2 HOSPITALS : 111 doubles as a non-verbal orientation system); each floor has been painted a different colour, named after a natural habitat such as Ocean, Savannah and Mountains and adorned with inlaid floor designs and wall paintings. Patients and staff seem happy here. Vacancies for nurses in the paediatric intensive-care unit fell from 30 to two per cent, and applications for consultant posts doubled, says Hood. The new Evelina Children s Hospital was also designed with energy efficiency in mind. The south-facing building makes maximum use of solar gain, thus reducing energy consumption, and receives a great deal of daylight. Another children s hospital that takes both sustainability and patient psychology seriously is the stunning Meyer Hospital just outside Florence, Italy, where the proposals of 500 children became an intrinsic part of the brief. In the past, hospitals were conceived as a machine for recovery says Paolo Felli, a founding director of CSPE, the practice that designed the hospital complex (with some input at the outset from Anshen + Allen, international specialists in the design of healthcare and research buildings). Today, says Felli, we believe humanizing putting the patient at the centre should be one of the fundamental priorities of any hospital. The project uses and expands on an existing building (a former TB clinic) dating from 1930, which is set in a parkland of mature trees and has the rolling Tuscan hills as its attractive backdrop. The new additions include a glazed passageway and a large atrium that connects the old villa and the new pavilion. The atrium, or greenhouse, is covered in photovoltaic panels (which also filter natural light), while the new pavilion has a green roof (partly transformed into a shaded healing garden for its diminutive guests and their families) and features 47 so-called Pinocchio Hats, or conical skylights, that let light into the building. This, along with other measures, means the complex has reduced its energy consumption by a whopping 45 per cent. The interiors are bathed in natural light, adorned with art and filled with countless areas for recreation and play. Felli says the most telling anecdotal evidence of how little this hospital subscribes to the aesthetic and atmosphere of other healthcare structures is the story of a boy who returned home after a long stay at the Meyer, apparently unaware of the fact that he d been in a hospital. In the Netherlands, a recently completed pioneering hospital complex transforms the concept even further. This project is not just about the construction of new buildings. The Orbis Medical Park in Sittard is the brainchild of Erik Veldhoen, a strategic consultant and trendsetter in the field of workplace innovation. Despite his lack of experience in the medical sector, he developed an entirely new hospital complex based on a radical rethink of layout, organization, IT and other relevant processes. Key innovations include the absence of private consulting rooms for doctors, who work in Orbis s knowledge and expertise centre, where they have access to patients dossiers stored on computers throughout the building. All patients have private rooms with divans for overnight use by family members (Veldhoen points out the dual function of helping patients and taking part of the burden off the nursing staff), sliding glass doors (for facilitating regular checks by staff) and curtains (for privacy). Veldhoen emphasizes that this hospital is considered a meeting place, where the patient is the owner of the facility during the meeting. That means the doctor visits the patient instead of the patient the doctor. The Hospital of the Future, another name for the Orbis Medical Park, comprises six centres, of which four are devoted to patients and one, the Logistics Centre, handles goods and supplies. Patients, staff and supplies converge only where necessary, a set-up that eliminates time-consuming walks and searches. The forward-thinking buildings and patient-focused projects mentioned here have revolutionized our vision of a hospital and, above all, the sort of experience it offers its users. But perhaps one of the more significant hospital designs of the future is an as-yetunrealized scheme by Priestmangoode, a practice specializing in 3D branding and known for designing luxury airline cabins and economy hotel rooms. The firm has come up with a concept for taking the strain off overloaded national-healthcare systems. The Recovery Lounge questions the very need for rooms and offers an option to recover from a procedure without an overnight stay, says Paul Priestman, a founding director of the company. It offers privacy and yet visibility for staff to check on your wellbeing during your recovery. In the Recovery Lounge, reclining daybeds are staggered, like those in first-class airline cabins, and individual private patient zones are designed to offer maximum comfort, improve cleanliness and speed up turnaround times (the mantra of most modern airlines and hotels). With an ageing population and people living longer, our healthcare facilities have to adapt to more frequent visits for shorter stays as patients return for regular treatment of chronic conditions rather than major illnesses, says Priestman. What s more, Recovery Lounges would not be expensive to roll out if produced in adequate numbers. And our experience in the hotel industry has shown us that it is possible to reduce costs whilst maintaining quality, says Priestman. An opinion shared by the Circle healthcare group, which is planning an ambitious 25 more hospitals around the UK in the next five years. De Grey says the budget of Circle s first hospital was similar to that of a state hospital. Which leads to one obvious conclusion: if happy, humane hospitals are affordable, surely we should have more of them. We believe humanizing putting the patient at the centre should be one of the fundamental priorities of any hospital Paolo Felli With an ageing population, our healthcare facilities have to adapt to more frequent visits for shorter stays Paul Priestman
3 112 : HOSPITALS THE BUILDING IS BASED ON THE CONCEPT OF THREE SEPARATE STREAMS FOR PATIENTS, PROFESSIONALS AND LOGISTICS. PHOTOS HUGO THOMASSEN
4 HOSPITALS : 113 THE DESIGN IS ORCHESTRATED AROUND CONVERGENCE POINTS OR MEETING SPACES. This hospital is a meeting place, where the doctor visits the patient instead of the patient the doctor Erik Veldhoen CARE MEDICAL STAFF DIAGNOSIS TREATMENT PATIENT TREATMENT CONSULTATION MEDICAL STAFF CARE DIAGRAM SHOWING PATIENT-CENTRED APPROACH. DURING TREATMENT AND CARE, THE PATIENT IS THE OWNER OF THE SPACE. ORBIS MEDICAL PARK The new Orbis Medical Park in Sittard is based on the ideas of Erik Veldhoen, a strategic consultant in workplace innovation. He brought a fresh approach to bear on the hospital, rethinking its organization, IT and other processes. There are two design focus points: the patient and technology. During consultation, treatment and care, the patient is the owner of the space. The professionals visit the patient, not vice versa. Doctors and staff work together in activity-based knowledge centres (no private desk or rooms anymore) and the patient has a private room. Technology is optimized and information is digital and accessible via mobile devices and wireless networks. In the building there are three separate streams: patients, professionals and logistics. These converge at meeting points. TYPE OF FACILITY General hospital (65,000 m 2 ), rehabilitation clinic (20,000 m 2 ), prevention and medical education centre (20,000 m 2 ) LOCATION Sittard, Netherlands DESIGNER Concept: Erik Veldhoen For Change (erikveldhoen.nl); building: Jan van der Leij van Bonnema architecten (bonnema.com) DATE OPENED January 2009
5 114 : HOSPITALS COLOUR IS INTEGRAL TO THE DESIGN. PHOTOS MIKE BINK THE FLOORPLAN ILLUSTRATES THE GUIDING PRINCIPLE OF A PARADE OR MAIN CORRIDOR THAT CONNECTS EVERY SPACE IN THE FACILITY. EMMA CHILDREN S HOSPITAL (EKZ) The EKZ aims to provide the best treatment for sick children while creating a normal environment. The newly renovated neonatal unit and staff area by OPERA are based on the metaphor of the high street as the guiding principle. A parade, or main corridor, runs through the hospital, leading to all public areas and to each child s private bedroom. Wayfinding which employs a specific language of icons and colours is integral to the design. TYPE OF FACILITY Hospital with neonatal care unit and staff area. Other facilities (older kids, etc) to be completed 2013 LOCATION AMC, Amsterdam, Netherlands DESIGNER Architectural design: OD205 (od205.nl); interior design: OPERA Amsterdam (opera-amsterdam.nl) DATE OPENED January 2010 WAYFINDING EMPLOYS SPECIFIC ICONS AND COLOURS.
6 HOSPITALS : 115 THEMATIC GRAPHICS ON GLASS WALLS ILLUSTRATE THE TREATMENT AREAS OF EACH DEPARTMENT. Different artists created illustrations to complement the themes of the various departments THE PARENTS LOUNGE INCORPORATES A WALL OF JUNGLE, AN IMAGINATIVE CONNECTION TO THE OUTSIDE WORLD.
7 116 : HOSPITALS THE INTERIOR IS DESIGNED TO RADIATE THE IDEA OF WELLNESS, SO THE USUAL VOCABULARY OF HOSPITALS IS STUDIOUSLY AVOIDED. PHOTOS RENÉ DE WIT
8 HOSPITALS : 117 THE REHABILITATION CENTRE IS OPEN TO ITS PARKLAND SETTING, WHICH WAS CREATED BY GREATLY SIMPLIFYING THE STRUCTURES ONSITE. The new complex replaces a confused profusion of buildings with trees THE ORIGINAL COMPLEX (ABOVE LEFT) HAD MANY BUILDINGS, WHICH THE NEW CENTRE CONDENSES INTO THREE AREAS (RIGHT). EXPOSING THE INTERIOR TO THE SURROUNDING GREENERY TAPS INTO THE HEALING POWER OF NATURE: LANDSCAPE VIEWS HAVE BEEN SHOWN TO SPEED RECOVERY. GROOT KLIMMENDAAL REHABILITATION CENTRE An existing facility consisting of numerous small buildings was replaced by three larger structures: a rehabilitation centre, a school and an apartment building. The interiors deliberately avoid icons of sickness, such as fluorescent lighting, linoleum, and modular ceilings. Instead, they radiate the idea, I want to get better. So a festive vocabulary was chosen: bright colour, mirrors, and extensive windows and skylights form a kind of chandelier in the rehabilitation space. This in a nod to the healing power of nature is open to its parkland setting and, thanks to the façade s anodized aluminium and green glass, blends in with it. One of the goals was to strengthen the relationship with the neighbourhood. Some of the buildings facilities pool, theatre, fitness centre are open to the local community. If rehabilitation aims to include people in society again, the thinking goes, why not start that process during treatment? TYPE OF FACILTY Rehabilitation centre LOCATION Arnhem, the Netherlands DESIGNER Koen van Velsen (koenvanvelsen.com) DATE OPENED September 2009
9 118 : HOSPITALS HIGH-TECH FACILITIES ARE PLACED IN THE SIMPLEST OF SETTINGS. PHOTOS COURTESY OF FOSTER + PARTNERS AS THE FLOORPLAN SHOWS, THE OPEN AND DEMOCRATIC DESIGN DISPENSES WITH THE USUAL OFFPUTTING DIVISIONS BETWEEN DEPARTMENTS AND ROOMS. CIRCLE HOSPITAL The Circle Hospital in Bath is partly owned and run by staff, who had a hand in designing it. The interior features a warm palette, contemporary art and views of the surrounding countryside. Instead of relying on signage, real people guide patients to their destination. The democratic design, with minimal divisions separating departments, aims to put the patient at the centre of the hospital while minimizing stress. The compact scale encourages a sense of community, and facilities suggest a boutique hotel rather than a healthcare institution. THE BUILDING MAKES THE MOST OF ITS SCENIC SURROUNDINGS. TYPE OF FACILITY General hospital LOCATION Bath, UK DESIGNER Foster + Partners DATE OPENED March 2010
10 HOSPITALS : 119 THE RESTFUL ATMOSPHERE OF THE INTERIOR EVOKES A BOUTIQUE HOTEL. There are none of the colours, sounds or smells of a usual medical centre the effect is more like that of a luxury hotel Spencer de Grey SOOTHING NATURAL LIGHT PERVADES MOST OF THE ROOMS IN THE HOSPITAL.