Many European countries face similar dilemmas: what to do with smaller hospitals providing acute medical services, particularly those which are geographically remote or otherwise less accessible. It may be difficult to attract and retain sufficient numbers of specialist staff, and/or thought to be financially inefficient to maintain these services. But are closure or downgrading really the only answers? The Nuffield Trust (UK) was recently asked to examine this issue, and to suggest possible solutions. Their thoughtful and well-researched report is available here. The context will vary between jurisdictions, and one size rarely fits all, but the report offers a lot of food for thought.
It’s just a few days until the start of the 2018 EuHPN workshop. This year we have an amazing range of countries represented from across Europe and a wonderfully diverse group of speakers, both academics and practitioners with interests in planning, designing, constructing and financing all kinds of healthcare infrastructure. Special thanks to our sponsors Chalmers University of Technology and White Arkitekter for their generous support. You can download the latest version of the programme here, and if you would like to register (a few places still available) then please complete the registration form.
See you in Gothenburg!
‘Building for better health, research & innovation in architecture & urban design for care & health’ is the title of ARCH19 – the 4th Architecture Research Care & Health conference – organised at the NTNU Knowledge Centre of the St Olav Hospital in Trondheim – Norway – 12th until 14th of June 2019.
ARCH19 connects research & innovation to promote collaborative innovation processes in architecture and urban design for care & health. ‘Building for better health’ aims to offer an insight into gained knowledge and research projects that focus on the issues of care, health, architecture and urban design and brings together researchers and practitioners to present findings and exchange gained knowledge according to the following three guiding topics:
- Health promoting architectural and urban design
- Housing for people with special needs
- Architecture for healthcare service organisations
Therefore, NTNU would like to invite you to react to their call for original research papers and ask you to send in your abstract before the 1st of October 2018.
Please visit NTNU website at www.ntnu.edu/arch19 for more information about the call for papers, guiding topics, research approaches and submission procedures.
Registration is now open for the 2018 EuHPN workshop in Gothenburg, Sweden, 25-27 September. We think Research and Evaluation for Care Infrastructure Closer to Home will be an exciting and informative event for anyone involved in health and care infrastructure planning and design. This year’s themes are the contribution of research and evaluation to developing the future infrastructure of healthcare, and increasing importance of health and care buildings in community settings. Download the programme here and the registration form here.
This year we have speakers from a wide range of countries, encompassing Spain, Malta, Italy, Sweden, Norway, Ireland, England, Scotland, the Netherlands and Finland, and participants coming from all across Europe.
We look forward to meeting you in Gothenburg!
Download the outline programme for the 2018 EuHPN workshop ‘Research and Evalutation for Care Infrastructure Closer to Home’ here: Outline_programme Gothenburg 280518_03.
This year the EuHPN workshop looks at infrastructure development outside the field of grand hospital developments, by concentrating on community hospitals and smaller-scale mental health units, enhanced primary care centres and specialist health secondary care facilities. We will be presenting cases from across Europe to help us to explore the trends and the challenges.
Our cross-cutting theme is the need for structured and well-evidenced strategic planning and design based on high quality evidence and a sound knowledge base. As well as the contribution from traditional academic approaches to health building research, we will also explore new ways to plan, design and evaluate the built environment, by using Virtual Reality (VR) technologies and Artificial Intelligence (AI) systems.
The outline programme also has all the information you need on travel arrangements and hotel accommodation, and you can register by downloading and completing this form: EuHPN_2018_Workshop Registration
On 13th and 14th April I had the privilege to attend Erasmus Medical Center’s newbuild2018 congress: a celebration of the planning, design, engineering, construction, thought and sheer hard work that has led to the rebuilding – and re-imagining – of an entire academic hospital campus.
Over the course of two days over 170 people had the opportunity to contribute to a multitude of workshops which explained the complex processes involved, over a period stretching back many years, in creating the physical infrastructure which now supports the vision of truly patient-focused hospital care. Following our discussions, we had the rare opportunity to visit the academic hospitals wards, administrative areas and technical installations, just one month before patients and staff move in. In some ways, seeing the finished product just before it is in use gives a false impression, a sense that the physical environment and all its attendant and smart technology, somehow sprang into being effortlessly. Nothing could be further from the truth, of course. The directors, clinicians, architects, engineers and administrators who ran the workshops and conducted the tours were very open about the difficulties they encountered along the way, including some set-backs and difficult decisions. Nonetheless, their pride in the final achievement was very clear. Together with their many partners, including Rotterdam City Council, the end result is a hugely impressive amalgam of building design, care pathway decisions, technological innovation and process engineering. Just to give a flavour of the scale of the new hospital project, we are talking about:
- 207,000 m2 gross floor area
- 15,000 m2 of laboratory space
- Tower: 120 meters, 29 floors
- Hospital: 48 meters, 12 floors
- 46 lifts
- More than 7.5 km of sun protection
- More than 2200 piles
- More than 2 million m3 of air exchange per hour
- 2500 km of data cabling for various systems
- 2 roof gardens (approx. 3,000 m2) on the 8th floor
If you want the full picture, you can download the 2016 book of the project, in English, here , and have a look at the introductory video for the congress delegates, here. And if you’d like to take your own, virtual tour of the hospital, you can watch a short video, here (subtitles in English), which introduces you to the public spaces, the single patient rooms (with ‘rooming in’ facilities), the arrangement of outpatient clinics and day case centres, the functional layering of the hospital, and much, much more besides.
It isn’t easy to provide a single, overarching impression of the new Erasmus MC from a 1.5 day visit, partly because there was so much information to process and consider, and partly because one would need much longer to fully appreciate all the features. However, having said that, I was very impressed with what seemed to be a genuine and comprehensive attempt to see things from the point of view of patients and families, but also to provide staff with a high quality environment. You could see this in the most basic functions: car parking at the level of the main entrance, for example, to make access as easy as possible; or in the ample provision of shops, restaurants and cafes in the main concourse and the attention to detail in the landscaping of the roof gardens. But these considerations extend everywhere, even to the ‘hot floor’ areas where, for instance, the building’s designers have ensured that every operating theatre has natural light.
The new Erasmus MC is an amazing achievement: a medical city, within a city but intimately connected to it.
Executive Director, European Health Property Network
This year’s EuHPN workshop will be taking place in Gothenburg, Sweden, from 25 to 27 September. We are grateful to the Centre for Healthcare Architecture, Chalmers Technical University for assistance in finding a top quality venue and in developing our workshop theme. We will be posting more information here as the programme develops. For now, please save the dates and come our site for regular updates.
The next step in hospital design: presenting the New Erasmus MC
This congress, taking place 13-14 April in Rotterdam, Netherlands, is organised by Erasmus University Medical Center, EGM Architects, Royal HaskoningDHV, ptg advies and Juurlink [+] Geluk. It features a range of top quality plenary speakers, panel discussions, workshops and guided tours which will tackle a range of issues:
- Smart technology and innovation
- Connected Human Spaces
- Concepts for ambulatory care
- Future-readiness of hospitals
- Building process management
In addition, on 12 April, there will be a preconference workshop organised in collaboration with the Architecture Institute Rotterdam (AIR).
For more information, and to register, please consult the programme folder.
Future Proofing Health System Infrastructure
Design, technology and innovation to ensure a fit for purpose healthcare estate
The 2017 EuHPN workshop, which took place 20-22 November in Turin, Italy, welcomed a mix of health estates and facilities professionals, health system planners and policy makers, clinicians with an interest in the built environment, hospital directors, capital investment experts and healthcare architects and engineers for a fascinating three days of presentations and debates on how bes to future proof Europe’s healthcare built environment.
This year EuHPN welcomed HealthManagement.org as the media partner for the 2017 workshop. The network is very grateful to Primaned, PMWeb, EMEC Italy and Bender Italy for their generous support as workshop sponsors.
European countries face an urgent need to provide their citizens with more personalised services, responsive to changing models of health and social care. This shift, encouraged by new technologies, is characterised by more distributed and decentralised care provision. Hospitals focus increasingly on highly specialised diagnoses and treatments, while primary and community care adopt some features which were previously available only in secondary care centres. Home care services, and forums for patient self-management, are becoming important factors in the overall care system, and non-clinical environments are playing a significant role in patient education and support. These trends add up to a move away from care provision in traditional silos, towards a web of care which extends from the home, to spaces for work and leisure, and, of course, to newly imagined clinical environments.
The 2016 EuHPN Workshop addressed the effects of this societal change on the physical environment of care. A range of speakers from across Europe, including invited speakers from Spain, spoke on:
- The rationale for the web of care, including service reform
- How to plan for radical reconfiguration of healthcare infrastructure
- Designs for a new generation of healthcare buildings
- Health-promoting public spaces
- Technologies which enable better care, in and out of health facilities
- Implementing new care models and their supporting infrastructure.
The workshop programme and presentions from the workshop can be found under the ‘Workshops’ tab.