.
• Staffing cost benefits - comparing the nurse ratios needed for single rooms with/without technology, have saved on the cost of 9.7 RNs and 11 HCAs (WTE).
• Communication between teams - ability to contact anyone directly wherever they are and have a situational awareness of the activity in their clinical area even when they are elsewhere.

Award for Interior Building Product

This award was for the Total Laminate Systems - Simplicity Healthcare range which is one of the approved P22 Standard Components.

The Total Laminate system is completely smooth, lacking in joints or crevices; this means cleaning and decontamination are very easy and therefore assist with infection prevention and control.

This package on Chase Farm Hospital comprised of 500+ products including Clinical Wash Hand stations, scrub troughs, dirty and clean utilities, disabled wall panels, en-suite panels, toilet cubicles, vanity units and theatre prep areas.

Royal Free London NHS Foundation Trust, IHP and the design team set the following objectives and requirements that this product delivered:

• Consistent product solution across all areas
• HBN compliant with whole life cycle value for money
• Efficient maintenance and infection control
• Colour pallet for departmental identification and wayfinding
• Panel systems integral with interior design

Selection of this product demonstrates IHP’s commitment to the P22 Standard Component objectives.

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