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25/11/2009
BBH Awards: The winners
ON NOVEMBER 12, more than 500 healthcare providers, architects and contractors gathered at The Brewery in London to celebrate the 2009 Building Better Healthcare Awards, recognising best practice in healthcare design and facilities management.
Established in 1998 to celebrate the people, products and projects that have excelled in improving the healthcare environment over the previous year, this year's event was the biggest ever, with a record 156 entries.

Presided over by special guest, celebrity director, presenter and writer, Hardeep Singh Kohli, the day began with a champagne reception and exhibition (sponsored by Dyson Airblade), before visitors were treated to a four-course meal, after which the winners were announced.

Trophies were presented in 21 categories, judged by a panel of the industry's most-respected experts including Susan Francis, special advisor for health at the Commission for Architecture and the Built Environment (CABE); Beatrice Fraenkel, chairman of Merseycare NHS Trust and director of Sandown Property Co (Liverpool) Ltd; and Kevin Oxley, director of operations at North Tees and Hartlepool NHS Foundation Trust and national chairman of the Health Estates and Facilities Management Association (HefmA).

Tom Cahill, chief executive of Hertfordshire Partnership NHS Foundation Trust, which won the Award for Best Mental Health Design for the Oak and Beech Units development, said of their success: "This project has been five years in the making. My thanks go to the staff and service users who helped the design team to come up with this outstanding building and also to the construction and project management teams who turned it into a reality.

"Looking to the future, those who use these facilities will have the benefit of superb therapeutic surroundings. These two new units set a quality benchmark for future mental health care developments in Hertfordshire, and more widely."

The new South Wing of the Western Health and Social Care Trust's Altnagelvin Area Hospital in Londonderry was commended in the Best Hospital Design Award category and reached the shortlist for the Best Use of Visual Art in Healthcare. Harry Smith of designer HLM Architects, said: "It has been a privilege to be involved in this project. The new South Wing is the product of a great team effort between the dedicated Western Health and Social Care Trust and both our Northern Ireland and Scotland offices which worked closely together, taking the time to understand the hospital's requirements and develop an innovative, creative design on a tight budget. We have already had very positive feedback from patients and staff, and it is a great honour to be recognised at a national level too."

Below are details of all the winning schemes:

PATIENT ENVIRONMENT CLASS

AWARD FOR BEST INTERIOR DESIGN:
WINNER: The Centre for Neuromuscular Diseases at UCHL (Nightingale Associates):
The National Hospital for Neurology and Neurosurgery and the Institute of Neurology aimed to develop a new medical research centre that established a patient-focused, regional and national centre of clinical excellence for the diagnosis and management of patients with neuromuscular diseases.
A major part of this aim was the interior, which the design team established around the concept of 'contemporary fitting in the classical shell' to enhance the original features of the early 20th-century building. The design was carefully detailed in order to create a contemporary clean impression of the front of the house, ensuring patient comfort and creating a pleasant working environment for staff.
Each area uses flashes of bold, contemporary colours to differentiate between each area of the building. What were once cluttered and uninspiring areas are now clearly-defined hallways which provide clear links to various parts of the building.
Additional features include a staff rest area designed to resemble a street café, open-plan communal corridors accommodating informal meeting places and a hot-desk facility for external consultants. COMMENDED: The Bristol Heart Institute, Bristol Royal Infirmary (CODA Architects)
ALSO SHORTLISTED: Belong Wigan, Millers Lane, Platt Bridge, Wigan (Pozzoni LLP/Belong Construction); Somers Clinical Research Facility, Great Ormond Street Hospital for Children; Wandsworth Recovery Centre, Springfield University Hospital (MAAP Architects).

AWARD FOR BEST EXTERNAL SPACE:
WINNER: Langley Green Hospital, Sussex Partnership NHS Foundation Trust:
When plans for the new hospital were first drawn up, the design of the landscaping outside was afforded the same level of detail as the internal space - and a £700,000 budget. The result is the integration of architecture and landscape to produce a calm, safe environment which promotes a sense of well-being and reduces emotional tension.
To create and maintain connections with the outside world, the design sought to heighten awareness of seasonal change, with plants chosen for their seasonal interest and sensory stimulation through different textures, smells, attractions and overall character.
A 'wander loop' around the site meanders and follows gentle contouring, connecting the gardens with each ward and driving visitors around the site. Further interest is added through recycled coloured glass inserts, which are cast into the path and glisten in the sunlight.
Other features include a café garden providing a terrace for outdoor dining, a sculpture garden incorporating a water feature and an external gallery space for temporary exhibits.
Each ward also has access to its own private gardens, each with a distinct theme including Four Seasons, English Parterre and Aspect. The design for the psychiatric intensive care courtyard includes coloured lighted, sculptures and a colour bench based on an 'emotion diary' workshop with patients.
ALSO SHORTLISTED: Grosvenor Wing Main Entrance, St George's Healthcare NHS Trust

AWARD FOR BEST USE OF VISUAL ART IN HEALTHCARE:
WINNER: Arts Programme, Bristol Heart Institute, University Hospitals of Bristol NHS Foundation Trust:
When plans were first drawn up for the new Bristol Heart Institute (BHI), art was a key consideration and was integrated into the design from the start. Following a two-day briefing for local artists, several designs were chosen for key locations around the site. The result is a series of eight installations unique to the hospital and with the aim of contributing to patient and staff well-being.
The external wall work was a partnership project with local primary school, St Michael on the Mount, which saw pupils making rubbings of natural and urban objects from which the designs for the stencilled wall works were created. The artist chosen to work on the patient bed lift collaborated with the hospital porters to generate designed for the ceiling and supported them to create their own picture.
Five of the eight pieces make reference to the Bristol area as well as the work of the BHI. These include the atrium sculpture, which takes the form of a boat as a link to the area's maritime history; entrance lighting, which makes reference to the pulse of the heart in the ripple formation of the substructure and the movement of light across it; and a nod to Bristol's rivers through artwork in the day case corridor.
COMMENDED: Bringing the Outside In, The Churchill Hospital, Oxford Radcliffe Hospital NHS Trust; and Integrated Artwork for Ashton, Radcliffe & Moorgate Primary Care Centre - Lime and Bury Tameside Glossop Community Solutions, NHS Bury and Tameside Glossop.
ALSO SHORLISTED: Alnatgelvin Area Hospital, New South Wing - HLM Architects with Hall Black Douglas Architects for Western Health & Social Care Trust; ARTworks Project, Royal Aberdeen Children's Hospital, NHS Grampian; History & Heritage, King's Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust; and Porters Avenue Health Centre & The Child & Family Centre, Barking Dagenham Havering Community Ventures

PRODUCT CLASS:

AWARD FOR BEST EXTERIOR PRODUCT:
WINNER: SAS Modular Solutions, SAS International:
SAS Modular Solutions makes an innovative contribution to the therapeutic quality and efficiency of the exterior structure of healthcare facilities and has successfully featured in the biggest PFI project in Europe.
The prefabricated, walled mechanical and electrical modules can help bridge the gap between M&E and construction disciplines, improve on-site project management, reduce labour force scheduling and lesson the requirement for sub-contractors.
The solutions offer superior use of space and flexibility in configurations and, more importantly, a faster return on investment through economies of scale and fixed costs. Allowing strict adherence to construction deadlines and reducing the need for heavy lifting and extensive crane work, commissioning is made simple as the units have all been pre-tested.
Currently, it takes less than a week to manufacture 35-45 6m M&E modules and in a recent healthcare construction project only eight people were required on site during this phase of the build.
ALSO SHORTLISTED: TrimoRaster Bi-Modular Cladding, Aldershot Centre for Health (Trimo UK Ltd)

AWARD FOR BEST INTERIORS PRODUCT:
WINNER: Dyson Airblade Hand Dryer, Dyson Ltd:
The fastest, most-hygienic hand-dryer on the market, the Dyson Airblade is at the forefront of infection control in healthcare facilities.
The only truly-hygienic dryer as certified by NSF International and endorsed by the Royal Society of Public Health and the British Skin Foundation, the product represents value for money when compared to paper towels, with potential savings estimated to be in excess of 98%.
Already installed into a number of health centres and hospitals, including Kingston Hospital and the Royal Marsden Hospital, the Dyson Airblade is the result of more than three years of research and development.
Powered by the Dyson Digital Motor, which rotates at 80,000rpm using digital pulse technology, there is also a model with a polycarbonate-ABS casing instead of aluminium, which helps reduce a trust's carbon footprint, another key requirement of modern healthcare facilities.
COMMENDED: Primera Limited Anti-Ligature Door Products, Primera Limited in association with Mersey Care NHS Trust
ALSO SHORTLISTED: Flowcrete Floor zone (Flowcrete UK Ltd); and RADA Sense (Kohler Mira Ltd)

AWARD FOR BEST ECOLOGICAL PRODUCT:
WINNER: High-efficiency, long-life, low charge natural refrigerant cooling - STAR Refrigeration:
Refrigeration contributes 15% of the UK's electricity usage, with every system drawing different levels of power based on fundamental design techniques.
But the system developed for Great Ormond Street Hospital (GOSH) uses the new technique called Low Pressure Receiver with ammonia as the refrigerant.
Aside from using a refrigerant with zero ozone-depleting potential and low global warming potential, the STAR LPR Refrigeration System allows the user to take advantage of cooler days by lowering the pressure/temperature at which the system has to reject the heat. This results in a 30% saving over typical systems used by practically every NHS trust.
The units are made from fully-welded carbon steel as opposed to the normal copper-based systems which operate at 10 times the pressure of a domestic heating system and are prone to leaking. As such, they will deliver equipment life of more than 20 years instead of the more-typical 10 years or less with other models.
COMMENDED: Dyson Airblade Hand Dryer (Dyson Ltd)
ALSO SHORTLISTED: Solar panels, The Princess Alexandra Hospital NHS Trust

ESTATES AND FACILITIES MANAGEMENT CLASS (sponsored by RADA - Kohler Mira Ltd):

AWARD FOR BEST FACILITIES MANAGEMENT SERVICE:
WINNER: Central & North West London NHS Foundation Trust Facilities Team:
With the imminent expiry of the trust's hotel services contract, it was decided a complete overhaul of the approach to service delivery was needed.
The team updated the specification in line with current standards and included in the document were some service aspirations, giving both the trust and the successful contractor the scope to really make a difference to the patient experience.
Once short listed, a selection panel including nursing staff, modern matrons, service managers, infection control leads and facilities staff received presentations from three contractors and the decision was almost unanimous to appoint OCS.
Upon appointment the facilities team and OCS worked closely together to ensure a smooth transition and since the contract commenced the partnership has flourished, which is clearly reflected in the service delivery.
ALSO SHORTLISTED: Wolverhampton City PCT Facilities Management Team, Wolverhampton City Primary Care Trust

AWARD FOR BEST ESTATE SERVICE:
WINNER: Nottinghamshire Healthcare NHS Trust, Estate and Strategy Plan:
Nottinghamshire Healthcare NHS Trust's Estate Strategy was approved in January 2009. The aim of the plan is to ensure that the trust provides safe, secure, high-quality healthcare buildings capable of fully supporting current and future service needs and by recognising that all planned developments are service led.
The plan describes how the trust will deliver the strategy through the redevelopment or retroversion of inpatient accommodation, the co-location of appropriate services, disposal of property that is surplus to needs and the development of partnerships.
The impact of the capital investment programme will be:
* To provide a future estate that will be of high quality, flexible and offer value for money
* To address as a priority the risks associated with the estate
* To reduce backlog costs
* To address privacy and dignity issues such as single-sex accommodation
* To improve the overall estate Key Performance Indicators
ALSO SHORTLISTED: Facilities & Estates Directorate - South Staffordshire & Shropshire Healthcare NHS Foundation Trust

AWARD FOR BEST SUSTAINABLE ESTATES STRATEGY IN ACUTE CARE:
WINNER: South Staffordshire & Shropshire Healthcare NHS Foundation Trust:
The trust has taken a holistic approach to making its operations as environmentally-friendly as possible. This includes improved management of energy and water supplies; a pledge to take a reduce, re-use and recycle approach to waste management; the development of a green travel plan and other initiatives to bring about a reduction in CO2.
The trust looked to engage with local and national partners with the expertise to address the issues. Local Authority Agenda 21 teams were invited to join with a dedicated management team to form the Environmental Management Group (EMG). This team would spearhead the trust's identification of environmental impacts and programme of improvements.
Further to this, the trust joined other like-minded organisations and companies in Staffordshire under the banner of the Staffordshire Business and Environmental network to share and develop ideas on environmental improvement.
Other improvements include procuring electrical energy from renewable sources, reviewing air conditioning systems, recycling computers and computer cartridges and recycling shredded confidential waste into usable paper.
As a result, carbon emissions from the trust premises have reduced over the last five years from a total of 6,819 tonnes per annum to 3,500 tonnes per annum.
ALSO SHORTLISTED: Birmingham Children's Hospital - Birmingham Children's Hospital NHS Foundation Trust; Great Ormond Street Hospital for Children; and The Princess Alexandra Hospital NHS Trust

AWARD FOR THE BEST SUSTAINABLE ESTATES STRATEGY IN PRIMARY CARE:
WINNER: The Cwm Gwyrdd Medical Centre, Cwm Taf Health Board:
The Cwm Gwyrdd Medical Centre in Gilfach Goch inhabit's a 1,800sq m building that takes the lead from the WAG-Commissioned vision for healthcare in Wales: Designed for Life.
The primary objective of the design was to improve service delivery. The stakeholders recognised that healthcare buildings are a focal point of the community and need to enhance the locality helping to generate civic pride. An outstanding level of innovation was delivered in the scheme due to environmental, social and economic sustainability being key considerations.
The flexibility of healthcare buildings to adapt to the changes in healthcare provision was another key driver in the design.
At a detailed level, the light steel frame allows for partitions to be removed or added to alter the shape and dynamic of rooms and spaces to accommodate the expansion or addition of services to be offered. At a broader scale, the layout is flexible enough to allow the practices to merge or share accommodation. The building design will continue to achieve a number of environmental objectives, particularly in respect of reduced carbon emissions and enhanced energy efficiency.
When achieving environmental sustainability an integrated design solution was needed. This included using a range of local and sustainable materials, the use of recycled materials in the construction of the premises and lower embodied energy materials.

PEOPLE CLASS (sponsored by Anshen + Allen):

AWARD FOR BEST PROJECT TEAM:
WINNER: Wandsworth Recovery Centre, Springfield University Hospital (MAAP Architects):
As its flagship project for the wider Springfield Garden Village Development, one of the key objectives of the project team was to promote opportunities for developments within the trust, not only around ward-based patient care, but to introduce new working practices which would enhance the treatment of mental health patients in the community.
"The trust adopted the ProCure21 process to manage the project and this encourages genuine partnership working among all individuals and organisations involved including clinical staff, administration and service user groups," said a spokesman. "To ensure as broad and innovative input as possible, a number of sub teams were developed from the key areas and managed by the overall design team and a separate project board and peer review group."
These teams included a clinical reference group, interior design group and user/carer forum which met regularly to discuss the plans as they took shape.
The spokesman said: "The impact of this partnership has meant that the team, the wider trust, development partners and the community were welded into one purpose. By working in a genuine partnership atmosphere, a state-of-the-art building was developed on time and within budget. The project has been well received and has set a benchmark for the modernisation of mental health services across the country."
ALSO SHORTLISTED: Aldershot Centre for Health Project Team (SR Architects Ltd); Central Manchester & Manchester Children's Hospitals NHS Trust (Lend Lease); Eric Wright Group with BRAHM LIFT, NHS Bolton and NHS Heywood, Middleton & Rochdale; Johnson Community Hospital (Costain Ltd); and Langley Green Hospital, Sussex Partnership NHS Foundation Trust

AWARD FOR DESIGN CHAMPION OF THE YEAR (sponsored by GPI Group):
WINNER: Dr Roy Macgregor, partner to the James Wigg Practice:
Kentish Town Health Centre (KTHC) is a new health building in central London, housing a large GP practice and a wide range of health facilities. The project champion, Dr Macgregor, had a vision to create a wonderful building where not only medicine, but health, design and art came together for the patients and wider community. The whole team worked collaboratively to create a building that expresses the new, holistic approach to healthcare.
Dr Macgregor faced a number of challenges to create a building that was bold, innovative and sustainable. The first was to make the project happen after a 12-year gestation period and failed PFI, 3PD and refurbishment projects, which all preceded this LIFT scheme.
Pulling together the nine different stakeholders to make a truly-integrated care centre for the NHS was the next task. Inspiring all stakeholders to embrace the new vision enabled new ways of working such as the open-plan environment with bookable office space to be accepted. This has allowed the pooling of resources between teams and increased communication between disciplines.
Making sure important design elements were not squeezed out during procurement and delivery was perhaps the most-daunting task of all. This has meant many hours working closely with architects, builders and sub-contractors to raise expectations and achieve something remarkable. Small elements such as the Art Hanging Rail and the PV-powered wind catchers as well as key ideas like the 10-terminal library and teaching suite were retained because the stakeholders and design champion fought to ensure these desires were included.
Through the hard work, vision and commitment of Dr Macgregor, KTHC has created a truly-innovative building that provides an exemplar for a new model of integrated healthcare centre.

BUILDING DESIGN CLASS:

AWARD FOR BEST PRIMARY CARE DESIGN:
WINNER: Kentish Town Health Centre (Allford Hall Monaghan Morris):
Procured through LIFT, the new health centre houses a large GP practice, dental surgery, children's services, screening and diagnostic imaging facilities, staff facilities, meeting rooms, a library and paediatric services. The initial vision for the centre was to create a building where not only medicine, but general health, design and art could come together to express the modern, holistic approach to healthcare.
Internally, the building has been designed around the concept of a street entered from the north and south elevations. This public/private space leads visitors into the reception at the heart of the building from where all services are accessed. Colourful artworks and double or triple-height spaces also help with way finding and create a feeling of bringing the outside in.
Sustainable features include the use of recycled materials, a combination of natural and mechanical ventilation, grey water harvesting, electric car charging points and bike racks. The centre has also been designed to be highly flexible so it can be altered to meet future healthcare demands.
COMMENDED: Knockbreda Centre (Penoyre & Prasad LLP with Todd Architects)
ALSO SHORTLISTED: Loxford Polyclinic (Devereux Architects); Walkden Gateway (MBLA Architects and Urbanists); and Washington Primary Care Centre (P+SH Architects)

AWARD FOR BEST COMMUNITY CARE DESIGN:
WINNER: Newton Abbot Community Hospital, Murphy Philipps Architects:
Completed in mid-December 2008, the new hospital has 60 impatient beds split into two wards together with outpatient facilities, a minor injuries unit, a re-enablement unit, a low-risk maternity unit and imaging and diagnostic areas.
Key features of the design include ward space which is able to be sub-divided and which gives patients access to outdoor space, including T-shaped four-bed bays giving direct external views over the nature reserve and woodland.
Set back from the road and providing a landmark on the approach, the site has been made safer by removing the service vehicles as soon as possible from the patient and visitor circulation zones. The facility has also been built to be easily adaptable and enable clear wayfinding.
"The building consists of two elements separated by a double-height, top-lit atrium space," said Clive Guyer of Murphy Philipps. "The front block provides a landmark feature formed by a timber-clad box and inclined zinc-clad planes, which relate to the new road. This is set against a simpler building behind with which it contrasts. This building is finished in render with a gabion wall using local stone at the front."
Art has been fully integrated into the design with features in the gabion wall as well as within the central landscaped courtyard and in the waiting areas and main entrance.
ALSO SHORTLISTED: Alltwen Community Hospital, Porthmadog (Nightingale Associates); Bangor Daycare Centre, Ballyholme Road, Bangor, Co. Down (Consarc Design Group)

AWARD FOR THE BEST RESIDENTIAL CARE DESIGN:
WINNER: Yew Tree Lodge, Hillingdon (Duggan Morris Architects):
Yew Tree Lodge is a new sheltered housing scheme of 12 self-contained residential units for people with special needs set in the ground of a Grade II-listed arts and crafts building with semi-communal internal spaces and landscaped lawns.
The intention of the design brief was for the residential accommodation to be self contained to promote greater ownership and encourage increased interaction between the residents.
To ensure the building did not detract from its historic neighbour, the scheme was developed in close collaboration with the local authority to create a facility with facades dominated by brick detailing and terracotta roof tiles, both a soft shade of brown.
In the internal spaces, living areas and bedrooms have full-height windows and the upper floors are fitted with projecting bays, creating a niche in which the tenants can enjoy the views of the landscape.
ALSO SHORTLISTED: Belong Wigan, Millers Lane, Platt Bridge, Wigan (Pozzoni LLP Architects/Belong Construction); and St Anne's Home (Daniel Hurd Associates)

AWARD FOR THE BEST END-OF-LIFE CARE DESIGN:
WINNER: Trinity Hospice (tp bennett):
Founded in 1891, Trinity Hospice in south London is one of the oldest facilities of its kind in the country, occupying a terrace of beautiful Georgian houses within landscaped gardens overlooking Clapham Common.
But, with the recent shift in end-of-life care provision, the hospice was keen to be at the forefront of chance and decided to update and expand existing facilities.
Spokeswoman Tammy Harari said: "Inpatients were being cared for in multi-bedded rooms within the Georgian houses or in a post-war extension, which made clinical care difficult and isolated patients from the activities housed within other parts of the site. In an attempt to address these concerns, a design was created to erode the traditional separation spaces for staff and patients, allowing patients more control and access to activities around the hospice and providing staff with an informal, dynamic environment."
The resulting blueprint by tp bennett architects merges inpatient and outpatient activities within a contemporary pavilion building set within the historic gardens.
The new building has been configured to allow every patient to experience the newly-revamped gardens and take part in activities.
During the building work, recycled material from the demolition of the existing structure were used and environmentally-friendly thermal insulation and solar control glass were being installed.
ALSO SHORTLISTED: Saint Francis Hospice (Nightingale Associates)

AWARD FOR BEST MENTAL HEALTH DESIGN:
WINNER: Oak and Beech Units, Hertfordshire Partnership NHS Foundation Trust:
The new psychiatric intensive care unit (Oak) and low-secure unit (Beech) have been designed with client care and sustainability at their heart.
Planned to respond sensitively to the considerably-sloping site in the Hertfordshire greenbelt, the two 15-bed units are arranged to permit outward views to the existing mature landscape. The accommodation is grouped around secure internal courtyards and the use of timber cladding and a greed sedum roof ensures the building nestles comfortably in its woodland setting.
After consulting staff and patients on the design, the overriding theme was to draw the outside in and this thinking permeated every decision about the layout including its see-through entrance, courtyards, outside views and the interior design, which includes leaf and tree-themed artwork.
The building design means it can be easily adapted in the future and it has achieved an 'excellent' NEAT rating for sustainability.
HIGHLY COMMENDED: Wandsworth Recovery Centre, Springfield University Hospital (MAAP Architects)
COMMENDED: Statheden Hospital, Elmview (Richard Murphy Architects & Interserve Health Scotland for NHS Fife)
ALSO SHORTLISTED: Justin Gardner House, Psychiatric Intensive Care Unit and Low Secure Unit, Norfolk and Waveney Mental Health NHS Foundation Trust

AWARD FOR BEST SUSTAINABLE DESIGN:
WINNER: The Cwm Gwyrdd Medical Centre (GPI):
Plans to revamp the medical centre in Gilfach Goch were based on the Welsh Government's vision for 21st-century healthcare - Designed for Life.
The primary objective of the design was to improve services and provide care in buildings which are a focal point of the community and which enhance the locality and help to generate civic pride.
Running alongside these aims was the need to make the building sustainable and this required an integrated design solution including:
* The use of local and sustainable materials including cedar cladding and natural slate block
* The use of recycled materials in the construction process
* A natural ventilation system creating a healthier indoor environment
* A range of photovoltaic cells to assist water heating
* A green roof incorporating a proprietary system of sedum grass
* Good natural lighting and controllable levels of solar glare
* A super-insulated and airtight envelope
* The use of lower embodied energy materials
Flexibility was another driver to ensure sustainability and the light steel frame allows for partitions to be removed or added, altering the shape and dynamic of rooms and spaces.
The 1,800sq m primary care centre has achieved a NEAT 'excellent' rating.
ALSO SHORTLISTED: Justin Gardner House, Psychiatric Intensive Care Unit and Low Secure Unit - Norfolk & Waveney Mental Health NHS Foundation Trust; Modern Health Care in Sustainable Buildings, Kentish Town Health Centre, Camden Primary Care Trust; and The Oxford Churchill Hospital, Oxford - Steffian Bradley Architects

AWARD FOR BEST INTERNATIONAL DESIGN:
WINNER: Akershus University Hospital (CF Moller Architects):
The university hospital in Norway was designed not to be traditional institutionalised centre, but to provide a friendly and informal setting with open, well-structured surroundings for patients, staff and visitors.
Structured like a town, the hospital has a glass-roofed main thoroughfare in which wood is the dominant material, linking the various buildings and departments. Other features include coloured panels by the Icelandic artist, Birgir Andresson, which form a natural element and provide a palette for the colour scheme in the rest of the hospital.
Patients are central to the design ethos, with the wards centred around four courtyards and the children's department offering views of both the sky and the surrounding landscape.
There are also large areas of glazing, including a glass roof, to promote natural daylight as well as an impressive lime wood and glass section in the centre of the glass thoroughfare which creates a strong link to the surrounding area.
ALSO SHORTLISTED: Children's Medical Center Legacy, ZGF Architects LLP/Page Southerland Page LLP; Community Nursing Unit, St Mary's Hospital Grounds, Phoenix Park, Dublin, Murray O'Laoire/Brian O'Connell Associates; Swedish Orthopaedic Institute, NBBJ; Meyer Children's Hospital, Florence, CSPE and Anshen + Allen

AWARD FOR THE BEST HOSPITAL DESIGN:
WINNER: New Stobhill Hospital, NHS Greater Glasgow & Clyde, Reiach and Hall Architects:
The ethos behind the new hospital in Glasgow is that the patient comes first. With this in mind, the building has been designed so that all tests and consultations can be carried out on the same day and on the same site where possible.
Procured under PPP, the £65m development will serve more than 2,000 patients every day, housing 20 departments including ENT, gynaecology, urology, day surgery, outpatient clinics and diagnostic and therapy services.
The concept is supported by an imaginative and ambitious Scottish Arts Council-funded arts programme, which includes wall drawings, projection works and a sanctuary space, devised over three years between the architect team and five local artists.
The building itself includes a canopy, full-height public arcade and central reception area from which all departments can be pointed out.
COMMENDED: Altnagelvin Area Hospital New South Wing - HLM Architects with Hall Black Douglas Architects for Western Health & Social Care Trust; and Bristol Heart Institute, Bristol Royal Infirmary - CODA Architects
ALSO SHORTLISTED: The Oxford Churchill Hospital, Oxford (Steffian Bradley Architects); Royal Manchester Children's Hospital, Manchester (Lend Lease); New Victoria Hospital, HLM Architects for NHS Greater Glasgow & Clyde

JUDGE'S SPECIAL AWARD:
JOINT WINNER: White Lodge Centre, Treetops and Rendezvous, Broadway Malyan:
A charity that supports disabled children and adults on its own site in Chertsey, Surrey. The centre has seen an increase in demand for its services in recent years, leading to the development of a number of new facilities.
Broadway Malyan has worked with the charity for more than three decades, master planning and designing a series of the buildings. The last phase of development was for a new-build children's respite centre (Treetops) and a new adult resource facility (Rendezvous).
Both buildings are single storey and have large, dramatic sweeping roofs which channel light into airy circulation spaces and key rooms. The buildings use coloured insulated render while at Treetops the southern elevation is clad with untreated larch complementing the woodland setting beyond and meeting the brief of 'a cabin in the woods'.
Both buildings have utilised a high level of internal finishes to make the buildings welcoming and non-institutional. Developed to create an exemplar for future facilities, staff and patients were involved in the design from the start and both buildings have a number of sustainable features to cut down on running costs for the charity.
JOINT WINNER: Skypad: Teenage Cancer Trust Unit (TCT), The Cardiff and Vale University Local Health Board:
CT provides specialist units improving quality of life and survival changes for teenagers/young adults with cancer within existing NHS hospitals. Offering true innovation in patient experience: combining specialist clinical care, psychological support and facilities, it replicates a young person's life outside.
The first facility of its kind in Wales (located at the University Hospital of Wales in Cardiff) Skypad provides a centre of clinical excellence for inpatient and outpatient care.
Designed in collaboration with teenagers, their families and clinical staff members. Skypad is an oasis of well-being and positivity, particularly for patients possibly struggling to come to terms with their condition or the impact of their treatment.
A range of social spaces provide opportunities to be entertained via a digital jukebox, satellite television and pool table or socialise, relax and study. The external terrace allows patients and guests to enjoy fresh air and views of the landscape. A dedicated parent's room provides them much-needed personal space and privacy.
Dedicated skilled nursing staff, headed up by TCT's funded lead nurse, provide expert care to young people between the ages of 14-23. Young people are treated according to evidence-based treatment and supportive care protocols while in the Skypad.
Visibility of medical equipment is kept to a minimum while being fully accessible. In contrast, in medical areas, glass cabinets have been provided to make stock re-ordering simple.
Skypad assists the trust in providing a centre of excellence for paediatric and young people's cancer services in Wales.

LIFETIME ACHIEVEMENT AWARD FOR SERVICES TO THE HEALTHCARE ENVIRONMENT (sponsored by Gardiner + Theobald):
WINNER: Ann Noble PhD. BArch, Dip Arch, MA Sociology, Dip. Town Planning, RIBA:
Ann qualified from Bristol University in the 1960s before moving initially into practice and then working with the former DHSS Hospitals Research and Development Programme in the early 1970s.
From 1976 to 1989 she held various posts within the Medical Architecture Research Unit, then hosted by the Polytechnic of North London: she received her PhD in 1988.
Establishing Ann Noble Architects in 1989, Ann opened her skills to the commercial market and has been called upon to advise by some of the best known names in the industry. Her work has taken her all the world - consultancies with the World Health Organisation, ODA (not the Olympic people) and EEC - as well as extensive research and evaluative commissions for GP and primary care organisations.
Ann has probably been into more GP practices and hospitals than anyone else in the country and possesses a rare gift in being able to translate complex ideas into a coherent and progressive set of activities - as evidenced by her dynamic leadership of the Primary Care Premises Group at MARU, which went from nothing to extraordinary levels of activity, knowledge transfer and practical information.
Her interests extend to public-sector procurement, infection control and, above all, learning from and disseminating best practice.
Ann held the chairmanship of Architects for Health from 1998-2008, during which she worked to widen the scope of the organisation beyond an architects' club to a learning organisation which now has extensive national and international recognition.
Ann has devoted her professional life to promoting excellent in healthcare environments and shows no signs of stopping.

For more information and to download the winners' book, visit the BBH Awards website at awards.bbhealthcare.co.uk
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