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PAST PRESENT FUTURE

PAST PRESENT FUTURE

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Nightingale Associates

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PAST PRESENT FUTURE

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Foreword

Past

The principal value underpinning the formation of Nightingale Associates is quality. Our objective has always been to make a positive impact on the built environment, not only to design buildings that are sustainable and responsive, but also to enhance the well-being of the people who use them.

The late 1980s was characterised by a culture of process driven results. If the process was quick, inexpensive and efficient, so the argument went, then the resulting environment would be satisfactory too. Inevitably this was not the case. The future use of healthcare buildings over their 60 year design life was not considered. Many facilities were not flexible enough to respond to the progressive nature of clinical and technological development, resulting in low quality buildings that were not fit for purpose.

Healthcare design is a highly specialised discipline requiring an enormous depth of knowledge and skills. As leaders in the field, our aims were unequivocal. Through patient-led design, we took every opportunity to raise the design profile of health. The Hove Polyclinic (page 69) built in 1994 was the first ‘polyclinic’

in the UK. This provided a path finding solution to community healthcare provision that is still gathering momentum today.

As the profile of healthcare design increased, so did our reputation. So much so that our expertise grew into what we call our ‘super specialism’. This makes us unique, and has become a strong platform for diversification and international growth.

Present

Not surprisingly, through the design of teaching hospitals and associated medical schools we have diversified into buildings for education. Initially in the higher education and science fields, this expertise has grown to include further education, secondary and primary schools. The Executive Business Centre (page 31) is one of over 30 projects delivered for the Bournemouth University, under a five year framework agreement.

Nightingale THiNK, our research-based design philosophy, is central to our offering to clients and inspiration to staff. ‘4 Labs 4 Cities’ (page 21) is a comparative analysis of four laboratories in Oxford, New York, Toronto and Vancouver. It aims to define a basis for

improving the quality of use and efficiency of laboratory environments.

The last 21 years has also seen a gradual but determined shift from local to national public sector procurement. One of the benefits is the greater sharing of ideas, knowledge and experience. This has lead to many loyal client relationships and repeat business, together with a reputation for inclusive team working and timely delivery.

Our structure has allowed us to provide a local service with all the wealth of expertise, knowledge, research and learning that only a practice of our size can sustain.

Future

The acquisition of Nightingale Associates by IBI Group in 2010 marks a new chapter in our story so far. The quality of the practice’s design and strategic position fits perfectly with the aims of a global architectural firm. This relationship will give us the opportunity to further export our ‘super-specialism’ in health to an international market, while at the same time strengthening our portfolio of projects in science and education.

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Contents

People 9A Room for London 11Advance Aid Design Charrette 13Stimulating Development 15

THiNK 17Product Design: BedPod 19Design Research: 4 Labs 4 Cities 21The Barn Operating Theatre, 23 Broadgreen Hospital, Liverpool Sustainability: Research Complex, 25 Rutherford Appleton Laboratory Sense Sensitive Design:Active and Alert 27

Relationships 29Techno Booth, Bournemouth University 31North Middlesex University Hospital 33Liverpool Heart and Chest Hospital 35Singleton Hospital 37 Day Surgery Unit, Swansea University Hospital, Coventry 39Peterborough City Hospital 41The King’s Fund 43New South Glasgow Hospital 45MEG Unit, 47University of Oxford 47Fulbrook Centre, Churchill 49 Hospital, Oxford

Community 51Ysbyty Aneurin Bevan, Ebbw Vale 53Peninsula Medical School, 55 Tamar Science Park, Plymouth Gateway Sixth Form College, Leicester 57Mignot Memorial Hospital, Alderney 59St. Peter’s Integrated Health & 61 Leisure Centre, Burnley Clinical Education Centre, 63 Keele University Old Road Campus Research Facility, 65 University of Oxford Hove Polyclinic 67Deeplish One Stop Primary Care Centre 69Diagnostic & Treatment Centre, 71 Good Hope Hospital, Sutton Coldfield Medical Student Accommodation, 73 Princess Elizabeth Hospital, Guernsey

Legibility 75Lutyens Crypt Access, Liverpool 77 Metropolitan Cathedral of Christ the King The Castle School, Berkshire 79Old Road Campus Research Facility, 81 University of Oxford Ysbyty Alltwen, Porthmadog 83Ysbyty Cwm Rhondda, 85 Rhondda Cynon Taff

Mental Health 87Renal Dialysis & Cardiac Assessment 89 Unit, West Wales General Hospital Ysbyty Ystrad Fawr,Caerphilly 91The Liverpool Blue Coat School 93Art in the Landscape 95

Flexibility 97Golden Jubilee Wing, 99 King’s College Hospital Chalkhill CAMHS Unit, 101 Princess Royal Hospital, Haywards Heath Clinical Sciences Building, 103 Coventry New Hospitals Project Arcadia Fashion Retail Academy, London 105The Hadyn Ellis Building, 107 Cardiff University Kimmeridge Lecture Theatre, 109 Bournemouth University St. Mary’s Catholic College and Christ 111 the King Catholic Primary, Blackpool Bolton One 113Sir Robert Ogden Macmillan Centre 115Medicover Hospital, Warsaw 117We Are Nightingale 119Image Credits 120

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“Nightingale has an absolute understanding of the holistic nature of the design process and a respect for all the disciplines. No need to fear “nice buildings shame about the engineer.” Anon.

“The studio is humane and friendly. People listen and talk to each other, not everyone is plugged into their ipods as in some places.” Member of Staff Member of staff, Nightingale Associates

Our success originates from genuine collaboration and inclusion and we recognise everyone´s contribution to the design process. We have a diversity of skills, experience and nationalities within the practice. Younger architects are encouraged to take responsibility and many of our senior architects are specialists in their field. Motivated people means fresh ideas, and we continually seek to stimulate our teams through interesting and challenging projects, lively discussion, design reviews, training and the work of Nightingale THiNK.

People

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A Room for London

Designers from across the practice collaborated in a competition to design a ‘Room for London’ on London’s Southbank.

“The room needed to allow the occupant to engage with the city and also to retreat from the city. The transition from busy to calm became a recurring theme. Ultimately the room itself became the transitional space, with moveable furniture to allow the guest to determine their own level of engagement with the city. Views out, materials, and colours were then used to reinforce the sensory transition within the space.” Iain Todd, Project Architect

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Advance Aid Design Charrette

“The subject content was very thought provoking, especially in light of recent natural disasters, and encouraged us to push boundaries to create something worthwhile for those who truly need it.” Abigail Amos, Interior Designer

Nightingale teams took part in a competition for Advance Aid to design medical support facilities for disaster stricken countries using 40ft shipping containers. Ideas ranged from immediate response units to long term solutions such as community hospitals.

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Stimulating Development

We actively invest in staff development to create a culture where ideas can flourish.

Our regular sustainability conferences are just one way of disseminating knowledge and sharing new thinking.

“Nightingale’s Sustainability Conference was an extremely informative day that I was pleased to be involved with. Nightingale’s ought to be congratulated for taking the time and effort in pulling together such a good programme and encouraging participation from very key and able speakers.” Lorraine Holme –Sustainability Development Programme Manager & Project Manager for NEAT – Department of Health

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THiNK

“Research & Development as part of a creative industry is vital to maintain knowledge of developing technology and help move the industry forward. Our ability as architects to apply knowledge from other industries into design solutions is invaluable.“ Mike Nightingale, Founder

“Design research is a valuable tool with which we as architects can explore new ideas, evaluate their impact and implement solutions within our projects. Nightingale THiNK encourages and supports this process across the practice, providing an opportunity for all staff to push their ideas further and share knowledge both with colleagues and clients.” Caroline Paradise, Design Research Co-ordinator

Our design philosophy is underpinned by research-led design through the work of Nightingale THiNK. Taking a holistic approach, we work with industry partners, research institutions and building users to highlight the important link between research and practice. Through gathered evidence and experience, design solutions and theories are tested to help improve the quality, efficiency and sustainability of the built environment.

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The BedPod was designed in response to a Design Council competition to address issues surrounding patient dignity and the way that space is used in wards. Designed in collaboration with SAS International and Billings Jackson, the BedPod is one of a number of products currently in development.

“This prefabricated modular bed system with its modesty screens, improved acoustics and lighting and additional storage, gives patients more control over their environment. It could be rapidly installed in hospitals, enabling them to quickly convert under-used space into single bed spaces without the need for major refurbishment.” Richard Mazuch, Director of Design Research and Innovation

Product Design: BedPod

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“Working with our parent company the IBI Group, “4 Labs 4 Cities” is a comparative analysis of laboratories in Oxford, Toronto, New York and Vancouver. It aims to define a basis for improving the quality of use and efficiency of laboratory environments.” Adrian Gainer, Studio Director

Design Research: 4 Labs 4 Cities

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The Barn Operating Theatre, Broadgreen Hospital, Liverpool

‘The Barn’ is an innovative open-plan naturally lit operating theatre, accommodating four operating tables. This improves throughput, surgical teamwork and the sharing of expertise.

“Post operative studies have shown that 85% of users prefer the Barn Theatre to working in conventional operating theatres.” John Knape, Frameworks Director

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Sustainability: Research Complex, Rutherford Appleton Laboratory

The building design incorporates a number of energy saving and sustainable features, including a ground-coupled ventilation system (Earth Tube) exploiting constant ground temperature to reduce heating and cooling loads.

“We are planning a postoperative evaluation to test the effectiveness of the sustainable features incorporated into the design.” David Rowley, Director of Design Research and Innovation

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Sense Sensitive Design: Active and Alert

“For many years, Nightingale Associates has been developing design tools and guidance based on the way that the body perceives and responds to sensory stimuli. After success in delivering such schemes in the health sector, we are now applying this knowledge to the consideration of how children learn, thus informing the design of optimal learning environments that respond better to an individual’s needs.” Adrian Swain, Studio Director

Every element of the buildings we create can have an impact on the user, not least on children within schools. Working with leading universities, we are actively investigating whether sense sensitive design can have a positive impact on the learning environment. Initially exploring the impact of olfactory and auditory stimulus, this research will be applied and tested in a series of classroom workshops.

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We seek to gain trust and respect from our clients, our staff, the consultant teams we work with and the wider community. Our aim is to design sustainable buildings that create a sense of well-being, social interaction and inclusion. This approach has led to the successful delivery of a wide variety of repeat commissions from a number of loyal clients.

The main reception area at Bournemouth Executive Business Centre opens onto a coffee shop and restaurant. This was designed to raise the profile of the school within the local business community.

“The success of the University’s Business School has seen its student numbers increase dramatically. This combined with its aim to move into the postgraduate and business training market created the need for new facilities. This building is one of over 30 delivered under a five year framework agreement with the University.” Glenn Turner, Project Architect

Relationships

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Techno Booth, Bournemouth University

Techno booths help stimulate ideas, social interaction and group learning.

“Many of those who go out into the world of business in the future will have had the benefits of studying in the magnificent state-of-the-art Executive Business Centre” Lord Phillips of Worth Matravers

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Located in a high density urban location, this new building rationalises the way that the public, patients, goods delivery and blue light traffic approaches and circulates around the site. At the heart of the scheme, the atrium space links the new building with the existing hospital campus.

“Two new Rotundas on the eastern and western approaches form unambiguous wayfinding to significantly improve site legibility. Routes are clearly defined for different types of pedestrian and vehicular traffic.” Terry Sullivan, Studio Director

North Middlesex University Hospital

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Liverpool Heart and Chest Hospital

The Liverpool Heart and Chest Hospital was the largest project to be delivered through the Department of Health’s ‘ProCure21’ framework initiative. The scheme was constructed in five major phases and involved the provision of extensive new-build accommodation as well as significant alterations and substantial extensions to existing facilities.

“I have seen lots of hospitals and this is an incredible facility, equal or better than anything you will find in the private or public sector. It has a real wow factor.” Alan Johnson, Secretary of State for Health

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Singleton Hospital Day Surgery Unit, Swansea

Quality is not compromised by pre-fabrication at the Singleton Hospital Day Surgery Unit.

The award-winning building was completed in under 12 months, and was watertight on-site within five days.

“The concept is to create a contemporary building that responds directly to its location. In the same manner as the local vernacular buildings, the design recedes into the landscape rather than contrast against it.” Richard Golledge, Project Architect

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University Hospital, Coventry

The entrance to an Acute Hospital should not only be welcoming, but calming and non-institutional.

“The £350m University Hospital at Walsgrave, Coventry represents a major achievement in the quality of design and construction as enhanced by the PFI process. The new hospital campus united services provided from two existing hospitals. The existing facilities had to remain fully operational throughout construction phase, and the disruption to patients, staff and visitors, had to be minimised.” Richard Harrington, Executive Chairman

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Peterborough City Hospital

The dramatic atrium of this hospital is a large and dynamic space which serves as the main hospital entrance and reception. The design has been informed by our research into ‘Sense Sensitive Design’; where emphasis is placed on colour, views, natural light and artwork. The windows are strategically located to ensure green views are available, and where this was not possible, sedum roofing and courtyard installations have been installed to enhance the patient vista.

“The Nightingale Associates design team has provided an exemplary service. Their solutions look to integrate every element of service coordination, patient well-being and equipment installation.” Angela Broekhuizen, Project Director for the Greater Peterborough NHS Health Investment Plan

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The King’s Fund

Nightingale has delivered many award-winning schemes for The King’s Fund under their ‘Enhancing the Healing Environment’ initiative. By giving clinicians ownership of projects and engaging service users in the design process, the programme focuses on improving the healing environment. With many of the projects between £35k and £1m, even the smallest intervention can make a difference.

“At first I was astonished that my views were taken so seriously, I was not the usual ‘token’ service user, I was an equal member of the team. We all ended up genuinely caring about each other.” Service User

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New South Glasgow Hospital

Influenced by Glasgow’s maritime history, the new hospital is articulated in three components: the ‘beacon,’ ‘dock’ and ‘vessel.’ The ‘beacon’ is an eight storey adult inpatient block providing 1,109 single en-suite bedrooms with views over Glasgow. The ‘dock’ (beneath the beacon) provides 29 operating theatres, with diagnostic, outpatient, ambulatory care and emergency facilities in a three storey ‘podium’. The ‘vessel’ provides a new 256 bed children’s hospital.

“The new Southern General Hospital has the potential to become one of the most advanced medical campuses in Europe. It could also catalyse economic and social regeneration in Scotland.” Neil Murphy, London Office Principal and Project Director

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MEG Unit,University of Oxford

This is one of a number of science buildings that Nightingale has designed for the University of Oxford. Located in a magnetically ‘quiet’ site, the single storey MEG scanner facility has been clad in natural materials to compliment its parkland setting.

“Sunny, airy and welcoming, the building is designed with sensitivity towards patients with special needs. It also places an emphasis on a positive experience, reflected in the selection of warm, natural internal materials, furniture and finishes. Skylights in the roof create a sense of space while maximising natural light into areas filled with research equipment.” Adrian Gainer, Studio Director

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Corridors naturally lit from above or laterally

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This accommodation for dementia sufferers features one of the earliest examples of 100% single rooms for mentally ill patients.

A single corridor design allows daylight to penetrate - transforming the traditionally institutional environment in this type of building.

Fulbrook Centre, Churchill Hospital, Oxford

“The Fulbrook Centre set a precedent in design for dementia care. Most modern examples follow this trend, resulting in a wholly improved environment.” Richard Harrington, Executive Chairman

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The college provides comprehensively-equipped rooms for a wide variety of vocational courses from training and assessment rooms for the accreditation of students in national plumbing and gas-fitting qualifications; to professional-quality hair salons and beauty treatment rooms.

A naturally-lit central atrium, with dining areas, social spaces, and an internet café lies at the heart of a campus redevelopment for Redcar and Cleveland College.

An understanding of context, place and purpose is essential in creating vibrant communities. Whether changing the perception of mental health facilities, designing campuses for schools, or creating integrated healthcare environments, we invite building users to participate in the design process. In doing so we aim to create buildings that are not only responsive to the community’s needs, but also enhance the lives of the individuals who interact with them.

Community

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Located in a Welsh valley, this hospital brings a new community focus to a former steelworks site. Natural materials and selected views renew and enhance the user’s experience of their locality.

All patients benefit from single rooms. Modest but effective opening windows enable each room to be flooded with daylight.

Clinical spaces are arranged around dedicated landscaped courtyards which help orientation and aid recovery.

“Everywhere you look is a beautiful picture” Member of staff

Ysbyty Aneurin Bevan, Ebbw Vale

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A physical and symbolic ‘bridge’ between the Derriford Hospital and the Tamar Science Park, this medical school facilitates interaction between university researchers, students and clinicians.

Peninsula Medical School, Tamar Science Park, Plymouth

OFFICE OFFICE

CHANGING ROOMS CENTRAL

CONCOURSE SEMINAR ROOM

“This building champions environmentally conscious design. Features include extensive use of daylight and solar shading, natural ventilation, night cooling with exposed concrete for high thermal mass and a proprietary Building Management System. Maintenance free materials such as untreated cedar cladding and locally sourced stone further enhance the building’s sustainability credentials while making it sympathetic to its context.” Milorad Vucinic, Studio Director

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The design aids and stimulates a sense of community, hugely important in a learning environment.

The open and legible arrangement of buildings embraces the college’s ethos of ‘learning for all’.

“You probably realised that I feel passionate about our building and the College. Not a day goes by without my thinking about how fortunate I am to be working here. I constantly remind students and staff of that fact too.” Suzanne Overton-Edwards, Principal, Gateway College

Gateway Sixth Form College, Leicester

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The building makes the most of the waterfront setting by maximising the views from inpatient rooms and day spaces to provide an uplifting light and airy environment.

“The importance of context and sense of place is fundamental particularly for a building so tightly integrated into the community.” Simon Boundy, Studio Director

Mignot Memorial Hospital, Alderney

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When a diagnosis results in a fitness regime, it helps if the facility is close to hand. A large projecting window over the public concourse provides passers-by with a view into the gym.

“Bringing health and leisure facilities together within a single building enables and promotes the benefits of a healthy lifestyle.” Justin Harris, Studio Director

St. Peter’s Integrated Health & Leisure Centre, Burnley

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Clinical Education Centre, Keele University

Well lit interiors stimulate clear thinking and dialogue, important in a learning environment.

“A cylindrical light-well in the two-storey rotunda, diffuses daylight into the ground floor study areas and state-of-art conference facilities.” Richard Mazuch, Director of Design Research and Innovation

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Old Road Campus Research Facility, University of Oxford

Enabling collaboration between scientists was a key element of this building’s design. The ‘street’, one of two atria, forms the heart of the building and accommodates a cafe and a knowledge centre. This space enables the cross-fertilisation of ideas from six different cancer research institutions.

This project was designed in collaboration with Make Architects.

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Hove Polyclinic

This building, the first ‘polyclinic’in the UK in 1994, provided a path finding solution to community healthcare provision that is still gathering momentum today.

“The building’s success owes much to the fruits of long-term planning, an enlightened brief, wide consultation and careful collaboration between architect and client.” CABE

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Deeplish One Stop Primary Care Centre

An uncompromising modern contrast to the urban context in a conservation area, is a fitting solution in an era of ‘one stop’ health diagnosis and treatment.

“The building is designed to be a modern landmark on the edge of an existing conservation area. Public consultation played a great role in the design and development of the facility from service planning to the colour schemes employed within the building.” Justin Harris, Studio Director

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Diagnostic & Treatment Centre, Good Hope Hospital, Sutton Coldfield

Two floors of clinical accommodation are arranged around a double height main waiting area. This strengthens visual and communication links between the first and ground floor areas.

“Understanding the patient journey was a key consideration in our design. It is important that at all times there are clear visual links for the patient, so that they know where they have come from and where they are going to, whilst being able to maintain their orientation to the outside world.” Alan Tripp, Studio Director

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Medical Student Accommodation, Princess Elizabeth Hospital, Guernsey

Student accommodation in Guernsey provides stylish but affordable housing for medical students at the Princess Elizabeth Hospital.

“Offsite manufacturing and high quality modular building systems were used to address the challenges facing construction on the island whilst providing the high quality that the client was seeking. Internally, modular furniture was shipped in flat-packs and assembled on site, the bespoke design of this furniture allowed maximum use of the space internally.” Simon Boundy, Studio Director

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“The college’s commitment to a low carbon building has been made legible through a ‘visible’ sustainability concept. This has been designed to encourage students to take a proactive approach to environmental issues. Biomass boilers, PV cells, grey water harvesting and natural ventilation are just a few of the affordable and innovative environmental solutions on display.” Paul Menadue, Associate Director

The sense of arrival at Gateway College can be fully exploited in an out-of-town location.

From creating a sense of arrival to using way-finding to aid navigation, legible design helps people understand their environment. The thoughtful articulation of scale, form, materials, colour and features such as art and sculpture all help, while creating memorable and reflective spaces. Existing buildings can also be made more legible through creative re-use. Remodelling and rationalising spaces not only makes buildings more efficient and fit for purpose, but also prolongs their life so that they can be enjoyed by future generations.

Legibility

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Lutyens Crypt Access, Liverpool Metropolitan Cathedral of Christ the King

This 21st century pavilion was created to allow the public access to the crypt beneath the 1960s cathedral designed by Sir Frederick Gibberd. The crypt was designed by eminent British architect Sir Edwin Lutyens who was originally commissioned to design the cathedral until World War Two stopped construction going ahead.

“The scheme offers vastly improved access together with upgraded facilities and a rich cultural experience for the cathedral visitor. The scheme was recognised by the Civic Trust for its contribution to the built environment and architectural heritage .” Adrian Swain, Studio Director

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“It’s fantastic to work on a project that will have such a positive impact upon children with special educational needs. We have worked hard to design a building that will accommodate for the pupils’ varying moods and emotions, creating a flexible, practical and welcoming design solution.” Lindsay Webb, Project Architect

For a building to be legible it needs to be accessible to all. For a child with Autism Spectrum Disorder their school has to ‘make sense’. The rational design of the new-build Castle School maximises the spatial quality of the teaching spaces using daylight, the best surrounding views and protection from sources of noise. Responsive spaces can help reduce feelings of enclosure by managing environmental stimuli.

The Castle School, Berkshire

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Scientists at the Old Road Campus wanted the signage within the building to reflect the activity of the research institute. Images of cancer healing plants such as ginkgo biloba used on the second floor were key elements of the interior design concept. Autumnal colours were used to reflect the trees and foliage in the parkland outside.

Old Road Campus Research Facility, University of Oxford

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This community hospital is carefully integrated into its setting on the edge of Snowdonia National Park in North Wales. The hostile climate was the inspiration for the winter garden: a space for all seasons using rugged natural materials to reflect the local landscape.

Ysbyty Alltwen, Porthmadog

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Situated in the Rhondda valley, the design of this £23m facility has been influenced by the surrounding landscape.

“The scheme is conceived as a series of linear, sliding planes, arranged on a north-south orientation. The use of render, masonry and a tiled pitch roof is embraced and exploited to ensure an appropriate contextual link while maintaining a contemporary aesthetic.” Jamie Brewster, Studio Director

Ysbyty Cwm Rhondda, Rhondda Cynon Taff

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Mental Health

A well designed legible environment plays a significant role in the wellbeing of its users. There is nowhere where this is more critical than in the mental healthcare sector, where individuals can be at their most vulnerable.

“Ultimately, service users, carers and staff welfare is at the heart of our designs and their engagement is a critical part of the process.” Martha McSweenwey, Practice Mental Health Lead

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At Carmarthen, the building’s unusual shape was influenced by the challenging proportions of the available site.

The colour and texture materials were chosen to complement the surrounding urban environment.

Renal Dialysis & Cardiac Assessment Unit, West Wales General Hospital

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Ysbyty Ystrad Fawr, Caerphilly

This 276 bed local general hospital is located on a flood plain. Car parking is hidden below the raised building to enhance the hospital’s relationship with the landscape.

“The design seeks to maximise the contribution the environment can make to the healing process. Views and access to landscape or gardens is known to relieve anxiety, promote well being and reduce dependency on the need for medication. This coupled with maximising the levels of natural light and ventilation, where appropriate, contribute to the therapeutic environment for the benefit of both patients and staff.” Lindsey Gibbon, Project Architect

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The Liverpool Blue Coat School

A modern architectural addition which reinforces the character and quality of the existing Grade II listed school.

“Both old and new are clearly legible through the articulation of form and materials. Materials are used reflect the attributes of the existing historic facades, while issues of proportion, rhythm and scale are addressed in the design of the new elevations. The interface between the old school and new extension is a simple glass link, providing clear views of the existing facades through the new additions.” Adrian Swain, Studio Director

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Art in the Landscape

Courtyards and the landscape around buildings can be enhanced with the use of art and sculpture. These elements can also be used to aid orientation and wayfinding’

“We have found that if you give patients an inspiring environment, they will be more inclined to look after it.” The King’s Fund

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With retractable seating and sliding acoustic panels, the auditorium at Gateway College can be used for a variety of functions.

The functions of healthcare, education and science buildings are constantly evolving, and future proofing is a key component of their successful design. Emerging technology is leading to the progressive miniaturisation of complex equipment. This has opened the door to the rationalisation of very complex buildings, using less specialised and more adaptable spaces that dramatically improve their flexible future use.

Flexibility

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Golden Jubilee Wing, King’s College Hospital

High quality finishes and generous space standards in this early PFI at Kings College Hospital contrasted radically to the standards prevailing under the traditionally funded projects.

“Flexibility is the key to this major project. The £75m PFI development was the most significant modernisation and construction at King’s since the hospital first moved to South East London in 1913. The main challenge for Nightingale Associates was to design a building on a very tight urban site which could accommodate future changes in medical priorities. The new King’s College Hospital Golden Jubilee Wing offers a fully considered vision for the future, allowing the whole hospital to be progressively modernised.” Mike Nightingale, Founder

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Chalkhill CAMHS Unit, Princess Royal Hospital,Haywards Heath

The 18-bed mental health unit is a development that aims to make a difference to some of the most vulnerable children and adolescents with a range of mental health conditions.

“The remarkable use of art integrated into the building’s fabric and interior design scheme helps to ensure that the building is welcoming and child-orientated with an emphasis upon de-stigmatising the mental health environment and supporting the users. Bespoke carpet designed to evoke a woodland walk, and wallpaper of woodland and seascape scenes, was all designed by local artists.” Denise Medcraff, Studio Director

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Clinical Sciences Building, Coventry New Hospitals Project

The café provides a focal point for collaboration and discussion of ideas in this Clinical Sciences Building. This combined research and education facility was developed as part of the £310m Coventry New Hospitals Project PFI.

“The design was extremely challenging both in terms of the breadth of the clinical services to be housed and timescales for delivery. The Nightingale Associates design team provided an excellent service throughout the design process, working with the clinical teams to ensure that a solution was achieved. What was particularly noteworthy was their understanding of the pressures on the clinical team and the sensitive way in which they resolved the often conflicting requirements.” Professor A J Wilson, Director, Clinical Physical and Bio-Engineering

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Arcadia Fashion Retail Academy, London

Transformation of a derelict 1960s building into a functional teaching space.

“When you visit so many different things, as I do, whether it is schools or hospitals or various businesses, the moment you walk in the door you sense the spirit of a place. The moment I came in today, I sensed amongst the young people eagerness, optimism and desire to learn, and an almost exuberant willingness to make the most of the chance that they are being given here.”

“If the students here today are anything like representative of the students of the future then that future is pretty good for your business and our country.” Tony Blair, Former Prime Minister

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The Hadyn Ellis Building, Cardiff University

The new building will transform a derelict railway site into a brand new scientific research facility. Named in honour of the University’s late Deputy Vice Chancellor, Hadyn Ellis, it will become home to two world-leading research institutes, and provide accommodation for Public Health Wales and the Graduate Centre.

“The Hadyn Ellis Building will act as the ‘front door’ to the new Maindy Park campus; the large atrium and exhibition space provides an opportunity for the University to showcase their research to a wider audience.” Richard Gollege, Project Architect

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Kimmeridge Lecture Theatre, Bournemouth University

The new lecture theatre has been designed to be as flexible as possible allowing it to be used for a variety of activities from examinations to music recitals. Reverberation levels, seating requirements and lighting all had to be flexible enough to respond to different uses.

“A tiered seating system has been designed so that each section can be independently retracted behind an oak panelled wall depending on the function. The total seating capacity of the space is 308 people.” Glenn Turner, Project Architect

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St. Mary’s Catholic College and Christ the King Catholic Primary School, Blackpool

The teaching environment at this Building Schools for the Future scheme has been redefined with flexible and interactive faculty-based learning houses and an integrated Primary School.

“At the heart of the school is a central concourse formed by utilising an existing 1950s building. This ‘street’ runs the length of the school and links all elements of the scheme.” Adrian Swain, Studio Director

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Bolton One

This integrated health, leisure and education centre provides primary care accommodation, sports facilities for the local council and research facilities for the University of Bolton.

“Uniting facilities for three local authority departments is not only cost effective, but also promotes a healthy lifecycle.” Justin Harris, Studio Director

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Sir Robert Ogden Macmillan Centre

The design is based on the idea of two pebbles: ‘non-institutional forms’ which preclude the need for long, linear corridors and help to provide identity and a sense of place for each key function of the centre.

“We listened to the voices of the local patients with cancer. We took time to understand their journey and their experience, their needs and their views and reflected these in the emotional resonance of our design.” John Knape, Frameworks Director

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Medicover Hospital, Warsaw

The philosophy behind the design of this private hospital in Poland was to create a place of ‘health and well-being’. This has been achieved by designing bedrooms that ensure patient privacy and dignity; maximising daylight and views; and integrating nature within the hospital environment.

“Thanks , you’ve done fantastic work! If all the co-operation and communication continues to work as it is so far – this project will be a success for sure.” Marcin Lukasiewicz, Project Director

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We Are Nightingale

Duran Abrahams Joanna Ackah Richard Ager Robin Ainley Nicholas Ainscough Kashiefa Albertus Mark Amer Abigail Amos Nina Anders Charles Anderson Lyndon Bailey Jeannine Baker Wilson Danielle Barnard James Barns Chris Bartlett Trudy Beyers Wright Thomas Bilham Theo Bishop Simon Boundy Justin Bowry Sharon Bradbury Natasha Bradshaw Jamie Brewster Hermanus Bruwer Georgia Burt Tom Cairns Andrew Callicott Annie Cheung Georgia Chrysostomou Matthew Clementson Amy Cowan Robert Cox Matthew Cromack Matthew Davies James Davis Liezl De Jager Farhaanah Domingo Mark Drane Jennifer Dunphy Liane Edwards Katie Endicott Stephanie Evans Neil Evans Natalie Fisher Karen Flatt Constance Friedlein Adrian Gainer Lindsay Gibbon Richard Gibbs Kelly Godwin Richard Golledge Stephen Graham Emma Greaves Michelle Griffin Thomas Groves Robert Hall Cristie Hammond Wing Hang Tang Richard Harrington Denise Harriott Robert Harris Justin Harris Graham Harris Goran Hasanic Jonathan Hendrick Hernando Hermosura Nicola Hewes Paul Hewes Danielle Higgs Garry Howard Rhys Hughes Michael Hughes Toby Ingle Andrew Jackson Thomas Jeffers Robert Jones Sean Jones Emma Jones Lennie Joubert Adrian Julius Anthony Keats Matthew Kent Martin Keylock Mohammed Khan Makabongwe Khuboni Timothy Kilpatrick John Knape Sibusiso Kota Terry Lane Matthew Lees Emma Lepley David Lewis Justin Liebenberg Lynn Lindley Stephen Linforth Candice Little Cathy Lloyd Mark Lloyd Graham MacDougall Denise Marx Jarryd Masters Richard Mazuch Cornelia McEnery Martha McSweeney Denise

Medcraff Janet Melling Paul Menadue Sarah Menzies Shayla Miller Simon Miller James Minchener Lizzy Mnyembaba Abdul Moked Shani Moore Gugulethu Moyo Leanna Murby Neil Murphy James Newcombe Mike Nightingale Gavin O’Brian Gareth O’Brian Stephen O’Shea Caroline Paradise Sarah Parker Devika Parmar Matthias Peretz Elizabeth Petrovitch Bronwyn Phillips Rowland Phillips Anthony Picton John Pitts Vissy Plati Tom Pond Robert Powell Roxanne Pretorius Jacquelene Prins Nicholas Prole Carla Queiroz Kristy Ravenhall Elisabeth Reby Brent Rees Jennifer Reid Celia Ridgley Sarah Riley Mark Roberts Stuart Roberts Norman Robson-Smith Silvio Rodrigues Elizabeth Rowe David Rowley Ian Rudd Soner Sahinturk Moegamat Sambo Andreas Schulz Darryl Scotsman Warren Seddon Chris Seymour-Smith Maria Sheridan Keith Sherlock Chris Sherwood Eamon Shiel Steve Simpson Nigel Skelton Johannes Smit Ashley Smith Lindsay Solomans Helen Southwood Peter Standley Jonathan Steel Rory Stenton Alice Stewart Ghaarith Steyn Ian Strakis Andrew Street Terry Sullivan Adrian Swain Magdalena Szczepanska Cristina Tegolo Iain Todd Alan Tripp Jason Truscott Glenn Turner Hermina Uzun Alex Van Den Berg Shaune Van Niekerk Phil Vincent Alfred Vinyu Sarita Virdee Sonja Von Maltzahn Adriaan Vorster Milorad Vucinic Milica Vucinic Emma Ward Stuart Ward James Watkins Lindsay Webb Emma White Andrea Whitney Tim Whittaker Martin Wickes John Wiggett Janet Williams Mark Williams Aaron Willmott James Wingfield-Stratford Tom Withecombe Marta Wlodarczyk Ceri Anne Wright Suat Yasar Wendy Yeung David York

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Image Credits

All imagery in this book has been produced by Nightingale Associates, with the following exceptions:

4 Foreword (Andrew Jardine)14 Stimulating Development (David Rowley)16 THiNK (Niels Denekamp)20 OMPI (Barker Evans)22 Barn Operating Theatre (Charlotte Wood)24 Research Complex, RAL (STFC)26 Active and Alert (Acik, iStockphoto.com)28 Relationships (Nick Short)30 Techno Booth (Bournemouth University)32 North Middlesex University Hospital (Nick Short)34 Liverpool Heart and Chest Hospital (Charlotte Wood)38 Coventry New Hospitals Project (Charlotte Wood)40 Peterborough Hospital (Simon Warren)42 The King’s Fund (Nick Short / Skopos / Nightingale)46 MEG Unit (James Brittain)48 Fulbrook Centre (Charlotte Wood)50 Community (Charlotte Wood)52 Ysbyty Aneurin Bevan (Charlotte Wood)54 Peninsula Medical School (Charlotte Wood)56 Gateway Sixth Form College (Nick Short)58 Mignot Memorial Hospital (Karl Taylor)60 St. Peter’s Health & Leisure Centre (McCoy Wynne)62 Keele University (Charlotte Wood)64 Old Road Campus (James Brittain)66 Hove Polyclinic (Charlotte Wood)68 Deeplish Primary Care Centre (Nick Short)

70 DTC, Good Hope Hospital (Charlotte Wood)72 Medical Student Accommodation (Karl Taylor)74 Legibility (Nick Short)76 Lutyens Crypt Access (Nick Short)80 Old Road Campus (James Brittain)82 Ysbyty Alltwen (Nick Short)84 Ysbyty Cwm Rhondda (Nick Short)86 Mental Health (Charlotte Wood / Nick Short / Chris Hill /

McCoy Wynne / Nightingale)88 Renal & Cardiac Unit, West Wales General Hospital (Charlotte Wood)90 Ysbyty Ystrad Fawr (BAM Construction, Main Contractor)92 The Liverpool Blue Coat School (McCoy Wynne)94 Art in the Landscape (Nick Short / Chris Hill)96 Gateway College (Nick Short)98 King’s College Hospital (Charlotte Wood)100 Chalkhill CAMHS Unit (Nick Short)102 Clinical Sciences Building (Charlotte Wood)104 Arcadia Fashion Retail Academy (James Brittain)110 St. Mary’s Catholic College and Christ the King Catholic Primary

School, Blackpool (Visualisation One)112 Bolton One (Arcmedia)116 Medicover Private Hospital, Warsaw (Medicover)

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