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MURPHYPHILIPPSHK
Developing Cost-effective, High-quality Healthcare Design
Marc Levinson
Partner, Murphy Philipps Architects
MURPHYPHILIPPSHK
Relative costs
Whole life value User salaries
Life cycle cost Operating costs
Capital cost Construction cost
200
5
1
Source: Halliday, S (2007) ‘Sustainable Construction’
MURPHYPHILIPPSHK
What do we need in a hospital environment?
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Infection control
Privacy and dignity
Access to outside
Access control
Easy to maintain
Patient observation
Wide circulation spaces
Wayfinding
Wall protection
What do we need in a hospital environment?
IT infrastructure
Views from beds
Fully accessible
Sufficient storage
Service runs
Nurse call
Acoustics
Natural daylight
Fire safety
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Activity Guidance Design Vision
The brief
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Elegant design solution
Functional
Easy to manufacture
Precisely engineered
Beautiful
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Finchley Memorial Hospital
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Finchley Memorial Hospital
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Generic Rooms
Generic clinical rooms
Specialist clinical rooms
Support space
OPD
A
B
C
D
E
F
G
H
I
J
K
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Generic Rooms Flexibility
Walk-in centre
Phlebotomy
General Practice
Imaging
Outpatients
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Generic Rooms Flexibility Patient Journey
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Generic Rooms Flexibility Patient Journey Staff efficiencies
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Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion
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Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion Lessons learned
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Research - efficiency
Building K
59.5%
0.6%
6.1%
4.7%
1.3%
12.3%
5.2%
10.3%Departmental circulation(Horizontal)
Departmental circulation(Vertical)
Communication space(Horizontal)
Communication space(Vertical)
Engineering
Wall thickness
IPS
Net Area
……
Building K
59.5%
0.6%
6.1%
4.7%
1.3%
12.3%
5.2%
10.3%Departmental circulation(Horizontal)
Departmental circulation(Vertical)
Communication space(Horizontal)
Communication space(Vertical)
Engineering
Wall thickness
IPS
Net Area
Building K
59.5%
0.6%
6.1%
4.7%
1.3%
12.3%
5.2%
10.3%Departmental circulation(Horizontal)
Departmental circulation(Vertical)
Communication space(Horizontal)
Communication space(Vertical)
Engineering
Wall thickness
IPS
Net Area
MURPHYPHILIPPSHK
……
1995
23.8%
2003
25.9%
2010
27.0%
2011
29.6%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Building A
Building B
Building C
Building D
Building E
Building F
Building G
Building H
Building J
Building K
Building L
Building M
Building N
Building P
Departmental circulation (Horizontal)
Departmental circulation (Vertical)
Communication space (Horizontal)
Communication space (Vertical)
Engineering
Wall thickness
IPS
Net Area
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Building A
Building B
Building C
Building D
Building E
Building F
Building G
Building H
Building J
Building K
Building L
Building M
Building N
Building P
Departmental circulation (Horizontal)
Departmental circulation (Vertical)
Communication space (Horizontal)
Communication space (Vertical)
Engineering
Wall thickness
IPS
Net Area
Results
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……
First Floor
Ground Floor
Clinical adjacencies
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……
Source: James and Tatton-Brown (1986)
Models of care
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11.3% 13.4% 23.7%
room
c o
r r
i d
o r
c o
r r
i d
o r
c o
r r
i d
o r
room
room
Natural light
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……
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
Building A
Building B
Building C
Building D
Building E
Building F
Building G
Building H
Building J
Building K
Building L
Building M
Building N
Building P
Wall thickness
Wall thickness
MURPHYPHILIPPSHK
MURPHYPHILIPPSHK
Thank you
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